Posts Tagged skin beauty
Dr. Vafa now performs a novel technique to inject Juvederm XC or Restylane in the dermis for optimal correction of dynamic facial lines. Mobile facial folds represent a greater challenge for correction using standard injection techniques. The new injection technique is named the Fern Pattern Technique. The purpose of the Fern Pattern Technique is to use a Hyaluronic Acid filler material in such a way that it becomes a skin stiffening agent, rather than a simple filler in order to provide optimal correction for lines that deepen with expressive facial movements. The Fern Pattern Technique also uses less material to provide a correction that is not visible at rest or during dynamic movement for lines that deepen during a smile, as well as the dynamic lower nasolabial fold.
Four basic injection patterns have been described using dermal fillers in cosmetic dermatology:
1. The linear threading technique: fill a fold with a singular “thread-like” shape after puncturing the epidermis once to provide linear volume.
2. The serial puncture technique: fill a fold with multiple injections of the epidermis placed in a row to provide linear volume.
3. The fanning technique: puncturing the epidermis once, “fanning” the needle in a fan pattern to provide volume in a triangular shape.
4. The cross-hatching technique: combines multiple injections of linear threading that crisscross at right angles to provide volume in a square shape.
These injection techniques introduce hyaluronic acid (HA) into or underneath the skin, and provide the physician 4 ways to restore volume deficits. For example, areas of the face that are relatively immobile, such as the top half of the nasolabial fold or the tear trough can be filled with relative ease using one of these basic injection techniques. A good correction can usually be achieved. However, none of these 4 injection patterns are satisfactory for correcting the problem of dynamic folds, such as the lower half of the nasolabial fold, the corners of the mouth, and the smile lines found in the lower lateral cheeks. These folds are quite mobile with expressive facial movements, and they present a greater challenge in providing optimal correction.
The Dynamic Nasolabial Fold
The dynamic nasolabial fold is often filled using a linear threading technique. Unfortunately, during animation there remains a tendency of the nasolabial fold to shift alongside the filler if the correction used was only a linear threading technique, which can then be easily recognized by an observer. In order to solve this problem, it is necessary to produce a broad plane across the nasolabial fold to prevent it from reappearing lateral to the filler during a smile. Many injectors attempt to use the cross-hatching technique to provide more support next to the dynamic fold, which frequently gives the appearance of an area that is overfilled at rest.
Among the most difficult wrinkles to adequately fill are the “smile lines,” which appear on the lower lateral cheek while smiling. Linear threading is usually unsatisfactory, especially during animation, and cross-hatching often results in a “pad” of filler in patients who have thin skin. In addition, even linear threading can be visible in an individual with thin skin.
The Fern Pattern Technique
To achieve correction that is undetectable at rest and during animation of a dynamic fold, Dr. Vafa uses HA not as a filler, but rather as a skin stiffening agent to attempt to increase the stiffness of the skin on either side of the dynamic line. Patients observe increased stiffness of the skin on either side of the dynamic fold after injection and a decreased ability for movement of lines in the treated area.
Fern Pattern Technique:
1. Leaves less visible dynamic skin folds and creases – which occur during facial motion – compared to traditional pattern injections.
2. Less product is used per area, so one syringe can correct an area which needed two syringes with traditional pattern injections
3. We have found that the HA lasts significantly longer because of the placement technique and location of the HA in the dermal plane. Most patients come back for re-treatment in a year.
1. The technique requires multiple small injections; therefore before the procedure we apply a topical anesthetic to the treatment area for 30 minutes, which significantly minimizes any discomfort.
About LaserTouch Aesthetics:
LaserTouch Aesthetics and laser hair removal center, located in New York City, provides laser hair removal, laser skin rejuvenation, microdermabrasion, cellulite treatment, smartlipo and other aesthetic procedures for female and male clients of all skin complexions. In order to best serve clients, LaserTouch Aesthetics utilizes the most advanced and safest laser and aesthetics technologies such as Candela GentleLASE®, GentleYAG®, Cutera® Xeo, Viora Reaction and Cynosure MPX. Services at LaserTouch Aesthetics include but are not limited to laser hair removal, ingrown hair treatment, smartlipo, laser genesis, laser vein removal, freckle removal, sun-spot removal, cellulite reduction, skin tightening, mole and wart removal, radiosurgery, chemical peels, acne treatment with Levulan, VI Peel, Botox, Dysport, dermal fillers such as Juvederm, Radiesse, Restylane, and microdermabrasion(*).
*At LaserTouch Aesthetics, Dr. Ali Vafa of New York Medical Aesthetics conducts all Botox, dermal filler, radiosurgery, mole and wart treatment, and skin rejuvenation procedures.
Many of us are becoming more and more savvy when it comes to intelligent and healthy skin care, and we know that proper exfoliation is ideal for getting rid of dead, dull surface cells. The average cell turnover of our skin is every 28 days and is a process by which new skin cells, or epidermal cells, work their way to the surface to emerge as new and vibrant skin. This process of cellular turnover becomes sluggish as we grow older, because the new skin cells are impeded by the accumulation of dead skin that has not sloughed off. For this the reason skin appears congested, with clogged or enlarge pores, is uneven and rough in texture, and is visibly dull and less radiant.
Exfoliation is a must as we age and nowadays there are many options for every skin type. Microdermabrasion is a treatment option that effectively polishes the skin, partially or completely, by removing the surface skin cells in a gradual and controlled manner using a light abrasion. It can effectively work to remove the outer layers of sun-damaged skin, refine fine lines and wrinkles, treat blackheads and whiteheads, remove or lessen the appearance of scars and dark spots, and effectively stimulate cellular regeneration. Microdermabrasion can also be used for treatment of acne prone skin, but must be repeated every so often to be effective. The most common areas treated are the face, neck, décolleté, hands and shoulders, but nearly any area of the body can be treated. During the procedure, special attention is often paid to key problem areas and readies the skin for the introduction of specialized serums and other actives to the skin. Microdermabrasion should not be used on individuals who have taken the medication Accutane in the past 6 months to a year since this product causes the skin to become thin and vulnerable.
Microdermabrasion methods include mechanical abrasion using a low-pressure suction pump that blasts tiny crystals from pen-like device in a controlled stream of micronized aluminum oxide crystals. The used crystals and exfoliated skin cells are then sucked away by the vacuum action leaving the skin instantly softened and new. Another method is with a diamond tip; the appropriate tip or head is attached to a wand and then manipulated over to the skin combining mild abrasion with suction to remove the dead, outer layer of skin. Neither process is particularly painful, and may result in only mild discomfort and irritation
Add-on’s such as IPL treatments and chemical peels can go a long way to further promote cellular regeneration, and circulation for complete skin wellness. One can have spectacular results with specialized services of this kind that aggressively tackle age-related skin concerns like superficial age spots, as well as hyperpigmentation, acneic skin, oily, dry or patchy skin types and conditions, or skin that is congested and lackluster in appearance. A cocktail of treatments including IPL, microdermabrasion, chemical peels and facials can be alternated over a period of 3-6 weeks. Furthermore, these other facial treatments will be enhanced by one another and the skin will become visibly fresher and renewed in a much shorter time period.
Soon after a superficial microdermabrasion treatment, you may experience mild discomfort and your skin may look pink, much like having slight sunburn, but you will still be able to return to your regular activities that same day with a few exceptions. It is advised that you omit swimming or use of excessive heat, sunbathing (which is not recommended by skin care experts, period) or the use a tanning bed for as long as 48-72 hours following the procedure.
Also, the appropriate post-treatment home care is essential to preventing sun-induced hyperpigmentation and other damage. It is critical that unprotected sun exposure be avoided and a broad spectrum sun protection lotion or cream be worn at all times during the day. The sun protectant should have and an SPF of at least 15-30, and should be worn even in the winter. If make-up must be applied, begin with a light mineral powder and avoid the use heavy foundation for up to three days, until the new skin restores its protective barrier or acid mantle.
Microdermabrasion procedures should only be performed by specially trained and licensed aestheticians. For a microdermabrasion treatment in New York City, visit the nearest LaserTouch Aesthetics clinic for a complimentary consultation with a trained and licensed professional, or visit our website at www.lasertouchsoho.com for more information and promotions.
By: Lu Heaney
About LaserTouch Aesthetics:
LaserTouch Aesthetics and laser hair removal center, located in New York City, provides laser hair removal, laser skin rejuvenation, microdermabrasion, cellulite treatment, SmartLipo and other aesthetic procedures for female and male clients of all skin complexions. In order to best serve clients, LaserTouch Aesthetics utilizes the most advanced and safest laser and aesthetics technologies such as Candela GentleLASE®, GentleYAG®, Cutera® Xeo, Viora Reaction and Cynosure MPX. Services at LaserTouch Aesthetics include but are not limited to laser hair removal, ingrown hair treatment, SmartLipo, laser genesis, laser vein removal, freckle removal, sun-spot removal, cellulite reduction, skin tightening, mole and wart removal, radiosurgery, chemical peels, acne treatment with Levulan, VI Peel, Botox, Dysport, dermal fillers such as Juvederm, Radiesse, Restylane, and microdermabrasion(*).