Question: My face looks funny when I have a beard because I have a large scar that will not allow the hair to grow in one spot. Will hair grow over my scar after I get a scar revision procedure?
Answer: More than likely if you heal appropriately a scar revision can get rid of the non-hair-bearing scar tissue on your face and once it heals the hairs will be extremely close to each other so that you really do not see an area that does not have an appropriate amount of hair in it.
Question: What is the difference between dermabrasion and microdermabrasion?
Answer: Microdermabrasion is simply a smaller, more micronized version of a dermabrasion procedure. Essentially both are mechanical exfoliators of the skin. A microdermabrasion being the very superficial part of the skin that is essentially the dead layer of skin cells on the surface of the epidermis. Dermabrasion can be quite deep and actually completely through the epidermis and even deep into the dermis itself, if that is desirable. Furthermore, microdermabrasion can be performed by ancillary providers such as nurses and estheticians, whereas dermabrasion should be only performed by a physician.
Question: I saw an interview with a doctor who said that a chemical peel can be used not only on the face but the neck and hands as well. What is different about treatment on the face as opposed to the rest of the body?
Answer: There are certainly many different types of chemical peels and many of them can be used off the face as long as they are not going into the dermal layer of the skin. If they go into the dermal layer of the skin and peel the entire epidermis off then the healing process is most likely going to take too long on areas that are not the face and ultimately these areas will end up having some scar tissue. The reason that it takes longer to heal off the face is that the pores and pilosebaceous units are further apart off the face and they are closer together on the face. Therefore during the healing process when epidermis heals from these pores they heal across and resurface the area much faster on the face than they can on the body. If it takes too long to heal scar tissue will ultimately form. However, light peels can be performed on the hands and body and improve the pigmentation, fine lines, and texture of the skin without running into the risk of scarring.
Question: I have large pores on my nose and cheeks. Do any of your procedures such as the chemical peel or the laser light reduce these pores?
Answer: Lights and lasers can certainly reduce the appearance of pores but I certainly do not believe that they actually change the size of a pore since that really is an impossibility. My theory is that if the opening to the pore tends to funnel shape as it comes out of the skin it looks quite a bit bigger if it simply comes out and meets the skin with the diameter of the actual pore. By performing lights and laser treatments we can improve upon the funnel shape so that the pore has a smaller appearance, even though the actual pore really has not changed. In reality all that matters is what the pore looks like so in essence we do reduce the appearance of the size of the pore through these different treatment modalities.
Question: I have some dimpling and fine lines in my forehead and eye regions. Why should I opt to get Botox over a forehead lift?
Answer: For one, Botox is a non-surgical treatment so if you are not interested in surgery then obviously Botox is a much better option for you. Furthermore, if you only have fine lines then maybe Botox is just simply easier than having to go through a forehead lift for the improvement of a relatively small problem. Ultimately, the decision is yours, but it would be nice to be able to discuss this with a board-certified facial plastic surgeon so that you fully understand what to expect from a forehead lift as well as the cost associated with it. I certainly have had many patients decide to go ahead with the forehead lift simply because over the long run it is more economical for them to have one procedure rather than to have multiple Botox injections over many years.
Question: How long does Botox last for when injected around the mouth? I was told Botox injections last for 6 months, but it seems mine have worn off after 4 months. Is the mouth area quicker to wear off because of all the movement?
Answer: If you are getting a good 4 months of effect from Botox in and around the mouth then I would say this is quite good. In most patients the affects from Botox wear off in about 3 months but the more times that they have had treatments that longer it typically lasts and many of my patients can get 6 months or more from their Botox treatment but I would not expect this to happen with treatments in and around the mouth. So if you are getting 4 months of improvement with your Botox I would be quite happy with that.
Question: I have heard a lot about scar revision and its amazing benefits, yet I do not know too much about the actual procedure itself. Is scar revision done with a laser?
Answer: Sometimes scar revision can be performed with a laser and I personally prefer the ProFractional laser by Sciton as we have had some extraordinarily wonderful results treating scars with this fractionated laser. In other cases scar revision involves re-operating on that area and excising the original scar and then closing the new incision in a particular way to make the resulting scar much less conspicuous. Ultimately, your scar needs to be evaluated by a board-certified facial plastic surgeon so that the best treatment option can be recommended to give you the result that you desire.
Question: I am male and I would like to have my skin refreshed. It is not smooth and I have developed fine wrinkles around my mouth. I am very much interested in microdermabrasion. Is this an expensive procedure? Do I need more than1 treatment?
Answer: Microdermabrasion is not an expensive treatment, running around $100 per session, but you do need multiple treatments due to the fact that this is only going to be treating the very superficial layers of the skin and essentially polishing the skin to make it look smoother and more vibrant. At Quintessa Medical Spa we strongly recommend that patients are on a good skin care line and if you are getting regular microdermabrasion your skin care products will actually work better due to the fact that the microdermabrasion allows better penetration of the products. So the 2 systems essentially go hand in hand and complement each other.
Question: I would like microdermabrasion to treat my facial acne scars and wrinkles on my cheeks. I have read that it will also remove sun spots which is wonderful. What is the recovery time for microdermabrasion? Are there any complications associated with this procedure?
Answer: There is no downtime associated with microdermabrasion as it simply exfoliates the superficial layer of the skin and essentially polishes the skin. This can certainly help with some minor pigmentation issues but more importantly it will allow skin care products to work more effectively that can significantly improve sun spots. There really are no complications associated with microdermabrasion when it is performed in experienced hands.
Question: I want to have a chemical peel but I was hoping to go on vacation with my family about 2 weeks after the procedure. What is the recovery time usually like after the procedure?
Answer: The recovery for a chemical peel is highly dependent on which chemicals are used for the actual peel process. If you undergo a light chemical peel you may only have a day or two of very light peeling and some mild pinkness and sensitivity of the skin for the first week or so. If you have a deep chemical peel then this may take a full week to heal and then your skin will be pink and sensitive for many more weeks to come.