Freeze the Fat Now Available at A E Skin

You've heard of Freeze the Fat or Coolsculpting by Zeltiq. This is a new method of what is called body contouring to remove stubborn areas of fat such as the love handles, outer thighs, and belly. This is a non-surgical treatment where the cold targets the fat and you will see improvement after a single visit. The treatment takes about one hour so you can easily squeeze it into your lunch break. Best of all there is minimal to no downtime, so you can go back to work right away. Results are seen as quickly as a few weeks but continued improvement is seen over six months. Freeze the Fat is now available at A E Skin and we are offering exciting promotions for the first patients to try it. Contact us (818-835-1833 info@aeskin.com) for a free consultation.

Voluma Lift Now Available at A E Skin

Juvéderm Voluma is a new and exciting dermal filler now available at A E Skin. Unlike traditional Juvéderm, Juvéderm Voluma is designed for volumizing the mid-face. Another difference is that Juvéderm Voluma lasts up to two years, as compared to six to fifteen months in the case of Juvéderm or even less with other fillers such as Restylane and Belotero. As we age the fat pads we have that give the beautiful volume to the cheeks get smaller. At the same time collagen begins to break down, leading to sagging of the skin. With gravity the skin on the face descends causing hollows under the eyes and in the cheeks and the formation of jowls on the jaw line. Juvéderm Voluma restores this volume, acting like a mid face lift, which is why the treatment is called the Voluma Lift. Patients love products in the Juvéderm family because the results are seen instantly and lead to instant gratification. For a limited time A E Skin is offering $ 500 off on this new and outstanding product. Contact us for a free consultation (818-835-1833 info@aeskin.com).

Third Annual A E Skin Holiday Party

Dr. Alex with his office manager Nora and
assistants Michelle L., Alondra, and Michelle H.

A E Skin held its third annual Holiday Party on Tuesday December 10, 2013 in the Encino office. It was another successful event with an outstanding turnout of over 30 people. Everyone received prizes and gift bags. Attendees took advantage of promotions on skin care products, laser treatments, and injectable treatments including Botox, Xeomin, Juvederm, and Restylane, chemical peels. The highlight of the event was the introduction of two new technologies: Freeze the Fat and Ultherapy. Freeze the Fat is a non-invasive body contouring treatment which leads to improvement in areas around the waist and stomach. Ultherapy is a noninvasive treatment to tighten the face and neck with a single treatment. Refreshments were provided by Nuts N Berries Café with support of Merz Aesthetics, makers of Xeomin. Support was also provided by Revivogen and In Source Medical. Thank you to everyone who attended and we look forward to upcoming events!

A E Skin Wins Best Medical Spa in Encino

Dr. Alex with his assistant Michelle

We are proud to announce the A E Skin has won the Best Medical Spa award in Encino for 2013 by the Business Recognition Award Program. The Award honors achievements and accomplishments of local businesses with best practices. A E Skin strives for outstanding patient experience and satisfaction. We treat a variety of cosmetic skin care concerns including acne, wrinkles, discolorations, and scars. Using a combination of strong skin care products and different treatments such as laser rejuvenation, chemical peels, an injectables, Dr. Alex achieves outstanding results. Our goal is to make you look and feel your best. Contact us (818-835-1833 info@aeskin.com) for a free consultation.

Avène Thermal Spring Water

The Avène Thermal Spring Water is an outstanding product for treating the skin after procedures such as chemical peels and laser resurfacing. The water comes from France and is infused with trace elements, silicates, and minerals to promote healing the skin. Avène soothes, softens, and restores skin’s natural balance. Over 300 stringent biological, pharmacological and clinical studies have clearly demonstrated the skin-healing and soothing benefits of Avène Thermal Spring Water. It has also been used for centuries at the Hydrotherapy Center to address a variety of conditions such as atopic dermatitis, psoriasis, itchytosis, and burns. It can be applied at any time and comes in a spray bottle. When an intense moisturizer such as the Elta MD Intense Moisturizer is used immediately after application of the Avène water, the moisturizer is absorbed better and is more effective in retaining the water. The Avène Thermal Spring Water is now available at A E Skin.

Ultherapy Coming to A E Skin

model

Ultherapy is a new and exciting system of non-invasive skin tightening procedure coming to A E Skin. Unlike laser skin tightening, Ultherapy uses ultrasound to stimulate the body's own natural healing process to lift, tone, and tighten the skin. It works on a number of areas including the upper face, lower face, under the chin, and neck. A single one hour treatment can give outstanding results. Since there is no downtime, you can return no your normal activities right away. Over three to six months, new collagen in the skin is formed to give a firm and youthful appearance to the skin. Dr. Alex will prescribe medications to keep you comfortable throughout the treatment. Anyone who has relaxed skin with mild to moderate laxity is a good candidate for treatment. Contact us (818-835-1833 info@aeskin.com) for a free consultation.

Clarisonic Pedi

The Clarosonic Pedi is a new device designed to smooth out the rough skin on the feet. Compared to the brush used for the face and body, the Pedi has a more powerful motor designed to exfoliate the thick skin on the feet. It works especially well on the heels and toes. It has three speeds to choose from with an adjustable timer. Like the Clarisonic Pro, the Clarisonic Pedi is waterproof so you can take it in the shower. It has two brush heads for exfoliation. The Pedi smoothing disc is stainless steel and removes rough, dry areas without damaging the health of the skin. The Pedi wet/dry buffing brush head has both short rigid filaments and long soft ones designed for even coverage and thorough exfoliation. Just like on the face, when exfoliating the feet, the skin becomes soft, with a smooth texture.

Collagen

Structure of the Collagen Molecule

Collagen is  a naturally occurring protein found in the skin which, with other proteins such as elastin, provides the tightness or turgor to the skin. The molecule looks like three strings wrapped around each other tightly, called a triple helix. Collagen is always being produced and destroyed by the body at the same time. When we are young, the production is more than the destruction, which is why young skin looks firm. As we age the rate of collagen production slows down and collagen destruction speeds up. This leads to fine lines, wrinkles, and sagging skin such as the jowls. Other factors cause damage of collagen. These include sun damage and free radical formation from smoking. These specifically change the three dimensional structure of the molecule such that it becomes loose. We can protect ourselves by applying sunscreen daily as well as topical antioxidants such as vitamin C. Adding a retinoid such as retin-A or retinol to your skin care regimen will stimulate collagen formation, giving your skin a tight and youthful appearance. In addition to at home products, treatments which stimulate collagen production include chemical peels, laser skin tightening, dermabrasion, and laser resurfacing such as fractional treatments. People that get the best results are those that combine a thorough skin care regimen including sunscreen, antioxidants, and retinoids with in office procedures. Contact us (818-835-1833 info@aeskin.com) for a free consultation.

Effects of Smoking on the Skin

From Okada et al, 2013. Plastic & Reconstructive Surgery

We all know the risk of smoking on the health including lung damage, heart disease, increased risk of cancer, and others. But many people do not know the effects that smoking cigarettes has on the skin over time. A new study conducted by Dr. Haruko Okada and colleagues at Case Western Reserve University in Cleveland, Ohio published in the November 2013 issue of Plastic and Reconstructive Surgery demonstrates these effects. The study compared photographs of twins, one of which smoked and the other did not, or one of which smoked at least five years longer than the other. The photographs of the smokers demonstrated significantly more signs of facial aging including eyelid laxity, under eye bags, fine lines, deep lines, sagging skin, and discolorations. In the image from the study shown here, the twin on the right smoked 14 years longer than his brother. Although they are the same age, the smoker has more wrinkles and deeper wrinkles and appears older. Like sun exposure, smoking leads to the formation of harmful free radicals in the skin. These harmful free radicals have multiple effects. They damage the collagen in the skin, the protein that holds the skin tight, leading to fine lines, wrinkles, and sagging. It also leads to discolorations which are commonly known as age spots. Sunscreen can block the harmful effects of the sun, but it can not protect the skin from the free radicals generated from smoking. Topical antioxidants such as vitamin C can neutralize these free radicals to prevent aging. But the best way for smokers to prevent aging is to quit smoking. Other elements of a healthy lifestyle include sun protection, eating a healthy diet, getting regular exercise, and getting enough sleep. Making healthy lifestyle choices will lead to healthy and youthful appearing skin.

Juvederm Voluma FDA Approved for Volumizing the Cheeks

On October 23, 2013 the FDA approved the use of Juvederm Voluma XC for volumizing the cheeks. (Click here to read the press release.) Juvederm Voluma is made by Allergan, the same company that makes Botox. Traditional Juvederm is indicated for the smile lines, or parentheses lines, from the side of the nose to the corners of the mouth. The new product, Juvederm Voluma, is indicated for treatment of volume loss on the upper cheeks. As we age, the fat pads in the face that provide volume are absorbed by the body and slowly descend due to gravity. Juvederm Voluma is injected deep in the skin, directly over the cheek bone to provide volume that has been lost and give a more youthful appearance. Unlike other fillers such as standard Juvederm, Restylane, and Radiesse, results last up to two years. An added benefit is that the formulation contains a numbing ingredient for comfort during the treatment. A E Skin is excited to be offering Juvederm Voluma in the near future. Contact us (818-835-1833 info@aeskin.com) for a free consultation.

Clarisonic Pro Timer

The Clarisonic Pro Face and Body is now available at A E Skin. For the entire month of October, a purchase of the brush comes with a free facewash. It is an outstanding product for the skin. I takes one minute to wash the entire face. It has a timer to help you do this. Start by wetting your face and applying facewash. When starting the brush, start on the forehead making small circles working across the forehead. After 20 seconds, the timer will beep, indicating that it is time to move to the nose, lips, and chin. After another 20 seconds, another beep will let you know it's time to move to one check. Ten seconds later the final beep tells you to move to the other cheek. You can use the brush with any facewash product and it is waterproof, so you can use it in the shower. It removes oil, dirt, debris, makeup, and sunscreen six times more effectively as manual washing. It has four speeds that you can adjust to your comfort level. It comes with the brush, a charger, a standard brush head, a larger body brush head, and a cradle and extension for use on the back. Dr. Alex recommends using the brush twice daily and replacing the brush head every three to six months. There are several different brush heads for all different skin types. Contact A E Skin (818-835-1833 info@aeskin.com) for a free consultation.

Exactly How Does Sunlight Damage the Skin?

As we age our skin changes. Perhaps the most important factor causing these changes is exposure to ultraviolet (UV) light from the sun. When these UV rays hit the skin they produce harmful free radicals. Free radicals damage the skin in a number of ways. They cause the breakdown of collagen, the protein in the skin that holds it together, giving it a youthful and tight appearance. This leads to the formation of fine lines, wrinkles, laxity, and enlarged pores. It also thins out the deeper layer of the skin called the dermis and produces broken capillaries which become visible to the naked eye. Additionally, UV rays will cause certain cells in the skin called melanocytes to produce a molecule called melanin, the pigment that gives the skin its color. This is what happens when we get a tan. Also excess melanin is seen in freckles, age spots, and melasma.

 

There are a number of things we can do to protect ourselves from and correct this damage. Using sunscreen every day is the most basic way to prevent sun damage. Other skin care products to use include antioxidants to block the harmful free radicals, retinoids to stimulate collagen production and a firm appearance, and brightening creams to remove the dark discolorations. Treatments include facials, microdermabrasion, chemical peels, and various laser treatments. These are designed to exfoliate or target specific things in the skin such as dark discolorations and broken capillaries. People that get the best results are those that combine a good at-home skin care regimen with regular treatments in the office. For this reason Dr. Alex's philosophy is to have a combination approach, by preventing and correcting in multiple ways for a sustained youthful appearance. Contact us (818-835-1833 info@aeskin.com) for a free consultation.

New Product Available for Facial Redness



Rosacea before and after 3 treatments

On August 28, 2013, the FDA approved a new product called Mirvaso (brimotidine) for facial redness, or rosacea. In the past, the only prescription product available for rosacea was metronidazole, the active ingredient in the A E Skin Rosamax gel. Rosacea is a common condition where those affected become red, typically in the central face. The redness or flushing can be induced by sun exposure, heat, cold, spicy foods, alcohol consumption, and emotional stress. Non-prescription skin care products also used to treat rosacea include niacinamide and vitamin C. IPL photofacial treatments, Dr. Alex's area of expertise, are also outstanding treatments for rosacea. I normally recommend a combination approach using both topical products and IPL photofacial treatments for best results. Contact A E Skin (818-835-1833) for a free consultation.

Second Annual Red Carpet Event

Dr. Alex on the Red Carpet with his assistants
Darcelle, Alondra, and Michelle

On Tuesday September 24, 2013 A E Skin held its second annual Red Carpet Event in the Encino office. The event was a tremendous success. We rolled out the red carpet and many people had opportunities to take Hollywood-style professional pictures. Promotions were offered on all products and services and over 30 people attended to take advantage of the specials. The focus was on the Red Carpet Peel, a chemical peel that takes minutes and leads to facial rejuvenation in one week. The most popular product again was the Brightening Cream, the A E Skin signature product that improves fine lines, wrinkles, and discolorations. Everyone in attendance received a gift bag as well as a prize. Support was kindly provided by Merz Aesthetics, makers of Xeomin, Allergan, makers of Juvederm, and Elta MD skin care, makers of our most popular sunscreen: UV Clear. We look forward to our next event, the third annual Holiday Party in December.

A E Skin Red Carpet Peel Experience

Before and one week after a Red Carpet Peel

The A E Skin Red Carpet Peel experience is fast, safe, and comfortable. It provides outstanding results for facial rejuvenation, with improvements in fine lines, wrinkles, and discolorations, as well as active acne and acne scars. We start by washing your face and taking baseline photographs to monitor your progress. Next we sit you down in front of a fan to keep you comfortable. We'll then clean your skin with cleansing solutions. When the peeling agent is applied, you will feel a tingling, burning, or itching sensation, but this will subside shortly because it contains a numbing ingredient. We will let you sit in front of the cold air for a few more minutes and we're done. We'll apply sunscreen to your skin and you are good to go.

 

For best results, carefully follow these aftercare instructions: Please avoid heat, alcohol, and exercise for 24 hours after the treatment. Heat refers to going out in the hot sun, if it were to be hot outdoors, but also any hot environment indoors, such as a hot bath, sauna, or steam room. Also avoid hot or spicy foods or drinks like soup, hot coffee, or hot tea because all of these things will bring blood to the skin and cause problem like redness, blister, and discolorations. Avoid harsh rubbing or scrubbing for one week after the treatment. Do not use products such as washcloths or the Clarisonic brush. Avoid direct water contact from the showerhead when in the shower. Please avoid makeup for several days after the treatment because your skin will be sensitive. You may be red for a few days after the treatment. Redness is normal, don't be alarmed. Feel free to apply cold compresses to your skin to keep you comfortable, if necessary. Sometimes dark discolorations get darker before they get lighter; this is normal. Be sure to apply sunscreen every day.

 

Most people will peel on days three to five after the treatment, but everyone is different. Some people don't people at all. This is ok, for the goal is not to peel, it is to get results. These people are actually getting exfoliation, but it is microscopic, so you don't see it. If you do get visible peeling, please do not pick at it, otherwise you may have side effects such as redness, blisters, and discolorations. Apply a thin layer of intense moisturizer such as Vaseline, Aquaphor, or the Elta MD Intense Moisturizer to improve the healing process. This goes on best on a wet skin surface. By seven days, the new skin has formed. It is refreshed and rejuvenated, and you will see improvements in color texture and tone.

 

I recommend an initial series of three to six treatments at four to eight week intervals, followed by maintenance treatments once every three to six months. Contact Dr. Alex (818-835-1833 info@aeskin.com) for a free consultation.

Botox Approved for Crow's Feet

Before and after one Botox treatment on the Crow's feet.
The patient is smiling in both pictures.

Botox has been used for many years to improve wrinkles on the face. The FDA approved Botox treatment in the glabella, the area between the eyebrows where vertical lines form when people frown, in 2002 based on the initial studies of Botox cosmetic. A recent study tested Botox on the crow's feet, the areas just beside the eyes where wrinkles are formed (in the shape of crow's feet) when people smile or squint. In this study, 833 people were tested and Botox was shown to improve the appearance of the crow's feet. On September 11, 2013 the FDA has approved use of Botox for this indication, and treatment of the crow's feet is now on label. On label use is when the FDA approves the treatment based on rigorous scientific studies. Once it is approved for one area, many doctors use it safely off label on other areas. There are many other areas where Botox has been used off label, including the forehead, nose, around the lips, chin, jawline, and neck. Unlike Botox, the other available neuromodulators (Dysport and Xeomin) have not yet been approved for crow's feet and are only approved for the glabella. Again, both Dysport and Xeomin are frequently used off label in areas such as the crow's feet. Contact Dr. Alex (818-835-1833 info@aeskin.com) for a free consultation.

Differences Between IPL Photofacial Treatments

Before and after one IPL Photofacial treatment
for dark spots on the hands

One of the most common questions that I am asked is about the differences between IPL photofacial treatments. There are many different laser systems available and each one is a little different. Also, each office does the treatments a little bit differently. At A E Skin, Dr. Alex uses the Sciton Profile Broad Band Light system. This is an outstanding device for many reasons. It has a large spot size and fast repetition rate. When combined with Dr. Alex's experience of having done over 1,500 IPL photofacials, the treatment time is less than five minutes long. This compares with 20 to 30 minutes for other systems and users. Additionally, at A E Skin every patient receives topical numbing cream prior to the treatment and cold air during the treatment to allow for a comfortable treatment. The Sciton Broad Band Light system has many settings that can be adjusted for each person's skin to allow for safe treatment of people with both fair and dark skin. Dr. Alex always uses a conservative approach for the first treatment to prevent unwanted side effects such as burns and discolorations. Patients can therefore expect best results after a series of three to six treatments at four to eight week intervals. Those with darker skin require more treatments. For these reasons, the A E Skin IPL Photofacial treatment, unlike other treatments is fast, safe, and comfortable with minimal downtime and outstanding results. It is important to understand these factors and to have appropriate expectations. Contact Dr. Alex (818-835-1833 info@aeskin.com) for a free consultation.

Skin Care for the Fall Season

Now that the summer is wrapping up and fall is around the corner, it is time to make adjustments to your skin care regimen. The changes in temperature and humidity will have effects on the skin. For example, when the air is cold and dry dead skin cells accumulate on the skin. This leads to a rough and uneven texture as well as a dull complexion, because the skin does not reflect light. It is important to exfoliate these dead skin cells using products with ingredients including glycolic acid and salicylic acid such as the A E Skin Exfoliating Serum. Products with retin-A such as the A E Skin Night Cream and Brightening Cream will also stimulate cell turnover, getting rid of these dead skin cells, giving a soft and smooth texture and a bright glow. Also as the weather gets dryer, hydrating and moisturizing the skin become increasingly important. Drink plenty of water, use products with hyaluronic acid such as the A E Skin Hydrating Serum, and apply moisturizer twice daily. Finally, it is important to continue applying sunscreen daily even when the temperatures decrease in the fall and winter months because the sun can still cause damage to the skin.

Sleep and Your Skin

The amount of sleep you get each night can have an effect on the appearance of your skin. While everyone is different, most people require seven to eight hours of sleep per night. Not getting enough sleep affects the appearance of the skin. This is seen commonly as puffiness under the eyes because the blood vessels around the eyes open up and bring fluid into that area. Additionally, when you do not get enough sleep your body releases the stress hormone cortisol. Cortisol leads to breakdown of collagen in the skin, the protein that gives the skin its tightness. Over time, this leads to fine lines, wrinkles, and laxity. At the same time, when you get enough sleep your body produces an adequate amount of human growth hormone, which thickens the skin. A recent study by Estee Lauder demonstrated scientifically that inadequate sleep speeds up skin aging. Specifically, poor sleep correlates with increased amounts of fine lines, wrinkles, laxity, and discoloration. So before starting a new skin care regimen or doing treatments, be sure that you are treating your body and skin right by getting enough sleep, eating a healthy diet, getting regular exercise, protecting yourself from the sun by applying sunscreen daily, and avoiding bad habits such as smoking and drinking alcohol. Contact Dr. Alex (818-835-1833 info@aeskin.com) for a free consultation.

Kojic Acid

Kojic acid is a naturally occurring substance that is found in many species of fungus and is used for a variety of applications. In skin care it is used in many products to act as a brightening agent. Like hydroquinone and other brightening agents, kojic acid will help to remove dark discolorations on the skin. Unlike certain other brightening agents such as hydroquinone (4 % and up), kojic acid is available over-the-counter and is found in many cosmeceutivals. Discolorations on the skin can be genetic (freckles), hormonal (melasma), sun-induced (sun spots), etc. Kojic acid can be used in conjunction with other products such as hydroquinone, retin-A, azeleic acid, vitamin C, and alpha-arbutin for more powerful effects. For example, the A E Skin Brightening Cream combines hydroquinone, kojic acid, and retin-A for strong effects. Additionally, doing treatments such as IPL photofacials and chemical peels while using kojic acid will produce even better effects. Contact Dr. Alex (818-835-1833 info@aeskin.com) for a free consultation.

Nefertiti Neck Lift

Nefertiti was the wife of an Egyptian pharaoh who was known for her well-defined jaw line and long neck. These traits are highly desirable for many people and now there is a treatment to help improve the definition of the jawline and flatten the neck. The treatment is with a neuromodulator such as Botox, Dysport, or Xeomin. These proteins relax the muscles in the neck which pull down on the jawline and create a saggy appearance. Injection points are done just below the jawline to improve the definition on the jawline, above the jawline to point the corners of the mouth upward, and on the neck to flatten the neck muscles. Contact Dr. Alex (818-835-1833 info@aeskin.com) for a free consultation.

Adjusting IPL Settings for Different Skin Types

Before and After One Treatment

An IPL photofacial treatment is a popular treatment that will improves discolorations such as dark spots as well as redness and broken capillaries. While it is suitable for almost all skin types, the settings need to be adjusted for each person for best results and to avoid complications such as burns and discolorations. There are six different skin types and IPL treatments can be done on types I through V. Since the settings on the laser are specific for each person, it is important that you see someone with experience in treating all skin types and go  to a center where they use a laser such as the Sciton which has many settings that can be adjusted to the individual. Dr. Alex has done over 1,000 IPL photofacial treatments and teaches other practitioners on the treatment. Patients get outstanding results and the treatment is fast, safe, and comfortable. Contact A E Skin (818-835-1833, info@aeskin.com) for a free consultation.

Treatment for Dark Circles Under the Eyes

A common concern for a lot of people is dark circles under the eyes. There are many causes of these including volume loss, sun damage, genetics, lack of sleep, and others. We are born with a fat pad directly under the eye. Over time, due to gravity and changes in the skin, this pad descends downward toward the cheek. This leads to volume loss under the eyes which can lead to a shadow effect appearing as dark circles. Restylane is the perfect dermal filler to correct volume loss under the eyes. The advantage is that, unlike other fillers such as Juvederm, it does not lead to excess puffiness in the area. Results typically last anywhere from six to 15 months. The amount used varies from person to person. Women who are pregnant or breast feeding should not be treated. Contact Dr. Alex (818-835-1833 info@aeskin.com) for a free consultation.

Ultraviolet Photography

UV photographs before and after
one IPL photofacial treatment demonstrate
the improvement in the level of sun damage.

Clinical photography is critical when undergoing cosmetic treatments because it monitors your progress. Photographs demonstrate the level of improvement achieved. Standardization of the photographs is very important so before and after pictures can be compared. For example, it is not a good idea to compare one photograph where makeup has been applied to one without makeup, as the one with makeup will almost always look better. Also, the skin will appear different depending on the lighting, so consistent lighting is important. Traditional photographs will demonstrate what is apparent on the surface of the skin. A new type of photograph used at A E Skin with the Canfield Visia imaging system is ultraviolet photography, or UV photography. Unlike traditional photographs, UV photographs will show skin defects that are deeper in the skin and are not visible by the naked eye. The most common defect is sun damage in the form of dark discolorations. By taking UV photos before and after a treatment we can see the level of improvement achieved with the treatment. For a free consultation, contact Dr. Alex at 818-835-1833 or info@aeskin.com.

Can IPL Photofacial Treatments be Done on Asian Skin?

A common question is whether IPL photofacial treatments can be done on Asian skin. There are six Fitzpatrick skin types: I through VI, and a person's skin type depends on the amount of pigment it contains and the person's reaction to sun exposure. Asian skin is usually type III - V. With the exception of skin type VI, all others can be treated with IPL photofacial treatments. People with darker skin have an increased risk for discoloration after the treatment. Treatment with brightening creams is recommended for four to eight weeks prior to the treatment to minimize these risks. Also, the settings are adjusted for each person's skin. We use more conservative parameters for those with darker skin and more treatments are recommended for those with darker skin. Contact Dr. Alex (818-835-1833 info@aeskin.com) for a free consultation.

A E Skin IPL Photofacial Experience

Before and After 2 IPL Photofacial Treatments

The A E Skin IPL photofacial experience is fast, safe, and comfortable, with minimal downtime, and outstanding results. We start by washing your face and taking baseline photographs to monitor your progress. Then we apply some numbing cream to keep you comfortable and let that sit for approximately 15 minutes. After that we'll clean off your face with water, then alcohol, and apply some eye protection over your eyes. You will see the bright light. Just keep your eyes closed; you'll be fine. We'll apply cold gel and cold air on your skin to keep you comfortable, and when we do the treatment it feels like a hot rubber band snapping. It takes about five minutes. People tolerate it just fine. After we're done, we'll take off your eye protection, clean off your face, and allow you to cool off with the cold air for about five minutes. We'll give you sunscreen and you re good to go. Repeat treatments are typically done at four to eight week intervals with an initial series of three to five treatments. After that, maintenance treatments are done once every three to six months. Contact Dr. Alex (818-835-1833 info@aeskin.com) for a free consultation.

Summer Soiree

Dr. Alex and his assistant Nora

A E Skin held its first Summer Soirée on Tuesday June 25, 2013 from 6 PM to 8 PM in the Encino office. It was a packed house with over 30 people attending the event. One night only promotions were available on all skin care products and treatments. The most popular product was the A E Skin Brightening Cream that everyone was raving about and the most popular treatment was the IPL photofacial. Everyone in attendance received a beautiful gift bag with many different skin care products. The highlight of the night was the raffle. Prizes included skin care products by both Elta MD and A E Skin as well gift certificates to Nuts N Berries Café and treatments including IPL, Micro Laser Peel, Red Carpet Peel, and Soft and Smooth Rejuvenation. Everyone won a prize! Support was generously provided by Merz Aesthetics, makers of Xeomin, and Allergan, makers of Juvéderm. Representatives from Revivogen and Clarisonic were also in attendance to speak about their products. Catering was provided by Nuts N Berries Café. The Summer Soirée was a tremendous success and we look forward to our next event in September, the second annual Red Carpet Event.

The Truth about Natural Skin Care Product Ingredients

Natural and botanical skin care products have become very popular in recent times because many think that the do not contain synthetic chemicals and provide benefits superior to products produced in a laboratory. Many people are surprised to hear that many of these products undergo a significant amount of chemical processing before they are incorporated into skin care products, which affects their activity. Additionally, there are many things that occur in nature that are dangerous when applied to the skin, for example poison ivy.

 

Many so called laboratory grade products, both prescription strength and over-the-counter strength, are originally discovered  in naturally occurring products. For example, retinoids such as retin-A and retinol are vitamin A derivatives. Hydroquinone, the strongest available brightening agent, is found naturally in coffee, beans, beer, wine, and vegetables; we consume it daily. Other naturally occurring skin care product ingredients include glycolic acid, salicylic acid, vitamin C, vitamin E, ferulic acid, and hyaluronic acid.

 

The most important difference between natural or botanical products and those developed in a laboratory is the consistency of the active ingredient. Laboratories have very sophisticated testing measures to ensure that the product is both pure and free from contaminants and at the exact strength required. There is a high degree of variability of active ingredients when they are derived from plants. This is due to inconsistencies in the plant source (leaf, root, fruit, etc.), growth conditions (soil, water levels, climate, etc.), harvesting conditions including transportation, and preparation method (crushing, boiling, distilling, etc.).

 

Another important difference between plant derived skin care products and those produced in the laboratory is that plant contain many other ingredients in addition to the active ingredient, some of which may not be beneficial. Laboratory grade products are pure and contain no other ingredients except those required for stability or cosmetically pleasing effects.

 

Finally, there is a tremendous amount of data to back products that are produced in the laboratory. This is due to rigorous testing requirements set forth by the FDA. For instance, some of these required tests compare patients who use the product with those that do not. Additionally, the products are tested to make sure they do not cause allergic reactions. It usually takes a few years before a product is approved by the FDA. Botanical products are not subject to these testing requirements and often there is little to no evidence that they actually work.

 

Be sure to understand the difference between "natural" ingredients and laboratory grade ingredients when choosing skin care products. Contact Dr. Alex (818-835-1833 info@aeskin.com) for a free consultation.

Skin Care for Men

Happy Father's Day from A E Skin! This is the perfect opportunity to discuss skin care for men. Unlike women, men typically do not have a complex skin care regimen and like to keep things simple. The most important aspect is using a sunscreen. Many sunscreens, such as the Elta MD UV Clear, contain moisturizers. This combines two steps and provided everything you need in the morning. Since sunscreen is not needed at night, a simple moisturizer will work. While these are the basics, many men will expand their regimens for further benefit. Other products including exfoliants, antioxidants, hydrating products, eye gels, growth factors, retinoids, and brightening cream. Some of these will provide a closer shave on the face, which many men desire. Physical exfoliants like the Clarisonic Pro provide thorough cleansing of the skin. Each step adds time to the regimen every day, so be sure that you will be able to use the products before purchasing them. Additionally, take into account the financial investment involved. Contact Dr. Alex (818-835-1833 info@aeskin.com) for a free consultation.

Sunscreen Myths and Facts

Myth

Sunscreen only needs to be applied in the summer. 

Fact

Sunscreen must be applied every day year-round because sun exposure can damage the skin and occurs year-round. 

 

Myth

Sunscreen does not need to be applied to children. 

Fact

Sunscreen should be applied to children starting at 6 months of age.

 

Myth

UV tanning is safe. 

Fact

UV tanning is as dangerous as sun exposure.

 

Myth

Sun exposure does not damage the skin. 

Fact

Sun exposure leads to fine lines, wrinkles, discolorations, sunburns, pre-cancers, and skin cancer. 

 

Myth

Sunscreens with SPF 15 found in many makeup products provides sufficient sun protection. 

Fact

The American Academy of Dermatology recommends sunscreens with SPF at least 30 and with broad spectrum protection (UVA and UVB protection).

 

Myth

Sunscreen is not needed when the sky is overcast. 

Fact

Damaging ultraviolet light can penetrate through clouds, which is why sunscreen must be applied even on cloudy days. 

 

Myth

Daily sun exposure is required to provide adequate amounts of vitamin D. 

Fact

Adequate amounts of vitamin D can be supplied from the diet. Therefore sun exposure is not recommended as a source of vitamin D because of the dangers of ultraviolet radiation such as fine lines, wrinkles, discolorations, pre-cancers, and skin cancer. 

 

Myth

Those with dark skin do not need sunscreen because they rarely burn.

Fact

Everyone must apply sunscreen because the sun can damage the skin even if you don't burn.

 

Myth

I do not need to use sunscreen because I wear a hat. 

Fact

Dangerous ultraviolet radiation reflects off of soil, sand, water, snow, and asphalt. Therefore hats do not provide complete protection. Sunscreen is necessary.

 

Myth

Sunscreen is not necessary when driving. 

Fact

Dangerous ultraviolet A rays can penetrate glass and lead to signs of aging. Therefore sunscreen should be applied when driving.

 

Myth

Sunscreen only needs to be applied to the face. 

Fact

Sunscreen should be applied to all exposed surfaces of the skin including the face, ears, neck, arms, and legs.

 

Contact Dr. Alex for a free consultation: 818-835-1833 info@aeskin.com

Moisturizers

Moisturizer is an important of a skin care regimen. The skin is the largest organ in the body and approximately two thirds of the skin is composed of water. One of the many functions of the skin is to act as a barrier to prevent both water loss and water gain. Eczema is an example of a condition where the barrier function works improperly and the skin becomes red, dry, and sensitive.

 

The term moisturizer is broad and encompasses three main components. The first is a humectant, a substance that draws water into the skin from the deeper layers and ultimately the blood supply. Hyaluronic acid is a good example of a humectant; it binds 1,000 its weight in water. An occlusive barrier is a substance that retains the water in the skin. Petrolatum products such as Vaseline and Aquaphor are common examples of these products. Emollients are substances which sooth the skin, and examples include jojoba oil and dimethicone. These substances make a product cosmetically elegant because they feel good when applied to the skin. A good moisturizer should contain a combination of all of these.

 

Moisturizers should be applied twice daily, or even more frequently for those who have dry skin or live in dry climates. Some moisturizers contain sunscreen to make skin care regimens easier. Be sure to drink plenty of water daily for proper hydration of the skin. A good skin care regimen including moisturizers and other products will lead to healthy, radiant, and youthful skin. Contact Dr. Alex for a free consultation: 818-835-1833, info@aeskin.com.

The Aesthetic Show 2013

This year marks the third consecutive year Dr. Alex has attended The Aesthetic Show, an annual convention held in Las Vegas, NV featuring the latest in aesthetic treatments, technology, and products. This year The Aesthetic Show was held from May 16 to 19, 2013 at the Mirage convention center, a beautiful venue. Over 2,000 people attended from across the world, including doctors and their staffs. Dr. Alex and his assistant Mikalah attended numerous seminars by leading experts to improve the service and results at A E Skin. Dr. Alex took a full day course in consulting to help provide outstanding service to patients. Additionally, Dr. Alex was invited to a casting call for Aesthetic TV, an online service designed to teach the public about what's new in the aesthetic community. The technical exhibits featured vendors from laser companies, skin care lines, and more, including partners such as Sciton lasers, Elta MD, Clarisonic, Merz Aesthetics, makers of Xeomin, Medicis, makers of Restylane, and Allergan, makers of Juvederm and Latisse. On Saturday night, The Aesthetic Awards ceremony was hosted by Dr. Andrew Ordon of the hit television show "The Doctors". As in past years numerous raffle prizes were given out totaling of over $ 250,000 in value. Michael Moretti and his staff produced a great show as always and we look forward to the event next year.

Skin Cancer Awareness

May is skin cancer awareness month. There are two major forms of skin cancer: melanoma and non-melanoma. While melanoma is more dangerous, non-melanoma skin cancer is much more common. The most important thing we can do to decrease our risk for skin cancer is protect ourselves from the sun. This includes properly applying sunscreen with an SPF of at least 30 daily and reapplying it every two hours if outdoors for prolonged periods. The ABCDE's of melanoma are important signs to look for in moles to determine if they are suspicious and should be seen by a dermatologist.

ABCDE's of melanoma

Skin cancer is abnormal growth of skin cells. It can affect people of all skin types and colors, but those with fair skin have increased risk. It occurs most commonly on areas of high sun exposure such as the face and backs of the arms. The American Academy of Dermatology has outstanding resources to learn more about skin cancer.