Cellulite
LipoSelection
Permanent
Laser Hair Reduction
Microdermabrasion
Botox® Cosmetic Injectables
Photofacial (IPL)
Cellulite
What is cellulite?
Cellulite describes the deposits of dimpled fat
found principally on the thighs and buttocks of women. The
resulting dimpled or uneven skin is a nagging problem for
most women – even those who work hard to keep fit.
What causes cellulite?
While we can trace the problem to genetics, hormones
and lifestyle, localized factors directly responsible for
cellulite involve poor circulatory exchanges and stiff connective
tissue .
How do poor circulatory exchanges
lead to cellulite?
Swelling from lipid accumulation in fat cells exerts
pressure on the circulatory system, causing a slowdown both
in the intake of nutrients and the drainage of waste products.
Poor exchanges lead to a gradual stiffening of the connective
tissue, which shortens as it stiffens, pulling the skin down.
At the same time, the clusters of enlarged fat cells pull
the skin up. The consequence of this push/pull mechanism
results in the dimpled appearance of the skin.
Where does cellulite most commonly
occur?
The accumulation of lipids in the fat cells most
commonly occurs on legs, buttocks, abdomen and arms.
Who suffers from cellulite?
Cellulite is a problem that primarily affects women;
even women who are not overweight and who keep fit and healthy
suffer from it. Although obesity does not cause dimpling,
it does become more obvious with weight gain. More
than 80 percent of women have some degree of cellulite.
LipoSelection
What is VASER LipoSelection®?
VASER LipoSelection combines patented technologies with advanced
surgical techniques to sculpt the body and remove unwanted
fat deposits. The LipoSelection procedure uses ultrasonic
energy to break up fat while leaving surrounding tissue
such as nerves, blood vessels, and connective tissue -
relatively intact. Patients report highly satisfactory
results and low to minimal pain.
Why VASER LipoSelection? Is the LipoSelection procedure different
than traditional liposuction?
VASER LipoSelection is a new and very different way to
precisely and efficiently remove unwanted fat. An alternative
to the harsh techniques of traditional liposuction, VASER
LipoSelection uses state-of-the-art ultrasound technology
to reshape your body. Only the LipoSelection procedure
uses the proprietary VASER® System to first liquefy and
then remove fat from the body, which is why it provides
such smooth, predictable results. Since it is more tissue
selective than traditional liposuction, patients report
low to minimal pain and low to minimal swelling and bruising.
How does VASER LipoSelection work?
High frequency sound energy emitted by the VASER System
breaks up fat on contact while leaving surrounding tissues
relatively intact. The fragmented fat flows into the wetting
solution and is extracted with gentle suction. This process
results in smooth, predictable outcomes.
How much fat can be removed?
There are limits to how much fatty tissue can be safely
taken from the body. One way to get a good idea for yourself
is to stand and bend from the waist. The amount of “loose-hanging”
fat you can easily grab above / below your waist will approximate
what can be removed. Bear in mind that this procedure is
not intended as a weight loss solution. The goal is to
create a slimmer silhouette. You may not notice a significant
amount of weight loss, but should be pleased with your
slimmer new shape.
What body areas can be treated with VASER LipoSelection?
Doctors have experienced great success in treating all
of the following areas: abdomen, thighs, knees, buttocks,
hips, back, arms, male breasts, love handles, chin and
neck areas.
What happens during the VASER LipoSelection procedure?
First, the area to be sculpted is filled with a special
saline solution that helps numb the site
and shrink the
blood vessels (to minimize blood loss and reduce bruising).
This solution
wets and fills the area to be treated, making
fat easier to break up with the VASER System’s sound energy.
Then a small probe transmits sound energy (similar to that
used for cataract removal in the eye) that breaks up fat
on contact, while leaving other important tissues relatively
intact. Finally, gentle suction of the sculpted site removes
the emulsified fat quickly. Thanks to its patented technology,
only the LipoSelection procedure first emulsifies and then
removes fat in this manner.
Where is VASER LipoSelection® performed?
VASER LipoSelection is performed in a clean environment.
Some possible options are your doctor’s office, an outpatient
surgery center or a hospital.
What type of results can I expect?
The ultrasonic technology used for the LipoSelection procedure
breaks up fatty tissue while
leaving other important tissues
relatively intact. As a result, treatment with the VASER®
System has been reported to result in smooth contouring
and low incidence of complications* such as prolonged swelling,
loss of sensation or prolonged numbing, blood clots, bruising,
blister-like spots called seromas, and skin discoloration.
What’s the advantage of general vs. local anesthesia? Office
vs. hospital procedure?
Some individuals find the thought of any surgery very disturbing.
In a hospital, under general anesthesia, you are unaware
of what is happening – you go to sleep and awaken postoperatively.
This method of anesthesia may be preferable if you are
having a large amount of fat removed, or having multiple
sites treated. Some individuals find general anesthesia
intimidating, preferring to remain awake under local anesthesia
– perhaps accompanied by IV sedation. If the treatment
is not too extensive, this may be a viable option. For
still others, the convenience and familiarity of their
doctor’s office allows for maximum comfort, provided the
surgery is not too extensive. Here, under local anesthesia
(perhaps accompanied by a sedative), patients experience
minimal discomfort while remaining awake but relaxed.
What’s in the infusion fluid? Isn’t lidocaine dangerous?
A saline solution is injected to “loosen up” fatty tissue.
This solution includes diluted amounts of a blood constrictor
[Epinephrine] to reduce bleeding and bruising and an
anesthetic
numbing agent [Lidocaine]. The percentage of lidocaine
and the amount of fluid is carefully monitored and administered
to avoid toxicity issues. If this is a serious concern
of yours, you should definitely discuss it
with the doctor
before you make your decision.
What is my anticipated recovery time?
This varies with the extensiveness of the procedure –
the amount of fat removed, the
number of sites treated,
and so on. It is important that you establish realistic
expectations through discussion with your doctor.
What about future weight gain / fat migrating to other
areas?
This is a common misperception. Following your VASER
LipoSelection® procedure, should you experience weight
gain or loss, it will tend to be proportionately distributed
over your entire body. Once you have fat removed, it
is gone and, assuming a healthy lifestyle of proper diet
and exercise, it will not return or migrate. However,
because fat is necessary to a healthy body, some essential
fat layers in any given site remain untreated. If you
do gain a significant amount of weight, the remaining
fatty tissue will expand. Normal aging changes can also
be expected.
Will VASER LipoSelection eliminate my cellulite?
“Cellulite” is a term used to describe a specific look
of fat in skin overlying certain areas of the body (often
described as “orange peel” or “cottage cheese skin”).
As we age, almost all of us develop some cellulite. There
is currently no curative “fix” for cellulite.
How can I be certain VASER LipoSelection is right for
me?
If you are frustrated by the resistance of certain body
areas to diet and exercise, VASER LipoSelection can provide
a solution. If you are healthy and seeking a fast, low-pain
solution to losing stubborn fat deposits, the LipoSelection
procedure could be your answer. Although there are limits
to the amount of fat that can be removed, your doctor
can assist you with your decision about potential areas
for sculpting, anticipated results, and the recovery
process.
How much does it cost? Why pay more?
As with other treatments, costs can vary among surgeons
and depending upon the specific nature of the treatment
(location of fat pocket, number of treatment sites, extensiveness
of treatment, etc.). “Why pay more?” is a question only
you can answer for yourself. After talking with a number
of potential patients, we have found that most would
readily pay a few hundred dollars more to obtain the
benefits of the LipoSelection procedure.
Permanent Laser Hair Reduction
How does hair reduction work?
A pulse of laser light penetrates into the skin and delivers the energy at the
root of the hair, destroying the hair root while sparing the surrounding skin.
Relative to waxing, electrolysis, plucking, and ripping, laser hair removal does
not hurt to that degree. Some patients may experience a stinging sensation when
the laser is pulsed. This stinging should not last more than 5 seconds after
the light flash of the laser. This discomfort is minimized by the laser's Dynamic
Cooling Device™ which protects the upper layers of the skin with a cooling burst
of cryogen.
What areas can be treated?
All areas of the body can be treated, except around the eyes.
How long does the procedure take?
It depends on the area being treated. It will typically take
15 minutes to treat the underarms and up to an hour for
legs.
Is it safe? Is it painful?
Complications are rare. In less than 1% of cases, skin lightning
or darkening may occur. It is advisable to wear sunblock
when in the sun during the month following laser treatment.
Anesthesia is not required - the only effect felt is a hot and tingling sensation
that is well tolerated.
How many treatments will I require?
Because hair grows in multiple cycles, several treatments
are necessary, their number depending on type of hair and
location. Treatments are usually performed 4 to 6 weeks
apart.
What results can I expect? Is it permanent?
Clinical studies have demonstrated a permanent reduction
in hair numbers after each treatment.
Yes. After each treatment, the hair that re-grows is thinner, lighter and less
numerous.
What are the side effects?
Fortunately, there are few side effects. In the first hour,
treated skin may develop redness and swelling around the
hair shaft. This responds quickly to a cool ice pack and
aloe vera lotion. Rarely, blistering will occur, but this
also responds to ice and aloe vera. Permanent scarring
is extremely rare. Very dark skin can become hypopigmented
(turn lighter), and lighter shades can become hyperpigmented
(darker). Hyperpigmentation usually fades in 3 to 6 months.
Excessive swelling is also unusual but should it occur
it should subside within 3 to 7 days. If skin becomes fragile
at the treatment site, avoid makeup and rubbing the area.
Of course, lack of hair removal could be called an unwanted
side effect.
What should I do before the visit?
For the best results, avoid sun or tanning 4 to 6 weeks before
treatment. If you have tanned recently, you should not
undergo photoepilation. There is a danger of overheating
the treatment area because of darker pigment in the skin.
Hair on the area to be treated must be shaved within 24
hours of the treatment. Remove your makeup before the treatment
and keep your skin clean. Tell the doctor if you start
any medications; some can make you more susceptible to
burning with treatment.
What will be done at the visit?
At the first visit the doctor will evaluate you and determine
the correct light setting for your treatments. This will
take about 30 minutes. The cost will be $75, of which $50
will be applied to your first treatment fee. You will receive
some small “test spot” treatments. The first treatment
can be scheduled with the receptionist after your consultation
visit. Payment will need to be made at the time of your
treatments. Fees will be charged based on the size, number
and locations of the areas treated.
How should I care for treated skin?
Gentle washing and the use of an aloe vera gel are generally
sufficient.
Microdermabrasion
How does it work?
Microdermabrasion is a non-invasive procedure where very fine, sterile crystals
are sprayed across the surface of the skin. They gently abrade away the dry and
damaged surface cell layers, leaving the skin smoother and more vibrant.
What areas can be treated?
Microdermabrasion can be performed on your face, but also
on your hands, chest and even on areas where rough skin
is prevalent, such as elbows, knees and heels.
How long does the procedure take?
It depends on the area being treated. It will typically take
15 minutes to treat a face.
Is it safe, is it painful?
Yes, it is safe. There are no after effects.
The procedure is very gentle. Your skin will feel taught
as the tip is pressed against it, with a mild tingling sensation.
How many treatments are required?
Treatments are provided in a series of sessions, usually
at one to two week intervals.
What results can I expect?
Patients are delighted with this treatment which will improve:
• Oily or dull skin
• Enlarged pores
• Acne scars
• Fine lines and wrinkles
• Uneven skin color
Can MDA be combined with other treatments?
Microdermabrasion is a useful skin care technique which can be used alone or
combined to other complementary procedures as a part of an overall skincare
regimen. Your Doctor can discuss the various options appropriate for you.
Is it permanent?
Maintenance sessions are recommended (typically every two)
months to maintain the result.
Are there any side effects?
Side effects are minimal and are generally limited to a slight
redness of the skin which should subside within minutes.
Can I wear makeup?
Yes, you can re-apply make-up immediately after the procedure
Botox® Cosmetic Injectables
Are there any side effects?
Mild, temporary bruising may occur. Very slight droopiness
of the upper eyelid occurs in about 2% of people who have
their frown lines injected. About 5% of people who have
their foreheads injected immediately above their eyebrows
may notice this effect. A much smaller number of people
will notice slight asymmetry of the lower face after injection
of the crow’s feet muscles. These effects are usually not
noticed by others and fully recover after 3 to 5 weeks.
An extremely rare side effect, temporary double vision
has been reported in the literature. To minimize the possibility
of such rare side effects, please be sure to follow the
post treatment instructions.
A very small percentage of people do not have much effect from the treatment. A rare patient may even develop antibodies to the Botulinum toxin and develop resistance to response over time. Usually, just the opposite occurs; they respond more to the same dose as time goes on.
What kind of results may I expect?
If dynamic wrinkles are making you look older and more "serious," cosmetic
denervation can smooth these out and give you a more youthful
and rested appearance. However, this treatment will not improve
the more common “static” wrinkles that are unrelated to facial
muscle contraction, nor does it improve loose or sagging
skin. Results are typically seen within 2 to 10 days of the
treatment. (Most patients achieve 60% to 90% improvement
in wrinkles in 3 to 14 days). The effects may last 6 weeks
to 6 months. (Typically effects last 3 to 4 months). Occasionally,
there is a muscle that does not respond, and a “touch –up”
may be needed in 2 to 3 weeks.
How long do the results last?
Initially, most people require a repeat injection every 3
months to maintain the effect. However, after 3 to 5 injections,
the effect may last longer and a repeat injection may only
be needed every 6 to 12 months.
What instructions should I follow after treatment?
Do not rub the injection site for at least 4 hours as this
may spread the solution to adjacent muscles. Do not lie
down for at least 4 hours for the same reason. Exercise
the facial muscles by doing the full range of animated
facial expressions (raise your brows, furrow your brows,
frown and smile deeply) every 15 minutes for the next 2
hours. Botulinum toxin attaches better to active muscles.
A small amount of people will require a higher dose than
given with the first treatment to obtain an effect. If
you have seen no improvements after 2 weeks, please call
us to schedule a “touch up”. Some slight discomfort from
the needle prick or some stinging as the collagen is injected.
This discomfort, if any, will only last a few minutes.
Like any beauty or fitness routine, CRT requires a maintenance
program. Patients may need touch up treatments every 3-6
months for optimal results.
Photofacial (IPL)
How does it work?
The intense pulsed light emits wavelengths that are absorbed by vascular and
pigmented lesions in multiple levels of the skin. When the broad band light is
absorbed by melanin (brown spots) and oxy-hemoglobin (veins / red spots), the
lesions are gently heated and destroyed.
What areas can be treated?
The Prolite II skin rejuvenation procedure can be performed
on the face, neck, décolleté (chest), hands, and shoulders.
How long does the procedure take?
It depends on the area being treated. It typically takes
20 minutes to treat the entire face.
Is it safe? Is it painful?
Complications are rare. In less than 1% of cases, skin lightning
or darkening may occur. It is advisable to wear sunblock
when in the sun during the month following the IPL treatment.
Anesthesia is not required for the IPL (intense pulsed light) treatment and
is well tolerated. Some compare the sensation to a hot rubber band snap.
How many treatments are required?
It is recommended to have a series of 4 to 6 treatments in
2 to 4 week intervals. Single maintenance treatments every
6 months helps to retain optimal results.
What results can I expect?
Visible signs of aging and sun damage will be significantly
reduced. There is an overall improvement in skin texture
and tone.
Is it permanent?
Yes, but skin continues to age with time. A good skin regimen
will help slow the appearance of aging skin and sun damage.
What are the side effects?
The vascular and pigmented lesions will be darker in appearance
for 5 to 7 days.
What should I do before the visit?
It is recommended to stay out of the sun for a ten day period
before receiving this treatment option.
What will be done at the visit?
A light based cooling gel will be applied to the treatment
area before administering the Photofacial.
How should I care for treated skin?
It is recommended that a regimen Bellederm products including
a hydration lotion and sunscreen be applied to keep the
skin moist and protected. Again, it is recommended that
a ten day interval of staying out of direct sunlight (tanning)
be adhered to after each treatment.
Can I wear makeup?
Yes, you can apply make-up 24 hours after the IPL treatment.