Tag Archives: skincare

Collagen Induction Therapy

18 Sep

 Although not a new technique, this skin care treatment is certainly the hottest trend right now.  This procedure, also known as Micro-Needling, is clinically-proven for treating aging, pigmentation, and scar tissue, and recently, stretch marks.
This minimally invasive procedure uses a sterile, automated, micro-sized needle device system to build up the connective tissue in the lower skin layers (dermal layers) while keeping intact the protective layers of the skin (epidermal layers).  In fact, CIT is the only skin rejuvenation treatment to target and regulate all 3 skin cells (keratinocyte, melanocyte and fibroblast) without compromising the integrity of the epidermis.
Controlling the depth, angle, pressure, and speed of the needle is imperative to the safety and outcome of the treatment, and cannot be done effectively with manual rollers (dermal rollers).

How Does It Work?
Collagen Induction Therapy works by creating a controlled “injury” to the skin, resulting in a systematic interaction of complex cellular events.  In order to work effectively, the mechanical stimulation of the dermis must activate a wound healing response, but the wound must close quickly or scar tissue will form.
 CIT can penetrate the skin anywhere from 0.5 mm to  2mm depending on the depth of the skin condition needing remediation.  The skin bleeds slightly but for only a short period (seconds).  When the dermis is penetrated by the needle, the skin activates the complex cascade of growth factors that eventually result in collagen production.

By inducing the healing response system in a controlled manor, scarless healing and normalized collagen structures result.  The growth factors released stimulate regenerative healing (collagen forms from the base upwards) resulting in type III collagen or healthy collagen as opposed to the growth factors released when the epidermis is damaged by ablative or heat methods, which result in cicatricial healing (collagen forms from the top down) and is type I collagen or scar collagen.
As the collagen matures and remodels, it tightens the skin.  A thickening of the epidermis by as much as 40% has been observed.
Because there is no heat involved in the process, there is a low risk of post-inflammatory hyper-pigmentation, making it safe for all skin types.

Enhanced Product Penetration
The “wounds” created by the needles also act as channels through the skin layers, and therefore a product will penetrate deeper into the skin when applied topically.  Large molecules that cannot typically pass through the epidermis alone, such as hyaluronic acid, will penetrate very effectively through the channels.
Although channels should close 15-20 minutes post-treatment, it is imperative post-care involves using ONLY the topical products instructed by the provider to avoid any reactions.
This makes a great treatment with Platelet Rich Plasma…. Blog coming soon!

Micro-Needling VS. Alternative Treatments

This system has many benefits compared to other more invasive and painful treatment options.

  • Reduced risk of hyper-pigmentation and scarring therefore safe on ethnic or dark skin.
  • Suitable for thin and sensitive skin.
  • Can be done on areas of skin not suitable for laser or peels.
  • No line of demarcation between treated and untreated skin, as usually occurs with other resurfacing procedures.
  • Regular activities can be resumed within a few days, depending on the depth of penetration of the needles.

Basically, it was so impressive that after reading about it and seeing it done on a surgical scar, I tried to buy it an hour later.  It’s been the longest three weeks of my life.  😒.  But my new employee HAS a micro-needling system.  So for your viewing pleasure…. I had it done (and I skipped out on Pure Barre I wanted to do it so bad!).  (Also… I was planning on going to the Container Store… As I mention in the video–totally worth it!).


Although I am very red in the video, by the time I left the office it only looked like a slight sunburn.

A few hours later my face peeled like crazy.  I was sloughing off layers of skin while I applied hyaluronic acid.  I thought I eould continue to peel, and didn’t immediately take a picture.  By the time I woke up the peeling had subsided.

Not everyone will experience peeling, but if you do, don’t pick at it!

Post-procedure care 
It is imperative patients follow post-care instructions after professional Collagen Induction Therapy.

  • You cannot go in the sun for 24 hours and you have to wear sunscreen.
  • In the case of acne scars, after the skin needling procedure, the face should be cleaned with a gentle cleanser before bed. The next day, the face may be cleansed and makeup, lotions and other topical products applied as instructed.
  • Rejuvenation of skin may be seen as soon as 2 weeks and as long as 6-8 months after the medical procedure.
  • Burn scars are slow to respond. It can take up to 6 months to 1 year to see the final results from a single treatment.

For more information…. Stay tuned!

Post Treatment Day 1


  

Patients have been thrilled with this treatment.  For more information, A Girlfriends Guide to Vampire Facelifts a first hand account from Kim as she describes her treatment with me.

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Mad Face (Resting Bitch Face)

12 May

 
  The line that forms between the eyes as we age is called the glabellar crease.  Because of the way it looks, it is sometimes referred to as a “1” or an “11.”  

I look like my mother.

People always ask me why I’m angry, I’m not.  

This line bothers many women as they age, and these two statements are common complaints in my office.  Deep lines between the eyes make you look angry, less approachable, and let’s face it: like your mother!  

  
Botox and other neurotoxins will relax the lines between the eyes to give a fresh, less angry look.  I consider Botox in this area to be the gate-way drug to injectables. 

  
When should you inject your Glabella?

Actually, it is better to start treatments earlier.  If you have a line in this area, you are a good candidate for Botox, no matter how old you are (as long as you’re 18! Or a Kardashian I suppose!).  Botox is preventative; it will keep lines from getting worse, and you will actually need less product and fewer treatments. 

A Botox treatment between the eyes ranges from 20-35 units typically.  The stronger the muscle, the more Botox required to relax it.  When using higher doses, the possibility of side-effects also increases.  It is more likely to get a drooping eye at larger doses.  Large doses also result in a “waxy” or “embalmed” look, a tell-tale sign of Botox that most Bostonians find undesirable.  

Will Botox Get Rid of Your Line?

Not always.  

If you do not get the correct dose of Botox, your line may not completely go away.  If a small dose was injected, you can return additional units 1-2 weeks post-injection, but again this increases the chances of side-effects. 

  
Fillers in the Glabellar Crease

If you stretch the skin between the eyebrows, and you still have a line, Botox injections will not completely get rid of it.  In which case, you would require a filler.  

If you are told you need a filler, be sure to have Botox injections at least two weeks prior.  This freezes the muscle and gives the injector an easier medium to work with.  Patients who do not have Botox first often complain the filler looks and feel like a big lump.  

Fillers will last a very long time in this area if you keep up with regular Botox treatments.  

What Filler?

It depends on what the crease looks like after Botox.  I’ve used every type of Hyaluronic acid in the glabellar crease.  My preference is usually for Restylane or Belotero, but I have recently tried Restylane Silk, and I think it is a great product for this area as well.  

     

So… If you are feeling happy on the inside, but looking angry on the outside, Botox and fillers may be a good idea!

  

  

Video

Dirty 30

9 Nov

What happens to your skin as you age and what type of products you should be looking for.

I attempt to explain cellular turnover rate.

Some interesting statistics on skincare and aging.

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