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!

 

 

 

MICRO-NEEDLING

Micro-needling, or collagen induction therapy,  has been around for a number of years, but has recently had a new wave of enthusiasm.  I just read an article in the New York Times™ about an at home device called GloPro® which is, apparently, doing very well on the market.

glopro

We have been performing micro-needling in office for a number of years and I thought I would touch on the difference between an at-home device versus a medical grade micro-needling treatment.

An at home device has one setting and is not made to penetrate deeply.  It treats the very surface of the skin.  Most people will have slight erythema (redness) which indicates the body is responding to the stimulation.  I believe over time results can be noticed.  However, not to the same extent as with a more aggressive in office treatment.

Eclipse Micropen Elite

We utilize The Eclipse Aesthetics Micropen® device.  This device is automated with a treatment tip consisting of 12 needles.  The provider can choose how deep to penetrate the tissue depending on the area of the face and  the treatment goals.  We tend to be more aggressive on the fattier parts of the face, such as the cheeks.  We adjust the depth of penetration of the needles for each patient, the treatment area,  the patients goals and the amount of social downtime the patient can afford.  We find that even an aggressive treatment, with pinpoint bleeding, can look presentable the next day.

another micrpen

In addition to being able to adjust and personalize the treatment with depth of penetration, we can also personalize which product to apply to help the treatment tip glide easily over the face.  We utilize both a hyaluronic acid and MicroGlide GF™, a growth factor product.

The other option ,which has received a lot of buzz the last few years, is utilizing the patients own isolated platelet rich plasma (PRP).  This is done by drawing the patients blood, utilizing a centrifuge to separated the plasma and then re-injecting the plasma with the micropen device.   Most people  refer to this type of treatment as a The Vampire Facelift®.

The delivery of an injury to the tissue is what creates the stimulation of the fibroblasts to make new collagen and elastin.  Utilizing growth factors or PRP  further stimulates the induction of collagen and elastin.

Who is an ideal candidate for this treatment?  Virtually anyone wanting to improve the appearance of their skin.  This treatment, when accompanied by a solid skin care routine at home, can make noticeable improvement in the texture, tone and color of the skin.

I think micro needling is here to stay and is an effective modality with little or no downtime.