Frequently Asked Questions

BELOTERO BALANCE®

Is this like a botulinum toxin treatment?

No, BELOTERO BALANCE acts in a totally different way. It fills in areas in the skin to reduce the depth of wrinkles, lines, and folds. The skin remains mobile and flexible, with a natural look, feel, and movement.

How does it work?

BELOTERO BALANCE is made of a material called hyaluronic acid, also known as HA, that comes in the form of a smooth gel. When it is injected beneath the skin, it fills in small gaps in the tissue. This smoothes the wrinkles, folds, and lines, for immediate correction that looks and feels natural.

How soon can I expect results?

Instantly! Immediately upon treatment, BELOTERO BALANCE helps smooth etched-in lines and wrinkles, such as vertical lip lines above and around your lips.

How long does it last?

Individual results may vary, but BELOTERO BALANCE may last about 6 months or more. Some factors that affect how long it lasts are the amount of product used and the area it is injected into. In areas that experience a lot of movement due to eating, talking, and smiling, the product may not last as long as other less active areas.

How much do I need?

Just as wrinkles and folds vary from face to face, so does the amount of BELOTERO BALANCE needed per treatment. It’s very individual, depending on the amount of correction desired, the number of areas to be treated, and other factors. We can estimate better once we have a consultation about your individual needs.

Is it safe?

BELOTERO BALANCE is FDA-approved and has undergone testing in a clinical study to prove its safety. Hyaluronic acid products for skin correction have been available for a long time and used in thousands of treatments.

BOTOX®

Will I look overdone?

BOTOX® Cosmetic (onabotulinumtoxinA) is a technique sensitive treatment. You should not lose the ability to show expression when you are treated by someone who is licensed, trained, and a medical expert in facial anatomy. It is important to talk to your provider about the results you want from treatment.

Does the treatment hurt?

Some patients report that being injected with BOTOX® Cosmetic feels like a pinch. Your provider may use ice to numb the treatment area. If you are concerned about discomfort, your provider may apply a topical numbing cream before administering your treatment.

How long does treatment take?

The treatment takes approximately 10 minutes and requires minimal downtime or recovery—it’s often called a lunchtime procedure.

What were common side effects seen in clinical studies?

3% of patients experienced eyelid drooping in the frown lines studies and 1% of patients experienced eyelid swelling in the crow’s feet studies. Other possible side effects include: discomfort or pain at the injection site; headache; and eye problems: double vision, blurred vision, drooping eyelids, and swelling of your eyelids. These are not all of the possible serious side effects of BOTOX® Cosmetic. Please talk to our staff for more information.

Chemical Peels

When is a chemical peel appropriate?

Chemical peels are used to treat a number of conditions including:

  • Acne scars
  • Aging skin
  • Crow’s feet
  • Scars
  • Sun damaged skin
  • Sagging skin
  • Wrinkles
Are chemical peels painful?

Chemicals peels sting but do not cause a great deal of pain. The gentlest peels use alpha-hydroxy, glycolic, lactic or fruit acids are also gentle. They may cause stinging, redness, irritation and crusting but as the skin begins to adjust all these problems will lessen.

Trichloroacetic acids are used for stronger peelings. They remove wrinkles, superficial blemishes and pigment problems. Phenol is the strongest of all treatments and removes deep lines and wrinkles on the face. These type of treatments sting more than those with the gentler acids. After the treatment there may be redness, swelling and irritation but the use of creams and gels will reduce these effects. Also the doctor may prescribe medicines that will help relieve the problems after the peel.

What are the complications or potential side effects of a chemical peel?
  • Temporary or permanent change in skin color, particularly for women on birth control pills, who subsequently become pregnant or have a history of brownish facial discoloration.
  • Scarring
  • Reactivation of cold sores
What can I expect after having a chemical peel?

All peels require some follow-up care:

  • Superficial peels require one to seven days to heal. Treated skin will initially be red and may scale. Lotion or cream should be applied until the skin heals, followed by daily use of sunscreen. Makeup can usually be worn the next day.
  • Medium peels require seven to 14 days to heal. Treated skin will initially be red and swollen. Swelling worsens for the first 48 hours. Eyelids may swell shut. Blisters may form and break. Skin crusts and peels off in seven to 14 days. Skin must be soaked daily for a specified period, followed by ointment application. Antiviral medication is taken for 10 to 14 days. Mild lotion or cream may be applied. Avoid all sun exposure until healing is complete. Camouflage makeup may be worn after five to seven days. A follow-up appointment will be necessary to monitor progress.
  • Deep peels require 14 to 21 days to heal. The treated area will be bandaged. Skin must be soaked four to six times daily, followed by ointment application for the first 14 days. Afterwards a thick moisturizer is applied for the next 14 days. Antiviral medication is taken for 10 to 14 days. Mild lotion or cream may be applied. Avoid all sun exposure for three to six months. Camouflage makeup may be worn after 14 days. Several follow-up appointments will be necessary to monitor progress.

Sun exposure and smoking after a chemical peel must be avoided because they can cause unwanted side effects, including infection and scarring.

Facials

How soon will I start seeing results from my facial?

Some people see results immediately, and your skin should feel different right away. The skin feels, clean, smooth, hydrated, and reflects a new level of health that’s visibly noticeable.

What are the long-term benefits of getting regular facials?

Simple answer: healthy skin.

Micro-Needling

What areas can be treated?
  • Face
  • Neck
  • Decollete
  • Arms
  • Abdomen (stretch marks)
What skin problems are treatable?

Micro-needling can effectively treat the following conditions: mild to moderate acne scars, fine lines, deep wrinkles, sagging skin, rough skin texture, pore size, sun damage, and stretch marks.

What skin types can use this treatment?

Micro-needling is safe for all skin types and colors.

Is it Safe?

Micro-needling is very safe. Unlike ablative procedures, the epidermis is not significantly damaged. The risk of hyperpigmentation is exceedingly rare. This procedure can be used even in the most delicate areas such as the skin beneath the eyes, the neck, and the back of the hands.

Microdermabrasion

What happens during microdermabrasion?

The dermatologist uses a handheld device that gently removes the top layer of skin. You may feel a sanding sensation, but this is not painful. It takes about 30 to 40 minutes to treat the entire face and about 20 minutes to treat the neck.

After the treatment, a moisturizer is applied.

What will I need to do after the procedure?

You may need to apply a moisturizer or other skin care product at home.

You will be given a skin-care plan that includes sun protection. Protecting your skin form the sun helps ensure the best possible results and reduces the risk of side effects.

What are the possible side effects?

After microdermabrasion, your treated skin may be pink or red and slightly swollen. This tends to disappear within a day.

In some cases, the skin can bruise, burn, sting, or become extremely sensitive to sunlight. These will go away without treatment.

If your skin tends to develop dark spots after acne clears or a skin injury heals, you may have a greater risk of developing more dark spots. When microdermabrasion is performed by a dermatologist, this risk is minor.

Is there downtime?

You will not have downtime or a recovery period. Some patients’ skin turns pink or red. The skin can swell a bit. These side effects are similar to having a sunburn or windburn for a day or two. During this time, some patients feel uncomfortable returning to work or being in public.

How long will the results last?

The results tend to be temporary. Patients who protect their skin from the sun and follow the recommended skin-care plan will maintain their results for a longer time. Yet, no matter what we do, our skin continues to age. Follow-up treatments are usually necessary to help retain smoother skin and a more radiant complexion.

When can I safely get another treatment?

Microdermabrasion treats only the top layer of the skin, so the skin recovers quickly. Most people can safely have another treatment a week later. Some patients, however, need several weeks to recover.

Onychomycosis Treatment

What is the cause of onychomycosis?

The causative agents of onychomycosis include dermatophytes (fungi that invade only dead tissues of the skin, nails, or hair), nondermatophyte moulds, and rarely, yeasts of the Candida species. The dermatophytes Trichophyton rubrum and Trichophyton mentagrophytes are the most common causative pathogens of onychomycosis. The overall prevalence of onychomycosis ranges from 2 to 14 percent.

Where can you get onychomycosis?

Onychomycosis is caused by contact with infective agents (e.g. dermatophytes). Since dermatophytes are present everywhere in our environment, everyone is at risk for infection. Common sources for infection include public showers, swimming pools, nail spas and gyms. Nail trauma and tight fitting shoes can also lead to infection. Factors that increase the risk of nail
infection are increasing age, poor health and genetic susceptibility.

How long does treatment take?

The treatment takes approximately 10 minutes and requires minimal downtime or recovery—it’s often called a lunchtime procedure.

What were common side effects seen in clinical studies?

Three percent of patients experienced eyelid drooping in the frown lines studies and 1% of patients experienced eyelid swelling in the crow’s feet studies. Other possible side effects include: discomfort or pain at the injection site; headache; and eye problems: double vision, blurred vision, drooping eyelids, and swelling of your eyelids. These are not all of the possible serious side effects of BOTOX® Cosmetic. Please talk to our staff for more information.

PRP Hair Restoration

What causes hair loss in men?

In men we know that hair loss follows a very specific, progressive pattern that is passed on through heredity and is triggered by hormone–specifically dihydrotestosterone or DHT.  An estimated 60 million American men are suffering with male pattern hair loss. As hair follicles miniaturize and weaken, coverage of the scalp diminishes leaving thinning or balding areas.

What causes hair loss in women?

Hair thinning in women which affects nearly 40 million American women is mainly due to heredity and can start any time after puberty. However, we also know that female pattern hair loss can be strongly influenced by age, nutrition, stress, surgery, medications, illness, social/lifestyle factors, hair care and more. As hair follicles weaken and stop producing hair, hair loss occurs.

When can I expect results from PRP?

Typically, we can measure improvements in Hair Mass Index using HairCheck months before the results are visible to the naked eye. Increases in Hair Mass Index using the HairCheck device predict how much visual improvement the patient is likely to see in the months to come. It takes six to twelve months to judge the results of PRP “visually” in the mirror or with standardized photos. Measurements are taken every three months, so the plateau phase of improvement can be tracked. When Hair Mass Index starts to decline, the patient’s next PRP is planned. With the exception of alopecia areata, the average hereditary hair loss patient can expect to need PRP with ECM (extracellular matrix = Acell) on an annual basis.

What is Hair Mass Index or HMI?

Hair Mass Index, HMI or HairScore is the unit of measure obtained from the HairCheck tool. It is a numerical representation of the cross sectional area of a bundle of hair that grows from a 2cm x 2cm area of scalp. Consider for a moment the thickness of a ponytail of hair. This thickness is a product of the amount of hair fibers within the bundle as well as the thickness of each individual hair fiber. Therefore, Hair Mass Index or HMI is a highly accurate and sensitive measurement of the amount and quality of hair growing from the scalp in any given area.

XEOMIN®

How does XEOMIN® work?

When you squint or frown, the muscles between your brows contract, causing the skin to furrow and fold. Over time, as your skin ages and loses some of its elasticity, these repeated contractions can cause persistent frown lines.
Botulinum toxin type A – the active ingredient in XEOMIN®– acts on nerve endings in muscles to prevent muscle fibers from contracting. By reducing these contractions, XEOMIN® can temporarily reduce the lines on your forehead between
your brows.

Is XEOMIN® proven?

XEOMIN® was proven effective in two randomized, double-blind, multicenter, placebo-controlled clinical trials of 547 healthy, adult patients. The average age of patients in the study was 46 years. Patients received 20 Units of XEOMIN® and were classified as responders if they had a 2-grade improvement on a 4-point scale as assessed by the physician and patient. Using these criteria, treatment success was higher with XEOMIN® than placebo on Day 30 in both studies (60% and 48% vs. 0% for placebo in both studies). Based on these trials, XEOMIN® received FDA approval for aesthetic use in
2011.

How do I know if XEOMIN® is right for me?

If you are an adult with moderate to severe glabellar lines, XEOMIN® may be right for you. Talk to your doctor to discuss the benefits and risks of treatment.
Do not take XEOMIN® if you are allergic to botulinum toxin or any of the other ingredients in XEOMIN®. You should also not take XEOMIN® if you have had an allergic reaction to any other botulinum toxin product or have a skin infection at the planned injection site.

What should I tell my doctor before treatment?

Before receiving treatment with XEOMIN® you should tell your doctor about all of your medical conditions, including whether you have a disease that affects your muscles and nerves, have allergies to any botulinum toxin product, or have experienced any side effect from any other botulinum toxin in the past.
In addition, tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements.
Especially tell your doctor if you have received any other botulinum toxin product in the last four months or in the past. Be sure your doctor knows exactly which product(s) you received and when you received them.

What can I expect during treatment?

During treatment, which usually takes about 10-20 minutes, your doctor will inject XEOMIN® into the muscles in your forehead that cause frown lines between your brows. No anesthesia is required; however, your physician may use a topical anesthetic or cold pack to reduce any discomfort.

When can I expect to see results?

In clinical trials, some patients observed visible smoothing as early as 3-4 days after injection. The median first onset of effect was less than a week. The maximum effect typically occurs at 30 days. The typical duration of effect is up to 3 months, but may last significantly longer or shorter in individual patients.

What are the possible side effects of XEOMIN®?

XEOMIN® may cause serious side effects, including allergic reactions. Symptoms of an allergic reaction to XEOMIN® may include: itching, rash, redness, swelling, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or seek medical help right away if you have wheezing, experience other asthma symptoms, or if you become dizzy or faint.
In clinical trials of XEOMIN® for the treatment of frown lines between the brows, headache was the most common side effect.
XEOMIN® may cause loss of strength or general muscle weakness, blurred vision, or drooping eyelids within hours to weeks of taking XEOMIN®. If this happens, do not drive a car, operate machinery, or do other dangerous activities.
Tell your doctor if you have any side effect that bothers you or that does not subside. These are not all of the possible side effects of XEOMIN®. For more information, see the Important Safety Information on the back cover, Medication Guide and Full Prescribing Information, or ask your doctor.

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