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May 12, 2012
Would I need to shave my back prior to treatments?
Filed under: Laser Hair Removal — Dr. Andrew Campbell @ 9:56 pm

Question : Can laser hair removal be used for thick body hair? I am male, 41 years old, and have a very hairy upper back. Would I need to shave my back prior to treatments?

Answer : Yes, laser hair removal is very successful at treating thick body hair including hair in the upper back.  We do need to shave or clip the hair down to the level of the skin prior to the treatment, but after the treatment the hair shaft itself typically falls out and we then re-treat six to eight weeks later as new hair is growing in.  A total of six to eight treatment sessions are necessary for adequate hair reduction.

May 5, 2012
Do the treatments cause any tenderness in the area?
Filed under: Laser Hair Removal — Dr. Andrew Campbell @ 9:53 pm

Question : I would like my pubic hair removed using laser hair removal. I read online that 4-6 treatments are necessary. Is this correct? How long is each session?  Do the treatments cause any tenderness in the area?

Answer : Pubic hair can certainly be treated with laser hair removal, but typically we are looking at a good six to eight treatments to give adequate reduction where patients are satisfied with their results and even then most patients are going to need touch ups every six months to a year.  Depending on the surface area, the treatment sessions can be as little as 15 minutes and you will have some tenderness in the area for a day or two.

May 4, 2012
Would fat injections under my eye solve this problem?
Filed under: Facial Fillers,Injectable Fillers,Juvederm — Dr. Andrew Campbell @ 9:51 pm

Question : I had Juvederm injections under my eyes, but I did not like the results because my eyes now look uneven. Would fat injections under my eye solve this problem?

Answer : I would have to evaluate your particular anatomy and problem area to determine whether or not fat grafting would be appropriate but, in essence, you are just trading one filler for another since both Juvederm and fat would be considered volumetric enhancements of the face.  So, in other words, if fat grafting would be useful to improve your uneven look then more Juvederm would also be good at creating the same effect.

May 3, 2012
Will I experience more wrinkle reduction from a true facelift or from Botox injections?
Filed under: Botox,Facial Fillers,Wrinkles — Dr. Andrew Campbell @ 9:45 pm

Question : Will I experience more wrinkle reduction from a true facelift or from Botox injections?

Answer : It really depends on what area of the face you are describing as to whether or not a facelift will be better than Botox for wrinkle reduction.  When I personally think of a facelift, I really think of a treatment that is improving upon laxity of the face, such as areas of jowling and laxity under the chin.  In the case of Botox, I am treating hyperdynamic muscles, or muscles that are overly active, creating deep wrinkles.  So, in essence, these two treatments can actually complement one another since one can be used for the treatment of facial laxity while the other is used for hyperdynamic muscles.

May 2, 2012
Can these by treated with the laser and is this safe given how close it is to my eyes?
Filed under: Cheek,Laser Treatments — Dr. Andrew Campbell @ 9:43 pm

Question : I have some broken capillaries at the tops of my cheeks. Can these by treated with the laser and is this safe given how close it is to my eyes?

Answer : Yes, broken capillaries on the upper cheeks can easily be treated with a laser and, in fact, quite successfully.  There should be no danger to the eyes since we protect these with goggles during the procedure.

May 1, 2012
Does ultherapy remove fat or just tighten the skin?
Filed under: Facial Fillers,Injectable Fillers,Ultherapy — Dr. Andrew Campbell @ 9:40 pm

Question :  Does ultherapy remove fat or just tighten the skin? Are the results permanent?

Answer : In reality, Ultherapy neither removes fat nor tightens the skin but, in fact, targets the deeper layer of the face in the area of the SMAS where there is a significant amount of collagen.  The ultrasound waves heat the collagen to the point where they denature and this creates a healing response where new collagen is deposited, which in turn then tightens.  When we treat an entire face with the Ultherapy device, we will do upwards of 8000 small thermal injury zones where new collagen is going to be deposited and each zone will create a small amount of tightening.  When these are all added together, we get brow lifting and cheek lifting and improvement in jowls and laxity under the chin.  In my opinion, the results are similar to other devices such as laser resurfacing or even surgical results in that the tissue heals and now we start the aging process from a new reference point so, in effect, the patient that undergoes an Ultherapy treatment will always look better than if they had never undergone a treatment, but they will eventually age out of the improvement that was obtained.

April 9, 2012
How many laser treatments are needed to eliminate a black tattoo?
Filed under: Laser Treatments,Tattoo Removal — Dr. Andrew Campbell @ 4:27 pm

Question: On average, how many laser treatments are needed to eliminate a black tattoo?

Answer: We do not currently treat tattoos, but I do know that it does take multiple treatments spaced about a month apart to get adequate reduction of the tattoo even if it is black.  This typically ranges from four to eight treatments but can sometimes take more depending on the color of your skin in comparison to the black tattoo.   

April 7, 2012
Are there any laser treatments in which I could go back to work the next day?
Filed under: Laser Skin Resurfacing,Laser Treatments — Dr. Andrew Campbell @ 11:37 am

Question: Are there any laser treatments in which I could go back to work the next day? I am 60-years-old and can’t really take any time off.

Answer: There are lights and laser treatments that are considered nonablative that have absolutely no downtime and this would include intense pulsed light or broadband light treatment.  They are very good for improving skin discolorations and can also improve some mild textural irregularities.  If you get into the lasers that create wrinkle reduction the far majority of those are going to give you at least a few days of downtime, but the results are going to be much more significant for wrinkle reduction and textural character. 

April 5, 2012
I have fine lines above my lip. What’s a good filler for this area?
Filed under: Injectable Fillers,Juvederm,Restylane — Dr. Andrew Campbell @ 8:57 am

Question: I have fine lines above my lip. What’s a good filler for this area?

Answer: I think the hyaluronic acid fillers Juvederm ULTRA and Restylane are the best options for fine lines of the upper lip.  They can be used to fill small lines.  They are very well tolerated and last a relatively long time and are overall a good value.  They are also extremely safe and should any sort of an unexpected bumpiness or fullness occur, they can be reversible.

April 3, 2012
Does Radiesse provide permanent or temporary relief of facial wrinkles?
Filed under: Injectable Fillers,Juvederm,Radiesse,Restylane — Dr. Andrew Campbell @ 12:05 pm

Question: Does Radiesse provide permanent or temporary relief of facial wrinkles?

Answer: Radiesse provides a temporary solution to facial wrinkles and folds and can last one to two years though in multiple patients I have seen them return within six months needing more volumetric enhancement.  Due to this fact, we typically use the hyaluronic acid fillers Restylane and Juvederm over Radiesse, but occasionally someone will desire a significant amount of cheek enhancement and I will oftentimes discuss cheek implants, fat grafting, and Radiesse to those particular patients.

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