Micro Needle Peel
Micro Needle Peel is the latest treatment offered in our office. We introduced this procedure on February 2012 and have since performed this procedure over 4,500 times. I combine a new treatment, Dermapen or MicroNeedle, with a 170 year-old treatment, the TCA peel.
This procedure improves conditions such as leathery skin, wrinkles, scarring, stretch marks, and thick sebaceous type of Rosacea. The results are achieved with a series of micro punctures of tiny needles (thickness of a hair), which creates micro-channels into the dermis leaving the epidermis relatively intact (little need to hide out at home!) Over the next several months after each procedure, new collagen and elastic tissue factors are released, to smoothing and tightening the skin. This works because of the following series of events occurring in the microscopic dermal layers of the skin; needle puncture results in microscopic bleeding which floods the area with platelets (Platelet Derived Growth Factor, PDGF), numerous growth factors, cytokines, fibroblasts, elastin and proteoglycans. A matrix of type III collagen and elastic tissue forms 3 weeks post-op and continues for 6 months, which results in thicker skin. Starting 3 months after procedure to 10 months, type III collagen converts to type I collagen. This cross-linking causes the youthful effect of skin tightening. This entire process is augmented by applying a chemical peel immediately after needling to induce further inflammation and thus better results.
A series of 3 to 10 Micro-Needle Peels are performed monthly to achieve the desired final results. Each treatment requires the depth of the needle to be adjusted to the area of the face treated and the depth of the problem treated. Crows feet require a depth of only 0.5 mm, but deep acne scarring and wrinkles, especially on the lips, require up to 2.5 mm of needling. The Dermapen easily adjusts from 0.5mm to 2.5mm and effectively treats hard-to-reach areas such as the eyelids, lips and ear lobes. Each treatment will go deeper and have a stronger acid peel applied. The number of procedures required depends on the severity of the problem and the healing properties of each individual patient.
The procedure takes about 10 minutes. An anesthetic cream is applied to the entire face and neck region. The needle will be passed over the entire skin from 3 to 5 passes. This procedure is painless, as the first pass pushes the anesthetic into the skin. As a result, there is also no discomfort when the chemical peel is applied. You may be pink for 1 to 24 hours. A sunblock will be applied before you leave after which makeup can be applied. Most people can go back to normal activity the same day.
The price is $199/ treatment and can be combined with other treatments performed at the time of your office visit.
Hyaluronic Fillers (Juvederm®, Restylane®, Perlane®)
Juvederm ®, Restylane ®, Perlane ® are all safe, natural cosmetic fillers that provide volume, fullness and hydration to lift the skin. These fillers are great for plumping up lips, wrinkles, hallows, and some acne scarring. Because hyaluronic acid attracts and binds up to 5 times its weight in water, these fillers will feel soft and like part of your own natural skin. The hyaluronic fillers are natural, biodegradable, non-animal based gels. No skin testing is required so a patient can receive fillers at the time of consultation.
A younger face is oval in shape with a smooth tight jawline and full, high cheeks due to the fullness of the fatty layer under the skin. As part of the aging process, we lose fat from the upper cheeks, which then become hollower and instead deposit the fat in the lower part of the face – above the nasal labial folds, along the jawline and in the upper neck. This spoils the smooth contour of the jawline and results in a much squarer and heavier appearance to the lower part of the face which considerably ages our appearance.
There are several effective surgical techniques to effectively reduce localized pockets of subcutaneous fat on the face and neck, including facelift and liposuction. There is now a non-surgical option that can easily be done in the office with only injections using the very smallest needle available. Furthermore, this method not only can dissolve some of the fat, it may stimulate some skin tightening through new collagen production. This is particularly useful along the jawline where often a combination of jowl reduction and skin tightening are required to produce the best results and the most youthful appearance. Though this treatment is not as effective as a facelift, it does provide a more youthful, less “grouchy” looking, prettier heart shaped face – less rectangular shaped face with heavy jowls plus a prettier profile – at much lower cost without the complications, downtime and cost of a facelift. As I always say in my practice, it is more important to shoot for being prettier than obsess about every wrinkle. I like this treatment so much I have already performed it twice on myself.
The first day of your treatment you will feel sore and start to swell. Apply ice for 30 minutes if needed though not required. All usual activities including wearing makeup and exercise can be maintained while healing. Swelling lasts 5-10 days. the swelling means it is working. The decrease in fat and mild tightening will start in 3 weeks and continue for 8 weeks. The next treatment is done 6-8 weeks later. Two or more treatment sessions will be required. Avoid aspirin 7 days prior, Ibuprofen (Advil, Motrin) and Alleve 1 day prior. If you think you are allergic and swell from soy products, I can skin test you first. Usually at least 3 treatments are needed with men. They require more treatments then women. The injections are less painful then Botox injections.
$259 1st treatment, $199 for repeat treatment in 6 weeks.