Santa Barbara Medical Spa Event: Brighten Up Your Skin

Are you concerned with sun damage, age spots, or any type of pigmentation?

Evolutions Medical Spa Santa Barbara Event

Join us at our March event to start on the path to clear, bright skin by learning about:

  • Innovative medical treatments and packages to reduce unwanted pigmentation
  • Therapeutic home care that can brighten your skin little by little every day!

Wednesday, March 29, 2017
6:30 – 8:30 pm

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Services/Series/Packages Discounted 20% include:

  • FotoFacial Series
  • FotoPeel Series
  • FotoFacial Genesis Package
  • Chemical Peels (individual or series)

Products Discounted 20% include:

  • Obagi
  • Other Skin Lightening Products

– – – – –

Event includes refreshments, a raffle, and exclusive specials.

– Seating Limited –
Call Today to RSVP – 805-695-2160

Evolutions Event – Brighten Up Your Skin!

Join us at our March event on Wednesday, March 30th, 6:30 pm to 8:30 pm.

Brighten Up
Spring is Here!

Are you concerned with sun damage, age spots, or any type of pigmentation?

Start on the path to clear, bright skin by learning about:

  • Innovative medical treatments and packages to reduce unwanted pigmentation
  • Therapeutic home care that can brighten your skin little by little every day!

Services/Series/Packages Discounted 20% include:

  • FotoFacial Series
  • FotoPeel SeriesEvolutions Medical & Day Spa Brighten Up Skin Event
  • FotoFacial Genesis Package
  • Chemical Peels (individual or series)

Products Discounted 20% include:

  • Obagi
  • Other Skin Lightening Products

Event includes refreshments, a raffle, and exclusive specials.

– Seating is Limited – 

Call Today to RSVP – 805-695-2160

 

Evolutions Medical Spa Event Recap: “Brighten Up” with FotoFacials, Laser Facials, Peels and More

Santa Barbara cosmetic surgeon Dr. Terry Perkins – and founder of Evolutions Medical Spa – never ceases to amaze us with the knowledge he holds about the skin and skin care. Last night he shared with a captive audience how to get on the path to clear, bright skin. Here is the recap from the “Brighten Up” educational event at Evolutions.

What stands in the way of luminous skin? For many of us, it is an issue of pigmentation. Pigmentation, also referred to as age spots, “liver” spots, freckles, is caused by melanin.  Melanin is produced as a protection to the skin in response to sun exposure (a sun “tan” is actually a skin injury), trauma, or inflammation. Melanin can also be influenced by hormones, birth control pills, and pregnancy. Appearance problems occur when melanocytes are over stimulated such as post-inflammatory hyperpigmentation (from pimples) or melasma, which is a broad patch of pigmentation that can occur in the epidermal or dermal layers of the skin.

How do we get rid of pigmentation? Below are the options that Dr. Perkins outlined for us:

HOME CARE

While Evolutions offers a variety of services that are effective in the treatment of pigmentation problems, Dr. Perkins stressed that it is also important to practice diligent home care to prevent or lighten pigmentation. The #1 recommendation from Dr. Perkins is to wear your sunscreen daily! The fact is that more than half of UV exposure is “incidental” exposure such as sitting near a window, driving in your car, walking outside to chat with your neighbor, you get the picture! UVA actually goes through glass, so you aren’t protected in your car or at your window office.

Evolutions offers a variety of bleaching agents and hydroquinone (which stops the formation of pigment from being formed). Some product recommendations:

  • Obagi Clear and C-Rx Night: a product with hydroquinone as an active ingredient that helps to fade unwanted pigment
  • Revale Illuminating Serum: has the highest potency of antioxidants – good anti-oxidation helps skin repair
  • Nia24: helps skin repair at the DNA level which normalizes pigmentation
  • Retinoids (“Retin A”, “Tretinoin”): help normalize cell differentiation
  • Combination Prescription Products (“Firm and Fade”): offered exclusively at Evolutions that combines Retin-A, hydroquinone, and a low potency steroid (used to calm down inflammation)

In addition to using a brightening/lightening product, you may want to add in a product that encourages cell turnover. Products that contain alpha-hydroxy acids, amino fruit acids, and retinoids are all good choices.

VIBRADERM

Vibraderm is done using abrasive aluminum paddles that provide a gentle abrasion. It is faster than microdermabrasion and does not have a vacuum component (which can cause broken capillaries).  This physical exfoliation is used to treat superficial pigment problems with no downtime. It will improve the penetration of products / peels and is great as a stand alone service or in conjunction with a peel or facial.

LIGHT-BASED TREATMENTS : FOTOFACIAL RF

This “Gold Standard” treatment of pigmentation uses Intense Pulsed Light / Radiofrequency to target pigment and “red” areas. A FotoFacial works deeper than most chemical peels and can significantly improve your skin texture by reducing redness, age spots, sun damage, spider veins, fine lines (although not a treatment for wrinkles) and large pores. We offer the FotoFacial in a series or in combination with other treatments (FotoPeel, FotoPeel Plus, and FotoFacial Genesis Packages), depending on an individual’s needs.

CHEMICAL PEELS

Chemical peels are a “controlled” injury to the skin that causes a deep, even exfoliation. At Evolutions we offer different depths of peels (from light to medium to deep).

  • AFA Peels: the alpha-hydroxy peel is a “light” peel for those who want the benefits of a peels without a large amount of actual peeling. This peel can be done alone or in a series of five (recommended).
  • Alpha Beta Peel: this is the most popular peel at Evolutions. It is a medium-depth physical exfoliation and works well to get rid of superficial sun damage and is a great choice for clients who want to see results in 4-5 days.
  • Obagi Blue Peel: this is the deepest peel offered. It will significantly improve your complexion. You will have firmer, clearer, smoother, healthier skin.

LIGHT-BASED TREATMENTS: Q-SWITCHED LASER

This newest laser is used for our newest service – tattoo removal. It delivers laser energy so rapidly that it breaks up pigment without excessive heating of the surrounding tissue.  Currently we are testing how effectively it can treat stubborn brown pigmentation. Stay tuned at a later date for more information on the Q-Switched Laser!

SUBLATIVE REJUVENATION

This unique fractional resurfacing device uses radiofrequency energy instead of light to safely treat all skin types. Sublative Rejuvenation is used to treat wrinkles, pigment, acne scarring, skin laxity, tone and texture. There is less downtime and discomfort than older fractional laser devises (i.e. the Fraxel) and it can be combined with other light-based treatments (such as the FotoFacial RF or Total Tightening) for customizable treatment options.

CHEMABRASION

This surgical procedure done by Dr. Perkins at Cosmetic Surgery Center in Santa Barbara (near Cottage Hospital) combines a deep peel with dermabrasion (not microdermabrasion). It treats wrinkles, sun damage, and pigment. You will be very impressed with the results. For more information, contact Cosmetic Surgery Center at 805.563.0000.

CONCLUSION

The best way to treat sun damage is to prevent it by using your sunscreen daily (on your face, neck, and decolletage). When pigment issues arise, there are a number of treatment options available at Evolutions and “at home”. Pigmentation can be treated on all areas of the body.

At Evolutions we always offer a complimentary consultation. If you are interested in one of our medical spa services, or simply looking for a new home care routine, call us at 805.687.0212 to make an appointment (or book online).

Santa Barbara Medical Spa Event Recap: Chemical Peels, FotoFacials and More

Evolutions Medical Spa’s Educational Event last week addressed skin pigmentation and how to “correct” hyperpigmentation concerns. If you have pigmentation concerns, there is no better time than now to address this! Often pigmentation correction may take more than a single treatment so plan ahead, especially if you have a special event in the future that you may want your skin to look glowing and perfect for! Evolutions always extends a complimentary consultation for further questions and information. Fill out our online consultation form or call 805-687-0212 to schedule an appointment.

What is Pigmentation?

  • Melanin in the skin causes pigmentation – that varies by an individual’s skin color (darker skin has more melanin, lighter skin has less).
  • Melanin is produced for protection in response to sun exposure (for example, a sun tan is really an “injury” to the skin), trauma, inflammation.
  • Melanin can be influenced by hormones, birth control pills and pregnancy (the “mask of pregnancy” often appears as melasma, darker spots, on the cheeks).
  • What if Melanocytes are Over-Stimulated?

  • Appearance problems of the skin occur when melanocytes are over-stimulated. This hyperpigmentation is commonly referred to as brown spots, age spots, liver spots, and/or sun damage.
  • Post-inflammatory hyperpigmentation can also occur from pimples.
  • Melasma – a broad patch of pigmentation – can occur and can be in the epidermal or dermal layers of the skin.
  • Epidermal pigmentation is more readily treated because of the location – the outer-most layer of the skin. Dermal region pigmentation can be more stubborn to treat. At Evolutions, we use a Wood’s Lamp – a diagnostic dermatology tool – to look at a client’s hyperpigmentation location to find a treatment best suited for them.

    Hyperpigmentation Prevention: Use Your Sunblock Daily!

    Before we address pigmentation correction treatment options, we want to stress that prevention is key! Santa Barbara cosmetic surgeon Dr. Terry Perkins recommends using a sunblock that is at least SPF 30 and is a physical block – one that contains titanium dioxide and/or zinc oxide. Physical sunblocks reflect the sun’s energy whereas chemical sunscreens heat the skin up.

    Dr. Perkins and the Evolutions staff recommend to clients a highly effective sunblock called TIZO3 SPF 40. TIZO is free of paraben, oil, PABA and fragrance. It gives the skin superb protection while leaving the skin with a silky, smooth, matte finish. TIZO products are available at Evolutions.

    Hyperpigmentation Treatment Options

  • Home Care: There are many skin lightening agents on the market that are available at your local drugstore or through a physician’s office. Dr. Perkins recommends the Obagi Nu-Derm or Obagi-C Rx programs, PCA Brightening Therapy, NIA 24, and retinoids (also known as “Retin A” or “tretinoin”). Another home care option, maybe in addition to a skin brightening/lightening agent, is to increase cell turnover through products with alpha hydroxy acids (AHA), amino fruit acids, and, again, retinoids.
  • Chemical Peels: a chemical peel is a “controlled” injury to the skin that creates enough injury to cause an exfoliation. Evolutions offers chemical peels in different strengths, depending on your overall goal and the amount of downtime you may have to dedicate to the process. Read more about chemical peels, what they can do for you, and the types that are offered at Evolutions in a previous blog post dedicated to them.
  • Vibraderm: a superficial exfoliation using abrasive aluminum paddles that provides a gentle abrasion that is faster than microdermabrasion and does not have a vacuum component (which can cause broken capillaries). Great in a series or with in conjunction with other procedures as it will improve the penetration of treatment products and chemical peels.
  • FotoFacial RF™: an Intense Pulsed Light (IPL) treatment with a broad spectrum of light that gives the FotoFacial RF™ the ability to treat different parts of the skin as the light is absorbed at different levels. The FotoFacial RF™ significantly improves your skin texture and appearance by reducing redness or rosacea, age spots, sun damage, spider veins, fine lines, uneven pigmentation and large pores. It is not a treatment for wrinkles. Your skin may be pink on the day of treatment but other than that, there is little down time.
  • Sublative Rejuvenation: the newest fractional resurfacing device on the market that uses radiofrequency and can treat any skin color. It can treat mild to moderate wrinkles, brown spots, and can improve the appearance of acne scars and textural irregularities. There is less discomfort with this newer treatment in comparison to the older Matrix RF treatment and the down time is not as long.
  • Chemabrasion: this treatment is done at Cosmetic Surgery Center by Dr. Perkins. It combines a mid-dermis peel with dermabrasion. For more information on chemabrasion, set up a consultation with Dr. Perkins at Cosmetic Surgery Center, 805-563-0000.
  • Every person is unique and so is their skin type and pigmentation issues. If you are interested in receiving a personalized pigmentation correction plan, schedule a complimentary consultation at Evolutions by calling 805-687-0212. We would be happy to customize a treatment plan for you!

    Evolutions Medical Spa’s Event Recap: Tightening and Lightening Your Skin, Without Surgery

    Last week, Evolutions Medical Spa and Santa Barbara cosmetic surgeon Dr. Terry Perkins hosted an event that is a popular topic amongst many of our clients – skin tightening and skin lightening using advanced technology that gives results, without surgery. Read on for a full recap:

    Part 1: Skin Tightening – Treating Skin Laxity

    What is Skin Laxity?

    Skin laxity, or “loose” skin, begins as a natural part of aging, due to damage and loss of collagen and elastin, but also related to sun damage.

    Treating Skin Laxity

    There are surgical options to successfully treat skin laxity such as:

    There are also successful non-surgical treatments:

    • Light-based treatment: such as the FotoFacial RF (photo rejuvenation), the safest and most effective intense pulsed light (IPL)-based treatment today.
    • Radiofrequency treatment: such as Sublative Rejuvenation, the newest skin resurfacing device with less downtime and discomfort.

    How Do We Treat Skin Laxity Non-Surgically?

    We have found that sustained heating of the dermis (the cells below the skin and the epidermis) has both short term and long term effects: Immediately it stimulates collagen contraction, which helps to tighten the skin while it also promotes long term stimulation of collagen remodeling – maintaining a strong collagen “support system” gives the skin strength and resilience.

    Who Can Be Treated Non-Surgically for Skin Laxity?

    • Clients that have the best results have a minimum amount of excess fat in the area of concern and who have skin that is neither very thin or very thick.
    • Clients can be anywhere from 30 to 80+ years.
    • When treating skin laxity non-surgically, clients must acknowledge that the treatments will turn back the clock a few years, not decades!
    • Someone who is not ready for surgery, but ready to see a difference in their skin, is a great candidate.

    The Titan Procedure: A Non-Surgical Skin Laxity Treatment

    Titan uses an infrared light source to heat the dermis well below the skin’s surface. This heating contracts existing collagen and stimulates growth of new collagen. Although a single treatment may show a change in your skin, a series of two to four treatments is recommended for optimum results. Downtime is minimal, with maybe some mild swelling and redness for a few hours post-treatment. Clients have been successfully treated on many areas of the body. The most common areas treated are the jawline, under the chin, and the abdomen.

    ReFirme™: A Non-Surgical Skin Laxity Treatment

    ReFirme™ combines Bi-Polar Radio Frequency and Light energies to heat the dermal tissue within the targeted treatment area. Using significantly less optical energy than lasers and IPL’s, it ensures enhanced safety and a virtually painless procedure. It helps skin laxity, sagginess, wrinkles and textural irregularities and most patients see gradual and cumulative results throughout the treatment regimen. Common treated areas are the face, neck, abdomen, upper arms and knees.

    Total Tightening: The Best of Both Worlds for Treatment of Skin Laxity

    Total Tightening is an exclusive protocol designed by Dr. Perkins that most effectively addresses skin laxity without needles or surgery. Total Tightening combines ReFirme™ and Titan into one treatment to synergistically heat the entire upper half of the dermis. A series of 4 treatments is recommended for best results. Total Tightening is exclusive to Evolutions Medical Spa Santa Barbara!
    Part 2: Skin Lightening – Improving Excess Pigmentation

    What is Pigmentation?

    Pigmentation is melanin in the skin. Melanin is produced by melanocytes and different skin types have differing levels of melanocyte activity.

    Why Does the Body Produce Melanin?

    Every body has a normal production of melanin. The body also produces melanin in response to sun exposure (suntan = skin injury), trauma, and inflammation. Melanin production can be accentuated by hormones, birth control pills, and pregnancy.

    Pigmentation Problems

    • If melanocytes are over stimulated, appearance problems can occur and can be commonly referred to as sun spots, age spots, “liver” spots, and freckles.
    • Post Inflammatory Hyperpigmentation (PIH) can cause darkening and discoloration as a result of an inflammatory reaction, or injury, to the skin. Common causes are scratches, burns, cuts, bruises or even certain rashes.
    • Melasma, darkening patches of the skin, usually appears on the face (although it can develop on the forearms and neck) and can be triggered by pregnancy, birth control pills, photosensitive drugs, sun exposure.

    Treatment for Hyper Pigmentation

    Sunscreen: Proactively protect your facial and chest skin year round using a good sun block every day.

    Home Care: There are products that can be used at home to fade pigmentation (bleaching agents) and increase cell turnover.

    • Bleaching agents: Recommended bleaching agents are the Obagi Clear, which is Step 3 in the Obagi Nu-Derm system, Obagi C-RX Night Cream, both contain Hydroquinone, PCA Brightening Therapy, Nia24 products and retinoids.
    • Increase cell turnover: Alpha-Hydroxy Acids, Amino Fruit Acids and Retinoids all play a roll in expediting cell turnover.

    Chemical Peels: Chemical exfoliation, which is what happens when a chemical peel is done, helps to achieve / maintain clear and youthful skin, especially because as we age, the natural exfoliation process tends to slow down, leaving skin dry and dull. Evolutions offers three types of chemical peels:

    • Phase Five Peel (light peel): low irritation and not a lot of actual peeling – a series of five is recommended.
    • Alpha Beta Peel (medium peel): a more aggressive medium-depth peel that stimulates new collagen and elastin. Clients usually see results in as little as four to five days.
    • Obagi Blue Peel (deep peel): the most aggressive peel that will significantly improve the complexion, leaving the skin firmer, clearer, smoother and healthier. Particularly good for pigmentation issues too.

    Vibradermabrasion: a physical exfoliation to stimulate collagen. Vibraderm keeps your skin looking young and can be used to treat superficial pigmentation problems (with no downtime) and, in addition, improves penetration of products / peels. It is superior to microdermabrasion because there is no suction, which can cause broken capillaries.

    Light-based Treatments: The FotoFacial RF is the “gold standard” for treatment of pigmentation. It works deeper than most chemical peels and is available in a series or combination with other treatments (FotoPeel, FotoPeel Plus, and Foto Genesis Packages).

    Sublative Rejuvenation: The newest fractional resurfacing device available that is used to treat wrinkles, pigment, acne scarring, skin laxity, tone and texture that uses radiofrequency energy instead of light, so it is safe for all skin types. Less downtime and discomfort than older fractional laser devices, with customizable treatments available. Sublative Rejuvenation can be combined with other light-based treatments such as the FotoFacial RF or Total Tightening.

    Chemabrasion: a surgical procedure that combines a deep peel with dermabrasion with approximately a one-week downtime. Chemabrasion treats wrinkles, sun damage and pigmentation issues.

    In conclusion, Dr. Perkins stressed that the best way to treat sun damage is to prevent it – use sunscreen daily, year round. When pigment issues arise, however, there are a number of treatment options – from “at home” care to treatments at Evolutions.

    ———-

    For a complimentary consultation about skin tightening or skin lightening, contact Evolutions Medical Spa at 805.687.0212.

    Evolutions Medical Spa’s Event Recap: All About Rosacea 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 rosacea. Click here to view the post that recapped the acne presentation.

    What is Rosacea?
    Rosacea is not acne. It is a skin condition that produces facial redness and blemishes, similar to acne. How do we know the difference between acne and rosacea? Rosacea has no underlying bacterial growth, whereas acne does. Like acne, there is no “cure” but there are ways to maintain rosacea.

    Facts About Rosacea

    • Rosacea is a common skin disorder affecting over 13 million Americans
    • You can be genetically predisposed towards Rosacea and it usually affects fair-skinned people
    • There are four stages/subtypes of Rosacea
    • Rosacea typcially starts with people in their 20s and 30s at “Stage 1” – redness in the cheeks – and peaks a person’s 40s or 50s
    • Rosacea develops slowly over the years
    • Women are affected 3 to 1 versus men
    • Rosacea can be characterized by flare-ups and remissions and also can be “triggered” (triggers discussed later in the post)

    Stages/Subtypes of Rosacea

    1. Facial Redness: flushing and persistent redness; visible blood vessels may also appear
    2. Bumps and Pimples: persist ant facial redness with bumps or pimples, often seen following subtype 1
    3. Skin Thickening: Skin thickening and enlargement, usually around the nose (Dr. Perkins showed pictures of W.C. Fields as an example of thickening around the nose)
    4. Eye Irritation: Watery or bloodshot appearance, irritation, burning or stinging

    Causes of Rosacea
    Exact cause(s) are unknown, but there are several theories:

    • Factors related to blood flow
    • Skin bacteria
    • Microscopic skin mites
    • Irritation of hair follicles
    • Sun damage of connective tissue
    • Abnormal immune / inflammatory response

    Rosacea Triggers

    • Weather
    • Emotional influence
    • Physical exertion
    • Temperature-related activity
    • Food and Beverages
    • Medications and Topical Skin Care Products

    Treatment and Management of Rosacea
    As mentioned earlier, there is no “cure” for Rosacea but there are ways to manage the condition such as:

    • Avoid trigger factors
    • Gentle skin cleansing
    • Therapeutic home care: Dr. Perkins recommends the Obagi Rosaclear System that is the first, and only, complete system to effectively meet the needs of rosacea patients (the Rosaclear System is available at Evolutions)
    • Sun protection
    • FotoFacial RF: the safest and most effective intense pulsed light (IPL) therapy treatment today, the FotoFacial improves skin texture and appearance through reducing redness in Rosacea. At Evolutions, we have seen clients who have been through a series of FotoFacial treatments where the Rosacea has almost completely gone away.
    • Laser Genesis Skin Therapy: often referred to as a “laser facial”, the Laser Genesis stimulates collagen growth and reduces redness by gently heating the upper dermis, another tool to use against Rosacea. Dr. Perkins highly recommends a FotoFacial / Laser Genesis combination to effectively put Rosacea into remission.
    • Antibiotics: tetracycline antibiotics can help quiet Rosacea.
    • Surgery: this can be done to tackle the skin thickening that sometimes occurs in later stage patients. Usually the thickening is around the nose and surgery will peel back the layers to bring the nose back to more of it’s original form.

    Cosmetic surgeon Dr. Perkins offers complimentary consultations about rosacea. Call Evolutions Medical Spa at 805.687.0212 to book your rosacea consultation today.

    Education at Evolutions Medical Spa: Concered About Sun Damage, Age Spots, Pigmentation?

    This month’s Education at Evolutions Medical Spa Santa Barbara event is about embarking on the path to clear, bright skin! If you are concerned about sun damage, age spots and any type of skin pigmentation, this event is for you! Learn about:

    * New and innovative medical treatments and packages to reduce unwanted pigmentation

    * Therapeutic home care that can brighten your skin little by little every day!

    The event includes a raffle and exclusive specials such as:

    Full event details:

    Brighten Up! at Evolutions Medical Spa Santa Barbara
    1309 State Street, Santa Barbara
    Wednesday, March 24th, 2010
    6:30 pm – 8:30 pm
    Refreshments served

    Seating is limited, please RSVP to Evolutions at 805.687.0212