IPL FOR MEN

 

man ipl before 2

man ipl after 2

Men are great candidates for rejuvenation with IPL (intense pulsed light or photo facial).   A lifetime of sun exposure has the same effect on their  skin as it does on us ladies.  Using the broad band of wavelengths available with an IPL we can target numerous skin conditions.

The above individual had 1 IPL to treat the hyperpigmentation and capillaries and saw dramatic improvement. He is a candidate to further clear the  remaining pigment and visible blood vessels.  He had minimal cosmetic downtime with this treatment and was able to conduct his professional and personal obligations without missing a beat.  The normal pigmentation darkening occurred and was gone in a week.

With IPL we are able customize a treatment based on the clients concerns and our assessment.  IPL is typically used to treat hyperpigmentation and redness.   Different filters are selected during the treatment to target a variety of skin discolorations.  Often a number of passes are completed in order to treat all the targets.

Hyperpigmentation (the brown pigment, most often from uva/uvb exposure) typically ‘peppers’, or darkens.   This peppering usually flakes off  by days 5-7.  There is minimal discomfort.  Patients are encouraged not to pick or remove the peppered areas, as this can lead to scarring.  The pigmentation, in some cases, is gone after the peppering resolves.  In other cases the pigmentation is lighter than before, but may need additional treatments.

Redness, either diffuse or individual capillaries, is treated effectively with IPL as well.  In some cases, if the capillaries are larger and dilated, there can be bruising following a treatment.  This is not common, but can occur.  Nasal veins are frequently stubborn and need to be treated more than once, as larger vessels lower in the skin keep those vessels dilated and “fed”.

Encouraging skin care that can compliment these treatments, and help protect the results, is important.  At the very least a topical antioxidant (such as vitamin c) and a sunscreen with zinc should be used on a daily basis.  There are other products that can be introduced depending on the individual and their primary concerns.   A retinol/retinoid can be helpful.  There are situations where there is remaining pigmentation that the IPL is not effectively treating.  A topical combination of a retinoid/hydriquinone/kojic acid/fluocinolone (a steroid)  can be compounded to resolve remaining skin discoloration.  This combination is frequently referred to as Kligman’s Formula.

This is a great time of year to have an IPL, or series of IPL’s, as sun exposure is not as prevalent in the winter months.  Sun avoidance is an important pre and  post care instruction to follow.

man ipl before

man ipl after

I look forward to helping this client further resolve his discoloration.

Fellas, don’t hesitate to seek professional aesthetic treatments if you are noticing changes you are unhappy with.

And, we do everything we can to make it as comfortable as possible!

 

 

My HALO Journey

As I mentioned in my last post, we now are offering Halo™ by Sciton at TOC Medical Spa.  I had my treatment March 19th and took a series of photos and took notes about my experience to better inform our patients.

immediate before halo

Before Halo/March 19th

immediate post halo

Immediately after Halo™

The days after treatment:

 

Day One

March 20th

Day Two     March 21st

Day Three      March 22nd

Day Four      March 23rd

By day five and six most of the brown had detached and sloughed off.  Unfortunately my photos from these days were lost:-(

Day Eight

March 28th

(still a small amount of malar swelling)

I wore topical numbing for approximately 45 minutes before the treatment.  The treatment itself felt like prickly heat.  The heat accumulates and becomes more uncomfortable with repeat passes with the laser.   A cool chiller is utilized along with the laser and helps to alleviate some of the sting.   The face is treated in 5 zones: each cheek, each side of the forehead and then the nose.  The perioral area is treated with the cheek zones.  I thought the most uncomfortable areas were the forehead and upper lip.  I think we all experience the sensation a bit differently so 4 people could have slightly different descriptions.  Post treatment, my face felt very hot for 45 minutes.  This seems to be consistent with everyone we have treated.  I drove home with the AC blasting on my face for most of that time.

At TOC we are recommending very gentle products post treatment for up to 5 days.  We are providing our patients Cetaphil Gentle Cleanser, Cetaphil Moisturizing Lotion and Aquaphor.

As you can see in the photos there is redness and swelling after the treatment for up to 5 days.  By day 2 a bronzing appearance and rough (sandpaper like) texture evolve.   This is the microscopic necrotic skin cells coming to the surface.    These slough off, in most cases, by day 5.  It is not unusual to have a few acne blemishes post Halo™, which I did.

I had swelling in the periocular and malar (cheek) area for a solid 7-8 days.  This is not typical, however.  Most patients have resolution of swelling by day 5.

Halo™ by Sciton helps with pigmentation, texture and the appearance of pores.  Improvement will continue to be seen over the coming months as the collagen stimulation triggered by the treatment can take months to be fully realized.

This is me today, 2 1/2 weeks post treatment.

April 5th

The treatment definitely lifted hyperpigmentation and brightened my complexion.  The results are impressive for one treatment with minimal downtime.  (mind you, I felt unsightly for a few days due to the swelling!)

Sun avoidance is very important after a Halo™, so sunscreen and big hats should be at the ready.   Most patients can return to their normal skincare routine at day 5-7, which will always include a sunscreen 🙂  We treat everyone prophylactically with antiviral medication (Valtrex) as the treatment can trigger a outbreak of cold sores.

Hope this helps and that my series of mug shots aren’t too much!

Have a great weekend!

 

 

 

HALO AT TOC MEDICAL SPA

Halo

We are very excited to have a new toy here at work!  The Halo™ laser has joined the office as another tool to help our patients look rejuvenated.  The Halo™ is a hybrid fractional laser which can achieve excellent results in 1-3 treatments.  Some of the fractionated lasers before would take 5-6 treatments to achieve the same results.

The Halo™ consists of two wavelengths, a fractionated ablative 2940 and a non ablative 1470.  Each wavelength is customizable depending and the goals of the particular patient and how much downtime they can afford.  Traditionally, ablative lasers required too much down time and the non ablative lasers would have underwhelming results.  With the hybridized combination of the two we are able to target pigmentation and texture issues in this fractionated laser treatment while providing minimal downtime.  (or ablative like results with non-ablative downtime)

Skin issues we are able to target with this treatment include:

  • wrinkles
  • discoloration/pigmentation
  • scars
  • skin laxity
  • uneven tone and texture
  • the appearance of enlarged pores

The 2940 wavelength really targets the pigment and discoloration in the upper layers of the dermis while the 1470 is able to create an injury deeper in the dermis and initiate the bodies own cascade of wound healing, creating new collagen and elastin.

The Halo ™ glow is what patients are thrilled with after treatments.  The texture and pigmentation which absorbs light normally is gone, allowing the light to reflect off the tissue.  Here is a series of photos of a patient who had a Halo™.

halo day by day

This is what we have seen here with the patients we have treated.  There are approximately 5 days of cosmetic down time.

In addition to the hybridized Halo ™ treatment we are able to combine BBL, or broad band light, with the treatment on individuals with lighter skin types.  The BBL works in synergy with the Halo at targeting discoloration and redness.  Either treatment can also be a stand alone treatment.

Once your skin is where you want it “Forever Young” treatments can be performed with the BBL to maintain the results.  The treatments can be performed 3-4 times a year to maintain the clearing of hyperpigmentation and redness.  Additonally, the BBL can actually affect the DNA/RNA sequencing of the skin cells.  Photo aged and intrinsically aged skin cells can express like younger skin after BBL treatments.

As with all light based and laser based treatments, strict sun avoidance is recommended before and after your treatment.  The use of a sunscreen with zinc is highly recommended.  There are other skin care products that can help to optimize your pre and post treatment course which your provider can help you choose.

Stay tuned for more positive reports on the treatment!

AN HONEST ACCOUNT OF BEFORE/DURING/AFTER IPL AND PEEL

I thought I would share an honest account of the process of having an IPL or photofacial followed by a peel.

*please pardon the mug shots 🙂

self1

This is a before photo the day I did my IPL

I was bothered by hyperpigmentation which was increasing over the last 6 months

self2

selfzoomafter

The two above photos are the day after the IPL and the pigmented lesions have “peppered” and now appear darker.  This is GOOD!  That is what I was targeting!

After allowing my skin to calm down for 1-2 weeks, I applied a VI Peel® on day 10.  By day 4 I was experiencing peeling that lifted my stratum corneum (the top layer) and any remaining peppering that was hanging on.

selfpeel

The peeling starts around the mouth and spreads out the cheeks over the course of 1-2 days.  This period is itchy and a bit irritated, but the VI Peel® comes with hydrocortisone cream in an emollient base that helps sooth the skin.  I flaked until yesterday which was day 9.

Today is 10 days since  I applied my peel and I now have clear, smooth and rejuvenated skin.  My pores appear smaller, the pigment is significantly improved and any fine lines have been minimized.  Makeup applies very smoothly after recovering from these procedures.

after2

Here is todays mug shot!

(without makeup on face as evidence by my uncamouflaged breakout! just eye makeup)

I wish I had a picture from 12 years ago before I started taking care of my skin. Once upon a time I was a red head who wanted a tan!  I was covered in freckles and “age spots”.  I try very hard to protect my skin these days.  However, even with my efforts, I end up with some sun from long walks with my dog or hiking with friends.

Anyway, I am a huge fan of these modalities for skin rejuvenation and thought I would share these photos as an example of what one can expect!  I try to do this 3-4 times per year.

 

IS IT TIME FOR A PEEL?

I posted on peels last fall and think I will follow it up with another post this fall!  Why?  Because this is the perfect time of year to do a peel, or, a series of peels.

During the summer months we accumulate more sun damage than during other times of the year.  Even those of us who wear sunscreen, like it is required by law, end up with a little sun.  (if we like to spend any time outdoors)   I wear sunscreen religiously but also have a big lab named Sophie who requires a certain amount of outdoor exercise every day.

sophie-2

She is worth every freckle!!!!!

If you feel that you are in a similar boat and have some visible sun spots even though you have tried to protect your skin, consider a peel.  Peels have a number of benefits.

  • Lift/fade hyperpigmentation/sun spots
  • Increase collagen by stimulating fibroblast activity
  • Minimize fine lines
  • Diminish the appearance of pore size
  • Improve the clarity, tone and texture of skin
  • Purify acneic skin by ridding of excessive skin build up and decreasing acne causing bacteria, p. acnes.

My favorite peel as a provider and a user is still the Vi Peel®.   I find this peel to be predictable and feel it gives superior results to other peels I have worked with/received.  The peeling process with this peel is enough that there is some social downtime.  Days 3-5 are particularly “ugly”  as you slough off the skin that has received a controlled burn.  You kind of feel like you leave a trail of DNA everywhere you go!   By day 7-10 skin looks refined, radiant and healthier.

For those of you who are familiar with peels, the Vi Peel® contains a combination of Phenol, TCA, Salicylic and Retinoic Acids.  It also contains Vitamin C  and a proprietary blend of minerals.  After the in office peel there are also three additional at home steps consisting of additional Retinoic Acid on individual pre-saturated pads.  The at home kit also has sunscreen and a moisturizing hydrocortisone cream to use while peeling.

Ultimately, this peel can really improve the appearance of skin with little down time.  Just a few days!

peel-picture

So, if you are ready to peel back the layers of skin that are making your skin look discolored and dull find a provider who can help you with a Vi Peel®!

We provide this service here at TOC Medical Spa 🙂

P.S.- If you suffer from cold sores make sure to utilize prophylactic antiviral therapy to minimize the risk of an outbreak from the peel.