General FAQs
Sun exposure is the most preventable risk factor for all skin cancers, including melanoma. You can have fun in the sun and decrease your risk of skin cancer. Here’s how you can prevent skin cancer:
- Seek shade when appropriate. Remember that the sun’s rays are strongest between 10 a.m. and 2 p.m. If your shadow appears to be shorter than you are, seek shade.
- Wear protective clothing, such as a long-sleeved shirt, pants, a wide-brimmed hat, and sunglasses, where possible.
- Generously apply a broad-spectrum, water-resistant sunscreen with a Sun Protection Factor (SPF) of 30 or more to all exposed skin. “Broad-spectrum” provides protection from both ultraviolet A (UVA) and ultraviolet B (UVB) rays. Reapply approximately every two hours, even on cloudy days, and after swimming or sweating.
- Use extra caution near water, snow, and sand because they reflect and intensify the damaging rays of the sun, which can increase your chances of sunburn.
- Avoid tanning beds. Ultraviolet light from the sun and tanning beds can cause skin cancer and wrinkling. If you want to look tan, consider using a self-tanning product or spray, but continue to use sunscreen with it.
Yes, sunscreen is safe to use. No published studies show that sunscreen is toxic to humans or hazardous to human health. Scientific studies actually support using sunscreen. Research shows that wearing sunscreen reduces your risk of getting skin cancer and premature aging.
What about the reported health risks associated with some ingredients found in sunscreens? Oxybenzone: This is one of the few ingredients in sunscreen that effectively protects our skin from harmful UVA and UVB rays. Here are the facts about oxybenzone:
- Approved by the FDA in 1978.
- No data show that oxybenzone causes hormonal problems or related conditions in humans, such as endometriosis.
- No data show that oxybenzone causes any significant health problems in humans.
- FDA approved for use by people 6 months of age and older.
Retinyl palmitate: This ingredient helps protect our skin from premature aging. Here are the facts:
- No study shows that it increases the risk of skin cancer in humans.
- Retinyl palmitate is a form of vitamin A.
- One form of vitamin A, retinoids, helps prevent skin cancer in people who have a high risk of developing skin cancers.
The first line of defense against skin cancer starts with you. Ask a dermatologist how often you should examine your skin for signs of skin cancer and consult a dermatologist if you notice anything suspicious.
Q. My acne is very resistant to my medications. What about new therapies?
A. Photodynamic therapy for acne is very exciting and cutting edge. At less cost than Accutane, a chemical precursor of hemoglobin called amino levulinate, is placed on the skin. After a period of 30 to 60 minutes, the chemical is absorbed and selectively picked up by the problem oil glands. With eye protection, intense monochromatic blue light at 417 nm, and intense pulse light 560nm to 1200nm, is used to shut down the problem oil glands. The Photodynamic therapy shrinks overactive oil glands and sterilizes the oil gland of the problem bacteria, P. acnes.
Five treatments are performed at 2-3 week intervals. The FDA has approved the devices for acne photodynamic therapy. Study after study is showing effectiveness with stubborn acne with photodynamic therapy. It appears to have exceptional potential for those who cannot take Accutane. Unfortunately, insurance companies are slow to set up co-pay strategies for this therapy, and as yet it remains mostly uncovered, and a treatment for only those with discretionary funds. As with most new dermatology technologies, our clinic is the first to offer this new choice.
Steven L Harlan, MD
Medical Director
Dermatology and Dermatologic Surgery Center
515-225-8180
I thought my dermatologist could sand away my acne scars, but he said they were too deep and sanding would not “get rid of them.” What can I do ?
Unfortunately, many people believe any type of acne scars can be “removed”. They come into the dermatologist seeking to “get rid of” deep acne scars. Shallow acne scars and small superficial “ice pick” scars will respond to treatment and nearly clear, or at least improve a lot. For deep, large ice pick scars, “nothing works”, is a more accurate statement unfortunately. No reasonable affordable amount of surgery is going to make a significant difference in deep large ice pick scars. The best advice to everyone is don’t get them in the first place.
If someone is getting large deep acne scars, the process must be stopped as soon as possible. They must see a dermatologist who prescribes Accutane and find a way to stop the scarring acne. If someone can’t afford Accutane, there are programs that will get them Accutane. Many young people don’t think about the future and let their faces scar up with acne, for whatever reason. 100% of them regret it for the rest of their lives in lost confidence regarding their appearance.
We also warn women not to get pregnant with scarring acne going on. The acne may get worse during pregnancy and their faces scar up permanently because serious medication can’t be given. Women can safely become pregnant 3 months after Accutane therapy is completed and have no problems.
Steven L Harlan, MD
Medical Director
Dermatology and Dermatologic Surgery Center
515-225-8180
An actinic keratosis (ak-ti-nik ker-ah-TOE-sis), or AK, is a rough, dry, scaly patch or growth that forms on the skin. An AK forms when the skin is badly damaged by ultraviolet (UV) rays from the sun or indoor tanning. Most people get more than one AK.
AKs are very common and one of the most frequent reasons for seeing a dermatologist.
Anyone who has many AKs should be under a dermatologist’s care. Most people who have many AKs continue to get new AKs for life. AKs are considered precancerous. Left untreated, AKs may turn into a type of skin cancer called squamous cell carcinoma.
By seeing a dermatologist for checkups, the AKs can be treated before they become skin cancer. If skin cancer does develop, it can be caught early when treatment often cures skin cancer.
Seborrheic keratosis (seb-o-REE-ik care-uh-TOE-sis) is a common skin growth. It may look worrisome, but it is benign (not cancer). These growths often appear in middle-aged and older adults. Some people get just one. It is, however, more common to have many. They are not contagious.
Most often seborrheic keratoses start as small, rough bumps. Then slowly they thicken and get a warty surface. They range in color from white to black. Most are tan or brown.
They can appear almost anywhere on the skin.
Seborrheic keratoses can look like warts, moles, actinic keratoses, and skin cancer. They differ, though, from these other skin growths. Seborrheic keratoses have a waxy, “pasted-on-the-skin” look. Some look like a dab of warm, brown candle wax on the skin. Others may resemble a barnacle sticking to a ship.
Psoriasis (sore-EYE-ah-sis) is a chronic (long-lasting) disease. It develops when a person’s immune system sends faulty signals that tell skin cells to grow too quickly. New skin cells form in days rather than weeks.
The body does not shed these excess skin cells. The skin cells pile up on the surface of the skin, causing patches of psoriasis to appear.
Psoriasis may look contagious, but it’s not.
You cannot get psoriasis from touching someone who has it. To get psoriasis, a person must inherit the genes that cause it.
Types of psoriasis
If you have psoriasis, you will have one or more of these types:
- Plaque (also called psoriasis vulgaris)
- Guttate
- Inverse (also called flexural psoriasis or intertriginous psoriasis)
- Pustular
- Erythrodermic (also called exfoliative psoriasis)
Some people get more than one type. Sometimes a person gets one type of psoriasis, and then the type of psoriasis changes.
If you are diagnosed with skin cancer, you may see a Mohs (pronounced “moes”) surgeon for treatment. A Mohs surgeon performs a type of surgery called Mohs surgery. This specialized surgery is used exclusively to treat skin cancer.
Mohs surgeon. During Mohs surgery, a Mohs surgeon uses a microscope to look for cancer cells.
How to become a Mohs surgeon
Becoming a Mohs surgeon requires many years of education. To become this type of medical doctor, a person must successfully complete the following:
- College, earning a bachelor’s degree.
- Medical school, becoming a medical doctor (MD) or doctor of osteopathy (DO).
- Internship, 1 year.
- Residency program, such as one in dermatology (at least 3 years for dermatology).
Dermatologists are exposed to Mohs surgery during their residency (training to become a dermatologist). After completing their residency, some dermatologists continue their studies and receive advanced training in Mohs surgery. Some dermatologists complete a fellowship, specializing in Mohs surgery and reconstruction. A fellowship is a medical training program that offers in-depth advanced training.
Mohs surgery has many advantages, but it is not necessarily the right treatment for everyone who has skin cancer. A dermatologist considers many factors before determining which treatment will be best for each patient. These factors include the type of skin cancer, whether the cancer has spread and where the skin cancer appears on the body.
Keeping your skin healthy and looking its best doesn’t necessarily mean breaking the bank if you follow these practical tips from leading dermatologists:
- Cleanse, treat and prevent. Don’t let a 12-hour period go by without using some sort of treatment or product on your skin (sunscreen counts).
- Use sunscreen 365 days a year. This helps prevent sun damage that could lead to wrinkles, age spots, or even skin cancer.
- Get the most from your body moisturizer. In the winter, apply it to damp skin as soon as you get out of the shower to lock in the moisture.
- Consider using petroleum jelly. This common, inexpensive product has several uses for skin care including:
- moisturizing rough, cracked feet, elbows, and hands; dry cuticles and lips; and peeling nails;
- preventing chafing when running or biking;
- protecting kids’ scrapes and bumps;
- applying as a diaper ointment.
- Use one or two skin care product lines at a time. Limiting product lines saves money and storage space.
- Remember, a more expensive skin care product is not necessarily more effective. Some brands contain fragrances that may lead to skin problems.
- Consider dual-function products. Examples include a moisturizer plus sunscreen and a lip balm with sunscreen.
- Get the most for your hard-earned money. When choosing anti-aging products, look for ingredients such as vitamin A and alpha hydroxy acid.
Dermatologists recommend the following to their patients:
- If you see a mole on your skin that is changing, itching, or bleeding, make an appointment to see a dermatologist. These are signs of melanoma, a type of skin cancer. Caught early, melanoma can be cured. Without treatment, melanoma can spread. This can be deadly.
- Perform self-exams of your skin. A self-exam can help you catch melanoma early.
- Protect your skin from the sun. It is believed that being out in the sun increases the number of moles on your skin. And we know that the sun causes skin cancer. Tanning beds and sun lamps also cause skin cancer.An easy way to reduce your risk of getting skin cancer is to skip getting a tan. You also should wear sunscreen every day.
- If you have 100 or more moles, be sure you have a dermatologist. If you answer yes to any of the following questions, you also should have a dermatologist:
- Do you have pigment that covers a large part of your body?
- Do you have familial atypical multiple-mole melanoma (FAMMM) syndrome or a similar medical condition?
People who have FAMMM should have a full-body screening every 3 to 6 months, beginning at puberty. Your dermatologist may recommend less-frequent screenings if your moles are stable (not changing).
First, think of any new medications or skin care products you may have taken or used within the week of developing the rash. Also, consider if you've been camping or outside, to help your dermatologist distinguish what may have caused the rash.
If the rash causes swelling that spreads to the face or throat, call 911 right away.
If the rash is mild and small in size, you can try treating it at home with a few remedies. Wash with lukewarm water and mild soap, and applying mild cream to the area, such as Cetaphil or another non-scented, hypo-allergenic lotion. Vaseline (petroleum jelly) would be another safe, hypo-allergenic topical to try for dry or irritated skin.
If these home remedies do not help, or if the affected area is large in size, you should see a Dermatologist right away to be sure it's not a more serious condition.
Credits to the American Academy of Dermatology for information regarding skin conditions.
Latisse FAQs
LATISSE® is the first prescription product to treat inadequate lashes—it’s believed to prolong the active eyelash growth phase. It’s clinically proven to deliver lashes that are fuller, longer, and darker at 16 weeks.
Many different types of doctors can prescribe LATISSE®, including dermatologists, plastic surgeons, ophthalmologists, OB/GYNs and primary care doctors. However, not all doctors may be familiar with it. To find one who is, use the Find-A-Doctor tool.
No. LATISSE® works gradually over the 16-week treatment period. Use of LATISSE® more than once a day will not increase the growth of eyelashes. Please follow the directions, as instructed by your doctor.
To achieve the full effect of LATISSE®, you will need to use the product daily for 16 weeks. After that point, you can talk to your doctor about ongoing use.
LATISSE® solution is intended for use on the skin of the upper eyelid margins at the base of the eyelashes. Refer to the illustration below. DO NOT APPLY to the lower eyelid. If you are using other products in the same class for elevated intraocular pressure (IOP), or if you have a history of abnormal IOP, you should only use LATISSE® under the close supervision of your physician.
LATISSE® use may cause darkening of the eyelid skin which may be reversible. LATISSE® use may also cause increased brown pigmentation of the colored part of the eye which is likely to be permanent. While very infrequent, increased iris pigmentation has occurred when LATISSE® was administered.
It is possible for hair growth to occur in other areas of your skin that LATISSE®frequently touches. Any excess solution outside the upper eyelid margin should be blotted with a tissue or other absorbent material to reduce the chance of this from happening. It is also possible for a difference in eyelash length, thickness, fullness, pigmentation (darkness), number of eyelash hairs, and/or direction of eyelash growth to occur between eyes (e.g., results may vary for each eye). These differences, should they occur, will usually go away if you stop using LATISSE®.
LATISSE® solution is an ophthalmic drug product. If any gets into the eye, it is not expected to cause harm. The eye does not need to be rinsed.
This is a condition where the pressure inside the eye is higher than normal. LATISSE® may decrease IOP. So talk to your doctor if you are using IOP-lowering medications. Concurrent administration of LATISSE®and certain IOP-lowering medications in ocular hypertensive patients should be closely monitored for changes in intraocular pressure.
The most common side effects after using LATISSE® solution are an itching sensation in the eyes and/or eye redness. This was reported in approximately 4% of patients in the clinical study. LATISSE® solution may cause other less common side effects, which typically occur on the skin close to where LATISSE®is applied, or in the eyes. These include skin darkening, eye irritation, dryness of the eyes and redness of the eyelids.
If LATISSE® patients develop a new ocular condition (e.g., trauma or infection), experience a sudden decrease in visual acuity, have ocular surgery or develop any ocular reactions, particularly conjunctivitis and eyelid reactions; they should immediately seek their physician’s advice concerning the continued use of LATISSE® solution.
Obagi NuDerm FAQs
If you suffer from dark pigment, such as melasma, sun spots, or age spots, and have tried numerous over the counter products and treatments, Nu-Derm may be just what you have been looking for. Nu-Derm works on a cellular level, using Prescription Strength products to “push” abnormal pigment out of the skin without changing the natural color of your skin.
Your individual prescribed protocol and frequency of use should be determined by your skin care professional, but you can typically expect visible improvements in 4 to 6 weeks.
You will likely experience 4 phases of transformation. The first phase is what we call “Out with the Old.” During this phase you may experince some dryness to the skin conjoined with possible flaking or peeling. This lasts for about 4-6 weeks. The next phase, “In with the New,” is where most patients tend to start seeing fresh, smoother skin rise to the surface. During the third phase, “Healthy Glow,” the skin will appear clearer and become firmer. The final phase shows the results of the treatment regimen, as the skin has completed an entire life cycle.
The Nu-Derm System contains prescription-strength formulations that can be sold only through a licensed physician, such as a dermatologist or plastic surgeon.
The products in the Nu-Derm System are clinically proven, prescription-strength ingredients that work at the cellular level to improve your skin cell function. Products purchased from a retail store are cosmetic-based products that do not contain prescription-strength ingredients.
Please discuss with your provider if you are breastfeeding, planning to become, or are currently pregnant to be sure you are on the most fitting system.
Keeping in mind that extended sun exposure damages the skin, it is suggested that you avoid prolonged sun exposure without protection. While on the system, you can participate in normal outdoor activity. However, your skin may be sensitive to the sun and heat. It is very important to always wear a sunscreen, like Healthy Skin Protection SPF 35, Sun Shield SPF 50, and/or Physical UV Block SPF 32 in the Nu-Derm System, and reapply sun protection every few hours while exposed to the sun.
- It is very important to follow these instructions during your Obagi Nu-Derm Treatment and continue to follow them until your treatment is finished:
- YOU MUST NOT use tanning beds during your product treatment.
- YOU MUST NOT have an active cold sore or herpes lesion in the area to be treated. If you do, please discontinue use of your product and call our office for further instructions.
- YOU MUST NOT use any products other than the prescribed Obagi Nu-Derm products during your treatment regimen and be sure to use ALL products prescribed to you for optimal results. If you skip steps AM or PM, you will reduce the effects of the products.
- YOU MUST NOT wax or use depilatories in the area being treated at any time!
Juvéderm FAQs
JUVÉDERM® is the #1 chosen dermal filler collection in the US* that offers 6 unique and long-lasting fillers. Each one adds volume and is designed for different needs in specific areas of the face including lips, cheeks, chin, smile lines, undereyes, or jawline. We have what you need to get the results you want.
JUVÉDERM® XC is the ONLY hyaluronic acid (HA) filler FDA approved* to last up to 1 year after initial treatment. Our unique manufacturing process provides a high concentration of cross-linked hyaluronic acid for long-lasting results. It also works to create a smooth consistency gel that flows easily into the skin and provides a smooth, natural look and feel. All other hyaluronic acid dermal fillers currently on the market are made of granular consistency gels. And, JUVÉDERM® is the first hyaluronic acid dermal filler that has demonstrated its safety and effectiveness in persons of color.
Hyaluronic acid is a naturally occurring substance found in all mammals that helps to hydrate and add volume to your skin. In addition to its use as an aesthetic treatment, hyaluronic acid has also been used for more than 20 years for injection into arthritic joints to aid movement as well as for eye surgeries and wound repair.
Injections may cause some discomfort during and after the injection. The smooth consistency gel of JUVÉDERM® XC allows your doctor to administer it easily and smoothly. And, JUVÉDERM® XC is injected directly into the skin using a fine needle to reduce injection discomfort. Additionally, JUVÉDERM® XC is formulated with lidocaine for a more comfortable treatment experience. Your doctor may choose to numb (anesthetize) the treatment area to further minimize discomfort.
Yes. In fact, JUVÉDERM® injectable gel is the first FDA-approved hyaluronic acid dermal filler that has proven its safety and effectiveness in persons of color. Studies with JUVÉDERM® showed no increased risk of hyperpigmentation or hypertrophic scarring in patients of color.
Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injections site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures there is a risk of infection.
Safety Considerations
With any cosmetic treatment, safety is the first concern. As always, it’s important to consult with your doctor before deciding on a wrinkle treatment. Because JUVÉDERM® injectable gel is a non-surgical, in-office treatment, most patients experience minimal recovery and downtime.
JUVÉDERM® XC injectable gel is generally well tolerated. Most side effects are mild to moderate in nature and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injection site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures, there is a risk of infection.
Hyaluronic acid fillers are generally biocompatible, which means allergy skin testing is not required prior to treatment.
Allergies
If you’re considering treatment with JUVÉDERM® injectable gel, your healthcare professional should ask about your medical history to determine if you are an appropriate candidate for treatment. JUVÉDERM® injectable gel for facial wrinkles and folds should not be used in patients who have:
- Severe allergies marked by a history of anaphylaxis or history or presence of multiple severe allergies
- A history of allergies to gram-positive bacterial proteins
- JUVÉDERM® should not be used in patients with a history of allergies to lidocaine.
Post-treatment Considerations
Your healthcare professional will tell you what to expect following treatment with JUVÉDERM® injectable gel. You should ask your healthcare professional when makeup may be applied after your treatment.
You should avoid the following for at least 24 hours after treatment:
- Strenuous exercise
- Consumption of alcoholic beverages
- Extended exposure to sun or heat
Exposure to any of the above may cause temporary redness, swelling, and/or itching at the injection sites. If there is swelling, you may need to place an ice pack over the swollen area. Be sure to report any redness and/or visible swelling that lasts for more than a few days or any other symptoms that cause you concern to your healthcare professional and/or contact Allergan Product Support at 1-877-345-5372.
Other Considerations
In addition, you and your healthcare professional should discuss the following important treatment considerations in order to help avoid unsatisfactory results and complications when using JUVÉDERM® injectable gel:
- Patients who are using substances that can prolong bleeding, such as aspirin or ibuprofen, as with any injection, may experience increased bruising or bleeding at the injection site. You should inform your healthcare professional before treatment if you are using these types of substances.
- If laser treatment, chemical peeling, or any other procedure based on active dermal response is considered after treatment with JUVÉDERM® injectable gel, there is a possible risk of an inflammatory reaction at the treatment site.
- JUVÉDERM® injectable gel should be used with caution in patients on immunosuppressive therapy, or therapy used to decrease the body’s immune response, as there may be an increased risk of infection.
- JUVÉDERM® injectable gel should be used with caution in patients on immunosuppressive therapy, or therapy used to decrease the body’s immune response, as there may be an increased risk of infection.
- The safety of JUVÉDERM® injectable gel hyaluronic acid dermal filler in patients with a history of excessive scarring (eg, hypertrophic scarring and keloid formations) and pigmentation disorders has not been studied.
Persons of Color
JUVÉDERM® is the first FDA approved hyaluronic acid dermal filler with demonstrated safety and effectiveness in persons of color.
Other Treatments
Other treatments for dermal soft tissue augmentation include bovine-based collagen and other hyaluronic acid-based dermal fillers. Aside from these treatments, additional options for the correction of facial folds and wrinkles do exist, including facial creams, chemical peels, and laser skin surface treatments, and may be discussed with your healthcare professional.
Dysport FAQs
Prescription Dysport is an injection used to temporarily improve the look of your frown lines without changing the look of your whole face. The untreated facial muscles still work normally, allowing you to freely show facial expressions, such as smiling, in untreated areas.
Dysport is a formulation that has been shown to deliver temporary improvements in moderate to severe frown lines, even with repeat treatments. So, the effect of repeat treatment with Dysport may be comparable to your first use.
With just 1 injection into each of 5 points between and over the eyebrows, Dysport blocks the signal from the nerve to the muscles, ultimately resulting in a reduction of muscle activity and temporarily preventing contraction of the muscles that cause frown lines. You should not be treated with Dysport more frequently than every 90 days.
Treatment with prescription Dysport can temporarily improve the look of your moderate to severe frown lines. Treatment generally takes just 10 to 20 minutes.
Prescription Dysport is an injection used to temporarily improve the look of your moderate to severe frown lines without changing the look of your whole face. The untreated facial muscles still work normally, allowing you to freely show facial expressions, such as smiling, in untreated areas..
Dysport may cause serious side effects that can be life threatening. Call your doctor or get medical help right away if you have any of these problems after treatment with Dysport:
- Problems swallowing, speaking, or breathing. These problems can happen hours to weeks after an injection of Dysport usually because the muscles that you use to breathe and swallow can become weak after the injection. Death can happen as a complication if you have severe problems with swallowing or breathing after treatment with Dysport.
- People with certain breathing problems may need to use muscles in their neck to help them breathe. These patients may be at greater risk for serious breathing problems with Dysport.
- Swallowing problems may last for several weeks. People who can not swallow well may need a feeding tube to receive food and water. If swallowing problems are severe, food or liquids may go into your lungs. People who already have swallowing or breathing problems before receiving Dysport have the highest risk of getting these problems.
- Spread of toxin effects. In some cases, the effect of botulinum toxin may affect areas of the body away from the injection site and cause symptoms of a serious condition called botulism. The symptoms of botulism include:
- loss of strength and muscle weakness all over the body
- double vision
- blurred vision and drooping eyelids
- hoarseness or change or loss of voice (dysphonia)
- trouble saying words clearly (dysarthria)
- loss of bladder control
- trouble breathing
- trouble swallowing
These symptoms can happen hours to weeks after you receive an injection of Dysport. These problems could make it unsafe for you to drive a car or do other dangerous activities.
Do not have Dysport treatment if you: are allergic to Dysport or any of its ingredients (see the end of the Medication Guide for a list of ingredients), are allergic to cow’s milk protein, had an allergic reaction to any other botulinum toxin product (such as Myobloc® or Botox®), or have a skin infection at the planned injection site. Dysport should not be used in children or in women who are pregnant or breastfeeding.
Dysport may not be right for you if: you have surgical changes to your face, very weak muscles in the treatment area, your face looks very different from side to side, the injection site is inflamed, you have droopy eyelids or sagging eyelid folds, deep facial scars, thick oily skin, or if your wrinkles can’t be smoothed by spreading them apart.
You should wait at least 90 days between Dysport treatments. The safety of Dysport has been studied in up to 12 repeated treatments. Clinical studies demonstrated continued efficacy with up to four repeated treatments.
Tell your doctor about all your medical conditions, including if you have: a disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig’s disease], myasthenia gravis, or Lambert-Eaton syndrome), allergies to any botulinum toxin product, had any side effect from any botulinum toxin product in the past, a breathing problem (such as asthma or emphysema), swallowing problems, bleeding problems, diabetes, a slow heart beat or other problem with your heart rate or rhythm, plans to have surgery, had surgery on your face, weakness of your forehead muscles (such as trouble raising your eyebrows), drooping eyelids, or any other change in the way your face normally looks.
Tell your doctor if you are pregnant or breastfeeding or planning to become pregnant or breastfeed.
Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins and herbal and other natural products. Using Dysport with certain other medicines may cause serious side effects. Do not start any new medicines while taking Dysport without talking to your doctor first.
Especially tell your doctor if you: have received any other botulinum toxin product in the last four months, have received injections of botulinum toxin, such as Myobloc® (rimabotulinumtoxinB) or Botox® (onabotulinumtoxinA) in the past (be sure your doctor knows exactly which product you received), have recently received an antibiotic by injection, take muscle relaxants, take an allergy or cold medicine, or take a sleep medicine.
Though approved in the United States for aesthetic use in April 2009, Dysport has a history of use in other countries since 1991. Outside the U.S., it was first approved for aesthetic use in 2001.
The most common side effects are nose and throat irritation, headache, injection site pain, injection site skin reaction, upper respiratory tract infection, eyelid swelling, eyelid drooping, sinus inflammation, and nausea. In some cases, Dysport may cause serious side effects, such as swallowing or breathing problems, that may be life threatening.
Dysport may cause loss of strength or general muscle weakness, blurred vision, or drooping eyelids within hours to weeks of taking Dysport. If this happens, do not drive a car, operate machinery, or do other dangerous activities.
Intense Pulsed Light FAQs
IPL (Intense Pulsed Light) and FotoFacial are interchangeable terms for these laser treatments.
IPL is a non-ablative, non-invasive procedure that uses controlled light in specific wavelengths to restore the smooth, even texture your skin had before exposure to sun and other environmentally damaging factors. Treatments can be performed on the Face, Neck, Chest, and/or Hands.
The benefits of IPL treatments are consistent, visible improvement in the skin with no downtime, little discomfort and minimal risk. With IPL/FotoFacial® Treatments, for the first time, the embarrassing redness and flushing of rosacea can be dramatically reduced and sun damaged aging skin can be noticeably improved.
Anyone showing signs of skin damage caused by aging, sun exposure or other environmental factors.
IPL is gentle and safe, and it effectively treats multiple symptoms and locations in each session. It is an in-office procedure, and virtually no down time is required. IPL is a remarkably quick way to rejuvenate your complexion by removing the spots, discolorations and unwanted pigment that affect appearance. Additionally, IPL can be customized to individual skin types and conditions.
IPL is gentle and safe, and it effectively treats2 multiple symptoms and locations in each session. It is an in-office procedure with virtually no down time.1 IPL is a remarkably quick way to rejuvenate your complexion by removing unwanted veins, discolorations and pigment blemishes that affect appearance. Additionally, it can be customized to individual skin types and conditions.
Alleviate Rosacea
If you suffer from the chronic redness and flushing that characterize facial rosacea, you know how aggravating this condition can be, and how it can negatively affect so much of your life. IPL offers a practically painless and long-term solution for rosacea treatment. Results that will not only change how you look…but how you feel.
Erythematotelangiectatic Rosacea
Unpronounceable, but thanks to IPL, not untreatable. The facial redness, flushing and visible blood vessels associated with this condition will gradually vanish with targeted IPL treatment. Controlled injury to the blood vessels initiates the body’s natural response to break down and remove damaged tissue. New cells rebuild and replace the problem area with clear, beautiful skin.
You need to avoid any major sun exposure for a few days before the treatment. We cannot treat skin that is injured, tanned, or sunburned. You must avoid self-tanners and tanning beds. If you are using Retin-A or retinol-based products, you must stop using the products 5-7 days before your IPL procedure. If you are using products containing Hydroquoinone, you must stop using the products 3 days prior to your IPL procedure.
A cold gel is applied to the treatment area, and patients are given protective eyewear. During treatment, the smooth glass surface of the IPL hand piece is gently applied to the skin, and precise pulses of light penetrate the area being treated. The pain level is very minimal and can be further reduced by application of a topical anesthetic and/or cold air. Most patients experience a small stinging sensation. Procedures last about 10-20 minutes, and a complete program usually includes 2-6 sessions at approximately 3-4-week intervals.
A mild amount of discomfort can be expected. A topical anesthetic is used 20 minutes before treatment, giving very little discomfort. There is little to no discomfort after the treatment.
There may be a slight redness or blotchiness to the skin, mild swelling is possible. This usually disappears after an hour. Age spots may darken soon after IPL treatments as a result of the light interacting with the pigment in your age spots, and may fade or flake off 3-4 days following your treatment.
You MUST avoid sun exposure for the first 48 hours after treatment, using an SPF of 30 or greater. It is also advisable to avoid any extremes of temperature, wind, and water during these treatments. We advise a gentle cleansing twice a day followed by application of a moisturizing sunscreen during the day or a plain moisturizer at night. You may apply make up the very next day following the treatment.
The goal with this procedure is to provide maximum benefit with minimal trauma and risk to the skin. Several treatments ensure gradual, natural-looking improvement. Results usually last a year or more.
Generally, after a series of 5 treatments, patients are satisfied with their results and come in yearly for maintenance. This can be discussed and determined between you and your provider.
Costs vary according to the size of the area, severity of the condition and other factors. IPL is generally much less expensive than laser resurfacing and cosmetic surgeries. FotoFacial/IPL packages for Full Face start at $1800.00 for 5 Treatments. IPL/FotoFacial is considered a cosmetic procedure and is not covered by insurance plans.
Restylane FAQs
Restylane adds volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Restylane can also add fullness and definition to lips in patients over 21 years, providing natural-looking and lasting results with just one treatment.
Pre-treatment guidelines
- Avoid using aspirin, nonsteroidal anti-inflammatory medications (such as ibuprofen), St. John’s wort, or high doses of vitamin E supplements. These agents may increase bruising and bleeding at the injection site.
- Talk with your healthcare professional if you have previously suffered from facial cold sores. He or she may prescribe a medication to minimize recurrence.
Post-treatment checklist
- Use cold compresses to reduce swelling.
- Avoid touching the treated area for the first six hours following treatment, so you do not accidentally injure your skin while the area is numb. After six hours, the area can be gently washed with soap and water.
- Avoid touching the treated area for the first six hours following treatment, so you do not accidentally injure your skin while the area is numb. After six hours, the area can be gently washed with soap and water.
- Reduce the risk of facial cold sore recurrence that could be caused by needle punctures. Talk with your healthcare professional about medications that may minimize an outbreak.
- Avoid taking aspirin, nonsteroidal anti-inflammatory medications, St John’s wort, or high doses of vitamin E supplements for one week after treatment. These agents may increase bruising and bleeding at the injection site.
- After treatment, you might have some swelling, redness, pain, bruising, or tenderness. These are typically mild in severity and normally last less than 7 days in nasolabial folds and less than 14 days in lips. Swelling may be more likely in patients under 36 years, and bruising may be more likely in patients over 35 years.
- Remember to ask about follow-up appointments.
The Restylane family of products for moderate to severe facial wrinkles and folds
This products can be used to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds or laugh lines); lipstick lines (the area just below the nose and above the upper lip); the corners of the mouth; and marionette lines (the area that extends downward from the corners of the mouth to the jawline). Also, it may be used for lip enhancement in patients over 21 years.
The safety and effectiveness of products in the Restylane family for the treatment of anatomic regions other than nasolabial folds and lips (Restylane only) have not been established in controlled clinical studies. Patients should be limited to 6.0 mL per treatment of moderate to severe facial wrinkles and folds. Patients should be limited to 1.5 mL per lip per treatment (Restylane only). If a volume of more than 3 mL total is needed to achieve optimal correction for lip enhancement, a follow-up treatment session is recommended.
Once injected, RADIESSE Volumizing Filler does exactly as it says: it fills or replenishes volume lost over time for a more refreshed looking you. Then it goes to work by stimulating your body to produce its own natural collagen. Over time, your body absorbs the product and leaves behind only your own natural collagen for long-lasting results.
Restylane injectable gel has been clinically proven to provide results that last up to 18 months in the laugh lines (nasolabial folds), with only one follow-up treatment at either 4.5 or nine months. Your healthcare professional can work with you to help you establish your Restylane Regimen.
Due to the individual needs of each patient, it is important to discuss your full correction with your healthcare professional. However, in a clinical study where patients received full correction for their nasolabial folds (lines from the nose to the corners of the mouth) during initial treatment in the Restylane Regimen, the average volume was 2 to 3 mL per patient.
Products in the Restylane family should not be used by people with previous bad allergies, particularly to microorganisms known as gram-positive bacteria, or by people with serious allergies to drugs that have previously required in-hospital treatment. These products should not be used by people with bleeding disorders. Products should not be injected anywhere except the skin, just under the skin (Perlane and Perlane-L only), or in the lips (Restylane only). Restylane-L should not be used by anyone with a known allergy to lidocaine. Products should not be used during pregnancy, when breastfeeding, or in patients under 18 years for nasolabial folds and under 21 years for lips.
Tell your healthcare professional if you are pregnant, breastfeeding, planning to become pregnant or breastfeed, or have any serious allergies or bleeding disorders. You should also tell your healthcare professional if you have previously suffered from facial cold sores. He or she may prescribe a medication to minimize recurrence. You should also tell him or her if you have recently used aspirin, nonsteroidal anti-inflammatory medications, St John’s wort, or high doses of vitamin E supplements. These agents may increase bruising and bleeding at the injection site.
After treatment, you might have some swelling, redness, pain, bruising, or tenderness. These are typically mild in severity and normally last less than 7 days in nasolabial folds and less than 14 days in lips. Swelling may be more likely in patients under 36 years, and bruising may be more likely in patients over 35 years.
Lip enhancement with Restylane has been shown to last at least six months. You can consult your healthcare professional to establish a treatment plan that will help you maintain your lip enhancement.