Evolutions Event – All About Chemical Peels and Your Skin

Join us at our August event!

Skin Appeel

All About Chemical Peels and Your Skin!

Wednesday, August 30th
6:30 pm to 8:30 pm

Evolutions Medical & Day Spa offers a variety of peels, from light to deep, that can address many of the skin conditions concerning our clients.

At this event you will learn about the peels available at Evolutions as well as get answers to some frequently asking questions, including:

  • What do chemical peels feel like?
  • Do all chemical peels make your skin peel off? (Hint: No!)
  • How can peels help my acne? Age spots? Pores?
  • Can peels be combined with laser treatments?
  • I have good skin, do I still need a peel?

  All peels and peel series will be discounted 20%!

Enjoy refreshments, a great raffle, and exclusive specials at our event.

Attendance is Limited – Call Today to RSVP – 805-695-2160.

DermaSweep in Santa Barbara

Our Santa Barbara Day Spa offers an escape from life’s everyday stress. A 60 or 90 minute day spa service (such as a massage, facial, body scrub or wrap) can be an amazing “mini stay-cation.”

This month, our featured Mini Stay-Cation idea is a DermaSweep exfoliating treatment.

DermaSweep Santa Barbara

As our skin ages, the natural exfoliation process slows down. Exfoliating treatments at Evolutions work to speed up the natural cell turnover and help you to achieve and maintain clear, healthy, youthful-looking skin.

DermaSweep MD, our most advance exfoliation treatment, uses a variable-level vacuum system to gently lift the skin as the device “sweeps away” the dead layer quickly and painlessly. Increased blood flow in the treated area encourages collagen formation, toning, and firming of the skin

Finally, Epi-Fusion delivers skin specific topical solutions deep into the skin to treat common concerns such as acne, dry skin, and hyperpigmentation.

View all of our Santa Barbara Day Spa Services here.
Contact us at (805) 695-2160 to schedule your Mini Stay-Cation day spa service today! 

Chemical Peels in Santa Barbara: Evolutions Event Recap

Yesterday evening Evolutions Medical Spa hosted an educational event about chemical peels and how beneficial they are for all skin conditions and skin types. Santa Barbara cosmetic surgeon, Dr. Terry Perkins, the founder and Medical Director of Evolutions, explained and demystified chemical peels. Following is a recap of his presentation:

How Skin Turnover Works

An understanding of skin will lead to a better understanding of how chemical peels work to freshen the skin. Skin cells are created in the basal layer and move upwards. Cells die as they get closer to skin surface and naturally slough off.  Most people in their youth have skin turnover every 28 days or so. That is why young children and young adults usually have glowing, voluminous skin. As we age cell turnover can slow to 40-45 days coupled with the fact that collagen and elastin naturally decrease and we are left with skin that is “relaxed” and saggy.  Chemical peels help expedite the skin turnover process so that new cells can move to the surface for a result of more normal-looking skin.

What Do Chemical Peels Do?

A chemical peel creates a controlled depth injury to outer layers of skin. The injured tissue then exfoliates or peels and new cells replace the exfoliated cells at a faster rate. Collagen and elastin production is increased. There are several different types of peels, from light to deep:

  • Lighter peels affect the epidermis: typically this is the type of peel you will get at a day spa or this is the layer that is affected by micodermabrasion
  • Medium peels affect the papillary dermis: these more aggressive peels are usually done in a doctor’s office or at a medical spa; you may see improvement in lines, wrinkles, and pigmentation
  • Deep peels affect midway in the dermis: chemabrasion is an example of a deep peel and is done at Cosmetic Surgery Center in the operating room.

Deeper peels have more downtime, but more downtime yields better results.

Benefits of a Chemical Peel

  • Peels can lighten, tighten, brighten (more luminosity to the skin)
  • They smooth skin and improve texture and color uniformity
  • Peels can bring out healthier skin; often any precancerous/abnormal skin may peel off
  • Consistent peels can keep your skin younger-looking skin throughout your lifetime
Commonly Asked Questions about Chemical Peels

Do peels hurt?
The stronger and deeper it is, the more likely you will have some discomfort. Deeper peels feel hot because of the acid on the skin. At Evolutions, we have a hand-held cooling device so the patient can direct cool air where it feels hot.

 Will skin peel off?
This depends on what you are doing. Some of the enzyme peels and the Flash Peel will increase cell turnover with no peeling. In general, most peels do cause sloughing, some degree of peeling skin. We don’t recommend you do a peel right before a big event. Plan to do a peel three to four weeks prior to any special occasion.

Where can peels be done?
Virtually any part of the body: face, neck, chest, hands are all treatable.  You don’t need to do the same peel everywhere, for example, a less aggressive peel can be done below the jawline because skin turnover is less fast, while a more aggressive peel can be done on the face.

Are peels mainly done for aging skin?
Peels can be done for aging skin and there are also peels that can be done to help control acne and slough off the dark pigmentation that some people get after the acne lesion is gone.

Are peels as effective as laser treatments?
Yes, in general. Lasers use light energy to penetrate the skin while chemical peels use acid to reach deeply into the dermis.

Peels Available at Evolutions 

Pumpkin Antioxidant Facial: this pumpkin peel is an enzyme type peel. Pumpkin contains high concentrations of vitamin A, vitamin C, and beta-carotene found in any fruit or vegetable. This facial and peel combination exfoliates and draws out impurities while introducing vitamins, enzymes, and nutrients. There is no downtime, no pain, and no peeling. A very relaxing experience.

* NEW! Flash Peel: this peel is a combination of glycolic, lactic, and salicylic acid that can be customized depending on the client’s skin. It can be a little tingly because of the alpha hydroxy acid. A mask is applied and massaged into the skin which gives the skin added hydration and nourishment. The service is a quick 30 minutes (easily done on your lunch hour). There is little to no peeling and yet the result is clear, rejuvenated skin.

* NEW! Jessner’s Peel: this peel has stood the test of time. Dr. Max Jessner, a dermatologist, came up with this in the early 1900s. He used resorcinol (a cousin to phenol) and mixed it with lactic and salicylic acid to create a peel that is not all that aggressive.  It can be done in multiple layers and as you do more layers, you get a white tinge to the skin, known as “frosting” or “blanching” which means proteins in the skin are starting to denature. It won’t get as deep as the Obagi blue peel because it’s not a strong acid which is why we classify it as a light peel to medium peel. Jessner’s Peel is especially helpful for acneic and/or oily skin. It contains lycopene and red wine (antioxidants for the skin) and is anti-inflammatory and anti-microbial. Good for all for people of all skin types who want to freshen the skin.

Clay Mask Peel (Advanced Acne Facial): this peel is excellent for people with oily or acne-prone skin. The AFA (amino fruit acids) clay mask works to draw out oils and impurities and offers optimal exfoliation.

Alpha Beta Peel: our most popular peel at evolutions! This peel combines alpha hydroxy and beta hydroxy acids into one powerful peel. We can vary the strength by applying it in 2-4 layers. A great choice for clients who want to see results quickly. Typically skin will begin to peel two to four days after the peel is applied and the skin will peel for approximately two to four days after that.

Obagi Blue Peel: the Obagi peel is our most aggressive peel available. The peel comes from a kit made by the medical grade skincare company Obagi.  The peel is available in concentrations of 15% or 20% TCA. We tend to do 20% so the client gets the best result. It is excellent for pigmentation issues. The Obagi Blue Peel is only available through a physicians office.  Downtime is about seven to ten days total.  Usually the peeling process occurs four to five days post application of the peel.

More Aggressive Options

These peels are only available at Dr. Perkins’ office – Cosmetic Surgery Center in Santa Barbara, just two blocks from Cottage Hospital.  For questions or to schedule a consultation about one of these options, call his office directly 805-563-0000.

Comfort Peel: the Comfort Peel is the strongest peel with 23% TCA. It is similar to blue peel but  has a topical anesthetic in it so the first layer stings a bit but the second layer stings less because of the numbing agent in it.

Phenol Peel: this peel can dramatically take care of sun damage and wrinkles. Dr. Perkins estimates that it can get rid of 95% of wrinkles in one treatment.  The downside is that phenol is toxic to melanocytes so the patient may have permanent lightening of the skin. The Phenol Peel is not commonly done anymore because of the lightening side effect.

Chemabrasion: this procedure combines a medium depth TCA peel (35% augmented TCA that has penetrating agents mixed in) with a light dermabrasion. It is done under anesthetic in the operating room. The downtime is about seven to ten days. Chemabrasion can get rid of 75-80% of wrinkles with one treatment.  Post-op care is like caring for a wound –  wash in the morning and evening; keep covered with ointment. This is also a great treatment for acne scarring.

 Improving Peel Results

You can improve the result of your peel by:

  • Doing a home care pre-treatment (recommended for more aggressive peels); the staff at Evolutions can suggest what product(s) to use in the weeks prior to treatment
  • Vibraderm prep: a physical exfoliation that will allow the peel to penetrate evenly and more deeply
  • Stem cell add-on:  from the skincare company DNA, the addition of stem cells helps augment the wound heeling
  • Multiwave LED – light therapy: multiple wavelengths of light speed the wound heeling and may shorten the time that you do not look good
  • Peel series: doing a series of light peels will give you a better result than just doing one; strong peels don’t need to be done in a series but, in some cases, a second follow up peel can be done if the client wants to see even greater results
  • Laser / Light-based treatment combined: we offer the FotoPeel which alternates between Fotofacials and chemical peels.  A great option for sun damage. This series makes people look really good really fast!
  • Ongoing home care / maintenance:  we always encourage our clients to use effective products for ongoing home care; Dr. Perkins has hand picked products from some of the top medical-grade skin care lines to upkeep your skin in between treatments.  We also recommend periodic peels for good maintenance.

Conclusions

Chemical peels are an important component (along with home care and possibly light-based treatments) in improving and maintaining the quality of your skin throughout your life. There are many types of peels for many different purposes. Remember that you don’t need to peel after a peel and all areas of the body can be treated.

To schedule a peel or a complimentary consultation, call us at 805-687-0212. 

 

Obagi Skincare: Santa Barbara Medical Spa Event Recap

Our “Summer Skincare” event provided us with so much information that we have decided to split the recap into three posts – each dedicated to the three topics of the evening – all of which are equally important.  The first topic was about the Clarisonic Skin Care System and can be read here. Our next topic is about Obagi Medical Products.

What is Obagi about?

Obagi has been around for almost 20 years and is the #1 prescription strength skincare line.  Obagi products transform skin cells to achieve beautiful, healthy skin. Obagi is for everyone – they have skin care lines for all types of skin and skin issues. Most Obagi systems are used from 12 to 18 weeks and afterward a maintenance program is designed to keep the skin looking great.  This post will cover the various Obagi skin care systems.

Obagi Nu-Derm System

An anti-aging therapy that penetrates below the skin’s surface to transform skin cell functions. It is the #1 selling system and is the most aggressive.  Use it for moderate to severe photodamage, heavy melasma, and more severe fine lines and wrinkles.  There are multiple steps involved in the system and it is used morning and evening. The bottles are clearly labelled and a routine is easy to establish.  Tretinoin (Retin-A) has to be added to the system separately (available at Evolutions).  The Nu-Derm system will:

  • Reduce hyperpigmentation (discoloration)
  • Transform rough skin
  • Alleviate sallowness
  • Prevent acne flares
  • Improve skin laxity
  • Diminish fine lines and wrinkles

Obagi C-RX System

This system rejuvenates skin with the use of L-ascorbic acid (an antioxidant that protects skin from free radicals) and prescription strength 4% hydroquinone (a lightening agent to gradually fade brown spots).  It is ideal for mild to moderate photodamage, mild wrinkles, freckles, and fine lines. This is another multi-step system that helps to restore and maintain younger looking skin.

Obagi ELASTIderm Eye Products

An eye treatment that actually brings back the lift around your eyes! Most eye creams simply plump the eye area.  This patented eye product helps to restore elasticity and reduce the appearance of fine lines and wrinkles. Use it under the eye and on the upper eye area as well.  It can be used in combination with other Obagi systems or alone.  It is available in a cream, for those who want more moisture, and a gel, which is lighter and less moisturizing. People see results in as little as two weeks.

Obagi Decolletage System

Similar to ELASTIderm eye cream, this system is designed for the neck and chest, thinner skin areas that often get neglected (less moisturized or overlooked in your sun protection regimen). The Decolletage system fixes the elasticity in the neck and chest and also has a lightening component to help erase sun damage. Generally it is well-tolerated for most skin types and easily absorbed.

Obagi Rosaclear System

This system is ideal for those who have rosacea or redness of the skin.  It also helps reduce the redness of blemishes caused by rosacea. The Rosaclear system is gentle, and non-comedogenic.  It consists of a cleanser, topical gel, hydrating corrector, and a skin balancing sun protection SPF 30.

Obagi CLENZIderm System

The CLENZIderm system is ideal for those who suffer from acne.  It contains a solubilized form of 5% benzoyl peroxide and salicyclic acid to deeply penetrate into the follicle to treat acne at the root, where it starts. It is as effective as a topical prescription.  There are two types of cleansers, depending on skin type, a pore therapy product, cream cleanser, and moisturizer.  Add in a sun protection of at least SPF 30.

Obagi Blue Peel

This chemical peel helps to restore tighter, smoother, clearer, healthier skin.  This peel is the deepest, most aggressive peel available at Evolutions Medical Spa and offers a significant result in a short time period. It is a good peel for those with pigmentation issues.

Evolutions Medical Spa is the longest open-selling Obagi account in the Santa Barbara area.  Obagi products are prescription strength and it is recommended that you use them with physician supervision because they are more aggressive than over-the-counter skin care products.  Evolutions invites you to a complimentary consultation to discuss which Obagi product line will best fit your skincare needs.  To make an appointment, call Evolutions at 805-687-0212.


Evolutions Medical Spa’s Event Recap: All About Acne Management and Treatment

Evolutions Medical Spa Santa Barbara hosts events to educate clients and guests on select topics. The Evolutions Educational Event held this past Wednesday was titled “From Red to Ready” and addressed how it is possible to get rid of acne and rosacea! Since so much information was offered, this post is dedicated to acne.

Cosmetic surgeon Dr. Terry Perkins gave a very informative presentation including a better understanding of acne and , more importantly, tips on prevention and treatment!

If you are battling acne (and, surprisingly, acne can be a lifelong occurrence, not just part of the teen years), and you’d like a complimentary consultation with Dr. Perkins, please call Evolutions at 805.687.0212.

Acne Facts
  • Acne is one of the most common of all skin problems
  • Acne affects over 70 million people and 90% of all teens
  • Acne is an ongoing condition, often characterized by periodic flare-ups
  • It most commonly affects the face, upper chest and back

For most people it is a matter of “controlling” acne instead of curing it.

Types of Acne

  • Comedonal Acne: this type of acne usually consists of plugged pores with not a lot of bacterial activity, often seen as small bumps under the skin.
  • Papulopustular Acne: this type of acne has more bacterial activity and appears more as pimples with a whitehead and red surrounding area.
  • Cystic Acne: this type of acne is more deeply rooted, with the acne appearing as large bumps (like a marble under the skin) with, or without, whiteheads and may need to be treated systemically (with oral antibiotics or Accutane).

What Causes Acne?

  • Increased sebum or oil production – usually related to hormones
  • Obstruction of the pore
  • P. Acnes bacteria begin to grow in the sebum
  • Inflammation occurs when the sebum escapes into the surrounding skin

Treating Acne
Treating acne is an ongoing process because there is no “cure” your goal is to “control” what is going on. There are three overall goals:

  1. Prevent the blocking of the pores. Opening pores helps the skin function better. Keep the pores open through exfoliation, which promotes skin turnover. Use of retinoids (like Retin-A) and exfoliation through products are recommended for at-home skin care. It is also recommended to seek periodic professional treatments such as a chemical peel or Vibradermabrasion (a more physical way to open up the surface) to expedite exfoliation of the top layers of skin.
  2. Minimize inflammation. Salicyclic acid liquefies the sebum and helps to quiet the skin. A low percentage of salicyclic acid is okay to use on a regular basis and can help minimize the inflammation of acne.
  3. Prevent Scarring. Acne scarring or pitting remains long after the acne is gone which is why it is a good idea to learn how to get your acne under control.

Tips on the Treatment of Acne

  • Good hygiene: keep the skin clean. Dr. Perkins does not recommend washing the face more than two times per day. Washing the face more than that may cause an increase in oil production. Use a gentle foaming cleanser. The face wash does not need to be harsh or it may “strip” your skin – again causing increased oil production – especially if you are using other products such as salicyclic acid or retinoids. The Clarisonic skin care brush is highly recommended by Dr. Perkins. He touts this as the “best cleaning device” because the ultrasonic waves penetrate below the surface for a deep, yet gentle, cleanse.
  • Don’t “pick” and “pop”: this may increase the life of the pimple, making it larger or redder and /or increase your chances of scarring.
  • No oil based cosmetics: many store make-up brands are petroleum based, which is like putting putty in your pores. Over time, this clogs pores. Mineral make-up is more quieting to the skin.
  • Don’t go to sleep with make-up on: give your face a rest!
  • “Good” diet: consuming foods with a high iodine content (salt) tends to foster breakouts. In addition, a skin supplement that has worked for some Evolutions clients are the VitaMedica “Clear Skin Treatment”.
  • Stress management: Learn to manage your stress. Outbreaks can definitely be stress (and hormone) related.

How You Can Treat Your Acne

Treatment of acne can be done in many ways, from at-home topical treatments to professional treatments to oral medication. How acne is treated typically depends on your specific case of acne and it is recommended that you get a professional opinion on how to best proceed in managing your acne.

Topical Acne Treatments

  • Retinoids (Retin-A), exfoliants (AFA Exfoliating Gel), and amino fruit acids can be used topically to treat acne.
  • Although glycolic acid is very popular and found in many store products, it can be the most irritating of the alpha hyrdoxy acids and Dr. Perkins prefers mandelic acid (available at Evolutions) which is less irritating and has an anti-bacterial function to decrease the P. Acnes bacteria.

Oral / Systemic Therapy

  • Oral treatments include antibiotics and Accutane. Dr. Perkins prefers to try to treat the acne topically before prescribing an oral treatment.

Professional Procedures

  • Acne Facials professionally cleanse, exfoliate and extract keeping the pores open and the skin functioning normally.
  • Vibradermabrasion is a physical exfoliation that is similar to microdermabrasion without the suction. It has been found that the suction in microdermabrasion may affect the tiny blood vessels in the face, making the skin appear redder. Vibraderm is similar to “buffing” the skin, is comfortable, and the whole face can be done in 10 to 15 minutes as opposed to a 35 to 40 minute session of microdermabrasion.
  • AFA/Clay Mask Peel is an advanced amino fruit acid mask which exfoliates and opens up the pores. It is less irritating than alpha hydroxy acids.
  • Multiwave LED (Light Emitting Diode) therapy works in which energy is delivered to the skin and absorbed by the cells for therapeutic benefits through a process called “photo-stimulation.” The “blue” light kills the P. Acnes bacteria while the “red” light calms the skin and gets rid of inflammation. The Multiwave LED therapy can be done alone or often is part of a facial at Evolutions.
  • Levulan is similar to the oral drug Accutane, but is a topical treatment. Levulan causes the sebaceous cells to sink and people have seen dramatic changes in their skin from one treatment or through a series (which is often three treatments).
  • Cyst Injections are a topical way to treat cystic acne. Antibiotics are injected under the cystic acne to help bring done the bacterial infection.
  • Isolaz Deep Pore Therapy combines a vacuum with a light treatment. The vacuum purifies the pores from the inside out and the blue light kills the bacteria. A great treatment for persistent papulopustular acne.

There is no “magic bullet” that cures acne. It is important to create and execute a comprehensive “attack plan” that combines good home care with appropriate professional services. Generally it takes a few weeks (a “turnover cycle”) to start seeing results of a treatment, so patience is necessary.