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Posts Tagged ‘skin tightening’

Ultherapy -lift
If you have not yet heard of Ultherapy it is a non-invasive procedure that is intended to lift and tighten the skin. It sounds almost to good to be true, right. So, the question is, does it really work?

The short answer is, yes it does work, but before you make any decisions, you need to know what kind of results can be expected. First, non-surgical treatments will always give a non-surgical result. If you are hoping for a cheeper alternative to a facelift, mini-facelift or even lifestyle lift, you will be disappointed with Ultherapy or ANY non-surgical treatment. During a traditional facelift the surgeon address lax facial muscle, fat and repositions the skin. Ultherapy is not a facelift and a facelift is not a skin treatment. One procedure does not replace the need for the other.

As we age collagen production progressively declines, which leads to wrinkles and thinning skin. Not to confuse facial volume (fat) loss, with skin (dermal/ epidermal) thinning, they are different concerns requiring different procedures. Like many of the treatments used in the world of medical aesthetic, Ultherapy is used to stimulate collagen. What makes Ulthera so unique is the way it stimulates collagen, where it stimulates collagen, the amount of increased collagen and the duration that collagen production is up regulated. Initially the targeted tissue will contract causing a tightening effect. As the renewal process continues collagen production is up regulated, improving skin density and giving a modest lift. The increased collagen is seen at multiple levels of the dermis, most prominent in the deeper dermal tissue. This up regulation of collagen continues, on average of a year.

An average of 69.5% improvement in dermal thickness is seen after Ultherapy

Although, Ultherapy is currently the only non-invasive treatment that can claim to lift skin, there are other treatments that can tighten the skin. Skin tightening is generally seen when aesthetic treatments target the dermal layer of the skin and stimulate collagen production. Ulthera works by targeting deep into the dermal tissue and also to the top of the facial muscle, leaving the surface intact. This is important because other non-surgical treatments, like RadioFrequency (RF) and laser do not treat at the same depth. Although, RF treatments can target fairly deep into the dermal area, the targeted area is only heated to a tempeture that will cause tissue contraction, this helps to tighten the skin. The difference is that RadioFrequency (RF) treatments do not heat the targeted area to the needed tempeture to achieve optimal collagen synthesis. Laser resurfacing and fractional resurfacing treatments, do heat the target area to optimal tempeture and will definitely generate significant collagen synthesis in the upper-mid dermis, which is ideal for treating lines, scars and skin texture. The difference is that we can not treat as deeply into the dermis with laser resurfacing as we do with Ultherapy. Most importantly, RadioFrequency (RF) and laser do not target the top of facial muscle, where Ultherapy does. Ultherapy does work, very well actually. Ultherapy is most appreciated when it is part of a comprehensive approach to anti-aging.

ultherapy-overview

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Read MoreAugust 3, 2015 12:10 am - Posted by Kristy


The eyes are the focal pointe of the face and one of the first places we start to age. A professional chemical peel to treat the skin around the eyes, may be just what the doctor ordered.
A Medium Depth Peel will..
– Treat skin laxity, fine lines, “stretchable” wrinkles and scars.
– Improve skin texture, reducing roughness
– Treat hyper-pigmentation Brown spots and Melasma
– Tighten large pores
– Increase collagen and skin density

The skin around the eyes is thin and with age begins to show fine lines and take on a crepey texture. Treating the delicate skin around the eye can be tricky. Lasers can damage the eye, so this limits how we treat this area. Laser resurfacing can be done, if special laser eye shields are placed inside the eye. Chemical peels are another option for treating the skin around the eye, and when done by a skilled professional can be done up to the lash line.

Chemical peels that penetrate to the appropriate depth in the skin, can improve texture and tighten skin. A TCA peel that penetrates beyond the papillary dermis, just to the Immediate Reticular Dermis (IRD) will provide skin tightening effect, this is called a Medium Depth Peel. I am choosing not to mention the strength of TCA used, because I read too many horror stories online about people who attempted to do a professional peel at home. Skin care professionals are trained on how to determine where we are working in the skin, this is a medical grade peel and should be done by an experienced professional.

Aging Skin and Chemical Peel Intervention

Skin care professionals often talk about “skin cell turn over”. Skin cell turnover is the process of a new skin cell being produced, working it’s way up to the surface and replacing old skin cells which have been sloughed away. In young healthy skin this process takes about 6 weeks, however aging and sun damage slow this process. Chemical peels increase skin cell turnover, which in turn improves skin texture.

The production of growth factors, collagen, elastin and hylaraunic acid all slow with age, so the goal in anti-aging is to preserve and increase the production all of these things. Collagen is a protein that gives skin it’s volume strength and structure, while elastin is what gives skin it’s elasticity or ability to snap back. Hyaluronic acid is a key molecule involved in skin moisture, as it binds and retains water. Hyaluronic acid is also needed to bind collagen to elastin. When we do chemical peels and laser treatments that penetrate beyond the skins epidermis, we are benefitting from the skins own wound healing ability to up regulate growth factors and stimulate the production of collagen, elastin and hyluranic acid. The result is a thicker dermis, smoother surface and skin tightening.

What to expect

The day of the peel is considered day 1. On days 1 and 2 your skin looks okay, but it may look dry and slightly older. By day 3 skin begins to look dark or bronze, this will vary depending on your natural skin color, skin discolorations and depth of peel. Skin usually begins to peel on day 4 and is usually done by day 5. After the skin has peeled of it may be pink for a couple days. The healing process does vary for each person. Healthy skin will always recover more quickly with less inflammation.

During the peeling process you will need to follow the post peel instructions given to you by your skin care professional. This usually includes using a gentle cleanser, a hydrocortisone cream and mild moisturizer. An occlusive ointment such as Vasoline or Aquaphor may be recommended. It is VERY important to not pick or pull off the skin, let it peel in its own time! (seriously… don’t do it) You should also avoid sweating during the pealing phase, because it will create sweat beads under the skin that will cause it to peel of prematurely and thats bad. The skin should be protected with a totally physical sunscreen, I like Physical Eye UV Defense SPF 50 by Skin Ceuticals.

After the old skin has peeled off, it instantly looks and feels smother. The collagen production will continue to increase and the skin will continue to feel tighter. To keep the skin renewal process un regulated and functioning more similar to young skin, I usually recommend having around 4 TCA chemical peels around the eye area per year. Treatments should be scheduled over 6 weeks apart.

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Read MoreJune 5, 2014 9:35 pm - Posted by Kristy

Master Estheticians Kristy Harris and Stephanie Willis have launched a campaign to immediately improve the image of skin!

The PR Facial Treatment was designed in recognition of the human desire to become more competitive and appealing socially, romantically and professionally. This treatment puts a new spin on skin by networking skin tightening technology with the skin plumping results of an infused oxygen treatment for immediate image enhancing results.

PR Facial Treatment

This skin campaign begins with a skin tightening treatment that uses Radio Frequency to deliver deep intense heat into the dermis. The heat causes an immediate contraction of collagen fibers, and stimulates collagen production. The result is an immediate skin tightening effect.

The skin tightening treatment is followed up with derma-planing, gently scraping the skin to remove facial hair and dead skin cells. Skin is immediately smoother and has a more polished image.

The skin enhancing event is completed with an Oxygen facial treatment that will instantly leave the skin plump, firm, hydrated and radiant. Oxygen, in conjunction with vitamins and minerals are propelled onto the skin to nourish and revitalize the skin cells. After the oxygen treatment you will notice a “tight” sensation of the skin and the skin will look and feel moist to the touch.
120 minutes / $550 *Gratuity not included

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Read MoreSeptember 7, 2011 1:46 pm - Posted by Kristy

Achive a more youthful, toned and lifted appearance

Target signs of aging by tightening lax skin including, jowls, neck, sagging under the eyes, droopy brow, and nasolabial folds. ReFirme is a noninvasive procedure that instantly tightens skin with out any discomfort or down time, offering a fast treatment for sagging and wrinkled skin.

ReFirme is a FDA cleared non-invasive Skin Treatment procedure that enables you to comfortably achieve a more youthful, toned and lifted appearance without enduring down time.

An average treatment takes about an hour. You can see results immediately after your first treatment, however results are accumulative, so a series of treatments are recommended. A series of 5 treatments are recommended, scheduled about 3-4 weeks apart. You can expect results from a single treatment to last up to 6 weeks and after a series of 5 treatments, results last up to 6 months.

ReFirme is an ideal treatment before photo’s or special events.
There is absolutly no down time! After a treatment you look good enough for a night out, in-fact many celebrities will have a skin tightening treatment before they hit the red carpet.

ReFirme can also be used in conjunction with other skin treatments including Fotofacial, Microdermabrasion, The Oxygen Facial and Chemical Peels.

ReFirme™ is a FDA cleared non-invasive skin treatment that uses Bi-Polar Radio Frequency and Light energies to precisely heat the dermal tissue within the targeted treatment area. The precise heating ensures a safe, effective, fast treatment with no downtime. Fine wrinkles are reduced, noticeable lifting can be observed on sagging skin and the texture of your skin becomes smoother, more luminous and toned.

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Read MoreMay 26, 2011 8:44 pm - Posted by Kristy

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).

Eyes, Botox

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.

Photograph from Shapiro Plastic Surgery


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 ]

Droopy Brow

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.

Skin Tightening

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.

[ Radio frequency (RF) 101: Understanding (RF) Skin Treatments ]

Permanent Makeup

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.

Latisse

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.

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Read MoreMarch 22, 2011 2:22 am - Posted by Kristy

radio frequency
Radio frequency is not the same as laser, however it is often used in conjunction with laser treatments in a clinical setting. Radio frequency (RF) usually refers to oscillations in electrical circuits. Aesthetic treatments use non-ablative (RF) energy in short intense pulses that oscillate through the skin to heat targeted tissue. Radio frequency (RF) is often used to tighten the skin. The (RF) energy penetrates the skin and stimulates the contraction of collagen and the production of new collagen for skin tightening.

[ Read more about Laser technology ]

Radio frequency devices use a variety of delivery systems and penatrate to varying depths. Radio frequency can be monopolar or bipolar. Bipolar devices are often combined with other types of technology such as infrared light.

Monopolar vs Bipolar

Monopolar
For the purpose of aesthetic treatments Monopolar radiofrequency is delivered by applying a single electrode to the treated area and an opposing electrode that is relatively far removed so that the current goes deeply through the body. Unipolar (RF) penetrates deeper and more intensely than bipolar( RF). Thermage uses monopolar radiofrequency (RF) energy to tighten and contour skin.

bipolar vs monopolar
Bipolar
For the purpose of aesthetic treatments bipolar radiofrequency is delivered by applying two closely positioned electrodes to the treated area. The electric current travels from one electrode through the tissue and back up to the other electrode, the current that goes between the electrodes is small and shallow. As a result, the tissue in the treated area is heated less deeply and less intensely than monopolar (RF). In aesthetic treatments bipolar RF is usually combined with light or energy based sources, including lasers, intense pulsed light, infrared light, or vacuum assisted. Infrared light heats the tissue down to the deep dermis and acts to “pre-heat” tissue, for improved (RF) penatration.

Bipolar Radiofrequency used with Laser and IPL

Unlike laser and Intense Pulsed Light (IPL) energy, radio frequency is not absorbed by a specific chromophore. When RF is combined with other energy sources such as lasers and IPL, the laser or IPL energy will be absorbed by the targeted chromophore (melanin or hemoglobin), resulting in an increased temperature in the target areas. The increases in tempeture lowers the tissue impedance to those areas and the RF energy will stream preferentially to the warmer areas with lowered impedance. Elōs is the first and only technology that simultaneously harnesses the power of bi-polar radio frequency (RF) and optical energy.
elos, rf

refirm, bipolar rf The ReFirme™ ST procedure combines safe and effective levels of infrared light and bipolar radiofrequency energies to remodel the dermal layer of the skin by stimulating new collagen growth.

Bipolar Radiofrequency(RF) used with Suction

RF with vacuum Bipolar radiofrequency can also be combined with negative pressure ( suction), to help improve and control the absorption of the RF energy. The tissue is suctioned into the hand-piece and the RF energy passes through. The Aluma uses a vacuum-assisted and bipolar radio-frequency (RF) handpiece for skin tightening methods.

radiofrequency skin treatment VelaShape uses a combination of Infrared light, bi-polar radio frequency (RF) and negative pressure (suction) to heat deep adipose (fat) tissue. Infrared light, tissue mobilization, and suction, all work synergistically with RF to reduce cellulite.

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Read MoreJanuary 11, 2011 2:06 pm - Posted by Kristy