I am almost 43 with fine lines, a few wrinkles, some brown sunspots, some large pores around my nose, crows feet, slight jowls, etc. But my skin is healthy, luminous and I look young for my age. I’d like to have even more of a glow, reduce pore size and have a reduction in fine lines and wrinkles. Safety/fewer side effects is my *number one* concern, second concern is results. Which is safer, and which has better results for above concerns: microneedling, or halo?
Answer: Microneedling can help with texture. A laser such as Clear and Brilliant can help with sun spots and fine lines as well Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring. Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition. Best, Dr. Karamanoukian Realself100 Surgeon
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Answer: Microneedling can help with texture. A laser such as Clear and Brilliant can help with sun spots and fine lines as well Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring. Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition. Best, Dr. Karamanoukian Realself100 Surgeon
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January 23, 2020
Answer: Microneedling or Halo? We had microneedling years ago and after treating dozens of patients and looking at the before and after photos, we essentially discontinued using that device. Very little visible improvement. On the other hand, the Halo laser has given us better results than we anticipated. We have treated thousands of patients with the Halo and have had fantastic patient satisfaction. It's not as amazing as a full field laser resurfacing, but it essentially has no risks, so for the risk factor and downtime, it's amazing.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa
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January 23, 2020
Answer: Microneedling or Halo? We had microneedling years ago and after treating dozens of patients and looking at the before and after photos, we essentially discontinued using that device. Very little visible improvement. On the other hand, the Halo laser has given us better results than we anticipated. We have treated thousands of patients with the Halo and have had fantastic patient satisfaction. It's not as amazing as a full field laser resurfacing, but it essentially has no risks, so for the risk factor and downtime, it's amazing.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa
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January 23, 2020
Answer: Facial Rejuvenation -- PRP/Microneedling, Lasers (Fraxel, Clear+Brilliant, Erbium, CO2), Sculptra, Thermage, Ultherapy, Botox For facial rejuvenation I would suggest a combination approach including:1) skin care with products and microneedling/PRP2) PDT Light Therapy a few times per month with growth factors3) laser treatments like Clear + Brilliant regularly and others (Fraxel, Viva, CO2, Erbium) a few times per year4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest See an expert. Best, Dr. Emer
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January 23, 2020
Answer: Facial Rejuvenation -- PRP/Microneedling, Lasers (Fraxel, Clear+Brilliant, Erbium, CO2), Sculptra, Thermage, Ultherapy, Botox For facial rejuvenation I would suggest a combination approach including:1) skin care with products and microneedling/PRP2) PDT Light Therapy a few times per month with growth factors3) laser treatments like Clear + Brilliant regularly and others (Fraxel, Viva, CO2, Erbium) a few times per year4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest See an expert. Best, Dr. Emer
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January 23, 2020
Answer: A Series Of Superficial Chemical Peels Excellent For Treating Very Fine Lines & Hyperpigmentation Problems Additional views of the face, including the crow's feet area, would have been helpful for better delineating treatment options. What I can say is that a series of relatively inexpensive superficial peels can be quite useful for increasing skin plumpness, promoting glow, fading all kinds of hyperpigmented spots and even tightening pores.. Glycolic acid, salicylic acid, Jessner's Solution & low concentrations of TCA have all been used for this purpose. What's more, they have stood the test of decades of safe and successful use. The same cannot be said of relatively expensive, bells and whistles fraxel lasers, and other so-called "next big thing" devices. Professional microneedling, too, can be especially helpful for dealing with enlarged, dlilated pores, and is another relatively inexpensive modality. If after the foregoing, you still feel the need to address the crow's feet, they are best treated with Botox, and volumizing fillers can help to define and straighten a jowly jawline. Make sure that you consult with a board certified aesthetic physician and exercise a very healthy dose of "Buyer beware!" when considering this or that new fraxel or radiofrequency devices. Best of luck to you.
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January 23, 2020
Answer: A Series Of Superficial Chemical Peels Excellent For Treating Very Fine Lines & Hyperpigmentation Problems Additional views of the face, including the crow's feet area, would have been helpful for better delineating treatment options. What I can say is that a series of relatively inexpensive superficial peels can be quite useful for increasing skin plumpness, promoting glow, fading all kinds of hyperpigmented spots and even tightening pores.. Glycolic acid, salicylic acid, Jessner's Solution & low concentrations of TCA have all been used for this purpose. What's more, they have stood the test of decades of safe and successful use. The same cannot be said of relatively expensive, bells and whistles fraxel lasers, and other so-called "next big thing" devices. Professional microneedling, too, can be especially helpful for dealing with enlarged, dlilated pores, and is another relatively inexpensive modality. If after the foregoing, you still feel the need to address the crow's feet, they are best treated with Botox, and volumizing fillers can help to define and straighten a jowly jawline. Make sure that you consult with a board certified aesthetic physician and exercise a very healthy dose of "Buyer beware!" when considering this or that new fraxel or radiofrequency devices. Best of luck to you.
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November 13, 2021
Answer: Microneedling Microneedling is a non-invasive skin rejuvenation technique that uses a mechanical device with fine needles to create controlled injury. This triggers the body to produce more collagen. It addresses fine lines and wrinkles, loose and sagging skin, acne and scarring, uneven texture, stretch marks, and pore size. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures and get a complete assessment to see which are the best treatments for you.
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November 13, 2021
Answer: Microneedling Microneedling is a non-invasive skin rejuvenation technique that uses a mechanical device with fine needles to create controlled injury. This triggers the body to produce more collagen. It addresses fine lines and wrinkles, loose and sagging skin, acne and scarring, uneven texture, stretch marks, and pore size. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures and get a complete assessment to see which are the best treatments for you.
Helpful