| Frequently Asked Questions |
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| Laser-Toning |
Who
are the best candidates for Laser-Toning?
Anyone wishing
to reduce or delay the signs of aging, postpone more aggressive treatments
or prolong
the results of previous treatments can benefit from
Laser-Toning. Even patients with pigmentation that precludes the use
of some lasers, or with depressed acne scars will benefit from our
Laser-Toning/Facial
Rejuvenation.
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What are
the benefits of Laser-Toning?
- Laser-Toning
treatments are safe and effective and work on all pigmentation and
skin types.
- Laser-Toning is a non-invasive procedure performed on an outpatient basis.
- Treatments with Laser-Toning rarely produce injury to surface tissues.
- With Laser-Toning there is no downtime.
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How many
treatments will I need?
Every patient
is different. Many see results after the second or third treatment.
Treatments are normally spaced 2 to 3 weeks apart in the beginning,
then 8 to 12 weeks in a maintenance program. Your maintenance program
will last as long
as you would like to retard the effects of aging, or until the need for a
more aggressive treatment such as laser resurfacing or a facelift
arises.
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Do I have
to have my whole face treated?
No. A full
face treatment is necessary for a “laserlift”, but
RRLC offers “ala carte” treatments for crow’s feet, forehead
lines, “smoker’s wrinkles” above the lips, labial fold
smile lines, acne scars, lip enhancement, dark circles under eyes, Port
Wine stains and hemangionas. Stretch marks, acne scars, and most pigment
imperfections can be treated on any body part.
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What will
my recovery be like?
Laser-Toning
is so gentle that there is no interruption to your normal life. During
your series of in-office treatments, you
will see an ongoing
improvement in how your skin looks and feels. No tissue is removed.
There is no oozing or crusting as associated with laser resurfacing,
chemical
peels and dermabrasion. Bandages are not required.
You can watch as your skin gradually rebuilds from the inside and restores
a more youthful appearance to your face. Over a few months, our Laser-Toning
treatments can restore what nature has diminished.
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Are Laser-Toning
treatments for you?
Your doctor
or CLS will review your medical history, age, skin type and pigmentation,
consider your desired results, and determine
the best course
of treatment for you. Results will vary from patient to patient depending
on age, skin type, condition and the number of treatments.
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How does
laser hair removal work?
A laser
produces a beam of highly concentrated light. The light emitted is
well absorbed by the pigment located in
hair follicles. The laser pulses
for a fraction of a second, just long enough to vaporize the pigment,
disabling numerous follicles at a time to eliminate or significantly
impede the hair’s
growth.
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Is laser
hair removal painful?
The laser
treatment itself can cause a slight tingling sensation. Most patients
tolerate the procedure well. Because some areas
of the body are
more sensitive than others, topical anesthesia can be an option.
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How long do the treatments take?
The treatment time can vary considerably
depending on the size of the area treated, and the particular technique
used. A small area such as the
upper lip may take only five minutes, while a larger area like the
back or legs may take up to one hour. Since the laser affects only those
hairs
in the growing stage, and not all hairs will be in this stage at
the same time, several treatments will most likely be needed to effectively
remove all the hair from one area. Subsequent sessions will be scheduled
at least a month apart, when you will probably begin to notice the
re-growth
of hairs that were previously in the resting stage.
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How many
treatments are required?
Although
the FDA has approved several types of laser for permanent hair reduction,
results can vary. Each individual
has a different metabolism,
hormonal level, hair quality and number of hair follicles, all of which
can influence the outcome. Moreover, normal hair goes through a growth
cycle in three stages: the anagen, or growing phase; the telogen, or
resting
phase; and the catagen, or transitional phase. During the anagen phase,
hair is susceptible to the laser’s energy, but during the telogen
and catagen phases, it is resistant. At any one time, various percentages
of body hair will be in each of these phases, making complete removal
unlikely without multiple sessions. Typically five (5) treatments are
necessary
to achieve the desired result.
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How are
tattoos removed?
Medical
lasers use an intense beam of light to significantly lighten or completely
remove your tattoo. When the ink particles of
your
tattoo absorb
the light from the laser, they are broken up into tiny fragments. These
fragments are then absorbed through your body’s natural cleansing
mechanism. This cleansing process generally takes a few weeks. Larger
ink particles may require multiple treatments.
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How do laser
treatments compare to other methods of tattoo removal?
Your other
treatment options for removing your tattoo include surgical excision,
dermabrasion
(or sanding) and chemical peels. These methods are
more invasive and painful, and can often result in scarring. Laser
tattoo removal is safer. It is non-invasive and only targets the ink
used in the
tattoo process. It does not affect the tissue surrounding the tattoo.
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What are
the treatments like?
Some patients
say they feel a slight sting, like the snap of a rubber band on the
skin, followed by the feeling of sunburn.
Many treatments do not
require anesthetics. However, some patients feel more comfortable with
a local numbing agent like ice or an anesthetic cream. For others,
a local anesthetic injection may be beneficial.
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How many
treatments will I need?
The number
of treatments required for maximum improvement depends on the size,
location, depth and color of your tattoo.
Treatments should be placed
4 to 8 weeks apart to allow your body to remove the maximum amount
of tattoo pigment. Treatment sessions usually take from 10 to 30 minutes.
You will
continue to see a lightening of your tattoo after each treatment as
your body disposes of more pigment. Most patients will see improvement
in their
tattoos. The improvement can be quite dramatic. However, large or heavily
pigmented tattoos applied by a professional tattooist can require several
treatments for optimum results.
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What will
my skin look like after treatment?
Right after
your treatment, your skin may have a white discoloration, and the area
around the tattoo
may be
reddish and could have some swelling.
This is normal and will disappear slowly over time. Maximum treatment
results take about 4 – 6 weeks.
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Are there
any side effects?
Occasionally,
hypopigmentation, or a whitening of the skin, may occur. But, normal
skin tone should return within 6 – 12
months following your last treatment session. Since the ink used
in tattooing is not regulated,
some patients have only partial clearing even after several laser sessions.
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Are laser
treatments safe?
Lasers have
been used successfully in hundreds of thousands of treatments. Laser
treatments performed properly, by a trained physician
or certified
laser specialist, are safe and effective. There are many benefits to
laser surgery including little if any pain, no needles, less bruising
and swelling
and once removed, lesions do not return.
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Do treatments
for skin lesions hurt?
Some patients
say they feel a slight sting, like the snap of a rubber band on the
skin, followed by the feeling of sunburn.
Many treatments do not
require anesthetics. However, some patients feel more comfortable with
a local numbing agent like ice or an anesthetic cream. For others,
a local anesthetic injection may be beneficial.
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How many
treatments are required?
This depends
on the size, location, depth and color of your lesion. Spider veins
on the face and age spots generally
do well with one or two treatments,
while darker or deeper birthmarks may require additional treatments.
Port Wine stains and hemangiomas usually experience satisfactory results
from
laser treatments, however as many as six to eight treatment sessions
may be required. Treatments should be placed 4 to 8 weeks apart to
allow your
body to remove the maximum amount of pigment cells. You will continue
to see a lightening of your lesion after each treatment as your body
disposes
of the pigment cells.
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PhotoDynamic Therapy - PDT |
What
is Photodynamic Therapy?
Photodynamic
Therapy (PDT) is a special treatment performed with a topical photosensitizing
agent called Levulan (5-aminolevulinic acid or ALA) activated with
the correct wavelength of light. This is also known as "ALA/PDT treatment".These treatments remove sun damaged pre-cancerous zones and spots
called actinic keratosis. Sun damage, fine lines, and blotchy pigmentation
are also improved because of the positive effect of Levulan and
the light treatment. ALA/PDT treatment also has the unique ability
to minimize pores and reduce oil glands, effectively treating stubborn
acne vulgaris, acne rosacea, and improve the appearance of some
acne scars. |
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| How
much improvement can I expect?
Patients with severe sun damaged skin manifested by actinic keratosis, texture, and tone changes including
mottled pigmentation and skin laxity may see excellent results. You
may also see improvement of large pores and pitted acne scars. Active
acne can improve dramatically. |
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| How many treatments will it take to see the best results?
To achieve
maximum improvement of pre-cancerous (actinic keratosis) sun damage,
skin tone and texture, a series of three treatments 2-4 weeks apart is
the most effective. Some patients with only actinic keratosis are happy
with just one treatment. More treatments can be done at periodic intervals
in the future to maintain the rejuvenated appearance of the skin. |
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| What are the disadvantages?
Following PDT, the treated areas can appear
red with some peeling for 2-7 days. Some patients have an exuberant
response to PDT, and experience marked redness of their skin. Temporary
swelling of the lips and around your eyes can occur for a few days. Darker
pigmented patches called liver spots can become temporarily darker and
then peel off leaving normal skin. (This usually occurs over seven to
ten days.) Repeat treatments may be necessary. |
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What are the advantages of PDT?
- Easier for patients than repeated topical liquid nitrogen, Efudex (5FU), or Aldara because the side effects are minimal, rapid healing, and only 1-3 treatments required.
- The ALA/PDT treatment at our clinic is painless verses liquid nitrogen, 5-FU, and Aldara.
- Reduced scarring and improved cosmetic outcome compared with cautery, surgery and Efudex. Liquid nitrogen can leave white spots on your skin.
- Levulan improves the whole facial area treated creating all one color, texture, and tone rather than just spot treating with liquid nitrogen, cautery and surgery.
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BOTOX® Cosmetic |
What causes frown lines between the brows?
The lines that appear between your brows actually result from muscle movement and the passage of time. Two muscles are largely responsible for frown lines between the brows. When those muscles contract, they draw the brows together. As skin becomes less elastic over time, repeated frowning can result in those moderate to severe lines between the brows.
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Just what is BOTOX® Cosmetic?
It is a purified protein administered in a simple nonsurgical procedure that temporarily improves the appearance of moderate to severe frown lines between the brows in people aged 18 to 65. During treatment, very low doses of BOTOX® Cosmetic are administered via a few tiny injections directly into the muscles that cause those stubborn lines between the brows.
BOTOX® has been used therapeutically for over 15 years to treat a variety of medical conditions. It is approved in more than 75 countries. BOTOX® for therapeutic use remains one of the most widely researched medicines in the world. The same product with losing specific to glabellar lines was approved in 2002 as BOTOX® Cosmetic. |
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Is it FDA approved?
Yes, BOTOX® Cosmetic is FDA approved. |
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What is the difference between BOTOX® Cosmetic and fillers?
Frown lines are caused by overactive facial muscles. Fillers mask the wrinkle by adding volume around the muscle with intradermal injections. BOTOX® Cosmetic is intramuscular, blocking the chemicals that cause facial muscles to contract, thereby relaxing them. While there are many options available for fillers, BOTOX® Cosmetic is the only product of its type that affects the muscles that cause these wrinkles. |
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What are the common side effects?
The most common side effects following injections of BOTOX® Cosmetic include headache, respiratory infection, flu syndrome, temporary eyelid droop, and nausea. |
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Have patients been happy with their results?
According to a recent survey of 200 dermatologists and plastic surgeons, BOTOX® Cosmetic has the highest perceived patient satisfaction rating of all physician administered treatments in 2003 and 2004*. And for the past 3 years, BOTOX® Cosmetic was the most popular physician-administered cosmetic procedure in the United States (surgical and nonsurgical combined).
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BOTOX® for Severe Sweating |
How is Botox given?
Fifteen to twenty units of Botox are injected via a very small needle into the hair-bearing skin of each underarm. Normal activity can be immediately resumed, while heavy exercise should be avoided for several hours. |
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When will Botox take effect?
Underarm sweating will be decreased by 90% within 48 hours and full effect will be seen within one week. There may be simultaneous disappearance of odor associated with decreased sweating, but this is not consistent. |
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How long does Botox last?
Most patients will obtain the benefit of dryness with one treatment of Botox for six to ten months. |
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What are the risks and complications?
Complications from injection into the axillary skin include tiny bruises, which fade in a few days, and small persistent areas of sweating that may need a second treatment. There is no risk of numbness or permanent change in the axillary skin, and the risk of temporary muscle weakness is remote. |
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Who are good candidates for Botox?
- Anyone with an increased or problem of underarm sweating.
- Anyone who worries about sweating through his or her clothes.
- Anyone who would like to wear fine fabrics, sleeveless shirts and blouses, or who would like to take their jacket off.
- Anyone working in close contact with others such as hairstylists, nurses, physicians, dentists, hygienists, and flight attendants.
- Anyone working in hot conditions, such as models, television personalities and chefs.
- Anyone making public presentations, including: executives, attorneys, and salesmen.
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