• 1. What is BBL photorejuvenation used for?

    Photorejuvenation (BBL- Broad Band Light) treatments are most commonly used for:

    • Lightening and removing "sun spots", "age spots",  and brown blotches on the face, neck, chest, hands and other areas of the body
    • Lightening and reducing redness, rosacea, dilated blood vessels and "broken" blood vessels on the face, neck and chest
    • Helping to control flushing
    • It also has a lesser effect of improving skin texture through collagen stimulation and improves pore size minimally by temporarily reducing oiliness

    Photorejuvenation, when done properly, almost always consists of a series of 3-5 treatments, usually one every two to four weeks. The benefits of photorejuvenation treatments are achieved with little discomfort and minimal risk.

  • 2. How long does it take for laser photorejuvenation treatments to work?

    Most people need 2-3 months, which consists of a full series of 3-5 treatments about half to 1 month apart.  You can see some improvement with each treatment, but it's common for your response to be slightly different to each treatment. The more sun damage or redness you have, the more likely you are to need a full five treatments.  Some cases of severe redness or brown spots require more than 5 treatments. Expect to see gradual clearing over time.

  • 3. How long will the results from a photofacial last?

    That depends on how much sun exposure your skin gets after your laser treatments.  If you are in the sun a lot and do not use sunscreen, the underlying issues, whether they are redness or brown spots, will return.  But if you take good care of your skin and keep it protected from the sun, your skin will continue to look good with maintenance treatments.

    If you want to maintain collagen growth, we currently recommend a treatment every 3-6 months. Other conditions are more variable. If you are very red, once or twice a year may be needed.

  • 4. Will the BBL Photofacial treatment make me more sensitive to the sun?

    No, it does not. You can have the treatments done any time of the year but summer is more difficult if you tan easily in the sun. The good effects of the treatments won’t last very long if you are getting much sun exposure. You can wear a sunscreen every morning and wear hats to protect your skin and decrease redness, brown spots, wrinkles, and skin cancers.

  • 5. How long do the effects of Botox last?

    Most patients find that the effects of the injections last approximately 3-6 month . Most of our patients come 3-4 times the first year and then 2-3 times a year after that. After the muscles have been relaxed for a while, it takes less to maintain that relaxation. But every patient is an individual, and there is no knowing exactly how you will respond.

  • 6. How can I tell good Botox work from bad?

    With Botox, there is the great, the good, the ugly. Great Botox is customized to your individual face, taking into account factors such as which facial muscles you use the most, your facial muscle balance from side to side (we all have asymmetries), your job, your social life, and the look you want (for example, natural or frozen. Great Botox requires steady hands, the eye of an artist, and the passion to get it perfect.

    Good Botox is where you get the standard four or five shots into your frown lines and you go on your way. It works perfectly well, but there’s not much customization. And the range of looks that these injectors can accomplish is limited. But if you have only some frown lines, good Botox can work just fine for you.

    Ugly Botox is all too common. You’ve seen it on television: it’s that completely unnatural frozen look, or worse, where the poor person almost looks like she’s had a stroke, one side of her face completely different than the other. The point is, Botox is not a cookie-cutter procedure. In the hands of a good injector, it can create a marvelously natural look that makes you more refreshed- and relaxed-looking. In our opinion, the goal of Botox is no wrinkles, not no movement!

  • 7. What is Restylane?

    Restylane is a sterile gel consisting of non-animal, cross-linked, hyaluronic acid (HA) and is made in a laboratory. HA is a natural sugar found in skin. It contains no human or animal DNA and has the best safety profile of all the fillers currently on the market.

  • 8. How long will Restylane last?

    Depending on the area treated, your skin, and the injection technique, Restylane will last 4 to 6 months.  In some cases duration of the effects can be a bit shorter or longer. Perlane is thicker and last approximately 6-9 months.

  • 9. What do the filler treatments feel like? Is Restylane painful?

    Many offices use a topical skin anesthetic to make you comfortable during the injections. The cream is applied and sits on the skin for 30-40 minutes prior to your appointment. The cream not only makes you more comfortable, it decreases the chance of bruising (by constricting blood vessels temporarily).

    Most offices offer a dental block, which is done by numbing the skin under the lip with a flavored gel and then injecting a small amount of numbing solution (xylocaine) at the gum line (just like at the dentist). You will be numb for about 1-2 hours after the block. We also give patients a cold pack after the treatment to reduce any discomfort and possible swelling.

  • 10. Why are brown spots, melasma and other pigment problems so hard to treat?

    Pigment (melanin) in the most superficial layer (the epidermis) is the easiest to treat because as the skin renews itself, the pigment will slough/shed (example –brown spots after acne). But when the pigment drops deeper down into the dermis, the renewal process is much slower and treatment cream/lotions don’t reach it (example – melasma).  You will need your doctor to help you with an accurate diagnosis.  Treatment can be effective if the diagnosis is right.

    Possible causes of brown spots, melasma and other pigment problems:

    • Too much sun.   This can be at any point in your life including childhood
    • Pregnancy, oral contraceptives and hormone replacement
    • Acne
    • Various facial rashes and any skin irritation
    • Your genes
    • Rarer causes like overuse of hydroquinone creams, adrenal gland problems, etc.
  • 11. "There are so many different types of treatment for acne now that I feel completely confused about what I should be using."

    This is why you really need a good doctor. Most acne can now be controlled, but there are so many options for treatment that you need a customized treatment plan. If your acne is mild, it’s perfectly fine to try the over the counter remedies (Acnes, Oxy, Acnelogy- Rohto) . Most of these have benzoyl peroxide or alpha or beta hydroxy acids in them. But if your acne is moderate or severe or recalcitrant, make an appointment with our doctor.

    In our clinic, one of the main goals of acne treatment is to prevent permanent scarring and acne recurrence. If you are developing permanent scarring, our dermatologist may move rather quickly to oral medications accompanying with BBL treatment which will effectively reduce the inflamed lesion, sebum secretion and bacterial activity.

    To prevent acne from recurrence, an appropriate maintenance schedule with BBL treatments and routine skin care products (Acnelogy, Dermacept ) will be preferred than long time using oral medications cause of their safety and skin rejuvenate benefits.

  • 12. What skin care product ingredients are safe in pregnancy?

    This is the question we are asked most often. Most skin care ingredients in drugstore and dermatology non-prescription products are safe in pregnancy (Dermacept, Hada Labo). Some prescription medications, both oral and topical, are not.

    For acne, which is one of the most common problems in pregnancy, the only truly safe and best skincare products to use during pregnancy are the glycolic acid or other AHA (alpha hydroxy acid) products and peels (AHA Peel in Rohto Aohal Clinic). This is because they are derived from sugar cane.

    Many of our patients ask us about using benzoyl peroxide or salicylic acid. Benzyl peroxide is a class C, so there are no studies on humans or animals, but it can be absorbed through the skin. We recommend avoiding this medication in pregnancy.

    Other topical acne treatment options are topical erythromycin or clindamycin (both class B), or azelaic acid (class B) for the treatment of acne, rosacea, and hyperpigmentation during pregnancy.

    Salicylic acid is a class C. It is the metabolite of aspirin, which is class D and can be absorbed through the skin. No studies exist on pregnant women but animal studies have shown an association with birth defects when given systemically in high doses. We recommend avoiding this medication for safe pregnancy skin care.

  • 13. How does laser hair removal work?

    The laser emits a very specific beam of light at a wavelength that is targeted at melanin in the hair and/or at the follicle growth center (called the hair bulb). Melanin is the material that gives color to our hair and skin. The laser beam passes through the skin and is absorbed by the melanin in the hair follicle.

    Therefore, the ideal candidate for this procedure has hair that is darker than her skin color. If the skin and hair color are too similar, it confuses some lasers.

    Darker skin needs  hair-removal lasers like the YAG laser. They are safer if you have darker skin because they won’t "burn" the skin trying to get rid of the hair.

  • 14. Why do I need a series of treatments of hair removal?

    At any given time, a certain percentage of hairs are in the "resting" phase, rather than a growth phase. The laser will not be effective on those resting hairs, which is why, on average, five treatments are necessary in each area to achieve maximum results.

    More treatments can be done as soon as further hair growth appears. Due to the variation in the number of hairs in the resting phase, certain parts of the body will respond more rapidly whereas others might take much longer to show effects. For example, the face usually responds more slowly than the bikini line.

  • 15. How many laser tattoo treatments will I need to completely remove my tattoo?

    In most cases it takes 3-10 treatment sessions to remove tattoo as much as possible. Generally, laser removal treatments will be scheduled 4-6 weeks apart. It is not guaranteed that your tattoo will be completely erased, but if you see an experienced laser dermatologist, he/she will get rid of as much of your tattoo as possible. The number of treatments also depends on the color and location of your tattoo. For example, black or dark green tattoos are the easiest to remove and will require fewer sessions than a tattoo that is another color or a mixture of many colors.

  • 16. Will I have scars from my laser tattoo removal?

    If an expert laser dermatologist treats you, you should not be left with any scars after your laser tattoo removal treatments. However, scarring is possible with any medical procedure. It is important to find an experienced laser doctor to decrease your risk of tattoo removal scars.