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Q&A: Skin Procedures

This is a question we are asked frequently.  First of all, we should all be doing daily skin care to take care of our skin.  This should include using a cleanser, chosen for your particular skin type, an anti-aging product, moisturizer and a sunscreen.  The Clarisonic Pro Face and Body Brush, uses ultrasonic technology to gently exfoliate the skin.  It removes  6 times more make-up and oils than manual cleansing, which allows for 61% better absorption and penetration of your skin care products.  Typically we see patients using various products purchased at numerous department stores many of which offer very little therapeutic value.  As a result, we assembled the WIFH Skin Treatment Program which includes skin care products tailored to meet your unique needs and we provide you step by step instructions on how to use them.  We began offering this five years ago and our patients love it.  In that regard, it is priced very reasonably as we are not believers in spending thousands of dollars on skin products unnecessarily.

Microdermabrasion and chemical peels remove the first layer of skin that can make your skin look dull and accentuate those fine lines and wrinkles. By removing this layer it exposes a fresh layer of skin leaving your skin looking radiant and glowing.  Microdermabrasion takes about 30 minutes; it’s painless and polishes the skin.  Peels do just what they say; they cause the skin to peel.  Our patients love the results these provide and help remove some sun damaged skin as well as help reduce pore size and fine lines and wrinkles.

If you are looking  for something a little more aggressive to reduce pore size, fine line/wrinkles, sundamage or minimize old scars (acne or chickenpox) then you may want to consider the Affirm Laser.  We recommend having  8-sessions, one each month.  Our patients experience redness after this procedure, which may last up to 24 hours, however you can put make up on right away.  The Affirm reduces pore size and sun damage and is safe on all skin types.  We have treated many people with dark skin types without complications.

Hands-down it is fractional CO2.  Fractional CO2 is the creme de la creme of skin resurfacing procedures available on the market today. This is the best procedure for the correction of fine lines, skin tightening, sun damage and wrinkles.  Consumers looking for fractional CO2 treatment should be aware that this procedure requires the doctor using the laser to have extensive experience with lasers.  In addition, this procedure is not for people with dark skin types or those that are tan at the time of the procedure.  There is some down-time associated with Fractional CO2 and although, you will not experience pain during or after the procedure, you probably won’t want to be out with your friends or coworkers for a few days.

The procedure requires you to take an anti-viral pill beginning one day prior to your scheduled procedure.  On the day of treatment, the patient should arrive one hour before your scheduled procedure time, so we can apply a topical numbing medicine to your face.  Following your 20 minute CO2 procedure,  we apply Aquaphor to your face and you may drive yourself home.  Expect “pinpoint bleeding” that evening and to have substantial redness and blotchiness which should resolve over the next 4 days.  We can reduce the laser settings to reduce downtime but of course it also reduces effectiveness.  Most patients will notice a “sunburn like” appearance up to ten days post procedure.  In cases of severe acne scarring a second procedure is sometimes necessary.  It should be scheduled approximately six weeks following your initial procedure.

Dr. Kulkin, what are your thoughts about skin tightening procedures?

I am not an advocate of many of the laser and radio frequency technologies on the market for skin tightening.  As a result, we do not offer those procedures which are marketed primarily for skin tightening.  Skin tightening is a benefit of fractional co2 resurfacing, which we do offer.

Using a vacuum system and an assortment of treatment tips, the DermaSweep wand gently lifts the skin, removing the top layer and then vacuums away the dead skin.  The vacuum cleans the pores and increases blood flow to the skin's surface to encourage collagen formation. Skin specific treatments, called infusions, are then applied to the skin to address  conditions such as acne, hyperpigmentation and dehydration.

  • Reducing early aging lines
  • Hyperpigmentation     
  • Uneven skin texture   
  • Surgical Scars
  • Uneven skin texture                   
  • Acne                                   
  • Photo damage   
  • Improving overall skin health

The treatment is safe and painless.  The moisture of the topical treatment applied after exfoliation will leave your skin with a cool, refreshed feeling.  The risks associated with traditional microdermabrasion are eliminated.  DermaSweep does not use aluminum oxide crystals that can remain embedded in the skin and cause irritation.

The treatment can be done during a normally scheduled office visit and in most cases you can return to your normal activities.  However, it is advisable to avoid direct sun exposure for at least a few days after your treatment.

Typically, you will see results after the first treatment.  Lasting and more significant results will occur after 4 to 6 treatments spaced 10 to 14 days apart, supported by a daily post-treatment regime.

The DermaSweep MD system is a technological leap forward in the treatment of specific skin conditions and the improvement in overall skin appearance and health.  Unlike traditional microdermabrasion, the DermaSweep MD offers  9 treatment combinations to provide the most flexible and customized treatments that physicians can offer their patients today.

A chemical peel is a skin-resurfacing procedure in which a chemical solution is applied to peel away the top layers of skin to help erase fine lines and wrinkles, lighten discoloration and build collagen and elastin which tightens skin. The skin that grows back after a chemical peel is smoother and younger looking.

The skin will look slightly tan, yellow or red immediately after the peel. The first two days the skin will feel tight and pigmented areas might appear slightly darker. On approximately day three, you will begin to peel. The first signs of peeling usually begin around the mouth and by day six or day seven you will be done peeling.

A single peel will achieve some repair and add a healthy glow to the skin. Skin conditions like acne scars, pore enlargement and hyperpigmentation might require multiple applications to produce more dramatic results.