Wrinkles

Laser skin resurfacing treatments help reduce acne scars, wrinkles and the effects of sun damage on almost any skin type. They are a popular treatment choice in skin rejuvenation and the SmartXide Dot Therapy is a more advanced technique of skin rejuvenation that treats one area of skin at a time. SmartXide Dot Therapy is a fractional resurfacing treatment that will cause fewer side effects and presents fewer risks than traditional CO2 laser treatments. The SmartXide DOT Therapy system utilizes a ‘dot’ pattern to create thousands of microscopic perforations in the skin and leaves the areas around each ‘dot’ intact. The procedure is versatile, as it may reduce wrinkling, age spots, scars or acne; at the same time, the CO2 laser beams will tighten the skin by stimulating the formation of collagen. A single treatment of SmartXide Dot Therapy can visibly rejuvenate the skin. The recovery time after SmartXide Dot Therapy depends on how deep/strong the treatment settings were. In general recovery time takes anywhere between 2 to 5 days, which is minimal compared to the 6 months recovery time required by the traditional CO2 treatments.

Living in rainy Pacific Northwest deprives the body of the essential Vitamin D. Besides bone health Vitamin D also plays a major role in skin health as it contributes to cell metabolism and growth and lessens itching and flaky skin. While creams and supplements can fight Vitamin D shortages, they can also cause toxicity if the dosages are not monitored carefully while they can be ineffective if taken in moderate dosages. Since Vitamin D is best produced in the skin by exposure to the sun, many of us Seattleites try to compensate for the lack of sun exposure by going to tanning beds with UVA and UVB rays. We all know that excessive tanning can lead to skin damage or even skin cancer. How do we then, make up for the lack of Vitamin D that is essential to keeping our skin looking healthy without risking aging it? That is quite a quandary.

The outer most layer of the skin is called the epidermis. Vitamin D3 is produced in the deeper layers of the skin as a result of the pre-vitamin D3 ‘s exposure to the sun’s UVB rays. UVB rays do not penetrate the skin past the epidermis layer but UVA rays do. Since most sunscreens on the market protect only against UVB rays, it is essential to find ones that protect from UVA like sun blocks with zinc oxide. So if you expose yourself to the sun or in the case of us, Seattle folks, to the tanning beds WITH MODESTY while using the right sun block, then you should be able to compensate for the lack of Vitamin D without damaging your skin with wrinkles and spots. Again I emphasize “WITH MODESTY”.

Katy Issa

Obesity in both men and women can cause multiple illnesses including heart disease and cancer. Few people, however, think of skin problems when it comes to obesity. Obesity results in extra folds of skin that may be difficult to disinfect and keep clean. That in turn can make the skin an ideal host for bacteria and fungi. Resistances to insulin as well as vein problems are two other issues that result from obesity which can affect the skin negatively.

Obese people tend to develop a skin condition called Acanthosis Nigricans, a skin disorder that results in brown and black spots. This is mainly due to the increased insulin levels. The discoloration normally appears under the arms, on the neck and sometimes in the groin area.

Another skin condition related to obesity is folliculitis. It is normally due to small whiteheads around one or more of the hair follicles on the skin. Obese people are at risk for folliculitis because the extra weight puts added pressure on the hair follicles, which can damage them and allow infection to occur.

Skin tags are yet another skin problem resulting from obesity. Skin can grow and stick out and may be connected with a narrow stock. Skin tags are benign and usually do not cause any pain. They are, however, more common in overweight people because the extra weight causes friction between the affected areas of skin.

One obvious and major issue of the skin related to being overweight is cellulite. Cellulitis is not only a cosmetic issue that causes undesirable stretch marks. It also causes infection of the skin that is caused by bacteria. Cellulitis can cause chronic pain and tenderness in the affected area, as well as excessive sweating and muscle aches.

Few people know that Obesity can be the cause of enlarged varicose veins. These veins will be raised above the skin’s surface. They are more common on the inside of the legs and backs of the calves. If the valves of a vein are weak due to obesity, blood leaks back into the vein and collects in a pool. The pooling of blood in the vein causes the vein to become enlarged. Not only varicose veins are aesthetically undesirable, they can also cause other vascular health problems.

In summary, if you are suffering from weight problems, you most likely have skin problems as well. While major health concerns such as cardio and heart problems should top your agenda, it is highly recommended that you also seek help from your local dermatologist or skin clinic to address any skin issues. A healthy lifestyle comprised of a balanced diet and exercise should lead to weight loss and in turn reverse some of the skin problems.

Katy Issa

People living in the Pacific Northwest tend to forget that the summer sun can still have a damaging effect on the skin especially when during the rest of the year we live in an overcast rainy weather that causes our skin to be more photosensitive. The summer of 2009 we had here in Seattle was a prime example of an unforgiving hot summer. The face is a very important part of our everyday appearance and is the most exposed, so it is very important to keep it looking young and healthy. If we forget to wear adequate sun protection we will most likely end up with sun spots, wrinkles and lines or red complexion which will make the faces look older.

A new and effective skin treatment technique called IPL FotoFacial combines intense pulsed light (IPL) with bi-polar radio frequency to provide non-ablative treatment for any of the mentioned skin conditions above. Using IPL FotoFacial does not damage the surface of the skin, and uses high intensity pulses of broadband light different from the narrow band light of lasers. IPL FotoFacial does not damage the surface of the skin as it works on the deeper dermal layer. This means that there is no recovery time after undergoing this treatment that takes between 30-45 minutes on average. IPL FotoFacial treatments are progressive in nature and hence multiple sessions spread 3 to 4 weeks apart are recommended. The end result is radiant skin improved with tone and texture.

A common misconception about IPL FotoFacial treatments is the assumption that they fix scarring. For acne scarring and other deeper wrinkles lasers such as Erbium Yag and Diode can be used for skin resurfacing as well as skin tightening. The one thing to remember with IPL FotoFacial is that it is safest and works best with skin types 1 through 4. So IPL FotoFacial produces great results for Caucasian, Middle Eastern Olive, and Asian Skin. It is however inadvisable to use IPL FotoFacial on darker East Indian or African American skin due to the pigment in the skin and the risk of burning and scarring.

Katy Issa
Clinic Manager

Dysport is the new injectable treatment for frown lines and wrinkles. Although it is made from the same neurotoxin (botulinum toxin type A) as Botox, there are some subtle differences between the two. Dysport is only new in the US as it has been used to smooth wrinkles in Europe for several years. It was originally developed in the 1990s to treat neuromuscular disorders. Just very recently, Dysport had the approval of the Food and Drug Administration (FDA) for use in the United States.

Botox is currently the most popular cosmetic procedure in the US and Dysport is poised to compete head to head with this market leader. The differences between Botox and Dysport are fairly small. Both drugs contain the same main ingredient: the botulism toxin. Like Botox, Dysport temporarily freezes the muscles that cause facial wrinkles. One of the main differences with Dysport is that its effect starts faster than Botox. Rather than waiting for a week to see results with Botox, Dysport begins to work in just a day or so. A second difference is that Dysport diffuses to a larger area when injected making it easier to treat such areas as the forehead and glabella.

One of the common misconceptions about Dysport is that it is 1/3 the strength of Botox. Untrue. Dysport comes in a 300-unit vial while Botox comes in 100 units. However, a one-to-one comparison between the two is like comparing apples to oranges due to the different dilution. Bottom line is as a patient, just because you need more units of Dysport than Botox does not mean that Dysport is an inferior product at all.

It is not quite clear yet as to whether Dysport will become as popular as Botox. If widespread clinical practice does show that Dysport is as good as Botox or better, it is unlikely than a lower price for Dysport will persist for long.

Katy Issa
Senior Aesthetician - Aura Laser Skin Care

Ever since the FDA (Food and Drug Administration) approved Botox Cosmetic for aesthetic uses, the popularity of Botox in the United States and abroad to fight wrinkles has been on an exponential rise. Today, Botox has almost become a necessity in beauty upkeep that both women and men are comfortable telling their friends and family they had a Botox injection done.

The most popular aesthetic use of Botox is to create a combination brow and eyelift by injecting into strategic locations of the face. The eyes take on a pleasing almond-shape and the whole face seems rejuvenated. Botox is normally injected on the forehead and the sides of the eyes (crow’s feet). Men and women of varying ethnicities have been treated with Botox. Because Botox works only on the underlying muscles, it has no effect on skin color.

High quality Botox has longer lasting effect. The effect of the injection should last around four full months although full muscle activity may not be returned until five to six months post-procedure. If the effects of your Botox procedure begin to wear off before four  months, it is in your best interest to make inquiries about the dilution practices of your Botox specialist and how long ago the Botox was mixed and prepared.

None of the wrinkle reduction topical creams that you see advertised on TV and in magazines live up to Botox. The proof is in the data as Botox Cosmetic was the most popular physician-administered cosmetic procedure in the United States for the fifth year in a row with nearly 3.2 million treatments in 2006 and it seems that more and more patients are combining Botox with other aesthetic procedures such as laser skin firming, IPL skin rejuvenation, or skin resurfacing for more pronounced results.

Only licensed and trained healthcare professionals have the experience and qualifications necessary to administer Botox. So before you book your appointment make sure you are being treated by a licensed healthcare professional.

Katy Issa

Senior Aesthetician

Aura Laser Skin Care

Wrinkles used to promote wisdom but in the last couple of decades people have started frowning upon them. In recent years treating wrinkles have advanced far beyond the over the counter facial cream that your local drug store used to carry. Today many products and procedures promise to reduce wrinkles. Some do little or nothing (like the products that claim they reduce “the appearance of fine lines,” which means that they don’t reduce the lines themselves). Others can achieve a fair amount of success.

With the constant exposure to the sun and elements, add to that our diet and hormonal changes in the body, such factors do contribute to the dryness, roughness, sagginess, and skin growths like keratoses as well as wrinkles.

Most wrinkles appear on the parts of the body where sun exposure is greatest. These especially include the face, neck, the backs of the hands, and the tops of the forearms. Wrinkles come in two categories: fine surface lines and deep furrows. Wrinkle treatments are in general much more effective for fine lines. Deeper creases may require more aggressive techniques, such injection of fillers or plastic surgery.

Factors that promote wrinkling include: Alcohol consumption, smoking, sun damage especially in the lighter skin type, heredity (some families wrinkle more than others), hairstyle (some styles provide cover and protection against sun damage), dress (hats, long sleeves, etc.), occupational and recreational habits (Sailing, golfing, farming, using tanning booths, and so forth)

For the majority of the factors above we are almost out of control. The only factors we are able to minimize or take measures against are smoking, alcohol consumption, and exposure to the sun.

SPF numbers on sunscreen labels refer to protection against UVB radiation (shortwave ultraviolet light, the “sunburn rays”). More and more sunscreens offer protection against UVA radiation (longer-wave ultraviolet light) as well. UVA rays are the ones you get in tanning salons; they may not cause immediate sunburn but do promote sun damage and skin cancer risk over time. (Sorry, but there is no such thing as a “safe tan.”) Sunscreens that block UVA indicate this on the label and include such ingredients as Parsol 1789. The FDA has recently approved Mexoryl, another UVA-blocking ingredient, which has been available in Europe for quite some time.

Wrinkles can be treated or prevented using topical treatments or cosmetic procedures or a combination of the two:

Topical treatments can include any one of the following: Ordinary moisturizers, vitamin A Acid (tretinoin, Retin-A, Renova), alpha-hydroxy acids, and antioxidants.

Cosmetic procedures can include the following: Glycolic acid peels, deeper peels, microdermabrasion, non-ablative laser rejuvenation, laser resurfacing, fractional resurfacing, Botox, fillers, and finally plastic surgical procedures.

A consult with a skin care specialist is always recommended in order to assess your skin condition and recommend the appropriate treatment and the in-home care.

Katy Issa

Senior Aesthetician - Aura Laser Skin Care