Category Archives: ANTI-AGING + PROCEDURES + MEDICAL AESTHETICS

According to Dr. Ava: It’s The Right Time To Ramp Up Retinoids At Home

April 29, 2020

Retinoids are the A-List of all Vitamin-A derivatives. The gold standard for over 2 decades in wrinkle reduction, pore refining, texture softening, dimming discoloration and fighting acne can however, be highly reactionary.
Not all created equally with some less potent and some a harsher as they essentially work to trick the skin into thinking and acting like its younger self.

“Retinol transition can be outright treacherous with dermal downtime but,
worth every flake in the end”
– Dr. Ava Shamban

A bright side Benjamin Buttons skin scenario is the “Qua-Routine” can power through the “rough stuff” red, flaking, raw, irritation and inflammation. Come June, emerge fully “filtered” with visible improvements and glowing reviews.
WHY NOW
  • NEVER too early or too late
  • Best to start when there is limited to sun exposure / outdoor activities [and not a chemical peel, laser or other contraindications in sight]
  • Minimum 1-month commitment to breakthrough the transitional side effects and dermal downtime
HOW THEY WORK
  • Engages skin cell turnover — replacing old with new, fresh cells
  • Thickens skin from inside out
  • Stimulates production of new blood vessels
  • Removes dead skin cells keeping pores clear
  • Eliminates dry rough patches
  • Dims discoloration and smooths scarring
  • Increases collagen and elastin
RETINOID RANGE — NOT ALL A’S ARE EQUAL
  • Retinyl palmitate – lowest strength / converts with enzymes but at 20-25% % less potent than Retinol
  • Retinol Most tolerable middle strength OTC product
  • Retinaldehyde High strength product converts 10 times faster into Retinoic Acid in skin therefore considerably stronger than Retinol
  • Adapalene Strongest OTC option but a little different than the others. It slows process of hyperkeratinization in the pores making it a beneficial acne treatment. Can be used with Benzoyl Peroxide without contraindications.
RX versions include: Retin-A, Tretinoin or Tazarotene, which work faster, no conversion and most effective, but also extra irritating to the skin/sun sensitive. Tretinoin can be less effective if used with Benzoyl Peroxide products.
THE RETINOL RULES:
  • Start at night pea sized amount twice weekly
  • Building up to 3X and then nightly over 4 weeks
  • Another 2-4 weeks of nightly usage will yield real results
  • Add neck/décolleté
  • Use calming moisturizer or serum to hydrate and sooth skin at night
  • Add a hydrating spray by day helps to keep from itching/touching face
  • Wear sunscreen daily SPF 30 – [preferably mineral]
THE REWARD
  • After 2 months of consistent nightly usage peeling redness and all irritations will be gone
  • Game-changing reduction in fine lines, dark spots, pores, texture, tone and acne
Here is a list of Dr. A’s fave  Retinols
Instytutum:
ADVANCED RETINOL TONER
X-STRENGTH RETINOL SERUM
POWERFUL RETIN-OIL
All formulas are developed by our Swiss R&D laboratory and scientists with over 30 years of experience in the skincare industry; they are famous for their cutting-edge innovation, outstanding quality, and high performance-driven actives.
Skinbetter:   
ALPHARET OVERNIGHT CREAM
Evening application. Unretouched clinical photography. Data on file, skinbetter science. Individual results may vary. *Twice-daily application of Even Tone Correcting Serum and evening application of AlphaRet Overnight Cream.
U.SK Underskin: 
ADVANCED RETINOL RESTORER
RETINOL ANTIOX DEFENSE
Experience radiant skin as enchanting as the purest of precious stones! This is the premise of U.SK UNDER SKIN, a brand that relies on excellence and a partnership with renowned Italian laboratory, Monteresearch.


Dermaclara Beauty

February 11, 2020

Dermaclara Beauty is a groundbreaking line of skincare that addresses both wrinkles and stretch marks using medical grade silicone patches and complementary skincare that smoothes, plumps, and prevents. Designed for both face and body, their clarafuse silicone patches utilize Silicone Fusion™ technology, and can be applied easily and discreetly. Clarafuse patches firm, plump, and erase wrinkles and stretch marks. Each patch is reusable up to 30 times.

Dermaclara Beauty’s youth scientists explain how the use of medical grade silicone on skin to create a microclimate (called occlusion) that works to help reduce the appearance of fine lines, wrinkles, and stretch marks. Not only that, they discovered that using clarafuse silicone patches, users could delay or even prevent getting wrinkles in the first place! Gentle on the skin, clarafuse encourages hydration and the skin’s natural healing mechanism to effectively smooth, plump, and rejuvenate itself. The process also stimulates natural collagen production, which helps maintain results over time.

NOVEMBER 20 IS NATIONAL BOTOX® COSMETIC DAY

November 12, 2019

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IMPORTANT SAFETY INFORMATION & APPROVED USES

BOTOX® Cosmetic may cause serious side effects that can be life threatening. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic:

  • Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months.
  • Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, and trouble swallowing.

BOTOX® Cosmetic dosing units are not the same as, or comparable to, any other botulinum toxin product.

There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, and/or forehead lines.

BOTOX® Cosmetic may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX® Cosmetic. If this happens, do not drive a car, operate machinery, or do other dangerous activities.

Serious and/or immediate allergic reactions have been reported. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.

Do not receive BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.

Tell your doctor about all your muscle or nerve conditions, such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and difficulty breathing from typical doses of BOTOX® Cosmetic.

Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; have trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past.

Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc®, Dysport®, or Xeomin® in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.

Other side effects of BOTOX® Cosmetic include: dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids and eyebrows, swelling of your eyelids and dry eyes.

APPROVED USES

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe forehead lines, crow’s feet lines, and frown lines between the eyebrows in adults.

For more information refer to the Medication Guide or talk with your doctor.

To report a side effect, please call Allergan at 1-800-678-1605.

Please see BOTOX® Cosmetic full Product Information including Boxed Warning and Medication Guide.

This New Way To Use Restylane Filler Will Be The Next Big Thing

June 23, 2019

RESTYLANE LYFT FOR MIDFACE & CHEEK INJECTION VIA CANNULA  Restylane Lyft Now Joins Restylane Silk as the Only Hyaluronic Acid Fillers Approved for Use with Cannula1, 2. 

We are massive all-time fans of all things Restylane to soften lines and restore facial volume. We age. We lose volume. It’s that simple. The old expression, we need to choose between our asses or faces. I’d like to think to keep both going at full volume.

Forget the days of over-filling faces to look like puffer fish – that aesthetic is our biggest turn off and has never been something we even want to associate with. At Groomed LA, we simply want to share the best tools to make you look as awesome as you feel on the inside. We give you the best tools for inner work and the best for outer to reflect your awesomeness inside – that simple!

I have used fillers in the most delicate ways, to soften under eye circles and add some fullness in areas where the face started to thin out.

Restylane Refyne is FDA-approved for smile lines and now, Restylane® Lyft it is the first and only hyaluronic acid (HA) dermal filler approved for use to restore age- related volume loss in the midface and cheek area with a blunt tip cannula.

I worked with The Master Injector, Bernice Cohen, RN, PHN ,BSN, CANS, at AVA MD, as she is the expert trainer in this and tops in the country. It’s always thrilling to work with Bernice as she is such a top level pro in the field, I always learn so much and leave with my mind blown (on top of looking excellent).

Bernice Cohen is a Registered Nurse, nurse injector and laser specialist, as well as a Public Health Nurse with a B.S. degree in Nursing. Having joined the Ava MD practice in March of 2010, she is now a Top Trainer in the US for Galderma Injectables, teaching other doctors and injectors how to use Sculptra, Restylane, Restylane Lyft and Dysport. Born in Berlin, Germany and raised in Burbank, California, Bernice worked as an international model doing runway, print and commercial modeling with Ford and Elite for 15 years before making her transition to dermatology.

Why a cannula?

The use of a cannula may be associated with less potential damage to blood vessels, and may help minimize patient bruising, help decrease swelling, and allow for minimized downtime.

Natural-looking results, restored volume and fullness to the cheeks.

Restylane® Lyft

  • Created with XpresHAn Technology™, to help smooth moderate lines and provide the right amount of support and flexibility through a range of facial expressions
  • Integrates with your skin and acts like your body’s own hyaluronic acid 
  • Gives the support you need while allowing a range of facial expressions

Restylane® Lyft is the first and only hyaluronic acid (HA) dermal filler approved for use to restore age- related volume loss in the midface and cheek area with a blunt tip cannula.1,2 

What is a cannula? What are the benefits of injection with a cannula? 

A cannula is a small, thin, flexible, blunt tip needle with a small opening on the side that provides an effective means for injecting HA dermal fillers into the skin.3 

The use of a cannula may be associated with less potential damage to blood vessels, and may help minimize patient bruising, help decrease swelling, and allow for minimized downtime.4 

Bernice in action….

Precise implantation of HA fillers is important for patient safety and for achieving the best aesthetic outcome and using a cannula can result in a more precise injection as compared to a needle.

When injecting with a cannula, a single-entry point is used so the cannula can be inserted through the entire midface or cheek area.6 When using a needle, the sharp tip of the needle penetrates through the skin down to the depth in each point where the filler is injected. In contrast to this, a cannula has a blunt tip, and requires only one to two insertion points on either side of the entire injection area. 

Here’s what you can expect with Restylane Lyft for midface and cheek injection via cannula: 

Bernice made sure to enhance my natural bone structure, not change it. The goal is to leave looking the same only BETTER!

 Restored volume and fullness to the cheeks 

Natural-looking results 

 May be associated with less bruising and decreased swelling compared to injection via needle4 

 Results proven to last up to 12 months1 

Restylane Lyft is the only HA filler with three FDA-approved indications – the midface/cheek area, nasolabial folds, and back of the hands.1,2 

For more information about Restylane® visit www.RestylaneUSA.com 

Important Safety Information 

The Restylane family of products includes Restylane®, Restylane-L®, Restylane® Lyft with Lidocaine, Restylane® Silk, Restylane® Refyne, and Restylane® Defyne

APPROVED USES 

Restylane® and RestylaneLyft® are for mid-to-deep injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds. Restylane® and Restylane-L® are also indicated for injection into the lips in patients over the age of 21. 

Restylane® Lyft with Lidocaine is for deep implantation into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds and for cheek augmentation and for the correction of age-related midface contour deficiencies in patients over the age of 21. Restylane® Lyft with Lidocaine is also indicated for injection into the subcutaneous plane in the dorsal hand to correct volume deficit in patients over the age of 21. 

Restylane® Silk is for lip augmentation and for correction of perioral wrinkles in patients over the age of 21. 

Restylane® Refyne is for mid-to-deep injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds, in patients over the age of 21. 

Restylane® Defyne is for mid-to-deep injection into the facial tissue for the correction of moderate to severe deep facial wrinkles and folds, such as nasolabial folds, in patients over the age of 21. 

Are there any reasons why I should not use products within the Restylane® family? (Contraindications) 

To ensure a safe procedure, your doctor will talk to you about your medical history to determine if you are an appropriate candidate for treatment. You should not use products within the Restylane family if: 

• You have severe allergies with a history of severe reactions (anaphylaxis) 

• You are allergic to lidocaine or to any of the gram-positive bacterial proteins used to make hyaluronic acid 

• You are prone to bleeding or have been diagnosed with a bleeding disorder 

Are there other precautions that I should discuss with my doctor? 

• Tell your doctor if you are breastfeeding, pregnant, or trying to become pregnant. The safety of these products for use during pregnancy, or in women who are breastfeeding, has not been studied 

Restylane, Restylane-L, Restylane® Lyft with Lidocaine, Restylane Refyne and Restylane Defyne are intended to treat facial wrinkles and folds, such as nasolabial folds. Restylane and Restylane- L are also intended for lip enhancement. Restylane® Lyft with Lidocaine is also intended for injection in the dorsal hand to correct volume loss. Treatments in other areas of the face or body have not been evaluated in clinical studies. 

• The safety and effectiveness of Restylane® Silk for areas other than the lips and perioral area have not been evaluated in clinical studies. 

• Tell your doctor if you have any history of scarring, particularly thick and stiff scars, or any pigmentation (skin color) disorders. These side effects can occur with hyaluronic acid fillers in general. 

• Tell your doctor if you are planning other laser treatments or a chemical peel, as there is a possible risk of inflammation at the treatment site if these procedures are performed after treatment 

• Patients who experience skin injury near the site of injection with these products may be at a higher risk for side effects 

• Tell your doctor if you are on any medications to decrease your body’s immune response (immunosuppressive therapy). Using these medications may increase your risk of bruising or bleeding at the gel injection site. 

• Tell your doctor if you are using any “blood thinners” such as aspirin, warfarin, or any other medications that affect bleeding. Using these medications may increase your risk of bruising or bleeding at the gel injection site. 

• The use of these products on gel injection sites with skin sores, pimples, rashes, hives, cysts, or infections should be postponed until healing is complete. Use of product in these areas could delay healing or make your skin problems worse. 

Tell your doctor if you have diseases, injuries, or disabilities of the hand. 

What are the possible side effects? 

The most commonly observed side effects are swelling, redness, pain, bruising, headache, tenderness, lump formation, itching at the injection site, and impaired hand function. These are typically mild in severity and typically resolve in less than 7 days in nasolabial folds and less than 14 days in lips. Serious but rare side effects include delayed onset infections, recurrence of herpetic eruptions, and superficial necrosis at the injection site. 

One of the risks with using this product is unintentional injection into a blood vessel. The chances of this happening are very small, but if it does happen, the complications can be serious, and may be permanent. These complications, which have been reported for facial injections, can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin. 

As with all skin injection procedures, there is a risk of infection. 

*To report a side effect with any of the Restylane products, please call Galderma Laboratories, L.P at 1- 855-425-8722. 

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ARQUEDERMA® ARTISTIC RESTORATION LIFT® WITH JENNIFER HOLLANDER

May 4, 2019

First of all, excuse the very peachy photos! My bedroom is basically a big peach (walls, curtains, all of it!) and I took these first thing in the morning.

So, what ya see is zero makeup and possibly sleep in my eyes. However – a couple of things to note! First I want to fill you in on an AMAZING lip enhancement that Jennifer Hollander of AuraSpa performed on me a few days ago. It’s called Arque Derma ( you may recall I featured this technique developed by master injector and trainer Leslie Fletcher of Torrance’s Injectability Clinic).

I arrived to Jenn’s office wanting to do something about my lip lines above my lips (“smoker’s lines”) and also for some general plumping. She took a look at me and said “we are doing Arque Derma on you”. The thing about this approach to plumping is it is not about stuffing filler in your lips and making you look like you have filler in your lips. It takes into account the entire chin to lip to nose area. So, Jenn wasn’t just filling in my lips, but rather using Restylane Refyne to restore an overall more youthful area, in total.

Pronounced ‘ARC DERMA,’ ArqueDerma® in Latin literally means ‘to inject the skin’. The name ArqueDerma® imparts a seamless mix of the artistic, ‘Arque’ (classical architecture – arches, buttresses, corbels), and medical science, ‘Derma’.

I have never seen my lips look so natural and fresh. I am NOT into the filler looking aesthetic, obviously. And if you are like me, then you strive for looking incredibly natural. This is the exact way to approach your lips if you are new to lip filler, or have been getting cheesy over-plumped lips. I actually really DO want them to be full and juicy and told Jenn I want a bit more. She said we do it in stages, never over-fill and we HAVE to look at my face and do what will look RIGHT. The profile needs to be seamless, no protruding upper lip. And that’s what this approach achieves. I could not be more thrilled!!!

As you know, I am full on in love with Jenn’s work and everything going on at AuraSpa. It is just getting better and better and is reveals all its new treatments.

Please see Jenn and tell her we sent ya!

(424) 303-5800 RoxSan Medical Building 465 N Roxbury Dr., Suite 755, Beverly Hills, CA 90210