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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 19, 2012
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. 

March 15, 2012
What combination of techniques are the most effective for removing acne scarring?
Filed under: Acne,Skin Resurfacing — Dr. Andrew Campbell @ 9:22 am

Question: What combination of techniques are the most effective for removing acne scarring? Does it matter if the scarring is older? I’m 54-years-old and my acne scars are from my teens.

Answer: My personal recommendation for acne scarring today is a series of ProFractional Laser treatments that create tunnels of injury into the skin and this creates new collagen in the deeper dermis which in turn remodels the scarring and creates a smoother external appearance.  While acne scarring cannot be cured, and we can certainly never rid somebody of the appearance of acne scarring, we can definitely make things look quite a bit better with these advanced laser techniques. 

February 20, 2012
What are some techniques used for improving acne scarring?
Filed under: Acne,Skin Resurfacing — Dr. Andrew Campbell @ 4:57 pm

Question: What are some techniques used for improving acne scarring?

Answer: There are multiple different techniques that can be employed to try to improve the appearance of acne scarring from as simple as filling the area with an injectable filler to subcision with a needle in conjunction with some filler material to fat grafting or more aggressive treatments, such as laser resurfacing.  My personal gold standard at this time is actually a ProFractional Laser by Sciton, which is a fractionated Erbium laser where tunnels are vaporized into the skin and this creates a large amount of new collagen deposition into the dermis which in turn remodels the overlying epidermis and can create a very significant improvement in the appearance of acne scarring.  The downside is that I recommend three treatments spaced at least a month apart, so the overall downtime can be very significant since each treatment requires about four or five days where the skin is healing.  A very conservative approach, such as microdermabrasion or superficial or even medium-depth chemical peels, does very little for acne scarring and I recommend that patients avoid these techniques due to the fact that they are really not going to get any visible improvement in their acne scarring unless a more aggressive approach is undertaken.

December 28, 2011
What are the side effects of laser skin resurfacing?
Filed under: Laser Skin Resurfacing,Skin Resurfacing — Dr. Andrew Campbell @ 10:10 am

Question: What are the side effects of laser skin resurfacing? Are they potentially deadly?

Answer: Potential side effects of laser resurfacing include scarring, infection, and loss of pigmentation, none of which should be potentially deadly.  In fact, the risk of complications in experienced hands is exceptionally low but, due to your concern, I would highly recommend that you discuss this with your physician that would be performing any sort of laser skin resurfacing.

December 23, 2011
Is laser resurfacing is the best way to treat rhinophyma?
Filed under: Laser Skin Resurfacing,Skin Resurfacing — Dr. Andrew Campbell @ 11:09 am

Question: I’ve heard that laser resurfacing is the best way to treat rhinophyma. Is this true? How does it work?

Answer: Laser resurfacing is certainly one way to treat rhinophyma though, in advanced cases, I feel that it is extraordinarily time consuming and I, therefore, prefer to simply use a scalpel to shave off the excess glandular tissue of the nose and reshape a more aesthetically pleasing nose with a simple surgical sculpting. Any bleeding can then be either treated with standard electrocautery or laser resurfacing. If someone has very early rhinophyma, there may be some advantages to using a laser but, overall, I certainly cannot say that laser resurfacing is the best way to treat rhinophyma.

December 22, 2011
Can laser skin resurfacing get rid of acne scars?
Filed under: Acne,Skin Resurfacing — Dr. Andrew Campbell @ 10:02 am

Question: Can laser skin resurfacing get rid of acne scars?

Answer: The short answer to your question is that nothing can get rid of acne scars since once scars are in the skin there really is no way to make a scar completely disappear. The goal is to try to make a scar less visible and, from that respect, we can certainly do various different laser treatments to the skin to make acne scarring much less noticeable.

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