Question: How often can I enhance my lips with an injectable filler?
Answer: You can essentially enhance your lips with an injectable filler as often as is necessary since it depends on how long the filler lasts, as to how often you are going to need a treatment. Most patients can get somewhere around 6 months of augmentation from an injectable filler in the lips and therefore most of my patients will see my about twice a year for this treatment.
Question: I have heard that laser skin treatments can help clear warts. What type of laser does this? Will it work on plantar warts?
Answer: I do not have any personal experience treating warts with lasers, but I am sure that a board-certified dermatologist would, but I believe that they usually use a pulse-dye laser to treat warts and yes they can successfully treat plantar warts using this type of a laser. But again, I would recommend a consultation with a board-certified dermatologist for such skin care.
Question: I am a 44-year-old male and concerned about the wrinkles around my eyes. I am a Caucasian male and I would like to know if I had laser skin resurfacing just around my eyes would that change the color of my skin in that area somewhat? Do you suggest getting the entire face treated because of pigment changes?
Answer: It really depends on your skin coloration and areas of wrinkles, as to whether I would recommend a full face treatment of not, but in the far majority or cases I recommend a very light peel to the remainder of the skin, just so there is not a significant demarcation between the area that was lasered for wrinkle reduction around the eyes and the remainder of the facial skin. The light laser peel really does not add to any downtime or discomfort and so in nearly all cases we simply bundle it with the deeper resurfacing so that the patient gets the result that they desire.
Question: How long do the results of a chemical peel typically last? Will I need to do multiple procedures?
Answer: It is highly dependent on what type of chemical peel is performed as to how long the results will last and it is also extremely important that you then take good care of your skin and protect it from further sun damage and this will prolong the results of any sort of skin treatment. In essence, the more aggressive the skin treatment, the more significant the results will be and the longer they will the theoretically last. The patients essentially are going to age out of most of these types of treatments an obviously that will occur much slower if they take good care of their skin and provide good sun protection after the treatment is performed.
Question: I have lived in California all of my life and now that I am in my 50s, my skin is showing the signs of sun damage. Is a chemical peel my best option for lessening these effects?
Answer: A chemical peel is certainly an excellent option for lessening the effects of sun damage, but ultimately there is a multitude of different options available at Quintessa Medical Spa, including laser peels, broadband light, and pharmaceutical-grade skin care lines that can do a wonderful job of reversing some of the signs of sun damage and aging. Ultimately, we feel that it is important to sit down and have a consultation so that we can discuss your needs and desires, as well as your limitations on any sort of downtime so that we can then customize a treatment plan for your particular needs.
Question: I am a 43-year-old male. I am a little embarrassed because I feel like men do not really get this sort of thing done, but I have some fine wrinkles around my mouth that I am not happy about. My sister recently had microdermabrasion done and she was telling me that I should get it. Would this work for me? How many treatments would I be looking at total?
Answer: Microdermabrasion can provide a very small amount of wrinkle reduction so it is definitely an option for you and it has absolutely no downtime. Microdermabrasions are typically recommended as a routine maintenance type of treatment and we recommend that they be performed every 1 to 2 months. If your wrinkles are more significant a longer term solution may be either wrinkle fillers or a laser resurfacing type procedure. Ultimately, an evaluation would be recommended so that you problem area can be examined and a customized treatment plan can be created just for you.
Question: I am planning on getting microdermabrasion and was wondering if there is any special aftercare that I should be aware of, like special creams or lotions that I need to put on or if I need to stay out of the sun for a period of time.
Answer: Most patients that undergo a microdermabrasion really do not have to alter their routine of daily living, other than to be careful with some of the skin care products that they may be on since they can penetrate better after microdermabrasion. So, if patients are on Retin-A or hydroquinone, or both, I recommend much smaller amounts than usual the first few days after a microdermabrasion. Otherwise, all patients should always be careful with the sun and we always recommend a sun block daily.
Question: Are there any new and innovative laser hair removal treatments?
Answer: I do not know of any significant innovations in hair removal due to the fact that it is extremely successful with the current modalities, which are mainly the diode laser and alexandrite laser. Some innovations have been in the intense pulsed light treatment, which is typical of what most laser centers use. Unfortunately, they tend to use a rather generic intense pulsed light machine, which is typically not nearly as effective as the diode and alexandrite lasers. However, the newer broadband light by Sciton is a form of intense pulsed light that can be used quite successfully for laser hair removal. Ultimately at Quintessa Medical Spa we tend to use the diode laser by Vasculight and in our Mequon location we have the Duette system which has a relatively innovative way of using the laser where there is multiple laser heads in combination with a suction apparatus that allows us to treat large surface areas such as the back or full legs extremely effectively and extremely quickly.
Question: I have creases and small wrinkles below my eyes. Do laser treatments work on the thin skin beneath the eyes? I have permanent crow’s feet that I would like removed at the same time if possible.
Answer: Yes, laser treatments can definitely work on the thin skin of the lower eyelid, but obviously great care has to be taken so that we get the result we want without any complications. Ultimately, you want to see an experienced surgeon that can perform laser resurfacing deep enough to create a significant amount of wrinkle reduction and yet not create any complications such as scarring or pulling of the lower eyelid. Other options, if you have a significant amount of excess skin, would be to pinch the lower excess skin away and place sutures similar to what is performed in an upper eyelid blepharoplasty. The sutures are removed in 3 days and the scar is extremely inconspicuous and is usually less obvious than the wrinkle that had been present in that location. Frequently a combination of the lower lid skin pinch and laser resurfacing is performed with or without a lower lid blepharoplasty.
Question: I have very fine lines at the corners of my eyes. Is this something that microdermabrasion can treat? Is it safe so close to the eyes?
Answer: Microdermabrasion may be able to improve those lines slightly, but I really do not consider microdermabrasion a very effective way to treat wrinkles. Otherwise, microdermabrasion is exceptionally safe, even in and around the eye area when a crystal-free microdermabrasion is performed. Otherwise, I would recommend consideration of Botox for the crow’s feet.