Summer is over and, for many of our clients, this means that the kids are back in school. After a busy summer filled with kids activities, vacations, beach and pool days, you deserve to take some time for yourself!
Did your skin get a little over-exposed to the sun this summer? Now is a great time to address skin issues such as sun or “liver” spots, hyperpigmentation or uneven pigmentation. We have a variety of aesthetic medical spa treatments to address skin damage, and many medical-grade skincare products that will complement your procedure or start you on the path to healthier skin.
Nia 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!
“Tightening and Lightening” Plus Sublative Rejuvenation
PART 1: TIGHTENING YOUR SKIN
What is skin laxity and how can we treat it?
The skin becomes lax, and has more of a “hanging” appearance, due to damage to and loss of collagen and elastin. Skin laxity can be attributed to the natural part of aging but it is also relate to sun damage.
How can we treat skin laxity? There are surgical options such as traditional surgery (facelift) and deep peels that help restore collagen and tighten the appearance of the skin. There are different ways to treat skin laxity non-surgically and that includes light based, radio frequency, and focused ultrasound treatments.
Treating skin laxity non-surgically involves sustained heating of the dermis. The immediate effect is collagen contraction and the long term effect results in the stimulation of new collagen to be produced. When we heat the dermis in these tightening treatments, the epidermis (outermost layers of the skin) are protected.
Who are the best clients for a skin tightening treatment at Evolutions? Age is not a barrier. Clients can range in age from 30 to 80+ years. Best results are usually seen with clients that have a minimum amount of excess fat in the area of concern and when their skin is neither very thin or very thick. Non-surgical tightening is great for someone who wants to address their skin laxity but is not ready for surgery. It is important to have realistic expectations. Skin tightening treatments at Evolutions can turn back the clock a few years, but not decades.
Titan Skin Tightening Treatment
Titan uses an infrared light to heat the dermis, well beneath the surface of the skin. The heating contracts existing collagen and stimulates new collagen to be produced.
On the right is a before and after photo (courtesy of John Hunts, M.D.) of a Titan treatment on the eyelids. The “after” photo was taken two weeks after the 5th treatment.
Titan treatments can be done on many areas of the body including the jawline, under the chin, and the abdomen to tighten the skin and reverse the signs of aging. Results are cumulative and most clients have two to four treatments over a few months although a single treatment may produce good results for some.
ReFirme™ Skin Tightening Treatment
ReFirme™ features the revolutionary elōs technology which simultaneously combines the power of bi-polar radio frequency (RF) and light energies to precisely heat the dermal tissue in the targeted treatment area.
ReFirme™ treatments can help be done safely and effectively on the face, neck, abdomen, upper arms, and knees. In addition to improving skin laxity, it also addresses wrinkles and textural irregularities.
Total Tightening Treatment at Evolutions
This treatment combines ReFirme™ and Titan into one treatment to maximize the benefits of both treatments. Total Tightening synergistically works to heat the entire upper half of the dermis. With each treatment, the existing collagen is tightened as well as stimulating new collagen production that results in tighter, “fresher” skin.
The results are cumulative and therefore we recommend a package that includes 4 treatments done four to six weeks apart. Total Tightening is truly “the best of both worlds” in non-surgical skin tightening technology and is exclusive to Evolutions Medical Spa.
PART 2: LIGHTENING – IMPROVING EXCESS PIGMENTATION
What is pigmentation? Pigmentation refers to the coloring of person’s skin, often it is the word pigmentation is used when it is distinctive or in excess (as in spots on the skin). Pigmentation is created by melanin in the skin. Different skin types have different levels of melanocytes and that is how different skin colors occur.
Why does the body produce melanin? Melanin is produced at a normal level based on skin type. However, when the skin is exposed to trauma, inflammation, or exposure to the sun (a suntan is equal to a skin injury), the amount of melanin rises in response to these events. Melanin can also be accentuated by hormones, birth control pills, and pregnancy.
When Pigmentation Problems Arise Over-stimulated melanocytes create appearance problems such as sun damage, age spots, “liver” spots, freckles, post-inflammatory hyperpigmentation, and melasma (dermal and epidermal pigmentation).
Treatment for Pigmentation There are quite a few options for excess pigmentation:
Sunscreen: prevention is your best defense against pigmentation. Use it daily, year round!
Home Care: bleaching agents can help to lighten the skin while exfoliating agents can help to brighten the skin. Recommended bleaching agents are Obagi Clear, C-RX Night (with hydroquinone), Revale Illuminesse Brightening Complex, Nia24 products, and retinoids. Exfoliating agents increase cell turnover to freshen the skin. Examples of effective exfoliating agents are alpha-hydroxy acids, amino fruit acids (AFA Exfoliating Gel), and retinoids.
Chemical Peels: exfoliate and increase cell turnover in a short amount of time with chemical peels. Recommended chemical peels offered at Evolutions include the Clay Mask Peel, Alpha Beta Peel, Jessner’s Peel, and Obagi Blue Peel. Read in depth about what chemical peels do, how they feel, and descriptions of all the chemical peels offered at Evolutions in this blog post.
Vibradermabrasion: treat superficial pigmentation problems with no downtime through Vibraderm, a physical exfoliation. Adding on a Vibraderm treatment to facials and peels as a pre-treatment will improve the penetration of the products and/or the peel. Vibraderm does not have a suction component to the treatment so there is no risk of broken capillaries as there is with a microdermabrasion treatment.
Light-based Treatments: use intense pulsed light (IPL) and radio frequency technology to reduce excess pigmentation. They are safe and non-invasive.
FotoFacial RF™: this is the “gold standard” for the treatment of pigmentation and works deeper than most chemical peels. It is available in a series or in combination with other treatments such as a FotoPeel, FotoPeel Plus, and FotoFacial Genesis packages.
Q-Plus C (Q-Switched Laser): this laser can treat spots individually or can treat an entire area with our new Q-Peel package. The Q-Switched Laser works in pulses of billionths of a second to “explode” pigment. It can treat pigmentation issues (spots) as well as tattoos of all colors.
Sublative Rejuvenation Plus DNA Repair (New!):a fractional resurfacing device that uses radiofreqency energy instead of light to treat wrinkles, pigment, acne scarring, skin laxity, tone and texture. A Sublative Rejuvenation treatment has less downtime and discomfort than older fractional laser devices (i.e., the Fraxel). A DNA stem cell ampoule is now included with the treatment. The stem cell ampoule introduces genetically flawless live stem cells which influences the older cells to replicate stronger, healthier, more youthful-looking skin cells. This is an FDA-approved treatment that is clinically proven to renew compromised skin. Sublative Rejuvenation can be combined with other light-based treatments such as the FotoFacial RF™ or Total Tightening.
Chemabrasion: this surgical procedure combines a deep peel with dermabrasion. It treats wrinkles, sun damage, and pigmentation issues. The change can be dramatic. Downtime is approximately one week. This is done by Dr. Perkins at Cosmetic Surgery Center located near Cottage Hospital. Please call his office at 805-563-0000 for a consultation.
In conclusion, Dr. Perkins stressed the importance of daily use of sunscreen. The best way to treat sun damage is to prevent it! When pigment issues do arise, Evolutions offers a number of medical spa treatment options, for all areas of the body, with “at home” options also available.
Evolutions always offers a complimentary consultation for your skin concerns. Please call us at 805-687-0212 to make an appointment or fill out our online consultation form.
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).
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:
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.
At Evolutions MedicalSpa Santa Barbara we are often promoting Obagi Medical Products because they are skin care systems that truly work! Whether you use a complete system – such as the Nu-Derm skin transforming system or the Obagi-C RX system for collagen stimulation and protection against future damage – or use individual products, you will see a change, as we have witnessed with many of our clients who have used Obagi.
See the results for yourself, watch this “Skin Transformation” video from Obagi:
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 surgeonDr. 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!
Learn about new and innovative medical treatments that can brighten the skin and reduce unwanted pigmentation from Santa Barbara cosmetic surgeonDr. 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.
This month’s Education at EvolutionsMedical 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:
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
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.