Automated microneedling is an innovative aesthetic procedure for the treatment of the appearance of fine lines, acne scars and the skin’s texture, tone and color. Also known as Collagen Induction Therapy (CIT), micro needling creates micro-channels within the skin that allows active ingredients to penetrate deeper into the dermal layer. Tiny micro-needles stimulate collagen and elastin production, smooth skin and promote scar or stretch mark reduction through the skins natural wound healing process, enhancing the effects in deeper layers of the skin. Eclipse MicroPen® is the most advanced medical-grade automated micro-needling device on the market. Visit the Eclipse MicroPen® Elite website for more information about the product, real patient stories, educational videos, and before and after photos of mirco-needling treatment.
Micro-needling helps improve the appearance of:
- Hyper-pigmentation, uneven skin tone
- Acne scars
- Traumatic scars
- Stretch marks
- Fine lines and wrinkles
Micro-needling can be performed on all parts of the body, including the face, neck, décolleté, arms, hands, legs, abdomen and back.
The procedure takes 15-30 minutes depending on the size of the area treated. The sensation is similar to sandpaper being moved across the skin, but because the treatment is short in duration, it is easily managed.
Immediately after the treatment, the skin area treated will be reddish in color. On average, patients have the redness for two to four days. However, some patients heal completely in 24 hours.
Patients notice an immediate glow to their skin. Visible changes to the skin develop over the course of several weeks. Results can continue to improve up to six months after the treatment as collagen production continues.
Number of Treatments
After only one to three treatments your skin appears smoother, lines and wrinkles diminish, pitted scars plump up, skin texture is improved, and the appearance of stretch marks are reduced. Some patients only require a single treatment once a year to achieve optimal results. However, it is recommended for most patients to receive a series of three treatments spaced about six to eight weeks apart. For patients with concerns about deep wrinkles, advanced photo-aging, stretch marks or acne scars, six to eight sessions at six-week intervals are recommended. Micro needling is an affordable process that is effective and safe for most skin types. The procedure requires minimal downtime and discomfort and offers natural results that make your skin tighter, smoother and rejuvenated.
Sclerotherapy is a minimally invasive procedure used to treat uncomplicated superficial spider veins and uncomplicated reticular veins on the face, legs, and body. Injection of a solution directly into the vein irritates the lining of the blood vessel, causing it to collapse and stick together, the blood inside to clot then your body absorbs the unwanted spider veins. The number of treatments depends on how perfect you want skin to look. Visit the Asclera® website for more information about the product, real patient stories, educational videos, and before and after photos of sclerotherapy treatment.
A chemical peel is a technique used to open your pores and decrease the size of acne. Repeated or deeper chemical peels renew your skin, in order to even out your skin tone and reduce fine lines and wrinkles. A chemical solution is applied to the skin that causes it to exfoliate and eventually peel off a layer of your skin. The new, regenerated skin is usually smoother, less blemished and less wrinkled than the old skin. Sunscreen is vital afterwards to protect your new skin. Superficial chemicals peels sting but do not cause excessive pain. At AV Dermatology, we use the gentlest superficial peels like alpha-hydroxy, glycolic, or fruit acids to refresh your skin.
Chemical Peel Uses
Chemical peels are used to improve the appearance of:
Chemical peels are not recommended for the following individuals:
- Active skin infections
- Active skin disease or rashes (psoriasis, eczema)
- Cut or broken skin
- Active cold sores
- Nursing or pregnant
- Had Accutane in last six months
- Have used Retin-A, bleaching or skin-lightening agents or other acid-based products in the last 48 hours
Potential Side Effects
- Temporary or permanent change in skin color
- Reactivation of cold sores
Superficial chemical peels take one to seven days to heal.
Pre-Chemical Peel Instructions
- STOP Retinol or any Retinoids (Retin-A, Tretinoin, Tazorac, Atralin, Ziana, Adapalene etc) 3-5 DAYS BEFORE.
- If you have a history of cold sores, please DO inform the nurse or provider.
Post-Chemical Peel Instructions
- DO wash twice a day with a gentle cleanser & liberally apply a bland moisturizer after cleansing & throughout the day as needed to prevent dryness & formation of crust (Cetaphil®, CeraVe®).
- Do NOT vigorously rub the skin & DO NOT pick at the flaking skin as this may cause scarring.
- Sun protection is critical. You should NOT have any sun exposure; wear a broad spectrum sunscreen with a minimum of SPF 30. This includes driving to work. Obviously, do not use a tanning salon.
- AVOID laser treatments, waxing, the use of depilatories, or microdermabrasion for 3 weeks.
- DO wait 3-5 days before resuming the use of retinol, retinoids, glycolic acids or any other exfoliating agents such as a Clarisonic® Brush.
- AVOID swimming, sauna, or whirlpool use for at least 7 days after the peel.
- If you were instructed to take an antiviral medication, DO complete the prescribed course.
- The procedure may cause swelling, redness, crusting, dryness, skin sensitivity, itching, & peeling of the site which could last for 1-2 weeks. In the days after the peel, you may have a minor acne breakout, the skin may feel & look tight, with parchment-paper like changes or darkening. These are expected reactions.
We want you to have an outstanding result. If you have any questions or unexpected concerns, please call the office for assistance.
Injectables are some of the safest, most effective anti-aging treatments for non-invasive rejuvenation of the face and hands. Treatments include wrinkle reduction and facial contouring. In addition to injectable wrinkle relaxers like Botox® and Dysport®, a range of injectable fillers can also correct:
- Facial folds and creases
- Lines around the mouth
- Hollows in the cheeks, under eyes and temples
- Thin or flat lips
- Abnormal nose shape
Selecting the right injectable treatment or combination of treatments depends on the type of correction, location and the duration you expect your results to last.
Injectable wrinkle relaxers like Botox®, Dysport®, Xeomin® temporarily reduce wrinkles, or expression lines on the forehead, crow’s feet and between the eyebrows. The effects of these botulinum type A injectables usually last for about three to four months and require additional injections to maintain the results. Injectable dermal fillers like Juvederm®, Restylane® are used to temporarily correct facial creases, such as nasolabial folds and marionette lines. They are also used for lip augmentation and filling depressions that cause dark under eye circles. Belotero Balance® injectable gel is used to temporarily smooth out and fill in moderate-to-severe etched-in lines and wrinkles around your lips and mouth and for natural looking lip augmentation. Visit the Belotero Balance® website for more information about the product, real patient stories, educational videos, and before and after photos of Belotero® treatment.
Radiesse® is a semi-permanent injectable filler that lasts several months longer than temporary injectable fillers. It is used to correct facial creases, folds, and nasal deformities. Visit the Radiesse® website for more information about the product, real patient stories, educational videos, and before and after photos of Radiesse® treatment.
Average Treatment Times
- Toxin treatments: 5-10 minutes
- Fillers: 20-30 minutes
- Add 30-60 minutes if a topical anesthetic is used
- Do NOT take any Aspirin, NSAIDS (Ibuprofen, Naproxen, Motrin, Aleve), garlic pills, Vitamin E, Ginkgo Biloba for 7-14 days prior. These medications can increase the risk of bruising. For mild pain or headaches Tylenol is preferred.
- You may have some bruising &/or swelling after the procedure. Over the counter Arnica topical gel & supplements (available at most supplement stores, etc) have been shown to decrease bruising if taken 3-5 days before your treatment.
- The ideal time to schedule this procedure is at LEAST 2 weeks before a big event.
- DO inform your nurse or physician if you have a history of medication allergies, history of anaphylaxis, & any other medical problems.
- After the treatment, DO hold ice packs on the areas that are treated with filler gently for a few times that day.
- Treated areas may be red, swollen & bruised for 2-7 days.
- DO NOT get a facial or massage for 1-2 weeks after
- Avoid strenuous workouts & alcohol for 24 hours if possible.
- Continue Arnica topical gel & supplements as directed to help bruising resolve faster.
- Bruising can be covered with makeup like Dermablend®
Schedule your next session as recommended by your provider. In about 1 week you should be looking your best! We want you to have an outstanding result. If you have any questions or unexpected concerns, please call the office for assistance.
- Do NOT lie down for the first 4 hours following a treatment.
- Do NOT engage in rigorous exercise or yoga for that day after
- Do NOT massage or manipulate the injection sites for 48 hours after injection.
- Do NOT undergo facials or massages for the first 48 hours after
- DO feel free to use the muscles treated (frown, smile, or raise your forehead) as this may help improve the onset of treatment.
- Avoid alcoholic beverages on treatment day.
- If bruising occurs, it may be covered up with makeup. Bruises usually resolve in just a few days.
- It will take 5-7 days for you to see improvement, & peak effect at 2 weeks.
- After 2 weeks, DO call us if you are not completely satisfied with your results, as more may need to be injected.
Botox®/ Dysport®/ Xeomin® appointments are ideally scheduled 3 months apart for the first 3 treatments. After that, the interval between appointments can be gradually lengthened depending on the individual. Try to have your next treatment before the results return completely to baseline. This will help you maintain your results longer. We want you to have an outstanding result. If you have any questions or unexpected concerns, please call the office for assistance.
Acne lesions may sometimes need to be physically removed because they are at risk of causing an acne scar and to get rid of blackheads. A comedone extractor is used to remove the sebum and extract each lesion. The acne surgery procedure lasts a second for each lesion and is mildly uncomfortable. Large pimples or deep cysts sometimes need to be injected to shrink the lesion and decrease the risk of scarring.
Would you like to learn more about Cosmetic Dermatology? Call (661) 949-0004 to schedule a consultation at AV Dermatology & Skin Cancer Center.