Question: I hate my eyebrows. I am a 17-year-old boy, and I have a constant problem with maintaining my eyebrows so they do not turn into a unibrow. I really hate tweezing them, and I would like to be able to just ignore them. Is it safe to have laser hair removal performed on the eyebrows?
Answer: Yes, it is perfectly safe to have laser hair removal performed on the eyebrows, especially the area between the brows where we can try to rid the area of hair completely. When we are trying to sculpt an eyebrow with laser hair removal, it gets a little more tricky due to the fact that we are trying to injure some of the hair in that area and yet retain some of the eyebrow hair that we would like to keep. We can treat the area between the eyebrows rather aggressively as we really do not want any hair at all growing in that location. Assuming that your eyebrow hair is pigmented, you have a very high chance of getting an excellent result with laser hair removal.
Question: As a 29-year-old woman, I have been shaving for about 16 years already. I am just plain tired of it. I do not mind doing it every once in a while but I hate having to do it every other day. Would laser hair removal make my hair grow more slowly after a few treatments?
Answer: If your hair is dark and relatively coarse, laser hair removal treatments should actually rid you of the majority of the hair that you have in that location. Any hairs that remain are typically much thinner and are less pigmented than they had been and are therefore much less of a concern to the patient. Many times after a series of laser hair removal treatments, all we have left are some nonpigmented thin hairs, which the patient can then essentially pluck or shave as they desire as these hairs are extraordinarily difficult to completely get rid of due to the fact that they have completely lost their pigment.
Question: I have thinking about getting laser hair treatments for sometime but I just recently started doing research. I must say I was amazed to see how many types of lasers can be used for the procedure. Are there specific lasers that are better for treating facial hair?
Answer: I personally do not feel that there are any specific lasers that are better at treating facial hair than body hair but I do believe that there are lasers that are much better at treating hair than others. We have several modalities for laser hair removal at Quintessa Medical Spa including broadband light, the diode laser, as well as YAG laser. In fact, at the Quintessa Aesthetic Center in Mequon, we have the Lumines Duet system, which has a much larger spot size and a suction apparatus that allows us to treat large areas such as backs and legs in a fraction of the time and with a fraction of the discomfort of other laser hair removal systems. We have been extremely impressed with the speeds at which we can treat patients as well as the significant lack of any discomfort involved with the procedure. It further shows enhanced results compared to the older hair removal systems. Both centers use intense pulsed light, which certainly is efficacious but is not nearly as effective as the more advanced treatments that I just mentioned. Even our broadband light by Sciton will, in my opinion, provide much better results than standard intense pulsed light hair reduction.
Question: I am a 19-year-old woman, and I would like to have laser treatments performed on my legs so I do not have to shave as often. I read something that was a troubling though when I looked online for information. Is it true that finer hair can actually be stimulated to grow by lasers intended to remove the hair?
Answer: I would have to say that that is an urban legend due to the fact that there really is no way for a laser hair removal system to stimulate hairs to grow, as what they essentially do is target the hair follicle and injure this tissue. By injuring the hair follicle, the follicle either does not regrow and thus the hair is removed or it will regrow hair that is much thinner and less pigmented than it had been. Either way, you will not stimulate hair growth, you will not create thicker hair, and you certainly will not darken hair through the use of laser hair removal treatments. If you are going to have your full legs treated, however, I would highly recommend seeking out a medical spa such as Quintessa Medical Spa where we have the Lumines Duet system for laser hair reduction. This system has a much larger spot size and, in combination with the suction, creates greatly reduced discomfort, and we can perform laser hair removal on a large surface area in a fraction of the time compared to the older laser hair removal systems than most facilities still use today.
Question: I am interested in laser hair treatments. I am a 24-year-old man, and my arm, leg, and chest hairs are all far too long. I know that laser hair treatments can thin out the hair somewhat but can they also make the hair shorter?
Answer: That is a great question, and I personally feel that it is on a case-by-case basis as to whether your hair will actually be shorter. In my opinion, in most cases, your hair actually will be shorter but that is not true in everyone. The growth cycle of the hair may not be changed by the injury from the laser hair removal treatment and therefore the hair may be thinner and less pigmented but could theoretically continue to be as long. The upside is that you should have far fewer hairs in the areas that have been treated, and it should give the appearance that you have shorter hair simply due to the fact that you have far fewer hairs that are visible. Ultimately, we never promise a patient that all of the hair will be completely gone nor will we promise them that all of the hair will be shorter but they should have a rather drastic reduction in the number of visible hairs, the visible hairs that remain should be thinner and less pigmented and, overall, the appearance of the area being treated should be greatly improved through laser hair reduction therapies.
Question: I have always had very oily skin and, during high school, I acquired a lot of acne scarring. I am 23, male, and my social life has suffered due to the look of my face. Can deep acne scars be improved with a scar repair or will I need to have a series of skin resurfacing treatments?
Answer: The answer to that question really depends on what type of acne scarring and how severe it is. If you have extremely deep, ice pick-type scarring, these would be better treated through scar revision-type of a surgical procedure where, if you have moderate, more standard acne scarring with significant texture irregularities across the skin, I feel this is best treated with a series of ProFractional laser treatments. ProFractional laser by Sciton divides an Erbium laser up into multiple small injury zones, almost like aerating a lawn. These cause injury to the deeper dermis and, during the healing phase, a large amount of collagen is placed into this area, and this causes soft tissue and skin remodeling, which creates improvement in the appearance of the acne scarring. I do tell all of my acne scarring patients not to expect a complete resolution of any visibility of acne scarring but to expect an improvement in the acne scarring. I usually recommend that, if they would be pleased with a 50% improvement in the acne scarring, that they definitely move forward as, classically, we can get more like a 75% to 80% improvement in the visibility of acne scarring through the use of the ProFractional laser. We typically perform three separate treatments, spaced approximately one month apart. Each treatment has a few days where the skin is red and can ooze clear fluid. During this time, patients need to keep this area covered with a clear balm, and we also give them an at-home treatment kit with Aminoplex that has vitamins and minerals and amino acids that are necessary for the skin to heal. This shortens their downtime and improves the healing process and ultimately improves their end result. I recommend that you schedule a consultation at Quintessa Medical Spa so we can perform a thorough evaluation and a customized treatment plan can be created.
Question: I got a rhinoplasty three years ago. The surgeon who performed the surgery left a rather prominent scar on my nose. I knew there was a risk for scarring but I did not think it would be this bad. Can a scar from another surgery be improved with a scar revision procedure?
Answer: Definitely. A scar from a previous procedure can typically be improved through scar revision surgery or through various lights and laser treatments that can be performed in Quintessa Medical Spa. If your scar is on the columella or the area between the nostrils at the base of your nose, then a simple scar revision can be performed, and this scar typically is extremely inconspicuous. If you have scarring in other areas of the nose, I would have to evaluate the region and decide whether a scar revision or a treatment with a Sciton ProFractional laser would be the most appropriate. We have had excellent results using the ProFractional laser by Sciton for surgical scar treatment. It typically takes three treatments spaced approximately one month apart for the maximal improvement to be apparent, and each treatment comes with several days of downtime where the skin is going to be red and oozing. Overall though, the treatments can be performed in a spa setting, and we have been extremely pleased with the results that we have achieved.
Question: I am 70 but I feel like I am 50. I want to look how I feel, so I have been thinking about getting Dysport injections to help fill in my facial wrinkles. Am I eligible to receive Dysport injections at my age?
Answer: You are certainly eligible to receive Dysport at your age though, if you read the insert on Dysport, it is FDA approved in patients up to age 65 so, by that fact, we will be using the product off label in your circumstance. Nonetheless, it is extraordinarily safe at whatever age you are and, if you have dynamic wrinkles on the face due to overaggressive facial muscle motion, then Dysport or Botox would be excellent choices, even at age 70.
Question: I am a 42-year-old woman, and I just started to notice the deeper lines between my eyebrows and on my forehead. I have read that Dysport can prevent lines from getting deeper as well as filling them in. Does this mean that, as long as I keep using Dysport, my wrinkling will never get any worse?
Answer: Yes, in essence, the Dysport relaxes the muscles that are causing these dynamic lines and, because the muscle is now relaxed and is no longer creating the skin creases, these wrinkles actually tend to improve over time as opposed to deepen. So, yes, in essence, they will prevent these lines from getting deeper as long as you continue to regularly use Dysport or Botox. That is why many of my Botox and Dysport patients start at a relatively young age with these products since they will actually help prevent lines from getting worse and, thus, can be considered a facial preservation-type of a treatment as opposed to a rejuvenation treatment that is trying to treat something that is already present. In the future, Quintessa Medical Spa hopes to be using the Ultherapy device as a facial preservation treatment for the entire face regarding laxity. We feel that the future of facial plastic surgery is really facial preservation and, as more and more clients see us at the earliest signs of any facial aging, these exciting products and devices will become even more popular.
Question: My sister recently suggested Ultherapy to me. I am 46, and I have never been crazy about the idea of plastic surgery but this treatment sounds really safe and effective. I need to make sure that it is totally safe though. Is Ultherapy FDA approved?
Answer: Yes, Ultherapy is FDA approved and, in fact, is the only nonsurgical, noninvasive device ever to be given a lifting indication by the FDA. Currently, the Ultherapy device is FDA approved for browlifting but we also perform treatments on the mid and lower face and are also starting to treat regions outside of the face and neck, such as the upper chest and arms as well as the inner portion of the knees. It is very exciting technology due to the fact that it is very consistent in the way that it places energy deep into the tissue. We know that every time we provide a treatment, we create thermal injury zones at 3 and 4.5 mm beneath the skin. This then causes new deposition of collagen, which in turn tightens and lifts the soft tissue. The deposition of collagen does take time and we, therefore, recommend followups at three and six months since, at three months, we typically will see the improvement in the area around the eyes and eyebrows and, by six months, we see the area of the jowls and upper neck area improved. Overall, Ultherapy is extremely safe, and I would recommend that you schedule a consultation at Quintessa Medical Spa so we can discuss this is greater detail.