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  • Hydrocortisone cream for face

    Hydrocortisone cream for face

    Hydrocortisone cream works better to combat acne when it’s combined with other treatments.

    In one older study, benzoyl peroxide coupled with hydrocortisone worked better to calm breakouts than benzoyl peroxide used alone. The combination treatment worked better, in part, because hydrocortisone counteracted the redness and irritation that benzoyl peroxide can cause as it dries out the targeted acne.

    Hydrocortisone for face

    Hydrocortisone cream for pimples

    In larger pores, a clog becomes a blackhead. When a smaller pore gets clogged, a whitehead is usually the result. All clogged pores have the ability to evolve into the red, swollen inflammation that people call pimples. If this happens, hydrocortisone can reduce the swelling and redness.

    If the blackheads or whiteheads just look like tiny specs, hydrocortisone won’t likely provide any visible improvement. Instead, your pharmacist can recommend an over-the-counter treatment that specifically targets these types of acne.

    Hydrocortisone cream for cystic acne

    Cystic acne is a more severe form of acne. It usually appears as red, hard, tender, and very irritated nodules. Because inflammation is a key aspect of cystic acne, hydrocortisone cream can help, at least to some extent.

    While hydrocortisone can usually make this type of acne appear less red and swollen, it’s a temporary, cosmetic fix, rather than a long-term solution.

    How to use hydrocortisone cream for face acne

    To treat your acne with topical hydrocortisone cream:

    • gently wash your face with a nonirritating cleanser.
    • apply a dab of hydrocortisone cream and softly rub it in.
    • use it once to four times per day when inflammation is present.

    You might also consider using a mild, fine-grained product to exfoliate your skin up to three times per week.

    How to avoid Post inflammatory hyperpigmentation

    A soothing bit of hydrocortisone on face or body areas can be a savior after irritation from waxing, depilatories, laser treatments, peels, microneedling, and other common cosmetic procedutes especially in darker skin tone patients.

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    New studies demonstrated that the degree of UVB-induced erythema and hyperpigmentation were reduced in parallel manner by applying topical cortico­steroids immediately after UVB irradiation. This observation has led us to speculate that anti-inflammatory properties of topical corticosteroids may have beneficial effects in minimising the risk of PIH occurring after laser irradiation.

    Hydrocortisone cream for face Side Effects

    Stinging, burning, irritation, dryness, or redness at the application site may occur. Acne, unusual hair growth, small red bumps on the skin (folliculitis), skin thinning/discoloration, or stretch marks may also occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

    If your doctor has directed you to use this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

    If the treated area starts to bleed, especially if you are using this product for anal itching, contact your doctor right away.

    A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

    This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

    Hydrocortisone cream for face precausions

    Before using hydrocortisone, tell your doctor or pharmacist if you are allergic to it; or to other corticosteroids (such as prednisone, triamcinolone); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

    If you have any health problems, consult your doctor or pharmacist before using this product.

    If you have itching of the outer female genitals with vaginal discharge, consult your doctor before using this product.

    Do not use if there is an infection or sore in the area to be treated. Skin infections can become worse when this medication is used. Tell your doctor promptly if redness, swelling, or irritation does not improve.

    Children may be more sensitive to the effects of too much corticosteroid medication. Consult your doctor for more details.

    During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

    It is not known whether this drug passes into breast milk when applied to the skin. Similar medications pass into breast milk when taken by mouth. Consult your doctor before breast-feeding.

    Interactions

    Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

    Notes

    Do not share this medication with others.

    If prescribed by your doctor, use this medication for your current condition only. Do not use it later for other skin problems unless told to do so by your doctor. A different medication may be necessary in those cases.

    Keep all medical and lab appointments.

    Missed Dose

    If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

    Storage

    Refer to the storage information printed on the package. Protect from light and moisture. If you have any questions about storage, ask your pharmacist. Keep all medications away from children and pets.

    Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

    hydrocortisone 1 % topical cream

  • Under Eye Filler Before And After Photos❤

    Under Eye Filler Before And After Photos❤

    What is under eye filler? A tear trough is a deep crease between the lower eyelid and upper cheek, and as we age we can experience volume loss in this area which can leave dark circles, shadows and hollows around the delicate under-eye area. This can often make us look tired, older, haggard and run down, even when we are perfectly rested and well hydrated. This can be easily treated with under eye filler.

     cheek augmentation & under eye filler before and after
    cheek augmentation &tear trought correction

    Under eye filler bruising

    One of the most common side effects of dermal fillers is bruising. Even if you have never bruised before, it is always a possibility. Why? Because bruises are just a small hematoma; they occur when small blood vessels get punctured and leak into the soft tissue beneath. The good news is there are some tips and tricks up our sleeve that you can use to help reduce the bruising pre- and post-treatment.

    At  Niayesh Beauty Clinic we use FDA- approved dermal filler and Cannulas are used to place filler under the very thin muscle layer, which results in a more natural appearance with minimal-to-no bruising.

    Under eye filler before and after

    Pre-Appointment Tips

    • There are medications that you may want to consider stopping 1 week prior to your appointment (and with your doctor’s consent.) These medications thin your blood, making it more difficult for it to clot, increasing the likelihood you will bruise following your procedure. This list includes:
      • Aspirin
      • Excedrin
      • Ibuprofen (Motrin, Aleve, Advil)
      • St. John’s Wart
      • Fish Oil
      • Vitamin E
      • Ginko Biloba
      • Ginseng
      • Fenugreek
      • Garlic
    • No alcohol or green teas 1-2 days before injections
    • Eat fresh pineapple, it contains bromelain which has been know to decrease bruising
    • Take Arnica tablets for a couple of days leading up to your appointment. Arnica is a homeopathic remedy to help prevent bruising/swelling.
    • under eye filler

    tear trough correction before and after
    under eye filler

    Tear trough filler aftercare

    Congrats on your new fillers! Here are a few tips to avoid bruising after your procedure:

    • Avoid alcohol for 1-2 days after injections
    • Avoid vigorous exercise for 1-2 days
    • Wait 24 hours before applying makeup
    • Apply Arnica gel, it will help you heal faster
    • Apply ice packs. The ice contracts the blood vessels and lessens the chance that your bruise will spread.

    While these tips and tricks can help, we always recommend planning to get your fillers done 1-2 weeks before any big event or photoshoot. It is best to aim for 2 weeks if you are someone who bruises easily.

    tear trought correction
    tear trought correction

    Recovery time

    Dermal fillers work very quickly, and you won’t have to wait twelve months to see the full benefits of your injections. That said, these injectable treatments take some time to integrate into your tissues, and it’s normal for your dermal filler to take up to two weeks to fully settle into your face.

  • NANOFAT FOR DARK  CIRCLES BEFORE AND AFTER PHOTOS

    NANOFAT FOR DARK CIRCLES BEFORE AND AFTER PHOTOS

    Nanofat For Dark Circles

    Nanofat for dark circles refers to the very small particles of fat that are specifically filtered and emulsified and used for areas to be  injected, in this process the harvested fat filtered and emulsified  to obtain nano-particles.This emulsion contain high percentage of stem cells,endothelial cells, monocytes, macrophages and granulocytes which activation of stem cells increases collagen production. 

    The major effect of nanofat application is  tissue regeneration and rejuvenation especially  for correction of undereye circles and improvement of injured skin. During processing and filtering  harvested materials many fat cells  die (cell apoptosis) so nanofat injection do not have the capacity to build up a significant  volume.

    In fact, because of the lack of adipocytes, the volumetric effect of nanofat is obviously very limited. On the other hand microfat grafting has been used to build up large volumes and tissue enhancement in the face, breasts or buttocks. Therefore, the indications for nanofat injection are different when compared with microfat grafting. Therefore, nanofat could apply dirrectly or the eyelids without risk of lumpiness and irregularity.

    before and after tear trough correction
    midface fat graft

    Nanofat For Dark Circles

    The main problem after nanofat transfer to under eyes are swelling, bruising, redness at injection site and some edema which may last up to 2-3 weeks to resolve.

    During 48 hours after fat grafting it is recommended to cool down the area and sleep in semi sitting position for fastest recovery and stay away from blood thinning drugs such as omega 3, ibuprofen for a few weeks.When properly performed, a nanofat transfer can last a long time.

    Macrofat  and microfat could transfer to the deepest tissue depth as well as periostium with blunt tipped cannula, however nanofat could apply to most superficial skin layer with sharp needle technique.

    Nanofat injection technique

    Nanofat Grafting Article Written by Dr. Mosaferian:

    https://www.imcas.com/es/academy/blog/795/nanofat-transfer-for-acne-scar

    Nanofat Injection cost

    Treatment of facial aging changes with nanofat  injections must  be carefully individualized to match each patient’s aesthetic needs and desires.

    An individualized surgical plan is developed which addresses each patient’s specific concerns and needs.
    Therefore, the price of a facial fat grafting will depend on exactly what each person needs and the time required to perform surgery.

    nanofat for dark circles
    fat graft and double chin lipo

    fat injections side effects

    Fat injections side effects are few, rare, and minimal. Soreness and swelling are most  experienced complications. Infection presenting  may affect graft survival. Viral infections or herpes infection have also been reported at the site of cannula entry.

    Fat embolism, particularly if injected with sharp needle. Cyst formation is more common when a large amount of fat is transferred.

    Skin necrosis and sinus formation may result from overfilling or over augmentation of the desired site. Compression atrophy may result from over augmentation with associated avascular necrosis due to excessive pressure on vasculature which can result in arterial or venous thrombosis.

    Haematoma or seroma formation may occur more commonly if blunt cannulae are not used and when the patient is on other anticoagulant medication or supplements providing an anticoagulant effect.

    Nanofat undereyes

    Nanofat undereyes before and after

    Nanofat PRP

    In  nanofat transfer, the addition of platelet rich plasma (PRP) can be used to optimize the results by vascular proliferation around gafted fat cells. Just like the fat itself, the PRP is harvested from the patient’s own body, and then spun to concentrate the wound-healing platelets. The use of s PRP greatly increases the proportion of fat cells that survive the traumatic transfer process, ensuring the most efficient use of tissue and the enhancing the results.

    Nanofat intradermal injection
  • ❤THE SECRET OF DROOPY EYELID AFTER BOTOX IN 2024

    ❤THE SECRET OF DROOPY EYELID AFTER BOTOX IN 2024

    Droopy Eyelid (Ptosis) After Botox Injection

    Botox is one of the best therapeutic weapons available for the treatment of facial dynamic wrinkles but it occasionally  migrates to underlying structures and  can result in a droopy eyelid — also called ptosis. True eyelid ptosis is a very rare complication following Botox injection. This occurs as a result of migration of the toxin into the muscle that raises the eyelid (levator palpebrae superioris muscle ).

     How to avoid Ptosis from botox?

    Corrugator supercilli muscle originates from the bone medially and attached to the superficial skin laterally so contraction of this muscle causess frown lines in the forehead. Traditionally glabellar area injected in 5 points to eliminate depressor effects of the muscle and prevent 11 lines in the midline.

    Deep and high doses of botulinum toxin injection to the lateral portion of the corrugator muscle may causes diffusion of the product to the underlying structures such as levator palpebrae muscle and causes lid ptosis. Very small and superficial microinjecton of botox at the laterlal end of the muscle will prevent distal diffusion of the product. Moreover, for weak corrugator muscle and shallow frown lines changing 5 to 3 injection pionts strategy will reduce the risk of complications significantly.

    forehead anatomy and  standard botox injection points
    botox injection points

    How long after botulinum toxin does ptosis occur?

    Effects of botulinum toxin  (Botox, Dysport and Xeomin) peak between 3 and 7 days with 5 as the average.  One would expect droopy eyelid to occur by that time.

    How long will droopy eyelid last?

    Botox is a temporary treatment  can last three to seven months, but the droopy eyelids will typically go away in 3 to 4 months completely  without any side effects to the eyes and vision.

    pictures of eyelid droop after botox
    droopy eyelid botox

    How to reverse droopy eyelid from botox?

    Botox is always temporary and over time  lid will return to its normal position.  Iopodine drops do help this problem,  However the drops will help for a few hours at a time and then  lid will droop again until the Botox wears off.

    Eyelid Ptosis Treatment

    Blepharoptosis occurs due to weakness of the levator palpebrae superioris muscle. Mean onset is 3–14 days after injection and eventually self-resolves after the paralytic effect of BoNT-A wanes. Administration of medications, such as oxymetazoline hydrochloride or apraclonidine hydrochloride eye drops, anticholinesterase agents, or transdermal Botox injections to the pre-tarsal orbicularis, can at least partially reverse eyelid ptosis.

    Having said that , eyelid Lifter  are Invisible and  Waterproof strips that lift eyelid very fast and efficient before the effect of eyelid drops start or as an alternative to the treatment.

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    study shows that a supraorbital foramen may be present in some patients and constitutes a shortcut from the brow area directly into the orbital roof, following the supraorbital neurovascular pedicle.

    Botox injection
  • THE MAGIC OF ACNE SCAR TREATMENT WITH SUBCISION IN 2024

    THE MAGIC OF ACNE SCAR TREATMENT WITH SUBCISION IN 2024

    What is scar subcision?

    Scar subcision is a special type of acne treatment that is best suited for those who have very deep “rolling” acne scars. Basically, after the injection of some local anesthetic, a needle is inserted under the scarred area and moved back and forth, breaking up the scar tissue. This releases the overlying skin and generally decreases the depth of the scar depressions.

    atrophic scar treatment before and after
    acne scar treatment

    Subcision vs Microneedling

    It is a simple procedure, the main disadvantage being that the procedure must be repeated multiple times under each of the depressed areas that is being targeted. Scar subcision does work on “ice pick” type scars, however for these “rolling” scar depressions it is an ideal treatment.

    Most people notice significant improvement; however those who experience the best results are probably those who combine this procedure with another treatment modality such as micro needling. 

    acne scar types
    acne scar types

    Technique

    Both subcision and microneedling improve the appearance of scars by creating wounds in an effort to break up scar tissue and trigger collagen regrowth. Microneedling involves the use of a microneedling pen with several small needles that glide across the skin at different depths and speeds. Subcision is achieved with one larger gauge needle that is injected into scars at different angles and depths to break up scar tissue.

    The mechanism of subcising deeper scar tissue also seems to be more effective than that of microneedling. It often takes fewer subcision treatments than microneedling treatments to achieve comparable improvement of depressed scars. Microneedling needles are limited to penetrating at best 2.5 mm beneath the skin surface, while subcision allows the freedom to penetrate deeper into the dermis to reach deeper dermal scars. This treatment also creates larger channels within the scar tissue, which create more space for collagen regrowth, while microneedling does not.

    This technique  is an excellent treatment for rolling or boxcar-type acne scars, which often have fibrous attachments holding the base of the scar down to the underlying deeper tissue. After the surrounding skin is anaesthetised, a small needle is carefully inserted under the skin to sever and release these attachments beneath the scar.

    During the healing process, collagen remodelling occurs and new collagen is laid down beneath the scar, further improving the smoothness of the skin. Occasionally a filler substance (hyaluronic acid) can also be injected under the scars after the procedure, to make the scar look less visible and to produce further enhancement.

    forehead scar treatment before and after
    subcision before and after

    Side effects

    Subcision is the gold standard for treating depressed scars. When doing this procedure, the area needs to be marked and then anesthetized.The numbing is often the most difficult part as it is uncomfortable. Postoperatively bruising is the most common side effect.

    Also, the insertion site of the needle or blade used to perform the subcision may create a scar in itself which will resolve after few weeks.lumpiness and  redness may occur over the  area that may be due to hematoma or hard fibrous scar tissue which forms after any skin trauma but as more elastin cells form  skin will soften and the lump will flaten out.

    subcision with filler before and after
    subcision with filler

    cost

    In most cases acne scares need two procedure in one session for example a combination of subcision and micro needling may perform for deep scars and the cost will be individualized for each case.

    subcision

    subcision reviews

    This procedure must be done only by trained doctors. It requires a lot of training to master this technique. Patients are advised to avoid anti-inflammatory medications, blood thinning medications (that can cause bruising after the treatment) and naturopathic treatments a week before and after the procedure.

    Subcision with the Cannula appears to be a safe method with high efficacy in the treatment and high satisfaction in patients as we observed an interesting cure rate (more than 50% after 2 sessions). It demonstrates to be a safe procedure because it performed by single perforation in each side instead of multiple perforations that helps to reduce the patients’ pain and risk of scars. In other hand Cannula-based Subcision needs considerable fewer sessions of surgery and also less recovery time.

    Subcision Recovery Time

    There is some minor downtime associated with this treatment, and patients are advised to avoid strenuous activities for 48 hours following the procedure. Side effects may include bruising and swelling on the treatment area.

    The results are permanent and are usually noticeable after 2-3 treatments, but this may vary from patient to patient.  Treatment may also be combined with micro needling, Fractional CO2 laser or PRP (platelet rich plasma) therapy for optimum results.

    subcision with filler

    Injecting acne scars and nasolabial or marionette lines with fillers or person’s own fat can be a very satisfying procedure with relatively minimal downtime. However, because scars and skin septae may tether down the skin, some of these indented scars cannot be smoothed out with filler alone.

    Benefits of filler

    Because the center portion of the indented acne scar is tethered down with collagen fibers, the filler tends to extrude around the tethered area to create a “doughnut effect.” In other words, the indentation barely improves, and the edges of the acne scar become filled and rise up higher, worsening the overall appearance.

    In these cases, some subcision is helpful in untethering the collagen fibers to allow the filler to lift up the central portion of the indented scar. Without subcision, the filler does not have enough “hydraulic” pressure to push out the indentation.  This technique allows patients to experience the benefits of therapy with relatively little recovery time.

    subcision
  • High SPF Sunscreen😎

    High SPF Sunscreen😎

    Sunscreen, also known as sunblock or sun cream, is a photoprotective topical product for the skin that mainly absorbs, or to a much lesser extent reflects, some of the sun’s ultraviolet (UV) radiation and thus helps protect against sunburn and most importantly prevent skin cancer.

    Sunscreens come as lotions, sprays, gels, foams (such as an expanded foam lotion or whipped lotion), sticks, powders and other topical products. Sunscreens are common supplements to clothing, particularly sunglasses, sunhats and special sun protective clothing, and other forms of photoprotection (such as umbrellas).

    Sunscreen types

    Sunscreens are classified into inorganic (mistakenly called ‘physical’) sunscreens (i.e., zinc oxide and titanium dioxide) and organic (also, mistakenly referred to as ‘chemical’) sunscreens.

    Despite popular belief, both types of sunscreens work mainly by absorption of UV light, not by reflecting or scattering it.

    Medical organizations such as the American Cancer Society recommend the use of sunscreen because it aids in the prevention of squamous cell carcinomas.The routine use of sunscreens may also reduce the risk of melanoma. However, many sunscreens do not block ultraviolet A (UVA) radiation, yet protection from UVA is important for the prevention of skin cancer.

    Research by the FDA on the safety of the main three organic UV filters (oxybenzone, homosalate and octocrylene) found that the three ingredients could be detected on the skin, in blood, in breast milk and in urine samples weeks after no longer being used.

    To provide a better indication of their ability to protect against skin cancer and other diseases associated with UVA radiation (such as phytophotodermatitis), the use of broad-spectrum sunscreens has been recommended.

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    Why you should avoid sunscreen higher than SPF 50?

    SPF (short for “sun protection factor”) is a measure of how well a sunscreen protects you from UVB. It seems like an SPF 100 sunscreen would give you double the protection of an SPF 50 sunscreen. But the truth is that higher-SPF products are only marginally better at shielding you from UVB, according to the Skin Cancer Foundation. SPF 30 blocks nearly 97% of UVB radiation, SPF 50 blocks about 98%, and SPF 100 blocks about 99%. 

    A higher SPF product might also encourage you to stay out in the sun longer. Moreover, researches indicate the higher SPF ,the more side effects due to complexity of ingredients. Instead, choose an SPF between 15 and 50, apply liberally, and reapply often.

    Sunscreen side effects

    Some sunscreen products (such as those containing aminobenzoic acid or para-aminobenzoic acid/PABA) may stain clothing.

    Some ingredients of higher SPF sunscreens can cause the skin to become more sensitive. If a sunscreen causes redness or irritation, wash it off and stop using it. Talk to your doctor about using another sunscreen product with different ingredients.

    Avoid sunsreen cream just after skin resurfacing procedures such as or microneedling or CO2 laser for 48 hours, because your skin become more sensitive, instead apply zinc oxide as well as repairing cream.

    higher SPF sunscreen
    higher SPF sunscreen good or bad?

    Higher SPF side effects

    A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash , itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

    Sunscreen and breastfeeding

    According to FDA Food and Drug Administration only two sunscreen ingredients, PABA and tolamine salicylate, have been found dangerous in nursing mothers.

    Some other sunscreen ingredients — including oxybenzone, avobenzone, ensulizole, octisalate, homosalate, octocrylene, and octinoxate — have been used for many years. But the FDA has called for more studies on these ingredientsTrusted Source to confirm their long-term safety.

    There are two ingredients that the FDA has established as generally safe for use by all people: zinc oxide and titanium dioxide. They’re natural minerals that physically block the sun’s harmful rays from getting to your skin.

    Zinc oxide and titanium dioxide are the main ingredients in physical sunscreens, which are also known as mineral sunscreens.

    Sunscreen for kids

    Mineral sunscreens are the best for children, people who are pregnant or breastfeeding, and those with sensitive skin.

    Mineral sunscreens do tend to be more expensive than their chemical counterparts. You can sometimes buy in bulk and save money.

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    Broad spectrum and water-resistance

    Sunscreen should always be broad spectrum (protects against both UVA and UVB rays), SPF 30 or higher, water resistant (if you will be swimming or sweating), applied 15 minutes before you go outside, and reapplied every 2 hours while you are outside.

    Sunscreen night cream

    One mistake that people make is using their moisturizer with SPF when they go to sleep as a nighttime moisturizer. There is no need to use SPF at night, as it can unnecessarily dry out the skin or clog the pores.

    Sunscreens and sunblocks may potentially be clogging your pores since they contain heavier ingredients used for day time. Certain sun-protection ingredients may clog pores for skin types prone to congestion and breakouts—especially if you sleep on your stomach and your face is constantly in contact with your pillow at night. Also, SPF is a larger molecule and you don’t want it pressing into your skin while you sleep at night, creating larger pores.

  • MICRONEEDLING BEFORE AND AFTER PHOTOS IN 2024❤

    MICRONEEDLING BEFORE AND AFTER PHOTOS IN 2024❤

    what is microneedling?

    Microneedling devices include rollers with wheels of needles and pens with a cluster of needles at the tip. The slight injury they cause stimulates the growth of collagen, the scaffolding under the skin, which then improves the appearance of some scars and wrinkles. The technique works great for sunken areas on the skin caused by acne, but not for deep, narrow “ice pick” scars
    Micro Needling creates visible results with no downtime.

    The skin needling treatment helps reduce ageing lines, scars, stretch marks and skin concerns.
    This type of skin treatment stimulates the skin to regenerate and repair itself naturally and safely, creating visible results with minimal downtime. Micro Needling can help to reduce the appearance of fine lines, scars, stretch marks and other skin concerns.

    Collagen Induction Therapy


    The idea behind Collagen Induction Therapy (CIT) is similar to that of many other non-surgical skin-tightening procedures in that it aims to create a controlled injury underneath the skin’s surface, thereby inducing the body to respond through the formation of new tissue layers of elastin – and collagen fibres (neo-collagenesis) as well as new capillaries for an improved blood supply (neo-angiogenesis) in the treated area.

    The skin plumps and thickens in response to this stimulus, ultimately reducing the appearance of scars, and fine lines and other skin texture changes. In addition to CIT, the channels made from the micro-needles allow topical gels and creams to be absorbed more effectively through the top layer of skin.

    What are the effects of microneedling on the skin

    Micro needling improves the skin by improving thickness of the dermis as well as the epidermis. This in return improves skin texture and reduces wrinkles. 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

    How does microneedling compare with other skin treatments?

    As already mentioned, medical micro needling is a non-ablative treatment i.e does not remove the top layer of skin. Alternatives are the ablative skin treatments such as lasers, chemical peels and derm abrasions which do remove the top layer of skin and subsequently have more down time and associated side effects and possible risks.

    However, in situations where the top layer of skin is more obviously affected with more severe changes in colour, wrinkles and quality of skin, then ablative treatments with subcision may be indicated and preferred over non ablative skin treatments.

    atrophic scar treatment before and after
    micro needling before and after

    What areas of the body and face can I do?

    Unlike ablative procedures which are mainly used for facial skin, the Medical Micro needling can be used on all skin parts of the body (neck, décolleté, arms, leg) and face

    How Is Dermapen Different From Dermal Needling Rollers?

    Automated micro-needling devices move in a vertical direction for better precision when treating the skin. Unlike Automated Micro-needling the roller does not create a precise vertical action.

    The lack of precision can contribute to greater discomfort and inconsistent effects to the skin.

    How Is Microneedling Different From Laser?

    Unlike lasers, Dermapen breaks up pigment mechanically and stimulates the collagen formation without heat. Removing heat from the equation makes for a safer, more comfortable treatment with a very low complication rate.

    No heat also equals less downtime! Most Eclipse Dermapen patients are red for 24 hours or less. That advantage means you can get the procedure performed on a Friday and be back to normal for work on Monday.

    Different Microneedling Depth in the face
    Microneedling Depth

    How Is The Procedure Done?

    A sterile cartridge containing 12 tiny micro-points is attached to the Dermapen. Your skincare professional will apply a thin layer of topical gel to your skin and select the appropriate treatment setting based on your unique needs.

    Next, in a single motion, the pen will be gently pressed against the skin while simultaneously gliding until the entire treatment area has been covered. This process results in thousands of superficial microscopic channels throughout the entire treatment area.

    For melasma treatment using tranexamic acid serum along with microneedling would resolve hyperpigmentation efficiently.

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    Please click on the following link to watch Dermapen treatment

    Micro needling

    :Instagram address

    https://instagram.com/hosseinmosaferian

  • Russian Lip Filler Before And After💋

    Russian Lip Filler Before And After💋

    What is russian lip filler? This new trend has introduced a brand new shape to the lips, providing a flatter, wider look to match the one supported naturally by Russian women. The trend began due to the desire for lips that are larger in volume and plumpness, without the worry of filler migration or the ‘duck lips’ and ‘trout pout’ look that many want to avoid when having lip filler. Russian Lips derive from the ‘Russian Doll’, where they form a heart shape in the centre with a flatter, higher appearance.

    However this look isn’t for everyone, and although this technique does avoid filler migration, it doesn’t necessarily look more natural than the more common lip filler technique.

    russian lip filler before and after
    russian lips

    Russian lip filler technique

    The technique involves injecting tiny droplets of dermal filler into the lip, mainly focused around the centre to achieve the heart-shaped look. Filler is injected vertically into multiple injection points and dragged upward from the base to the top of the lip, rather than horizontally with traditional lip augmentation. Russian Lips are larger in height rather than volume, which requires a longer treatment time due to an increase of product needed to achieve the desired look.

    lip augmentation before and after
    russian lips

    Russian vs French Technique

    So what is the big difference between standard lip filler (French Technique) and Russian lip filler technique?

    Typically, French lip fillers are injected horizontally into the lip, resulting in an evenly spread volume and fullness effect. However, in order to execute the Russian filler technique, your provider will opt for a smaller syringe and inject small amounts of filler vertically, focusing in on the center of the lips. Another key difference is that the Russian lip filler technique aims to heighten the lip, focused in on the center, rather than to add overall plumpness throughout the lips, thus providing that heart-shaped look. 

    Additionally, your Russian treatment may take longer than a standard lip filler appointment due to the necessary precision required to fill only a specific region of the lips. The procedure may last approximately between thirty minutes to an hour, and may result in additional bruising and swelling , which is completely normal and temporary. Your provider will also be able to relay an accurate timeline for the lifespan of your Russian lips, but generally your Russian lip fillers will last as long as standard lip fillers do, being anywhere from six to twelve months.

    lip filler french style
    French Lip Filler

    Side Effects

    After receiving lip filler injections, swelling can be easily managed by applying ice to the lip area. Gently apply an ice pack wrapped in a towel or a cold compress to the lips. Be sure to use soft cloth and do not to use anything that could stick to the lips, as this could worsen the discomfort.

    It is recommended that you drink plenty of water and eat lots of healthy fruits and vegetables after your procedure. Avoid very salty or spicy foods, as these can irritate the lips. Staying hydrated and eating well can help the body heal.

    At night, you may wish to sleep with your head elevated to reduce blood flow and fluid retention in the area overnight. Avoid sleeping on your face.

    Having said that, swelling should go down within 2–3 days after your lip filler treatment, and should subside completely within 2 weeks post-treatment.

    Russian Lip Filler Cost

    How Much Do Russian Lips Cost? Just like any dermal filler application, you pay for the cost of each syringe used in the process. So, the price for the filler is no different for Russian lips, however the technique often requires more filler to be used.

    lip filler
  • Adrenaline Injection In Aesthetics❤

    Adrenaline Injection In Aesthetics❤


    Adrenaline injection is used along with emergency medical treatment to treat life-threatening allergic reactions caused by insect bites or stings, foods, medications, latex, and other causes. Adrenaline is in a class of medications called alpha- and beta-adrenergic agonists (sympathomimetic agents)

    Adrenaline should be used with caution in patients with:

    • hyperthyroidism, psychoneurosis, phaeochromocytoma, narrow angle glaucoma, diabetes mellitus, hypokalaemia or hypercalcaemia.

    • severe renal impairment, prostatic hypertrophy or urination difficulty

    • cerebrovascular disease, organic brain damage or arteriosclerosis

    • autonomic dysreflexia (hyperreflexia), particularly in spinal cord injury (e.g., tetraplegics)

    • shock (other than anaphylactic shock)

    • organic heart disease or cardiac dilatation (severe angina pectoris, obstructive cardiomyopathy, hypertension) as well as most patients with arrhythmias. Anginal pain may be induced when coronary insufficiency is present.

    Adrenaline should be used with caution in older patients

    Adrenaline should be used with extreme caution in patients with long-standing bronchial asthma and emphysema who have developed degenerative heart disease.

    Adrenaline should be used cautiously, if at all, during general anaesthesia with halogenated hydrocarbon anaesthetics (See section 4.5).

    Adrenaline should not be used during the second stage of labour (See Section 4.6).

    Accidental intravascular injection may result in cerebral haemorrhage due to the sudden rise in blood pressure.

    adrenaline injection
    adrenaline injection

    Adrenaline injection in asthetics

    Tumescent anesthesia involves the injection of a very dilute local anesthetic solution, coupled with epinephrine and sodium bicarbonate, into tissue until it becomes firm and tense (tumescent). The technique was initially pioneered in the 1980s for the purposes of liposuction, but its application has since expanded to cover a variety of surgeries.

    The maximum recommended dose of lidocaine, with or without epinephrine, has not historically been applied to tumescent anesthesia. The American Society of Plastic Surgeons (ASPS) has endorsed higher doses of lidocaine in tumescent anesthesia based on available data. Additional studies have suggested that liposuction itself reduces systemic lidocaine absorption, as well as peak serum lidocaine concentrations. Peak serum concentrations typically occur 13–14 hours following initial infiltration.

    Interaction with other medicinal products and other forms of interaction

    Sympathomimetic agents/Oxytocin:

    Adrenaline should not be administered concomitantly with oxytocin or other sympathomimetic agents because of the possibility of additive effects and increased toxicity.

    Alpha-adrenergic blocking agents:

    Alpha-blockers such as phentolamine antagonise the vasoconstriction and hypertension effects of adrenaline. This effect may be beneficial in adrenaline overdose. (See section 4.9).

    Beta-adrenergic blocking agents:

    Severe hypertension and reflex bradycardia may occur with non-selective beta-blocking drugs such as propranolol, due to alpha-mediated vasoconstriction.

    Beta-blockers, especially non-cardioselective agents, also antagonise the cardiac and bronchodilator effects of adrenaline. Patients with severe anaphylaxis who are taking non-cardioselective beta-blockers may not respond to adrenaline treatment.

    adrenaline injection
    adrenaline injection for lipo

    Lidocaine maximum dosage

    on the other hand, lidocaine doses between 35 mg and 55 mg/kg can be used in tumescent anesthesia administered for liposuction or nanofat grafting. Best current evidence suggests reducing this dose to 28 mg/kg for tumescent anesthesia undertaken for other procedures.19 Despite the relative excellent safety record for this technique, the same care and caution for minimizing the risk of local anesthetic toxicity (LAST) must be applied 

    Overdose of adrenaline injection

    The most common side effects of Adrenalin include:

    breathing problems, fast or pounding heartbeats, pale skin, sweating, nausea,vomiting, dizziness,weakness or tremors,throbbing headache,feeling nervous,anxious, and fearful.

    After overdosage or inadvertent intravenous administration of usual intramuscular subcutaneous doses of Adrenaline, systolic and diastolic blood pressure rise sharply; venous pressure also rises. Cerebrovascular or other haemorrhages and hemiplegia may result, especially in elderly patients. Pulmonary oedema may occur.

    Adrenaline overdosage causes transient bradycardia followed by tachycardia and may cause other potentially fatal cardiac arrhythmias. Kidney failure, metabolic acidosis and cold white skin may also occur.

    Treatment

    Because Adrenaline is rapidly inactivated in the body, treatment of acute toxicity is mainly supportive.

    The pressor effects of Adrenaline may be counteracted by an immediate intravenous injection of a quick-acting alpha-adrenoreceptor blocking agent, such as 5-10 mg of phentolamine mesylate, followed by a beta-adrenoreceptor blocking agent, such as 2.5 – 5 mg of propranolol. Arrhythmias, if they occur, may be counteracted by propranolol injection.

  • How To Restore Your Skin Microbiome In 2023

    How To Restore Your Skin Microbiome In 2023

    What is skin microbiome?

    The human skin has 1 billion microbes (bacteria) per square centimeter and that natural bacteria maintains the skin’s immunity and prevents pathogenic growths. Skin microbiome is a community of microorganisms that live together. It plays an important role in assisting our immune system to defend our body from pathogens. “When our microbiome becomes unbalanced, we can end up compromising the task force of good bacteria that keeps our skin healthy, causing dryness and irritation.

    The topical application of probiotics has been shown to reduce the proliferation of harmful microorganisms that cause discomfort and irritation on the skin’s surface.” Non-living probiotics are actually common ingredients in skin care, whether it is labeled as probiotic skin care or not. The probiotic helps protect against UV rays, support skin barrier function and decrease skin sensitivity.

    What are prebiotics, probiotics, and postbiotics?

    • Prebiotics: Supplements or foods that contain a non-digestible ingredient that selectively stimulates the growth and/or activity of indigenous bacteria. “Think of them like fertilizer or food for good bacteria,” says dermatologist Dr. Joshua Zeichner, who names thermal spring water and oat extract as commonly used prebiotic ingredients.
    • Probiotics: Supplements or foods that contain viable microorganisms that alter the microflora of the host.
    • Postbiotics: Non-viable bacterial products or byproducts from probiotic microorganisms that have biologic activity in the host.

    skin repair microbiome
    skin microbiome

    How to restore your skin microbiome?

    The first step to restoring the skin microbiome is to assess the products in your regime. The ideal pH for the skin is just below 5. This is the pH that’s suitable for our skin to prevent the growth of pathogens. When we use products that are overly acidic or alkaline, we disrupt this natural pH balance and increase the likelihood of pathogenic bacteria getting into our skin flora.

    Avoid harsh cleanser

    It’s common to use harsh products these days to strip our pores and faces clean for a bare-faced sheen. However, these harsh ingredients can also remove our natural, dewy oils and destroy our skin’s eco-system.

    Eat a healthy diet

    While the gut and skin microbiome are different in nature, they are still interconnected.

    Skin Conditions and the skin Microbiome

    Your microbiome can change in ways that aren’t helpful. This imbalance is called dysbiosis. It’s not clear why this happens. But it’s linked to certain health conditions, including:

    • Eczema (atopic dermatitis)
    • Psoriasis
    • Acne
    • Rosacea
    • Wounds that don’t heal

    What is skin repair microbiome?

    Repair Microbiome Night Creme increases and optimize the moisture level and improve skin elasticity and skin microbiome. Proven ingredients boost the suppleness of your skin. The skin is left silky soft and the result is a healthy and vital skin.

    What is skin microbiome in cosmetics?

    Skin conditions, such as dryness, oiliness or reddening are instantly recognizable to the human eye or touch.  But what do we understand about the invisible community of micro-organisms on the skin’s surface that influences such conditions? Scientists selected  three bacteria which have the greatest impact on the three most common skin types, namely, dry, oily and normal skin:

    • Cutibacterium Acnes – an important gatekeeper that influences sebum production.
    • Staphylococcus Epidermidis – a keystone for healthy skin.
    • Corynebacterium Kroppenstedtii – a novel target for the control of skin redness

    skin repair microbiome
    skin microbiome

    How to Keep Your Skin Healthy?

    It’s hard to know how much you can change your skin microbiome, especially later in life. But there are some steps you can take to support it, and healthy skin in general:
    Don’t over-sanitize. You can upset the balance of your microbiome if you clean your skin too much, especially if you use lots of antibacterial products. Some experts think too much washing raises the odds babies will get eczema. But we need more research on this.
    Moisturize. This gives your skin barrier a boost. It’s especially helpful for certain skin conditions, like eczema or psoriasis. You don’t have to spend a lot of money on fancy creams. Petroleum jelly works just fine. Just make sure you stay away from harsh ingredients.
    Eat a balanced diet. Some research suggests that the microbes in your gut also affect your skin. The way this works isn’t clear. But it’s a good idea to eat lots of plant-based foods. Those have prebiotics (indigestible carbs like fiber) that good bacteria really like.
    Exercise. Physical activity is good for your overall health. It can also change your gut microbiome in a good way. That benefits your skin microbes, too.
    Get out in nature. There’s evidence that green spaces can help our microbiome and boost our mental and physical health.
    Treat medical conditions. Skin problems are common when you have certain unmanaged health issues. That includes diabetes and inflammatory bowel diseases, such as Crohn’s disease or ulcerative colitis.
    Quit smoking. Cigarette smoking is bad for you in lots of ways. Studies show it can cause inflammation and disturb your skin microbiome.

    Skin and co truffle therapy

    SKIN&CO Truffle Therapy Face Toner is an alcohol-free tonic suitable for all skin types. Formulated with soothing botanicals to remove excess oil and purify skin.

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    Benefits

    • Purifying: Plant-based oils antibacterial extracts purify and prevent acne producing impurities from entering pores, tightens the appearance of pores and skin, and reduces irritation and redness in sensitive skin.
    • Protecting: Antioxidant extracts rescue cells distressed by environmental aggressors and free radicals while protecting skin from further damage.
    • Brightening: Botanical extracts repair skin cells damaged by free radicals and environmental aggressors, protects skin from further damage, and brightens blemishes and discoloration.

    skin repair microbiome
    skin microbiome