Tag Archives: laser

Will it hurt?

24 Nov

Pain is such an abstract and obscure concept. You can’t really define it. It has so many dimensions. In the hospital, we assess pain on a scale of either facial expression charts or numerically from 0-10. Zero being no pain, and 10 being the worst pain you’ve ever felt in your life. It is an individual experience; the numerical response to a stimulus can differ drastically from person to person. So, whether or not something will hurt is relative.

    Source: http://www.pamz.com

On a Scale of 0-10…

What’s the most painful thing I’ve ever experienced? First, a broken heart. That took a really long time to recover from… and I definitely still have scars! The second most painful thing I’ve ever endured is being in a car accident, which I also still have issues from. I’ve never gone through childbirth, never been divorced, still have both my parents, and never had a kidney stone. So my list has room to change. I’d like to point out that my list does not include Botox, Fillers, or my recent surgery. But that’s what this post is about. Do aesthetic procedures hurt as much as people think they will?

Beauty is Pain

We’ve all endured painful treatments in the name of beauty. Ever tweezed your eyebrows? Waxed your lip? Burned yourself with a curling iron? Stuck an eyelash wand in your eye? Walked more than a street block in stilettos? All painful, but relatable, every day examples of things women do in the name of beauty.

If you asked 100 women the same question, you’d get a 100 different answers. This is because women never have a “yes” or “no” answer. It’s always a story. So here’s a comparison story.

Q: How painful are stilettos?

A: Well, that depends.

  • How big are the stilettos
  • How long are you wearing them for
  • How far will you need to walk in them
  • Who makes them
  • How often do you wear stilettos
  • How often do you wear those particular stilettos (i.e. are they broken in)
  • What condition are your feet in (i.e. do you have any blisters)
  • What size are the stilettos vs. what size are your feet (i.e. does the shoe fit)
  • What are the road conditions for which you will be walking in them (i.e. changes in elevation)
  • What are the weather conditions for which you will be wearing them (i.e. rain or snow, inside or out)
  • Etc, ect, ect.

So, when you ask how badly something will hurt, there are many conditions which will change the outcome. It’s hard to explain the pain factor of beauty. The “Universal Pain Assessment Scale” does not really work when it comes to women and what they’re willing to endure. So… I decided to paint my own comparative scale. Because I love “Paint” (the computer program) and I love making stuff relatable.

The “LK Aesthetic Comparative Assessment Scale”

I’m not going to lie. This took me a long time to create, and it’s pretty scientific (although has no reliability or validity, it is merely my projections). This is how it works. Each treatment is rated in 3 dimensions on a scale of 1-5. Then those 3 numbers are added.

Chemical Peels

Laser Hair Removal


Laser on the Face



Eyeliner Tattoo


Botox


Fillers


Some fillers hurt more than others. The worst is the lips. I used that for the pain scale, but other areas hurt much less.

Tear Troughs    2

Cheeks        2

Marionette Lines    3

Naso-Labial Folds    3

Plastic Surgery

In all fairness… I think surgeries could be subcategorized. I heard liposuction isn’t really that bad. I guess it depends how well you are medicated too. Pain is relative.

I Hope this gave some perspective! Remember, this scale holds no scientific basis.

XOXO. LK.

L.A.S.E.R. (Hair Removal)

15 Sep

Light Amplification (by the) Stimulated Emission (of) Radiation

Whenever someone says “laser” it makes me think of that scene from Austin Powers when Dr. Evil wants “sharks with frickin laser beams attached to their heads.” Ha.

Mr. Bigglesworth. HAAAAA. I digress. Anyways, this post isn’t about sharks… it’s about laser. Specifically, about Laser Hair Removal.

I was lucky enough to sit in on a class at Catherine Hinds Institute of Esthetics in Woburn, MA. It was a very informative and interesting class. The teacher was very knowledgeable and interesting. So I’m going to pass on that knowledge to you! Yeah!

First and Foremost…

The most important thing I can tell you about laser hair removal is BE CAREFUL WHERE YOU GO. Laser’s are a class 4 medical device, that, unfortunately, can be used by anyone under current state law (Massachusetts). If you go to a laser factory (i.e. Sleek Medspa, or American Laser Co.) the odds are you are being lasered by someone who has no idea what they are doing. Getting burned is not worth saving $50. I assure you. It’s painful and can leave scarring, and you especially don’t want this on your face.

Next. The second most important thing to ask is “do you have a laser or an IPL?” Many people are offering laser hair removal and it’s actually an IPL (Intense Pulse Light).

What is the difference between IPL and Laser?
A lot.


A Laser is Monochromatic.

Monochromatic: One color, red.

An IPL is Polychromatic.

Polychromatic: Every color in the rainbow. And then some!


A Laser is Collimated.

Collimated: Laser light energy will form a bond and stick together.

Think of a laser pointer.

An IPL is non-Collimated.

The bonds don’t stick together. They kind of spray all over the place. There is no focus to the energy. Think of a flashlight.


A Laser is coherent.

Coherent: The bonds of the laser light all travel together on the same wavelength.


An IPL is non-coherent.

The wavelength of energy is all different and erratic. Some are short and some are long. Some are straight and some are squiggly. It’s chaos I tell you. Chaos.  Yes, I spelled Chaos wrong below.  Shhhh.

What does this mean?!?!?!

A laser is focused energy that is attracted to dark color (hair follicle) and burns and kills the follicle.

An IPL tricks the hair into shock to release the hair follicle, but does not kill it. It will come back! (IPL’s do have a purpose, however, they are great for pigmented lesions! Like hyperpigmentation from the sun).

Pretreatment

  • Do not wear creams or lotions to your appointment.
  • Do not wear deodorant if you’re getting your underarms treated.

Before Your Laser Hair Removal Starts

Before any treatment is started you should fill out a health history. You are NOT a candidate for laser IF:

  • If you have been in the sun in the last two weeks (this INCLUDES a tanning bed). You will get burned by the laser. And don’t even think about lying to the laser tech. You get burned and it’s YOUR fault.
  • You are on photosensitive medications.
  • You have EVER had gold therapy.
  • You have used retinol the night before (on your face, and you’re getting your face lasered).
  • You have Lupus.
  • You are on immunosuppressive drugs.
  • You can’t stay out of the sun. This is IMPERITIVE.
  • Taken Accutane within the last six months.
  • Have an open wound.
  • Are pregnant.

After it has been confirmed that you are a candidate for laser, the tech will choose which laser is the best for your skin. This is based off your skin type.

Alexandrite vs. ND Yag

http://www.alexandrite.net/chapters/chapter7/the-alexandrite-laser.html

http://en.wikipedia.org/wiki/Nd:YAG_laser

Laser’s are named after the gemstone that is used to produce the beam. The two most popular laser’s on the market right now are the Alex and the Yag. What’s the difference?

ALEX

YAG

Multiplex

Gemstone

Alexandrite

NeoDymium Yttrium Aluminum Garnet

Alex and ND YAG

Energy Wavelength

755nm

1064nm

Fires both at same time

Skin Types

I, II, III

I, II, III, IV, V, VI (all)

All

Sun Exposure

None

(at least 4 weeks)

No recent exposure

(5-7 days)

None

(at least 4 weeks)

Attracted to

Melanin only

Melanin deeply

Hemoglobin

Collagen

Melanin deeply and superficially (best for Asian skin)

How Laser Hair Removal Works
Laser hair removal treatment works through a process called selective photothermolysis. The laser energy works it’s way down the stem of the hair to the bottom of the follicle, destroying the cell. The process is selective in the hair through pigment and not the skin around it. Very light colored blonde or white hair cannot have a laser treatment because there is not enough pigment for the laser to select from.

In the diagram below the picture is of a laser, not an IPL. The pulsed red light is referring to the type of firing of the laser. In aesthetics, it fires in a pulse.

During the laser hair removal treatment a cooling system is used to cool the s is usually applied to the skin, this prevents the area being treated from getting too hot or burning under the heat of the laser. There are three main cooling systems:
Cold air

  • Contact cooling
  • Cryogen spray

How Many Treatments Will You Need?

Hair grows in cycles, which is why you can’t kill all the hair in one treatment (although it will reduce the growth for every treatment you have). The face typically takes more treatments than the body.

Body Part

Avg. Number of Treatments

Treatment Interval

Alex

YAG

MultiPlex

Lip

2-4

5-7

3-5

4 weeks

Face

4-6

5-7

4-6

4-6 weeks

Bikini Line

4-5

5-8

4-5

4-6 weeks

Arms

4-5

5-8

4-5

4-6 weeks

Underarms

4-5

5-8

4-5

4-6 weeks

Back

4-6

6-9

4-6

4-8 weeks

Legs

6-8

6-9

4-6

6-8 weeks

**Remember, this is an AVERAGE.

What Does It Feel Like?

The laser pulse is often described as a wave of heat with a sensation of a pinprick. Everyone has a different pain tolerance, and some areas hurt more than others. If it is too painful, the laser tech should have numbing cream on hand.

What Should It Look Like Post Treatment?

There are 3 goals in laser hair removal:

  1. Peri follicular edema (swelling around the hair follicle)
  2. The smell of burning hair
  3. Erythema (redness)

ßperifollicular edema

Redness should subside within 24-48 hours. Within 7-10 days the hair follicle which was killed will be expelled through the cell cycle.

Post Treatment Care

  • Apply aloe or lavender cream to the area for rehydration.
  • If blistering, apply an antibiotic cream.
  • Contact the office if you think you have a burn.
  • Normal skin care regiments can be resumed the day after treatment if there are no signs of being burned.

Laser Hair Removal Side Effects

There are usually few side effects with laser hair removal but you should always check with the person who is giving you the treatment to make sure they are qualified. The side effects which can be experienced in some individuals include pigmentary changes in the skin which include darkened or lightened areas, these changes are usually temporary. Rarely some people experience blisters or burns.

What it should not look like:

The evenly spaced circles are from the head of a laser as it pulses along.

If it’s tracked burns, it’s from an IPL.

Does it work?

Yes!!! LASER Hair Removal works when done correctly (with a LASER and by someone who knows how to use it!). The Boston Globe did a great article over the summer. Check it out. http://www.boston.com/news/health/articles/2010/07/05/are_laser_hair_removal_treatments_effective_and_safe/

XOXO,

Infrared LK

P.S.

Safety during Pregnancy: What You Should and Shouldn’t Include In Your Beauty Regiment

6 Sep

It seems like it’s in the water with co-workers and friends (as evidenced by the three pregnant ladies to the left from Sylvestre Franc). I’ve had a lot of questions about what is and isn’t safe to do when you’re pregnant in regards to skin care products, laser, and injectables. It is understandable that women want to look their best during this time and hormonal changes during pregnancy can sometimes result in acne, unwanted hair growth, melasma and other skin problems. So what is safe to use and what isn’t?

Not surprisingly (to me anyways), there really is not a lot of information on product safety during pregnancy. The FDA rates products on their risks during pregnancy as follows:

Rating Definition

A

Controlled Studies Show No Risk.  Studies in pregnant women show the medication causes no increased risk to the fetus during pregnancy.

B

No Evidence of Risk In Humans.  Studies in pregnant women have not shown increased risk of fetal abnormalities despite adverse findings in animals or in the absence of adequate human studies, animal studies show no increased fetal risk.

C

Risk Cannot Be Ruled Out.  Studies are unavailable and animal studies have shown a risk to the fetus or are also lacking. There is a chance of fetal harm if taken during pregnancy but the potential benefits may outweigh the potential harm.

D

Positive Evidence Of Risk. Studies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy may outweigh the potential risk such as in life-threatening situations.

X

Contraindicated In Pregnancy. Studies in animals or pregnant women have demonstrated positive evidence of fetal abnormalities. The use of the product is contraindicated in women who are or may become pregnant.

Skin Care Products

Most skin care products fall into the Class C category; however, some products are recommended by doctors not to be used during pregnancy (although there is not enough evidence for or against them).


Not Recommended:

  • Retinoids
    • In A Practical Guide to Dermatological Drug Use in Pregnancy (Zip, MD, FRCPC) category B topical such as erythromycin, clindamycin, and benzoyl peroxide were recommended over topical tretinoin. This study states reports of congenital malformations in infants whose mothers used tretinoin during the first trimester.
    • This ingredient is found in anti-aging products such as moisturizers, and acne products.
    • Chemically a form of vitamin A, which in high doses can cause birth defects.
    • Oral retinoids, such as isotretinoin (Accutane, an acne treatment), are known to cause birth defects.


  • Beta Hydroxy acids (Salicylic Acid)
    • Ingredients used for their exfoliating and acne-treating properties. They penetrate deep inside the pores and clean out excess oil and dead skin cells that can clog pores and cause acne, blackheads and dull-looking skin.
    • High doses of the acid in its oral form have been shown in studies to cause complications and birth defects.
    • Small amounts applied topically are considered safe (over the counter face wash for example), but peels containing Salicylic Acid are not considered safe when pregnant.

  • Hydroquinone
    • Clinically used for pigmentation for conditions such as melasma, and it is used cosmetically as a skin-whitening agent. Although a large percentage of this topical agent is systemically absorbed, the use during pregnancy does not appear to be associated with increased risk of congenital defects. This finding, however, is based off one study, with a small sample size (so it is recommended to avoid hydroquinone during pregnancy).


Safe

  • Vitamin C, Glycolic acid, and Lactic Acid: derived from fruit and milk sugars, considered nontoxic.

  • Hyaluronic Acid. This is a product your body naturally produces (which means its safe). Because of its molecular size, hyaluronic acid cannot penetrate the skin’s surface, and it is not systemically absorbed.


  • Benzoyl peroxide. Only 5% of topical benzoyl peroxide is absorbed through the skin. It is completely metabolized to benzoic acid within the skin and excreted.

Self-Tanners

Dihydroxyacetone is a color additive that is found in self-tanning products to produce an artificial tan. Color develops following topical application. These products contain dihydroxyacetone in concentrations ranging from 1% to 15%, and when applied topically, systemic levels are minimal (0.5%), and are considered safe to use.

Hair Removal and Bleaching Agents

  • Sodium, calcium, and potassium hydroxide, which are also found in depilatory creams, disassociate into sodium, calcium, potassium, and hydroxide ions, which are all present in the human body. Topical application of these products would not disrupt serum levels and would not be considered a problem for use during pregnancy.
  • Hydrogen peroxide. Hair-bleaching creams contain low concentrations of hydrogen peroxide, making it unlikely to be systemically absorbed. In addition, should it be absorbed, hydrogen peroxide is rapidly metabolized. Therefore, use of these products during pregnancy is not expected to be a concern when done in moderation.
  • Laser has some controversy as to whether or not it’s safe; again, there isn’t a lot of information. Lasers do not penetrate very deep and there is not chemical exchange into the body. One interesting thought from me, (not speaking from personal experience) the body becomes more sensitive during pregnancy, and some laser treatments hurt to begin with. I’m not sure I’d want to get laser under those circumstances!

Botox and Fillers

The safety of Botox injections during pregnancy is unknown (Class C), and while I wouldn’t recommend intentionally getting Botox injections during pregnancy, many women receive injections prior to being pregnant or when they do not know they are pregnant, and have not had any problems. Botox Cosmetic has never traveled systemically, and works only on the muscles into which it has been injected. Therefore, one could presume it is safe to undergo this procedure. But I still don’t recommend it.  Unless you’re planning on having a “Toddler and Tiara” baby.  Then it’s ok.

 

xoxo,

not pregnant LK


What Goes Where?

4 Aug

Prior to 2002, there was one type of facial filler: collagen. Many products have been developed over the past ten years which have caused collagen to become obsolete. There are now multiple categories of fillers, all made of different materials. The products in these subcategories have properties which make them better in treating some signs of aging than other areas or other products. Remember, fillers are different than Botox (it’s not all just Botox!). So what goes where?

Hyaluronic Acid (HA’s)

Synthetic forms of hyaluronic acid (a sugar that your body naturally produces) include products like Juvéderm, Perlene and Restylane. HA’s increase fullness and enhance the viscosity of the naturally occurring hyaluronic acid in your body. Although it may cost a little more, Juvéderm is currently the longest lasting product (in some cases lasts twice as long, and therefore is worth the extra $100 or so per syringe). I have performed over 200 Juvéderm procedures, and have personally been injected with this product many times!

*note: My face is just a model, I haven’ had all this work done I swear! I just love “Paint.”

  • Best for superficial lines (not very deep, not folds).
  • They are used in areas where “plumpness” is desired (like your lips!)
  • They can be used in cheek augmentation, vertical lip lines, and nasolabial folds, but might not be the best product. Cheeks and Nasolabial folds typically require a lot of filler, and cost-effectiveness wise, this isn’t the product. But if you just need to fix a little sagging, it can be used in the cheeks. If you want to overpay for deep nasolabial folds, then this product also can be placed in this area.
  • Vertical Lip Lines are usually superficial, which would make Juvéderm a good product, HOWEVER, if it is not placed right, the result is a monkey face.

Tips on Hyaluronic Acid

  • When I’m filling lines in the glabella, I always administer a dose of Botox to the area 2 weeks before injecting Juvéderm. This allows me to inject directly into the line; it is easier to aim at a stationary target! How do you know if you will need Botox and Fillers? If you have a line in between your brows at rest (a “1”, “11”, or “111”) and you pull that line apart with your fingers, do you still see a crease in the skin? If yes, you need both, if no, Botox is enough.
  • I always apply numbing cream 20 minutes before injections.
  • I never inject too close to the outer rim of the eye (distal orbital rim), it usually irregularities in the contour of the face.
  • Injecting into the tear trough is a very advanced procedure. I can’t tell you how many times I’ve seen this area over filled (which looks TERRIBLE). My recommendation: it is better to under-fill and book a follow-up. This area requires a minimal amount of product, and my personal policy is to allow a client to come back at no charge if they require a small amount more (within reason).

Particulated Fillers

These products, like Radiesse and ArteFill, contain synthetic beads or particles in different liquid carriers. They last longer than HA’s, because the body doesn’t break them down as fast. They are also thicker than HA’s, which means they satisfy a larger area of volume loss. These products are injected deeper in the layers of skin (never superficially like HA’s are). Why? Because they’re made out of beads in liquid… and in superficial skin that would make bumps! This means they NEVER get injected into the tear troughs or into the lips. EVER. For very, very deep glabellar crease, Radiesse can be used (but usually an HA is a better choice).

  • These products are for moderate to severe volume loss. As you age, facial skeletal changes, general tissue volume loss, and the effects of gravity flatten out your cheeks. If you look at the contour of my face on right side of my face (your left), you will see how round my cheek is. I think you can see in this picture that the apples of my cheeks are round as well. A lot of women will look in the mirror at their nasolabial folds and want to go straight for filling only those, but that doesn’t give the youthful round shape back to the face. On some people I like to do cheek augmentation with Radiesse as well as nasolabial folds. I always do cheeks before folds, because the cheek bone is the scaffolding for the lower face skin. When you change that, the depth of the NL fold will also change. Always top to bottom, never bottom to top, when it comes to your face fillers! **When you have extra weight on your face, you keep the roundness. Skinny people have really flat cheeks when they age. HA. Take that skinny people.
  • The marionette lines, prejowel, and oral commissure are usually treated as one area that needs to be fixed. They’re kind of like vector components of each other (for all you Geometry dorks out there, *brushes shoulder off*).
  • Again, skeletal changes that occur as you age cause your chin to recess and along with volume loss, change the angles of your jaw and chin. This is another area a lot of people overlook when spending that quality time in the mirror pulling at their face in the “this is what I would look like if I had a face-lift” pose. Even if you do have a traditional facelift, you aren’t doing anything about the volume loss. This contributes to the unnatural look of a face-lift.
  • Radiesse and Juvéderm can be used in conjunction to fix contour irregularities in the nose.

I hope that cleared up the two main classes of fillers. It’s a lot of information!!! The next post will be about Sculptra, which gets grouped in with fillers… but this is already too long! Lol.

xoxo SPRAY TAN – O – REXIC LK

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


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!)

The Q-Switch. A Post In Honor of N.

6 Feb

Making mistakes in life happens.  Luckily, most mistakes don’t result in permanent marks on our bodies.  But what about the ones that do?

Tattoo’s are becoming more and more mainstream.  In my opinion, I think they can be a beautiful artistic expression of who you are.

I have a few tattoos.  Yup, it’s true.  A heart on my back from when I was 18.  A Scarlet Begonia on my foot from my DeadHead days (also true), and “A Beautiful Little Fool” in Russian on my ribs (from The Great Gatsby).  Actually, I think this excerpt might be quite appropriate for this post.

“All right… I’m glad it’s a girl. And I hope she’ll be a fool–that’s the best thing a girl can be in this world, a beautiful little fool.”

My Friend N. – A Beautiful Little Fool

A dear and wonderful model friend of mine, N., has a tattoo that she doesn’t exactly love.  Frankie.  The name of an ex-flame on her thigh.  Fortunately for N., I have access to a q-switch.  (She’s gorgeous huh?)

What’s a Q-Switch?

It’s a laser that uses Alexandrite (the gemstone) to break up pigments in the skin.

Getting Rid of ‘Frankie’ – literally and metaphorically

First, I beg of you.  NEVER NEVER NEVER tattoo a name on your body.  Ever.  Unless it’s your dog or your kid…you willlll regrettttt it.  I promised my dad when I was 17 years 11 months and 30 days old that I would never put a name on myself, and it would never be in a place you couldn’t hide.  I’m all about branding… but in terms of marketing, not in terms of inked ownership.

Getting rid of a tattoo is not as easy and quick as the actual tattoo.  Oh no.  It’s painful, can take 8-20 treatments over several months depending on the colors and the age of your body art (pigment changes and becomes embedded in the skin over time, the older the tattoo the harder to treat) and there’s always a chance you will have a little ink left.

Red, yellow, and orange tones respond the best and quickest with the q-switch.  “Frankie” is done in black ink.

How much will tattoo removal cost?  Depends how big the tattoo is and how many sessions you will need.  But you’re not only looking at pain… but you’re looking at some money.  $300+ per session.

In conclusion:

THINK BEFORE YOU INK!

Pictures of the process will be posted as treatments go on!

New Year, New You: Plan Accordingly!

1 Dec
Looking to enter the New Year looking younger and more refreshed?  It’s important to plan your beauty needs around a hectic holiday schedule, so if you’re thinking of amping up your look for the New Year (or any Holiday Parties) here’s some helpful hints/guidelines:

Non-Invasive

Spray Tan

Spray tans typically last 7-14 days.  If your thinking of spraying (which I highly recommend), do it as close to your event 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.  

Facial

A plain old facial can be done anywhere from a few days to a month before a special date.  But remember, book early, because this is a very popular treat during this time of year!  It’s also a great gift to give to someone who is impossible to shop for!  Everyone enjoys being pampered.  If you are planning on doing Botox or fillers, a facial should be done either immediately before or 5 days after any treatments! 

Chemical Peel

Degree of peeling can vary, and you don’t want to look like a snake shedding its hide for your holiday parties (it’s slightly unattractive, and not the attention you want!).  Talk to the aesthetician performing your peel and be CLEAR if you have any Holiday parties. ‘Tis the Season for Chemical Peels!.  For a real good, deep peel, expect about a week to two of down time.

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!

Waxing

Remember, 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. Stay out of the sun.

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!

Eyelash Extensions

Although a little expensive, they look great for the holiday season.  They should be done about a week before your big event.  They take some getting used to! Lovely Lashes!.

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 judgement with timing your treatments!
 
Also, I think this year is the time to abolish the false notion and rumors about these products.  With small doses and a trained injector, you will look amazing!  If you don’t believe me, just ask my mom! 

Botox

It takes a few days for this treatment to work (anywhere from 2-14), fortunately, there is no downtime with this procedure (no bruising, no swelling).  If you want the best results from your Botox, plan on having your treatment 2 weeks prior to the 1st!

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 😉  — A great excuse one client came up with!

Things Probably Best Left to do Until After the Holiday Season:

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

–  Plastic Surgery (unless you are planning on using your vacation time to get that breast aug you’ve been waiting for!)

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

–  Trying a new cream on your face.  (Although everyone should be using pharmaceutical grade products, sometimes they can irritate the skin at first.  Now is not the time to find out).  HINT HINT:  Especially Rentin-A!

Questions?  Feel Free To Email Me!  info@bostonbeautyblog.co

A Little About Laser

2 Nov

Fun Math

I’m 5’8″ tall.  I’d say a good 3 1/2 feet of that is legs.  I figure I spend 30 minutes a day shaving those legs (and underarm and bikini).

30 min./day X 365 days/year = 10,950 minutes/year wasted shaving

That’s a lot of minutes ladies!!

Now let’s do razors, and I’m going to underestimate.

$12/month on razors

12 months/year

shave for 50 years

That’s $7,200 a lifetime on razors.

Plus shaving cream.  Let’s say that’s $5 a month.  That’s $3,000 dollars a lifetime.  For a total of over $10,000 (not to mention the price of hot water).  And not to mention being in the shower shaving for an entire year of your life (over 50 years).  That’s a lot of wasted time an money.  And if you don’t shave every day… it’s always that day that you don’t shave that you need to wear a dress!

Fun Facts

  • There were 932,000 laser hair removal procedures in 2010 according to the American Society of Plastic Surgeon’s Report of 2010 Plastic Surgery Statistics.
  • Most people consider laser pretty expensive, but if you refer back to the fun math portion of this blog… it’s actually cheaper in the long run.  Plus you can’t put a price on the time you save, especially when getting ready for a date!  The reason laser is somewhat costly:  the machine uses a gemstone to create the beam.  The first laser was called a Ruby because it used a Ruby gemstone.
  • The laser beam is attracted to dark color, so you need to make sure your hair is dark enough for the laser, otherwise electrolysis is your best option.  Also, do not wear dark underwear on days of treatment.
  • Laser should not take more than 8 sessions.  If you have been going for years, you’ve been going to the wrong person, and your hair may no longer be eligible for treatment.
  • Please check out the person doing your laser.  This is not a simple procedure and you can get severely hurt.  My best advice, stay out of Sleek MedSpa.  It is known in the industry to be unsafe.  Go to a few places, gather information, stay away from false promises!

My Experience

I have lasered my bikini and my underarms.  Love it.  It took 4 sessions to do my underarms and 5 for my bikini.  No more forgetting to shave and no more ingrown hairs.  Embarrassing!  I’m starting to laser my legs (because I’m learning how to use a laser).  Hair belongs on your head, no where else!

How to Tip Your Beauty Provider

1 Nov

In their younger years, my mother was a waitress and my father was a bartender.  They taught me you always tip 20% unless the service is really bad.  People who work in the service industry depend on their tips as a large portion of their income.  Waitress’s make like $2 an hour.  You can’t live off that!

Hairdresser’s and aesthetician’s have a similar sentiment.  How should they be tipped?  Here’s a guide!

Hair Stylist  15%-20% of your service.  If you have a hard time figuring this out, and for some reason you left your cell at home, think of it like this.  20% is $2 on every $10.  So if it’s $100 you should tip about $20. 

Aesthetician 15%-20% of your service.

Shampoo Girl  $2

Manicurist $2-$5

Massage 15-20%

Valet $2

Waxing $2-$10 Eyebrows think $2, Back… think $10 (…and then think about laser or electrology!)

Electrologist:  Tipping this person is a toss up, because you do see them very often. 

Laser Person:  Does not require to be tipped.  This is a more medical service and is usually treated as a Medical Personnel.  If you buy a package and you do feel you need to tip, divide the price you paid by the number of treatment sessions you are receiving and tip 15-20% off of that (usually about $20). 

Business Owner (who provides your service): It is a long standing idea that you don’t need to tip the owner of a place if they provide you your beauty service.  It is in my opinion that we need to abolish this rule.  As a small business owner, I can tell you, cash flow is difficult.  Banks aren’t lending money to anyone, making it harder on small business.  Tip them.  They work harder than you know!

Medical Personnel  You do not need to tip the person who does your Botox!  As a nurse injector, I never accept tips.  You wouldn’t tip the doctor!

A Free Service 20% of what the service would have cost.  If you by some chance won a free service, say in a raffle, you should still tip the person!

 

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