Can Laser Darken Permanent Makeup?

We have been removing permanent makeup since 2008 and during that time we have observed that permanent makeup often does change color immediately after laser treatment.  The color change is associated with a process called oxidation/reduction. It is similar to what happens when a car rusts. The type of ink used determines whether the color of the permanent makeup will change and before treating it, we do not know whether this will happen or not.

  

Regardless of whether the permanent makeup changes color after laser treatment, we can still remove it.  Often the color changes to a darker shade (from orange to dark grey (see below) and when this happens the darker color makes it easier to remove than the orange color.  


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Posted by administrator on Wednesday, January 27, 2016 11:48 AM
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Fractional Laser Resurfacing for Eye Wrinkles

Our patients want to know...what can you do for these pesky wrinkles under my eyes?

 

As we age, skin loses elasticity.  It droops and sags.  Especially around the eyes, we begin to see wrinkles, lines and creases. Although there are some great injection products including Botox, Dysport, Restylane Juvederm to fill and relax wrinkles around the eyes, sometimes they're not enough and we need another tool.  Our Sciton Profractional laser is that tool.  

Fractional laser resurfacing is a term used to describe a procedure whereby thousands of tiny perforations in the skin are created by microscopic beams of light.  At each perforation, the tissue is heated to the point that a small opening is created in the skin. By creating this small voids in the skin, we shock the body into a healing process that stimulates the production of new collagen and improves the surface texture. In addition, during treatment, we use a technique called "coagulation" that heats the tissue, tightening at the same time as we stimulate the production of new collagen.  

 

If you like the results you see here, give us a call for a free consultation.   

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Posted by administrator on Wednesday, January 20, 2016 5:01 PM
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How Does Laser Acne Treatment Work?

The role of lasers for acne treatment is twofold.  First, lasers kill acne bacteria.  Without bacteria, acne lesions cannot form.  P.acne bacteria is naturally occuring in the skin and by using heat energy from lasers, acne bacteria is controlled.  It is important to realize that controlling acne bacteria is only a temporary solution for controlling acne, and acne bacteria can and may return in a short time.  Because acne bacteria are natually occurring in the skin, any solution for controlling acne by killing acne bacteria (like antibiotics, blu-u light treatments or topical creams) will need to be repeated often to control the acne. 

 

 
A longer term benefit of laser acne treatment is the control of the amount of oil produced by the sebaceous (oil) gland.  By controlling and limiting the amount of excess oil produced by the sebaceous gland, it is less likely that future acne will form.  Excess oil contributes to blocked pores and this in turn leads to acne lesions.  Using lasers, it is possible to shrink the sebaceous gland so that it does not produce as much oil in the future and therefore leads to less acne.  Although the amount of oil production after laser treatment varies from patient to patient, we find that using lasers allows us to achieve a significant reduction in the amount of active acne for between 70% and 80% of patients we see.  

 

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Posted by administrator on Saturday, October 31, 2015 5:12 PM
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Lip Fillers Before and After

Lip Fillers Before and After Photos

We get it, you want to see the work.  You want to know that you are not going to look at those duck lipped celebrities when you have your lips injected at Celibre Medical.  To get more comfortable, we know that you want to see before and after lip filler photos, and we've got them.

 Restylane to Improve Smoker's Lines Before and After Juvederm 

Before and After Pictures for Lip Filler

To help you understand the opportunities for lip injections, we have included several sets of photos.  These injection procedures involve adding volume to the lips, adding accents like the cupid's bow, defining the borders more clearly and correcting asymmetrical lips.  We create aesthetically pleasing and natural looking lips when we perform lip filler injections.

 

Adding Body and Volume to Upper and Lower Lips with Restylane 

 

 

Smoothing and Plumping Lips Before and After Restylane 

 

 

Correcting Lip Symmertry Before and After Restylane 

 

 

 Creating Philtral Columns Before and After Juvederm

 

 Defining Lip Borders Before and After Juvederm 

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Posted by administrator on Thursday, September 03, 2015 6:05 PM
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How Does Laser Tattoo Removal Work?

Overview of Laser Technology and the Skin

We are asked frequently by patients like you how laser tattoo works.  Before we get into the finer details of tattoo removal, it's helpful to understand that there are many different types of lasers and the specific type used for tattoo removal is categorized as "Q-switched".  Each type of laser has a different effect on the skin, and in the case of tattoo removal lasers, the reason they work is because they use very short bursts of laser light energy (called pulses) and because this light is preferentially absorbed by the ink in the tattoo.  This process of the laser light being preferentially absorbed by the tattoo ink is called "selective photothermolysis".  

How Does Tattoo Ink Stay in the Skin?

A tattoo is considered permanent because the ink placed in the dermis (second layer of skin) is placed in such a way that it is difficult for the body to remove it without help.  The body has an amazing ability to "absorb" and process small foreign objects such as harmful bacteria, viruses and other foreign bodies by a process known as phagocytosis.  Phagocytes are cell particles that surround and destroy these harmful foreign bodies.  The challenge for the body in attempting to remove tattoo ink is that the globules (particles) of ink are large enough that they cannot be surrounded and removed by these phagocytes.  And that's where lasers come in.

 

How Do Lasers Remove Tattoo Ink?

Because the ink particles in a tattoo are too large for the body's immune system to digest, lasers work to prepare the ink for removal by breaking it into smaller particles.  The beauty of q-switched lasers is that their high power and short pulse width (flash) create a burst of energy strong enough to break the tattoo ink into smaller particles.  Once the larger ink particles have been broken down into smaller particles, the body can begin to process and remove the ink.  And this breakdown and removal is the basis for how tattoos help the body remove tattoo ink.

How Long Does it Take to Completely Remove the Tattoo?

Once a laser treatment is performed, the body goes to work on removing the tiny particles of ink.  This process is ongoing until all the ink is gone, so the longer the body has between treatments, generally the more ink that is removed.  But because patients that start the tattoo removal process want to finish in a reasonable amount of time, we usually request they return to our office in 6-8 weeks for their next treatment. 

Does the Color of the Tattoo Matter?

The color of the tattoo makes a big difference in how easy it is to remove and how long the process takes.  Dark colors - which absorb light easily - are the easiest colors to remove.  Dark blue and black respond quickest with red being the easiest after the dark colors.  Other colors including pink, green, light blue, orange and white that are difficult to remove quickly because these do not absorb light easily.  These colors can often take many visits to remove or will require a different type of laser to remove them. 

 

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Posted by administrator on Thursday, September 03, 2015 12:24 PM
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What is CO2 Laser Resurfacing?

What is a CO2 Laser?

When researching laser resurfacing options for fine lines and wrinkles, sun damage or acne scars, it's common for patients to discover CO2 laser resurfacing.  But what is CO2 laser resurfacing?  Let's start first with laser resurfacing in general.

Laser Resurfacing 

Laser resurfacing is a process by which we can positively influence the texture, elasticity or color of the skin.  During (ablative) laser resurfacing, we purposefully cause a controlled injury to the skin.  It is because of this controlled injury that the skin is forced into a healing process that stimulates the production of new collagen.  When new collagen is created, the texture, color and elasticity of the skin improve.

CO2 Laser Resurfacing

CO2 laser resurfacing is a specific type of laser resurfacing.  The term CO2 stands for "Carbon Dioxide" and this designation defines the laser as a type of light that uses 10,600 (wavelength) light.  Each type of laser has a different effect on the skin and unique tp 10,600 nanometer CO2 laser light is the fact that it vaporizes skin tissue.  The high heat generated upon impact of the laser with skin means that we can remove layers of skin in a very controlled way.  The healing process initiated after the procedure is what makes CO2 resurfacing effective.  This healing process stimulates the production of new collagen as much as any other laser.

 

Fractional CO2 Resurfacing

Fractional CO2 laser resurfacing is a newer technology that has emerged since approximately 2008.  Up until 2008, traditional CO2 resurfacing procedures had some side effects that prevented it from being viable for darker skin types.  Newer fractional resurfacing technologies are unique in that only a portion of the skin is resurfaced as the primary laser beam is divided up into many small beams.  In this case only 20% - 50% of the skin is resurfaced vs. 100% in traditional CO2 laser resurfacing.  With the onset of fractional resurfacing some of the side effects of traditional CO2 resurfacing were addressed and now fractional resurfacing can be offered to a wider array of skin types.  In addition, Erbium fractional lasers, which have the same ablative effect on the skin (tissue vaporization) as CO2, do not have the same side effects.  Because of their slightly different wavelength, Erbium fractional laser resurfacing can be used for all skin types, including dark African.

Benefits of CO2 Resurfacing

The benefits of fractional and full field CO2 resurfacing are many.  The primary reason a patient would choose CO2 resurfacing is if they have textural issues with their skin.  By textural issues we include fine lines and wrinkles, acne scars, large pores and other types of scars (surgical, chicken pox, etc.).  Because of it's ability to stimulate the production of new collagen, CO2 resurfacing is extremely effective at recontouring the skin, which includes getting rid of fine lines and acne scars.

Downtime for CO2 Laser Resurfacing 

The recovery period for CO2 resurfacing depends on whether or not is traditional full field CO2 resurfacing or fractional CO2 resurfacing.  Full field resurfacing requires general anesthesia and several weeks of recovery, whereas fractional CO2 resurfacing is typically less than a week of recovery.  The depth of the fractional resurfacing does affect how many days of recovery you will require.   

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Posted by administrator on Thursday, September 03, 2015 11:36 AM
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How Long Does it Take for Botox to Work?

Botox Onset Times

New patients that have Botox (or Dysport) injected for the first time want to know how long it will take for the product to take effect.  This is a natural question and given that a reunion, wedding or family party is often the reason why a patient would try Botox the first time.

It Takes 3-7 Days for Botox to Work

You can expect your Botox to take full effect between several days after treatment and about 2 weeks after treatment.  The average for our patients is about 3-7 days.  By "full effect" we mean the time when you will see maximum relaxation of the muscle groups that have been injected and maximum smoothing of the lines and wrinkles.

How Long Does Dysport Take to Work?

One of the reasons we began using Dysport as an alternative to Botox is because patients experience full onset of Dysport usually after 1-2 days.  So, if you have a party or wedding coming up in the next couple days, Dysport may be the way to go. 

What Happens Once Botox is Injected?

Botox (and Dysport) are both Botulinum Toxin Type A.  The drug is a neurotoxin that interrupts the contractile capabilities for the muscle it is injected into.  This means you can no longer "flex" the muscles after injection.  The drug accomplishes this relaxation of the muscle in approximately 2-7 days after it is injected, so you will slowly lose the ability to frown over several days.

What are Botox Side Effects?

After Botox (Dysport) takes effect, the most common side effect is a condition called ptosis.  This is a temporary sagginess or heaviness in the brow and or eyelid.  It happens when the drug migrates to an adjacent muscle group.  Although the side effect can be troubling, it is always temporary and usually resolves within 4 weeks.

What if My Botox is Not Working?

Since 2004, we have treated thousands of patients using Botox (and Dysport).  In the many thousands of patients, we have only found a few that are either resistant or allergic to Botulinum Toxin Type A.   We have never had a patient respond negatively to the drug the first time they use it, but if repeated treatments are performed too close together, the body does have the ability to build up a resistance that can either look like an allergy, or result in the product not working well.  

When Will my Botox Wear Off?

Botox and Dysport typically last about 3-4 months for those that do not use the drugs consistently.  If you are a consistent user of Botox or Dysport (every 4 months for the first year), then it's not unusual to see the duration between treatments extend to 4 -5 months.  While this certainly varies from patient to patients, those patients that use the drug consistently get the longest duration between treatments.  

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Posted by administrator on Thursday, September 03, 2015 10:30 AM
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Lip Spot Removal Associated with Peutz-Jeghers Syndrome

Peutz-Jeghers Syndrome

Over the past several years, we have had multiple cases of patients with dark lip spots.  The spots appear very dark almost as if ink has been splashed across the lips.  This type of deep malanocytic deposit is a symptom of Peutz-Jeghers syndrome.

Lip Spot Removal for Peutz-Jeghers Syndrome 

The treatment for these dark lip spots is q-switched laser treatments.  And although the spots can return, patients are very gratified by the lightening and removal of the spots after q-switched laser treatments.  Typically 1-3 treatments are required and they are spaced out monthly.

An example of the before and after picture for the condition are below.   

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Posted by administrator on Thursday, August 27, 2015 1:20 PM
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Dark Circles Before and After

 

Restylane for Tear Trough Injections

One of the top concerns among our patients is dark circles, hollows, eye bags, wrinkles and a general tired appearance under the eyes (the "tear trough" area).  There are several options for these dark circles and eye bags and our most popular treatment for these concerns is Restylane injections.

Restylane injections in the tear trough area adds volume where it has been lost as a result of fatty tissue and collagen loss during the normal aging process.  In some cases, even very young patients have concerns about a tired appearance under the eyes because of their genetic facial anatomy.  

Before and After Pictures of Under Eye Injections 

Below you will find examples of before and after photos for several different types of tear trough concerns that were successfully treated in our Los Angeles and Orange County offices.  

Although side effects are rare, bruising and swelling may accompany the injections.

 


  

Restylane for Loose Skin Under the Eyes

 
 

Restylane for Dark Circles - Age related 

  
 

Restylane for Dark Circles - Genetic 

 

 

Puffiness and Wrinkles Under the Eyes

 


 

Dark Circles and Eye Bags Hispanic Patient

 
 
 

Young Patient for Dark Circles Under the Eyes

 
 

Eye bags Before and After Restylane Injections

 
 

Eye bags Caucasian Before and After Photo

  
 

Dark Circles Under Eyes Black Skin After Restylane

 
 

Under Eye Hollows Before and After Juvederm

 

 

Hollows Under the Eyes After Restylane

  

 

Tired Under Eyes and Wrinkles Before and After Restylane

 
 

Darkening Under the Eyes Young Ethnic Patient Before Juvederm

 

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Posted by administrator on Thursday, August 20, 2015 11:54 AM
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What does Botox do?

What does Botox do?

Botulinum Toxin (Botox) is a drug that relaxes the muscles and in the process can smooth wrinkles in the forehead, between the eyes and at the outside of the eyes.

 

  

Botox is a neurotoxin that stops muscle contraction

Many consumers know the Botox brand but not exactly what it is or how it works.  Botox is made from bacteria and is delivered in a powder form.  This powder is mixed with a saline (water) solution and injected into the muscles around the eyes and forehead.  After injection, Botox disrupts the normal neurological function that allows muscles to flex or contract.  Once this neurological communication system is interrupted, the muscle cannot contract.  This is what Botox does. 

Does Botox paralyze the muscles?

In a way Botox does paralyze muscles.  But the effects are always temporary.  Botox was originally introduced as a treatment for muscle spasms and when used to treat spasms of the facial muscles around the eyes, physicians noted that it smoothed out the forehead wrinkles as well.   Botox Cosmetic was born.

Does Botox Make the Skin Look Tight?

A common misconception about Botox is that it makes the facial skin look tight.  Nothing could be farther from the truth as Botox actually relaxes facial muscles.  Theoretically, this would make the skin look more loose.  The misinformation comes from the fact that often older patients will have a facelift and/or browlift before having Botox and the combination of those two makes the patient look like their skin is pulled tight across facial muscles.

Is Botox Dangerous?

Patients will often ask us if Botox is dangerous.  Our reply is very straightforward.  Even a drug in wide use such as alcohol can kill when used improperly.  But because of the miniscule amounts of Botox used in cosmetic dermatology, there havbe never been any deaths associated with it and it has a better safety record than common aspirin.  So, NO Botox is not dangerous.

How Long Will My Botox Effects Last?

When properly dosed, most new patients will achieve a duration of 3-4 months between treatments.  By the end of 4 months, most patients have returned to a state that approximates muscle activity before the treatment was undertaken (they are back to baseline).

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Posted by administrator on Friday, August 07, 2015 6:09 PM
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What is Botox Made Of?

What is Botox Made of?

Botulinum Toxin (Botox) is a drug and a toxin.  It is a powder made from the bacteria Clostridium Botulinum.

 

 

 

Botox is a powder combined with saline solution

Many consumers know that Botox is injected in a watery solution.  Most do not know that the product comes to the physician’s office as a white powder.  This white powder is then mixed with saline solution to produce the watery product that is injected. 

Is Botox poison?

Botox is a toxin like alcohol is a toxin.  And, in the same way that many drugs can cause harm when misused, Botox can as well.  While there has always been a natural fear of Botox because of its name, it has a better safety record than run-of-the-mill aspirin.  Botox has never been definitively linked to a death and in the few lawsuits that have tried to prove it to be the cause; the product was used at high doses for medical benefit (muscles spasms) rather than the way it is used in the face.

Is it safe?

Absolutely.  like may other drugs, Botox can be toxic when used incorrectly. It also has extremely desirable benefits and is very safe when used correctly. Botox Cosmetic is used in tiny doses compared to the amount that would be required to cause harm.  In fact, medicinal uses of Botox such as for helping with the muscle spasms of cerebral palsy patients involve doses that can be 10, 20 or 40 times higher.  These are still safe doses of Botox.  

What Does Botox Look Like?

Botox is a white powder when it is delivered to our office in very small glass vials.  The powder is mixed with saline solution so that it may be injected into the muscle.  Once mixed with saline, the powder is no longer visible.

How do I know How Much Botox I am Getting?

It is virtually impossible to know whether your injector has put 10 or 20 units into the syringe(s) they are injecting you with.  The relationship with your injector is based on trust and ultimately, if you are getting 3-4 months of duration from the product, they probably used the correct amount.  If your Botox is wearing off after 2 months, then you are likely not getting enough units injected.

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Posted by administrator on Friday, August 07, 2015 5:08 PM
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How many units of Botox for forehead?

How many units of Botox for forehead?

This is a very common question when patients first start having Botox (or Dysport) injected.  The number of units is ultimately based on how severe the wrinkles are, how strong the muscle action is and how much area is being treated.  Let’s start by defining the areas.

 

 

 

 

The Glabella

The Glabella is the area between the eyes and eyebrows.  It’s also where the vertical frown lines can be seen when one looks angry.  This is what patients commonly refer to when they ask the question, “how many units of Botox for the forehead”?  Although this is not truly the forehead, there is a fairly standard dosing for this area.  20 units of Botox (60 units of Dysport) are fairly standard for this area and that typically translates into a duration (or longevity) for the product of 3-4 months. 

The forehead

The area above the eyebrows is the true forehead and in this area we see horizontal lines that appear as we look surprised.  They are the rows of wrinkles above the eyes.  This area usually requires fewer units of Botox (or Dysport) then the glabella.  Typically, we would use between 8 and 20 units of Botox in the area above the eyes. 

The crow’s feet

The lines and wrinkles in the area at the outer eyes and close to the temples are commonly referred to as crow’s feet.  These wrinkles are sometimes referred to as smile lines The number of units is variable and most patients will use between 5-10 units of Botox per side (10 – 20 units total). 

Units Vs. Duration

Many patients want to know why one injector would use 10 units and another 15 units in a particular area.  In some cases, it may have to do with how conservative the injector is, how small or large the patient budget is, but in most cases, it’s about duration.  Good injectors want to help their patients achieve longer durations.  Lowering the price and therefore the number of units simply means that the product will wear off more quickly.  Consumers may be tricked into feeling that they are getting a good deal, but using less units simply means they will be visiting the office more often.  

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Posted by administrator on Friday, August 07, 2015 4:43 PM
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How long does laser hair removal last?

How long does laser hair removal last?

When done correctly, laser hair removal lasts forever.  Permanent hair removal is the end goal, and in our practice, permanent removal of 75% - 95% of the hair with color and coarseness is typically achieved in 6-8 visits.

 

 

  

Does all the hair go away?

There are several factors that help determines how long laser hair removal lasts and whether or not it is permanent.

1)   The type of hair matters – the type of hair is important as permanent hair removal only lasts forever when the hair we are treating has color (blond, white and red hair do not respond well).  Black and brown hair work well and the thicker the hair is, the easier it is to get permanent results.  On the spectrum of hair types, laser hair removal of blond fine hair (such as peach fuzz) does not work and permanent removal of thick, dark hair is fairly straightforward.  The thicker and darker the hair, the more permanent the laser hair removal results you will achieve.

 

2)   Laser technology matters – Different skin and hair types are better suited for different types of lasers, so if you want your laser hair removal to last forever, make sure to do a bit of research on which lasers would work well with your skin type.  Generally speaking, for skin types I-IV (Scandinavian up to Asian, Middle Eastern and Hispanic) the Diode and Alexandrite lasers are typically used.  For darker skin types V and VI (African-American and African), the Yag laser is the best choice.

 

3)   Experience matters – The more procedures your laser hair removal practitioner has done, the higher chance you will have at getting lasting results for your treatments.  Many consumers believe that laser hair removal is the same at every practice.  Nothing could be further from the truth.  The way the procedures are performed (energy level used, areas covered, etc.) will affect your results. 

How can I ensure lasting laser hair removal results?

When choosing a laser hair removal practice, make sure they have experienced physicians, nurses or technicians, and laser technology that is appropriate for your skin type.  Know yourself that if you have thick dark hair you are an excellent candidate and if you have blond, fine hair, you will be disappointed with the results. 

If you are a good candidate and find a great practice, your laser hair removal results can last forever.

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Posted by administrator on Thursday, August 06, 2015 4:11 PM
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Does Laser Hair Removal Hurt?

Does Laser Hair Removal Hurt?

This is an excellent question and one we get asked all the time by our patients.  Discomfort or pain is a very personal issue and for some of our laser hair removal patients, treatments are a walk in the park.  For others, treatments can seem quite painful.

The type of hair you have matters for how painful the procedures will be.

 

 

Dark Coarse Hair

They absorb more laser light than fine, light hair.  Because of this fact, laser hair removal for dark coarse hair is generally more uncomfortable. 

Dark Thick Hair

They achieve a high peak temperature during the removal process.  Generally speaking, the thicker and darker your hair, the more you will feel the procedures.

Reason for Discomfort

The reason we feel any discomfort with laser hair removal is the science behind the process.  To create permanent hair loss, the follicle needs to achieve a high enough peak temperature to disable the growth mechanism around the hair follicle (the skin cells responsible for hair growth and the blood vessel that feeds the hair).  When this high peak temperature is achieved, we can create permanent hair loss.  Along with it comes a certain amount of discomfort. 

Pain Varies from Individual to Individual

In our experience the young are more sensitive than the old and men are more sensitive than women.  Young patients generally have a harder time with discomfort than older patients.  Perhaps it is because older patients have experienced more types of pain in their lives or because they are more motivated to rid themselves of hair.  Men also tend to be more sensitive than women.  We are not clear as to why this is the case, but perhaps it is because men generally have thicker hair.

Methods to Minimize Pain

If pain is an issue for a patient, we have options.  Topical numbing creams, cold air and even ice can be used to make the procedure more comfortable. 

Regardless of what sex you are, how old you are and what type of hair you have, pain is a very personal issue and trying to predict how painful laser hair removal will be for you (if at all) is impossible until you try it.  What we can say is that in providing laser hair removal procedures since 2004, we can count on two hands the number of patients that have opted out of the process because it’s too painful.   

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Posted by administrator on Thursday, August 06, 2015 2:16 PM
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Is Laser Hair Removal Safe?

Is Laser Hair Removal Safe?

We are often asked by new patients if laser hair removal is safe.  The answer is absolutely, at least when the procedures are done properly.

Just like many other areas of medicine, safe and successful laser hair removal is dependent upon the expertise of the practitioner providing the procedure.  Safety is also highly correlated with the type of laser technology being used and whether or not that technology is designed for the skin type being treated.

 

  

Safe and effective laser hair removal depends on a number of factors-

1)   Experience of the Practitioner- Depending on your state (or even country), laser hair removal may be performed by physicians, nurses, estheticians or even “technicians”.  What’s important to ensure safety – regardless of the person’s title – is how much training and experience they have. Ask how long the employees that perform the laser hair removal procedures have been doing it for.  The longer a practitioner has been performing the procedure, the more unique situations they have come across and the better their clinical judgement.  It only makes sense that the more experienced your provider is, the safer your laser hair removal will be.  At least 1 year of experience providing laser hair removal treatments is a fair benchmark for when they might be considered experienced rather than new.

 

2)    Training- is important and many facilities do not offer much of it.  Before undertaking a laser hair removal program, ask how many hours of training a practitioner gets before they start doing treatments on their own.  Who was the person trained by?  Were they trained outside of the facility or in the facility?  Were they trained on multiple patients with different skin types and were they trained on a patient with your skin type?  All of these are important questions to understand how fully your laser hair removal provider is.  At the bare minimum, a laser hair removal practitioner should have 8 hours of supervised training on multiple skin types to have the basic skills to perform the treatments.  The training should be conducted by an experience practitioner (at least 2 years of experience) and preferably someone outside that company.

 

3)   Technology Used- There are four types of common laser hair removal technology.  For lasers, there are Diode (810 nanometers), Alexandrite (755 nanometers) and Nd:Yg (Yag 1064 nanometers) lasers. The diode and the alexandrite are the most common types of lasers used because they are primarily designed for lighter skin types (Scandinavian up to Hispanics and Asians).  Yag lasers are used primarily for darker skin types (African and African American).  The fourth type is not actually a laser.  IPL (Intense Pulsed Light which is a broad spectrum of light) is commonly referred to as a laser by consumers, but its physical properties are much different and it does not qualify as a laser.  Interestingly, this is one of the main reasons that Intense Pulsed Light is not as safe as lasers for permanent hair removal.  The concept behind the use of lasers for hair removal (and other skin conditions) is selective photothermolysis.  This is the idea that a certain type (wavelength) of light is more highly absorbed in a particular portion of the skin.  In the case of laser hair removal, the target is the melanin in the hair follicle.  Diode, Alexandrite, Yag and IPL devices all have slightly different absorptive qualities for the melanin in the skin and the melanin in the hair.  This makes them safer and more effective on certain skin types and less effective and less safe on other skin types.  Of all these devices, we believe the IPL to be the least effective and least safe and the reason is that the broad spectrum of wavelengths of light and filters used to cut off this light so that it matches the 810, 755 or 1064 wavelengths in the Diode, Alexandrite and Yag lasers mean that the power has to be extremely high.  This in turn makes this type of device less safe.  Know what type of laser is most appropriate for your skin type and ask if the facility you are considering uses that type (755, 810 or 1064).

 

Why would a laser hair removal facility choose one laser over another? 

The most common skin tones of the patients, the cost of the machines and the expertise of the practitioners all factor in.  Because IPL (non-laser) is the most flexible device, many offices choose this one.  It’s also the least effective and least safe, but because practices often want to be able to offer fast laser hair removal on multiple skin types, they use even with its drawbacks.  Owning multiple lasers or even multiple wavelengths in one laser is expensive, so often the practice will choose one type based on the type of patient they see most often.  Finally, practitioners can get comfortable with certain brands or types of technologies and are often averse to switching. 

To ensure that you receive a safe and effective laser hair removal program requires some work on your part.  Know how much experience the practitioner you are visiting has and what type of technology they use.  Are they experienced and also use the right laser for your skin type?  If so, you will greatly improve the chances of getting a safe and effective laser hair removal treatment. 

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Posted by administrator on Monday, August 03, 2015 6:03 PM
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Red Bumps After Laser Hair Removal

 

After Effects of Laser Hair Removal Treatment

 

When receiving laser hair removal treatments, many patients want to know if the tiny red bumps that occur afterward are normal.  The answer is yes and they are called follicular edema.  Follicular edema is a fancy word for the redness, irritation and small bumps that occur around the hair follicle in response to the heat of the treatment.  This redness and irritation usually subsides quite quickly after treatment, but can sometimes last up to a day or so.  

What causes The Red Bumps After Laser Hair Removal? 

The hair in the follicle gets very hot during a laser hair removal treatment.  This is normal and the resulting redness and swelling around the hair are indications that you have had a good treatment.  The bumps and redness 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, your outcome is normal.

What Can Go Wrong After Laser Hair Removal?

Side Effects from laser hair removal include color changes in the skin, blisters or burns.  If the laser being used is not appropriate for your skin type or if the energy used for treatment is too great, then side effects can occur.  In mild cases, you may have prolonged redness or a brown discoloration depending on your skin type.  If the side effect is more serious, you can have blisters and if the side effects are more pronounced you can have second degree burns.  Although these side effects are rare, the chances of occurrence can be reduced by choosing a medical practice that is experienced in treating your skin type and uses a laser technology that is appropriate.

 

 

How Long in Between Laser Hair Removal Treatments?

The time between laser hair removal treatments varies depending on the area to be treated.  Different areas of the body have different hair growth cycles.  The hair growth cycle is the amount of time it takes for a hair to grow, die, fall out and then start the regrowth process.  In some areas, this can be up to or even more than several months.  Because the hair removal growth cycle varies, we will often use a blended average and ask that patients come back in 6-8 weeks after their last treatment. We would rather extend the length of time between treatments so that hair that has not entered the growth phase has a chance to.  If you shorten the time between treatments, this would normally result in a lower % of permanent hair removal and more treatments.

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

The Art of Dermal Filler Injections 

Because dermal filler injections are part art and part science, there is skill in creating the proper outcome.  For many injectors, it takes years to learn how to inject well.  Each face has a different anatomy and different products work well in some areas, but not so in others.  In gaining this experience, sometimes the outcome is different than we desire.  One side effect with Hyaluronic acid fillers such as Restylane and Juvederm is the Tyndall effect.

The Tyndall Effect

One potential side effect of Restylane, Juvederm and other Hyaluronic acid based product injections is called the Tyndall effect.  This side effect results when Hyaluronic acid based products are injected very near the surface of the skin.  When the injections are too superficial, light shines through the epidermis and reflects off the product creating a bluish or greyish haze similar to the effect seen in the photo.

How to fix the Tyndall Effect 

To remedy this situation for patients that come to us from other practices, we inject Hyaluronidase.  Vitrase (Hyaluronidase) dissolves the injected product and we can 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

What is Feminine Rejuvenation? 

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 Concerns

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 Concerns

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 Concerns

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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Repairing a Bad Steroid Injection with Restylane Lyft (Perlane)

Steroid Injection Side Effects 

At Celibre, we see all types of injuries and unique concerns.   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.  

Restylane Lyft (Perlane) to Add Volume for Sunken Cheek 

To remedy this issue, we used Perlane (Restylane Lyft) injections to smooth the surface of the skin.  Perlane is a thick dermal filler that is commonly used in the cheeks so it is a perfect fit for this concern.  We used 1 CC of Restylane Lyft injected directly under the depressed scar area and this careted a much smoother appearance.  

For more information about Restylane Lyft (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?

Restylane for Under Eye Bags

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

Restylane is a Hyaluronic acid product that works by adding volume under the eyes where fat and or collagen have been lost.  Adding volume can help to fill the hollow area under the eyes and to smooth out bumpy fat pads (eye bags).

The severity of the eye bags will determine if a patient is a suitable candidate for injection procedures.  The male patient shown below was a good surgical candidate because he had some excess skin below the eyes.  Because the patient was only looking for a short term results, he was not interested in a surgical option and chose the Restylane injections.  We were able to get some nice improvement for him without surgery.

 

  
 

Technique Matters for Under Eye Injections

 
The technique used for eye bag injections is important in determining the quality of result you will achieve.   "Under the muscle" is a techique we use to ensure that the injection procedure results in a smooth appearance for this area.  The skin is very thin and if the product is injected over the muscle, more bruising will occur and the product has a higher probability of looking lumpy.

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Posted by administrator on Wednesday, January 21, 2015 1:25 PM
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Contact us today to schedule a FREE consultation!