Showing posts with label melasma. Show all posts
Showing posts with label melasma. Show all posts

Thursday, July 16, 2015

What is Melasma & How to Treat It

vi peel melasma before afterelasma is a term that has become more commonplace over the past decade especially in regions such as Florida with an excess of sun exposure.  Melasma is often referred to as "the mask of pregnancy" because it is usually caused by hormone changes especially with pregnancy, birth control or menopause, and is made increasingly worse by sun exposure.  Melasma can also be caused by medications or brought on by post imflammatory hyperpigmentation due to certain burns of laser treatments.  Melasma generally occurs when estrogen and/or progesterone stimulate pigmentation hormones, causing dark brown irregular sized patches on the face that are normally rather large.   Melasma is most common in ethnic skin types especially hispanic or meditteranean although it can occur in light skin types as well. Genetic predisposition may make one more susceptible to melasma, and thyroid dysfunction may also increase susceptibility.
Since our medical spa Winter Park Laser is located in Florida we see a lot of Melasma due to the to the amount of sun exposure and the high amount of hispanic population in Florida. Melasma can be very difficult to treat and the results rely heavily on patient compliance and the type of maintenance done by the patient.  Here are some of the top ways to treat and maintain melasma.
#1 The Vi PeelL this is a strong chemical peel safe for all skin types to treat melasma.  It is a proprietary blend of TCA, Retinoic Acid, Salicylic Acid, Phenol, Vitamin C and a mineral blend.
#2 At Home Skincare: It is crucial to use Skin Lightening Treatment products such as Hydroquinone bleaching creams, or Skinmedica lytera which will help to suppress the underlying pigmentation and prevent more patches of melasma from surfacing.
#3 Limited Sun Exposure: Sun can make Melasma worst so the more one stays away from sun by wearing a full broad spectrum minimum spf 30 everyday and reapplying,  and wearing large sunglasses and large hats to protect your skin.

For more information on treating Melasma in Orlando go to www.winterparklaser.com

Monday, March 26, 2012

What You Need to Know Before You go to a Medical Spa

At our medical spa we do a complimentary consultation for every new client and we look thoroughly over our client's medical history, however not every spa will do this so here are some tips on being informed and ready for your medical spa treatments which can tend to be stronger than traditional "day spa" treatments. These tips will keep you safe.

You might be wondering what the tangible benefits of having professional treatments are and why they are worth the investment especially with so many over the counter treatments available.. For those who don’t suffer from severe or chronic (repetitive) skin conditions, home care is one option and I encourage maintaining a home-care regimen even if you go to the spa. Although even if you have good skin occasional chemical peels will keep your cell turn over going & give you that consistent glow. Professional treatments can aid in accelerating the anti-aging process for more rapid results. Generally speaking, estheticians treat the epidermis (outermost layer of skin), while doctors, Nurses or Physician Assistant's can treat down to the dermis level (skin layer under the epidermis). Thus, a good esthetician will tell you when to seek out a medical spa for certain skin conditions, such as cystic acne. Para-medical esthetician's are also licensed to go deeper into the dermis under physician supervision and work with medical grade skin-care only.

An esthetician should always perform a skin analysis, examining your skin under a large magnifying glass -we offer Visia skin complexion analyses as well. If you are not asked to fill out what is known as a medical history form or a consent form, walk out. This form is critical to the consultation process, which should be performed for every new client. Also important-you should always receive a detailed post-care instruction sheet. Estheticians often use medical-grade ingredients and it’s important that they are aware of a client’s medications, allergies, and home care before treatment. These are known as contraindications and are important in determining whether you are a good candidate for a particular treatment. If you are allergic to milk and receive a peel containing even the smallest amount of lactic acid, you may experience severe side effects. Moreover, pregnant women should never have a chemical peel as peels penetrate down to the cellular level. It’s similar to avoiding certain foods during pregnancy. Intake forms vary by spa and cannot cover absolutely everything so it is important to ask questions, and that the consultant/esthetician is asking you additional questions and educating your on the treatment.

A great medical spa will provide you with pre-treatment and post-treatment instructions and will call you after your treatment to check on your progress. They also have to have doctors, PAs, or nurses on staff to answer questions or write prescriptions when necessary.

Exfoliation is fundamental to healthy skin care and requisite to maintaining a youthful complexion - it is often the focus of spa treatments. As a medical spa we find that chemical peels are great combination therapy and enhance the results of all laser treatments including IPL photo-rejuvenation, and fractional laser resurfacing. This is because once the dead skin cell layer is removed the laser can penetrate better, and the cell turn-over is accelerated.

Chemical exfoliation penetrates deeper into skin than micro-dermabrasion and exfoliates via high concentrations of AHA/BHA acids. The acids loosen the bonds between skin cells, allowing them to shed quicker than they normally would. Medical spas can use higher concentrations of acids than day spas. While peels can provide rapid results, it’s very important that the esthetician determine what strength is best to use. While peels do cause a tingling sensation, it should be neutralized before the tingling turns into a burning sensation. Everyone has a different tolerance for peels and that tolerance tends to grow with every use. If you are new to a spa or new to chemical peels you should always start with lighter peels and work your skin tolerance up to higher grade peels. It is also important that the correct type of chemical peel is performed for your skin type. If you have dark skin, always ask what possible side effects there are for the peel being performed and if it is safe for dark skin.

SPF should always be applied at the end of any medical spa chemical peel, facial or laser treatment on the face, chest or body. This is especially important post-treatment as chemical peels and laser treatments increase photo-sensitivity to the treated area. Remember, peels work at the cellular level and are still working long after you’ve left the spa.

Lastly, I have previously stated that many people have a tendency to over-exfoliate, which is detrimental to skin health. Often, clients see impressive results from a peel or microdermabrasion and think that more is better. There have been many times that I’ve kindly discouraged a client who wants microdermabrasion every week! Unfortunately, there are spas that will perform treatments as often as requested. Chemical peels, and laser treatments should always be spread out 2-4 weeks apart depending on the treatment, weekly is too often.

Important tip: Melasma in olive skin types should not be treated with IPL (intense pulsed light) this can make the Melasma worse-we have corrected to many of these mistakes from other medical spas.
In conclusion when deciding on the best medical spa for you, do your research, look at how long the spa has been in business, read online reviews, read their website, ask questions in your consultation, make sure the technician is licensed and appropriate to perform the treatment for you.

Tip: Don't base your decision on price-it is better to pay a little bit more for a great treatment, then to have to pay to correct an inexpensive treatment that damaged your skin-this can cost ten times more in the long run.

Tuesday, September 6, 2011

Why Combining Aesthetic Treatments is Powerful

Over the past 8 years in our medical spa, we have found that combining at least two cosmetic treatments (whether non-invasive treatments with products or other treatments or non-invasive with surgical) gives the optimal results clients are seeking. A recent study in the July 2011 Aesthetic Surgery Journal concluded that Botox Cosmetic patients treated with a combination of hydroquinone and tretinoin topical experienced a greater reduction in fine lines and wrinkles than those treated with Botox Cosmetic injections alone. We also find that clients receiving cosmetic injectables also benefit highly from laser resurfacing because it offers a longer lasting results to smoothing wrinkles.

Another issue that benefits from multiple treatment modalities is hyper-pigmentation (excess pigment caused by sun damage or Melasma). Utilizing chemical peels to break down pigment and dead skin cells with Intense Pulsed Light (IPL) photo-facial treatments offers a better solution while minimizing any negative side effects, and using hydroquinone bleaching agents with IPL treatments offers a longer lasting result for clients.

Acne also benefits from a combination of laser treatments, chemical peels, and at home products that contain anti-inflammatory ingredients with bacteria fighting ingredients.

Your medical spa and skin-care experts will help to determine the best combination treatment plans for your skin care concerns.

Tuesday, August 11, 2009

Fractional Resurfacing Offers Great Results for Melasma

If you live with melasma; excess pigmentation of the face, most commonly on the malar area (the upper cheek), bridge of nose, forehead, and upper lip, that occurs in half of women during pregnancy then you know the aggravation of trying to cover the pigment up with make-up, and with topical treatments that are ineffective. Now, fractional skin resurfacing with the Palomar 1540 makes huge long-lasting improvements for clients with Melasma.

A recent study was done at the Aesthetica Cosmetic and Laser Surgery Center to determine the efficacy of the Star Lux 1540 in treating melasma, both short and long term. In the study 6 patients were evaluated and assessed with the Wood’s light to classify melasma as epidermal, dermal, or mixed. Each patient had before and after pictures taken and was treated with the 1540 hand-piece every 3 weeks for 3 to four treatments. The results proved that the pigmentation was significantly lightened, and all patients showed an average of a 50% improvement of their melasma pigment and the improvement was long lasting over the follow-up in months to com.

Winter Park Laser has been expertly performing Fractional Resurfacing for over 2 years. It is similar to Fraxel, but penetrates deeper thus giving a better result. Winter Park Laser is medically supervised by plastic surgeon Jan V. Karlin M.D. and is located at 1215 W. Fairbanks Ave. Orlando FL 32804. Go to www.winterparklaser.com for more information or call (407) 601-1185 to schedule a FREE consultation.

Monday, August 10, 2009

FREE Botox with Fractional Laser Resurfacing Treatments in Orlando Fl

Winter Park Laser is offering FREE botox for 1 area with the purchase of any large area Fractional Skin Resurfacing (similar to Fraxel) package of three treatments. Fractional is great for fine lines, acne scars, surgical scars and melasma!! Palomar Fractional 1540 is patented to go deeper and thus give a more prominent result than Fraxel. Winter Park Laser has been expertly performing Fractional Laser Resurfacing for over 2 years, and has been Winter Park's premiere Medical Spa for over 5 years! Medical Director: Jan V. Karlin M.D.-a plastic surgeon with over 25 years of experience! Winter Park Laser is located at 610 N. Wymore Rd. Winter Park, FL 32789. For more information go to www.winterparklaser.com