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  • Radiesse filler

    Radiesse filler

    Radiesse and Radiesse(+) comprise the first and only CaHA portfolio available that stimulates collagen and elastin production for both immediate, natural-looking results and long-term improvement. The microspheres then dissolve naturally through the normal metabolic process. 

    radiesse filler

    Radiesse smooths lines and adds volume in the mid and lower face. Calcium hydroxylapatite (CaHA) is what makes Radiesse and Radiesse (+) unique injectable aesthetic treatment options. These calcium-based microspheres are similar to minerals that are found naturally in your body.

    • Offers immediate improvement you want, the collagen and elastin you need.
    • Has long-lasting results: 12+ months or more in most patients4,7
    • Is the first and only CaHA injectable treatment in Canada
    • Has a well-established safety profile and predictable results

    How long does the effect of CaHA last?

    • Results are long lasting, but not permanent. How long the effect of treatment lasts is dependent on the individual. There are many factors to consider, such as the structure of the skin, your lifestyle and age. Studies show that in nasolabial fold treatments (the lines that run from the nose to the corner of the mouth), for example, results last up to 12 months. The procedure can be repeated, please consult with your healthcare professional about what is appropriate for you.

    Can Radiesse be combined with other products?

    For a holistic treatment, your healthcare professional may advise combining RADIESSE® with hyaluronic acid dermal fillers such as BELOTERO®, or other treatment options such as Ultherapy and NEOCUTIS®*. Please consult with your healthcare professional

    radiesse filler

    Radiesse for Men

    Male skin aging is a gradual, ongoing process that is strongly affected by environmental factors. Sun exposure, poor nutrition, and occupational or personal stress take their toll on male skin, especially on the skin’s main structural competent – collagen. The consequences: firm skin loses its elasticity and wrinkles and folds begin to form. Fortunately, men can address these concerns by choosing a treatment strategy with Radiesse, which leads to natural looking results without compromising masculinity. RADIESSE is the only dermal filler that works in such a way that it can immediately reduce facial wrinkles and continue to provide structure over time, with results that last a year or more in many patients.

    Source

    https://www.merzaesthetics.ca/solutions/radiesse/

  • Excessive Heat

    Excessive Heat

    In excessive heat your hypothalamus and autonomic nervous system keep your body within a degree or two of your normal temperature . However, there are times when your body heat rises. This condition is known as heat stress.

    Body temperature measures the body’s ability to generate and get rid of heat. The normal temperature is often quoted as 98.6°F, but it can be slightly lower or higher. The average temperature of adults is between 97.8°F and 99.0°F.

    Heat stress may be due to excessive heat, certain foods, or other factors. Continue reading to learn more about the causes of high body heat and what you can do to find relief.

    Reasons body temperature may rise

    Several factors can cause your body temperature to rise. Here are a few common reasons for heat stress:

    • Having an inflammatory illness, such as an infection. Such an illness can cause you to have a fever, which is one indication that something unusual is going on in your body.
    • Having a thyroid disorder known as hyperthyroidism. This causes your body to produce too much thyroid hormone.
    • Spending time in extremely hot and humid weather. It’s especially likely if you’ve spent time in direct sunlight or have been doing physical activity.
    • Wearing tight-fitting, synthetic clothing. These types of fabrics trap moisture and don’t breathe easily, especially if they’re tight.
    • Eating spicy, oily, or fried food. In addition, nuts, meats, and other high-protein foods can contribute to heat stress.
    • Consuming drinks with caffeine or alcohol.
    • Performing intense physical exercise. This can cause an increase in heat since active muscles and related blood circulation activity create a lot of heat.
    • Having certain medical conditions that affect your body temperature, such as types of arthritis, leukemia, and neurological disorders.
    • Taking drugs that cause high body temperatures, such as certain antibiotics, opioids, and antihistamines.
    • Being dehydrated. Dehydration can lower your body’s ability to sweat to cool you down and support a normal temperature.

    How to lower body heat quickly in excessive heat

    You probably know how important it is to hydrate with water when you have heat stress. There are lots of other ways to lower your body heat quickly as well. The following home remedies are easy and effective ways to beat the heat.

    excessive heat

    Cold foot bath in excessive heat

    Placing your feet in a cold foot bath cools your body and allows you to sit back and relax. Simply add cold water and ice cubes to a bucket of water. Immerse your feet and soak for up to 20 minutes. Add a few drops of peppermint essential oil for an added cooling effect.

    Coconut water

    Drinking coconut water is a great way to refresh and revitalize your body. The vitamins, minerals, and electrolytes in coconut water make it an effective way to rehydrateTrusted Source and reenergize your body when you have heat stress. Coconut water has many other benefits, too.

    Peppermint

    Peppermint is known for its cooling properties due to its high menthol content, which makes one have the sensation of feeling cooler. You can make a hot or iced peppermint tea and drink it throughout the day. While hot tea may seem to make you feel hotter, drinking hot drinks may help you to sweat more and help to cool down your body.

    Purchase peppermint tea here.

    Hydrating foods

    Eat plenty of foods high in water content. Fruits such as cantaloupe, watermelon, and strawberries are good options.

    Try eating lots of vegetables such as celery, cucumber, and cauliflower. You can eat these foods raw in a salad. Alternatively, add a bit of ice to incorporate them into a healthy smoothie since yogurt is also a cooling food.

    Sitali breath

    This yoga breathing technique has a cooling effect on your body and your mind. Sitali breath helps you to relax and cool down both physically and mentally.

    To do this:

    1. Sit in a comfortable seated position.
    2. Stick out your tongue and roll the outer edges together similar to a hot dog bun.
    3. If your tongue doesn’t curl like this, you can pucker purse your lips.
    4. Slowly inhale through your mouth.
    5. Then exhale out through your nose.
    6. This is one round.
    7. Continue breathing like this for up to 5 minutes.

    Dress accordingly

    Play it cool in a hat with a wide brim and sunglasses if you’ll be in direct sunlight. You can even carry a parasol or umbrella.

    Wear loose, lightly colored clothing in natural fabrics such as cotton, linen, or silk. Semi-synthetics such as rayon and modal can also be worn to combat body heat. Scientists are developing fabrics created especially to keep you cool, such as thermal regulation fabrics. Products made with these types of fabrics are often designed for sport and outdoor activities.

    Aloe vera

    The leaves and inner gel of this healing plant can help to lower body temperature.

    You can apply aloe vera gel to your skin for a cooling effect. Either use the inside gel of a fresh plant or a pure aloe vera gel. For added benefits, keep it in the refrigerator before application.

    Aloe vera can also be consumed internally. Use 2 tablespoons of fresh aloe vera gel per cup of water to make a drink.

    Purchase premade aloe vera drinks here.

    Buttermilk

    Drinking buttermilk may help to cool down your body and improve metabolism. It’s also full of probiotics (traditional buttermilk), vitamins, and minerals that will help to restore your body’s natural energy if you’re feeling drained by the heat.

    Try drinking a glass of cold buttermilk. Adding honey or yogurt is optional but may make the flavor more to your liking.

    Fenugreek

    Sipping a cup of fenugreek tea may help to bring on a sweat, allowing you to cool off. If you don’t like the idea of drinking a hot drink, you can make the tea ahead of time and chill it in the refrigerator before drinking it.

    Fenugreek may also be useful in getting rid of some excess fluid and detoxifying the body.

    Purchase fenugreek tea here.

    Chili

    Even though eating spicy food can make you feel warm, it can also help to lower your body temperature. That’s because the capsaicin in chilies sends messages to the brain to signal that your body is overheated. This causes you to sweat more than normal and brings on a cooling effect.

    The takeaway

    These remedies should help to cool you down if you’re feeling the heat. If your body temperature seems to be high for an undetermined reason or you’re not cooling down after trying some of these remedies, see your doctor. This is especially important if:

    • you have an underlying medical condition
    • you’re over 65 years of age
    • you’re pregnant or nursing
    • it’s occurring in young children or babies

    Excessive heat has the potential to turn into heat exhaustion or heat stroke if left untreated, so seek help if you or a loved one is having extreme discomfort that doesn’t ease. In addition, learn the signs and symptoms of heat emergencies.

    Source:

    https://www.healthline.com/health/how-to-reduce-body-heat

  • Derma roller for hair growth

    Derma roller for hair growth

    Derma roller for hair growth can increase hair counts by 15%. And as clinical evidence for microneedling continues to grow, so do the devices available to consumers: microneedle rollers, microneedle stamps, and even automated needling devices – with needle lengths ranging from 0.25mm to 2.5mm (and higher).

    But with microneedling research still in its infancy, there’s one big question that researchers have yet to answer:

    When it comes to treating pattern hair loss, what’s the best microneedling needle length? 0.25mm? 0.5mm? 1.0mm? 1.5mm? 2.0mm? Higher?

    Despite what microneedling manufacturers tell you, there is no clear-cut answer.

    Rather, the evidence indicates that when it comes to treating pattern hair loss, the right microneedling needle length is highly contextual. It depends on (1) how frequently you plan on microneedling and (2) whether you’re combining microneedling with other treatments.

    This article dives into the research to uncover the evidence, and how to best position yourself for hair regrowth if you decide to start microneedling.

    Hair regrowth without finasteride
    Example before-after: hair regrowth without finasteride


    What is microneedling for hair growth?

    Microneedling is a stimulation-based therapy for hair loss. Similar to platelet-rich plasma therapy and massaging, microneedling leverages acute wounding in balding scalp skin (via medical-grade needles) to evoke growth factors. Over time, these growth factors may help to (1) promote the formation of new blood vessels, (2) reduce the appearance of scar tissue, and (3) promote hair follicle proliferation.

    Yes, the therapy hurts. And yes, microneedlers look like small medieval torture devices.

    A microneedle roller used for hair loss
    derma roller for hair growth

    But despite the pain involved in therapy, microneedling – when repeated once or twice-weekly, and for 3-6 months – have been shown to greatly improve hair growth in men with androgenic alopecia (AGA).

    Just see the results of this 2017 study, which demonstrated hair count improvements of ~15% for those using microneedling devices without any other treatments.

    Microneedling for AGA: results over six months (bi-weekly sessions)

    Or the results of this 2013 study, which found that microneedling enhanced the regrowth achieved from 5% minoxidil by 400%.

    Microneedling + 5% minoxidil for AGA: results over three months (weekly sessions)
    derma roller for hair growth

    In short: microneedling is effective at improving pattern hair loss (AGA) in men. But questions still remain as to its best practices. Questions like:

    • How far apart should we space our sessions? Daily? Weekly? Monthly?
    • How long should our sessions be? Five minutes? Ten? Twenty?
    • What’s the best needle count? 192 needles? 540 needles? More?
    • What’s the best needle length? 0.25 mm? 1.0 mm? 2.0 mm? More?

    …and many more.

    The truth is that it’s impossible to answer any one of these questions without answering the others. After all, these questions are all interlinked. The smaller the needle length, the quicker your healing, the more frequently you can microneedle. And the higher your number of needles, the more inflammation you can evoke, and the shorter your sessions can be.

    Having said that, the best needle length debate might be answerable by itself. Why? Because at different needle lengths, microneedling has different effects.

    Here’s why.

    Derma roller for hair growth: different puncture depths, different effects on the hair follicles

    Our scalp skin consists of three main layers: the epidermis, dermis, and hypodermis (i.e., subcutaneous layer).

    Three layers of skin

    The thickness of our scalp (and its subcomponents) is influenced by our age, gender, and degree of balding. But in general, our scalp skin is just 5mm to 6mm thick.

    Within that skin, our epidermis is usually less than 0.5mm thick, our dermis is 1-2mm thick, and our subcutaneous layer is 3mm thick.

    This has significant relevance to microneedling needle lengths. Why? Because the depths at which these needles puncture our scalps has a direct influence over which regions of the hair follicles we will stimulate.

    Needle lengths of 0.25 mm to 0.5 mm may improve topical absorption

    At shorter needle depths (i.e., 0.25mm to 0.5mm), microneedling only wounds the top layers of the skin (the epidermis). This will improve the absorption of topicals (i.e., minoxidil). However, these shallower depths likely won’t evoke the growth factors necessary to encourage hair follicle proliferation. For this effect to occur, we need to incur wounds deeper – specifically, we need to wound the dermis.

    Needle lengths of 1.5 mm to 2.5 mm may evoke growth factors for hair follicle proliferation

    At longer needle depths (i.e., 1.5mm to 2.5mm), microneedling needles will puncture the dermis of our scalp skin. This has important ramifications to hair follicle proliferation, because the dermis is where the hair follicle stem cell bulge resides. It’s also where there are vascular networks – such that punctures at this depth ofte lead to swelling and/or pinpoint bleeding.

    What is the hair follicle stem cell bulge?

    The hair follicle stem cell bulge is located 1.0 mm to 1.8 mm deep in our scalp skin near the isthmus (upper third) of the hair follicle – and can usually be found at the base of the arrector pili muscle.

    This hair follicle stem cell bulge is sort of like the “source material” for a hair follicle. These stem cells help replenish and repopulate the cells that constitute each hair follicle. If a hair follicle’s stem cell population is completely depleted, hair follicles can no longer replace old cells, and the hair follicles will stop proliferating (or growing).

    Hair follicle stem cell bulge
    Hair follicle stem cell bulge

    Interestingly, we can stimulate these stem cells via wounding. If wounds are incurred surrounding these stem cell bulges, the growth factors stimulated during wounding can even signal to these hair follicle stem cells to initiate a new anagen phase of the hair cycle.

    For pattern hair loss sufferers, this often means increases to hair counts within the realms of 15% – and that’s without any other therapies. That’s an impressive improvement. But again, it bears repeating…

    We only see these hair count increases from studies using microneedling devices (by themselves) that puncture 1.5mm to 2.5mm deep. In other words, we only see these hair count increases at microneedling lengths that stimulate the hair follicle stem cell bulge.

    Long-story short: we likely need to microneedle at depths of 1.5mm to 2.5mm if we’re to expect appreciable stimulation of the hair follicle stem cell bulge, and thereby appreciable hair follicle proliferation (i.e., hair regrowth).

    Now, it’s worth noting that studies testing microneedling as a monotherapy have only ever investigated needle lengths of 1.5mm and greater. So, the absence of evidence should not imply evidence against shorter needle lengths. But we also have to make recommendations based on what is known, not postulated. So, consider these limitations as you keep reading.

    So, should we all microneedling at needle lengths of 1.5mm or greater?

    Not necessarily.

    When it comes to needle depths, there is an upper limit. Specifically, we want to avoid puncturing something called an emissary vein.

    Emissary veins are bi-directional blood vessels that run from the scalp’s hypodermis (i.e., muscle tissues) through the cranium (i.e., skull bone) and into the brain. When brain infections occur following scalp injuries, they are almost always the result of a puncture to the emissary vein – as an open emissary vein can allow pathogenic bacteria from the epidermis to bypass the skull plate and migrate directly into brain tissues. This can cause serious health ramifications, and even death.

    Emissary veins aren’t everywhere on the scalp. And in general, they’re located at depths deeper than 5mm – at the bottom edges of the hypodermis.

    There’s no reason for us to risk wounding an emissary vein via microneedling – especially because we can stimulate the hair follicle stem cell bulge at shallower depths (i.e., 1.5 mm to 2.5 mm).

    Moreover, the studies that we do have on microneedling for pattern hair loss don’t test needle lengths above 2.5mm. So, don’t deviate from what is clinically supported; don’t go deeper than needle lengths of 2.5mm.

    So, now that we’ve established a lower and upper limit for mironeedling needle lengths, let’s revisit that question: which needle length is best for regrowing hair?

    Derma roller for hair growth: what’s the best needle length?

    Microneedle-size-comparison-studies

    Since microneedling research is still in its infancy, we don’t yet know the best needle length. But we can give you a general idea of the best needle lengths based on the clinical studies on microneedling published so far.

    • In a 2013 study, participants used 5% minoxidil twice-daily alongside microneedling with a 1.5mm needle roller once-weekly. Over three months, the author (Dr. Dhurat) found that the 1.5mm needle roller improved hair regrowth from minoxidil by 400%.
    • In a 2015 study, participants used minoxidil and finasteride daily alongside microneedling with a 1.5mm needler roller either once-weekly or twice-weekly. After six months, the researchers found significant increases to hair counts. (5)
    • In a 2017 study, participants used 5% minoxidil alongside a 1.5mm to 2.5mm automated needler once every two weeks. Over six months, the investigators found comparable hair count increases to that of Dr. Dhurat’s 2013 study. They also found that microneedling alone improved hair counts by ~15%.
    • In a 2020 study, participants applied 5% minoxidil twice daily and microneedled once every two weeks with either a 0.6mm or 1.2mm needle length roller for 12 weeks. They found that microneedling with either length was more effective than 5% minoxidil twice daily by itself. In terms of statistical significance, the study showed that there was no statistical difference between the two lengths with respect to improved hair counts: in conjunction with minoxidil, the 1.2mm needle improved hair counts by about 15% while the 0.6mm needle improved hair counts by about 19%.

    But these aren’t the only studies done on microneedling for hair loss. There are many more, which we’ve discussed in our systematic review on the subject (recently published in Dermatology and Therapy).

    What do all of the studies tell us?

    • So far, we’ve clinically tested microneedle lengths from 0.25mm to 2.5mm for men with androgenic alopecia (AGA).
    • However, only needle lengths of 1.5mm to 2.5mm were tested as a monotherapy (i.e., not in conjuction with minoxidil or other treatments).
    • At depths of 0.6mm to 2.5mm, derma roller for hair growth is suspected to increase both topical absorption (with minoxidil) and hair follicle proliferation (as a standalone treatment).

    And while the 2020 study demonstrates shorter needle lengths may produce results comparable to longer needle lengths (at least with respect to hair counts), the majority of evidence still supports the use of a 1.5mm to 2.5mm needle length.

    The rationale? There are two factors to the depth of penetration when using microneedles: needle length and applied pressure. In earlier studies, 1.5mm needles were used to evoke erythema (skin redness) whereas, in the 2020 study, the authors aimed to evoke bleeding.

    This is an important distinction to make.

    Because evoking bleeding involves more pressure than just evoking erythema, it’s possible that both the 2020 study (using 0.6mm and 1.2mm needles) and the earlier studies (using 1.5mm needle lengths) penetrated to similar depths — simply due to differences in applied pressure.

    The equation also gets more complicated when we evaluate not just “session endpoints”, but also the fact that microneedling rollers versus automated pens puncture at different depths in the scalp skin… even when controlling for the same exact needle length.

    Why? Because derma roller for hair growth “roll” the needles onto the skin. That means the depth those needles actually penetrate is subject to angulation changes and user pressure variability (i.e., how hard someone presses down). However, with automated microneedling pens, studies suggest that needling penetration depths near-perfectly match needle lengths (up to 1.5mm, at least).

    Resultantly, the best data we have suggest that microneedling rollers penetrate, on average, just 50-75% of their actual needle length. This makes it even more difficult to make needle length recommendations, because the actual microneedling device influences the answer.

    What can be gleaned from all of the data?

    Taking into account session endpoints, device differences, hypothetical mechanisms, and clinical outcomes from our latest systematic literature review on microneedling for hair loss, here are the needle lengths we currently recommend:

    • Derma roller for hair growth. Use a 1.0-1.5mm needle length.
    • Microneedling automated pen. Use a 0.6-0.8mm needle length.

    These recommendations will hopefully improve topical absorption, stimulate growth factors linked to hair follicle proliferation, and minimize any concerns over infection or the puncturing of short an emissary vein.

    Moreover, stick with needling once weekly, or once every two weeks. Again, it’s clinically effective. Other recommendations on other websites are theoretical, anecdotal, and generally unsubstantiated.

    What about microneedling every day with a 0.25 mm or 0.5 mm needle length?

    As stated earlier, it’s important to note that the absence of evidence does not imply evidence against any treatment protocol.

    In other words, just because we don’t have studies trialing needle lengths smaller than 1.5mm for pattern hair loss (as a standalone treatment), this does not mean that smaller needle lengths are ineffective. It’s just that evidence supporting smaller needle lengths is unsubstantiated.

    There are some YouTube personalities claiming to see great microneedling results from microneedling nightly with a 0.25mm and then immediately applying topicals. There are some men on HairLossTalk who are demonstrating results from microneedling every night with a 1.0mm roller.

    There may be some benefits to microneedling more frequently – particularly if you’re also using a topical. For example, due to the relatively short half-life of topical minoxidil, users must apply minoxidil twice-daily in order to elicit a significant effect on miniaturizing hair follicles. Microneedlers with needle lengths of 0.25mm to 0.5mm help to increase topical absorption. Moreover, because these needle lengths typically only puncture the epidermis, they can be used more frequently (i.e., once daily) versus microneedlers with needle lengths of 1.5mm+ (i.e., once every week or more).

    Thus, some might argue that daily microneedling with a smaller needle length might help to more regularly promote topical absorption, and that this benefit might outweigh the stimulation of growth factors elicited from needle depths of 1.5mm and beyond.

    But again, these stories are just anecdotes; and the rationales behind shorter needle lengths and more frequent needling are just hypothetical. While we do have people trialing augmented microneedling lengths and schedules in our membership community (with great success), we can’t yet extrapolate their results to what all pattern hair loss sufferers should expect.

    Long story short: until these anecdotes stand the test of a clinical trial, we must make our recommendations based on the evidence already available… and that means recommending a 1.5mm to 2.5mm needle length.

    The bottom line: Derma roller for hair growth, stick with 0.6-0.8mm needle lengths for automated pens, and 1.0-1.5mm needle lengths for rollers

    These needle lengths are what worked in clinical trials, and they seem to be working well for the people inside of our membership site.

    Questions? Comments? Please reach out in the comments section.

    Hair regrowth without finasteride
    Example before-after: hair regrowth without finasteride

  • Volumetric Effect and Patient Satisfaction after Facial Fat Grafting

    Volumetric Effect and Patient Satisfaction after Facial Fat Grafting

    Background: 

    Facial fat graft decreases in volume after transplantation. This observation is based on overall facial three-dimensional analyses, because there is sparse information on volume changes in well-defined aesthetic areas. The authors aimed to assess the overall and, more specifically, the local volumetric effects of facial fat grafting and relate these effects to patient satisfaction up to 1 year after treatment.

    Methods: 

    All consecutive adult female patients who were scheduled for facial fat grafting without additional surgical procedures were asked to participate. All patients underwent the same fat grafting method. An algorithm-based personalized aesthetic template was applied to define specific aesthetic areas on the preoperative three-dimensional image. Objective outcome parameters [i.e., three-dimensional volume differences, patient satisfaction (FACE-Q questionnaire)] were measured at baseline and at 6 weeks, 6 months, and 12 months after fat grafting.

    fat graft to face

    Facial fat graft results: 

    Of 33 female patients who underwent a facial fat graft procedure, 23 patients had complete three-dimensional data and were eligible for analysis. The highest volume gain was observed 6 weeks after grafting and was followed by a gradual loss thereafter. Overall and in the zygomatic area, a substantial gain in volume was still present 1 year after grafting, whereas this effect was lost in the lip area. FACE-Q scales Satisfaction with Facial Appearance Overall and Satisfaction with Cheeks improved too, whereas scores for Lines: Lips returned to baseline levels. The improvement in FACE-Q scales was in agreement with the objective change in volume.

    Conclusion: 

    Gain in overall and local volumetric effects is accompanied by comparable changes in patient satisfaction.

    CLINICAL QUESTION/LEVEL OF EVIDENCE: 

    Therapeutic, IV.

    Reference:

    https://journals.lww.com/plasreconsurg/abstract/2022/08000/volumetric_effect_and_patient_satisfaction_after.13.aspx

  • Punch excision for acne scars

    Punch excision for acne scars

    Punch excision is a method for treating acne scarring in which a is utilized to remove scar tissue. This scar revision treatment is a minimally invasive surgical procedure, ideal for deep ice pick scars.

    Using the technique of punch excision the acne scar is surgically removed through the use of a surgical tool that matches the size of the scar (ideally 1.5-3.5 mm). The remaining wound is closed with a stitch. Punch excision is an ideal technique for revising deep ice pick scars and narrow, deep boxcar scars (<3 mm).

    How to perform punch excision

    After preparation of the site, the skin is stretched perpendicular to the lines of least skin tension so that the wound forms an oval. While holding the stretched skin taunt, the punch instrument is introduced vertically using a smooth twisting motion. Once the instrument reaches its maximum depth or goes through the dermis and into the subcutaneous tissue, the punch can be removed.

    The wound may be closed and hemostasis achieved by gel foam or by suture. Gel foam is indicated as a hemostatic device for use with surgical procedures. The wound may also be closed with nonabsorbable suture to aid in hemostasis and to produce a better aesthetic result.

    punch excision technique

    Does punch excision hurt?

    Prior to performing a punch excision, the treated area is injected with lidocaine. This numbs the treatment area to minimize discomfort associated with the procedure. You can generally expect that the most uncomfortable step in the process of punch excision is the simple lidocaine injection used as a local anesthetic before the procedure. Typically, patients do not experience side effects, though there may be mild soreness at the site of treatment post-procedure for a few days.

    SKIN TENSION LINES (LANGER’S LINES)

    Skin tension lines, also known as Langer’s lines or lines of cleavage, are linear clefts in the skin that indicate the direction of orientation of the underlying collagen fibers. If the skin is disrupted parallel to the long axis of the fibers, the wound tends to reapproximate. However, if the wound crosses the long axis of the fibers perpendicularly, they are disrupted in a manner that causes the wound to gape open; therefore, greater tension is required to close the wound. Lacerations that run parallel to these lines naturally reapproximate the skin edges. Lacerations that run at right angles to the tension lines tend to gape apart

    SKIN TENSION LINES (LANGER'S LINES)

    Does punch excision leave a scar?

    Punch excision for acne scar revision generally does leave behind slight scarring of its own, though the scars are smaller, softer, and less noticeable than the original atrophic scars. The scar left behind after punch excision will most often resemble a small line as opposed to a depression.

    In areas under a great deal of static tension, such as the cheek, there is a real risk following any kind of excision (including punch excisions) for the subsequent development of stretch scars and even tram track stitch marks, which can be quite unsightly, especially in an area as prominent as the cheek.

    punch excision before and after

    punch excision vs subcision

    Both scar Subcision and punch elevation are acne scar treatments involving a minor surgical incision performed with local anesthesia that aids in releasing tethered scars.

     Subcision is a very effective technique for correcting atrophic scars, whereas punch techniques are very effective for deep boxcar and ice pick scars.

  • How to lose face fat?

    How to lose face fat?

    How to lose face fat? Fat loss can be achieved through a multitude of strategies, and while no single approach works for every individual, research notes that a calorie deficit, increased physical activity and healthy lifestyle modifications are all key elements to safe and sustainable weight loss in most cases.

    “It’s all about creating a calorie deficit,” says Kayley George, a registered dietitian and owner at Healthy Weight Loss RD. “This means you need to burn more calories than you consume. When your body needs more energy than what you’ve eaten, it starts tapping into its fat stores to make up the difference.”

    A person can create a calorie deficit by eating fewer calories than they take in through physical activity. Eating a balanced diet with whole foods, lean proteins, fruits, veggies and can also help reduce calorie intake, adds George.

    How to Lose Face Fat

    While many strategies exist for losing facial fat, there are some well-researched methods involving nutrition, exercise and medical assistance that may help achieve desired results.

    Manage Sodium Intake

    The recommended daily intake of sodium is 2,300 milligrams per day; however, most U.S. adults eat an average of 3,400 milligrams per day, according to the Food and Drug Administration (FDA)[1].

    “One healthy way to change the way a face looks is to limit high-sodium foods, especially before bed.” says Amy Beney, a registered dietitian and owner and operator of Nutrition Insights, a nutrition private practice in Lockport, New York. While this diet modification doesn’t reduce fat specifically, it can decrease salt retention which helps reduce the appearance of puffiness and swelling throughout the body.

    Stay Hydrated

    While hydration doesn’t help reduce facial fat, either, it can also help combat facial puffiness. “When your body is dehydrated, your cells tend to hang on to water,” says Erin Davis, a registered dietitian and health and wellness writer based in Michigan. “The result is swelling, which can show up in your face. Make sure you’re drinking enough fluids, especially on hot days. You can also include hydrating foods like watermelon or salad.”

    Additionally, choosing water instead of sugar-sweetened beverages may reduce caloric intake, which can result in weight loss throughout the body over time.

    Limit Alcohol Intake

    Davis also encourages those interested in losing facial fat to limit alcoholic beverage consumption. “Not only does alcohol lead to dehydration, but excess alcohol can also cause your blood vessels to become enlarged, which may make for a puffy appearance,” she says.

    The Centers for Disease Control and Prevention (CDC) recommends an adult male consume no more than two standard drinks per day, and only one standard drink per day for females.

    Keep in mind, alcoholic beverages are calorically dense—the average beer contains 153 calories while red wine contains 125 calories and white wine contains 121 calories—and can increase caloric intake and the potential for an increase in weight gain in some cases. Limiting alcohol intake, and in turn reducing extra calories, may help promote weight loss in the body and face.

    how to lose face fat in 24 hours
    double chin lipo

    Perform Facial Massage

    Practices like facial self massage, gua sha, cupping and jade rolling are increasingly noted for their potential health and aesthetic benefits.

    “The strokes of the gua sha tool can undo muscle tension, knots and decrease puffiness, making one’s muscles look and feel more lifted and toned,” says Natalie Aguilar, a nurse and aesthetician in Beverly Hills, California, who specializes in gua sha.

    In terms of fat loss, a small 2018 study analyzing the use of massage rollers found that after using a facial massage roller daily for five weeks, participants’ skin blood flow increased, which may increase nutrients brought to the skin as well as promote the removal of metabolic waste, reduce inflammation in the body and face[2].

    How to lose face fat in 24 hours?

    Double chin removal recommendations are based on skin tone and quality. People aged 20 to 50 who have more elastic skin may benefit from neck liposuction. This procedure removes fat from beneath the skin and sculpts the chin and neck contour , but it won’t improve skin quality. After the procedures, one can expect to experience about 10 to 14 days of bruising and swelling. Smokers and people taking anti-clotting drugs, such as  aspirin and warfarin, may face increased bleeding risk during any surgical procedure.

    double chin removal
    double chin removal

    Double chin removal Recovery

    Bruising and swelling are common after double chin surgery. Meanwhile, most patients will be able to return to work one week following treatment. After double chin liposuction, a patient will usually wear a head-wrap for about a week following surgery that keeps pressure under the chin. The head-wrap helps minimize chin swelling and ensures the skin will conform to the neck contour correctly. He or she should also try to remain elevated in an upright position in the days after surgery to speed up the healing process

    double chin liposuction
    double chin removal

    Double chin removal Scar

    There are one to three scars ,one scar is placed behind the chin. The incision is placed in neck skin crease. The incision is slightly smaller than a pencil eraser tip. Often, this is all that is needed. Sometimes an incision is placed behind each ear lobe. These earlobe incisions are placed to access the side of the neck. Sometimes these earlobe incisions are placed to also access the central neck, again, these incisions are tiny.

    Double chin lipo cost

    Because there are several different approaches, double chin surgery varies in cost, for example some people really just need skin elasticity improvement techniques  such as hifu treatment or radio-frequency due to decreased skin elasticity , so double chin lipo is not necessary.

    Sources

    https://www.forbes.com/health

  • Vitamin c serum

    Vitamin c serum

    What to look for in a vitamin C serum

    To make sure you get the best return on your investment, here are a few things to keep in mind: Skip creams spiked with vitamin C and instead choose a serum, which is more effective at Additionally, there are several forms of vitamin C—and not all are created equal. Check the label for L-ascorbic acid, which is considered to be the vitamin C that’s best for skin. (Even better: if it contains 15 to 20 percent L-ascorbic acid, which is the most effective.) “Vitamin C is notoriously unstable—especially when it’s exposed to air and light,” “So it’s best to pick a formula that comes in an airtight pump or opaque bottle, and keep it away from direct sunlight.”

    So, which ones are worth it? Dermatologists say these face-brightening-and-tightening formulas—suitable for a wide range of skin concerns, including acnehyperpigmentationoiliness, dryness, and sensitivity—are the best vitamin C serums money can buy.

    vitamin c serum for oily skin

    1. It Hydrates The Skin Effectively

    People with oily skin have a strange, not entirely misguided fear that using moisturiser will make their skin greasier. But what they fail to understand is what makes their skin too oily — sometimes, there’s an overproduction of sebum from the face’s sebaceous glands.

    Additionally, using harsh, alcohol-based cleansers without moisturising effectively can strip the skin of its natural oils, and make the sebaceous glands go into overdrive, meaning they produce more sebum than necessary. We say it’s about time we struck a balance between the two extremes, which is where a vitamin C serum for oily skin steps in! Instead of being a humectant that would draw extra moisture on your face, vitamin C serum simply helps your skin to retain moisture. This means that it can hydrate and moisturise your skin effectively without making it overly greasy, which we count as a total win!

    2. It Helps With Pores

    Having oily skin means having to deal with humanity’s biggest threat yet — large, clogged pores. Since excessive sebum production clogs and congests your pores, it almost feels like there’s no respite. That is, apart from vitamin C serum. Since it’s an antioxidant, vitamin C  manages to unclog the pores, clear out dead skin, and reduce the overall amount of sebum. Additionally, it also minimises the pores — and since it’s non-comedogenic, you know that you can kiss those social life-ruining blackheads goodbye.

    3. It Takes Care Of Acne

    Breakouts are the absolute worst, and regardless of whether you get blackheads or full-blown cystic acne, we’d just like to say — we feel you. Enter vitamin C serum. Even though acne is the bane of everyone who has ever had oily skin, vitamin C serum for oily skin manages to take care of it as if it were never there. This is because vitamin C is a powerful antioxidant that fights the free radical damage that may happen to the skin cells. Additionally, topical vitamin C serums can help reduce the inflammation caused by acne — and we already covered how it helps with pores and blackheads, so you know you’re in safe hands.

    4. It Promotes The Healing Of Acne Scars

    While you may have figured out how to heal your acne, healing acne scars is a whole other story. They take what seems like centuries to disappear, always reminding us of the painful pimples they once were, and give rise to a lot of unnecessary questions when visible. Thankfully, because vitamin C serums promote the skin cells turnover rate and promote collagen production, it manages to renew the cells much quicker than what would happen if you just let it be — and hence, manage to manage to make acne scars disappear into thin air, like they were never there in the first place.

    5. It Prevents Future Breakouts

    Just because your acne and your acne scars are taken care of doesn’t always mean that you’ll never get breakouts again; and we’re not promising that either! What we will say, though, is that if you’re scared of major breakouts in the future, you can be assured that vitamin C serum will take care of it. Since it’s slightly acidic, vitamin C manages to kill acne-causing bacteria that may settle in the pores, thus preventing bacteria-induced breakouts.

    6. It Brightens The Complexion

    One of the biggest problems with having oily skin is that if you’re susceptible to having a dull complexion, you’re in for a bad time. Not only will all promises of dewy skin fail you — since your skin is already oily to begin with — but you’ll have to deal with a weird amalgamation of dullness and oiliness, meaning your complexion just does not look good. This is where a trusty vit C serum for oily skin comes in super handy. Since it’s an antioxidant, it protects the skin from sun damage, stimulates collagen production, and gets rid of dullness-inducing dark spots to reveal a radiant, glowing complexion that doesn’t look oily. We’d say the future of oily skin after using a vitamin C looks just like the person using vita C serum for oily skin; bright AF.

    While the benefits of using a vit C serum for oily skin are multifold and plenty, don’t treat this as a one-size-fits-all product, where every single serum will work for you. You need to be careful of the kind of serum you pick, and take into account specific details to ensure that your serum doesn’t make your skin oilier. Ahead, we’re letting you in on how to pick a vit C serum for oily skin, so take notes.

    What is the best vitamin C serum for women over 50?

  • THE MAGIC OF MESO NEEDLING FOR ACNE SCARRING IN 2024

    THE MAGIC OF MESO NEEDLING FOR ACNE SCARRING IN 2024

    What is meso needling?

    Meso needling is a treatment similar to micro needling but during and after the treatment specific cocktails are used  and the depth of needles target mesoderm layer in the skin to produce more specific treatment with better results. This treatment aims to stimulate collagen production and renewal for smoother, more youthful looking skin. It’s used to treat fine lines, pigmentation, acne scarring and stretch marks.

    acne scar treatment with meso needling technique before and after
    Acne Scar Treatment

    Meso needling downtime

    Skin irritation can be expected for the first day or two after the meso needling procedure. but this will subside quickly. Patients will also see some redness in the skin over the first two or three days. skin will need time to heal, so it’s important to avoid any activity that can cause sweating, which can result in inflammation.

    It’s also a good idea to keep out of direct sunlight following the treatment, since heat and UV exposure can also trigger further irritation. Patients will start to notice some degree of improvement in the skin right away, and results will gradually become more apparent in the weeks following treatment.

    meso needling recovery
    meso needling before and after

     Benefits

    Meso needling stimulates the body’s natural wound healing processes, resulting in cell turnover and increased collagen and elastin production, therefore reversing as well as preventing signs of aging, moreover it enhances penetration of skincare ingredients.

    It can also have a positive effect on hyper-pigmentation as well as on hypo-pigmentation. Disfiguring scars, especially acne scars, can many times also be improved. New collagen fibres elevate any depressed scar tissue. An improved blood supply (neo-angiogenesis) into the previous fibrotic scar tissue also harmonises and blends the pigmentation with the periphery skin.

    acne scar types
    acne scar types

     Side effects

    Generally the treated areas recover rapidly from skin needling. However there are occasional side effects, which include:

    • Oozing and swelling during the recovery phase.
    • Skin infection with bacteria (rare) or herpes simplex virus (cold sores).
    • Milia, which can be easily removed.
    • Acne flare, which is usually mild.

    Meso needling vs Microneedling

    • Mesotherapy combines a bespoke cocktail of powerful vitamins, which are injected into the lower layers of the skin using a meso device with one needle, whereas microneedling gently moves multiple microscopic needles over the face to cause miniscule puncture marks, activating the production of collagen and elastin.

  • HIFU Treatment Pros And Cons❤

    HIFU Treatment Pros And Cons❤

    What is HIFU treatment

    Hifu treatment (high intensity focused ultrasound) lifts and tightens skin for a non-surgical face lift and neck lift. Since its release in 2012, Ulthera (Ultherapy) has been quickly growing in popularity with experts worldwide as an advanced HIFU device.

    hifu treatment areas

    Ulthera is FDA-approved to lift the skin on the face and neck. Common treatment areas include:

    • Brows and forehead
    • Chin
    • Neck (“turkey neck”)
    • Stomach
    • Stretch marks
    hifu treatment before and after
    Hifu Treatment

    hifu treatment mechanism

    Ulthera or Ultherapy is one of the most popular and highly developed systems available.Doublo is a hifu machine which is designed by Hironic Company in South Korea.

    Non-invasive ultrasound energy generates low levels of heat in the targeted skin( about 65 degree celsius) so makes coagulation points in SMAS layer 4.5 milimeter under skin. This stimulates the cells for collagen production and tissue rejuvenation.

    With just one treatment, HIFU pushes mature skin to start working hard again.

    skin tightening before and after
    before and after hifu treatment

     

     

     

     

     

    HIFU Treatment Results

    Smoother, firmer, and brighter skin 3 months after treatment.

    Your eyes will look more open, brows more lifted, fine lines softened, and pore reduced. Because of the restored elasticity, your skin will feel softer and more supple, too.

    If you don’t think you need surgery yet or simply hate the thought of the knife, HIFU may be the natural facelift or neck lift alternative for you

    hifu treatment

    Applications

    • Blurred jawline
    • Drooping, especially around the mouth
    • Sagging eyelids
    • Loose neck folds
    • Thin, crepe-y skin
    • Fine lines and wrinkles
    • Minor redness and dryness
    • Uneven skin tone or texture
    • Large pores

    FAQ

    Q: What are HIFU treatments like

    A: No preparation is needed. Ultrasound gel will be applied to cleansed skin. The hand-piece will then be used to deliver ultrasound energy beneath the skin. Some patients may feel the energy at this point. The physician will work with you to make the experience as comfortable as possible.

    Each treatments takes 60 to 90 minutes, but may be performed within 30 minutes. Some patients report feeling a slight prickling or heat under the skin. Cooling is not required. Anesthetics will be provided to ensure patient comfort as tolerance levels vary, but treatment isn’t unbearably painful.

    ultherapy
    HIFU Treatment

    Q: What happens after hifu treatment

    A: You can get right back to your day — there is no downtime required.there are immediate skin lifting but most tightening effect will started during 3 to 6 months later.  Your skin will be healthier, stronger, and younger-looking, without any unnatural, drastic changes.

    Q: What about side effects

    A: You might see slight redness and/or swelling post-treatment, and might feel some tingling. These will disappear within hours. While the results will not be as dramatic as with surgical facelifts, HIFU skin tightening is clinically proven to be safe, with natural and gradual rejuvenation effects.

    hifu treatment

    Q: How many treatments will I need

    A: Most patients need only one session. Results will appear over 2 to 3 months or even up to 6 months following treatment. Your body will continue to produce fresh collagen over one year. After that, you may wish to continue touch-up treatments.

    hifu treatment

    Q: Will HIFU work for me

    A: HIFU works well with anyone with mild to moderate sagging or loosening skin. Treatments can be performed on the full face and neck or specific areas as needed. Younger, beauty-conscious patients who wish to get a head start on the collagen production game also benefit from ultrasound tightening

    Q:Hifu facelift cost

    The cost of a face lift treatment with non surgical methods (Ultherapy)  can range depending upon the area being treated and factors such as client age,  degree of  skin sagging and shot numbers which determine in consultation.

    :Instagram address

    HIFU Treatment
  • The Secret Of Penis Skin Care In 2023

    The Secret Of Penis Skin Care In 2023

    Smooth Penis Skin: Why It’s Important and How to Get It

    Silky smooth penis skin is what most men hope to have. A touchably soft penis invites intimate touch and excitement. It also shows that a man is healthy cares about his body. And when the penis is smooth, it’s more responsive to touch and other stimulation. This results in better sex, confidence, and improved sexual function by penis skin care.

    What Happen When A Penis Goes Uncared For?

    On the flip side, a man who doesn’t take care of his penis can be affected by a host of issues that are uncomfortable, unsightly, and definitely don’t invite sexual escapades. Without proper regular care, penile skin can become dry, irritated, and even scaly. While a smooth penis is highly sensitized, a dry or ill-cared for penis is actually desensitized. That means foreplay and sex won’t feel as good as it usually does resulting in a lackluster orgasm and reduced sexual satisfaction (and maybe even a little frustration).

    Having a smooth penis is also a health concern! Penis skin protects the body from foreign pathogens causing illness and infection. Broken skin on the penis can invite bacteria into the body and cause a man to get sick or find himself in significant, avoidable pain.

    Bedroom benefits and penis skin care

    Let’s be honest – a penis that looks and feels good is more likely to get attention, and prolonged attention at that. A healthy penis can provide a man and his partner hours of pleasure. A smooth penis feels great and is hard to put away. Bringing a healthy penis into the bedroom increases the likelihood of prolonged foreplay, higher likelihood of fellatio, and more time spent teasing and touching a healthy, happy male member.

    penis skin care helps better relationship
    penis skin care

    How to Get Luxurious Penis Skin Care

    Convinced that a super smooth penis is the penis to have? Here are the best ways to get a smooth penis skin.

    1) Eat Healthy Fats – Eat a healthy diet that includes mono-saturated fats like avocados, olive oil, mackerel, and nuts. These fats keep skin supple and bouncy, even all the way down there.

    2) Get Regular Erections – The penis is a muscle, so men need to use it or risk losing tone. A toned penis is more likely to be smooth, and besides, it’s a great way to keep the penis healthy.

    3) Use Natural Cleansers – Avoid anything with unpronounceable ingredients or lye, and only use hands or a soft washcloth to cleanse the area. One of the best cleansers to use is actually one formulated for babies since the penile skin is just as sensitive.

    4)Avoid harsh exfoliation  – There are tons of men’s health boards out there which will say to use exfoliants on the penis, but do not! Penile skin is very delicate and can be easily torn. Once torn, even microscopic tears, bacteria can invade and cause a host of medical issues. Not only that, getting too rough with the scrubbing can also decrease sensitivity and no one wants that!

    Apply a specially formulated penis health creme (health professionals recommend Man 1 Man Oil, which has been clinically proven safe and mild for skin) daily to the penis, being sure to cover the entire area. These penis-specific cremes are specially formulated, using natural bases like Shea butter and vitamin E that not only heal and hydrate the skin but also lock in moisture. Choose a crème that also includes other ingredients like L-Carnitine which promotes penile sensitivity and L-Arginine, which increases blood flow to the penis for strong, firm erections.

    A smooth penis is a great way to gain confidence, stay healthy, and enjoy a dynamic sex life.

    Article Source: https://EzineArticles.com/expert/John_Dugan/190762

    Discolored Penile Skin