Experience the Art of Caring

(868) 622 1497 Email Us

Chemical Peels

What are Chemical Peels?
Slow or irregular cell turnover helps contribute to many common skin problems.  Chemical peels contain active ingredients that stimulate the shedding of the top layer of the epidermis. When the dead skin cells are removed, a new layer of skin is produced, that’s fresh and rejuvenated giving an appearance of younger healthier skin.

Why choose Chemical Peels?
A chemical peel is an affordable, fast, relatively painless (comparable to a sunburn) treatment that makes a visible difference in the texture of the skin.

What conditions do chemical peels help treat?
Chemical peels are proven effective in treating problems with acne, hyperpigmentation, and dull, wrinkled skin.

What benefits can you expect to see after having a chemical peel?
Chemical peels provide the following benefits: the smoothing of fine lines, reduction in sebum overproduction and acne breakouts, the fading of age spots and other pigmentation and an overall smoother, healthier and brighter texture.

What are the side effects of chemical peels?
Common side effects include tightness, a stinging sensation, redness, and symptoms similar to a sunburn.  The severity of the side effects depends on the strength of the peel. With lighter peels symptoms usually subside within a couple of days.  For deeper peels, the side effects are the same but last longer, up to a week or more.  Anytime the skin is damaged, even with a chemical peel, scarring is a risk. Generally if appropriate care is administered, the risk of scarring is very minimal.  For the most part, side effects of chemical peels are handled very well by the majority of individuals.

Botox

As we reach our mid 30′s, the majority of us will develop lines on the upper half of the face commonly known as “worry lines”, “frown lines” or “crow’s feet”. This undoubtedly makes one appear older and also can give a mean or tired look to the face. Some individuals also get tension headaches from constant usage of the forehead muscles. Everywhere you turn, it seems as though someone is getting BOTOX. In fact, it is by far the most popular minimally-invasive cosmetic procedure. BOTOX stops muscle movement and thus cause a relaxation and disappearance of the skin creases. In terms of “down time” and efficacy, it is superior to any form of surgical treatment for treating these lines. So if you’re thinking about getting rid of some of those wrinkles, here’s a short primer on BOTOX.

What is BOTOX?

“BOTOX” is short for Botulinum Toxin, which is produced by a bacterium called Clostridium Botulinum. It has been used since 1920, but was marketed commercially in 1997. It has a wide variety of clinical uses for people who have problems with spastic muscle disorders, or an imbalance in eye muscles, to name a few. It can also be used in hyperhidrosis or excessive sweating of the palms or axillary areas. It was as a result of using BOTOX for other problems on the face that its efficacy in getting rid of wrinkles was noted.

How does it work?

Don’t be put off by the word toxin! BOTOX interferes with transmission of the nerve impulse to muscles and hence stops the muscle working for a period of time. To be used effectively, it must be placed at a correct dosage into the correct muscle. There are a number of facial muscles, and it is the contraction of these that is responsible for facial wrinkling. A plastic surgeon’s knowledge of the anatomy of these muscles will allow for safe placement of the toxin.

Are the injections painful?

Most people tolerate the injections very well. They are delivered through very fine gauge needles. However, local anesthetic cream may be applied to the areas, one hour prior to treatment, for patients who are more sensitive. Ask your plastic surgeon about this.

How long does it take to work? 

Results start to appear in three to five days, but may take up to a week. Finer wrinkles will disappear right away and more established ones take more time. With regular usage, one sometimes loses the habit of frowning altogether! If the wrinkles are very deep, ancillary treatment with filler materials about two weeks post injection may be necessary to achieve 100{15ec25583be30d5b20180ea8e014b36ad021b700177b58c14ba3e23c37166a3f} result.

What are the side effects?

This is an important question and patients need be informed about the side effects. If for some reason the toxin moves to a muscle which is not a target muscle, such as the muscle which opens the eye or the ocular muscles which move the eye, then side effects can occur. These are rare and involve drooping of the eyelid, or double vision. Remember that the effects of BOTOX last only for four to six months at best, and when a really small dose causes a side effect, it usually reverses itself back to normal in three to four weeks.

How long does BOTOX® Cosmetic last?

Visible results have been shown to last up to 4 months.1 Your own results may vary – be sure to talk to your healthcare provider about what you can expect and when to schedule your next appointment.

Will I still be able to make facial expressions?

Although the results are visible, a treatment with BOTOX® Cosmetic (onabotulinumtoxinA) will not radically change your facial appearance or make you look as if you’ve “had work done.” The muscle activity that causes frown lines between the brows is temporarily reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.

Who should not take BOTOX® Cosmetic?

Do not take BOTOX® Cosmetic if you:

  • are allergic to any of the ingredients in BOTOX® or BOTOX® Cosmetic.
  • had an allergic reaction to any other botulinum toxin product such as Myobloc® or Dysport®
  • have a skin infection at the planned injection site

You should not be treated with BOTOX® Cosmetic if you have:

  • a disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig’s disease], myasthenia gravis or Lambert-Eaton syndrome).
  • allergies to any botulinum toxin product
  • had any side effect from any botulinum toxin product in the past
  • a breathing problem, such as asthma or emphysema
  • swallowing problems
  • bleeding problems
  • plans to have surgery
  • had surgery on your face
  • weakness of your forehead muscles, such as trouble raising your eyebrows
  • drooping eyelids
  • any other change in the way your face normally looks
  • 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 breastfeed. It is not known if BOTOX® Cosmetic passes into breast milk.

Tell your doctor if you have any side effect that bothers you or that does not go away.

What will happen to the moderate to severe frown lines between my brows if I choose not to continue treatments?

If you do not continue treatments, the moderate-to-severe frown lines between your brows will gradually return to the way they looked before treatment.

Do treatment results differ?

Yes, individual results may vary. To get the best results, it’s important to go to a doctor who is experienced in administering BOTOX® Cosmetic.

Fillers (JUVÉDERM®)

What is JUVÉDERM®?

You may have heard terms like “marionette lines” or “parenthesis” used to describe someone’s facial features. These are nicknames for the nasolabial folds, the lines on your skin that run from the edge of your nose down to the corners of your mouth. Like other creases in your skin, nasolabial folds deepen with age. And – also like other wrinkles – dermal fillers like Juvederm are an increasingly popular way of making them disappear.

Juvederm, like Restylane, Perlane and Elevess, is a hyaluronic acid wrinkle filler. Hyaluronic acid is a chemical already found in the human body, although the hyaluronic acid in dermal fillers is created outside the body Juvederm is a gel made of hyaluronic acid that is injected directly into the skin. The gel then fills wrinkles caused by aging, smoothing the skin and giving it a youthful appearance.

The Food and Drug Administration (FDA) approved Juvederm in 2006, and many doctors have seen an increase in its usage since then. In general, Juvederm Ultra and Juvederm Ultra Plus work well on wrinkles in the nasolabial folds and other areas on the lower half of the face and can also help plump up the lips or cheeks.
If you are considering using Juvederm or any other dermal filler, make sure to discuss your options with a doctor you trust. Dermal fillers are generally safe when administered correctly, but even with one that’s FDA-approved, like Juvederm, there’s a chance of side effects. A doctor can also give you the background on how effective various fillers are to help you decide which one to choose.

What is hyaluronic acid?

Hyaluronic acid is a naturally occurring substance found in all mammals that helps to hydrate and add volume to your skin. In addition to its use as an aesthetic treatment, hyaluronic acid has also been used for more than 20 years for injection into arthritic joints to aid movement as well as for eye surgeries and wound repair.

Is treatment with JUVÉDERM® injectable gel painful?

Injections may cause some discomfort during and after the injection. The smooth consistency gel of JUVÉDERM®  allows your doctor to administer it easily and smoothly. And, JUVÉDERM® is injected directly into the skin using a fine needle to reduce injection discomfort. Additionally, JUVÉDERM®  is formulated with lidocaine for a more comfortable treatment experience. Your doctor may choose to numb (anesthetize) the treatment area to further minimize discomfort.

How long does treatment usually take?

The injection process generally takes only about 15 minutes. You’ll also need to allow time to consult with your doctor prior to treatment.

Does the correction last forever?

No. Correction is temporary; therefore, touch-up injections as well as repeat injections are usually needed to maintain optimal corrections.

What are the possible side effects of JUVÉDERM® injectable gel?

Most side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injections site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all there is a risk of infection.

Can people with different skin tones/colors be treated with JUVÉDERM®?

Yes. In fact, JUVÉDERM® injectable gel is the first FDA-approved hyaluronic acid dermal filler that has proven its safety and effectiveness in persons of color. Studies with JUVÉDERM® showed no increased risk of hyperpigmentation or hypertrophic scarring in patients of color.

Micropignmetation

What is it?

Permanent cosmetic makeup (Micropigmentation) is cosmetic tattooing. The cosmetic implantation technique deposits coloured pigment into the upper reticular layer of the dermis.

How are the Permanent cosmetic procedures performed?

This is performed using various devices, including the traditional tattoo coil machines, the pen or rotary machine (includes the digital rotary machines) and the non-machine or hand device. The process includes a consultation, the application of pigment, and at least one or more follow up visits for evaluating the healed design work and color of the pigment.

Who benefits from Permanent Makeup?

People who meet minimum age requirements and have the ability to heal properly from minor wounds can benefit from the liberating benefits of permanent cosmetics. Interested in this service spans the young to the more mature; those who desire a soft, natural enhancement to their appearance. It is especially valuable to people who cant wear traditional cosmetics due to allergies and skin sensitivities; active people who want to look their best for sports activities such as swimming, hiking, biking, tennis, aerobics; and those who don’t want to worry about “sweating off” or reapplying cosmetics.

Permanent cosmetics also benefits the vision challenged who have difficulty applying their cosmetics; and others with dexterity related conditions such as arthritis, Parkinson’s disease, multiple sclerosis, stroke survivors, and busy people who don’t have time to spend applying and refreshing makeup throughout the day and evening.

What type of Permanent Cosmetic Procedures can be done?

Eyebrows, Eyeliner (Top and Bottom), Lip Liner, Lip Color and Blend, Scar Camoflauge, Beauty Marks, Hair Imitation, Lash Enhancement, and Areola Repigmentation.

Are Permanent Cosmetics Really Permanent?

Permanent cosmetics procedures are considered permanent because pigment is tattooed into the upper reticular part of the dermal layer of the skin and cannot be washed off. However, as with any tattoo or colorant (pigment) in general, fading can and often does occur, requiring periodic maintenance referred to as color re-enhancement or color refreshing. The scientific structure of pigments and the requirement for periodic refreshing is identical to that of tinted hair color; faded material on furniture that may be located near a window and subject to sun exposure; house paint that is exposed to the sun and other environmental elements; pigment implanted in the skin may fade with time. This colorant periodic maintenance requirement is a good opportunity to reevaluate one’s color and design preferences.  While the concept of permanent, without any change, may seem like a perfectly good idea, think about how your tastes have changed over the years.  From time to time likely you have made subtle or dramatic changes in your clothing preferences, your hair color and style, and if you wear topical makeup, those colors have changed as well.

The fact that most people will require periodic color refreshing of their permanent cosmetics is the opportune time to work with your technician to reevaluate your overall appearance profile and determine if any changes are appropriate.
Longevity varies from person to person depending on their life style (sun exposure), the color(s) used for the permanent cosmetic procedure, and are also thought to be affected by topical products applied to the skin.

How Long Does Each Procedure Take?

The initial procedure will generally take approximately 2 to 2 ½ hours; there are records to establish; photographs to take; desired design and color to discuss; the procedure to perform; and the aftercare requirements to discuss. Follow up or color refresher procedures usually do not require the same amount of time.

Is It Painful?

Most people experience some discomfort. This will vary according to each individual’s pain threshold. There are different methods available, however, to help with discomfort management, including various topical anesthetics that are specifically developed for our industry. Your permanent cosmetic professional should discuss these methods with you to determine which one is appropriate.

To put this in perspective, thousands of body art tattoos are performed annually, possibly millions.  As a rule, traditional tattoo professionals do not use any anesthetics for their tattoo procedures. Anesthetics for permanent cosmetics are more of a tattoo service luxury because of the nature of the tattoo location and the fact that permanent cosmetics falls into the beauty treatment category.

Is It Safe?

If proper sterilization and disinfection guidelines are met, permanent cosmetics should be completely safe. Professionals in the permanent cosmetic industry routinely attend Occupational Safety and Health Administration (OSHA) classes to become well versed on safety principals. These guidelines include, but are not limited to the following:

IMPORTANT Things To Look For:

  • All Needles should be new and sterile for each client. Unopened new and sterile needles should be opened in your presence.
  • Disposable sterilized one-time use machine parts should be purchased by the artist, and disposed of in a sharps container immediately after the procedure has been completed.
  • Personal protection equipment such as disposable one-time use aprons and gloves should be new for each client and changed during the procedure when needed.
  • The technician should be clean and neat.
  • Disposable one-time use chair/bed covering should be new for each client.
  • The room or treatment area should be in an area free from other contaminants. The SPCP has taken a position against permanent cosmetic procedures conducted at trade shows and in salons where nail dust, aerosols or other chemicals are present.

What If I Don’t Like It?

Although the procedure is considered permanent, these procedures do have flexibility in changing color and shape to some extent, depending on the expertise of your technician. Colours will appear darker immediately following the procedure but will soften and lighten during the healing process. The healing time is different for each individual and procedure. It’s very important to realize that often the new procedure represents something somewhat different; at times color where there was no color at all or very little.  It takes time to become acclimated to a new look (very often this applies to eyebrows which were sparse and unnoticeable before the permanent cosmetic brow procedure.) Eyeliner color is more evident due to the contrast to the skin color.  Lip color can take up to six weeks to reflect the final color. Be patient.

After the procedure has healed, and you are able to make an informed decision about the healed version of the procedure, the only reason you should not like your permanent cosmetics is if you chose a technician who did not work with you on design and color. How could this happen?

If you cannot communicate with your technician, it is possible your desires will not be realized.

If your technician recognizes your requests, but does not take your desires for color or design into account, you should not proceed with the procedure.

Don’t request eyebrow color based on your tinted scalp hair color.  That is subject to change and it may affect how you then feel about the color of your permanent cosmetic eyebrows.  Eyebrow color should be selected based on your skin undertone and the color of your eyebrow hair (if any.)

Conversely, most well-trained technicians will not perform a procedure if the design and/or color requested by the client is not reasonable.  If your requests are turned down by one or more technicians, re-think what you are asking for.
Permanent cosmetics are not easily removed.  Make good decisions up front. You can enjoy the liberation permanent cosmetics provides when you do your research and choose a qualified professional that you work well with.

Are There Any Side Effects During or After the Procedure?

While eyebrows may show little after effect, eyeliner and lips may show slight to moderate swelling.  This is very dependent upon the amount of work performed. As examples; an eyelash enhancement will show very little response to the tattooing procedure compared to a more moderate response when wide eyeliner is performed.  The same philosophy applies to lip color procedures.  A lip liner or blended lip liner will show less effects of the procedure than that of a full lip color.  Also, some people swell more from minor skin infractions than others.

During the procedure there may be some minor bleeding.  This again, is client specific.  Many people take blood thinners on a daily basis so some slight bleeding would be expected.  Others show little or no signs of bleeding.  Bruising is rare but again, if a person is on blood thinners, bruising could occur.  What is seen more often is that eyebrows rarely if ever produce any bruising; minor bruising during eyeliner procedures is possible if the skin being tattooed is very thin and close to the vascular system.  This also applies to lip procedures in the event the client is more mature.   If bruising does occur, typically it is minor and subsides in a few days.

There is usually some tenderness for a few days. The color is much darker than you may expect for the first six to ten days.

Other less often reported side effects are difficult to determine due to the individuality of each person’s biological system.  This is why professional permanent cosmetic technicians require a client history profile be filled out to assess different factors that may contribute to your experience after the tattooing procedure has been completed.

Do The Pigments Pose Allergy Problems?

People can develop an allergy to anything, anytime; however, pigment allergies are considered rare. Some doctors recommend that people with environmental allergies or allergies to conventional makeup have permanent cosmetic procedures because they can replace cosmetic products that people are sensitive to. Ask your technician if they use pigments that are formulated from powders taken from the FDA’s Food Drug and Cosmetic (FD&C) listings.  Although the FDA does not at this time approve or disapprove tattoo pigments, the SPCP considers pigments formulated from the FD&C listing the safest origin of pigment powders for permanent cosmetic pigment formulations.  Also SPCP pigment suppliers are required to list the ingredients on their pigment labels.

Is There Any Possibility for Medical Problems?

The possibility that you would have any problems or reactions from these procedures is almost non-existent with today’s health standards. SPCP member professionals are given continued opportunities for education in practicing precise methods of disinfection and sterilization. Post procedural instructions, if followed carefully, will greatly reduce any risk. Medical problems associated with permanent cosmetics are often linked to poor attention to the required aftercare process on behalf of the client.
Choose a time for procedures when you feel confident you can follow the simple, but very important after care instructions.

What’s a Touch-Up and Do I Need One?

Often the tattooed color is not perfect after the initial procedure heals. Permanent cosmetic procedures are a process and at least one follow-up to the initial procedure should be scheduled. It is recommended that any required detail work to the original procedure be performed no sooner than four weeks after the original procedure. The minimum standard for follow-up detail work for lip procedures is six weeks.  Lips have a different healing agenda than procedures performed on other parts of the face due to their delicate nature.
The cited time frames will vary depending on the health profile and age of the client, but these are good minimum standards for consideration.

Can I Still Have an MRI Scan?

Numerous studies have shown that even for people who have large body tattoos there is little to no potential for irritation resulting. However, with that said, it is prudent to advise your MRI technician that you have permanent cosmetics.

Benefits:

  • No downtime and resumption of most normal activities within 24 hours for majority of patients.
  • The process is relatively quick. The process typically takes one and one half to two hours, although not all that time is afforded to tattooing; there are administrative and pre-procedure prep tasks associated with the service.
  • Skin returns to normal by the next day. Swelling or redness is generally mild.
  • Mild discomfort during procedure is avoided using topical and/or local anesthesia.
  • Good alternative for women with make-up allergies (although procedure is designed to enhance features, not replace make-up altogether).
  • Pigments are individually mixed for customized results, and designed to look natural. Results can be seen immediately (although full end result will be seen in about three weeks).