AESTHETICS / ANTI-AGING
Anti-Aging Medicine is the field of medicine that focuses on slowing and/or reversing the aging process to improve quality of life. It includes lifestyle modification, the use of nutritional supplements and dermatologic treatments.
Aesthetic Medicine is a medical specialty focused on providing an artistic and aesthetic amplification of human beauty. With minimally invasive procedures and a variety of topical medications, the practice of aesthetic medicine seeks to provide patients with treatments designed to improve their appearance as well as provide anti-aging therapies.
Although a relative newcomer in the field of medicine, Aesthetic Medicine has benefited from a great deal of contemporary research over the last twenty years and is now able to provide a variety of treatment options. These include non-invasive and preventative therapies as well as minimally invasive surgical techniques.
Treatment options provided at Accurate Cliinic include botox, dermal fillers, chemical peels, microdermabrasion and massage. The procedures are brief and require no recovery or down-time so that our clients can resume their day with minimal interruption.
Considering Botox®? It's great! With a brief procedure associated with very little discomfort, one can obtain significant improvement in certain facial creases to achieve a more youthful appearance that can persist up to four months.
The procedure is brief, and with no recovery or downtime associated with the treatment, our clients can resume their day with minimal interruption.
Dermal fillers are substances that are injected into the skin to improve the appearance from damages associated with aging and sun exposure as well as from scarring. Fillers are generally categorized as "smoothing" or "volumizing." Some fillers such as the collagens are used in the superficial layers to simply smooth out shallow lines and wrinkles. Others, such as restylane, are injected more deeply into the skin providing volume to fill out some of the deeper creases including the naso-labial folds and marionette lines in the chin or for making the lips fuller. Then there are the fillers such as Radiesse designed to be placed even deeper into the subdermal layers. These products are used for filling in and molding areas such as where one's natural fat pads have atrophied, leaving flattened or sunken area like around the cheek bones.
Different fillers last different times: the collagens last from 6 weeks to three months, restylane lasts 6 to 9 months whereas some of the deeper fillers such as Radiesse my provide effects up to 18 months. In some cases, the benefits of the fillers can be prolonged with concomitant use of Botox.
The amount of pain varies depending on the location of the injection. In some areas one might expect only a mild, stinging discomfort. In sensitive areas such as lips, local anesthetics are used to avoid pain. After the injections are completed, one usually experiences only a mild degree of tenderness for a few days.
|Basic Techniques||Advanced Techniques|
|- Horizontal forehead lines||- Cheek augmentation|
|- Glabellar frown lines||- Chin augmentation|
|- Crow's feet||- Brow lift|
|- Naso-labial folds||- Tear trough deformity|
|- Smoker's lines||- Lipoatrophy (cheeks & temples)|
|- Lip enhancement||- nasal contouring|
|- Marionette lines||- Mandibular contouring|
|- Facial scars|
Dermal fillers are generally made from natural substances that are found normally in skin tissues such as collagen, a protein, and hyaluronic acid, a component of collagen. These substances are very hydrophilic, meaning they attract and hold on to water, which is how they work.
The side effects include transient minimal swelling, redness and mild pain or discomfort. Sometimes there is painless bruising or discoloration. Infection can occur. Granulomas sometimes occur causing lumpiness or white patches. In patients with Herpes Simplex, an outbreak can be triggered. Allergic reactions, though rare, can occur.
Avoid aspirin, anti-inflammatories such as aleve and ibuprofen, and Vitamin E for 2-3 days before and after treatment as these medications may increase risk of bleeding and bruising. After treatment, avoid touching the area, exposing it to heat, consuming alcohol or participating in exercise for about 6 hours. Avoid excessive movement of treated areas for 2-3 days. Do not massage or manipulate the injected areas. Treat bruised areas with cold compresses for 24-48 hours. Arnica Montana is thought to be helpful for bruising as well.
What are chemical peels?
Chemical peels use a chemical solution to improve and smooth the texture of the facial skin by removing its damaged outer layers. Trichloroacetic acid (TCA), alphahydroxy acids (AHAs) and phenol are the chemicals commonly used in peels. The precise formulas used are adjusted to meet each patient's needs. Three different levels of peels, superficial, medium and deep, can be applied to rejuvenate damaged skin.
How are chemical peels used?
Chemical peels are helpful for those individuals with facial blemishes, wrinkles and uneven skin pigmentation. Chemical peels are also being used now to treat non-facial photodamaged skin as well. The depth of the peel and concentration used are based upon the level of photodamage.
What are the superficial peels?
Superficial chemical peels remove the top layer of cells and stimulate a more rapid regeneration of the epidermis. These peels include the glycolic acid peels and the Alphahydroxy acids (AHAs) peels, including the salicylic acid peel, which is a simple, very light peel with little or no down time. AHAs (glycolic, lactic, and fruit acids) are the mildest of the peel formulas and produce light peels. These types of peels can provide smoother, brighter-looking skin for people who can't spare the time to recover from the deeper phenol or TCA peels. AHA peels may be used to treat fine wrinkling, areas of dryness, uneven pigmentation and acne. Various concentrations of an AHA may be applied weekly or at longer intervals to obtain the best result. An alphahydroxy acid, such as glycolic acid, can also be mixed with a facial wash or cream in lesser concentrations as part of a daily skin-care regimen to improve the skin's texture.
What is the recovery time for superficial peels?
Since superficial peels remove a part or all of the epidermis, patients experience a 48 to 72 hour recovery period as their skin heals from the peeling and redness. During the healing process, the patient should keep their skin well hydrated by drinking plenty of water and protect it from the sun by wearing a sunscreen with an SPF of 15 or higher.
What are the medium peels?
For more advanced photodamaged skin, medium depth peels are recommended to penetrate to the middle layer of the skin. Trichloroacetic acid (TCA) in various concentrations is most commonly used for medium-depth peeling. Fine surface wrinkles, superficial blemishes and pigment problems are commonly treated with TCA. The results of TCA peel are usually less dramatic than and not as long-lasting as those of a phenol peel. In fact, more than one TCA peel may be needed to achieve the desired result. The recovery from a TCA peel is usually shorter than with a phenol peel.
What is the recovery time for medium peels?
These peels can cause mild discomfort, due to the large treatment area and healing usually takes from five to seven days. As with the superficial peels, the patient should keep their skin well hydrated by drinking plenty of water and protect it from the sun by wearing a sunscreen with an SPF of 15 or higher.
What are the deep peels?
The deep peels are accomplished with stronger agents such as phenols and are reserved for patients with more severe dermatologic problems. The post-treatment morbidity associated with the deep peels are such that these procedures are referred to specialists in this field.