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Nia 24: Splurge-Worthy Skin Care

Evolutions Spa has Nia24 Skin Care in Santa BarbaraNia 24 Skin Strengthening Complex was recently featured as one of 26 products in Buzzfeed’s article, “Splurge-Worthy Skin Care Products You’ll Wish You Knew About Sooner”, and touted as the product to “get visibly firmer and more even skin tone and texture”. We couldn’t agree more!

The Skin Strengthening Complex improves the skin barrier function which helps to visibly reduce the appearance of fine lines and wrinkles, accelerate repair and deliver optimal moisturization.

Key Ingredients include:

  • Pro-Niacin to strengthen the skin barrier, improve tone, texture and hyperpigmentation.
  • Vitamin A to improve elasticity and skin texture.
  • Green Tea and Rosemary Antioxidants restore and protect skin from free radical attack.
  • Peptide Complex to diminish deep set wrinkles and expression lines.
  • Wheat Germ and Evening Primrose oils for moisture.
  • Ceramides reinforce the skin barrier to maximize the moisture-holding capacity.

This is a light weight moisturizer that works on all skin types. Apply a small amount twice daily after cleansing on face and neck.

Get your Nia 24 skin care products at Evolutions in Santa Barbara! 

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Evolutions Event Recap: Tightening and Lightening

On Wednesday evening, Evolutions Medical Spa and Santa Barbara cosmetic surgeon Dr. Terry Perkins hosted an interactive and educational event about Tightening and Lightening the skin. Both tightening and lightening can be done at Evolutions through various services, without invasive surgery, and will yield noticeable results!

Part I: SKIN TIGHTENING – Facial Rejuvenation 

What is skin laxity?

Skin laxity is a result of damage and loss of collagen and elastin – the structural components of the dermis. Collagen provides the rigidity to connective tissues and elastin allows them stretch. As we age collagen loses elasticity and our skin sags. Sun damage also plays a role in aging the skin as well.

How can we treat skin laxity?

There are several options including:

  • Surgical options such as traditional surgery (face lifts) or deep peels (chemabrasion).
  • Non-surgical treatments include light-based (FotoFacial), radiofrequency (Sublative Rejuvenation, ReFirme), and focused ultrasound.

How does treating skin laxity non-surgically work?

It has been found that sustained heating of the dermis works to treat skin laxity. The immediate effect is collagen contraction and long term stimulation of collagen remodeling.

Who is a good candidate for non-surgical skin tightening treatments?

  • Age is not a barrier – clients can be anywhere from 30 to 80+ years old
  • Clients who have a minimum amount of excess fat in the area of concern and those with skin that is neither very thin or very thick
  • Clients who have realistic expectations – the non-surgical procedures can turn back the clock a few years, not decades
  • A great candidate is someone who is not ready for surgery but still wants to tighten the skin

Skin tightening options available at Evolutions:

  • Titan: the Titan is a safe infrared light that heats the dermis as well as the skin’s surface. The heating contracts the collagen and stimulates new collagen to be produced.
  • ReFirme: ReFirme is an FDA cleared non-invasive skin tightening procedure that features elōs technology – a combination of bi-polar radio frequency (RF) and optical energy.
  • Total Tightening: Dr. Perkins has developed an exclusive protocol combining the technologies or ReFirme and Titan into one treatment called Total Tightening. This treatment synergistically works to heat the entire upper half of the dermis. It is exclusive to Evolutions Medical Spa. A series of 4 treatments is recommended for best results.

Why do you recommend skin tightening treatments in a series?

Laser and light-based treatments are generally done in a series because the energy necessary to cause dramatic change in the skin (which cause injury and then recovery, which is what grows new skin) cannot be accomplished in a single treatment, instead it is the cumulative effects of multiple treatments that yield the best results. If, after a few treatments, a client sees the results they are looking for, they can save the remaining treatments to be used as “maintenance” at a later date.

Part II: SKIN LIGHTENING – Improve Excess Pigmentation

What is pigmentation?

Pigmentation is created by melanin in the skin. Melanin is produced by melanocytes. Different skin types have different levels of melanocyte activity – therefore different skin colors occur within people.

Why does the body produce melanin?

Normal production of melanin is based on skin type. Melanin levels rise in response to sun exposure (such as a sun tan which is equal to a skin injury), trauma, and inflammation. Extra melanin can also be produced due to hormones, birth control pills, and pregnancy.

When do pigmentation problems occur?

If melanocytes are over-stimulate, appearance problems can occur such as:

  • Sun damage also referred to as age spots, “liver” spots, freckles
  • Post inflammatory hyperpigmentation can occur with pimples
  • Melasma – a broad patch of pigmentation – can occur in the dermal or epidermal layers of the skin

Treatment for pigmentation problems
The following highlights products and services that are available at Evolutions to treat a number of pigmentation problems.

  •  Sunscreen: your best defense against pigmentation is to prevent it! Year round, daily use of sunscreen is always recommended!
  • Home Care: there are two categories of home care products that can help lighten and brighten the skin – bleaching agents and exfoliating agents.
  • Home care bleaching agents: Obagi Clear, C-Rx Night (with hydroquinone), the newest, fastest lightening agent Elure (read more about Elure in a recent blog post), Revale Illumenesse Brightening Complex, Nia24 products, and retinoids (“Retin-A”). At Evolutions we compound our Tretinoin to reduce the price for clients.
  • Exfoliating agents assist in increasing cell turnover: products with alpha-hydroxy acids, amino fruit acids and retinoids all help to expedite cell turnover (which slows as we age).
  • Chemical Peels: the fastest way to exfoliate and increase cell turnover is through a chemical peel. Available in multiple strengths, from light to deep, chemical peels can make a dramatic difference in the skin in a matter of days (somewhere between 5 to 10 days, with the skin continuing to improve thereafter). The peels available at Evolutions are:
  1. Phase Five Peel / Clay Mask Peel
  2. Alpha Beta Peel
  3. Comfort Peels (Light, Medium, Deep)
  4. Obagi Blue Peel

Read all about the various chemical peels, how they feel, and how effective they can be, in a various blog post.

  • Vibradermabrasion: this service provides a physical exfoliation that can treat superficial pigment problems (with no downtime). It also is a great add-on service to facials and as a preparation for peels as it will improve the penetration of product or the peel. Vibraderm is superior to the popular microdermabrasion treatment because there is no suction component to it (which can cause broken capillaries).
  • Light-Based Treatments: these treatments are safe and non-invasive, using intense pulsed light (IPL) and radio frequency technology to diminish imperfections in the skin such as excess pigment as well as “red” areas. The FotoFacial RF is the “gold standard” for treatment of pigmentation and it works deeper than most chemical peels. The FotoFacial is available in a series or in combination with other treatments (FotoPeel, FotoPeel Plus, and FotoFaical Genesis Package).
  • *NEW* Light-Based Treatment: Evolutions just acquired the brand new Q-Plus C (Q-switched laser) light-based treatment that is able to treat tattoos of all colors and a variety of pigmentation issues.
  • Sublative Rejuvenation: this fractional surfacing device uses radio frequency energy, instead of light, to treat wrinkles, pigment, acne scarring, skin laxity, tone and texture. There is less downtime and less discomfort that older fractional laser devices (such as the Fraxel) and customizable treatment options are available. Sublative Rejuvenation can be combined with other light-based treatments such as the FotoFacial RF or Total Tightening.
  • Chemabrasion: this is a surgical procedure that combines a deep peel with dermabrasion. Chemabrasion is a more aggressive option to treat acne scarring and deep wrinkles. The change can be very dramatic. Down time is approximately one week.

Part III: CONCLUSION

The best way to treat sun damage is to prevent it by daily use of sunscreen. When pigment issues arise, there are a number of treatment options available, both at Evolutions and at home. All areas of the body can be treated for pigmentation problems.

Evolutions Medical Spa offers a complimentary consultation by filling out our online form or calling 805.687.0212.

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Santa Barbara Medical Spa Event Featuring FotoFacials and Chemical Peels

Evolutions Medical Spa will be highlighting chemical peels and FotoFacials at our event on Wednesday, March 23rd. If you are concerned with sun damage, age spots, or any type of pigmentation, this informational event is for you!

Learn about new and innovative medical treatments that can brighten the skin and reduce unwanted pigmentation from Santa Barbara cosmetic surgeon Dr. Terry Perkins. Therapeutic home care that can brighten the skin every day will also be discussed.

Attendees will receive exclusive specials on chemical peels, FotoFacials, FotoPeels and FotoGenesis and on skin lightening products including Obagi. The event is complimentary and includes a raffle and refreshments.

The event will be held at Evolutions Medical Spa Santa Barbara located at 1309 State Street.
Wednesday, March 23, 2011
6:30 pm – 8:30 pm

Seating is limited, please RSVP to Evolutions at 805-687-0212.

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Santa Barbara Sublative Rejuvenation – Skin Resurfacing – September Special

Evolutions Medical Spa and cosmetic surgeon Dr. Terry Perkins are pleased to introduce Sublative Rejuvenation to the Tri-Counties. Sublative Rejuvenation is the newest fractional resurfacing technology on the market and is available exclusively at Evolutions. Fractional resurfacing can be used to effectively treat and improve:

  • Skin irregularities (i.e., acne scarring)
  • General tone, texture, and color of skin
  • Skin laxity (including the face and chest!)
  • Mild to moderate wrinkles
  • Sun damage, age spots, and other unwanted pigmentation

Sublative Rejvenation is safe to use on all skin types. Even better, it involves little to no pain! During our trial investigations, with the application of medical topical numbing cream 30 minutes prior to the procedure, most clients rated the discomfort level at a “2” or less on a scale of 1 to 10.

Sublative Rejuvenation Introductory Specials

Now through September 30th, 2010! Purchase a single Sublative Rejuvenation treatment before the end of the month for 50% off!

The first 5 approved clients who allow us to use their before and after pictures for marketing purposes will receive the rest of the full series (4 treatments in all) for 50% off. Everyone else will receive 25% off the price of the series.

Call Evolutions at 805.687.0212 to book your appointment or complimentary consultation to learn more about Sublative Rejuvenation.

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Learn About Chemical Peels in Santa Barbara

Chemical Peels 101: Chemical Peels Offered at Evolutions Medical Spa Santa Barbara

Evolutions Medical Spa offers mild, medium and deep peels as single treatments and also as series. Two of the most common types of peels used are: Alphahydroxy acids (AHA’s) and Trichloroacetic acid (TCA).

Alphahydroxy Acid Chemical Peels (“Mild” Peel)
Alphahydroxy acids (AHAs), such as glycolic, lactic, or fruit acids are the mildest of the peel formulas and produce light peels. These types of peels can provide smoother, brighter-looking skin for people who can’t spare the time to recover from a TCA peel.

With a mild AHA peel, you probably won’t peel at all, but, only get some temporary redness and/or dryness. And the process that you experience will not prevent you from working or engaging in your normal activities. Improvements from AHA peels may be very subtle at first. You may detect a healthier glow to your skin. With continued treatments, you will notice a general improvement in the texture of your skin.

Trichloroacetic Acid (TCA) Chemical Peels (“Medium” Peel)
Trichloroacetic acid (TCA) can be used in many concentrations, but it is most commonly used for medium to deeper depth peeling. With a medium strength TCA peel, you could actually go out to dinner that night (with a little makeup). You might be a little red and tight, but, no one would know that you just had a peel solution applied. In about 1-2 days you will start the peeling process. The down-time after treatment is usually 3-4 days of peeling. At Evolutions Medical Spa, our Alpha-Beta Peel improves the look of fine lines, wrinkles, acne scarring, pigment problems and unclogs pores.

Obagi Blue Peel (“Deep” Peel)
If you want to dramatically improve your complexion in about 2 weeks, go for the Obagi Blue Peel (“Blue for a day!”). The blue solution allows the clinician to control the evenness of the peel; while the number of coats influences the depth of the peel. Immediately after the procedure, the bluish tint remains on your skin, which washes off in the first few hours. In about a week to ten days, your new skin will be apparent and you should be healed sufficiently to return to your normal activities. During this time, it is especially important that you use a sunblock or blotchy, irregular skin coloring may result.

What to Expect During a Peel
During a chemical peel, most patients experience a warm to hot sensation that may last about 5 to 10 minutes and may be followed by some stinging. At Evolutions we have a Synercool machine that blows cool air on your skin to ease the stinging. 3-4 layers may be applied and the solution is then neutralized. The whole process only takes about 45 minutes.

Looking Good!
The results are not permanent, as a chemical peel cannot stop the skin from continuing to age. Depending on the strength of the peel, periodic treatments may be necessary until the desired effects are achieved.

Because sun exposure accelerates signs of aging, protecting the skin from sun exposure will lengthen the amount of time that the results are seen. Protecting the skin from the sun also can prevent some signs of aging. Ask your clinician to recommend a sunblock with adequate UVA and UVB protection and use it every day.

One of our favorite sunblock products is TIZO3. It has an SPF of 40, is water resistant, and has a slight tint to it. The Tizo3 has a velvety, non-greasy feel and gives you a little coverage too. Also, Nia24 with 5% Pro-Niacin®, not only provides SPF30 UVA/UVB protection, but, also repairs past damage and promotes skin health.

It is very important that you find a clinician who has adequate training and experience in chemical peels. Permanent skin lightening and lines of demarcation may occur, if not done by a well trained medical aesthetician. Cosmetic surgeon Dr. Terry Perkins, who is also the owner of the Cosmetic Surgery Center Santa Barbara, personally sets protocals, trains and supervises all procedures at Evolutions.

Planning for Your First Peel
During your initial complimentary Evolutions Consultation, it is important that you discuss your expectations with your clinician. Don’t hesitate to ask any questions or express any concerns that you may have. The clinician will explain the planned procedure in detail, including its risks and benefits, the recovery period and the costs.

Chemical peels are amazing by themselves, but, they also compliment other services. At Evolutions Medical Spa, you may enhance the results of a chemical peel with laser/light-based rejuvenation techniques, or combine with another procedure, such as dermal fillers (i.e., Restylane®, Radiesse®) or botulinum (Botox® or Dysport™) rejuvenation. A thorough evaluation by your clinician will help determine what best meets your needs.

At Evolutions we price chemical peels as individual treatments and as a series. We encourage you to come in for a complimentary skin rejuvenation consultation. Fill out our contact form online or call us for an appointment 805.687.0212 today! Evolutions Medical Spa is located in downtown Santa Barbara.

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All About Chemical Peels for Beautiful Skin by a Santa Barbara Medical Spa


Let it Peel

Here at Santa Barbara’s Evolutions Medical Spa we LOVE chemical peels! We like to call them the “Best bang for your buck”. We get very excited when a client or staff member does a peel. It’s kind of an instant transformation and there is something really rewarding about seeing all that damaged skin come off before your eyes and then seeing the fresh, new skin appear, in a short amount of time.

Chemical Peels have been around a long time! Since the days of ancient Egypt, people have been using chemoexfoliation methods, also known as chemical peeling, to rejuvenate skin. The original chemoexfoliant was lactic acid, an active ingredient of sour milk and old wine with tartaric acid as its active ingredient was also used. Today, these historical chemoexfoliants are known to contain alpha hydroxy acids, which are the active ingredients responsible for the skin exfoliation.

Why get a Chemical Peel?

Chemical peeling is used to improve the skin’s appearance by applying a chemical solution to the skin, causing the top damaged layers of skin to separate and peel off. The new skin is smoother, less wrinkled, and may be more even in color. It is helpful for those individuals with facial blemishes, wrinkles, mild scarring (like acne scars) and uneven skin pigmentation (blotchiness, sun spots, age spots or freckles). Also, by removing the outer layers of dead skin cells, peels help enhance penetration (and therefore effectiveness) of moisturizers and treatment products (getting more value from your home skin care!).

Evolutions September Event is about Chemical Peels

Every month we have an educational events at Evolutions – our September Event is Wednesday, September 23rd, 2009, from 6:30 to 8:30pm, and the theme is ‘Chemical Peels’. Cosmetic surgeon Dr. Terry Perkins, owner of Evolutions Medical Spa Santa Barbara and the Cosmetic Surgery Center Santa Barbara, will be doing a presentation on Chemical Peels. Additionally, there will be exclusive discounts just for attendees. Wine and refreshments will be served and there will be a raffle too!

Please call Evolutions Medical Spa at 805.687.0212 to RSVP.

At our monthly educational events you get tons of information in an informal setting and Dr. Perkins and Evolutions staff will be available for Q & A. If you are not able to join us, stay tuned for the next post regarding how chemical peels work, what chemical peels we offer and what sort of results you can expect.

This is a great time of year to get a chemical peel at Evolutions Medical Spa in Santa Barbara!

And for our September 2009 promotion we are giving our clients 25% off Obagi products when you purchase a peel. This promotion expires September 30, 2009.
So, all the more reason to come see us today!

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