Archive | April, 2012

Body Acne

30 Apr

Summer time! Ya!  I don’t know about you guys, but I’ve been hitting the gym.  Trying to get my 22 year old body back (you know, to match my 22 year old face).  A lot of my friends are doing the same, and it’s come up as a common question to me:

“How can I prevent Body Acne?”

Cuz there’s nothing worse than looking hot in your bathing suit but being all broken out.

 

Body acne can be difficult to treat due to the thickness of the skin and the number of sweat glands in this location.  Pores on the back are typically larger and produce more oil than on the face.  A mixture of sweat and physical irritation (like from clothing) can aggravate break outs.

 

Recommendations:

  • DO NOT GO TANNING.  That’s actually going to make your acne worse.  Being in the sun or even worse, indoor tanning only makes your skin darker to cover the redness of the acne lesion and sun exposure to a lesion could lead to a permanent dark spot on your skin (ie hyperpigmentation…yuck)!.  Excessive tanning also dries out your skin and causes your skin to produce more oil…ever notice how much more you break out once you have stopped tanning or being in the sun?  Another great reason to wear a broad spectrum SPF…prevent acne from worsening!  Oh yeah, and another thing about indoor tanning, think about how much bacteria is in a tanning bed.  Yea, they clean them… but…
  • SHOWER AFTER WORKING OUT.  The most important thing you can do is take a shower immediately after a workout.  Do not sit with sweat and dirt on your body.  Add a salicylic cleanser into your body wash.  I use Image Clear Cell.  I add about a dime size amount to my body wash.  It definitely helps.  Make sure the active ingredient is “Salicylic Acid.”  Also make sure the label says “Paraben Free,” Paraben’s are preservative chemicals that make the product last longer on the shelf.  If you have acne prone skin, this can cause a flare up.  A lot of people unknowingly are allergic to parabens, and the reaction can appear anywhere from little bumps or large cysts that can be mistaken for acne.
  • KEEP SPORTING EQUIPMENT CLEAN.  This seems like a no-brainer, but I have parents come to me and say “my 15 year old who plays lacrosse and wears the same pads every day has horrible acne on his body.”  Same pads every day… same sweaty pads.  Do you wash them?  No?  The same dirty sweaty pads irritating your child’s skin is most definitely going to cause them to break out.  Wash your sporting equipment.  And if your child is 15ish… you should probably bleach them every once in a while.

 

If these steps don’t help, talk to a dermatologist.  You may need to go on oral antibiotics or use prescription strength topical.

Fake It Until You Make It

25 Apr

“Time goes by so slowly for those who wait
No time to hesitate
Those who run seem to have all the fun
I’m caught up
I don’t know what to do”

  1. Who doesn’t love Madonna?
  2. I found a font called “crazy girl blonde.” I didn’t know I had my own font!
  3. Tangent. Anyways. I realized I’m at 6 months of blogging. Longer than any relationships I’ve been in for the past 5 years. Eh. I love myself and that’s what matters right? Well, whether you think I’m a narcissist or not is up to you (did I mention I’m a Leo?); but I think it’s important to take a second to appreciate reaching milestones.

So here goes. In the last six months of blogging I have:

  • Written almost 70 posts about skin care, beauty, and health.
  • Reached 10,000 people with what I have to say (or at the very least looking at my pictures).
    • Which on a sub-bullet leads me to the fact that I’ve learned how to make my pictures pretty fancy and interesting looking. Case in point. Above I put my picture into “perspective.” It makes me look so thin. And black and white – always classy. J
  • Connected with readers in 95 different countries. (I am SO impressed by this! Wow!).
  • Sparked several Facebook controversies over things I’ve done in order to have something interesting to write about. Mainly… things I’ve done to my face.
  • Basically saved the world. Oh wait… that’s my one year goal of the blog. Ha.

It really is a lot of work to write a post. Some take me over four hours (between researching what I’m writing and taking pictures—always trying to be interesting and original—and most important—trying to convey my voice and personality through written text). So I’d like to take the time here to thank all my readers and everyone who has given suggestions (positive and negative!). So thanks everyone! I think if this was an award show I’d be cut off now.

I guess when you stop to actually think about the things you’ve achieved be they work goals, life goals, or even aesthetic goals, you can actually be surprised by how much you’ve accomplished. I know personally I spend so much time trying to complete the next step that I get frustrated with things not moving as fast as I want them to, and it can be really discouraging. My lawyer, Richard, reminded me how far I’ve come in business over the past two years, and I hadn’t really taken the time to think about it. So I’m taking the time to remind you. The longest journey beings with a single step. Keep moving forward in the direction of your dreams. (Insert other cliché phrase here). You can get pretty far in six months! Does my Madonna quote kindda go?




An Interview by Me for Galtime.com – A Boston Based Blog

23 Apr

I did an interview with Jen Dorman for Galtime.com (check it out!) and I think it came out so good that I’m just reposting it. It’s been such a busy week, and I have all these before and after posts coming!!! Also, please come to my seminar at Cynthia Rowley on Newbury Street on Tuesday 4/24 from 6-8pm! It should be a really fun time!

Q: Boston women spend a lot of time outside walking and running. What have you noticed about aging of women in Boston due to this?

Sun block is the most important thing for any woman to wear, whether she’s outside walking or going from the house to the car in the winter. UV rays are always present, and the sun is the number one cause of aging (90% of aging is due to the sun). Even in the winter, for those who do NOT go outside (me) UV rays affect your body. The windshield of the car magnifies the sun’s rays. The driver’s side of the aged face always renders more sun damage, as do the hands, which are the two areas of the body which are always exposed in the car.


Q: What do you recommend for them?

  • Always wear sun block, the best type is a physical block (like zinc). SPF represents the number of hours more an “average” person can be in the sun without sun block before burning. If you would burn after 15 minutes and you have an SPF on of 30 you can be in the sun for 450 minutes without reapplying. If it was SPF of 45 you can be in the sun for 675 minutes. That’s a long run. Also, this number only reflects UV A rays and UV B rays are just as dangerous. The FDA will actually be changing the rating system to a star system within the next year or two.
  • Stay OUT of tanning beds. These are more dangerous for you than you can possibly imagine. One ten minute session in a tanning bed is like an entire summer in the Mediterranean sun without sun block.

Q: What do you recommend as the first steps to maintaining a youthful complexion/ healthy skin?


The most important thing is using good products at home, and in order to use the right products, you need to see an aesthetician.

I will let you in on a secret. No matter how much you spend on a product, if you buy it over-the-counter, it is a cosmetic and per FDA regulations, it cannot cross into the dermis, the living layer of skin. Your super expensive cream from Nordstrom’s is just as ineffective as your $40 cream from CVS (which is expensive for something that doesn’t work!).

The only products that actually work are pharmaceutical grade products, because they can cross into the dermis and provide nutrition and change at the cellular level; they fix the physiological cause of skin problems. Pharmaceutical or Cosme-ceutical products can be purchased only from a specially trained esthetician, nurse, or doctor; you cannot buy these products online, just like you cannot purchase pharmaceutical drugs online.

I would consider myself an “expert” informed consumer when it comes to skin care, and I often consult aestheticians on what products and strengths are best for a client. So unless you’re a professional, you probably shouldn’t be doing this with your skincare products. I mean, if your car broke down you wouldn’t go to Auto Zone and say “hey, I need a transmission, and I will install it myself.” And cars come standard! Let me tell you, skin does not. Hormones, nutrition, the weather, certain medications and hydration status are just a FEW examples of things that effect the outward appearance of your skin. Your skin is an organ, and can be a good external indicator of internal imbalances. I think a lot of women forget this and treat skin care as something cosmetic. It’s not. A highly trained aesthetician will put you on a good regiment that your skin individually needs.

Q: How do you know an aesthetician is good?

If they take the time to evaluate your skin, explain what they see, and what they recommend treatments and products based on this

evaluation. Everything should be individualized to your skin, because everyone’s skin is different!

Q: What should a consumer expect to spend on products?

Actually, it’s comparable to over the counter treatments, ranging from $20-$200. I don’t necessarily think expensive is better. My favorite product line is a company called Image – it works, and it’s super affordable (the average product costs the same as your ROC from CVS). I bought four products and spent about $150… then I went home and threw out HUNDREDS of dollars of useless products that were taking up precious Boston real estate. And after my skin was perfect, I threw out hundreds of dollars of make-up I didn’t need.

Q: Do you have a favorite go-to product?

Retin-A! Not only is it great for acne, but is the only product besides sunscreen that is proven to prevent fine lines and wrinkles. Every woman should be on some type of Retinol product. It chemically exfoliates the skin, which acts as a signal to the body to stimulate the cell cycle. New cells at the bottom layer of the dermis are created and older cells are pushed up towards the epidermis where the dead cells reside. Cellular turnover of skin cells is about 30 days, and slows as we age. By exfoliating the skin, cellular turnover improves and dead skin cells don’t build up (which gives a dull look and makes fine lines more visible). Over the counter exfoliants can actual tear the skin, making unable to function as a barrier to germs and infection (i.e. certain types of acne). This product needs to be used carefully, not everyone tolerates the same strength or amount of it, and you need to stay out of the sun when using it.

Laura Kimberley is a Registered Nurse of the Commonwealth of Massachusetts and a small business owner in the Greater Boston Area. Laura is a Certified Advanced Cosmetic Injector by American Aesthetics Institute and a Member of the American Medical Aesthetic Professionals.  Laura specializes in non-invasive and minimally invasive techniques .  She is an accomplished writer and speaker on aesthetics and anti-aging technology. She works with many different organizations and volunteer groups focused on women’s health. Her objective is to provide multifaceted techniques to help women achieve individual beauty goals.

Softening the Lines

10 Apr

P. is a 50 year old woman who has seen me twice over the past two years. To start, she had deep naso-labial folds that she hated. We first filled them with Juvéderm (which was my product of choice two years ago, but now I like Radiesse better for this area). We then did a little bit of cheek augmentation with a large syringe of Radiesse.

P.’s son is getting married and she wanted a little touch-up before the wedding. This is totally common with treatments (and weddings). Remember, any procedure should be done with plenty of time for healing to occur in regards to bruising or swelling.

Before


After


Again, remember, I’m not a photographer! The goal with P. was to soften the downturn on her mouth, the depth of her chin, and the depth of the NL fold.

Gravity…

As you age gravity causes several changes to occur in your face. The fat pads on which your eyes rest slides out from the socket and begins to bulge. At the same time, fat pockets in the cheeks break down in a known consequential manor. The combination of these two things and the pull of gravity on lax skin deepen the look of the nasolabial folds and add years to the face.

So What did I do?

As I said, P. and I have done a few treatments together before. We did the folds first, to fill the depth caused by lax skin and gravity, and then I did cheek augmentation. As I have become more advanced however, I have changed my practices to moving from the top of the face down (because of gravity) and from the most advanced sign of aging backward. I have found this to be the most effective way to treat aging. In retrospect I would have done the following:

  1. Cheek Augmentation

    By reconstructing the fat in the cheek area by filling it with product, this will decrease the laxity of the skin which forms the NL fold. I know women start pulling up the sides of their cheeks at around 30, wondering what a facelift would look like. Well this isn’t a facelift. It’s a laxity lift. (I made that up). It’s an improvement which will help me use less product in the laso-labial fold area. This means a better result AND less money. J


    **Do you do this in the mirror? As you can see, I don’t have much lax skin… from multiple procedures (cheek aug and ulthera mostly). But uh…. I do have roots. No one’s perfect! 😉

  2. Marionette Lines

    This is one of the most advanced signs of aging (because it’s the precursor to jowls). The marionette line starts from gravity pulling down the corners of your mouth and gravity pulling the fat down from the cheek. It’s just a big ol’ gravity mess! Pulling the needle around the corner of the mouth pulls up the downturn of the mouth.

  3. Naso-labial folds

    While this is the LEAST bad sign of aging, this is usually what women are drawn to fixing first. Depending on your age, and your current amount of fat in your face, and the money your willing to spend to have the best result, are all deciding factors on where to start first. Aging didn’t start overnight, and… to be realistic… one treatment isn’t going to restore the youthfulness to your face. Many women’s biggest fear is looking like a Desperate Housewife (fake and expressionless) but this is not the goal of aesthetic medicine. The goal is to restore and maintain your features.

“Softening P.”: A Maintenance Session

P. still had nice volume in her cheeks, and her N.L. folds still had some nice fill (1 year later). P. just needed a little softening to look her best.

X = needle insertion point

Line = needle direction of needle





  1. Mouth Corners
  2. Marionette Lines
  3. Lip line
  4. Chin Sharpening
  5. Jaw Softening
  6. Nasolabial fold softening

Again the Afters


This round of treatment was to soften and touch up. One large Radiesse syringe was used to treat 6 areas. The result is a softer looking face. There is not a HUGE difference in what P. looks like, but there shouldn’t be. Treating six areas with one syringe will not show a HUGE difference. Six syringes in 6 areas… now that’s a different story. Personally, I will only do ONE syringe at a time. Once you fill one area, you change the skin volume, and laxity changes. If someone tries to sell you six syringes at once, RUN. They are not looking out for your best interest, and you are going to leave the office looking like a different person (or something non-human!).

LK Signature Facelift: Giving Myself a Facelift

8 Apr

You have NO idea how hard it was for me to give myself the LK Signature Facelift and take pictures of myself at 9am. Ok, I admit, it’s not that hard. But still, I look pretty silly in some of these photos! … so I hope you appreciate them! Below are pictures and the steps in my LK Signature Facelift, including what each layer is and what it does for your skin. And also… in case you didn’t know… LK is my initials. 😉

So who is the LK Signature Facelift good for and what kind of result should you expect to see? The LKSF (my new nickname for it) is recommended for anyone and everyone! It is an especially excellent resurfacing treatment for those who suffer Rosacea. The LKSF can even be performed in conjunction with Botox and dermal fillers! After the LKSF, your skin will be tighter, lighter and brighter….who doesn’t love that?!?

ß (I need to touch up my Botox and that’s my “I need Botox” face)


Step 1: Cleanse

When I do this treatment on my clients, I use the Image
Ageless Total Facial Cleanser, which contains 12% Glycolic Acid. Glycolic Acid is excellent for exfoliating the skin, leaving it fresher and brighter looking! The Ageless Total Facial Cleanser has a great tingly feeling, so you KNOW it’s working! It is excellent for keeping pores clear and occasional breakouts to a minimum

I cleansed my skin with the Ormedic Balancing Facial Cleanser, it’s a gentle cleanser (Organic Aloe Vera is the first ingredient in this cleanser!). I didn’t feel like leaving my bathroom to retrieve my Ageless Total Facial Cleanser which is literally an arm’s reach outside the bathroom door. It was 9 a.m., people!

Step 2: I-PREP Degreasing Solution (Professional Only Product…btw)

The degreasing solution is applied with gauze. The reason degreasing solutions are used in professional treatments, is because we want to remove as much of the surface oils on the skin, as possible. This will allow for the product to evenly and more effectively penetrate the different layers of skin.

Step 3: Vitamin C Enzyme Resurfacing Solution (Professional Only Product)

This first layer I apply is the Vitamin C Enzyme Resurfacing Solution and it’s used to keep the pH of your skin high. The higher the pH of a product, the less irritating it is. Vitamin C is actually an excellent resurfacing agent and will help brighten your skin. Not to mention, your skin needs Vitamin C in order to form healthy new collagen! Collagen is what gives skin its healthy, bouncy structure.


Step 4: Resurface/Exfoliate



The Ageless Total Resurfacing Mask has smooth, little micro-exfoliating beads in it that gently exfoliate the dead skin from the top layer of skin (the epidermis). By exfoliating dead skin, your body is stimulated to increase it’s cellular turnover rate (In more simple terms, it makes new healthy baby skin cells, and the still healthy young skin cells are pushed up through the layers.) Can you see how the micro-exfoliating beads in this formulation are perfectly round? They don’t tear your skin (like certain over the counter “exfoliators” will, inviting infection into your skin… and also making your body work to repair micro-tares). The Image Total Resurfacing Masque is high in glycolic acid as well. It is one of my favorite products because you can use it as a masque or a scrub! Sometimes I even like to mix a little into my Ormedic Balancing Facial Cleanser for some added exfoliation.

I’m such a ham! A Kosher one…

Step 5: Blast of Nutrition


The Vitamin C Enzyme Resurfacing Solution is applied a second time…the point here, to add even more Vitamin C to the skin! Remember, tighter, lighter and brighter!

Step 6: Hydrating Enzyme Mask


This final layer is an active masque that eats up the dead skin cells that have been removed from your face with the other layers. The Vital C Hydrating Enzyme Masque is also one of my favorites because it injects the skin with hydration and antioxidants! My skin is always left looking brighter and more supple after using this masque…sometimes I even sleep with it on so I wake up looking super-hydrated and vibrant.

Step 7: Remove Layers

Using sponges and warm water all four layers are removed, leaving me with fresh, bright skin!

At home tip: You can do your own at home mini-LKSF. Start by cleansing your face with your favorite Image Skincare Cleanser. Then mix equal parts Ageless Total Resurfacing Masque and Vital C Hydrating Enzyme Masque. You can leave this combo on for up to 30 minutes. Then remove with a clean washcloth and tepid water. Next, apply your favorite hydrating Image Skincare serum, Image’s most popular serum is the Vital C Hydrating Anti-Aging Serum. Then apply an eye crème, like The MAX Eye Crème, uses the latest in cosmeceutical technology and breaks up blood pigment (dark circles) by up to 20%! Next you would apply either your favorite Daily Defense Moisturizer or Image Repair Crème. Finish with the Ormedic Balancing Lip Enhancement Complex, for the ultimate juicy, plump lip without that irritating bee-sting effect.

Image Skincare is only sold to licensed Skin Care Professionals, like me! So, if you are interested in purchasing some of these products for your own at-home use, contact me. I also offer free shipping!

Step 8: SMILE…

…because nice skin makes you happy! I have this facial done every other week in the summer… when I shouldn’t be doing as many chemical peels. It’s a nice gentle exfoliation. And off to work I go with no make-up on (I don’t know why I still look half asleep… oh maybe I do need some make-up…Flawless Foundation from Image Skincare is my fav!!!). Can you tell I love this line? Lol, I’m not the only one though. I think at some point I’ll do a testimonial’s post!

Botox for Migraines

1 Apr

Botox has been approved for the prevention of both regular and migraine headaches. Is this treatment right for you?

Headaches vs. Migraines

A migraine is an extreme type of headache which is generally brought on by a dilation of blood vessels in coordination with an imbalance of chemicals that trigger pain throughout the nervous system.

My Experience with Botox and Migraines

I have suffered from migraine headaches for years. They start with my vision getting a little blurry, and then it gets so bad I can’t see. I have to lie down in complete darkness while experiencing the worse pounding pain in my head. I’ve been on multiple drugs for them, which I hate taking. They put me to sleep for a good 24 hours, and then I feel all foggy the next day, in what I like to refer to as a “drug hangover.”

I’ve been doing Botox for the past two years, and I never get migraines anymore, so much to my surprise I had one on Thursday. Sure enough, when I looked in the mirror, I could tell I was overdue for my Botox. Botox is clinically proven to prevent headaches (not just migraines) as well as decrease the intensity of those that do occur. It was approved for the treatment of chronic headaches in October 2010.

The Studies

In all the clinical studies that have been done there has been a statistically significant decrease in the frequency and intensity of headache pain, by at least a 50% decrease in both. These studies are somewhat confusing to read for the average person, so I’ll just make it simple: BOTOX PREVENTS HEADACHES. Statistically proven, and because I say so from personal experienceJ.

The studies state that you need to have two treatments with Botox 3-6 months apart (as soon as the Botox is starting to wear off you have to go in for your second treatment).

Highlights of Studies:

  • It is safe and well tolerated with some great side effects (i.e. looking youthful)
  • Inhibits central sensitization of central trigemino-vascular neurons, which is felt to be an integral piece of the development, progression, and maintenance of the headache associated with migraine
  • Inhibits the release of nociceptive (pain) mediators

Other Options:

  • Pain killers: Yes, these do work. They also come with a handful of side-effects (nausea, addiction, the “drug hangover” the next day—thanks I’ll pass). Not to mention, these can only be taken after the onset of a headache. I’m lucky in the fact I get an “aura” (hazy vision that tells me I’m getting a headache), which not everyone has. Pain is difficult to bring down once it has already started, and once you have taken a pain killer, you are still out of commission for a good 6-12 hours.

  • Caffeine: blocks receptors of adenosine, a nervous system chemical which is responsible for the dilation of blood vessels in the brain. By constricting the blood vessels, the pressure of migraines and headaches is alleviated. Four Espressos usually does the trick for me. Which is what I consumed on Thursday. Thanks Starbucks.
  • Sit in a room with the lights off and a cold compress on your head. Usually necessary even with pain killers and caffeine.
  • Surgery: This is for extreme cases of migraine sufferers, where a part of t brain is removed. This is much scarier than the episodes of Grey’s Anatomy, and if you’re in this category of migraine sufferer’s, then I’m sure you’re already in the hands of a capable neurologist.
  • Marijuana: I feel like I have to add this as an option. Whether or not it’s legal in your state for medicinal purposes is another story… but it does have some evidence supporting a decrease in intracranial pressure, and has been recommended to migraine sufferers by prominent neurologists. I much prefer Botox though. 😉

So, as you can see, Botox treatments are a pretty good option for migraine sufferers. They prevent the onset of headaches, which no other treatment does (besides surgery). It is safe, and non-habit forming (unlike pain killers). It has a great side effect of making you look good. And generally it’s just an awesome medication. BOTOX FOR PRESIDENT. (Ok… I’m at Starbucks, without a migraine, but I still have had four espresso’s and I’m in a silly- but still scientific- mood).

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