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Frequently Asked Questions
Acne | Vascular Lesions | Wrinkles | Hair Removal | Pseudofolliculitis | Botox | Restylane
ACNE Questions

Why does acne occur?

Acne TreatmentAcne occurs for a variety of reasons including an inability of skin cells to shed properly, causing the pores to plug, forcing the oil and bacteria that would naturally escape to be trapped inside. As the oil and bacteria accumulates, the skin becomes inflamed and swells outward forming the familiar whiteheads, blackheads and pimples. Acne is seen in many age groups, but is most common in teens and frequently appears on the face, neck, shoulders, back, and chest

What systems treat acne?
The Aura and *Gemini laser and topical Anti-acne treatment

What kind of acne does the Aura/Gemini lasers treat?
The lasers are FDA cleared for facial acne, though they can be used anywhere acne is normally present

How does the laser help clear acne?
Light pulses are delivered through the skin's surface, targeting an organic compound generated by the Propionibacterium acnes (p. acne) bacteria called porphyrin. These porphyrins are photosensitive and when targeted by light, generate singlet oxygen, which kill the p. acne bacteria that cause inflammation.

How long should the treatment take?
Treatment times will vary depending on the size of the treatment area. A full face treatment will typically take about 20 minutes.

How many treatments should I need?
Physicians who conduct acne laser treatments frequently start with a four treatment course. Typically two per week for two weeks. More treatments may be needed for those with more severe acne.

How long do the effects last?
Clinical data suggests that most patients find their acne improves after two weeks of twice weekly treatments. While many patients continue to improve over the months following treatment, some patients experience a plateau in their improvement. Repeated treatments may be necessary to maintain results.

How effective is the laser?
In studies conducted at Wellman Labs in Massachusetts and at a private facility in California , 91% of patients saw their acne improve by an average of 66%. In the most recent clinical study patients saw their acne become 81% less severe.

What will happen in the procedures?
After discussing your medical history with your medical practitioner, including any drugs you are currently taking, the treatment area will be cleaned with a thin layer of clear gel. Your practitioner will glide the laser hand piece over the treatment area in a brushing motion as the laser light is pulsed safely through the skin.

Is it painful?
Many patients describe the laser pulses as feeling like the snap of a rubber band against the skin. Treatments done over active lesions may be more uncomfortable. Your medical practitioner may recommend a topical anesthetic in order to make treatments more comfortable.

When should I see results?
Patients frequently see results within the first weeks following treatment.

Are there side effects?
Immediately following the procedure, patients may experience mild to moderate redness and swelling that will fade in as little as a couple hours to as much as a few days.

Can I apply make up right afterwards?
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Vascular Lesions(Leg veins and broken capillaries)

How does the treatment work?

Vascular LesionsThe Lyra-i and Gemini both produce a 1064nm wavelength. While the rest of the skin is almost completely transparent for this wavelength, it is highly absorbed in blood. Thus, the laser beam passes through the skin and penetrates the targeted vessel. The laser energy heats up and coagulates blood inside the vessel. Unsupported, vessel walls collapse and seal. These vessels later dissolve within the body.
The laser energy is delivered through a hand-held device with a cooling tip. The cooling tip provides additional safety and comfort during the treatment by lowering the thermal effect on your skin surface.

What can I expect during the treatment?
You may experience a stinging sensation during the treatment which resolves immediately after the treatment is over. In some cases, you may be offered topical anesthetic cream, which may eliminate much of the discomfort associated with the treatment.

What should I expect after the procedure?
The appearance of the treated vessels will dramatically change turning from blue and purple into light red. Some of the vessels may bulge, and any inflammation will disappear within a couple of hours. The redness of the treated vessels will gradually disappear as the healing process occurs. This may take anywhere between 2 and 6 weeks depending on the severity of the veins. The post-operative treatment regime may include wearing pressure hose, avoiding medication containing aspirin and wearing sunscreen. Make sure to discuss these options with your laser practitioner prior to the treatment.

How many treatments will I need?
Depending on the severity of the veins, you may require anywhere between one and three treatments at six weeks intervals. The treatment is performed on the existing vessels, diminishing or completely eliminating their appearance. However, the development of new veins cannot be prevented. If your body tends to develop vascular problems you will most likely come back for additional treatments.

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What lasers treat wrinkles?Wrinkle TreatmentThe Venus, Lyra and Gemini. The Venus Laser is ablative and improves wrinkles by removing the topmost layer of skin. A new layer of skin then grows over the treated area forming a new, smoother layer of skin. In contrast,the Lyra and Gemini are non-ablative and work by stimulating collagen production from inside the skin. As a general statement, the Venus works from the outside in while the Lyra and Gemini work from the inside out.

How many treatments are needed for reduction of facial wrinkles using the Lyra or Gemini?
The treatment of facial wrinkles is progressive with very little down time. Results will begin to be apparent after the 3rd treatment. Generally five to eight treatments are required, at two to four week intervals.

How many treatments are needed for reduction of facial wrinkles using the Venus?
The numbers of treatments vary based on your desire of aggressiveness and downtime following treatment. (i.e. if you wish to have a very light peel with minimal downtime you will likely need more treatments in order to achieve the desired effect.)

What skin conditions can be treated?
Many facial conditions such as fine wrinkling around the eyelids, forehead, nose and mouth can be smoothened by laser skin resurfacing. Deep laugh and frown lines can be minimized. Even the lingering effects of scars, irregular surgical scars, and other surface abnormalities can be successfully treated.

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Hair Removal
How does the process work?
Through a process called Selective Photothermolysis laser light is passed through the skin and is absorbed by pigment in the hair follicle. The heat generated by the laser light both injures the follicle and inhibits future growth, while leaving the skin unharmed.

What may I be asked before treatment?


A treatment specialist will likely run through your medical history to see if you have had any issues that may impact the procedures safety. For example: have you had keloid scarring, used Accutane in the last 6 months, etc.) In addition, the specialist will request that you not wax, pluck, or tweeze for four weeks preceding the treatments as doing so may reduce the effectiveness of the treatments. Note: shaving should not affect results.

What can I expect during treatment?Laser Hair Removal
Laser light will be delivered through a hand held wand attached to a laser console. You may experience a stinging sensation as the laser pulse is delivered. To reduce discomfort, the cooling system automatically removes heat from the surface of your skin before, during and after the laser exposure. You should not need general anesthesia or pain medication, but a topical anesthetic cream may be applied to sensitive areas. The process can take from just a few minutes for an upper lip to several hours for a full back and legs.

How many treatments will the patient need for hair removal?
Hair growth involves several cycles and, thus, some hairs may be affected during a single treatment and some may not. We have seen that after several treatments most terminal (mature) hairs are replaced with finer hairs of lighter color. Some hairs are completely eliminated. Although complete hair removal may not be achieved, the hairs become less visible and, thus, less bothersome. The number of treatments needed to obtain optimal results varies with hair density, color and growth cycle as well as skin type. It is common though, to have 3-4, treatments and possibly as many as 8. Treatment intervals are normally one every 4-8 weeks. Results will improve with each subsequent treatment.

What can I expect after treatment?
The treated area is cleansed and you are free to return to your normal routine. Some patients may experience a slight reddening around hair follicles, though this will typically disappear within a few minutes. It is always recommended that you avoid sun exposure and use sunscreen following treatment.
Several days after treatment, injured hair follicles will begin to fall out. This process can be expedited up by lightly rubbing the skin with a towel. It may seem that some hair continues to grow for several weeks after the procedure, but many of these will also fall out. Hair that is not eliminated will likely be replaced by thinner, lighter, significantly less noticeable hair.

How "permanent" is "permanent" following the course of epilation treatment?
Since the procedure is very new and people go through so many stages in their lives, it is impossible to completely determine this answer. However, we have seen years with no hair re-growth following several treatments.

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Pseudofolliculitis (shaving bumps)
What is Pseudo-Folliculitis?Pseudofolliculitis (shaving bumps)
Pseudo-folliculitis (PF), commonly known as shaving bumps, is an inflammatory condition. It is widespread among individuals with thick curly hair. As the hair grows out of the skin, it curls and re-enters the skin. The skin reacts to it as a foreign object and becomes inflamed and irritated, creating bumps and discoloration. Often hairs start curling even before growing out of the skin, creating in-grown hairs.

These bumps can become quite large, causing discomfort to the patient. Since the procedure is very new and people go through so many stages in their lives, it is impossible to completely determine this answer. However, we have seen years with no hair re-growth following several treatments. Sometimes relief can be achieved with the use of topical steroids and exfoliating agents. Growing hair is sometimes curative as well. More commonly, the ingrown hair is pulled out after each shaving session. Although this is a solution, it is, however, painful and time consuming.

How does the treatment work?
The laser beam passes through the skin and is absorbed in the hair follicle residing underneath the skin surface. The laser energy destroys the follicle with the heat that it generates. Destroyed hairs are then either dissolved within the skin or extruded by the body. Because the laser beam is larger in diameter than the hair follicle, a large number of hairs can be treated simultaneously.

What should I expect during treatment?
Most patients experience a stinging or burning sensation when a laser pulse is delivered. While general anesthesia will not be required, a topical anesthetic may be applied to sensitive skin. To further reduce discomfort, Lyra and Gemini both utilize a special cooling system that lowers the temperature of the skin at the treatment site before, during and after laser exposure

What should I expect after treatment?
After treatment, you may return to your regular routine immediately. Some patients may experience a slight reddening around the hair follicles immediately following treatment which typically disappears within a few minutes.

It will seem that the hair continues to grow for a period of one to two weeks after laser treatment, but in fact, these hairs are actually lifeless and are simply being cast out by your body.

How many treatments will be needed?
Laser treatment impairs the growth of hair follicles which are in the growth cycle at the time of treatment. All hair follicles are not active at the same time. Depending upon the growth cycle of the follicles when the treatment is applied, multiple treatments, spaced a few weeks apart, may be required to obtain the overall desired effect.

What are patients saying about the treatment?
"After only a couple treatments I have noticed dramatic reductions in the facial hair areas. Shaving is much easier now and faster. The constant itching and scratching is totally gone and I have a renewed sense of confidence about my appearance".
Rick., Houston, TX
"I noticed a difference after the first treatment. But it was after the second treatment that I noticed an amazing difference. ……I used to shave everyday. It has now been 6 months since the last time I shaved. Now when I stop to look in the mirror I smile… it saved my life."
Barbara, Dallas, TX
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Botox for Wrinkle Treament
How does BOTOX work?
Botox blocks impulses from the nerve to the tiny facial muscles that are related to expression lines. Botox relaxes the muscles so they do not contract. After treatment, the overlying skin remains smooth and unwrinkled while the untreated facial muscles contract in a normal fashion, allowing normal facial expression to be unaffected.

Are BOTOX treatments safe?Pseudofolliculitis (shaving bumps)
Botox injections have been used safely and effectively for over ten years to treat many ophthalmological and neurological disorders. Each year thousands of patients receive Botox treatments for a variety of conditions and it is quickly becoming a popular treatment for reversing the visible signs of aging.

What is the treatment like?
Using a tiny microneedle, a very small amount of Botox is injected, very precisely, into several locations in the face. No sedation or local anesthetic is required and you can resume normal activities immediately. When injected in minute amounts, Botox works to paralyze those muscles that cause you to frown. Unlike collagen, there are no allergies associated with Botox. The injections take about 10 minutes, are inexpensive, and the effect lasts between four to six months.

Are there any side effects?
Some patients experience a slight temporary bruising at the injection site. This can be covered with makeup. In some cases, the Botox can migrate and cause a temporary weakness of nearby muscles. In rare cases, there can be a drooping of an eyelid or asymmetry of facial expression. The risk of any side effect depends on the muscles injected. Your doctor will discuss this with you in length before your treatment. Because the effects of Botox are completely reversible, any side effects are temporary, lasting only a few weeks.

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Botox for Severe Underarm Sweating
What is treatment with Botox like?
What is treatment with Botox like? The procedure is relatively straightforward. A small volume of Botox solution is injected into the affected underarm area through a very fine needle. The needle is placed just under the skin. So you may experience some injection-related discomfort. You will receive multiple injections based on your doctor's assessment of the treated area.

What should I expect after I have received Botox treatment?Pseudofolliculitis (shaving bumps)
What should I expect after I have received Botox treatment? You should notice a significant reduction in underarm sweating within 4 weeks of your first treatment. There is a possibility that some sweat glands may be missed, and you may continue to experience some sweating from the untreated areas. If you do not see a significant reduction in sweating, you should contact your doctor and request a follow-up consultation.

How long does a Botox treatment last?
How long does a Botox treatment last? In a clinical study, the median duration of response in Botox patients was 201 days or 6.7 months (i.e, half of the patients had treatment duration of at least 201 days or 6.7 months). It is not a cure, symptoms will return gradually. You will know when the time is right for another treatment. Your doctor will recommend a treatment strategy to ensure that you receive the best possible results with Botox treatment.

Are there any safety concerns with Botox treatment?
Botox has been used therapeutically for over 16 years to treat a variety of medical conditions. It is approved in more than 75 countries. In fact, Botox for therapeutic use remains one of the most widely researched medicines in the world.

Is Botox treatment right for me?
Your doctor can help you decide if Botox treatment is right for you. In order to make the right treatment decision, you should discuss the following with your doctor before receiving Botox injections:

You should tell your doctor if:
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Want to enhance your lips?

Pseudofolliculitis (shaving bumps)
Collagen and elastin fibers break down as we age causing facial wrinkles and creases to form. Collagen injections have been used in the past. However a small amount of patient's are allergic to bovine collagen injections.
Restylane ® is a natural synthesized and biodegradable Hyaluronic acid filler. It is not extracted from animals, which means no need to patch test for an allergic reaction.


How does Restylane ® work?
Restylane ® contains Hyaluronic acid in the form of crystal clear gel. It is injected to create volume, give lift to the lips and reduces the appearance of wrinkles.


What areas respond best to Restylane ®?
Restylane is a filler used on the upper and lower lips. It can also be used in the nasolabial lines. (corners of the mouth).


Restylane ® is it safe?
Yes. The synthetic biodegradable Hyaluronic acid is naturally produced in the body and therefore is gradually absorbed by the body's tissue. Restylane ® has been used by Europe and Canada for years and is now approved in the United States .


Restylane ® Treatments and how long do they last?
Restylane ® is injected into your skin. The procedure can last up to one hour. Some patients require an anesthetic cream while others prefer anesthetic block. The result of Restylane ® treatments can last up to six months or longer. The great advantage to Restyalane ® is that you may continue to touch up areas as you desire, unlike permanent implants. Patients may resume normal activities immediately. Discomfort following treatment is minimal. Patients may have slight bruising or swelling that may last a few days.
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Medical Facials
Medical Facials
A complete and personalized deep pore cleansing facial, using an anti-inflammatory plant...
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Laser Hair Removal
Laser Hair Removal
The laser system is designed to target and destroy the hair follicle. The procedure...
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Acne Treatment
Acne Treatment
Non-ablative (no removal of body tissue) laser treatment is a technique for treating acne...
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