SPOTLIGHT


Microdermabrasion—The focus for many of these treatments is to efficiently exfoli- ate your skin.Typically we can have approximately 40 layers of dead skin on our faces! Removing this thick dead skin layer allows the vibrant healthy skin cells to glow.


How much does Microderm cost? Treatments of the face, neck, décolleté, hands and arms vary depending on the size


of the area treated and the type of IPL treatment used.Microdermabrasion costs from $60-120 per treatment. Chemical peels can range from $150 for a simple treatment to a few hundred dollars for a much more extensive peel. Photofacials may cost ap- proximately $300 to $500 per treatment.Most IPL treatments respond the best with a series of three to five treatments to see the best long-term results of refreshed and rejuvenated skin.


INJECTABLE FILLERS Looking in the mirror at that deep crevasses between your eyes, or etched in creases


that punctuate your mouth?Small wrinkles that appear in our late 20s and 30s deepen as the collagen matrix under our skin dehydrates. This process causes our skin to sag, fine lines to appear predominant and deep set wrinkles to add years to our face, neck, décolleté and hands.Also, those cherub like rounded cheeks and smooth hands of our childhood begin to degenerate, as cheekbones become predominant, temples a little sunken and hands show each ligament, tendon and bone.A general rule of thumb for looking younger is to not show off your skeleton underneath! Injectable fillers work magic in this arena, adding needed volume and shaping to key areas of your face and hands.The effects of the fillers are accumulative, therefore people will notice you look younger, but why or how can be a secret between you and your doctor.


How do the fillers work? Hyaluronic acid fillers such as Perlane, Restylane and Juvaderm use the naturally


occurring hyaluronic acid that is found in high amounts in soft connective tissues, the fluid surrounding the eye and the skin and joint cartilage.These fillers may last from six to nine months allowing you to enjoy that refreshed look for much longer.Receiving a second treatment at around four to six months can greatly extend the life of the filler. Hyaluronic acid fillers can also be a great option for first time patients, as injecting an enzyme called Hyaluronidase can quickly and easily dissolve the hyaluronic acid—if you are not happy with the results, the filler can be dissolved! Calcium hydroxylapatite fillers such as Radiesse provide a longer lasting option to smooth moderate to severe wrinkles and folds.The calcium hydroxylapatite (CaHA) is a smooth form of calcium, which is identical to the mineral in bones and teeth.CaHA stimulates the skin to gradually produce more collagen, creating subtle results over time; therefore the results from one injection can last for up to a year. Even with these subtle and lasting results, you won’t be able to hide your treatment from your dentist as the CaHA shows up as white lines wherever injected in x-rays! Scupltra was originally placed on the market to increase volume for patients with


HIV-related subcutaneous fat loss. Sanofi-Aventis, the manufacturer, continues to of- fer a sliding scale program to provide this treatment for qualified recipients.Recently, Scupltra was approved for aesthetic use as a reliable and long lasting injectable filler. The solution is Poly-L-lactic acid, a biodegradable, biocompatible synthetic material that has been used as absorbable suture material for decades. The solution creates a controlled micro-reaction on the cellular level, which builds collagen and thickens the skin. Sculptra is ideal for deep nasolabial folds, marionette lines in the forehead and sunken cheeks and temples.This treatment builds over time therefore a series of three to six treatments is recommended for the greatest results.


What is the cost? Hyaluronic acid fillers, Perlane, Restylane and Juvaderm typically cost around $300


to $700 per syringe. Radiesse, calcium hydroxylapatite filler cost $935 and Scupltra is approximately $800 per vial. There are differences between each type of filler and you and your doctor will decide which is the best option to achieve the greatest results.


COSMECEUTICALS Our skin is our first defense against the environment and it is essential for skin health


to protect and repair our skin daily. General skin care guidelines such as decreasing sun exposure, proper hydration, avoiding cigarette smoke and eating a diet rich in antioxidants will support vital skin health and promote graceful aging. For topical defense a full-spectrum sunscreen with UVA/UVB protection should be applied dai- ly—especially after any aesthetic procedures.Antioxidants taken internally have many preventative and anti-aging benefits; topically they have similar effects. The potent antioxidant Vitamin C-ester serum can be applied to the face, neck, décolleté, arms and hands to revitalize environmentally damaged skin.Vitamin C-ester increases collagen formation, reduces fine lines and wrinkles and lightens skin pigmentation. As we age, the loss of collagen, accumulation of fat deposits and decrease in skin elasticity can cause not only facial wrinkles but loosens skin under the chin and neck commonly called “turkey neck.” Cosmeceuticals, such as Nectifirm targets this spe- cific area helping to smooth and tighten the chin and neck. Nectifirm uses a blend of lipopeptides and natural extracts, which increase collagen production and stimulates fibroblasts to make the skin thicker, firmer and smoother.Visible lifting and tightening of this problem area can be seen in approximately seven weeks.


For more information and treatment questions, contact Darren Fanrnesi, M.D., Medical Age Manage- ment, Inc., 3737 4th Avenue, San Diego, CA92103, 619.795.6700, or go to manageyourage.com


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RAGE monthly | OCTOBER 2011


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