IPL (Q + A)

As we age, our skin naturally loses elasticity, experiences collagen break down, and fine lines and wrinkles inevitably appear. In addition to these undesirable changes, most patients also experience some form of hyperpigmentation from excessive sun exposure. While there are many procedures that help to address the tone and texture of the skin, an extremely beneficial “go-to” to treat the unwanted pigmented lesions is Intense Pulsed Light Therapy (also known as IPL/Photofacials). As the Registered Nurse of Hobgood Facial Plastic Surgery, I’m here to answer the most commonly asked question regarding this procedure and help you to determine if it may be right for you.

Why should you have IPL? Patients that have exisiting hyperpigmentation (red and brown spots), broken capillaries, sun damage, acne, and patients that would like to prevent any underlying hyperpigmentation from surfacing would benefit from IPL. If you have had extensive sun exposure (and most Arizona residents have), IPLs/Photofacials are a great way to prevent future discolorations in the skin and maintain an overall even and bright complexion.

How does IPL work? Our unique DyeVL and long-pulsed Nd:YAG Laser induces selective photothermolysis of specific melanin chromophores in the tissues. Both specific spots of concern can be targeted, as well as larger surfaces areas. The light energy that is delivered into the skin will gently heat the upper most layers of the skin, which then causes new collagen stimulation and cell turn over by the absorption of energy.

How often should I have IPL? Patients are safely able, and should have IPL/Photofacials performed every 3 to 4 weeks. Staying compliant with this recommended treatment schedule is suggested for best outcome of the patient because of the skin’s natural cell turnover process.  Different patients require various treatment pathways for many reasons; some of which include the amount of damage their skin has endured, as well as genetic background. Patients may also choose to have occasional touch-up treatments once desired skin is acheived to maintain optimal results.

What is the down time with IPL? IPL is gentle and considered non-invasive as patients typically do not require any topical anesthetics. An additional benefit to this effective treatment is that downtime is very minimal-resuming regular activity and wearing make up is allowed almost immediately post-treatment.

How soon will I notice results? While each patient is different and recommended treatment options vary, most patients see results around the 3-6 treatment range. Something else to keep in mind when treating pigment is that patient’s pigment often appears more visible before it “lifts”. In other words, as the pigment is being treated it looks “worse” before it looks “better” and that is both normal and a sign that your treatments are working towards your end goal of a more even complexion.

For more information or to schedule a complimentary comprehensive consultation, please call 480.214.9955 and ask to book an appointment with Annie Bruno, RN, LE, CLT.

 

 

Eye Cream Everything.

            The importance of eye cream is often times questioned- “Is it really important?” “Does it really do anything?”. The simple answer to this is, yes. 

Not sold? Eye cream not only provides periorbital skin with specific ingredients tailored to the delicate area, it also provides an instant improvement in appearance after application. When your eye area is hydrated, your fine lines + wrinkles are immediately better. Some formulations are built to help with puffiness, while others have light-reflecting properties to improve dark circles and bags. 

Application is also key when it comes to various eye treatments. Instead of wiping the product on the eye area, your product of choice should be gently tapped until absorbed. Wiping on product can cause unnecessary tugging which can age the skin prematurely. Another favorite way to apply eye cream is through use of the clarisonic opal. This amazing device will push your product (delicately) into the deepest layer of the skin- your dermis. 

Also important to remember is that a little bit goes a long way. Over application in the morning can cause caking around the eye area, and as a result an uneven makeup application. Over application in the evening can cause irritation during the hours of sleep. 

 

Some of my favorites include: 

skinmedica tns eye repair: $102

skinmedica uplifting eye serum: $60

 

skinmedica HA5: $178

jan marini c-esta eye repair: $62.00

To find out more about which specific eye cream would best benefit you, schedule a complimentary appointment with Annie at Hobgood Facial Plastic Surgery (Scottsdale/Paradise Valley, AZ). For scheduling: 480.214.9955

Move Over, Melasma!

 

                Different skin conditions can be difficult to diagnose, and sometimes even more so to treat. Melasma (chloasma) is one of the more complex conditions that affects many patients leaving them frustrated and struggling for answers. Melasma is different than sun damage and hyperpigmentation because of its unique mechanism of action-it is stimulated by hormonal fluctuations. Unlike UV-induced pigment, melasma has some key characteristics that can make it easier to identify. Having a better understanding on this tricky condition can help you to better control your symptoms. 

What does melasma look like? Unlike a diffuse distribution of hyperpigmentation (like you commonly see in sun-damaged patients), melasma has a patchy distribution with a distinct line of demarcation. These brown, or sometimes grayish/brown patches will most likely be present in the face, cheeks, chest, forehead, nose, and chin areas. 

 (photo: American Academy of Dermatology)

“My melasma seems to get worse in the summer, and better in the winter” This observation is commonly seen with this condition. Sun exposure can make the hormonal spots appear darker, and heat exposure can have the same effect. Unfortunately, any time a patient experiences any type of internal heat (even working out, and hot yoga), the pigment can become worse.

What can I do to treat my melasma? Treatment for melasma includes reducing stimulating factors (sun + heat exposure) when possible, and following a strong home-care regimen. Unlike other sun damage, deep chemical peels and lasers can actually cause more harm to melasma patients because of the stimulation of heat. Gaining control of your hormones can also be difficult because typically eliminating pregnancy, birth control, and breastfeeding are not desired options, or preferences.

What products should I use at home? Patients will see a huge benefit from a few powerhouse pigment products: Vitamin C + E (to help lighten, tighten brighten), retinol (to speed up cell turnover), SPF (to protect from sun damage), and Hydroquinone/Other lightening agents such as kojic acid, azelaic acid (to lighten and brighten existing pigment). Some patients are even diagnosed short-term steroids to gain control of inflammation; this will need to be initiated and controlled by a physician.

What products do you recommend? I would suggest picking at least one product from EACH category to treat melasma effectively.

Vitamin C: I will warn you that NOT all Vitamin Cs are created equal. L-Ascorbic acid is a very difficult ingredient to stabilize and although many products claim to contain vitamin C, there are very few formulations that are still active after packaging. A few of my favorites include:

Skinmedica Vitamin C + E ($102)

 

PCA Skin C + E Strength Max ($96)

 

PCA Skin C-Quench Antioxidant Serum ($74)

Retinol: Again, not all retinols are created equal. Some formulations are not “cosmetically elegant” and can cause skin irritation, redness, and excess flaking and peeling. I would recommend any of the following:

Skinmedica Retinol 0.5 and Retinol 1.0 (0.5: $78, 1.0: $93) 

 

 PCA Skin Intensive Clarity Treatment ($106)

 

SPF: PLEASE Do not minimize the importance of SPF! It is protecting you from future damage as well as skin cancer, and future aging.

Skinmedica Total Defense + Repair (Tinted + Non-tined formulations available) ($68)

  and PCA Skin Perfecting Protection broad spectrum spf 30 ($34)

Hydroquinone/Brightening Products:

Hydroquinone- Products that include this ingredient are typically available for purchase through a physician or medical practice. Hydroquinone has specific instructions for use, and they should be followed closely for safety. 

Skinmedica Lytera Brightening Complex ($130) this 4% Hydroquinone equivalent is highly effective in patients that cannot tolerate hydroquinone, or need to be on their “hydroquinone break” as directed by physician. 

Intensive Brightening Treatment 0.5% pure retinol treatment ($106) Similar to 

Lytera Brightening Complex, this hydroquinone-free complex is highly-effective in treatment pigment. 

 

PCA Skin Pigment Gel 2% Hydroquinone spot treatment can be applied to specific patches of pigment on the face. A 2% may be ideal for someone new to using hydroquinone, or that cannot tolerate a full 4% formulation. 

 

For questions or comments, please post below or feel free to contact me at the office. You may schedule a complimentary consultation at any time and we can review the specific needs for your ideal skin health.

For appointments, please call: 480.214.9955 and ask to schedule with Annie Bruno, RN.  

Be well,

Annabelle

xo

The Lazy Girl’s Guide to Skin Care!

          Let’s be honest, after a long day the last thing you probably want to do is wash your face. That being said, it is crucial to adopt at least some type of regimen to maintain overall skin health. I personally am a product junkie, but I know it is not always realistic to expect the same of my patients- and that’s where my bare minimum recommendations come into play.

                 

Often times, patients can accomplish many of the necessary steps while lying in bed and winding down from all the day’s activities (and simultaneously enjoying the daily dose of Bravo TV). Even if you aren't the typical "lazy skin care patient", I’ve listed a few of my favorites to help keep you on track, beat breakouts, and have on hand just in case.




Jane Iredale: "Dot The I" Eye Makeup Remover Swabs
These cotton-tipped applicators are already loaded with makeup removing solution- convenience at its finest. Individual wrapping also makes great for traveling.

Jane Iredale: Beauty Prep Cleanser

This super-refreshing cleanser smells of delightful cucumber, and requires no water for use or removal. Ideal for the bedside cleanse, or to prep your skin for fresh makeup after a lunch-time workout. Available January 20, 2016, so be on the look out!

SkinMedica TNS Essential Serum:

This all-in-one super active serum restores youthful volume by use of antioxidants, peptides, and epidermal growth factor. Daily use will cause significant improvement, with noticeable changes at the 90-day mark. This product is perfect for the patient who wants minimal effort and maximum result.

 

Clarisonic: Opal

This handy gadget provides a gentle massage and maximum penetration of serums in the delicate eye area. I find it particularly relaxing to use my opal during my favorite nighttime TV shows. It is also super helpful to use on mornings you may have sacrificed some sleep as it immediately improves puffy eyes and bags.

Satin or Silk Pillowcases:

Research has shown that making a simple switch to the luxury threads (if only for your face) can dramatically lower the risk of creating fine lines and wrinkles while you sleep.

For more information on customized a regimen made just for you, please contact 480.214.9955 and schedule an appointment with Annie. I look forward to helping you achieve your goals!


*All Jane Iredale, and SkinMedica products available at Hobgood Facial Plastic Surgery*
8415 North Pima Road Ste 120, Scottsdale, AZ 85258
480.214.9955