Red bumps after laser hair removal.

After receiving laser hair removal treatments, many patients want to know if the tiny red bumps that occur are normal.  The answer is yes and they are called follicular edema.

The hair follicle gets hot and irritated during a laser hair removal treatment.  This is normal but the resulting redness and swelling around the hair are indications that you have had a good treatment.  The bumps and redness will usually resolve within a matter or hours but can last into the next day in some cases.  Below is an example of what a good reaction to laser hair removal looks like.  If your skin looks like this after treatment, do not fear as the outcome is normal.  

To schedule a free consultation about your laser hair removal questions, give us a call today in our Torrance or Orange, CA office.

 

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Posted by administrator on Wednesday, March 25, 2015 12:12 PM
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What is the Tyndall Effect from Restylane?

Because dermal filler injections are part art and part science, there is skill in creating the proper outcome.  

One potential side effect called the Tyndall effect is created when Hyaluronic acid based products like Restylane or Juvederm are injected very near the surface of the skin.  When the injections are too superficial, light can shine through the product creating a bluish or greyish haze similar to the effect seen in the photo below.  

To remedy this situation for patients that come to us from other practices, we inject Hyaluronidase to dissolve the product and start the project over.  To find out more about the Tyndall effect or dissolving Restylane or Juvederm from poor injection procedures, call us today.

 

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Posted by administrator on Wednesday, March 18, 2015 5:32 PM
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Vaginal Rejuvenation Los Angeles

Over the past several years, we have had patients inquire more frequently about options for improving the appearance of the genitalia.   Among several concerns are ones that note the darkening of the labia majora and the decreased elasticity of the skin of the labia majora.  For these issues, we have developed a suite of services to address our patients' concerns.

TEXTURE

If the concern is the texture of the skin at the outer labia (majora), we can improve this area using a combination of fractional laser resurfacing and injection procedures.  The goal is to improve the topography and texture of the labial skin through the use of the Sciton Profractional laser.  In the same way we can achieve textural improvements of the skin, we can achieve tighter, more supple labial skin.  The expectation would be 2-3 visits spaced weeks or months apart.

VOLUME

If your concern is a loss of volume in this area, dermal fillers are an excellent option.  We prefer Perlane because it has excellent plumping capability.  Perlane can soften the area and improve crepy looking skin while volumizing this area.  Typically 2 CC's of Perlane would be used and this would last 6-12 months.  

COLOR

If your concern is a darkening of the labial area, we have an excellent 8% hydroquinone and/or q-switched laser option to lighten the skin.  The goal is to improve on the hyperpigmentation that often exists in the labial groin area.

If you're interested in Los Angeles vaginal rejuvenation, call today for more information.  

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Posted by administrator on Thursday, March 12, 2015 1:00 PM
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Restylane Silk Los Angeles

We've recently introduced (2/2015) Restylane Silk from Galderma.  Restylane silk is being marketed by Galderma for lip injections as a smoother gel that's easier to inject and gives a more natural appearance than other dermal fillers.

To schedule a free consultation to learn more about Restylane Silk, call the office today.  

 

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Posted by administrator on Tuesday, February 17, 2015 3:34 PM
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Repairing a bad steroid injection with Perlane

At Celibre, we see all types of injuries and unique concerns.  This was a new one for us.  

A female patient came to us after having had a steroid injected into her cheek for the removal of Juvederm.  While steroids are not normally used for the removal of a Hyaluronic acid based filler, this patient claimed that the physician she went to injected steroids to remove the Juvederm.   In the process, the patients cheek was atrophied and this resulted in a sunken area.  

To remedy this issue, we used Perlane injections to smooth the surface of the skin.   Results can be seen below.  For more information about Perlane injections in Los Angeles, contact us for a free consultation.  

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Posted by administrator on Monday, January 26, 2015 3:36 PM
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How to Treat Eye Bags?

Los Angeles Restylane for Eye Bags

Under Eye bags are a big concern for many of our patients.  And while surgery is always an option, many fo the patients we see are not ready for the knife.  In situations where eye bags are a concern and surgery is not an option, we offer Restylane injections.

Restylane is a Hyaluronic acid product that is designed to add volume under the eyes where it has been lost.  Adding volume can help to fill the hollow area under the eyes or to smooth our bumpy fat pads that look like bags.  

The severity of the eye bags will determine if a patient is a suitable candidate for injection procedures.  Two examples are below.  The first is a female patient that was an excellent candidate and got very nice results for smoothing the loose skin below the eyes.  The second candidate (male) was a good surgical candidate with much loose skin under the eye, although he was not prepared for a surgical procedure.  

To learn more about call the office now.  

 

  

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Posted by administrator on Wednesday, January 21, 2015 1:25 PM
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Injections for Dark Circles Under the Eyes

One of the most common questions we get from our patients is what they can do to help with the tired appearance caused by dark circles under the eyes.  Many of these same patients are not ready for a surgical procedure, which is a good option, but more invasive than the injections provided at Celibre Medical.

For patients that are concerned with dark circles under the eyes, we use Restylane injections.  Restylane is made of Hyaluronic acid and is a water absorbing gel used to add volume under the eyes where it has been lost because of age.   By injecting deep under the muscle that surrounds the eye, Restylane lifts the plane forward so that the deep recess under the eye is no longer present.  

 This technique improves the appearance of dark circles for two reasons.  The first is that light from above no longer creates shadows under the eyes.  The second is that the small blood vessel and natural color of medium skin tones can be camouflaged by the additional "padding" that the Restylane offers.  

To see an example of before and after pictures of Restylane for dark circles under the eyes in Los Angeles, see below. 

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Posted by administrator on Monday, January 19, 2015 5:14 PM
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Injections for Dark Circles Under the Eyes

One of the most common questions we get from our patients is what they can do to help with the tired appearance caused by dark circles under the eyes.  Many of these same patients are not ready for a surgical procedure, which is a good option, but more invasive than the injections provided at Celibre Medical.

For patients that are concerned with dark circles under the eyes, we use Restylane injections.  Restylane is made of Hyaluronic acid and is a water absorbing gel used to add volume under the eyes where it has been lost because of age.   By injecting deep under the muscle that surrounds the eye, Restylane lifts the plane forward so that the deep recess under the eye is no longer present.  

 This technique improves the appearance of dark circles for two reasons.  The first is that light from above no longer creates shadows under the eyes.  The second is that the small blood vessel and natural color of medium skin tones can be camouflaged by the additional "padding" that the Restylane offers.  

To see an example of before and after pictures of Restylane for dark circles under the eyes in Los Angeles, see below.  

To find out more about how Restylane can help with your dark circles, call the office today for a free consultation.   

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Posted by administrator on Monday, January 19, 2015 5:14 PM
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Am I allergic to Hydroquinone?

Many hydroquinone formulations contain three ingredients - hydroquinone, Retin A and steroids.  Hydroquinone works to bleach out brown spots or dark marks such as melasma, brown acne scars and brown scars - post inflammatory hyperpigmentation (PIH).  While this formulation can be very effective for getting rid of these cosmetic concerns, there are side effects.  

Many patients that use this triple formula are too sensistive to the retin A in the product.  Retin A is designed to exfoliate the skin and it can cause redness, peeling and irritation.  Depending on the strength of the retin A, how often it is used and also the patient sensitivity, the irritation it creates may make it too difficult to use.  In this situation, our hydroquinone offering that does not contain Retin A is an excellent option.  In addition, because our liquid gel formulation can be compunded at 4%, 6% or 8%, we are able to help Melasma patients that have not achieved good outcomes with traditional forumlations to succeed with ours (an example is below).

To learn more about our non-Retin A hydroquinone formulation, call the office today.  

 

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Posted by administrator on Thursday, January 15, 2015 4:31 PM
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What is Hyaluronidase?

We get asked this question often by patients who have been injected at other practices and are unhappy with their results.  They are looking for solutions for how to reverse Restylane or Juvederm injections and they find us their answer.

Hyaluronidase is an enzyme that is designed to break down the Hyaluronic acid gels that comprise dermal fillers such as Restylane, Perlane, Juvederm, Voluma, Belotero and others.  When injected, Hyaluronidase immediately goes to work breaking down the injection product so that the patient looks the same as prior to the dermal filler injections.  The procedure is has little discomfort and is quick.   The results are seen between an hour and 1-2 days.  Multiple injections can sometimes be required but in many cases, the first injection of Hyaluronidase dissolves the dermal filler completely.

Hyaluronidase is not effective for products such as Radiesse, Sculptra and Artefil that do not use Hyaluronic acid as a base for the product.  These longer lasting fillers are not reversible with Hyaluronidase.  Tade names for Hyaluronidase include Vitrase, Wydase, Amphadase and Hylenex.  While we have not tried all of these products, we have found Vitrase to work very well.  

To see an example of a Vitrase Hyaluronic acid based reversal of Juvederm, check the photos below.  If you need to reverse a dermal filler injection, contact us today for more information.

 

  

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Posted by administrator on Thursday, January 15, 2015 4:04 PM
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Los Angeles Fractional Laser Resurfacing for the Eyes

Fractional Laser Resurfacing has been around for since 2005/2006.  Since that time, there have been many improvements to the technology including changing the wavelength of the laser light to achieve better tissue absorption.  This means that skin concerns like wrinkles and acne scars are more easily improved with newer fractional technologies.  it also means that we can easily treat those with darker skin types, like the African American patient below that had scar revision.  

 In addition, newer technologies added the ability to use a function commonly referred to as "coagulation", which is a method for heating and contracting deeper dermal tissue during the resurfacing process.  Using coagulation in the laser resurfacing process helps to produce the amazing eye rejuvenation results seen below.  Finally, deeper penetration of newer technologies and larger sized fractional perforations allow for more significant improvements and few treatments.

To find out more about Sciton Profractional laser resurfacing in Los Angeles, contact us for a free consultation.  

 

 
 

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Posted by administrator on Thursday, January 15, 2015 10:45 AM
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Laser Resurfacing for Black Skin

Dark skinned patients often ask us if laser treatments are right for them.  The answer to their question is a resounding yes...if you have the right technology.   Along the way, they have been told or read online that - because they are black - laser treatments are not appropriate for their skin type.   This is simply not true.  Dark skin types can undergo laser treatments, but additional laser technologies are necessary to offer safe and effective treatments to darker skin types.

This point is the key difference between Celibre Medical and most other cosmetic dermatology and medical spa offices.  We have 10 different lasers in each of our offices and the breadth of technology allows us to offer a variety of treatments to all skin types.  

If you are in Los Angeles or Orange County and are interested in laser treatments for African American skin, call the office today to schedule a free consultation.  

Below find an example of a patient that underwent fractional laser resurfacing for lacerations in the forehead as a result of a car accident.  This is before and after 3 Sciton Profractional laser resurfacing procedures.

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Posted by administrator on Monday, January 05, 2015 2:32 PM
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Recovery for Deep Profractional Laser Resurfacing Los Angeles

We speak to patients every month that have been disappointed with the results of their laser resurfacing procedures, specifically Fraxel laser resurfacing Los Angeles. 

When asked about the details of the procedure, it's very common to have the patient describe only being numbed with topical numbing cream and having little to no bleeding.  These two details - the type of anesthesia and the amount of bleeding - are key to determining what kind of procedure was done and also why it may have been disappointing.  

If the only anesthetic offered is a topical numbing cream, then we know that the resurfacing procedure is a very superficial one.  The reason is that deep resurfacing cannot be offered without other forms of anesthetic such as valium, vicodin, dental blocks (mouth) and direct inject lidocaine (other areas) because it would be too painful.  So, if you've had laser resurfacing with only a topical numbing cream, then you've had a very superficial resurfacing with limited potential benefits.  The depth of the resurfacing will affect how well the acne scars are revised.  If the procedure is too superficial, no bleeding will occur and results will be limited.  On the other hand if significant bleeding does occur, then the procedure was deeper and results will be better.  

Below is an example of what the 7 day recovery process looks like for a deep resurfacing for acne scars.  If yours did not look anything like this, then it's likely you had a very superficial resurfacing procedure.   

 

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Posted by administrator on Monday, December 29, 2014 1:06 PM
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How to Get Rid of Hemosiderin Staining?

The reason our organization is so different is that we commonly offer solutions to skin issues that other facilities like ours cannot.  One of the reasons is experience and the other is technology.  

Hemosiderin staining is a perfect example.  Recently a patient came to us after having been badly bruised from under eye injections many months prior.  She could not find anyone in Los Angeles to help...until she found Celibre Medical.  

Look what just a couple gentle q-switched Nd:Yg laser treatments can do to remove long term hemosiderin staining that has been left as a byproduct of injection treatments.  Needless to say, our patient was thrilled to put this issue behind her.  If you've got a hard to treat cosmetic skin issue, call the laser experts at Celibre Medical today.  

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Posted by administrator on Tuesday, December 23, 2014 10:46 AM
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Want Great Lips? Choose a Great Injector

One of the biggest fears of our patients when they consider lip injections is that they will look like they have ducklips.  While this is a legitimate concern, the way to look natural when you have dermal filler injections like Restylane, Juvederm, Perlane, Radiesse and Sculptra is to find a great injector.  

Injecting dermal fillers really in an artistic pursuit and it takes a keen eye and a good bit of experience to help our patients look younger and also look natural.  Lori Haney, RN has been injecting at Celibre Medical since 2006.  She has a sharp aesthtic eye and a soft touch.  

So, if you don't want ducklips, come see an expert.  Call today for an appointment with Lori Haney, RN, our lead injector.  

 

    

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Posted by administrator on Tuesday, December 16, 2014 2:34 PM
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Why Cheap Botox is Not Necessarily Good Botox

We get calls every day from patients asking about the price of Botox.  Because we are a cosmetic dermatology facility and all of our services are paid for directly by our patients, we understand how important the price of the service can be. 

But one consideration that some consumers overlook when they are searching for a service like Botox Injections in Los Angeles is that they are paying as much for the expertise of their injector as they are for the product itself.  As with any service, more skilled providers usually have higher prices.  

  

  Cheap Botox Injections (top) and after we fixed them (bottom). 

To highlight this issue, we have included a case study above with a patient that came to our practice after having bad (and cheap) Botox injections for years.  She had a very unnatural looking browline with accentuated arches at the outer brow.  It was almost witchlike in it's appearance and was not flattering for her.  To correct the situation we smooted the forehead and frown lines, but at the same time relaxed the arch of the brow so that it settled down and became more natual looking.  Her forehead looked smooth and relaxed after the treatment, but without the accentuated brow arch that made her look unnatural previously.

If you are interested in balancing the cost of your Botox injections with the skill of a master injector, then you've found the right place.  Call today fro a free consultation.   

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Posted by administrator on Thursday, December 11, 2014 10:07 AM
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Avoiding Bruises Associated with Injection Procedures

Injection procedures such as Restylane, Juvederm, Perlane, Radiesse and Sculptra can have marvelous benefits in helping us look our best.  But they can sometimes have side effects as well.  

Bruising is a primary side effect of dermal filler injections.  Whether you will bruise or not during dermal filler injections depends on several factors.  Your age and health, how prone to bruising you are, what product is injected, where it's injected and how it's injected all factor into whether you may bruise.  

Finally, there are several ways to avoid bruises by following our pre-treatment suggestions.  First, do not drink alcohol within 24 hours of your procedure.  Alcohol thins the blood and contributes to bruising.  Fish oil and Vitamin E also thin the blood and our recommendation is to stop taking them approximately 7 days before your treatment.  Finally, many patients use baby aspirin on a daily basis and this should also be stopped a week ahead of your injection procedure. 

In spite of taking these precautions some patients still bruise.  But fear not.  At our practice we are able to remove or reverse the effects of bruisnig within 2-3 days.   We use a long pulsed yag laser to heat and disperse the blood particles below the surface of the skin.  An example of bruise reversal over a 2 day period is below.  

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Posted by administrator on Thursday, November 20, 2014 2:43 PM
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What is Coolbeam Laser Los Angeles?

We are often asked by patients and potential patients about the Coolbeam laser (also called the Cool Laser) and how it compares to the lasers we use at our office. 

We have asked the office that uses the Coolbeam laser what kind of technology it is and they let us know it is a fractionated Erbium laser.   Fractionated erbium laser technology is similar regardless of the brand of the laser.  The Sciton profile fractionated laser that we use at Celibre Medical uses the same type of laser light and fractionated pattern that is used in the Coolbeam laser.  The office that uses the Coolbeam laser uses it for rejuvenation, stretch mark removal, scars and other services.   While it is certainly a useful laser for these applications, the Coolbeam is not fundamentally different from the Sciton Profractional or other fractionated erbium lasers.

For an example of fractionated erbium treatments with the Sciton profile for acne scar patients in Los Angeles, view the photos below.

 

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Posted by administrator on Thursday, November 13, 2014 10:41 AM
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Eye Rejuvenation with Laser Resurfacing and Restylane

Aging around the eyes is one fo the biggest concerns for our patients.  It's also one of the most difficult areas to treat.  For this reason, we often use combination treatments to achieve the desired results.

In the case below, we offered three options.  The first is Dysport fo rthe outer eye (crow's feet).  These are the small wincing lines to the sides of the eyes, that are especially present in photos when we smile.

The second phase of the treatment plan was laser resuerfacing.  We resurfacing the sides of the eyes and the undereye area to soften the fine lines.

Finally, we added dermal fillers below the eyes (Restylane) to add volume back that has been lost to the aging process.  

This multi-treatment approach yields nice results for softening and diminishing the fine lines and wrinkles around the eyes.  

  

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Posted by administrator on Tuesday, November 11, 2014 11:01 AM
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Los Angeles Ulthera Review

At Celibre, we think results trump marketing.  We believe in long term patient relationships, not short term scores.  For this reason, we are averse to recommending (or purchasing) radio frequency devices that are marketed to "tighten" and "lift".  Examples of these devices include Ulthera, Titan and Thermage.  Show us tissue tightening before and after pictures and we will point out the same two issues.  They are almost never past the six month mark and they are almost always with the patients head tilting down before the photo and titling up in the after photo (for neck tightening).

The problem for us is that they never live up to the expectations created when using the words "tighten " and "lift".  As an alternative, we recommend cosidering surgery or even long term injections like Radiesse or Sculptra.



If Thermage was such a great product (like Radiesse), then why did it completely disappear from the landscape of cosmetic treatments.  The Lumenis Lightsheer laser for hair removal has been around for 15 years and patients still request it because it delivers PERMANENT results.  And that's where radio frequency has it's problems.  It delivers limited, short term results at a high price point.  We don't think there is value in the service (compared to a facelift) and so we do not buy or use the equipment and we do not recommend it.  Ulthera is just the latest craze, but it's sure to be replaced by another in the none to distant future :(.  That new one will certainly show up on Dr. Oz, The Doctors, KCAL 9 and everywhere else that wants to do a little sensational marketing.  The problem is that's all it will be....marketing.

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Posted by administrator on Friday, November 07, 2014 7:59 AM
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