Tag Archives: aesthetic

Prepping Your Skin for a Peel

28 Jun

It’s not exactly the best time of year to be doing chemical peels (or laser treatments) because most people want to be outside enjoying the sun. But I’ve been doing a lot of training with Alexis Robertson, the Massachusetts rep for Image Skin Care, and I just finished reading a book she gave me on Chemical Peeling. So I had to post something before I gave her back her book! Stay tuned for more posts on different types of Peels or start researching with   ‘Tis the Season for Chemical Peels!.


ßAlexis is peeling Andrea Purcell, an excellent aesthetician in North Reading at Stephanie Cogliano on Main Street. Andrea is a candidate for a peel in the summer because she has prepped her skin, and she will not be in the sun. She is a trained professional.

Why Peel?

Chemical Peels are great ways to reduce fine lines and wrinkles, clear up acne, and fade hyperpigmentation. But before you have a peel there are a few things you should be using on your skin to prep it. This will ensure you get the best results from your peel. Ideally, these products should be started two to four weeks before a peel, depending on the state of your skin to start and the type of peel that you will be receiving.

Prepping is important for several reasons.

  • It will reduce wound healing time.
  • Allow for more uniform penetration of the peeling agent.
  • Decrease the risk of post inflammatory hyperpigmentation.
  • Enforce the concept of a maintenance regimen and determine which products your skin tolerates.
  • Establish compliance and eliminate inappropriate peel candidates.

So what products should you be using to prep your skin? Here’s a little guide.

Retinoic Acid

(ex. Retin A, Trenitoin) By now you should know how much I love retinol! The use of Retinoic Acid 2 weeks before a TCA peel will speed up re-epithelization of cells (which prevents infection). Since Retinoic Acid thins the top layer of dead skin cells (stratum corneum), it allows for better penetration of the peeling agent. Retinoic Acid has also been shown to have some skin lightening effects. It is also my FAVORITE skin care product.  More on Retinoic Acid (my fav!).

 

AHA’s

(ex. Glycolic acid) AHA products also thin the stratum corneum and allow better penetration of peeling agents. They also have been shown to have some skin lightening effects.

*My Favorite Product EVER is an AHA/RETINAL Blend:


MD Reconstructive Repair Crème. Hands down best product on the market.

Bleaching Agents

(ex. Hydroquinone, kojic acid) These products are not exactly bleaching your skin. They inhibit tyrosinase, an enzyme involved in the production of melanin, making hyperpigmentation reactions less likely. Personally, I love kojic acid, it smells like Mexico. No, not the dirty part… the part that smells like Piña Coladas. We will from now on refer to this product as the Cancun of skin care. Minus the hangover.

Currently, there is some controversy over the use of hydroquinone. It should not be used for long periods of time, or on pigmentation that is caused by hormones (also known as melasma). Be careful with this ingredient. It’s used in a lot of medical product lines (like Obagi… which I’m not a fan of).

Sunblock

Get used to it. SPF BABY! Remember stick to physical blocks with Zinc.  It’s Sunny Out! (A Post in Honor of Sun Block).

So why is it important to establish a baseline?

By starting on products prior to peeling, a baseline can be established as to what your skin normally tolerates when it’s not inflamed or irritated. Also it establishes some good habits, like the need to wear sunscreen. If you go in for a peel, and you don’t wear sunscreen, you are going to be in some serious trouble. The same goes with using Retinol products. But, it all honesty, we sometimes ignore home care instructions because we don’t understand why we are being told we need to do something. We need a consequence before we follow a rule. Well… I forgot sunscreen one time while using retinol. I won’t do that again. Caused my own little chemical peel. Not pretty.

Noncompliance is a HUGE problem in health care. And chemical peels can be dangerous if you’re not going to listen to post care instructions. If you can’t follow a few instructions before a peel, you certainly aren’t going to follow them after. This just proves to you and your skin person that you are not an eligible candidate for a peel. But if you CAN follow instructions, it gets you into a good regiment which you will need to continue post peel. Remember, your skin cells are constantly cycling, and therefore it is extremely important to ALWAYS be taking care of them.

This is not a one and done procedure (like liposuction is… lol.).

“Youth No Longer Wasted On the Young”


Love LK.

P.S. I am sticking to being brunette. But I’m keeping my twitter name as @Boston_Barbie. I will forever be a blonde (and a child) at heart. You can follow me and Alexis at @ImageSkinCareMA.

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More on Retinoic Acid (my fav!)

22 May

I LOVE RETINOL.  Every Woman Should Own A Retinol Product.  (Although the strength shouldn’t be the same for every woman!)

It is not just for acne; this cream has revolutionized nonsurgical treatments for sun-damaged skin (wrinkles!). Research shows it improves signs of both photoaging and photodamage.

Physical Change Results
Thins and compacts the top layer of the epidermis Smoother, softer skin texture
Thickens the lower layers of the epidermis Tightens the skin
Reverses keratinocyte atypia (some big acne word) Improves acne
Disperses melanin throughout epidermis (color of skin) Improves discoloration
Increases glycosaminoglycan deposition (sugars used for skin health) Increases dermal volume and tightens the skin
Increases neovasularization in dermis (blood flow) Gives a pinker, rosy hue to the skin

(Funny Story: My BFF Alexis recently read an article “Has facebook made you a narcissist?” … I told her “No, I’ve always been this way”… but really, your face is ALWAYS available to the public now.  Even if you’re not famous, you ARE!  Make sure you always looks picture perfect!  Nice skin makes life SO much easier AND more low maintenance.)

I’ve always recommended patients start on using a retinol product once a week and working their way up, but I’ve been reading that it should actually be done daily, starting at a low dose and working your way up. Retinol comes in several different formulations, the lowest being .01%. It can take two weeks for the skin to become acclimated to this product, and a little bit of redness or peeling can be expected.

If you are younger, and have less photodamage, or if you are older with sensitive skin a conservative approach to retinol therapy will give a good result (which will have little to no peeling or redness). Aggressive therapy is the only approach for thick, tough skin with severe sun damage. Peel baby peel (but don’t worry, the peeling will only be for two weeks or so, until your skin gets used to it… or physiologically… until your skin gets rid of all that dead stuff on top that’s making it look dull and yucky.)

If you are seeing an aesthetician and doing aggressive treatments like Microdermabrasion. or in-office chemical peels (‘Tis the Season for Chemical Peels! –but the summer is NOT) you should not use retinols until you are done with your treatments. AND hopefully after your treatments are finished you can use a more conservative retinol product to keep your skin looking good after treatments.

Retinol comes in 3 forms:

  1. Cream (.025%, 0.05%, 0.1%)
  2. Gel (0.01%, 0.025%)
  3. Liquid (0.05%)

But guess what. The carrier of the product can intensify the results. Creams are more moisturizing. Gels contain alcohol, and this makes it penetrate deeper. Alcohol also has a drying affect, which can irritate the skin even further. The liquid also is drying due to the effects of alcohol content.

(Yes. I really own this much retinol)

How to Use:

More is not better! Start with a pea size amount for your entire face.

(Retinol products are always yellow-ish in color).

My Skin:

I personally use a night cream that has Retinol and Glycolic. Once a week or so I add a Retinol booster (liquid retinol) to my moisturizer which sometimes makes my skin peel a little because it boosts the effect of the retinol by allowing it to penetrate. I recommend retinal products for everyone. Remember, this product makes you photosensitive; i.e. you should not be in the sun when you use it! …But you shouldn’t be in the sun anyways. SUNBLOCK cough.  It’s Sunny Out! (A Post in Honor of Sun Block).  Also, because of this photosensitivity don’t put these products on during the day.

A Client of Mine…

Came in for Botox and I couldn’t get over her skin. I asked her what she was using. She said to me, I’ve been using that cream I got from you once in the morning and once and night. The cream she was talking about was the Reconstructive Repair Crème with the retinol in it. Well…. she looked amazing, and thank god it was during the winter time and she wasn’t out in the sun! She also told me she always used the sunblock/moisturizer on top of the crème. I’m not recommending anyone do this! I’m just saying, it made SUCH a difference in her skin! I could feel the difference when I injected her. Of course, I told her not to do this in summer time. J Mistakes are how we learn!

Product
Spotlight!

Image Reconstruct Repair Crème:

A highly concentrated blend of retinol, glycolic acid and oil soluble Vitamin C to resurface, rejuvenate and repair aging skin. Leaves skin youthful, firm and radiant after just a few applications.

Reconstructive Retinol Booster:

Mix two drops with the Vital C anti-aging serum or the MAX serum as directed. Must not be applied directly onto skin without prior mixing! Use only at night.

Hydra-facials are awesome.

19 May

(after picture)

Because I’m pretty and I say so. And in case that’s not enough of a reason… read on. J

A Little Latin Lesson in Linguistics (alliteration is as awesome as hydrafacials)

In case you’re a little rusty on your Latin, “hydra” means water and facial means … well facial isn’t Latin for anything. That I know of… but I’m not a linguist. Anyways. Hydrafacials are amazing! They work by infusing serums into your pores. Hydrafacial, or hydradermabrasion, is a noninvasive, non-laser skin resurfacing treatment that combines cleansing, exfoliation, extraction, hydration and antioxidant protection simultaneously, resulting in clearer, more beautiful skin. There is no discomfort or down-time (although you might have a little redness for about an hour). The treatment is soothing, moisturizing, non-invasive and non-irritating. It also has attachments that can be used on the back, neck, and décolleté (that’s actually a French word… not Latin).

The HydraFacial treatment improves the appearance of:

  • fine lines and wrinkles
  • congested and enlarged pores
  • oily or acne-prone skin
  • hyper-pigmentation and brown spots

Before starting, I washed all of my make up off (which I don’t wear much of because my skin is usually so nice!). This is my before picture. I was in DESPERATE need of a facial.

Pass 1: Activ-4™ Skin Solution

Designed for most skin types. It helps to promote the overall health of skin; improve the appearance of hyperpigmentation, brown spots, fine lines and uneven skin tone. The tip attachment used on the hand-piece during this step has a fine sandpaper-like part works like microdermabrasion. It mechanically exfoliates the top layer of skin.

My face is RED.

The black part is the microdermabrasion tip.

Step 2: Beta-HD™ Skin Solution

This Salicylic Acid based skin solution is specifically designed for acne-prone and oily skin (like mine). It softens sebum, dislodges skin debris and aids in painless extractions of whiteheads and blackheads.

Step 3
Antiox-6™ Skin Solution:

Containing Vitamin A, Vitamin E, White Tea Extract and Hyaluronic Acid, the Antiox-6™ is designed for overall antioxdiant protection and deep hydration on most skin types.

Other Steps

  • DermaBuilder™ Peptide Complex (
    DermaBuilder™): THE new, hot age-refining solution right now! The DermaBuilder™ helps to improve the appearance of fine lines and wrinkles, skin firmness, skin tone and skin texture.
  • GlySal™ Acid Peels ( GlySal): This special Glycolic Acid & Salicylic Acid blend combines physical & chemical peeling to achieve optimal results. Unlike traditional acid peels, there is little to no downtime involved. Skin is well hydrated, smooth and radiant after the procedure.

1 hour later …

In the CAAAAAH Leaving JAHHHHR. Boston. Haaaaaa.

Representing my team. I love Rondo! #9 : My man.

Very happy my skin looks so good. Now if we could just fix my skunk hair. Just kidding. I love my Ombre (hombre? I think that’s Latin?). As you can see I’m still a little pink, but my skin looks and feels so fresh and so clean.

Recommendations

Visible skin refinement and an even, radiant skin tone may be seen after just one treatment. The smooth results and hydration may last 5 to 7 days or even longer.  A series of 6 treatments is recommended for improving the appearance of fine lines, wrinkles, hyper-pigmentation, acne and oily skin. Remember, using good skin care products at home will help these results last longest and help give you the most bang for your buck (did I just say that?) for any in office procedure. (Step 2: Spend wisely.)

I even got Alexis to love them (the Image Rep slash Skin Guru). And she is so picky about her skin. See. She’s smiling.

Under Eye Circles and Bags

16 May

Physiology: Broken blood vessels within the lower eyelid. A shadow forms underneath the bag causing the dark circles to appear. As you age, the “bags” (fat pads) can bulge due to gravity, creating an exaggerated space between the skin of the check, and the skin of the eye, over the orbital rim (bone of the eye socket). These dark circles can bring about a chronically fatigued look, or make you appear older than you actually are.

Cause: range from fatigue, vitamin deficiency, hyperpigmentation, allergies, age, and medical conditions. However, heredity is the most common cause for bags under the eye (also, from my patient’s personal experience… I hear children and husbands may also be contributors? It has not been clinically proven however.).

Treatment:

Getting the proper rest and eating the right foods can sometimes help treat and improve dark under eye circles, but if genetic, dark under eye circle will increase if untreated.

Fraxel®, Thermage®, Blue Light Therapy, IPL Photofacial, Dermal Fillers and Chemical Peels (like TCA). Patients with more severe cases of under eye circles, puffiness and loose upper or lower eyelids may want to seek out surgical alternatives including blepheroplasty.

My Best Advice

It is always a good idea to start with the least invasive methods and move on to the most invasive methods. That being said, genetics does play a HUGE role in this, and if your mom or dad has extremely sagging lids, or bulging fat pads, the earlier you do surgery the best result you will have.

Least Invasive to Most Invasive

  1. Hydration: The area of skin under the eye is the thinnest in the body. In a hospital setting, we monitor this area as a sign that a patient could be dehydrated. I can always tell when someone needs fluids just by looking at this clinical sign. Start with drinking water… water is good for your body all around. And… it’s FREE!
  2. Eye Cream: Supply your skin with the nutrients it needs. By depositing certain vitamins and peptides, you can decrease the appearance of dark circles. Before you tell me you’ve tried every cream under the sun… have you read my post on pharmaceutical products? Step 2: Spend wisely.
  3. Noninvasive treatments: Laser stuff. Not my area of expertise, however, I have had IPL on melasma, and it worked great. Laser treatments will help with the discoloration, and may subtly tighten the skin, but they will not fill volume loss. If you have volume loss, see step 5.
  4. Chemical Peels:  Best done in the winter time when you’re not in the sun.  And actually… this is more for fine lines and wrinkles around the eyes than bags and dark circles.  Although it will help the appearance.
  5. Dermal Fillers : (That’s NOT Botox..) A hyaluronic acid of low molecular cross linking like Juvéderm Ultra is most recommended for this area. Thicker fillers, like Radiesse, and biostimulators, like Sculptra, are not recommended for this area. Remember this skin is the thinnest in your body, and thicker products can leave bumps here. Be VERY careful about who you see for this treatment. It is a very advanced procedure that your Dentist or Primary Care probably shouldn’t be performing on you.
  6. Blepheroplasty: Check out my post on Blephs. Observing Surgery: Blepharoplasty.

Dermal Fillers

Dermal Fillers are my area of expertise (Remember photography is also not my thing!!!)

Here’s my Before and After Tear Troughs:


Before: I look tired. And old. Ew. Taken November 2011.


After: As you can see I look more awake and refreshed. Taken February 2011 after I had my tear troughs filled.

I am very happy I did this. Surprisingly, it didn’t hurt at all. The product used was Juvéderm Ultra. It will last about a year. Cost is about $600.

Creams

(The two I like best)

Image Max Eye Cream: This next-generation revolutionary day and night eye crème contains high concentrations of growth-factors derived from plant stem cells to protect skin cells and prevent aging effects caused by free radical damage. Reduces the appearance of fine lines and wrinkles; reduces puffiness and inflammation. Prevents cell aging. Contains grape, alpine edelweiss and apple stem cells for maximum age prevention. Corrective peptide blend for rejuvenation. Retails for about $45

Image Vital C: A scientifically- advanced hydrating, anti-aging eye gel. Contains a blend of nourishing anti-oxidants that reduce the appearance of fine lines and prevent the breakdown of collagen. Vitamin K  (Phytonadion) diminishes dark circles. Restores youthful looking eyes. Retails $31


Botox Before and After

9 May

I started doing Botox two years ago, at age 25, when I started my business (you know… injecting Botox). Personal experience has taught me a lot about the products I use for Aesthetic Procedures, and that’s why I make it a point to use all of them. Do I need them? No… Probably not (except the duck lips… those I need…). Are they hurting me? Definitely not, they’ve been around for YEARS (especially Botox).

Remember this face? How could you forget it? I look angry! (it’s from my post on facials). I clearly have needed Botox for some time.

I get migraines when I’m in need of Botox.

I look angry when I’m in need of Botox.

I need Botox.

…hey we all have our addictions right? J

Pre Botox

My Botox Injections

I get Botox in my forehead and glabellar crease. When I started, I got Botox every two months. Here’s my medical records for y’all as an example.

2/19/10    21 units Botox

4/20/10    21 units Botox

7/1/10        21 units Botox

10/15/10    21 units Botox

2/5/11        21 units Botox

6/12/11    35 units Botox (had my 26th birthday… started noticing forehead lines!)

11/10/12    35 units Botox

5/7/12        35 units Botox

**Remember, results will vary. Everyone has a different face!

If you keep up on your Botox, as soon as you have movement back, you will get more and more out of your Botox injections. Most people go down in the amount of Botox they require as well. My doses are minimal. Plus I like that zero movement look. Especially now that I don’t have my Barbie hair… I need to keep my Barbie face (in case you’re a new reader, I recently switched teams… I’m a brunette now).

The reason for this is called muscle atrophy. This process is a natural occurrence in other parts of your body as well. Think about going to the gym a bunch. You get huge muscles. And then you stop. Your muscles die from not being used. The body naturally metabolizes the muscle tissue. Same thing basically happens if you’re not using the muscles in your face. It’s not dangerous. It’s a pretty natural process.

I didn’t take a very good before picture of my forehead, but my glabella (area between brows) is pretty good.


Before


Post Botox Day 1


Post Botox Day 2

As you can see, it takes 2 days to really see a difference from Botox. Some people it kicks in later. I tell people it takes 2 weeks to see the full difference from a Botox treatment. If in two weeks you have not experienced the results you’ve been looking for (i.e. you still have too much movement) then the dose you were injected with was not enough. I charge by the unit, so if you pay by the unit, you will pay for additional units. If you pay by an area, you may wind up paying for an additional treatment as well. Be careful what you payyyyy forrrrr. You want to pay by the unit. Trust me.

And now that my Botox has kicked in, as you can see, I really can’t make that angry face. Makes me look friendly and approachable….


Post Botox Day 3

So I’m all smiles!

It’s a lot softer look than from before huh? But… I still look like me. All Smiles Baby!

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!

A Bride’s Guide

17 Mar


Every bride wants to look perfect on her special day, and that takes a lot of hard work and preparation (or so I hear…)… I thought I’d be a big help for all those brides (and their bridal parties!) with a little bit of information you might find helpful!

Actually… I think any time anyone attends a wedding they want to look good. Weddings = Pictures. And now-a-days, pictures – the good, the bad, and the ugly – wind up on Facebook! So if you’re at the age where you will be attending lots of weddings in the near future (i.e. my age) you might want to take some notes…

Non-Invasive

Spray Tan

Spray tan’s typically last 7-14 days.  If your thinking of spraying (which I highly recommend), do it as close to your big day as possible!  You can’t shower for 6 hours after a spray, and you can smell a little bit sugary post-spray, so keep this in mind.  For the best results, spray the day before. As it wears off, it can sometimes look a little patchy. Make sure you exfoliate prior to your appointment (and shave).

Also, I hear there is a new spray out, that has glitter in it (OMG RIGHT!), but it’s only good for 24 hours I think? Maybe someone else knows more about this? I would also like to note here, that if you are not the bride, you should NOT be shining. That’s rude.


Facial

A plain old facial can be done anywhere from a few days to a month before a special date. Healthy skin is essential for a beautiful face. I recommend everyone see an aesthetician and purchasing some products that will keep your skin healthy.

Weddings are super stressful, and your skin responds to stress. Facials will keep break-outs at bay, not only by cleaning your skin, but by giving you some quality relaxation time. Spa days are great to do with your friends, mother, and future mother in law!


*Note: if you are planning on doing Botox or fillers, a facial should be done either immediately before or 5 days after any facial treatments.

Chemical Peel

Degree of peeling can vary, so talk to the aesthetician performing your peel and be CLEAR if you have any wedding events (or any events for that matter) that you don’t want to be shedding for. ‘Tis the Season for Chemical Peels!.  For a real good, deep peel, expect about a week to two of down time. Trust me, it’s worth it.

Very Important:  moisturize often with a pharmaceutical or cosmeceutical grade product after a peel.  Many places have post-treatment kits.  Do NOT pick at your skin!  Stay out of the sun! Do not use Retin-A prior to or post treatment for about 7 days.

Waxing

Waxing your brows or lip shouldn’t be done the day of an event.  The process can irritate your skin, leaving it a little red.  Icing the area helps.  Or an anti-inflammatory like ibuprofen.  Make sure to keep the area clean to keep bacteria out of your pores, and causing break outs.

Microdermabrasion.

Often done during the same time as a facial, and can cause some minor redness.  Protect your skin after this treatment. Again, stay out of the sun, and do not use Retin-A prior to or post treatment for 7 days.

Laser Skin Rejuvenation Treatments

Depending on the laser, and the treatment, there can be some downtime with this (discoloration and flaking), anywhere from a day to a week.  Ask your practitioner what to expect with the treatment you are receiving.  These treatments really make your skin look great!  Never heard of laser skin rejuvenation?  There will be blog posts to come!

Teeth Whitening

It depends on the number of treatments you will need to decide when you should start. Some treatments take a few sessions, some are one and done. Go for a consult. At the very least, do the Crest White Strips.

Long Lashes

A lot of brides ask me about eye-lash extensions. Although a little expensive, they look great for a wedding.  They should be done about a week before your big event.  They take some getting used to! Lovely Lashes!. They also don’t last very long… usually about a month, so don’t do them too soon unless you are going to keep up on them. If you are having your make-up professionally done, the make-up artist will probably offer you some sort of fake-eyelash. If you are doing your own make-up and you want that lashed out look, practice a few times before the big day. I am a master of the strip lash… but it took me about a year to perfect my technique!

Minimally Invasive Procedures

These can be tricky to time.  If you are planning on doing any non-invasive procedures, they should be done either immediately before Botox and Fillers, or 5 days after.  This is because you don’t want Botox to travel into the wrong muscle group, or fillers to be moved into the wrong area.  Use good judgment with timing your treatments!

A lot of women do Botox and fillers before a big wedding!

Check out this article: http://www.nytimes.com/2008/07/24/fashion/24skin.html?pagewanted=all


(I’m the bridesmaid all the way to the left. I would like to add a disclaimer: The bride here is naturally beautiful. And has not let me tempt her into Botox—yet).

Botox

If you are new to Botox, I suggest trying it out 4-6 months prior to the wedding date for a couple of reasons. First, this way you can decide if you like it (which you will, but I still recommend trying it). Second, Botox is a dose dependant medication (your results depend on how large or small a dose you receive). Six months gives you plenty of time to work out with your injector the perfect dose for you! Last, you will not be able to look angry for 3-6 months. This might be helpful to any Bridezilla’s out there. So, when you are in witch mode, at least you won’t look like it. J

If you don’t have six months to do a trial run, if you are a Botox Pro, or if you just want to go for it, you should have your treatment AT LEAST 1 month prior to the big day, and NO MORE than 2 months prior. Anything more than 2 months, it might start wearing off, anything less than a month you might not have the result you desire.

Another interesting use of Botox with Brides: It is becoming popular to be treated for hyperhydrosis (sweating) in the underarm. I recommend this to brides who will be getting married outside in 100 degree weather. Sweating profusely is pretty gross. You’re already going to be nervous, and when you add your layers of dress (which I’m sure is not air conditioned), and all the dancing you’re going to do… might be a good idea. Plus, you didn’t spend all that money on a dress to have pit-stains on it. This procedure requires a pretty big dose of Botox, and is therefore pretty expensive. It’s not for every bride.


(Remember don’t go overboard either!)

Fillers (Radiesse, Juvéderm… Perlene, Restyline, ect. ect.)

Depending on the area of injection, there can be some minor bruising (or major depending on the injector).  Invest in some Arnica cream, and expect the worst (2 weeks).  Cheek augmentation bruises the least, while lip augmentation and nasal labial folds tend to bruise the most.  Gosh, I hate it when I have dental work 😉 The average bruise lasts a few days.

Usually older brides are doing facial fillers, while younger brides might want to plump their lips.

As for the rest of the wedding participants, the mothers of the bride and groom are usually also very interested in fillers (and Botox). After all, they have been looking forward to this day since the days BEFORE their children gave them premature wrinkles. Whether she is interested in a facial or Botox treatment, moms deserve to be asked “is this your sister?”

Things to Do 6 Months or More before a Wedding (or wait until after):

–  Bioenhancers like Sculptra Aesthetic (it can take up to 6 weeks to see a difference)

–  Plastic Surgery. Remember that crazy reality show on TV that brides were competing with each other trying to win plastic surgery procedures so they could be perfect for their big day? Those women were … appalling. Plastic surgery should never be taken lightly. Or have a competitive reality show. Leave competitive reality to “Survivor!”

–  Changing your hair color or cutting it short (stick to what you know looks good on you!)

Master of Puppets

28 Feb

Ha. I made a Metallica reference! Not sure how many of my readers are Metallica fans… but still… go me for creativity points. ANYWAYS. This post is about puppet lines, also known as marionette lines. A client of mine inspired the title of the post.

“My granddaughter looked at me and said Nana you look like a puppet!”

Children are so painfully honest sometimes.  A patient of mine told me her granddaughter’s statement was her reason for being in my office.  (Maybe I should be employing two year olds?… Is that legal?  Can I pay in candy?)

Her granddaughter was referring to the folds that develop from the corner of the mouth to the jaw line, also known as the “marionette line,” one of the more advanced signs of aging.

Can you fix it?

Yes.  By injecting filler medial to the folds.  The product I typically use is Radiesse, because these folds are usually deep and require a thick volumizing fill. How I do things might not necessarily be how other providers do them… but it should be pretty similar. I also stand behind this product choice. If someone tries to use a Hyaluronic Acid in this area, get out of their office, because you will be spending a FORTUNE.

Before



What Needed To Be Done?

In Physical Facial Changes That Occur As We Age I spoke about what happens to the face as we age.  In this case, I’d like to point out prejowels beginning and marionette lines starting.

Marionette Lines

Prejowel lines

Topical numbing cream is applied to the areas that will be treated for about 20 minutes. The skin is then cleaned with alcohol. The full length of the Radiesse needle is inserted and product is deposited in a technique called fanning and product is deposited as the needle is withdrawn. The outside hub of the needle is a gauge larger than the inside to create a tract for the product to be placed. So the only discomfort is the actual needle, I add lidocaine to my Radiesse (which most people do). Really, not so bad as far as pain goes.


 The needle is inserted at the “X” and it goes straight up to the corner of the mouth. Like I said, product is inserted as the needle is withdrawn. This is called retrograde technique. Before the needle is taken out it is repositioned at a 30 degree angle, the full length of the needle is again inserted, and product is deposited as it is withdrawn. It is done again at a 45 degree angle.


Basically, it’s one insertion point (i.e. one poke) on each side, and the needle is pivoted while within the skin layers. It gets less painful as you go along because there is lidocaine mixed into the product.

Last the jaw line is sharpened. “X” is the insertion point. The full length of the needle is then inserted, and product deposited as it’s withdrawn.

After

This picture is immediately after. There is some swelling that has begun, but you can see some of the immediate results. This patient used a 1.5cc Radiesse syringe (the large). She could use a little more product in the jaw line and around the corners of the mouth. I personally like to do things one syringe at a time. Because swelling begins immediately, I find results are best this way. Also, some people don’t want to look perfect, they want to look IMPROVED. The most important thing to note on this client is that she no longer looks like she is frowning when her mouth is at rest. Fillers are AWESOME!

Side Note

Sorry friends, this is a super busy week for me! I have a 20 person Botox Party on Friday, on top of my regular clients! I will actually be seeing this patient again this week, and will have a non-swollen after picture for you. She looks amazing and is super happy! Yay!

*If YOU Are Considering Filler*

Fillers can bruise. Do NOT. I repeat. Do NOT do these things if you have an event within two weeks. This is a worse case scenario for bruising. Highly unlikely you will have a bruise for two weeks… but… I wouldn’t wanna chance it if I was planning on running into my ex-husband at my high school reunion and the whole reason I wanted to get filler was to look too good for words. Just saying.

The reality of the situation is you will bruise. Probably for a few days. You can cover it with make-up. And tell everyone you went to the dentist. (I know my friend Colleen-a dental hygienist- is going to yell at me for making the dentist sound bad. Sorry Col. I love the dentist. I really do. He makes for a great excuse for my clients.)

Expect to pay $300-$800 in the Boston Area for this treatment with Radiesse. The amount of money you spend is a direct correlation to the result you will receive. The amount of product you will require for the result you desire (poetry!) depends on a lot of different factors, so ask your provider!

ICE YOUR FACE AS MUCH AS POSSIBLE AFTER THIS TREATMENT. The more you ice, the less you will swell. Twenty minutes on, 20 minutes off. If you can do it the rest of the day, do it. If not, just ice as much as possible.

Botanical Ingredients in Skin Care Products

13 Feb
Ingredient Known Benefit    
Aloe vera Soothing, regenerative, moisturizing
Arnica (Arnica montana) Regenerative, soothing, antiseptic, stimulating
Calendula (Calendula officinalis) Regenerative, soothing, antiseptic
Camphor (Cinnamomum camphora) Anti-inflammatory, antiseptic, astringent, cooling, sedative
Carrot (Daucus carota) Purifying, regenerative
Cucumber (Cucumis sativus) Moisture-binding, soothing, softening, tightening, anti-inflammatory
Geranium (Pelargonium sp.) Strengthening (capillaries), smoothes, decongests
Hops (Humulus lupulus) Calming, restorative, estrogenic, antiseptic, emollient, astringent
Horsetail (Equisetum arvense) Anti-inflammatory, regenerative, strengthening, softening
Lemon (Citrus limonum) Antiseptic, purifying, lymphatic stimulant
Menthol (Mentha piperita) Antiseptic, analgesic, calming, cooling, circulation stimulant
Peppermint (Mentha piperita) Antiseptic, cooling, analgesic, calming
Rosemary (Rosmarinus officinalis) Regenerative, astringent, calming
Sage (Salvia officinalis) Antispasmodic, astringent, antiseptic, cooling
Spearmint (Mentha viridis) Anti-septic, cooling, analgesic
Tea tree (Melaleuca alternifolia) Antiseptic, germicidal, wound-healing, anti-inflammatory
Turmeric (Curcuma longa) Stimulating, regenerative, antiseptic, antioxidant, anti-inflammatory
Witch hazel (Hamamelis virginiana) Anti-inflammatory, wound-healing
Yucca (Yucca schidigera) Anti-inflammatory, soothing

I know there are some people out there who love anything that is “natural” (and they live in Cambridge) and love things such as “botanicals” (I don’t know why I put that in quotes… but it seems grammatically correct?).

Botanicals in Skin Care

Botanical extracts support the health, texture, and integrity of the skin, hair, and nails and are the largest category of pharmaceutical/cosmeceutical additives. (I guess people in Cambridge aren’t the only one’s who love natural products!)

All medicine (including the creams for your skin) come from either nature or are manmade in a lab (in Cambridge?). Penicillin comes from a mold derivative; Botox comes from a bacteria derivative, ect. Ect.

Nature provides us with plants that have very important functions in healthcare. Here’s a chart with some of those plants. (In other news… I found out I can type something in Microsoft and upload it directly to my blog! I’m so excited! My posts are about to be more visually pleasing!!! Charts and graphs and clip art and stuff!)

Be Memorable. Brand Yourself. A Post on Individuality.

4 Feb

 Beauty Defined is physical attributes in conjunction with psychological traits.

There are certain characteristics that are considered “universally beautiful,” that are timeless and cross-cultural; however, the concept of “beauty” is so much more complex.  Individual ideas also defines the term, and therefore, beauty is a word that is considerably subjective and that makes it so much harder to define.

Individual Ideals

Opposable thumbs and the ability to reason (ok… maybe our ability to be unreasonable?) is what sets our species apart from other animals.  But what sets us apart from each other is our personality.  As women, I think we place a lot of importance on being treated as individuals.

Take a minute.  Write down how you would describe your beautiful personality. 

Physical Qualities

Defining your personality is usually easy for most people, and for some reason, a lot of women have trouble seeing their own physical beauty.  We can all agree “beauty comes from within” and from this statement we can conclude that anyone can be beautiful.

Always Be Yourself.

I know this might be hard for some of you because of my theory on Self-Worth Dysmorphic Disorder but now I want you to write down your favorite physical attribute.  What is the most beautiful thing about your appearance?

Universal traits are not unattainable.  They’re the easy part!

It’s important to highlight your best attributes.  I like to call it branding yourself.  🙂 

One of the first things my mentor (and lawyer) told me is you need to be more conservative.  You represent your business.  Well… I’ve at least started to dress conservative.  But changing my fun, crazy personality… that might take a while.  🙂  I work in the spa industry, where the dress code is black…. black… and more black.  My new thing is pink lipstick, it brings out my best physical attribute without drowning it: my eyes!  And it drowns out the black and uniformity that is what I wear everyday.  Even in a sweatshirt, pink lipstick makes me feel hot!  And in the end, it’s all how you feel about yourself.   

Your clothes don’t make you who you are, your face does!  Ok, fine… and your personality. 

Yep, sometimes I could use a brush

 Remember… There Has Never Been A Smiling Face That Was Not Beautiful!

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