Posts Tagged ‘laser resurfacing’
The delicate thin skin around the eyes is the first place that skin starts to age. Even the hair on our eyebrows and eyelashes reduce and become lighter over time, and if that isn’t enough many women find it difficult to apply eye makeup because vision can become worse with age.
Crows Feet and Lines Between Eyebrows
BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines).
Botox will temporarily relax the muscles that create the lines around eyes known as crow’s feet. Botox is also used to treat the lines between the eyebrows, often refereed to as the elevens (11).
Fine lines and Crepey Skin
Laser and chemical peels can be done to resurface the skin around the eyes and stimulate the fibroblast to produce collagen. Some laser treatments can be done around the eyes, as long as ocular shields are used to protect the eyes, however some patients are not comfortable with having the metal ocular shield placed inside their eyes. I personally prefer to do a chemical peel using a 30% – 35% TCA. I prefer the TCA because I am able to peel all the way to the lash line, I also feel that I am able to produce a better result with the TCA peel.
If you are considering a TCA peel, be sure to go to someone with a lot of experience, especially if you have dark skin. It may be recommended that you precondition the skin with Tretinoin ( Retin-A) and Hydroquinone, before the peel. It takes about 7 – 9 days for the skin to complete the peeling phase, however this is dependent on the depth of the peel. In general you can expect the skin to start to darken up on the third day, you may see some peeling as soon as the fourth or fifth day. It is extremely important that you don’t “assist” the peel, treat the skin almost like you are trying to keep it on. Picking and peeling the skin off prematurely can lead to complication. Follow all post treatment instructions, which usually includes using a moisturizing product like Obagi’s Action.
Bags under the eyes
A plastic surgeon can easily remove fat pads from under the eyes. A Blephaplasty removes excess skin and fat. A transconjunctival blepharoplasty, is a procedure where the fat is removed from the lower eyelid, by making the incisions from the inside of the eyelid. The advantage is that there isn’t any visible scars, however it doesn’t remove excess skin from the lower lid. A plastic surgeon can also reposition fat, and reinforce muscles and tendons around the eyes. The surgeon may recommend a canthoplasty to reinforce lower eyelid support. In some cases a blephaplasty can be performed in the office with little to no down time. You should schedule a consultation with a plastic surgeon to see what procedure is best for you.
Hollow under the eyes, or sunken in look
You can have filler injected under the eyes to fill on the hollow area under the eyes. This is an advanced technique and should be performed be an injector that is very experienced at injecting fillers around the eyes.
This patient has been bothered by the hollowing beneath her eyes that make her appear fatigued. The photograph shows the patient after injection of Restylane® to the right lower eyelid region, and before injection to the left side to simulate a before and after view. She was delighted with her immediate improvement at the end of the injection session. Photo courtesy of Shapiro Plastic Surgery.
[ Arizona’s Master Injecter: Botox, Juvederm, Restylane and more ]
The browlift is a procedure designed to elevate the brow to a more youthful position relative to the eyelids.
The endoscopic browlift is a minimally invasive procedure, which means there is very little bruising or swelling from the procedure. The procedure involves inconspicuous incisions made throughout the scalp, hidden in the hair meaning that the thin, few scars that are left behind, are hardly noticeable by even the patient themselves. The recovery time is very quick; surgical sutures are removed within ten days, after which most patients can comfortably socialize without pain. This is a very common procedure performed by, Paradise Valley Plastic Surgeon, Dr Daniel Shapiro. An open (coronal) browlift is a specialized procedure for patients with deep wrinkles or heavier skin. Deep wrinkles in the mid-forehead and between the eyebrows can be lifted out by using an open browlift technique. Both techniques are common procedures performed by, Paradise Valley Plastic Surgeon, Dr Daniel Shapiro.
ReFirm and Thermage are skin tightening treatments that use Radio Frequency (RF) technology to gently tighten the skin. These treatments do not require any down time, however you may need a series of treatments for best results. I find that these treatments work best when combined with other treatments.
Permanent cosmetic makeup is cosmetic tattooing elevated to the highest artistic level. Permanent make up can help give you back what time has taken away, and help to enhance your natural look. Permanent make up is not necessarily intended to replace cosmetics completely, because the color is placed “in” the skin and not on the skin, so a more natural, softer look results after the skin has healed. Permanent make up makes it possible to look better round the clock and be less self conscious. When you look better you feel better! It is a great time saver, perfect for active outdoor lifestyles, sensitive skin, and clients with contacts, glasses or difficulty applying make up.
You may notice that your lashes and brows are not as full as they were when you were younger.Latisse is the first and only FDA approved prescription treatment for eyelash growth. It is an easy to use topical solution that you apply once a day at the base of your eyelashes. Lashes gradually start to get longer, thicker and darker. You will notice results in as little as 8 weeks, and full results in as little as 16 weeks. Keep in mind that hair growth can develop in other areas that the solution is applied to. I personally have used Latisse on my eyebrows and have seen an improvement.
Eyelash and Brow Tinting
To enhance the look of your eyes, you can have your eyelashes and eyebrows tinted. The treatment is quick, painless and inexpensive. The results are temporary, and last about 4 weeks. Eyelash and eyebrow tinting is also great for men, because they generally don’t wear makeup.
Laser peels, also known as a laser resurfacing, is the removal of the top layers of the skin via focused laser light energy. Some types of lasers may penetrate into deeper layers of skin to provide correction at a deeper level. Fully ablative laser resurfacing is used to remove moderately deep lines, scars, birthmarks and enlarged oil glands on the nose (rhinophyma). Laser resurfacing is usually performed using a Co2 (carbon dioxide) or Erbium laser, both lasers vaporize superficial, damaged skin cells. Laser resurfacing is an outpatient procedure that usually requires local anesthesia, and often done at the same time as surgical procedures.
CO2 is thought to give the best skin tightening, unfortunately it also creates the most downtime, pain and risks of adverse side effects. Newer versions of CO2 lasers can use short pulsed light energy (ultrapulsed) or continuous light beams that are delivered in a scanning pattern to very precisely remove thin layers of skin with minimal heat damage to the surrounding structures.
Erbium laser resurfacing creates minimal burning of surrounding tissue allowing for quicker recovery time than CO2 resurfacing procedure. Recovery time from the full coverage CO2 resurfacing is up to two weeks, compared to about one week with an Erbium laser. Erbium lasers cause minimal side effects, such as swelling, bruising and redness. Those with darker skin are usually a better candidate for erbium laser resurfacing compared to CO2.
The Sciton MicroLaser Peel is partial to full epidermal peel ( typically, 20 – 50 microns). The Sciton Erbium Yag laser is used for MicroLaser Peels and has the capability to treat at depths as minimal as 10 microns to as deep as 120 microns (full resurfacing). Microdermabrasion generally only removes the stratum corneum (10 microns). This is a versatile procedure because the settings can be adjusted to control the depth of the desired peel, while a computer guided scanner ensures maximum precision and treatment uniformity. Because this treatment ablates deeper into the epidermis, it is perfect step between microdermabrasion and full resurfacing.
Fractional Laser Resurfacing
Fractional resurfacing procedures have gained in popularity because their delivery systems dramatically reduce downtime compared to full coverage resurfacing. Fractional laser skin resurfacing treatments can utilize the same energy of an ablative resurfacing lasers, while providing the safety of non-ablative laser treatments. As a result, patients can undergo a corrective procedure, without the down -time. Fractional laser treatments target only a fraction of skin at a time, leaving the surrounding tissue intact, allowing the skin to heal faster. Fractional laser procedure are usually done in a series of treatments. Fraxel, ProFractioal and Ultrapulse (Active FX) are the most widely used fractional laser treatments.
ProFractional is a Fractional Erbium Ablative laser.
Active FX, Deep FX and Total FX
The UltraPulse fractional CO2 (10,600nm) laser system is capable of offering the full range of fractional resurfacing. The Active FX and Deep FX are both part of the UltraPulse Fractional laser, they are however separate handpieces that work differently. Patients are often confused by before and after photos, assuming they represent an Active FX treatment, when they may actually show results from a Deep FX or Total FX treatment.
DeepFX offers a small, deep spot microablative treatment
ActiveFX offers a large, superficial spot treatment.
Total FX is a treatment that combines both the DeepFX and ActiveFX.
Fraxel currently has four fractional systems.
Fraxel re:fine® treatment—for prevention and maintenance
This is the most gentle option, and is a cosmetic procedure that treats minor skin damage, with little to no down time.
Fraxel re:store® treatment—for mild to severe skin damage
The original and most popular Fraxel treatment, this treatment is used to resurface damaged skin and treat wrinkles around the eyes, acne scars, surgical scars, age spots/sunspots, melasma and Actinic Keratoses. There is minimal downtime , usually redness and some swelling. Most return to regular activities within a day or two.
1500nm Erbium laser
Fraxel Restore Dual uses both 1500nm Erbium laser and 1927 Thulium fiber laser
Fraxel re:pair® treatment— for the most severe skin damage
This is the most aggressive Fraxel treatment, it tightens skin, corrects severe damage, wrinkles, irregular texture, age spots/sunspots, sun-induced redness. There is increased downtime with this treatment, most return to routine activities after a week.
Fraxel Repair 10,600nm Co2 laser