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March 29, 2012
The texture of my skin looks very rough
Filed under: Chemical Peel,Skin Resurfacing — Dr. Andrew Campbell @ 12:28 pm

Question: The texture of my skin looks very rough, I think in part because I look like I have large pores. Can a chemical peel improve this?

Answer: A chemical peel can definitely improve the rough texture of the skin and even improve the visibility of large pores depending on which peel in performed.  Ultimately, the deeper the peel or the deeper the laser resurfacing the more significant the results but also the more downtime and higher risk involved.  I would recommend seeking out someone with a very significant amount of experience with chemicals or lasers so that you ultimately get the result that you would want while minimizing any risk of unexpected complications.

March 26, 2012
I would like Botox injected to reduce age lines around my eyes.
Filed under: Botox,Injectable Fillers — Dr. Andrew Campbell @ 10:24 am

Question: I would like Botox injected to reduce age lines around my eyes. How often do most people usually get the injections done?

Answer: Most patients get Botox injected every three to four months though many patients can extend this out to about every six months if they have been getting Botox for an extended period of time.

March 23, 2012
My lips have been thinning with age and it’s really been bothering me.
Filed under: Injectable Fillers,Lip Augmentation — Dr. Andrew Campbell @ 12:24 pm

Question: My lips have been thinning with age and it’s really been bothering me. I used to have great luscious lips and I’d love to have them back to how they used to be, but I’m very hesitant of lip augmentation. The results I’ve ever seen look so unnatural. Are there other options that can augment the lips more naturally?

Answer: Unfortunately, I think you have just seen some bad injections giving the appearance of very unnatural appearing lips.  This is not the filler agent’s problem but the injector’s fault since when properly performed; we can do a very natural appearing lip augmentation with fillers, such as Juvederm and Restylane.  In fact, since it is an injectable filler agent as opposed to an actual implant that gets placed there, we can highly customize where volume is added to the lip and give a patient a very natural but also very rejuvenated and luscious lip.  

March 21, 2012
She’s had horrible acne for years that has finally cleared up, but it’s left her with some pretty severe acne scars.
Filed under: Acne,Laser Treatments — Dr. Andrew Campbell @ 3:42 pm

Question: My daughter is 24. She’s had horrible acne for years that has finally cleared up, but it’s left her with some pretty severe acne scars. Will this improve at all on its own as she gets older or is there some sort of treatment that could help? I know she is very self-conscious about her skin.

Answer: The actual acne scarring does not typically get better over time but frequently the appearance of the acne scarring can improve since oftentimes patients are left with some redness in the acne scarred area, which makes this appear worse since the redness almost looks like a shadow.   Allowing the redness to subside or treating the redness with various lights and lasers to make it disappear can impact the overall appearance of the acne scarring in a very significant way.  If there is no color difference in the acne scarring itself, then consideration of some fractionated laser treatments would be appropriate since we can typically make an extremely significant impact on the visual quality of the acne scarring so that it is much less noticeable.  Unfortunately, we are never able to completely get rid of acne scarring no matter what treatment modality is employed. 

March 20, 2012
I will be getting laser hair removal treatments on my legs and armpits.
Filed under: Laser Vein Removal — Dr. Andrew Campbell @ 10:37 am

Question: I can’t wait to throw away my razors for good! I will be getting laser hair removal treatments on my legs and armpits. How many sessions will I need to come in for? Do I pay per session or per body area?

Answer: Laser hair removal requires six to eight treatments for full efficacy, and we expect at least a 90% if not 95% reduction in the number of hairs in that area as long as these hairs are dark colored.  As far as payments, we prefer patients to buy a package of laser hair removal treatments so that they are much more likely to complete six to eight treatments and, therefore, maximize their results since they have prepaid for that number of laser sessions.  We, therefore, bundle these treatments together and give a significant discount in the overall price so that we can incentivize patients to get excellent clinical results. 

March 19, 2012
What kinds of lifestyle choices should I make so that the results last as long as possible?
Filed under: Laser Treatments — Dr. Andrew Campbell @ 4:02 pm

Question: I am a 65 year-old woman who recently had a facelift. What kinds of lifestyle choices should I make so that the results last as long as possible?

Answer: To make your facelift last as long as possible there are multiple different things that you can do. The first would be to quit smoking if you are a smoker since this will significantly advance the signs of aging faster than necessary.  The second would be to continue to provide excellent sun protection so that you do not have the effects of UV radiation affecting your result.  The third would be to have a healthy lifestyle in that you drink plenty of water, have a healthy diet, and exercise regularly.  Other options to consider would be regular skin treatments and that could be consistent of good skin care, microdermabrasions, broadband light treatments, or even a ProFractional Laser treatment every six to twelve months.  Another consideration would be to have an Ultherapy treatment every one to two years, which will treat the deeper layer of the face with a SMAS that has been lifted with your facelift and continue to intermittently tighten it with this device in an attempt to maintain your youthful appearance for as long as possible. 

Is there a difference in the appearance of the skin when comparing the results of a chemical peel and microdermabrasion?
Filed under: Microdermabrasion,Skin Resurfacing — Dr. Andrew Campbell @ 11:29 am

Question: Is there a difference in the appearance of the skin when comparing the results of a chemical peel and microdermabrasion? I am 37 years old and would like to have treatment on my face.

Answer: There is an extreme variety of different chemical peels and these can range from extremely light peels that will only create a slight glow and pinkness to the skin to extremely deep peels that would require a good week or even two weeks of healing time.  So, to compare chemical peels to microdermabrasion is a difficult thing to do.  Ultimately, I think it is important to see someone who has extensive experience treating the skin with a variety of different chemicals, lasers, and microdermabrasion so that we can customize the treatment plan for your specific skin problem and then end up giving you the result that you desire with as little downtime as possible.  In fact, we frequently combine microdermabrasion with chemical peels performing both at the same setting to maximize your results while minimizing any side effects.

March 17, 2012
Does microdermabrasion stimulate the skin to become more elastic and younger looking?
Filed under: Microdermabrasion,Skin Resurfacing — Dr. Andrew Campbell @ 12:14 pm

Question: Does microdermabrasion stimulate the skin to become more elastic and younger looking? Or is it just removing the outer layer of skin for a temporary change in appearance?

Answer: Microdermabrasion does more than just get rid of the dead layer of skin on the surface.  The suction that is used in the device actually improves blood flow to the skin and can also improve collagen of the deeper layer of the skin although this is relatively subtle.  Though there are much more aggressive treatments to the skin that are more effective than microdermabrasion, microdermabrasion treatment is extremely easy, painless, has an instant improvement in the condition of the skin, and can be repeated on a monthly basis.  Furthermore, microdermabrasion allows your skin care products to work more effectively by allowing them to penetrate into the skin better.  Ultimately, I feel that most of our patients would do well having a regular microdermabrasion on a monthly basis.

March 16, 2012
how long do I have to stay out of the sun before I can return to my daily work routine?
Filed under: Chemical Peel,Skin Resurfacing — Dr. Andrew Campbell @ 3:35 pm

Question: During my teen years/early 20′s I played sports, spent hours on the beach without sunscreen.  Now I am a 40 year old male adult. I am a general contractor and spend the better part of my days outside.  I want a facial peel to help soften my rugged look.  My question is, how long do I have to stay out of the sun before I can return to my daily work routine?

Answer: There are a variety of treatments that we can recommend at Quintessa Aesthetic Center for overly sun damaged skin.  We would have to personally evaluate your skin and then discuss the variety of options available so that you can choose the best option for your lifestyle and finances.  A treatment option that can provide significant improvement in the skin texture and overall skin coloration and quality is what we call a 4-Week Challenge.  This involves customized broadband light treatment followed by a ProFractional Laser treatment followed by another broadband light treatment each spaced about two weeks apart.  It can provide significant improvement in the skin with only one to two days of downtime.  A more aggressive approach and, in fact, the most aggressive approach would be a full laser resurfacing, which would be typically performed in an operating room setting and will give you a good six to seven days of significant downtime followed by sensitivity and pinkness to the skin for several weeks after that.  You would be able to go back to work after the first week, but you obviously would want to wear very good sun protection to prevent any further injury to this fresh new skin.  

I have sporadic acne scarring on my face.
Filed under: Acne,Skin Resurfacing — Dr. Andrew Campbell @ 10:24 am

Question: I have sporadic acne scarring on my face. Is it possible to spot-treat these areas with a chemical peel instead of treating my entire face?

Answer: It is certainly possible to spot treat acne scarring though I would personally recommend ProFractional Laser resurfacing over chemical peels since you would need a very deep chemical peel to make a significant improvement in acne scarring and this would leave the skin with a different texture and color than the surrounding area.  We can avoid this color change by treating with a fractionated Erbium laser in a series of three treatments spaced about a month apart.  I have seen dramatic improvements in acne and chickenpox scars or even traumatic or surgical scarring using this protocol. 

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