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Increasingly,
men and women of all ages want to minimize the signs of aging,
but don't want to take time away from their active lifestyles.
Our specialties include:
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Diminish
Fine Lines and Wrinkles in Only Days
Botox® (Botulinum Toxin A) has been safely used by ophthalmologists
for the past 20 years to treat patients with certain medical
conditions such as eye spasms, central nervous system disorders
and excessive muscle contractions. More recently, surgeons
have been using Botox® injections to reduce frown lines,
crow's feet, nasal crunch lines and horizontal creases in
the forehead. The overall effect of Botox® is a relaxed,
smooth appearance resulting in a patient that looks "much
happier" and "less angry". Botox® can reduce
or eliminate wrinkles without surgery. It is a unique treatment
because unlike other non-surgical wrinkle treatments such
as chemical/laser peels and collagen injections, Botox®
corrects underlying muscle instead of the skin surface or
subsurface. In many ways, Botox® may be the ideal cosmetic
procedure because it produces dramatic results, has few side
effects and is reversible. For patients that are not candidates
for cosmetic surgery, Botox® may provide the solution
for their quest for a more youthful appearance.
F.A.Q.
How does Botox® work?
Botox® injections work
by binding to nerve endings and preventing the release of
chemical transmitters that activate muscles. Botulinum toxin
therapy is used to weaken the small muscles of the face that
cause frown lines, crow's feet and other wrinkles. While Botox®
affects the ability of the muscle to move, it does not impair
sensory perception.
How long is the treatment?
The procedure takes 5 to 15 minutes with no downtime.
Who performs the treatment?
All treatments are performed by board certified surgeons who
have developed strict parameters to maximize treatment effectiveness
and minimize side effects.
What are the side effects of Botox
injections?
There are no serious side effects associated with this treatment.
The most common side effect is temporary soreness or bruising
at the injection site. Eyebrow droop or eyelid droop, known
as ptosis, is another side effect that can occur when Botox®
is used around the forehead. This is a temporary condition
that occurs in approximately 2-5% of patients and may last
2 to 4 weeks. A rather welcome side effect for some patients
is the disappearance of tension and migraine headaches.
How long does the Botox® last?
Treatment may last 4 to 5 months. When the toxin begins to
wear off, the wrinkles begin to reappear; however, they are
frequently not as deep as the original ones. Clinical studies
suggest that after several rounds of treatment, the patient
may require Botox® injections
less often.
What are other indications for
Botox®?
Most experts agree that Botox® is most effective in the
upper third of the face (eyes and forehead) but with care,
other areas of the face and neck can be treated as well. Botox®
has also been shown to be useful for the treatment of hyperhydrosis
(sweating) of the hands and armpits. A small amount can significantly
reduce perspiration from these areas for several months.
Is the treatment painful?
Because an extremely fine needle is used, the Botox® injection
is quick and not particularly painful. After treatment, patients
may immediately resume normal activities, though it is recommended
that patients not lie down for 3 to 4 hours following treatment.
Who is not a good candidate for
the procedure?
Botox® is not recommended for patients who are pregnant
or nursing. It is also not recommended for patients who have
a neurological disease or are concurrently taking aminoglycoside
antibiotics.
How much does Botox® cost?
The cost of the treatment depends on how much Botox® is
injected. This is customized by the surgeon for each individual.
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Microdermabrasion
is a revolutionary new skin restoration process approved by
the Food and Drug Administration (FDA) and is commonly referred
to as the “lunch time peel”. It was first introduced
in Europe in 1986. The number of procedures in the United
States has rapidly increased due to it’s rejuvenating
effects. The process of microdermabrasion consists of highly
controlled vacuum and pressure applied to small abrasive crystals
over the surface of the skin. By repeating this process over
the course of several weeks or months, the younger, softer
skin moves to the surface, revealing more radiant, younger
and tighter skin underneath. Treatable conditions include:
sun damaged skin, enlarged pores, oily and acne prone skin,
superficial acne scars, blackheads and whiteheads, age spots
and superficial pigmentation, and fine wrinkles. If you are
in good health, microdermabrasion may be the answer to smoother,
healthier skin.
Q & A:
Is microdermabrasion
painful?
No. It is a gentle “sandblasting” of the skin.
Is there any downtime?
No. Because the procedure is non-invasive and non-surgical,
patients can return to normal activities immediately. Perspiration
can irritate the skin for the first several hours, so you
may want to wait till the next day to exercise.
How long does it take?
Treatment time varies from 15 to 45 minutes, depending on
the severity of the skin problem and area being treated.
Who is a poor candidate for microdermabrasion?
Patients with a history of cold sores (Herpes virus), rosacea,
or sunburn should be cautious about treatment.
What are the pre-treatment and post-treatment
recommendations?
Stop all prescription skin creams such as Retin-A or Renova
several days prior to treatment. Wait several days to resume
creams or other deep exfoliative treatments such as waxing.
Notify the doctor of any cold sores or open cuts. For women:
remove all make-up prior to coming to treatment. You may wear
light make-up after treatment. For men: Shave several hours
before treatment, not right before. Direct sun exposure should
be avoided the week after treatment and sunscreen should be
used.
How many treatments are necessary?
Most patients require six to twelve treatments that are done
2 to 3 weeks apart. After that, patients may wish to return
every 2 to 3 months to maintain younger looking, smoother
skin. These desirable effects will increase over the course
of the treatment series. However, expectations must be realistic.
Can it be combined with chemical
peels?
Yes. This is commonly done and the two procedures have a
synergistic effect.
How is microdermabrasion different
in a medical office verus a spa?
At Laservue, a doctor administers the treatment for best
results. Also, the microdermabrasion machine is a medical
device and much more powerful than a spa unit or “aesthetic
spa machine.” The doctor can also recommend additional
therapies or prescription medications for maximum results.
Can areas other than the face be
treated?
Yes, all areas of the body can be treated. The second most
commonly treated area is the back.
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Brighter
and More Radiant Skin
Throughout history, people have looked for
ways to achieve a younger, more vibrant look by improving
their facial appearance. If you want healthier, smoother looking
skin, now there's a way to noticeably improve your complexion.
A physician-strength chemical peel is a procedure used to
improve the appearance of skin by removing the outermost layers
so that new, regenerated skin can appear. You may notice improvements
in skin color, tone, texture, as well as a reduction in appearance
of fine lines and wrinkles. Facial skin rejuvenation via chemical
peeling is most effective when part of a total skin care program.
An important advance in this treatment is the development
of agents (derivatives of retinoic and glycolic acids) that
prepare the skin prior to the peel and continue to improve
the skin after the peel. We will help you to adopt a new daily
cleansing regimen that will result in continued improvement
of your new complexion. Of course, it is important to do your
part in maintaining a healthy lifestyle - exercise daily to
keep circulation moving, eat a diet with plenty of whole grains
and fresh fruits and vegetables, reduce stress and tension,
avoid excessive sun exposure, wear sunscreen/sunblocks, protective
clothing and sunglasses, and abstain from smoking.
F.A.Q.
What
are the different types of peels?
We offer mild and medium-depth peels. Mild peels, sometimes
referred to as "lunch hour peels", are performed
using alphahydroxy acids (AHAs) or betahydroxy acids (BHAs).
AHAs include glycolic, lactic, or fruit acids and are mild
chemical solutions that lightly peel skin, often resulting
in brighter looking, smoother skin. A salicylic acid peel
(Biomedic Micropeel) is a betahydroxy acid that is effective
for all skin types, especially acne-prone. Medium depth peels
are performed using trichloroacetic acid (TCA) to correct
moderate sun damage including age spots, freckles and actinic
keratoses. The TCA is mixed with a special blue base (Obagi
Blue Peel) to slow penetration and allow accurate monitoring
of the peel depth to make the procedure as safe as possible.
Although peels vary in intensity and depth, as a rule, the
deeper the peel, the more profound the results and the longer
the recovery time.
What
type of peel should I have?
After carefully evaluating the condition of your skin, skin
type and severity of discoloration and wrinkling, we can help
to determine which type or combination of chemical peels is
right for you.
What
areas can be treated?
Chemical peels can be applied to the face, neck, hands, back
and chest.
How is
this treatment different than a salon or spa peel?
High strength AHA, BHA, or TCA products or treatments are
available only through a medical skin care professional. The
purpose of treatments is corrective skin care and not a "pampering"
spa experience. The deeper TCA peels are performed by a surgeon
who has specialized training and experience with this highly
effective treatment.
How long
does it take to perform a chemical peel?
Depending of the type of peel being performed, it may take
anywhere from 15 to 30 minutes and is performed right in the
medical office.
What
can I expect after my chemical peel?
The amount of peeling you experience and discoloration of
your skin will depend upon the type and strength of the peel.
After a mild peel, most patients report that their skin feels
softer and smoother, and that they're able to resume their
normal activities immediately. With a deeper peel, patients
may experience light swelling and redness; and the skin will
begin to peel within 2 to 3 days and should be healed in an
average of 7 to 10 days. In either case, the peeling should
not disrupt your regular lifestyle for long, although you
may want to limit your normal activity and schedule well in
advance of any special engagements. Also, avoid sun exposure
right after the treatment.
Are there
any instructions to follow before the peel?
For best results, avoid waxing, electrolysis, loofah or exfoliating
products, and any products that may dry or irritate the skin
including AHA, BHA, or Retinoic acid compounds one week prior
to treatment. Arrive at the office make-up and perfume free.
For men, it's best not to shave within a few hours of the
peel.
How often
should I have this treatment?
Ideally, a series of 4 to 6 light chemical peels, should be
performed spaced 2 to 4 weeks apart and then maintained every
1 to 3 months. With a deeper Obagi blue peel, 1 to 3 peels
can achieve dramatic improvements in many skin problems. For
optimal results, treatments should be performed in conjunction
with an at-home skin treatment regimen that can be recommended
by your doctor.
What are the
complications?
Complications are rare with mild peels. With deeper peels,
complications include white heads, cold sores, infection,
scarring, numbness and permanent discoloration, particularly
in people with dark skin. However, the use of tretinoin or
alpha hydroxy acids in combination with bleaching agents can
reduce the risk of discoloration. They should be applied four
to six weeks before and soon after the peel. Almost every
effective wrinkle or pigmentation treatment increases sensitivity
to the sun. It is therefore especially important to include
sunblocks and avoid over-exposure when undergoing treatments.
Who is not a good candidate for
a chemical peel?
If you are pregnant, breast feeding, taking Accutane, or have
a chronic history of cold sores, you may not be a good candidate
for the procedure. It is important to understand that chemical
peels are not a substitute for facelifts, but can improve
the quality of skin. Remember, improvement, not perfection,
is the goal.
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Reduce Signs of Aging Overnight
Increasingly, men and women of all ages want to minimize
the signs of aging, but don't want to take time away from
their active lifestyles. Collagen is an important natural
component of our skin's structure. In young skin, collagen
is abundant and imparts plumpness and elasticity. As we age,
the amount and quality of the collagen in our body decreases.
As a result, our faces begin to show the effects of gravity,
prolonged sun exposure, and years of repeated facial muscle
movement. The underlying tissues that keep the skin looking
youthful and plump begin to break down, often leaving laugh
lines, thinned lips, crow's feet, and facial creases. Injectable
collagen or fat can help fill in these lines and creases,
temporarily restoring a smoother, more youthful appearance.
It is important to realize that injectables cannot change
facial contour and this procedure may need to be performed
in conjunction with a resurfacing or recontouring procedure.
In certain locations, Botox and collagen are amazingly synergistic
when used together.
F.A.Q.
What is cosmetic collagen?
Surgeons use a form of collagen derived from cows (injectable
bovine collagen) to correct facial imperfections. The bovine
collagen is purified to create a product that is very similar
to human collagen. This injectable collagen received approval
from the Food and Drug Administration in 1981. When injected
underneath the skin, collagen serves to plump up deficient
areas of the face filling out wrinkles, skin depressions and
some scars.
What areas can be treated?
Common areas treated with collagen injections include crow's
feet, nasolabial folds (crease from nose to corner of lip),
perioral (around mouth) wrinkles, and lips.
How long does the collagen last?
The results of collagen injections are temporary because of
its eventual absorption by the body. The duration of the effect
is dependent upon several factors: age of the patient, the
part of the body that's being treated, the patient's skin
quality, genetic background and lifestyle. A touch-up or maintenance
session is required every 2-6 months to maintain the desired
correction.
Does the treatment hurt?
The collagen itself contains local anesthetic, but a topical
anesthetic may be used in conjunction to reduce the discomfort.
Most patients report that the injections are relatively painless,
though you may find that the areas around the nose or lips
are uncomfortable. You may experience some swelling or bruising
for several days, so do not schedule your collagen the day
before a special occasion.
How long does the treatment take?
Collagen injections treatments can take only minutes, depending
on how many areas you wish to have treated. Results are immediate
and procedure time is so short, you can sneak in a treatment
at lunchtime.
Is it possible to have an allergic
reaction to the treatment?
Prior to receiving collagen treatments, each patient is tested
for a possible allergic reaction. A small amount of collagen
is injected into the forearm and the area is observed for
4 weeks for any signs of an allergic reaction. Approximately
2% of patients are found to be allergic to collagen.
Who is not a candidate for collagen
injections?
Collagen may be contraindicated in patients with allergies
to bovine (cow) products or lidocaine, patients on steroid
or immunosuppressive therapy, and in patients with connective
tissue or auto-immune diseases.
What is the cost of collagen replacement
therapy?
At the time of your consultation, your surgeon will determine
how much collagen will be needed to achieve your desired results,
and give you fee estimate for the procedure.
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Blepharoplasty
Your eyes are often the first thing people notice about your face
and are an important aspect of facial attractiveness. The eyelids
protect one’s eyes in addition to adding to their cosmetic
appearance.
Unfortunately, over time your upper and/or lower eyelids may become
“droopy” or “baggy” because the eyelid skin
stretches, muscles weaken, and fat pockets bulge and become more
prominent around the eyes. This most commonly occurs because of
the aging process but also may be a hereditary condition that runs
in your family. Your eyebrows also may sag or droop as part of this
same process.
Aesthetically, such conditions may detract from the overall attractiveness
of one’s eyes and cause a “tired” or older appearance.
When severe, these conditions also may cause functional problems,
such as impaired field of vision (baggy upper lids) or difficulty
wearing glasses (baggy lower lids).
SURGERY
Eyelid surgery to improve the appearance of the eyelids is termed
“blepharoplasty”. Blepharoplasty surgery is usually
an out-patient procedure performed under local anesthesia, with
sedation if desired.
The goal of this eyelid surgery is to reduce the ‘baggy”
or sagging tissues, which may include skin, muscle, and fat pockets.
In upper eyelid surgery, typically all three types of tissue are
removed. In lower eyelid surgery, sometimes only fat pockets need
to be removed, or the skin and muscle also may need to be included.
If only fatty tissue needs to be removed from the lower eyelids
and not any skin, the surgery can be performed behind the eyelid.
This is known as “transconjunctival blepharoplasty”.
In cases where the eyebrows are also droopy, a procedure to elevate
the eyebrows may be appropriate. This procedure, known as the brow
or forehead lift, may be done directly above the eyebrows, within
the forehead creases, or by approaching the brows from the hairline
as a “coronal brow lift”.
AFTER SURGERY
Following surgery, cold compresses are applied to the eyelids to
reduce swelling and bruising. These are later followed by warm compresses
to improve blood flow to the area and aid in the healing. The eyes
do not need to be patched shut. During the first week, antibiotic
ointment is applied to the eyelids, and strenuous activity should
be minimized.
Discomfort is usually minimal after surgery. Aspirin products and
“blood thinners” should be avoided before and after
surgery because of their tendency to increase bruising.
After surgery, one may temporarily experience minor discomfort,
tightness of the eyelids, swelling, bruising, and dryness of the
eyes. These will usually resolve as the wound heals. Excessive pain,
bleeding, infection, or loss of vision in the period following surgery
is very rare. In the unlikely event that such problem should occur,
you should notify your physician promptly.
Complications that may occur include slight asymmetry in eyelid
appearance or eyelid position. These problems occur infrequently
and may require additional surgery to correct.
Blepharoplasty surgery can provide both cosmetic and functional
improvement with minimal risk of serious problems. Most patients
are quite pleased with the results of their eyelid surgery. Please
call 800-263-2078 for a complimentary personal consultation with
Dr. Singh.
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Copyright © 2003 LaserVue Medical Associates
Developed by Einstein
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