Aesthetic Lasers Blog

Archive for May, 2009

Anti-Aging and Non-Invasive Aesthetics

Non-invasive medical aesthetics is a booming discipline, which comprises all medical procedures in the field of Aesthetics excluding all surgical procedures which require an operating table and general anesthesia (such as breast implants, liposuction, surgery for obesity, facelifts, rhinoplasty, blepharoplasty and other cosmetic surgeries).

The exciting field of Aesthetic Medicine is a new trend in modern medicine. Patients not only want to be in good health, they also want to enjoy life to the fullest, be fit and minimize the effects of normal aging. Indeed, patients are now requesting quick, non-invasive procedures with minor downtime and very little risk. As a general rule, the needle is increasingly replacing the scalpel…

This recent trend explains the current success of Aesthetic Medicine around the globe. These risk-free, non-surgical aesthetic procedures consist of:

  • Injections of Facial Implants and Botulinium Toxin
  • Hair Removal
  • Skin Laser Therapy
  • Aesthetic Venous Treatment
  • Chemical Peels
  • Medical Cosmetology
  • Aesthetic Mesotherapy
  • Shapes and Cellulite Control
  • Nutrition
  • Hair Transplant
  • Aptos/Contour Threads
  • Curl Lifting

The real benefit of practicing Aesthetic Medicine is the type of care that practitioners are offering to their patients. These procedures are elective and are performed on patients who do not suffer from illness. They are usually happy and in excellent health. They simply want a quick fix or a preventative procedure to help manage the normal effects of aging.

This, along with the very lucrative business it represents, are the benefits any doctor should expect by expanding his/her own practice to an Aesthetic practice.

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  • Filed under: Laser Clinics
  • Fat for Fillers and Lasered Over

    Celebrities are sporting plump faces and full cheeks that don’t come naturally unless you’re in your twenty-something.

    Dr. Samuel Lam performed her fat transfer and has written two books on fat transfer. He says patients fly in from all over the world for the procedure. Cutting and pulling is so 90′s.

    There are several choices of facial fillers and if done correctly, fat transfer will last a very long time.

    Fat transfer and laser assisted facial photorejuvenation may go hand in hand to enhance the results.

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  • Filed under: LT | combination
  • Teenage Acne: Some People Get It Some Dont

    tips for teenage acne

    Acne is a skin problem that affects almost all teenagers. The condition results from the action of hormones on the skin’s oil glands (sebaceous glands). The sebaceous glands make an oily substance called sebum that empties onto the skin surface through the hair follicle opening (pore). The mixture of oil and cells allows bacteria that normally live on the skin to grow in the follicle openings. When this happens, pores become clogged and pimples develop.

    Pimples can be one of the following kinds:

    Comedones: Non-inflammatory papules that can be open (blackheads) or closed (whiteheads).
    Papules: Lesions that are inflamed and can be tender to the touch. These usually appear as small, pink bumps on the skin.
    Pustules (pimples): Lesions that are inflamed and filled with pus. They may be red at the base.
    Nodules: Solid lesions that are large, painful, and lodged deep within the skin.
    Cysts: Pus-filled lesions deep under the skin. These may cause scarring and pain.
    In most cases, pimples occur on the face, neck, back, chest, and shoulders. Acne does not present a serious health risk, but severe acne can result in permanent scarring. In addition, acne can have significant physical and psychological consequences, such as causing a poor self-image, social inhibition, and anxiety.

    Some People Get Acne and Some Don’t

    It is not clear why some people are more prone to acne than others. The exact cause of acne is not known, but one important factor is an increase in male sex hormones called androgens. Androgens increase in both boys and girls during puberty. Androgens cause the sebaceous glands (oil glands) to get larger and produce more sebum. Androgens also can increase because of hormonal changes related to pregnancy or starting or stopping birth control pills.

    Another factor in the cause of acne is genetics. Researchers believe that the tendency to develop acne can be inherited from parents. In addition, some drugs (for example, anti-epilepsy medication, prednisone, androgens and lithium) are known to cause acne. Cosmetics that have a greasy consistency may change the cells of the follicles, causing them to stick together and resulting in a plugged pore. Water-based products are less likely to cause acne.

    Things that can make acne worse include:

    • Friction caused by leaning on or rubbing the skin; harsh scrubbing
    • Picking or squeezing blemishes
    • Pressure from bike helmets, backpacks, or tight collars
    • Changing hormone levels in adolescent girls and adult women two to seven days before the start of the menstrual period
    • Stress

    Other factors that were previously thought to make acne worse do not seem to have an effect on the development of acne. These factors include chocolate, greasy foods, and dirty skin.

    How Is Acne Treated?

    Dermatologists often treat acne, particularly in severe cases. Family or general practitioners, pediatricians or internists may treat milder forms of acne.

    Treatments may include:

    OTC topical drug treatments: Over-the-counter (OTC) medications include salicylic acid, benzoyl peroxide, and sulfur. These treatments are available in many forms including gel, lotion, cream, soap, or pads. When these products are used regularly, they are moderately effective in the treatment of acne. It may take 4-8 weeks for an improvement to occur in the skin.

    Prescription topical drug treatments: The prescription topical drug treatments that are used to treat acne include benzoyl peroxide, antibiotics, tretinoin, adapalene, and azelaic acid.

    Prescription and OTC benzoyl peroxide work the same way. Doctors often prescribe benzoyl peroxide so that they can make sure that their patients get the most desirable formulation (for example, cream, lotion or gel).

    Prescription oral drug treatments: For patients with moderate to severe acne, doctors often prescribe oral antibiotics (taken by mouth) in addition to topical medication. Oral antibiotics are thought to help control acne by curbing the growth of bacteria and decreasing inflammation. They are usually taken daily for a period of four to six months and then tapered and discontinued as acne improves.

    The most potent oral drug, isotretinoin (Accutane), is usually taken once or twice a day for 16 to 20 weeks. It is believed to markedly reduce the size of the oil glands so that much less oil is produced. As a result, the growth of acne-causing bacteria is decreased. However, isotretinoin can cause birth defects in the developing fetuses of women who are pregnant while taking the drug. Women of childbearing age must not be pregnant and must not become pregnant while taking isotretinoin.

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    Acne Prevention Tips

    • Don’t over wash or use harsh scrubs. Remember, acne is not caused by dirt. Two gentle washings a day is sufficient. Too much cleaning can leave skin irritated and dry, triggering glands to produce more oil, increasing the likelihood of pimples.
    • Use oil-free or non-comedogenic products (those that won’t clog pores) on your face.
    • Don’t squeeze or pick blemishes. Popping pimples can drive acne bacteria deeper into the skin. Picking can lead to more inflammation and permanent scarring.
    • Don’t let acne define who you are. Do the things you can to improve your skin, and then get back to doing the things you enjoy.
    • Review this slide show to get more tips.

    Talk to your dermatologist or aesthetic physician about using Nd:YAG 1064 nm laser for the treatment of active acne. 2-4 sessions will help in a vast majority of cases. And stay away from Accutane.

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  • Filed under: LT | acne
  • Cellulite is very common. It appears in teenagers and may bother a lot of women throughout their life time. Due to the complexity of the problem, there is no permanent cure for cellulite as the lumpy and dimpling skin over the thighs, hips and buttocks still challenge the best of the cosmetic dermatologists, plastic surgeons and aesthetic physicians.

    A new study posted in Longevity and Age Management, Aging, Skin-Hair, Women’s Health, Aesthetic Medicine on Wed May 13, 2009 shows that combination laser treatment and fat transplantation may help combat cellulite.

    Robert Gotkin, M.D., F.A.C.S., from the Cosmetique Dermatology, Laser & Plastic Surgery, LLP, in New York, N.Y., co-authored a study to determine the effects of laser energy used in combination with an autologous fat transplant to improve the signs of cellulite.

    The study included 52 women with grades 3 and 4 cellulite. Participants were treated with a 1064 nm Nd:YAG laser, after which they underwent an autologous fat transplantation in fat-depleted target areas. The laser was used to break down fat stored in fat cells, then to superficially break up the fibrous bands that connect the muscle to the skin and cause the skin to dimple and have an orange peel-like effect. Autologous fat was then transplanted to the areas with the most severe concave contour deformities. The goal was to fill out those areas in order to provide a smoother, more even contour to the target skin’s surface.

    At the conclusion of the study, the participants completed a patient self-assessment questionnaire. Almost 85 percent rated their improvements as either “good” or “excellent.”

    Although Dr. Gotkin believes that the results of this combination treatment are lasting, he notes that the effects will lessen over time as the women age. “As a woman gets older and continues to develop skin laxity, cellulite will likely return,” Dr. Gotkin says. “However, in the 12- to 30-month follow-up that we had in our study patients, we could significantly improve the cellulite long-term. Most of the approaches currently used in aesthetic surgery are noninvasive and therefore also achieve minimal results. Our goal was to give some permanent improvement in the appearance of cellulite and we were able to achieve that using this surgical technique.”

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  • Filed under: LT | cellulite
  • podcastAesthetic modalities

    One of the most valuable resources in your practice: your staff. Their satisfaction at work has a direct effect on the feelings both you and your patients have toward your aesthetic practice.

    Tags: cosmetic cosmetic surgery cstradio management practice surgery

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  • Filed under: Laser Clinics, Podcasts
  • Aesthetic medicine experts are sure of this. Manufacturers are hoping for this. Consumers at large are beginning to realize this. The American Academy of Cosmetic Surgery has produced another confirmation that THIS is happening.

    “Cosmetic-surgery technology is advancing at the speed of light. As we learn more about the cosmetic uses for lasers, the more patients benefit from effective results and quicker recovery time. It is an exciting time for both cosmetic-surgery patients and physicians.” – says Patrick McMenamin, M.D., president of the AACS.

    Cosmetic surgeons have seen a huge increase in patients opting for laser resurfacing. Over the past three years, the number of men undergoing the procedure has increased 456 percent, females, 215 percent.

    Cosmetic surgeons have seen a 29 percent increase in their female clientele over the past year. Despite economic woes, women are continuing to invest in their appearances.

    The top three most frequently performed cosmetic-surgery procedures are: liposuction, blepharoplasty and breast augmentation.

    The most popular noninvasive procedures are Botox injections, laser hair removal and treatment with hyaluronic-acid fillers.

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  • Filed under: Market | consumers
  • Acne Scars: 585nm or 1064nm Laser?

    A valuable input has been provided by a group of physicians from Korea, which published the results of their study in May issue of the Journal of the American Academy of Dermatology.

    The group did a very interesting split-face clinical study of 18 Korean patients with facial acne scars. They treated on cheek with a 585-nm pulsed dye laser (PDL) and the other with a 1064-nm Nd:YAG laser to compare the efficacies of these two lasers in the treatment of acne scars.

    Each patient received 4 sessions of PDL or Nd:YAG laser at 2-week intervals in a randomized split-face manner.


    “Both lasers induced notable and comparable improvement in the appearance of acne scars, particularly superficial scars, with significant reductions in the scores associated with the clinical evaluation scale for acne scarring (ECCA). Histologic evaluations revealed significant increases in collagen production and deposition following both lasers. Patient satisfaction scores concurred with these improvements. Ice-pick scars and boxcar scars tended to respond better to PDL and Nd:YAG lasers, respectively”.

    Atrophic acne scars of representative patients showed notable improvement at 8 weeks after completion of laser treatment. A and B is PDL-treated side versus; C and D – Nd:YAG laser–treated side. Left column A and C) is the baseline (before treatment). Right column (B and D) – 8 weeks after completing 4 laser treatment sessions. Ice-pick and deep scars (C and D) as well as superficial scars (A and B) showed noteworthy improvement after laser treatments.

    The study group concluded that both lasers are effective modalities for the treatment of acne scars. Results appear to be very comparable in efficacy. Comment

    This is a notable study, which conclusively shows that both lasers work well on Asian skin type, and the skin type is a very important factor in choosing one laser over the other. Nd:YAG laser should clearly be the laser of choice for a darker skin type. The 1064 nm wavelength is a much safer modality for the skin of color and tanned skin.

    The study did not address the pain level for patients. Again, 1064nm with a short pulse width would be preferable as the patients with darker skin would experience less pain during the treatment.

    An experienced aesthetic medical professional should determine the choice of laser for a specific skin color, skin condition and the scar type to achieve optimal results for the individual patient.

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  • Filed under: LT | acne
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