While Sclerotherapy is often referred to as the Sclerotherapy Spider Vein Treatment, it can also be used to treat varicose veins. Varicose veins are veins that have swollen, twisted, and filled with an abnormal collection of blood. Spider veins are similar to varicose veins, but are smaller and are closer to the surface of the skin. The procedure involves a (salt) solution injection directly into the veins. This injection causes the blood vessel to swell and stick, causing the blood to clot. In time, the vessel is converted to scar tissue and fades away.
Sclerotherapy is an effective spider and varicose vein treatment for most patients, however, few patients (10 percent) are not cured by these injections. In those cases, different solutions or different treatments should be explored. Spider veins should disappear 3 to 6 weeks after Sclerotherapy, while varicose veins take longer, about 3 to 4 months. Veins that have been eliminated through vein treatment will not reappear. If new veins appear, the patient should return for Sclerotherapy spider vein treatment.
Product Use
A consultation with a specialist should be sought prior to Sclerotherapy spider vein treatment. If you are pregnant or breast feeding you are not eligible for therapy. Sclerotherapy is usually performed in a doctor’s office. Commonly, a 23 percent sodium chloride sterile solution mixed with a local anesthetic and heparin is used for Sclerotherapy injections. The solution is injected using a very fine needle and is injected directly into the blood vessel. How many veins can be treated in one visit depends on the the size and location of the targeted veins, as well as the individual’s overall medical condition. When larger varicose veins are being treated, a cramping sensation may be experienced for 1 to 2 minutes. The Sclerotherapy spider vein treatment can take from 30 to 45 minutes.
Possible Side-Effects
There are a number of possible side-effects to Sclerotherapy spider vein treatment. Larger varicose veins may become hard and lumpy for a couple of months after injection. Elevated, red areas may appear around the treated parts of the body but should disappear within several days. Also, bruising can occur near the injection areas but only lasts a couple days, maximum several weeks. If you develop any of the following more serious side-effects, contact a doctor: red streaking in the groin area, swelling of the leg, small ulcers around the injected area, inflammation around the groin area, or any allergic reactions.
Product Cost
Sclerotherapy spider vein treatment performed for cosmetic purposes will not be covered by insurance. However, if Sclerotherapy is performed for medical conditions, some insurance providers may cover the procedure. Average Sclerotherapy cost is around $450, however, price ranges between $150 and $1,000. Cost will depend on number of veins treated and the size and location of the veins to be injected.
How to Get It
Sclerotherapy spider vein treatment should be performed in a doctor’s office with a knowledgeable specialist. Please find a doctor near you for consultation and treatment.
Dr. Brian Kinney on Sclerotherapy – Spider Vein Treatment
We interviewed Doctor Brian Kinney about Sclerotherapy,
Spider veins and varicose veins are a nuisance and an eyesore at best, and sometimes can cause breakdown of the skin and small ulcers if advanced. Fortunately, effective treatments are available that can be performed in an outpatient setting. Doctor Brian M. Kinney’s patients really appreciate the results from sclerotherapy procedure, a cosmetic treatment that improves these poor skin conditions.
Let’s start with spider veins on the face. Both injection and laser therapy works for them. The ones on the face, around the lips or the nose, may be treated with a surface laser. The ones on the leg are generally better treated with injections or an internal laser. There are a couple of reasons spider veins on the face may be treated with a surface laser while the ones are the leg are not:
1) They are closer to the skin, so the surface laser can actually hit the veins.
2) The skin is thin and doesn’t provide as much protective cover from the surface laser.
3) They are not kept open by the pressure of pooling blood like in the legs. Injections are less involved and generally as effective as lasers.
Either way there is only a mild discomfort during the treatment. When treating with Doctor Brian M. Kinney M.S., it may take three or four injection sessions for optimal results where difficult or numerous spider veins persist. In Doctor Brian M. Kinney M.D.’s experience generally a third to a half of patients will be satisfied with just one session. Some bruising always occurs. After all, the blood in the vein is being coagulated (clotted) and some can escape during this process. If a dozen or more spider veins are being injected, a few will have a purplish discoloration, but rarely are they more unsightly than the old vein anyway. They’ll improve in a week or two. In very few instances, less than 5%, a scab or ulcer will occur. This generally heals in a couple of weeks.
If the veins are large, sometimes wrapping the leg with an elastic bandage for a couple of days may be required to keep the vein closed in order to help it shrink. The sclerotherapy treatment does not correct the original cause of spider or varicose veins. Usually, this is due to a breakdown of connective tissue in the blood vessel wall and/or skin, weakness and disruption of the elastic fibers, spilling of blood into adjacent tissues or related conditions. For this reason, Dr. Brian M. Kinney always tells his patients, the veins will likely come back in a couple of years. Patients should expect to go back for more treatments later.
Satisfaction rates are high, around 90%. Patients can typically resume normal activities either the next day. In extreme cases it can take up to three to five days. Brian M. Kinney M.D.’s office prefers using the concentrated saline (salt-water solution) because it is slightly weaker than the stronger sclerosing solutions that have a higher chance of minor complications. It is extremely rare that there are any permanent problems.
Botox Cosmetic is an injection composing of prescription medicine used to temporarily treat moderate-to-severe forehead and frown lines between the eyebrows for men and women. This is a surgery-free procedure that provides noticeable results with no recovery time. More specifically, Botox is the brand name of the bacterium called Clostridium botulinum. Botox can be used to treat several conditions such as: upper limb spasticity, cervical dystonia, severe underarm sweating, and others. Botox Cosmetic is specifically designed to treat medium-to-severe lines and is injected directly into the muscles preventing them from contracting and causing the wrinkles to relax and soften.
Product Use
Botox Cosmetic reduces wrinkles created by the release of a chemical called acetylcholine within the muscles. Muscle contractions that cause and create wrinkles are caused by this chemical, therefore, when Botox prevents the release of acetylcholine, it prevents the creation of lines and wrinkles. Botox Cosmetic is usually used on forehead lines, crow’s feet (around the eyes), and frown lines. The procedure is completed within minutes without anesthesia. Botox injections cause very minor discomfort as the product is injected with a very fine needle. Point of injection is crucial and is carefully chosen by the doctor. Doctors may select numerous points for each treated location. It may take 3 to 7 days to take full effect. Patients should avoid alcohol at least a week before treatment as well as aspirin and anti-inflammatory medication use. Failure to avoid the use of the before mentioned substances may result in bruising.
About the Manufacturer
Allergan, the manufacturer of Botox Cosmetic, has been bringing innovative pharmaceuticals and medical products to people since 1950. Their scientific excellence and discovery-to-development research has been helping people in various fields such as eye care, neurosciences, dermatology, and medical aesthetics.
Possible Side-Effects
The most common side-effect of Botox Cosmetic injections is bruising. Some individuals may experience headaches within the first 48 hours of the treatment. Nausea, flue-like symptoms, redness and pain around injection area have also been reported. Eyelid drooping, rarely experience by some patients, resolves within 3 weeks. Botox procedures have not been associated with any allergies.
Product Cost
Botox is not covered by insurance if used for cosmetic reasons. Botox Cosmetic treatment cost ranges between $300 and $500 per injection. However, if the out-of-pocket cost is too high, the surgeon can usually offer a payment plan option. Be aware that extremely low prices of Botox injections is an indication of questionable treatment. Because complications are rare but usually arise due to poorly performed procedures, it is important to choose an experienced and qualified specialist.
How to Get It
You may see Botox available online, however, if considering Botox Cosmetic treatment, you should contact a qualified physician to avoid serious complications. When choosing a doctor consider the following: doctor’s credentials, education, and training, amount of experience specifically with Botox Cosmetic injections, before-and-after photos of patients with similar conditions.
Dr. Brian Kinney on Botox Cosmetic
We interviewed Doctor Brian Kinney about Botox,
Botox is a very common procedure performed on most clients today as a means of minimizing wrinkles, frown lines, and brow furrows. When the product was initially developed decades ago, it was used to treat a medical condition called blepharospasm, commonly known as twitching of the eyelids. It is the original botulinum toxin A approved by the FDA. The FDA did not approve Botox for cosmetic conditions until 2004. However, for the last 10 years, plastic surgeons, such as Dr. Brian Kinney, and others have been injecting Botox off label (for use other than its initial approval by the FDA).
Brian Kinney M.D., a certified plastic surgeon, served as a faculty member for the American Society of Plastic Surgeons (ASPS), a group of original national trainers during the launch of Botox for cosmetic purposes in 2004. These professionals lectured around the country, created a teaching program for doctors, performed live injections, and offered continuing medical education (CME) credits for doctor’s maintenance of licensure programs.
Today, the Botox procedure is so commonly accepted as a part of the popular culture, the word Botox has transformed into a verb (to “botox” someone). Botox injection has become so popular that you can find interns, gynecologists, and family practitioners offering injections. The procedure itself is a very safe and effective process thereby enhancing its popularity. While the Botox injection process seems simple, since all it appears to require is someone to “push the plunger”, it is important for you to consider the expertise of your physician or plastic surgeon before undergoing the procedure.
When Botox was initially introduced, patients were more hesitant about the results, asking about possible side effects like poisoning. After millions of injections worldwide, people generally believe it to be a same procedure. Moreover, patients are highly satisfied with the results they receive. In Dr. Brian M. Kinney’s experience, only minor side effects may occur, like temporary swelling, bruising, and asymmetry. Less than 5% of Doctor Brian Kinney’s patients experience asymmetry. When it does occur, it is often easily treated with a small touch-up injection in one or two spots. Dr. Brian Kinney M.D. has never seen bruising persist permanently.
In order to achieve maximum results, some patients are urged by their plastic surgeons not to go to the gym or exercise after an injection. According to Doctor Brian M Kinney M.D., this isn’t required. Brian M. Kinney M.D. took a poll of several hundred experts during a major symposium a few years ago. About half of these professionals advised their patients to caution against exercise, and half did not. The one recommendation that Dr. Brian Kinney does have for those who choose to undergo Botox is to not do anything extremely vigorous that may cause full on sweating the same day of the procedure. Exercise is okay as long as it’s not excessive. Do not steam or sit in a sauna or Jacuzzi the day you get Botox. There shouldn’t be much of a problem otherwise.
From Dr. Brian M. Kinney’s experience, new toxins from Europe or those under development in the United States are comparable to Botox in terms of side effects. Dysport, another type of botulinum toxin A (licensed by Medicis from Ipsen Pharmaceuticals) is now available in the US and Dr. Brian Kinney, among other plastic surgeons, have not seen any more problems with it than Botox. It may have a faster onset. It may require a slightly lower dose, but the rate of problems is about the same from Brian Kinney M.D.’s perspective. Merz Pharmaceuticals of Germany will likely initiate clinical trials in the US for FDA approval of Xeomin, another injectable botulinum toxin A. Revance is a topical toxin that is undergoing clinical trials in the US now. It may be a year or two more before its approval here. It is unusual because it comes in a cream form and a 30-minute application in the doctor’s office achieves its affect. Reports from Europe have been very favorable with both. Finally, there are other injectables like Myobloc, used for disease conditions, but not generally for cosmetic purposes.
A chemical peel is also known as chemexfoliation or derma-peeling. It is a technique used to improve the appearance of the skin by reducing wrinkles, removing blemishes, and dark patches. During a chemical peel, a chemical solution is applied to the skin which causes it to “blister” and peel off. The new, regenerated skin is smoother and more even than the old skin. Chemical peels can be performed on the face, neck or hands and are used to: reduce fine lines (around the eyes and the mouth), treat wrinkles (caused by aging or sun damage), improve the appearance of mild scars, treat acne, reduce freckles and dark patches, and generally improve the look and feel of the skin. Fair-skinned and light-haired patients are ideal candidates for chemical peels. However, darker skin types may also have good results, depending on the skin problem being treated.
What Type of Peel to Get
There are several different types of chemicals used to improve the appearance of skin and the type of chemical peel procedure depends on desired results. First, there are Alphahydroxy acid (AHA) peels which are used for smoothing rough, dry skin, improve texture of sun-damaged skin, and aid in control of acne. This type of chemical peel might require various visits. The second type of skin rejuvenation treatment is a Trichloroacetic acid (TCA) peel which smooths out fine surface wrinkles, removes superficial blemishes, and corrects pigment problems. TCA peels can be used on neck or other body areas and may require pre-treatment with Retin-A or AHA creams. TCA chemical treatment only takes 10-15 minutes, has a quick healing period, and is preferred for darker-skinned patients. The third type of chemical peel uses Phenol. Phenol peels correct blotches caused by sun exposure, birth-control pills, and aging. This type of chemical peel smooths out coarse wrinkles and can remove pre-cancerous growths. If considering a Phenol peel: only use on face, not recommended for dark-skinned individuals, full-face treatment can take more than an hour, and recovery may be slow but results are dramatic and long-lasting.
How is It Performed
Doctor’s offices and surgery centers offer chemical peel treatments. First, the skin is thoroughly cleansed with an agent that removes excess oils. The eyes and hair are covered for protection. Chemical solutions are applied to small areas on the skin. These applications produce a controlled wound causing the skin to blister and peel off. This then allows new, smooth, regenerated skin to appear.
Possible Side-Effects
In certain skin types, there is a risk of developing a temporary or permanent color change in the skin. Taking birth control pills, subsequent pregnancy or family history of brownish discoloration on the face may increase the possibility of developing abnormal pigmentation. There is a low risk of scarring in certain areas of the face and certain individuals may be more at risk. If scarring does occur, it can usually be treated with good results.
Treatment Cost
Chemical peel cost depends on number of treatments required to achieve the desired result, number of treatments required to maintain the new look, anesthesia, and type of peel. Often package pricing is available for multiple treatment sessions. Costs for the chemical peel can range from $75 to $600 or more. Annual costs for a daily skincare regimen and maintenance can be $750 or more.
How to Get It
Talk to a qualified doctor about your goals and the treatment options available for your condition. Dermatologists and plastic surgeons have extensive experience with anti-aging procedures.
Dr. Brian Kinney on Chemical Peels
We interviewed Doctor Brian Kinney about Chemical Peels,
Chemical peels are cosmetic procedures that have been around for decades. They continue to be a popular treatment as they work really well. Dr. Brian Kinney’s patients like them and respond really well to them. The treatments can exfoliate and remove thickened, stiff, or rough outer layers of skin. They are also meant to firm and tone the skin, improve pigment irregularities and sunspots, stimulate collagen production and generally restore a youthful, supple, smoother appearance to skin.
Patients choose to undergo this procedure as a means of removing wrinkles, getting rid of pigment and sunspots, and have a healthy soft glow to the skin. The problem is, patients also want no downtime, no redness, no burn from the chemicals, and no pain from the procedure. Unfortunately it’s not that easy. Generally speaking, according to Dr. Brian Kinney M.D., “the more the burn, the longer the healing, the more the redness, the greater the change.”
Most of Doctor Brian Kinney’s patients choose the TCA peels because they provide a good balance of downtime versus results. Significant improvement comes within a week or two and during most of the healing makeup can be used.
The first step of the process is to chemically treat the skin. This part of the treatment can be relatively precisely controlled. The second step is allowing the body to respond to the “injury.” This part of the process varies based on each individual so the results are less predictable. Some people heal quickly and have fabulous results. Others are red and swollen for several weeks or more and have less improvement in wrinkles, spots and texture. When science advances enough to control the healing better, the results improve as well.
For those individuals who cannot afford a professional chemical peel by certified physicians such as Brian Kinney M.D., mild, over the counter preparations (AHA) peels are available in spas, cosmetic centers, and pharmacies. These over the counter options are also available as first line therapy in a doctor’s office. When used repeatedly, they will usually improve your skin’s appearance. Patients experience a shine, firmness and smoothness to the skin, but the results are much less dramatic than a professional peel.
Unlike the over the counter options, TCA peels are stronger, cause a deeper burn and result in more dramatic change, like a laser. Mild preparations (<10%) can be found mixed in some over the counter preparations, but may only have an effect similar to the AHA’s. In the mid range (20%), it is possible to undergo a procedure without any topical anesthetic cream. Generally, these peels will cause redness for 2-5 days, darkening of the outer layer of the skin and dryness before the skin separates by 5-10 days. Makeup is usually worn after this initial period while it is possible to go without makeup within a couple of weeks. Doctor Brian M. Kinney recommends skin protection from the sun for three months or more. Whether you’re getting a chemical peel or not, Doctor Brian M. Kinney M.D. would still recommend sun protection as it helps minimize sun damage to your skin.
For even more dramatic results, medium TCA peels (30-50%) are stronger. However, Dr. Brian M. Kinney suggests that you should expect to add another week to the healing process. The intense TCA peels (50-80%) may be as strong, or stronger, than laser treatments. You should expect several more weeks healing time at each stage. Topical anesthetic is often not adequate and an intravenous sedation is required for pain control during the procedure while oral pain medication may be taken for a couple of days afterwards. Expect to be out of circulation for a week, but the pain generally subsides within 1-2 days.
A phenol with croton oil preparation has been in use for decades and causes a powerful, deep peel, but takes many weeks for the swelling and redness to go down. In the end, the skin can often end up being a shade or two more pale, but the spots are gone, the tone is better and the surface is smooth. If your skin damage is severe, you may choose this, but Brian M. Kinney M.D. warns you to be prepared for the healing process to take a while.
Lattise eyelash growth treatment is the first and only FDA-approved treatment for eyelash hair loss and/or lacking, insufficient lashes. Lattisse solution is a prescription treatment for hypotrichosis, which is another name for having inadequate or not enough eyelashes. Latisse eyelash growth treatment is used to grow eyelashes, making them longer, thicker, and darker.
Product Use
Latisse eyelash growth treatment is used to grow longer, fuller, darker lashes. Applying Lattisse (bimatoprost ophthalmic solution) 0.03% is all about routine and precision. Once you follow the basic guidelines, eyelash growth will come gradually over time. To see the full effect of Lattise, it is recommended to take a “before picture” before you start the Latisses eyelash growth treatment. Once you begin the treatment, continue taking pictures every 4 weeks to document and see the growth and transformation of your eyelashes.
About the Manufacturer
Allergan, the manufacturer of Latisse eyelash growth treatment, has been bringing innovative pharmaceuticals and medical products to people since 1950. Their scientific excellence and discovery-to-development research has been helping people in various fields such as eye care, neurosciences, dermatology, and medical aesthetics.
Latisse is also helping wishes come true by raising awareness and becoming a Make-A-Wish Foundation sponsor. In 2009, borrowing on the tradition of blowing on an eyelash to make a wish come true, Latisse launched the Latisse Wishes campaign. Actress Brooke Shields and beauty expert to the stars, Anastasia Soare, joined Allergan to launch this campaign designed to help make wishes come true. If you would like to find out more about the manufacture of Lattise eyelash growth treatment, visit Allergan.com.
Possible Side-Effects
There are some possible side-effects when using Latisse eyelash growth treatment. The most common side effects after using Lattisse are an itching sensation in the eyes and/or eye redness. Latisse solution may cause other less common side effects which typically occur on the skin close to where Latisse is applied, or in the eyes. These include skin darkening, eye irritation, dryness of the eyes, and redness of the eyelids. There is also a potential for hair growth to occur in areas where Lattisse solution comes in repeated contact with skin surfaces. If you develop a new ocular condition, experience a sudden decrease in visual acuity, have ocular surgery, or develop any ocular reactions, particularly conjunctivitis and eyelid reactions, you should immediately seek your physician’s advice concerning the continued use of Latisse.
Product Cost
Latisse eyelash growth treatment can be purchased for around $88.00. However, longer, fuller, darker lashes can be obtained at a fraction of the price by taking advantage of a $20 rebate when purchasing online.
How to Get It
Even though Latisse is available online, you should make an appointment with your doctor to find out if Latisse eyelash growth treatment is right for you. When making an appointment, be sure to tell the receptionist that you want to find out more about the Latisse program and you can grow longer eyelashes, prevent eyelash hair loss, and fight hypotrichosis.
Dr. Brian Kinney on Lattisse – Eyelash Grouth Treatment
We interviewed Doctor Brian Kinney about Lattisse,
Doctor Brian M. Kinney M.D.’s patients have been generally satisfied with Latisse and reported few undesirable side effects or adverse events. Most report it takes several weeks to a month before seeing dramatic results, but they see some changes within a couple of weeks. No one has reported detectable results in less than a week. Dr. Brian M. Kinney encourages patients to be patient when looking for results. Very few of Brian M. Kinney M.D.’s patients, if any at all, have reported much of a problem with dryness. None have reported any changes in eye (iris) color, although it is a potential problem.
Dr. Brian Kinney’s patients have seen that lashes tend to be darker and longer, but not too much thicker. However, this hasn’t been much of a drawback for his patients, since they’re happy with the changes they do experience. Dr. Brian Kinney M.D. notes that patients are more pleased with the upper lashes than the lower. This is not surprising as most of the “beauty effect” of eyelashes comes from the upper lashes anyway. In addition, the lower lashes are fewer, thinner and shorter to start with.
Patients generally ask Doctor Brian Kinney if they can use Latisse to row new eyelash hairs. Unfortunately, there is no way to do that with Latisse at this point. Overall, Brian Kinney M.D.’s patients like Latisse and consider it worth the trouble of a small extra beauty step each day.
Endermologie cellulite treatment is a comprehensive, non-surgical approach which uses a patented technique to reduce and cure cellulite. This cellulite reducing technique involves a massage machine with 2 rollers and a gentle suction action that when rolled over the top layer of fat makes a fold. This folding action stretches the connective tissue and results in the reduction of cellulite and body measurements. Cellulite is caused by weight fluctuation, genetic predisposition, circulatory problems, and inevitable changes throughout life and affects many women over the age of 20. Endermologie is the way to reduce cellulite and get a leaner, thinner, more beautiful body without committing to plastic surgery.
Product Use
Endermologie is a non-invasive technique for reducing the appearance of cellulite or “cottage cheese” by stimulating local blood circulation with deep, soothing motions that are clinically proven to reduce the appearance of cellulite. This patented technique, developed in France over twenty years ago, efficiently produces results using a non-invasive method applied through a course of weekly sessions. Endermologie works best on candidates who are fit and between the ages of 30 to 45. Candidates who do not regularly exercise may see only temporary results while those that are over 30 pounds overweight might not benefit from the procedure. Apart from regular exercise, drinking water on the day of the procedure helps obtain a better result. Doctors usually ask patients to drink eight glasses of water prior to the procedure and to maintain this habit post-treatment. Those opting for Endermologie usually need about 14 to 28 45-minutes sessions to see results and must also have monthly treatments afterwards to maintain the slim, cellulite-free look.
About the Manufacturer
LPG Systems has researched and developed professional and non-invasive, anti-cellulite technologies, called Endermologie for over 20 years. For more information please see www.lpgsystems.com. Endermologie cellulite treatment centers are located everywhere, nationally and internationally. To find a treatment center you can search online within your area.
Possible Side-Effects
Side effects are minimal and may involve bruising or soreness in the areas treated. Many patients like the feel of Endermologie and find this temporary soreness a small price to pay. Those who are extremely sensitive to pain may find the pressure exerted by rollers very uncomfortable.
Product Cost
The price of Endermologie cellulite treatment, when considering all (14-28) sessions necessary for reducing and eliminating cellulite, is comparable to one session of liposuction. Liposuction of a small area tends to cost about $2,000 or more while an Endermologie session is about $90. Therefore, the complete cellulite treatment of at least 14 sessions a little below $2,000. However, those needing more treatments may ultimately pay more than a single liposuction session. Proponents of Endermologie cellulite treatment argue that the procedure is still economically sound and is the best cellulite remedy. Since the procedure is cosmetic, it usually is not covered by health insurance.
How to Get It
Endermologie cellulite treatment centers are located everywhere, nationally and internationally and can be found online. It’s always best to contact your nearest Endermologie cellulite treatment center with any specific questions or concerns you might have.
Dr. Brian Kinney on Endermologie – Cellulite Treatment
We interviewed Doctor Brian Kinney about Endermologie,
The fight against cellulite is one almost every woman can relate to. There are many claims about new miracle lasers, radio waves, ultrasound, diets, supplements, creams, potions and lotions, that say they can improve the appearance of cellulite, but few, if any work. In the late 1990’s Endermologie was the first medical treatment cleared by the FDA for marketing for the “temporary improvement in the appearance of cellulite.” It was the original, the gold standard and was alone in the marketplace for a bit less than ten years. All other treatment options came post-2006. To date, other technologies like laser, radio waves or ultrasound to the computerized suction-roller concept have been added to the list. Aside from Endermologie, none of these treatments have been formally studied in the pre-marketing approval (PMA) process of the FDA.
Patients like Endermologie. If doctors properly set their client’s expectations and a miracle cure is not promised, satisfaction rates are typically 80-95%. Dr. Brian Kinney likes this technology, too. Dr. Brian Kinney M.D. recommends this procedure to his clients in several circumstances:
1) Pre- and post-operative “cosmetic physical therapy” following liposuction, facelifts, breast surgery and others
2) To soften and subjectively improve scars from old or recent surgery
3) To remove fluid from swollen tissues and to massage the lymphatic drainage channels
4) To firm and tone the connective tissue in and just under the skin.
Endermologie is a valuable part of the overall package of firming, toning, reducing swelling, speeding recovery after surgery, softening scarred or healing tissues and temporarily improving the appearance of cellulite. In Doctor Brian Kinney’s experience, patients tend to heal a bit faster, have less swelling and pain, and the tissues smooth and firm better when the treatment is post surgery rather than on old scars. Depending on the plastic surgeon, some doctors charge for Endermologie after surgery, and some do not. For soft scars, it works well and often rapidly within a few weeks. For old scars, it has a lower chance of being effective and takes longer, but it’s worth a short trial. The ability for Endermologie to drain lymphatic fluids has been proven in several rigorous scientific studies. Brian Kinney M.D. and others see Endermologie work very well in this setting. Firming and toning the connective tissue helps to improve cellulite and this is the most challenging goal. It is achieved temporarily in more than ¾ of patients. However, once or twice a month maintenance procedures, combined with proper diet, exercise, and nutrition to maintain proper weight are required for maximum results. According to Doctor Brian M. Kinney, if patients actively participate in the process, the results will be better and the patient will be more satisfied with the outcome.
Dermal fillers are a popular alternative to face lifts. This treatment is designed to reduce the signs of aging and return a more youthful look. Dermal fillers can be used to treat a variety of issues such as: forehead lines, frown lines (creases between the eyebrows), crow’s feet, nasolabial folds, vertical lip lines, reduce or eliminate the appearance of scars, and enhance the lips. Dermal filler injections are targeted just below the surface of the skin to fill in scars, wrinkles, and lines. A large variety of dermal fillers are available, the most common being: hyaluronic acid based (Restylane, Juvederm, Prevelle), poly lactic acid based (Sculptra), and calcium hydroxylapatite fillers (Radiesse).
A Quick Look at the Different Dermal Fillers
Prevelle is a hyaluronic acid based dermal filler. This non-surgical treatment is used to temporarily reduce wrinkles for a younger appearance. When smoothing lines and wrinkles with Prevelle the benefits include: minimal irritation, same-day procedure, immediate results, little downtime, soft-natural results, ideal for candidates with delicate skin.
Restylane is also a hyaluronic acid based dermal filler. Restylane is used for long-term reduction of moderate-to-severe wrinkles. This dermal filler can also be used for lip augmentation. As with Prevelle, this hyaluronic acid based treatment required no allergy testing because this acid is naturally present in the body. Restylane results last up to 6 months.
Juvederm, like Prevelle and Restylane, is a hyaluronic acid based filler. Juvederm is designed for mid to deep injections for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds. This dermal filler can also be used for shaping facial contours, such as cheek and chin correction.
Sculptra is poly lactic acid based dermal filler. This sculpting agent restores volume to correct facial fat loss in people with human immunodeficiency virus. The loss of fat can result in hollow eyes, sunken cheeks, and indentations. Using Sculptra, improves the appearance of folds and sunken skin areas by providing a gradual increase in skin thickness.
Finally, Radiesse is a calcium hydroxylapatite filler. The gel carrier used with Radiesse gradually replaces your body’s soft tissue. The injection immediately adds volume to correct and contour facial features. However, Radiesse filler continues working even after you leave your doctor’s office. The microsphere technology used in the Radiesse dermal filler, stimulates the body to produce collagen and provokes collagen growth around the injection area. Radiesse correction can last up to 18 months.
Product Use
Dermal fillers are designed to counteract the body’s natural loss of collagen, elastin, and hyaluronic acid. A healthcare professional will tailor the treatment to your needs and your particular case. Any chosen dermal filler treatment is easily administered and can be completed in a few minutes and discomfort is usually avoided by using topical and injectable anesthetics.
Possible Side-Effects
Dermal filler procedures are safe and minimally invasive. Complications are very rare and usually occur due to provider malpractice. It is important to choose an experienced and qualified specialist to perform the procedure. Side-effects are also rare but can include: allergic reactions, bruising, redness or swelling, reactivation of herpes infections, and very rarely ulceration. Individual concerned with allergic reactions should choose hyaluronic acid based dermal fillers.
Product Cost
Dermal fillers cost varies widely depending on the area being treated, the type of filler used, and the number of injections required. Treatment cost can range from a couple of hundred to a few thousand dollars.
How to Get It
You should contact a doctor for more information regarding filler types and which one is right for you. Because complications are rare but usually arise due to poorly performed procedures, it is important to choose an experienced and qualified specialist.
Dr. Brian Kinney on Dermal Fillers
We interviewed Doctor Brian Kinney about Dermal Fillers,
Worldwide there are almost ninety fillers available for injection into lines, wrinkles, lips and folds. In the United States there are only fourteen different products, but this is plenty to offer a great variety of treatment options. There are only a few companies that produce these products and most offer more than one option. Dr. Brian M. Kinney has experience with all of the products available here in the U.S. He has experience with some more than others. Brian M. Kinney M.D. has performed thousands of injections, typically in the Century City Surgical Center based in Los Angeles.
The only permanent filler on the market is Artefill, small polymethylmethracrylate plastic polymer beads. While it may seem appealing to have the results of the fillers remain permanent, great care must be taken in injection. Permanent fillers could lead to “permanent” mistakes. Surgery could be required for a correction of too much injection. Side effects are generally low and the beads stimulate your body’s collagen formation after their own collagen coating is reabsorbed a few months after the injection. Artefill is currently used in a very small percentage of the market, but it works well when used properly. The company behind the product was recently reformed as Suneva. Dr. Brian Kinney spent a day at the new facility, meeting with top management, touring the production line and reviewing the scientific data.
In Dr. Brian Kinney M.D.’s experience, another product called Radiesse has high satisfaction rates and works for about 12-18 months. One of Doctor Brian Kinney’s colleagues who he’s known for many years performed the original FDA clinical trial for cosmetic indications so Brian Kinney M.D. is quite familiar with this product and likes the way it works. As Doctor Brian M. Kinney describes it, “it is stiffer and firmer than other products and has a consistency like wet sand at the beach.” Patience is required when injecting it, as it doesn’t flow as easily as others. However, the benefit of this product’s consistency is that it supports the tissue better than the other fillers. This is particularly effective in acne scars and scars from old injuries. It also works well to build up smile lines near the corner of the nose and other deep wrinkles in older patients. Dr. Brian M. Kinney likes to use it in combination with Radiesse deep and hyaluronic acids (HA’s) near the surface. It is particularly useful on either side of a pointed chin, deep along the jaw line or the orbit (eye socket) where other injectables can achieve the same level of correction.
Restylane and Perlane are two more fillers offered. They were introduced in the market in 2006 and largely responsible for displacing collagen injections from common use. They are the original, tried and true HA’s. Their chemistry is the same; just the particle size is different. Perlane particles are larger. Because of this makeup, they should be injected deeper. They also take longer to be broken down by the body. The consistency is not as thick as Radiesse, but it is thicker than other HA’s, so it supports scarred tissue, contracted tissue, and deeper folds better. From Brian M. Kinney M.D.’s experience, patients that are injected with these products take 2-3 days to overcome the initial redness and swelling from the injection. Dr. Brian Kinney believes in these products as he has served as a consultant to the company on a few occasions on an “ad hoc” basis.
Juvederm Ultra and UltraPlus are hyaluronic acids (HA’s) that flow more easily than Restylane and Perlane. They are less stiff, softer and less viscous. According to Dr. Brian Kinney M.D., they are better for the lips as they are more dehydrated so they absorb water more after injection. The results from injection offer a softer and more rounded look due to water absorption. Juvederm took 12 months, in the FDA clinical trial for approval, longer than Restylane. From Doctor Brian Kinney’s experience, since the product is smoother and softer, it gives less injection pressure, thereby causing less pain. In just a few short years, Juvederm Ultra and UltraPlus have become number one in the U.S. market.
Another injectable in its own classification is Sculptra. It is composed of micro fine poly-l-lactic acid particles. This makeup is similar to a common absorbable suture used in the operating room. Sculptra is mixed with sterile water, shaken in a particulate suspension without dissolving and injected in a different manner than the others. Its effect generally last 1 ½ to 2 years, but often several injections, spaced four to six weeks apart are required. While other products fill the folds, lips or lines, Sculptra stimulates collagen formation and creates volume. Brian Kinney M.D. routinely mixes it with local anesthetic. He then uses a larger needle and fills large, deep or shallow facial areas like the temple, mid cheeks and orbit. Imagine sprinkling fertilizer widely on a lush, green lawn. The initial reaction is correction of the hollow areas. Then it absorbs water creating a slight sense of fullness and gradual tissue reaction over a few days or couple of weeks. Gradual increase in collagen formation and fullness of the tissues occurs over the following weeks and months.
No other injectable treats deep soft tissue as well as Sculptra. A second or third treatment is required in about three out of four patients for optimal results. It is particularly well suited for combination therapies along with HA’s that are used in the dermis. Although Sculptra is a great product, Doctor Brian M. Kinney does not use it in the lips or eyelids. He avoids using the product in these areas since nodule formations can occur. When these formations occur close to the surface it is unsightly and can cause scarring or fibrosis. Results are different than other injectables because they are smooth, gentle volume enhancements and not designed to “fill a hole” or “fill a line ” like the HA’s.
Over the years, Doctor Brian M. Kinney M.D. has participated in numerous original FDA clinical trials. He has participated in them as a pilot study, clinical trial site, and/or as a clinical monitor. Studies range from hyaluronic acid in the lips, Puragen in the nasolabial folds in a one-year study and a follow-up “continuing access” study. Parenthetically, Dr. Brian M. Kinney has also served as the head of one of two plastic surgery centers in the country in the Purtox (a new botulinum toxin A) FDA clinical trial. Brian M. Kinney M.D. has served with them in both a one-year blinded study and in a three-year long-term safety study. Some of these products are approved in the U.S., like Prevelle Silk. Other products are approved in Europe, but not yet in the US, like Prevelle Lift and Puragen (Prevelle Shape).
Dr. Brian Kinney recommends asking for an injectable by its best use and what your condition requires rather than by brand name. Specifically ask what the doctor’s experience is with all the injectables. They may only suggest a few because they lack the experience with others. Complication rates are low with of them, generally less than 5% for bruising, lumps or excessive pain. Slight asymmetry may occur in 5-10% of patients, but the difference from one side to another is usually very minimal at best. Only about half of these patients elect to undergo an early touch-up. In very rare cases, less than 1%, inflamed nodules or abscess formation can occur and may require surgical excision.
With any injection it is ideal to wait until the effect has completely run its course. However, most patients prefer preemptive treatment to avoid the tired, old, wrinkled or hollow look. Dr. Brian Kinney M.D. suggests that you can generally expect to reinject HA’s nine months after the initial injection if you don’t want to return all the way back to baseline. With Radiesse and Sculptra consider reinjection at 12-15 months. With Artefill it is better to slowly and carefully inject over a period of weeks or months and err on the under filled side until your improvement stabilizes. Whichever one you choose, know that within a few years the effect of aging may be seen with loss of soft tissue volume and a less youthful look that requires retreatment.
Thermage skin tightening treatment is a non-invasive procedure that uses radiofrequency energy to tone and contour the skin and to tighten sagging skin on the face, neck, and/or body. Natural results are obtained by stimulating the body’s renewal of collagen without surgery or injections and with very little recovery time. The Thermage procedure can tighten and smooth the skin, soften wrinkles and lines, and create an overall younger appearance.
Product Use
People seeking an alternative to a facelift, or eyelid surgery are usually the ones to consider Thermage skin tightening. However, with Thermage you can also get a variety of treatments aimed at the body, cellulite, lips, and hands. Thermage uses radiofrequency (RF) technology which carefully heats the deep layers of your skin, while simultaneously cooling the surface of your skin. The cooling effect to the surface of your skin minimizes discomfort during the procedure. The deep heating stimulates natural skin renewal, helps tighten existing collagen and form new collagen. Sagging or wrinkled skin is replaced with smoother, tighter skin afterwards. The tone and texture are improved allowing for an overall younger looking appearance. Depending on the size and condition of the treatment area, Thermage skin tightening may take up to an hour. The procedure is usually performed in a doctor’s office.
A Look at the Different Procedures
The Thermage Face Procedure treats sagging skin, loose jowls, lack of definition in the jaw line, sagging skin under chin, wrinkles and fine lines (around mouth, eyes, and forehead). The Thermage Eye Procedure helps with excess skin on upper eyelid, wrinkles and fine lines, tired looking eyes. Finally, the Thermage Body Procedure improves wrinkled or sagging skin on the tummy, knees, arms, legs, hands or buttocks. It may also address the , unwanted bulges, love handles, thin and loose skin on hands, appearance of cellulite.
About the Manufacturer
Solta Medical, the manufacturer of the Thermage skin tightening treatment, is a collaboration of two brands in the aesthetic industry, Thermage and Fraxel. Solta Medical is a leader in developing transformational aesthetic products, procedures, and services. The Solta Medical headquarters are located in California and to find out more about the manufacturer of the Thermage skin tightening treatment, visit www.solta.com.
Possible Side-Effects
Side effects from the Thermage skin tightening treatment are rare, but can include blisters, peeling, swelling, redness, dimpling or bumps. Any side effect should be gone within a few days to a few weeks.
Product Cost
Thermage skin tightening cost ranges between $1,000 and $5,000 per treatment. The average cost, as reported by users, is about $2,750. However, if the out-of-pocket cost is too high, the surgeon may offer a payment plan option.
How to Get It
If considering Thermage skin tightening treatment, you should locate a certified Thermage practitioner in your area. When choosing a doctor, consider the following: doctor’s credentials, education, and training, amount of experience specifically with Thermage, before-and-after photos of patients with similar conditions.
Dr. Brian Kinney on Thermage – Skin Tightening
We interviewed Doctor Brian Kinney about Thermage,
The concept of radio frequency was widely utilized in the removal of cartilage from the knee Arthrocare Corporation in a product called Refinity Coblation. The company was bought by Collagen Corporation, the originators of Zyderm and Zyplast collagen injections, to add to their cosmetic portfolio. It became the new tool used for skin resurfacing. Dr. Brian Kinney was an early adopter of their technology which they adapted and renamed Visage. He started using their product just before the year 2000. Media representatives interviewed Dr. Brian Kinney M.D. for stories on this exciting new technology. This device saw use for one to two years before it was displaced by newer technologies like Thermage. Thermage technology is now only a few years old and is already on its second generation.
In the beginning the Thermage company recommended that patients be sedated or asleep to undergo strong, deep tissue heating for a dramatic skin tightening effect. This led to excessive tissue heating and increased the risk of burns. Later a cooling device was added to create a burst of cryogen on the surface of the skin. At the same time, the radio frequency was deep heating the tissues. The amount of heating was guided by feedback from the patient who was awake. Results and safety improved dramatically.
The latest generation of Thermage technology has improved heating, skin tightening and wrinkle reduction, along with the jet burst of cooling agent. According to Doctor Brian Kinney, patient satisfaction is very high for the results of the procedure using Thermage. Satisfaction is especially high when treatments are done on the face. Newer applications include treatments of the arms (“bingo wings”), the tummy and the inner and outer thighs. Patients experience a sensation similar to that of undergoing IPL or fractional laser, and the results are often comparable.
As Brian Kinney M.D. expertly advises, it is important to remember that while claims are made about treating fat in the tummy, arms and elsewhere, the studies and clearance by the FDA for use of this technology were for skin tightening and heating. Usage of Thermage technology has not been approved by the FDA for treating of fat and cellulite. Many laser companies have also been known to promote reduction of fat without studies or clearance by the FDA. This causes confusion when doctors and companies make such claims. Nonetheless, there are countless anecdotal reports and photos from these companies and patients claiming of excellent results. The problem is figuring out in advance which patients will respond to the treatment and which will not. Generally speaking, patients are satisfied if expectations are properly managed.
In Doctor Brian Kinney’s experience, patients should see a ¾ subjective improvement in wrinkles in the face long-term. Results are somewhat less dramatic in the arms, tummy or thighs. Cellulite improvement is more variable and less likely to last. Initial results will “settle down” in about three months. Brian Kinney M.D. suggests waiting until then before looking for a long-term status. With aging, it is likely that in a couple of years, conditions will return and require repeat treatment.
Now that Thermage and Fraxel (laser treatment as noted in another review) have merged to form Solta, there are two different methods to treat the skin. As Doctor Brian M. Kinney suggests, Thermage is better at deep heating as the name implies and Fraxel is better for the skin surface, although both address wrinkles.
Laser skin resurfacing, which is also known as lasabrasion, laser peel, or laser vaporization, is a relatively new treatment which improves the appearance of skin by reducing facial wrinkles, fine lines, and skin irregularities, such as blemishes or acne scars. This skin treatment usually targets the area around the eyes and mouth, however, it can also be used to treat larger areas of the face. The technique directs short, concentrated pulsating beams of light at irregular skin. Laser skin resurfacing removes skin layer by layer, leaving the new skin smoother and more even.
Product Use
There are many types of lasers used in laser skin resurfacing. The two common ones are carbon dioxide (CO2) and erbium. When choosing the type of laser, consider the following:
Carbon dioxide laser skin resurfacing has been used for years to treat wrinkles, scars, warts, birthmarks, enlarged oil glands on the nose, skin cancer, and other conditions. The newest version of the CO2 laser resurfacing uses very short pulsed light energy or continuous light beams applied in a scanning pattern to precisely remove thin layers of skin with minimal heat damage to the surrounding structures. The recovery period from the carbon dioxide skin resurfacing procedure is up to two weeks. Erbium laser skin resurfacing is designed to remove superficial and moderately deep lines and wrinkles on the face hands, neck, or chest. The benefits of erbium laser resurfacing is minimal burning of surrounding tissue and minimal side effects, such as swelling, bruising and redness. Recover time should be more rapid than with CO2 laser resurfacing and take about one week. Also, if you have a darker skin tone, erbium laser resurfacing may work better than CO2 laser resurfacing.
Both erbium and CO2 laser skin resurfacing are performed as outpatient procedures, using local anesthesia in combination with oral or intravenous sedative medications. The procedure can take from 30 minutes to about 2 hours, depending if you are doing a partial-face or full-face lasabrasion.
Possible Side-Effects
You may experience some temporary side effects, including swelling and mild discomfort. It is also possible that you develop a red, crusted appearance on the treated area for three to 10 days. Camouflage makeup can help improve the appearance of post-surgery swelling, bruising, scarring and unusual bulging areas. There are, however, some more serious risks of laser skin resurfacing including burns and other injuries associated with the laser’s heat, scarring, abnormal pigmentation and infection.
Product Cost
According to the American Society of Plastic Surgeons, the fee for laser skin resurfacing can range from $1,350 to $2,200. This only includes the physician’s fees for one treatment session, however, multiple sessions may be necessary. These fees also do not include anesthesia, operating room facilities or other related expenses. Insurance does not usually cover laser resurfacing because it is an elective cosmetic surgery.
How to Get It
Consult a board certified plastic surgeon or dermatologist who has extensive experience in laser skin resurfacing. Only experienced and knowledgeable doctors will know which laser is most appropriate for each condition and will have received the appropriate training.
Dr. Brian Kinney on Laser Skin Resurfacing
We interviewed Doctor Brian Kinney about Laser Skin Resurfacing,
Laser skin resurfacing has been around since the beginning of the 1990’s. Originally in the 1980’s, the procedure involved a CO2 beam. This type of laser was a continuous, powerful wave. It was reserved for warts, burns and other serious conditions. The burns penetrated deep into the tissue. When used in a cosmetic setting for wrinkles, the continuous wave proved to be too much to offer proper results.
More recently, two companies solved this problem: Coherent and Sharplan. They developed pulsed lasers that utilized a computer pattern generator (CPG). This allowed the size and shape of the beam to be varied to suit the anatomy and contours of any particular patient. The very short pulses helped to control the depth of injury. Some physicians still use these machines to this day. Because of their power, most are used in the operating room and while a patient is asleep or heavily sedated.
The results were often fantastic. Wrinkles were removed, sunspots eliminated, skin tightened and a more youthful appearance was achieved. However, weeks passed before the redness and swelling subsided, and many patients (as many as 5-10%) became a couple of shades paler when the final healing occurred. In addition, the consistency of the skin could be too tight and a porcelain look was occasionally seen.
At one time or another in the past, Dr. Brian Kinney has used these different types of these laser devices. Today, Dr. Brian Kinney M.D. no longer uses them because better options are available.
About five years ago, another advancement in laser technology took place. This bore “fractional lasers,” which creates a fractional computer pattern generation. This technology has also been called Fraxel, Pixel, DOT or other terms. This fundamentally changed the laser skin resurfacing treatment and patients benefit dramatically. While pulsed lasers create a beam that completely covers up an area up to several square centimeters (half a square inch), fractional lasers create a checkerboard pattern of microdots. Some of the skin is burned and some is left intact. As Doctor Brian Kinney educates us, the key behind the success of this technology is the understanding of what was required to restore the skin properly. While it is important to create the proper injury, this is only one-half the story in achieving an optimal result. Healing is the other. Having each “dot” of laser treatment be surrounded by untreated, normal skin speeds up the healing and improves results. Uninjured skin cells “seed” the burned areas with normal tissues, and promote growth of healthy skin cells during the healing process. This results in a more natural appearance sooner and it offers less redness, swelling and pain.
The other major improvement is that it allows the plastic surgeon, Brian Kinney M.D., and others, to control the laser beam with more precision. The level of power can be controlled so a gentler burn can be created, making it easier on the skin tissues.
With fractional lasers, patients generally get comparable results to the old lasers (perhaps ¾), but with minimal downtime. The level of “burn” depends on how aggressive the treatment is. Downtime is most often one or two days, but some patients return to work the next day. Doctor Brian M. Kinney reminds us that staying out of the sun is essential. The energy can be “dialed up” to mimic that of the last generation lasers. This creates more downtime with more dramatic results.
Hispanic, African-American, African and some Asian patients with dark skin are not good candidates for this type of laser. Wound healing is generally good, but the pigment cells for these particular skin types react unpredictably after injury. Temporary irregular pigmentation, lightening more often than darkening of the skin, occurs after the procedure and prior to complete healing. The contrast between light and dark skin can be unsightly and in a certain percentage of patients, the skin color may never be restored. This is generally considered an unacceptable risk, even for a small percentage. This means, the lighter the skin, the less the contrast and the less the risk. In fair-skinned patients, it is not a major concern. According to Doctor Brian M. Kinney M.D., there may be exceptions. Ask your doctor about your particular circumstances.
Intense Pulsed Light (IPL) is generally used for two different types of procedures, hair removal and photorejuvenation, also known as photofacial. IPL laser hair removal can reduce hair growth and appearance for darkly pigmented hair follicles. Photorejuvenation is used to treat age spots, wrinkles, sun damage, stretch marks, acne, broken capillaries, varicose veins, spider veins, and pigmented birthmarks. The benefits of Intense Pulse Light therapy are comparable to those of a chemical peel or a medium depth laser but without the long recovery times and without the burns and blisters.
Intense Pulsed Light Hair Removal
IPL hair removal involves the use of a xenon flash lamp and focusing optics. This hair removal process has become very popular because it has a number of advantages over laser hair removal. Intense Pulsed Light hair removal requires less time (both procedure and recovery) and is cheaper than laster hair removal. IPL entails an application of a broad-spectrum light using a hand-held want or articulated machine arm to the surface of the skin. This light penetrates the skin until in hits the hair shaft or the hair root. The root of the hair is instantly vaporised by the heat converted form the light coming from the machine. The hair-producing papilla is also destroyed in the process assuring future hair will not grow back.
Intense Pulsed Light Photorejuvenation
IPL Photorejuvenation is procedure that treats a variety of medical skin disorders such as sun damage, acne rosacea, broken capillaries, appearance of veins, and other skin issues. Intense Pulsed Light photorejuvenation is actually of the only available treatments for facial redness associated with rosacea. Dual mode filtering is incorporated by this new technology resulting in safer and more effective procedures.
The Procedure
Intense Pulsed Light equipment produces a very short light assuring only minor discomfort and damage to non-targeted tissues. Generally, people experience only slight irritation, similar, comparable to that of light sunburn. However, men undergoing IPL hair removal experience a stronger discomfort due to the thicker nature of their hair follicles. If undergoing Intense Pulsed Light hair removal on the chest and face, the pain experienced is similar to that of waxing the same areas. UV skin damage is not an issues as the light produced by IPL equipment is filtered to remove ultraviolet components. Intense Pulsed Light procedure can last from 15 to 30 minutes. Individuals with sensitive skin are advised to used a topical anesthetic 30 to 60 minutes prior to treatment. Generally, you can return to normal routine right after treatment as there should be no discomfort.
Side Effects
Side effects such as blistering, bleeding, hypo/hyper-pigmentation are rare but possible. Any pigmentation problems that might take place should return to normal within 3 to 12 months. Another possible but rare side effect is scarring.
Procedure Cost
The cost for an Intense Pulsed Light procedure can range from $150 – $600 for each treatment, depending on the body part.
How to Get It
If considering Intense Pulsed Light hair removal or photorejuvenation contact a qualified doctor or dermatologist to determine if you are eligible for treatment.
Dr. Brian Kinney on Intense Pulsed Light
We interviewed Doctor Brian Kinney about Intense Pulsed Light,
Doctor Brian M. Kinney is the medical director of Spa7, a medical spa located within two of the nine Burke Williams Day Spas in California. Burke Williams has been in existence for 25 years, employs over 200 aestheticians and sees between 500 and 1000 guests a day. Some people say they coined and created the day spa industry. In these facilities Brian Kinney M.D. currently owns or uses three different Intense Pulsed Light (IPL) machines on a regular basis. He has also used several others his practice and at other locations in the past. Patient satisfaction after using IPL machines is very high. This is not surprising. Their popularity is ascending due to their effectiveness on minor skin conditions. It lets patients get away with little to no downtime and allows them to look like they haven’t been “done.”
Those not technically inclined may confuse IPL with laser. While both methods use intense beams of light, laser treatments use “coherent” beams of particular frequencies and IPL uses slightly disorganized light particles over a range of various frequencies. Laser particles are strong, crisp, and more powerful. An IPL does not have as much power, coordination or effect. As Doctor Brian M. Kinney describes it, “a laser is like a marching band proceeding down the street in perfect unison. An IPL on the other hand, is like a group of people casually walking down the street not in a formation.” Often the word “laser” is used when the procedure is actually an IPL. The patient experience is similar, but IPL is generally milder.
Laser hair removal is the single most popular IPL procedure with millions performed every year. Male hair removal on the back and chest with IPL produces extremely high satisfaction rates. The “Brazilian bikini” hair removal IPL is the single most popular treatment Doctor Brian M. Kinney M.D. performs. As Dr. Brian M. Kinney disclaims, “if you hear the term ‘permanent hair removal,’ be careful.” According to the FDA, hair removal is considered permanent when hair counts are reduced by 50% reduction for up to one year. Brian M. Kinney M.D. recommends two treatments for most patients and sometimes 4-6 treatments for facial hair in women when her goal is to have no visible hair even on close inspection. Maintenance treatments yearly are best to prevent hair re-growth.
IPL is also used largely to treat sunspots. Due to our outdoor lifestyle, there seems to be a never-ending demand for treatment of sunspots, fine wrinkles or skin laxity. With Dr. Brian Kinney, most patients achieve the results they expect in one, or perhaps two treatments. A few with more advanced conditions require three or more treatments. Maintenance treatments are recommended. Additionally, Dr. Brian Kinney M.D. also recommends staying out of the sun whenever possible or use proper sun protection. Generally sunspots will recur with sun exposure and require retreatment.
Doctor Brian Kinney likes to set realistic expectations for his patients. With any plastic surgeon, if a patient is expecting a CO2 laser result with no downtime or no redness, they will be disappointed. Brian Kinney M.D. has seen blistering in less than 5% of patients. In 5% of cases, there is also a chance that dark spots may not be adequately improved. Blisters almost always resolve in a few weeks at most, dark spots may require treatment with a more powerful laser. Hydroquinone cream in a 4% concentration is prescribed and works with the IPL to improve the spots. Doctor Brian M. Kinney often uses a compounding pharmacy to treat with higher concentration preparations.
