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What’s the Difference Between Sculptra & Fillers?


Introduction

By now you have probably heard about Sculptra, an injectable treatment that stimulates natural collagen production. While this product has become a popular “new” treatment on social media, it’s actually been around since 1999! 

There are many questions we get at Elite Medical and Aesthetics about the differences between Sculptra and fillers, and this blog will help break down those differences and cover additional common questions. 😊 

Table of Contents

How is Sculptra different than fillers?

The main difference between Sculptra and hyaluronic acid (HA) based fillers is that Sculptra stimulates the production of natural collagen. Sculptra is an FDA approved injectable that replaces lost collagen for up to 2-4 years, making it a more natural treatment that dermal fillers. 

A more definitive breakdown of the two injectables is explained below 👇 

  • Traditional HA fillers are made of a smooth, gel-like substance called hyaluronic acid. Once this is injected into the desired area, there is an instant change in volume restoration after one treatment. HA fillers last around 10-12 months depending on the product and person and CAN be dissolved.
  • Sculptra, on the other hand, is made of Poly-L Lactic Acid (PLLA) that works to stimulate the body’s own natural collagen. Results are shown over a period of time and a series of treatments, rather than instantly. Results typically last 2-4 years and it CANNOT be dissolved.

Does Sculptra last longer than fillers?

Yes, Sculptra does last longer than fillers! As mentioned, Sculptra is made of PLLA, which is the same material sutures are made from for surgical stitching. PLLA stimulates collagen and elastin production. Overall, most people enjoy results around 2 years, and some up to 4 years. Whereas HA fillers, are metabolized over a 10-12 month time frame, depending on the filler product used. However, keep in mind that Sculptra injections do require a series of treatments, and HA filler results are typically immediate after one treatment.

Is Sculptra more expensive than fillers?

Per vial, Sculptra is priced similar to a syringe of filler (around $800 for a single vial). Keep in mind though, it does take an average of 3 treatments, and the number of vials needed is determined in a consultation prior to the treatment.

Overall, this does make Sculptra more expensive than HA fillers, but the results last longer than HA fillers typically. 

  • Note: injectable treatments like filler and Sculptra are an investment, especially when seeing a licensed and trained provider. “You get what you pay for” when it comes to treatments like these. Rest assured at Elite, we offer Cherry Payment Plans and Elite Wallet to help with budgeting. Learn more below 👇 

Is Sculptra safer than fillers?

There is not enough published evidence to prove that Sculptra is any safer than HA fillers. However, there is a theoretical decreased risk of vascular occlusion since Sculptra is more liquid than fillers. Dr. David Saadat said at a 2022 training in Valencia, CA that you can “put Sculptra anywhere” and “cannot occlude a vessel with it because it is a liquid” (when it is mixed correctly). A review of the literature does show cases of vascular occlusion but we cannot know how it was mixed. Infection, pain, swelling and bruising are always a risk any time you puncture the skin.  

So, basically all injectable treatments come with risks and potential side effects. It is important to go to a medically trained and licensed injector to ensure that your safety is top priority, regardless of the treatment/product is being administered. 

Does Sculptra treat different areas that filler can't?

Sculptra treats many of the facial areas that filler can with the exception of the lips and close to the eyes. See image for a visual on where Sculptra is most commonly injected.

There are a few areas on the body that Sculptra can treat as well, including:

  • Buttocks
  • Hips
  • Thighs
  • Upper arms

Is Sculptra permanent?

No, results from Sculptra are not permanent. While this injectable treatment has long-lasting results up to 2-4 years, the PLLA is still metabolized by the body over time. However, the production of collagen is natural and lasting, but keep in mind as we age we continue to lose collagen and elastin in our skin (hence, why this is a great anti-aging treatment 😉).

  • At EMA, we recommend talking to a provider about your aesthetic goals and concerns to ensure you are on a customized treatment plan best for you!

Which is better, Sculptra or Radiesse?

Which injectable is “better” for YOU is a question that should be discussed with your provider during a consultation, because some people are better candidates for different injectables. However, the main differences between Radiesse and Sculptra are:

Radiesse:

  • Provides instant volume in a single treatment when used at full strength
  • Can also be used diluted and used as a collagen stimulator similar to Sculptra
  • Produces collagen by acting like a bridge of minerals (calcium hydroxylapetite based)
  • Produces natural appearing results

Sculptra: 

  • Simply a stimulator for collagen production (takes up to 3 sessions for visible results)
  • Does not provide instant volume, but build’s the body’s own collagen
  • Produces collagen through an inflammatory process
  • Stimulates collagen using PLLA (the same material sutures are made of)
  • Produces natural appearing results

Sculptra and Radiesse are both considered advanced injectables and require specialized training to prevent side effects such as lumps, bumps, and inflammatory nodules. 

Again, it is best to consult with a provider to see which kind of injectable treatment is best suited for your anatomy, goals, budget, and time frame. Our providers take the time to assess and get to know clients on a more personal level, in order to provide the best treatment plan and provide explanations. 

Is Sculptra the best filler option?

Sculptra is a great injectable option for many people, however knowing if it is the best option for you is determined with your provider! It is important to learn about the various treatment options suitable for your concerns and goals, risk factors, what to expect, and ask as many questions possible! 

We pride ourselves on our thorough consultations where we put “people over profits” and genuinely help you decide what treatment is best for you, even if it’s no treatment at all!

Book a consult below to talk with one of our providers:


Elite Medical & Aesthetics is a premier med spa located in Lone Tree, CO that takes a holistic approach to natural results. We pride ourselves in having an all nursing staff of NP’s that put safety as #1 priority.


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Talk with one of our providers about Sculptra

6 Tips on How to Choose an Injector


Introduction

It can be really intimidating trying to find an injector. This is your face we’re talking about here! Not only is safety a top priority, but so are results (before and after images), attitude and the entire vibe of the medical office! So we’re here to help with what to look for by going over what we would look for as injectors choosing an injector. 

Keep reading to learn more!

Table of Contents


How do I choose a Botox or filler injector?

Here is a quick guide on choosing a botox (or Xeomin, Dysport) and filler injector/provider:

  1. Simple Research: look into the company’s/injector’s website, social media, before and after galleries, reviews, credentials, “about” page etc. This can give you a really good “feel” for the injector and their aesthetic style. Follow our 6-tips below during your research then: 
  2. Book a consultation: before getting any treatments, book a consultation to get a feel for the office and the injector. This is a great time to discuss your goals, what’s important to you, budget, and ask lots of questions! 
  3. Get a second opinion: this step can be extremely helpful because it gives you perspective and can often solidify your decision before going through with treatments and selecting an injector. This can be beneficial if you are newer to the aesthetic world, too.
  4. Reflect: take the time to absorb all of the knowledge and even further some of your research if new ideas or questions arise.  Any “good” injector will not be pushy during this time, but instead will follow up to ensure you don’t have any lingering questions.

Below is a video of Ali, NP explaining traits and qualities that she would look for in an injector AS an injector. 

Learn more about Ali, NP HERE

What should I look for in an injector?

There are many elements to look into when choosing an injector, and this is where our top 6 tips for finding an injector come into play. Keep reading below 👇 

Tip #1 : Has medical background

Medical background, trainings, and experience are very important to ensure your safety isn’t on the line! Aesthetic treatments are medical treatments and not spa treatments. Every injector should have a medical background and education to understand anatomy & physiology, risk factors, health complications and SO MUCH MORE. You can usually find this information posted on the website, and if not be sure to ask during an initial consultation. 

Tip #2 : Does aesthetics full-time

The aesthetic industry is constantly changing and evolving, so it is important to go to a provider that makes aesthetics their priority and is up-to-date with the latest information and techniques. Also, injectors who inject full-time generally have better skillsets, because they see a variety of different clients on a daily basis! 

Tip #3 : Has an artistic eye/abilities

 At Elite, we take pride in our providers’ artistic backgrounds and abilities, because it enhances their skillsets. To look at someone and harmonize their individual features is a work of art, rather than just injecting everyone with the same techniques.

Tip #4 : Collaborative

Collaboration here is actually two-fold: 

A good provider will collaborate with their patient first in order to understand their goals and come up with a plan together. The best injectors also collaborate with their team and other injectors in order to stay up to date or get a second opinion if needed. Collaboration over competition is better for everyone!

Tip #5 : Looks "normal"

If you want to look “normal” it is crucial to go to an injector that “looks normal” and not overdone…or at least they look like the aesthetic goal you are seeking. Oftentimes you can tell an injector’s style or aesthetic preference by simply looking at their features. 

Tip #6 : Isn't afraid to say "no"

An injector that has people’s best interest at heart, and is not afraid to say no, is definitely a trait to look for. At Elite we always stay true to the motto, “people over profits”, because we put safety and natural results as our priority (and sometimes that requires saying no 😉 ). 

What is a medical injector?

A medical injector is someone with a medical background such as a RN, NP, PA, or Physician who safely performs aesthetic treatments and injectables such as: Tox, dermal fillers, Lasers, IPL, IV Therapy, and other injectable services. 

Should you get botox from a doctor or a nurse?

Getting Botox, or any type of neurotoxin like Xeomin & Dysport, from a nurse, PA , nurse practitioner or doctor is a personal decision. We recommend that regardless of title, the injector follows the six tips above and overall makes you feel comfortable. Both nurses and doctors have medical experience, but neither of those titles mean they are good Tox injectors 😉. 

Also remember that you want the one that has the most experience doing injections to do your treatment. Some doctors may have gone to school for a long time, but if their RN does all of the injections he/she is likely the better choice. 

Who is the best person to inject botox and fillers?

The best person to inject botox and fillers are nurses, nurse practitioners, physician associates and physicians. Simply because they have the medical background and experiences needed to safely administer and provide these types of treatments. However, it is important to also take into consideration the following:

  • Before and after images of their work
  • Referrals and reviews
  • Personality and bedside manner
  • Their looks and aesthetic preferences

Lastly, book a consultation with the provider you may be interested in seeing to ensure it is a good fit 😊 

What questions should I ask my injector?

Some important questions to ask your injector/provider before doing any treatments may include the following:

  • What type of medical background, trainings and certifications do you have?
  • How long have you been an injector/experience with injectables?
  • What treatment do you perform most frequently?
  • How often do I need to receive injections/treatments to reach my end goal?
  • What are the risks with these treatments?
  • Is there downtime involved with these treatments?
  • If something goes wrong who do I contact?

There are many different questions to ask, and we recommend asking questions that are most important to you, but these are a start. 

Should I tip my injector?

No, it is not legal for medical professionals/offices to accept tips on medical procedures, which is what most aesthetic treatments and injectables are. At Elite, our providers feel that enough of a “tip” is having wonderful, loyal clients! Or if you want to go above and beyond, you can always leave your injector a review online :).


If you are located in the Lone Tree, CO area and are seeking an experienced injector, click the button below to schedule a consultation. 

Elite Medical & Aesthetics is a premier med spa with an all nursing staff of NP’s with safety as our #1 priority.


Our Favorite “Glow up” Treatments

Introduction

The New Year is symbolic of new beginnings, and there’s often a theme within peoples’ New Years resolutions: Bettering Themselves. If bettering yourself includes skincare and aesthetics, you came to the right place!

Better skincare can also happen all year round. So, no matter when YOU decide is best for a “glow-up”, we are honored to be a part of the process! 

In this article, we break down what a glow up even is as well as our favorite aesthetic treatments to get your glow on. 

Table of Contents

What is a "glow up"?

A “glow-up” is simply the process of making a major positive transformation in your life, whether that be emotionally, physically, or spiritually. And it is not just for teens and 20 somethings on social media by the way. You can have a glow-up at ANY age. What do you want to change in your life to look and feel better, for YOU? 

So long as it’s for the right motivations (again, for you), aesthetics and skincare treatments can be a very helpful part of anyone’s glow-up journey. As the saying goes “when you look good, you feel good”. Apparently you can also make more money when you spend more time on your appearance, around 20% more according to this study

We know that looks are not always the most important, but feeling your best is! That’s why we love what we do! Our goal is always for people to feel better when they leave our office than when they came in, even if they choose to have NO treatments. 

What aesthetic treatments give you a glow up?

Depending on your skin goals, the aesthetics industry has something for everyone. From non-invasive facials, peels and skincare to more aggressive lasers, injectables, and skin tightening treatments. 

For fast results check out services such as: dermal filler, botulinum toxin injections, and IPL.

 If you’re willing to be a bit more patient, check out: Collagen stimulating injections, lasers, microneedling, and Kybella

Overall, we offer many services here at Elite but in this article we want to share some of our favorites from personal experience. Keep reading to see what we have had done!


MB's favorite aesthetic treatment for an ultimate "glow up"

Mini Lip Plump

Elite’s signature Mini Lip Plump is the perfect addition for adding volume and symmetry to the lips! This treatment provides a total confidence boost for anyone who has thinner lips, or just wants a better pout! 

  • The Mini Lip Plump is Mary Beth’s favorite aesthetic treatment for a glow up, because a lot of people do not need a full syringe of filler in their lips to feel confident (a little plump, goes a long way 😉 ). This treatment also balances facial profiles and accentuates lip definition, all while looking and feeling incredibly natural when done by the right injector 

Below you can see MB’s before and after images of one mini lip plump by Ali, NP.

Does lip filler give you a glow up?

When done by the right injector, lip filler can definitely be a glow up treatment. The smile and lips are often a focal point of one’s face, and lip filler can accentuate the shape, volume, and fullness of the lips all while still looking natural. 

Lip filler can especially be a glow up for those with thinner lips or asymmetrical lips. At Elite, we pride ourselves on having injectors with artistic backgrounds that customize filler to each unique face, rather than just injecting filler the same into everyone. 

Talk with one of our providers about your lip goals below 👇 

Does lip filler make you prettier?

Lip filler making someone prettier is a relative question. Sure, some people are better candidates for lip filler than others, but this is where aesthetic treatments can fuel someone’s confidence without the judgement of others. If it makes YOU feel prettier, then YOU will attract more confident, beautiful, and powerful energy, thus making you even more beautiful!


Simone's favorite aesthetic treatment for an ultimate "glow up"

Kybella/Deoxycholic Acid

Kybella is hands-down 🙌  one of the most transformative treatments for anyone who is experiencing an unwanted “double chin” (submandibular fat) taking away chin/jawline definition.

  • Oftentimes a “double chin” concern can make someone look and feel heavier than they actually are, no matter their weight or health status. Simone has personally experienced a major difference in her confidence after just one Kybella/DA treatment. Kybella/DA by permanently decreasing the fat pad it creates contour to the chin and jawline area. Overall, Kybella/DA makes the facial profile even more beautiful and contoured than before…hello glow-up!

Below you can see Simone’s results from one Kybella/DA treatment. 

Please note it usually takes 3-6 treatments for most people and not everyone is a candidate. 

Does Kybella give you a glow up?

Ultimately, YES! Kybella/DA is a great treatments for a double chin for the right candidate, because it provides permanent slimming effects without having to undergo surgery or invasive procedures. Clients who might be good candidates for Kybella/DA are typically at a healthy body weight and have a “double chin” no matter what their weight is. 

Does Kybella make you look younger?

Yes, Kybella/DA has the effect of making someone look younger because it permanently dissolves unwanted fat, resulting in a more contoured jawline and chin. 

However, someone with already sagging neck skin may also need a surgical referral for a neck lift as removing the fat can increase loose skin in certain individuals. 

Does Kybella slim the face?

Yes, Kybella/DA can have a slimming effect for the entire face. Especially if it is injected off-label for jowls or mild buccal fat pad slimming.

Talk with one of our providers about your Kybella/DA questions


Ali's favorite aesthetic treatment for an ultimate "glow up"

IPL 3-in-1

Ali, NP’s favorite aesthetic treatment for an ultimate glow up (and one of her favorite treatments to recommend to clients) is an IPL 3-in-1 treatment. 

Why? 👇 

  • Evens out skin complexion from freckles, sun/age spots, redness, or acne
  • Reverses DNA damage from the sun, resulting in healthier skin
  • There’s no downtime or broken skin
  • Has a beneficial “tightening” effect to the skin’s tissue  
  • Almost everyone is a candidate

An IPL (Intense Pulse Light) 3-in-1 treatment uses light energy that is converted to heat energy into targeted cells, which then causes destruction of the damaged cells to regenerate healthy cells, all with no downtime! Below are pictures of Ali’s skin right after an IPL treatment, and 7 days after. To learn more about what to expect after an IPL treatment, click the button below.

We call it a 3-in-1 IPL treatment because at Elite we do a full pass for age spots/freckles then targeted passes for small vessels and another for stubborn spots. Clients have described getting the results from 1 treatment that they got in 3 at other clinics. 

Does IPL make your skin glow?

Yes, IPL 3-in-1 treatment results in healthy, glowing skin. IPL is one of Elite’s most loved aesthetic treatments, because it is effective in evening out the skin’s complexion, and requires no downtime! It is common for our providers to use this treatment to treat freckles, sun/age spots, redness, and acne, with a goal that our clients can feel confident in their skin (bye-bye makeup!). IPL addresses many concerns, and after a few short days post-treatment, glowing skin is revealed.

How long do IPL results last?

Essentially forever…if we never went outside again. However, as we continue to get sun exposure and age, sun/age spots and freckles will appear. It is best to do 3-6 IPL treatments, 4 weeks apart, and then complete maintenance sessions throughout the year, especially after summertime. This will ensure you are maintaining your results, and of course, keeping your skin healthy and glowing.

Does IPL make your skin look younger?

IPL is a great treatment option for those who want to address several signs of aging. Wether the concern is uneven skin tone, redness, dull skin, or hyperpigmentation; IPL works wonders at achieving even, more youthful appearing skin. 

Talk with one of our providers about your skin concerns and goals to get on a customized treatment plan!

Before and after images of Elite’s clients after just 1 IPL treatment to target hyperpigmentation and sun/age spots 👆 


Our all-time favorite aesthetic treatment for an ultimate "glow up"

Tox Injections

Tox injections (Botox, Xeomin, Dysport) provide clients with a glow up by smoothing lines and wrinkles that start to form as we age. Common areas that cause static (at rest) and dynamic (in-motion) wrinkles are the 11’s, forehead, and crows feet, with a few other off label areas as well.

 All three of us personally love Tox for many reasons 👇 

  • Reduces fine lines and wrinkles and smooths the skin 
  • With consistent injections, can help smooth static lines that are visible at rest
  • A quick, little-to-no-pain treatment that provides results within 2 weeks 
  • Little downtime, usually just a day of restrictions 
  • Perfect as a preventative treatment 

Tox injections not only help to smooth lines and wrinkles, but they can also give a more youthful appearance. Many of our clients at Elite report higher self-esteem after they receive their Tox, making it an ultimate glow up aesthetic treatment. 

Does botox give you a glow?

Yes, Botox or (Botox, Xeomin, Dysport) gives you a glow by smoothing lines and wrinkles and making the skin appear more glowy. Tox can be applied topically to the skin through a micro-needling device, also known as our Elite Diamond Facial. This improves the texture of the skin, making it much more smooth and tight, also providing a glowing complexion. 

Ps: we love Xeomin because it is a cleaner drug with fewer additives and provides lasting results! At Elite we specialize in a holistic approach to aesthetics, offering products that are more natural and just as effective 😘 

Does botox make you prettier?

Potentially yes, and here’s why 👇 

Tox injections help to smooth wrinkles and lines that can cause frowning or upset appearing faces, even at rest.

  • For example: someone constantly looks upset because the 11’s (glabella lines) are pronounced, even when they are happy or showing no emotion at all. The Tox injections smooth those lines and wrinkles, assisting in a happier appearance at rest and in motion.

But rest assured, when injected by the right provider, you will not be frozen or expressionless. Results provided will be natural and customized to your goals. Check out some before and after images of 11’s Tox below 👇 


Conclusion

Aesthetic treatments can be a great stepping stone for a glow up this year! There are a wide range of services that we offer to fit individual concerns and goals, but we hope this article named a few that may be of interest to you. 

Wether you are looking for subtle changes in a skincare routine or a total transformation, our providers at Elite take a holistic and artistic approach to treatments that give our clients natural, beautifully enhanced results. 


If you are located in the Lone Tree, CO area, talk with one of our providers about your aesthetic goals. Elite is a premier med spa with an all RN and NP nursing staff. We prioritize safety and provide holistic, natural results.


How to Make the Most Out of Your Aesthetic Treatments


Introduction:

It takes time, money, and even some “downtime” to reach your aesthetic goals with various treatments…so of course, you want the results to last as long as possible! At Elite, we want to ensure you are well educated on ways that you can extend the longevity of your favorite treatments, too. 

Keep reading below for tips on how to:

  • Make your Tox last longer
  • Make your lip filler last longer
  • Make the results of your IPL treatment last longer
  • How overall health and wellness impacts your aesthetic treatments

Table of Contents

How can I make my Botox last longer?

While we all wish that our Tox (Botox, Xeomin, Dysport) never wore off, there are a few things we recommend doing at Elite, to ensure you are getting the full 3-4 months of Tox results. Below are 3 tips from Nurse Practitioner injectors:

1. Take a Zinc supplement: a few studies have shown that taking a high-quality zinc supplement  may enhance the uptake of neurotoxins (Botox, Xeomin, Dysport) leading to longevity of the treatment

2. Make facial movements in the areas that were treated 1 hour after injections: post-treatment facial exercises (where treated with Tox) can be shown to speed up the wrinkle-reducing effects, and further activates the Tox medication 

3. Avoid vaccines 2-4 weeks before and after initial injections: this is best practice to ensure that your Tox treatment & results, do not interfere with your vaccine (and to avoid potential complications, overall)

As a bonus tip, be sure to listen to the recommendations of your injector on what dose you need to last a full 3-4 months. Under-dosing can lead to shorter duration of the medication. 

For more information about how to make your botox last longer, click on the button below.

Does applying retinol make your botox last longer?

Unfortunately, no. Topical application of retinol is a great addition to a healthy skincare routine to prevent signs of aging and turn over skin cells quicker, but it does not have any effect on the Tox medication or its longevity.

Does caffeine effect botox?

Caffeine does not effect botox directly, nor does it make it last longer/shorter. However we do recommend avoiding caffeine before initial Tox (Botox, Xeomin, Dysport) injections to prevent potential bruising

Learn more about how to prep for botox by clicking on the button below.

Does botox last longer if you use more?

Botulinum toxin results are dose dependent. Meaning that in the FDA trials that determined longevity, an average dose was determined for each area in order for it to last 3-months. These results were:

Forehead: 20 units

Glabella (11’s): 20 units

Crow’s feet: 24 units 

Treating with more than the above can increase longevity but at the risk of other side effects, such as droopy brows. These doses are also just averages and will not work for everyone; treatment should be individualized. It’s always best to talk to your provider about what is best for your personal aesthetic goals

Maintaining and committing to getting your injections every 3-4 months can give you longer lasting results than just getting injections every-so-often as well. 


How can I make my lip filler last longer?

There are a few recommendations to ensure lip filler lasts as long as it possibly can (without migration, too):

1. Do not bite down on your lips: this can potentially cause the lip filler to migrate

2. Do not use straws or purse your lips together: this is a great habit to practice in general, because constant “sucking of straw movement” or pursing lips together, leads to lip lines and wrinkles as well as potential migration

3. Avoid dental work 2-4 weeks before and after treatment: this is best to reduce potential risk of infections, filler migration, or any complications that may arise 

4. Avoid vaccines 2-4 weeks before and after treatment: again, this is best practice to ensure your immune system is not over-whelmed and cause complications for your filler

Added tip, go to an experienced artistic injector that will tell you “NO” if you’re not ready for more filler. 

Do different types of lip filler last longer?

There are some HA filler brands that claim longer results, such as Juvederm. However, in order to make a filler last longer they have to heavily cross link the hyaluronic acid (HA) with chemicals

The more chemicals that are added, the higher the risk for your immune system to recognize the HA as foreign and attack it. This can happen years later when the immune system is triggered by a seasonal illness, vaccine, or if someone develops auto-immune disease. 

At Elite, we ensure we are using products that are best suited for each individuals’ needs, instead of using one type of product or brand on everyone. We pride ourselves in taking the time to assess and analyze what treatments and products/brands will give our clients naturally beautiful results, SAFELY, because everyone is different!

Read more below about the best lip filler and different options that may be considered before lip injection treatments

Does your second round of lip fillers last longer?

This is dependent on when you decide to get the 2nd treatment done. If you are trying to build volume without migration, getting lips re-filled every 3-6 months can make the HA last a little longer, because there is more of it. However, the longevity of the lip filler’s HA is dependent on how fast your body metabolizes it, overall. Talking with a provider about what treatment plan is best for you, and what to expect, is recommended.

Below are some before and after images of lip filler treatments done at EMA!

How often should lip fillers be re-done?

At Elite, we recommend getting your lip filler re-done about every 12 months to maintain your results and build on to your desired lip shape and fullness. However, we also say, “if it looks good, leave it alone!“. There’s no exact time frame to get lip filler done for each person. 

Make sure you have an honest, and artistic injector, that will prioritize the harmony of your face over just doing filler whenever you come in to ask.


How can I make my IPL results last longer?

Below are some simple recommendations for long lasting results after an IPL treatment.

1. Avoid the sun, especially right after your treatment: your skin will be more photo-sensitive and you do not want to create more sun damage

2. Wear SPF 30 every day and re-apply liberally: protecting your skin from harmful UVA/UVB rays is the best thing to do to keep your skin healthy and even-toned (especially after treatments 😉 ). We like to recommend quality mineral SPF 30+ for daily use 

3. Complete 3 treatments in a row for optimal results, then get 2-3 IPL’s a year for maintenance 

Learn more about IPL treatments, and all of the skin benefits below!

How do you maintain IPL results?

Maintaining IPL results includes a customized skincare routine, protecting your skin from the sun, and your overall health/wellbeing. At Elite, we recommend using medical grade skincare that includes retinols and occasional AHA/BHA exfoliants. It is also important to focus on a healthy, balanced diet and hydration (inner beauty is just as important as outer beauty). Lastly, being diligent with SPF 30+ is crucial, not only for maintaining results, but for keeping your skin protected from harmful UVA/UVB rays.

How long do the benefits of IPL last?

The benefits of IPL last forever, essentially. But as we continue to age and spend time outdoors/in the sun, we accumulate more age spots, freckles, and pigmentation that will need future treatments to address. 

Check out some of our before and after images of real clients from IPL treatments below.

Do you have to continue doing IPL treatments forever?

Like mentioned above, to maintain optimal skin health and results, continuing IPL treatments is essential! Even though the benefits from each treatment are lasting, it is important to keep maintaining with IPL treatments, because we will continue aging and getting sun damage that leads to pigmentation/sun spots. 

Consistent IPL/BBL treatments can also increase collagen production in the skin and reverse DNA damage from the sun. This leads to more youthful appearing, healthy skin. 


Does your overall health effect how long your botox, filler, and facial treatments last?

Yes! While this often goes over-looked, it is important to focus on overall health to ensure your aesthetic treatments are long-lasting.

Some tips to consider:

  • Stress management 
  • Well-balanced diet: nourishing your skin from the inside out 
  • Hydration
  • Mental health 

Your overall health is also crucial for receiving and healing from treatments (if applicable). Potential swelling, bruising, and skin sensitivities are common when getting procedures done. Someone who is generally healthier, tends to heal faster and avoids the major risks/downtime associated with aesthetic treatments. 

Additionally, we love to incorporate wellness treatments such as IV Therapy to help support inner beauty health. Check out more on IV Therapy below.


If you are located in the Lone Tree, CO area, talk with one of our providers about aesthetic treatments best fit for you!

Ready to book?

Schedule a consult below

All About Hyperhidrosis (excessive sweating)


Introduction: What is Hyperhidrosis?

By definition, hyperhidrosis is “abnormal excessive sweating involving the extremities, underarms, and face that is unrelated to body temperature or exercise”. This condition can cause extreme discomfort, irritability, and self consciousness. 

Continue reading to learn more about hyperhidrosis:

  • Symptoms
  • Causes
  • Treatments

Table of Contents

Is Hyperhidrosis serious?

While hyperhidrosis, or excessive sweating, is not life threatening, it can cause quality of life to decline. No one wants to be in a constant state of worry about sweating, stains, and discomfort. This can lead to not wanting to go out, mild depression, and a lack of self esteem. 

However, this is not a serious condition overall unless it is allowed to affect mental health. We also always want to consider possible underlying causes (more on this later). 

What are the symptoms of hyperhidrosis?

The main symptom of hyperhidrosis is excessive sweating that happens even without external stressors such as: heat, exercise or stress. 

Where does hyperhidrosis occur?

Hyperhidrosis usually occurs on the following body parts:

  • Axilla (underarms)
  • Hands/palms
  • Face and neck
  • Feet 

How is hyperhidrosis diagnosed?

Diagnosis for hyperhidrosis must be done by a medical provider (Physician, NP or PA). The medical provider will conduct a physical exam of the patient, ask health/history questions, and then diagnose the patient appropriately. Keep reading to learn about the best treatments for relief of hyperhidrosis.

What happens if hyperhidrosis is left untreated?

Unfortunately, if an individual does not take action either medically or naturally to help cure or relieve hyperhidrosis symptoms, then the condition will mostly likely continue throughout their lifetime.

What causes hyperhidrosis?

There are many different causes to hyperhidrosis, it is best to consult with a provider to ensure you know your individual cause(s), but below are several potential causes:

  • Anxiousness, stress, or nervousness that can be uncontrollable
  • Athletes that exercise excessively 
  • Over-active detox pathways 
  • Faulty nerve signals that cause sweat glands to be over-reactive 
  • Hormonal changes or imbalances such as pregnancy, menopause 
  • Side effect of some medications 
  • Environmental factors such as heat or humidity 

Is hyperhidrosis a symptom of something else?

There are many reasons, or underlying causes of hyperhidrosis (as above) and it’s important to address the root cause and not just the symptoms of excess sweating. Remember there is no true harm in excessive sweating but there is an underlying reason for it. There are many different factors that could be contributing and it’s important to see a medical professional that is willing to look at the big picture and not just put a band-aid on it and treat symptoms only. 

Is hyperhidrosis genetic?

There is not enough evidence to support that genetics are the main reason/cause of hyperhidrosis. Remember that environmental factors and behaviors can be common in families but this doesn’t mean it’s genetic. It is best to talk with your provider about this since every case is individualized. 

Can I cure hyperhidrosis naturally?

It is possible to treat, or at least support causes of hyperhidrosis naturally, but we recommend working with with a licensed naturopathic doctor or holistic medicine practitioner. Generally speaking, natural remedies for hyperhidrosis may include:

  • Relaxation techniques like meditation
  • Vagal nerve training
  • Acupuncture 
  • Guided detoxes with a functional medicine practitioner
  • Diet and lifestyle changes 

How can I cure hyperhidrosis?

There are some medical and holistic approaches (mentioned above) to curing or suppressing the symptoms of hyperhydrosis. More medical approaches to hyperhidrosis include:

  • Prescription antiperspirant, creams, or wipes
  • Nerve blocking medication 
  • Anti-depressants 
  • Botox injections
All of these options address the symptom (excessive sweating) and not the underlying cause but can help while working on what the cause is.

Do Botox injections help hyperhidrosis?

Yes, Botox or (Botulinum Toxin) injections help with hyperhidrosis and excessive sweating particularly in the axilla, palms, and feet. At Elite, we perform these injections for hyperhidrosis, but the cost is not covered by insurance. 

We also highly recommend working with a naturopath or functional medicine practitioner to get to the underlying cause. We also understand that sometimes there is no obvious issue and people just don’t want to sweat for big events like an upcoming Wedding or vacation. 

How does Botox help hyperhidrosis?

Botox, or Botulinum Toxin medications, are used for hyperhidrosis to block the nerve signals responsible for sweating or excreting sweat. It does not completely stop the sweating but it provides a huge relief for those who suffer from hyperhidrosis. Keep in mind that this only helps with the symptoms of hyperhidrosis and does not cure it.

Which Botox is best for hyperhidrosis?

This is completely up to the provider/injector. All Tox medications work in similar ways even though the drugs are different. It is best to consult with a provider to see which Tox would be best for this. At Elite, we prefer to use either Botox or Xeomin for best results! 

Below is an image of Simone, NP injecting a patient with Xeomin for axilla (underarm) hyperhidrosis. Xeomin is a cleaner version of Botulinum Toxin injections and because these are done in high doses it theoretically has a higher safety profile

How many units of Botox do you need for underarm hyperhidrosis?

Since the axilla (underarm) area is larger, 50 units per axilla is standard. However, this amount can differ per individual and their symptoms. We perform a “sweat test” beforehand to help guide us in injecting the sweat glands that are the most active, in order to give our clients best results!

How long does Botox for hyperhidrosis last?

On average, botulinum toxin injections for hyperhidrosis last 3-4 months but can last up to 6. To learn more about Botox overall, click the button below.

Is Botox the best cure for hyperhidrosis?

Keep in mind that Botox injections work great for suppressing the symptoms caused by hyperhidrosis (excessive sweating). However, botox injections do not cure the condition. You will have to continue to get the injections until the root cause of the hyperhidrosis is addressed. 

If you are wanting to learn more about Botox injections for hyperhidrosis in Lone Tree, CO area, click the button below to schedule with one of our NP providers!

Book a consult

Talk to a provider today

All About Under Eyes

Introduction

Under eye concerns are a common topic of conversations here at EMA. Whether the concern is dark circles, puffiness, hollowing, or a blue-ish discoloration, this blog will guide you towards an aesthetic treatment(s) that are appropriate for each concern. 

For a quick 3 min explanation of the most common concerns, watch this video below:

Table of Contents

Under Eye Hollowing:

What is under eye hollowing?

Under eye hollowing, often referred to as tear troughs, is simply the loss of volume/fat underneath the eye socket that may cause someone to look really tired, older than they are, or even sickly.

What causes under eye hollowing?

There can be several factors the lead to or cause under eye hollowing, but some of the main causes include the following:

  • Genetics 
  • Natural aging process
  • Extreme weight loss
  • Dehydration
  • Lack of sleep/exhaustion 
  • Lack of proper nutrients

What treatments can I have done for under eye hollowing?

The best aesthetic treatment for under eye hollowing consists of dermal filler and cheek filler to give the under eye area support if there is a volume deficit. The type of dermal filler will be chosen by the provider/injector after a consultation and anatomy assessment, but some of the more popular filler products for this concern include: Belotero, Restylane, or  RHA.

This area is very tricky when it comes to injecting, and oftentimes the area is not treated properly, or is over-filled, leaving the under eyes looking puffy. Ensure you see a licensed, experienced injector before going through with this treatment if you are a good candidate. 

Below is a before and after image of under eye filler for a candidate that had hollowing, courtesy of Ali Wagstaff, NP.

To learn more about under eye filler, specifically, click the button below.

How long does under eye filler last?

On average, under eye filler lasts about 12 months. This time frame can also be dependent on the type of filler used and the individual’s lifestyle, age, and severity of hollowing. We recommend talking with your provider to understand realistic expectations with your treatment.

Under Eye Bags:

What are under eye bags?

Under eye bags are usually associated with raised pockets underneath the eye area that are puffy and may be slightly swollen or tender to the touch.

What causes under eye bags?

The cause of under eye bags differ for each individual, but some common causes of under eye bags are listed below:

  • Natural aging process 
  • Weakening of muscle/tissue under the eye
  • Genetics
  • Fluid retention
  • Lifestyle and diet 

What are the best treatments for under eye bags?

The best aesthetic treatments for under eye bag concerns include: RF Microneedling, referral for Agnes RF, and surgical referral to a plastic surgeon. At Elite, we have successfully treated under eye bags using our RF Microneedling device. It works by reducing the fat pad and also creating collagen in the treated area which in turns thickens and strengthens the skin to lessen the appearance of the raised under eye bags. This treatment can take time and multiple sessions to see improvement.

  • Below is a before and after image of a client wanting to improve under eye bags. Treatment results courtesy of Ali Wagstaff, NP

To learn more about RF microneedling, specifically, click the button below.

Can I permanently get rid of under eye bags?

The best way to permanently get rid of under eye bags is surgical referral to a plastic surgeon. In most cases, they will suggest removing the excess skin and fat pad via a procedure called a blepharoplasty. We recommend seeing a licensed, well experienced plastic surgeon for this concern if you are not a good candidate for minimally invasive aesthetic treatments.

Under Eye Darkening:

What are dark under eye circles?

Dark under eye circles are usually associated with darkening color underneath the eye area that can look tan or gray-ish. Learn more about the causes of this below:

What causes dark under eye circles?

Dark circles usually appear from the following causes:

  • Genetics/a family history of dark under eye circles
  • Lifestyle- dehydration, lack of nutrients, allergies
  • Exhaustion or excessive stress

What are the best treatments for dark under eye circles?

The best aesthetic treatments for dark under eye circles include topical products like hyrdoquinone, laser treatments such as IPL or ResurFX, and sometimes a lightening chemical peel. 

  • Lightening topical products work well to even the skin tone and reduce the visibility of the darkness under the eyes, however this treatment can take time and consistency to see improvement.
  • Laser treatments like IPL and ResurFX work to lighten the area too, via light technology and resurfacing attributes. A series of laser treatments are usually needed to see improvement, but we recommend to consult with a provider to see which laser would be best for your concerns. 
  • Lastly, some chemical peels may be beneficial, as certain lightening acids can even out the skin tone (must proceed with caution around the eye area).

To learn more about IPL/lasers, specifically, click the button below.

Blue Discoloration:

What is blue discoloration under the eyes?

Blue discoloration is a type of dark under eye circle that can be classified as “A blue or purple hue to the under eye skin”.

What causes blue discoloration under the eyes?

Having a blue discoloration under the eye are can be a result of the following causes:

  • Fair skin that shows the blood vessels underneath 
  • Thin skin tissue in the area 
  • Poorly placed filler
  • Genetics
  • Exhaustion

What are the best treatments for blue discoloration under the eyes?

The best aesthetic treatments for this under eye concern is to dissolve old dermal filler if it is present. Then try treatments that thicken the under eye skin such as: PRP/PRF injectionsRF Microneedling and regular microneedling. Other than the above there is not a lot to be done about this since the blue color is coming from the (presumed healthy) blood vessels around the eyes. 

Can under eye circles be removed naturally?

The short answer on whether dark circles can be removed naturally depends on the underlying cause. If they are from lack of sleep or poor nutrition then some improvement may be seen with better sleep and nutrition.

If there is genetic hyperpigmentation (darkening) then usually medical grade products and procedures are needed for lasting effects. However, a small modest change may be seen with at home topicals like retinoids and vitamin C and of course using a concealer. 

Remember that whatever you buy over the counter is usually 1/2 the strength and only 70% pure whereas medical grade can be prescription strength and must be 99% pure

Overall, it is best to consult with a trusted provider to discuss your under eye concerns, and the best treatments that can help you achieve results. If you are located in the Lone Tree, CO area be sure to schedule a consultation below.

What to expect after an IPL

Introduction

Oftentimes, when people hear about facial  treatments, they worry about the aftermath of what their skin may look like and fear the “healing” or “downtime”. At Elite, we love IPL (Intense Pulsed Light), or a photofacial, for many reasons: there is minimal downtime with no open skin, the treatment is effective, and you can apply your make-up right after, and carry on business as usual. 

This is a client favorite for many reasons, so keep reading for information about what to expect after an IPL. 👇 

Table of Contents

What does your skin look like immediately after an IPL?

Right after your IPL photofacial treatment, your skin may look blotchy, red, a little swollen, and you will start to notice sun spots or pigmentation darkening. It is also common for the skin to feel tight or like you have a mild sunburn. However, you can apply makeup/tinted SPF after this treatment, because there is no open skin! 

Below is an image of Ali, NP immediately after her IPL treatment.

Do's and Dont's after an IPL

It is best to always follow your provider’s post care instructions, but in general below are some do’s and dont’s after an IPL:

Do’s:

  • Wear SPF 30+ daily and reapply 
  • Hydrate and moisturize the skin often
  • Wash your face 2x daily with a gentle cleanser 
  • Be gentle with your skin, overall

Don’ts:

  • Apply hot water to the skin
  • Skip out on SPF
  • Use harsh ingredients on the skin like retinols and exfoliants
  • Pick or scratch at your skin
  • Have sun exposure on your face

Does an IPL cause the skin to be open or wounded?

No! An IPL treatment does not open the skin or cause any wounds. In fact, you can apply SPF and makeup to the skin immediately after the treatment. IPL works to diminish age/sun spots, freckles, pigmentation, red spots, and capillaries through targeted light therapy. The light energy is converted to heat energy into targeted cells which causes destruction of the damaged cells and regeneration of new cells. 

To learn more about IPL and how this treatment works, click on the button below.

Does your skin hurt after an IPL?

Like mentioned earlier, your skin may feel tight and have a sunburn feeling for up to a few hours after the treatment. In terms of “hurting”, usually the answer is no. However, everyone has different pain tolerances, but in general your skin may feel more sensitive and tight, but should not feel painful.

Can you wear makeup after an IPL?

Yes, you can apply any type of makeup or tinted SPF right after the treatment. In fact, your provider should be putting on a mineral SPF 30+ before you leave to protect your skin from the sun. As far as applying makeup after treatment is a personal choice! Makeup can be applied all throughout the healing stages too for coverage if desired.

How does the skin texture feel after an IPL?

Your skin texture will feel tight and dry after an IPL. Also, around day 2-7 you may notice a slight bumpy or rough texture as the skin is sloughing off the darkened pigmentation. Most people experience dry skin and darkening pigmentation, also known as “coffee grounds”. Once a full 7-10 days of healing is completed, your skin texture should feel smooth and healthy.

What should I avoid after an IPL?

Since an IPL does not open the skin, there are very few things that are needed to avoid after treatment. It is important to follow your provider’s post-care instructions, but in general it is best to avoid the following:

  • Sun exposure
  • Active skincare ingredients such as retinol, AHA/BHA, and exfoliants
  • Intense exercise/sweating for 24 hours post treatment
  • Scratching or picking at the “coffee ground” areas which will halt the healing process

Other than that, it is business as usual after an IPL treatment, which makes this treatments a “go-to” for many people 😊 

What products should I use after an IPL?

For best results, we recommend using a gentle cleanser, moisturizer, and a mineral SPF 30+ until the skin has fully healed, then you can return to your normal skincare regime. Also, wash the skin with cool water and avoid all active ingredients such as retinol, AHA/BHA, and gritty exfoliants until the skin has fully healed around 7-10 days.

How long does it take for brown spots to fade after an IPL?

The darkened pigmentation or spots that often look like “coffee grounds” take about 7-10 days to fade or sough off. Every individual is different, though, so some may take longer to fade than others. It is best to talk with your provider to get a realistic time frame based on your treatment and to follow their post-treatment guidelines.

How long after an IPL do you see results?

Results from an IPL are gradual. You will not see improvement right away, the soonest you will start seeing positive change in the skin is 7-10 days post treatment. Final results are usually revealed around 4 weeks after treatment, though.

How many days does it take for your skin to fully heal after an IPL?

Generally, it takes the skin 7-10 days to fully heal from an IPL. This varies for each individual and their aesthetic concerns (why they are receiving the IPL in the first place). Blow is a general day-by-day time line of an IPL for pigmentation, that may help as guideline or reference: 

  1. Day 1- skin is red, blotchy, has a sunburn feeling and darkening of spots/pigmentation starts
  2. Day 2-3- skin is feeling tight and dry and the dark spots are looking like “coffee grounds”
  3. Day 4-6- skin is especially dry due to the dark spots starting to slough off and starting to gradually fade
  4. Day 7-10- continual sloughing and fading of dark spots, but skin is returning back to normal and is looking more even-toned, radiant, and healthy. YES!

Below are 2 images of Ali after her IPL treatment. 1st picture is showing day 4 of her healing and picture 2 is showing day 7 of her healing (with tinted SPF on). You can see how the skin quickly changes and heals from this treatment, yet still provides outstanding results!

How long do IPL results last?

IPL results are essentially permanent! That is, if we were to never go outside nor age. So, you will continue to get sun/age spots and pigmentation as you naturally age and live life (no matter how much SPF you apply). It is best to get a series of 3-6 IPL’s and then complete maintenance treatments in between. If you are struggling with pigmentation or sun spots, learn more about this condition below by clicking on the button.

How often should I get an IPL?

This is dependent on your aesthetic concerns (baseline) and your goals. Usually it is best to get a series of 3-6 4 weeks apart and then get maintenance IPL treatments to maintain your skin’s results. However, talk to a provider to see what your individualized treatment plan would be!

FYI: Did you know IPL can also tighten the skin?

IPL treatments are also known for their skin-tightening effects to the skin. How? The light that is not absorbed by the pigment scatters throughout the skin, and actually heats up the water in the tissue that creates a collagen-stimulating effect. This collagen-stimulating effect can help with diminishing fine lines and wrinkles over time and tighten the tissue overall. IPL can be done on any part of the body (i.e. neck, chest, arms, legs), too! Read more about how IPL can tighten the skin by clicking the button below.

What are other skin benefits of an IPL?

There are several skin benefits from an IPL treatment. Listed below are many more benefits of an IPL, other than just for skin discoloration or pigmentation like discussed in the blog:

  •  Acne
  • Birthmarks
  • Red stretch marks
  • Spider veins
  • Unwanted hair 
  • Freckles
  • Blood vessels 
  • Rosacea 
  • Reddend scars 
  • Sun spots 
  • Hyperpigmentation

Click the link below to learn more about what to expect from an IPL treatment

If you are located in the Lone, Tree CO area and are interested to see if IPL would be a good treatment for you, schedule a consult below and talk with one of our providers today!

IPL in Lone Tree, CO

Acne: Treatments, types, & causes


Introduction:

 

According to the American Academy of Dermatology, acne is one of the most common skin conditions in the United States, affecting up to 50 million Americans yearly.  It is actually common in all Westernized nations, affecting 85% of adolescence according to MDedge, but no acne has been found in certain developing countries. Why is that?

Keep reading to gain a better understanding of acne, it’s types, causes, and best aesthetic treatments at Elite Medical and Aesthetics to help.

Table of Contents

What is acne?

Before we get into all of the details of acne, let’s start with the basics, what is acne anyway? Acne is an inflammatory condition of the sebaceous glands (oil and sweat producing glands) characterized by pimples. It is most common in teens and in developed countries (more on this below). 

What are the different types of acne?

Although there are many different types of acne, to keep it simple, we will group them into 4 different categories: blackhead/whiteheads, pustules, nodules, and cysts. Below is a definition table to show the different types of acne.

Blackheads/whiteheads

 Blackheads are tiny clogged pores that have oxidized turning them black. Whereas whiteheads are clogged pores that have not oxidized and are still covered by skin.

Pustules

Smaller, inflamed bumps that are filled with pus from an overproduction of oil and built-up bacteria. Can feel tender to the touch.

Nodules

Swollen and hard bumps or knots that the eye can see, but there is no whitehead or pus. 

Cysts

Inflammatory, pus-filled boils or knots that are deep under the skin and never come to a head.

What type of acne is most common?

While each individual is different, the most common types of acne are blackheads, whiteheads, and pustules. This type of acne can occur at any stage of life (male or female) due to the natural oil production of skin and it occasionally clogging pores.

What type of acne is most likely to scar?

If you pick at any of these acne lesions, chances of scarring is high. However, if you do not pick at the skin, cysts and nodules are more likely to scar because they lie deep within the skin for longer periods of time causing inflammation. If you do experience acne scarring, do not worry it is treatable! Read more about acne scarring below.

Why is acne more common in the United States?

According to MDedge, NO acne has been found in developing nations living under Paleolithic conditions, but around 85% of adolescence in 1st world countries have acne. The amount of acne found in developed countries cannot be explained by genetics either. Rather, our diets and lifestyle create an inflammatory condition that leads to a cascade within the body that is also showing up on the skin (as acne). Remember that our skin is often a reflection of our inner health

What are Paleolithic conditions anyway? This is a diet without preservatives, refined or manufactured foods, processed dairy or artificial ingredients. It’s basically a hunter/gatherer diet. So if following this diet think that if you can’t hunt it, gather it, or make it up in your kitchen yourself, don’t eat it. People following this diet/lifestyle are also usually more active. If you have to hunt or gather your food that means you’re walking and moving quite a bit!


What age can you get acne?

You can get acne at any age! Although, the most common age range to get acne is 14-19 because that is when most people experience hormonal changes called puberty. During puberty, oil glands become more active and combined with inflammation = Acne. However, Acne can appear on infants and can continue into adulthood, too.

What is adult acne?

Simply, adult acne is any type of acne from mild to severe that appears after the age of 25 (post-adolescent). In some cases, people will continue to get acne well into their 30’s, 40’s, and 50’s+. Women tend to get adult acne more often than men because of the hormonal stages they can experience: pregnancy, mensuration, & menopause. “Adult on-set acne” can also occur from stress, environmental factors, and genetics. More information on acne causes below!

At what age does acne go away?

Generally speaking, acne starts to go away in peoples mid-20’s, but every individual is different. Some people may experience acne later in life, and some may never get acne. Reminder that acne is a skin condition, and is different than getting a pimple every now-and-then which is part of being human 🙂 .


What causes acne?

While we wish there was a one-size-fits-all answer to this question, it is completely individualized. Scientifically speaking, the way acne is formed is through an excess amount of oil (sebum) production and dead skin cells that clog the skin’s pores (thus gathers built-up bacteria). But, it is important to learn why the excess oil production is happening within the body.

  • However, there are several different factors that can trigger acne in people. Some of the main causes linked to acne may include: stress, diet, hormones, & environmental factors. Keep reading below for more in-depth information! 
  • Reading above that acne doesn’t exist in developing countries following a Paleolithic lifestyle really makes you think though!

Does stress cause acne?

Yes, stress can be a cause/trigger of acne. When the body is stressed out, in flight-or-fight mode, it releases stress hormones like cortisol and androgens. These stress hormones increase production of the skin’s sebum and oil, and also increase inflammation in the body, thus leading to or worsening acne in some individuals.

What does stress acne look like?

While there is no specific way stress related acne looks, it can tend to appear more inflamed and the skin will also look more oily. This will look different for each person, but depending on the level of stress and duration of stress, it can be a mixture of pustules, nodules, and even cysts at times.

What are ways to help manage stress acne?

Stress is an inevitable part of life, but finding ways to help reduce stress is crucial not only for acne but also overall health. Here are some ways to help manage stress:

  • Meditating- even guided meditations are helpful
  • Journaling
  • Gratitude
  • Exercising 
  • Talking with trusted family/friends
  • Therapy 
  • Walking outside/grounding with nature 
  • A calming hobby such as hiking, fishing, drawing etc.
  • Deep breathing exercises
  • Taking a bath or getting a soothing massage
  • An act of self-care, whatever fills your cup!
  • Living more in the now, rather than past or future


Does diet effect acne?

There are studies that show that following a balanced, low-glycemic (low-sugar) diet can lead to less acne and reduce total body inflammation (a culprit to acne). This isn’t necessarily a “diet”, but rather a healthy way of nourishing your body for optimal health and hormone regulation. Usually, this includes eating foods like the following:

  • Vegetables
  • Quality animal proteins
  • Fruit 
  • Grains
  • Legumes or beans
  • Limiting sugar, alcohol, vegetable oils, dairy, and gluten
  • Eating organic produce or soaking in vinegar prior to consuming

What foods can trigger acne?

If you are struggling with acne it is best to avoid or limit:

  • Dairy– due to hormones and increasing inflammation in the body
  • Gluten– leads to conditions like leaky gut= increases inflammation
  • Sugar– affects hormones and increases inflammation
  • Caffeine–  increases stress hormones and inflammation
  • Vegetable oils, and processed foods– fat is not the problem but the wrong kind of fat, such as super inflammatory PUFAs in vegetable/seed oils can contribute to acne

What foods can help acne?

Like mentioned earlier, eating a balanced, whole diet that includes: vegetables (especially dark leafy greens), fresh fruits, probiotic rich foods (kimchi, sour kraut, yogurts), fish/salmon, chicken, whole grains, beans, almonds, sweet potatoes, and seeds like flax, chia, pumpkin and sunflower. Also, ensuring that your body is well hydrated with water, herbal teas, and electrolytes is important.

There are also helpful herbal supplements and vitamins that may reduce acne, but it is best to consult with a provider for individual concerns.


Do hormones affect acne?

Yes, hormone fluctuations can be a major cause of acne, also known as “hormonal acne”. This can happen all throughout the different stages of human life. Even infants can experience hormonal acne as they start growing. Hormonal  acne is especially seen at time of puberty, pregnancy, menstruation, menopause, and even in cases of PCOS, endometriosis, and other hormonal medical condition.

  • Remember that just because something is common, does not mean that it is normal! If hormones are out of whack leading to acne this is a symptom of an underlying cause. Likely diet and lifestyle changes are needed to correct. 

What is hormonal acne?

Hormonal acne is linked to the body’s hormone fluctuations and imbalances. More specifically, hormonal acne is a result of your body producing more androgens, such as testosterone, than it actually needs. Which in turn causes the skin to produce more oil and acne. This type of acne tends to be more inflammatory and cystic formed along the chin and jawline, but can look different for everyone.

What are triggers of hormonal acne?

While triggers for each individual may vary, there are some main triggers and causes of hormonal acne, which include:

  • Stress
  • PCOS
  • Pregnancy
  • Puberty
  • Excessive sugar, dairy, or gluten consumption
  • Some birth control methods 
  • Inconsistent menstrual cycles 

Is hormonal acne preventable?


Hormonal acne is preventable, and treatable, but it can take a lot of work. Many people assume they are victims of circumstance if they get acne during their teen years. Especially if they are told that their parent and sibling had it too and it’s just “genetics”. However, the more we learn about holistic treatments, and getting to the underlying cause of conditions, the more we learn that we do have control over our health.

 

In the case of teen acne, consider that there are many factors leading up to acne that used to be considered genetic and now we think could be environmental that lead to acne such as:

  • Conditions in-utero: How did Mom eat during pregnancy? Was she super stressed? These conditions set the stage for our health in early life. Not within our control at that time but can be helped later in life. 
  • Mom’s microbiome: we inherit mom’s microbiome when coming out of the vaginal canal during birth. Was this microbiome healthy? Was it more or less prone to acne?
  • Diet and lifestyle early on: did we eat a lot of fruits and veggies or did we eat a lot of birthday cake?
  • Weight and activity: were we an active kid with healthy body weight or did we mostly play video games and eat potato chips?

Everything above affects our Epigenetics: what genes are turned off and on based on our lifestyle. We could have a gene that predisposes us to acne that we “turn-off” from a healthy lifestyle or turn-on from a healthy lifestyle. If we were set up with a disadvantage because Mom was super stressed during pregnancy and ate a lot of fast food, or passed on an unhealthy microbiome, it will take more work to correct but it is doable! We have a lot more control than we think. 

  • Consider working with a holistic nutritionist like Marisa Faye to get to the root cause! Especially if suffering from adult acne. 

Is spironolactone good for hormonal acne?

Spironolactone is often prescribed to treat hormonal acne and is affective for people so long as they continue taking the drug. If they stop, the acne will come back because it doesn’t address the underlying cause. This drug works by decreasing hormones (androgens) in the body that contribute to acne. 

Again, this drug does not cure acne and only treats the symptom of excess androgens without helping the underlying cause of why androgens are high in the first place (hormone imbalances). 


What environmental factors trigger acne?

There can be several different environmental factors that can trigger acne. From the weather to cosmetic products, listed below are some of the main contributors to avoid if possible:

  • Extreme weather: hot, cold, dry, humid 
  • Pore clogging cosmetic ingredients: mineral oil, talc etc
  • Cosmetics that contain hormone disruptors, see Chemtrust
  • Pollution
  • Bacteria on pillow cases, towels, makeup brushes 
  • Touching your face with dirty hands 
  • Not cleansing the skin 
  • Excessive sweating (without proper cleansing after)
  • Over exfoliation or using harsh products 


What are the best aesthetic acne treatments?

Luckily, there are several different acne treatments than can help with active acne, acne scarring, and prevent future acne. However, it is important to note that topical products and treatments can only work as well as taking care of your body as a whole. When combined together, acne can be beat! Read more for our treatment recommendations for acneic skin.

Do chemical peels help acne?

Chemical peels can help with active acne and acne scarring. Most chemical peels such as VI Chemical peel contain ingredients like salicylic acid to clean the pores of excess oil and sebum. The chemicals work deep within the epidermis, which causes the skin to tighten and flake or peel off after about 4-5 days which lessens acne.

Does IPL help with acne?

Yes! IPL, also known as intense pulse light, helps with killing the bacteria-causing-acne within the skin. Not only does this help with active acne, but it can also help with the PIH (post inflammatory hyperpigmentation) that can be left after a pimple has healed.

What skincare ingredients help with acne?

This can be individualized, that is why we recommend seeing a professional to get a customized skincare plan. In general, Benzyol Peroxide or Salicylic Acid are the gold standard ingredients that fight acne causing bacteria. It is also important to use a foaming cleanser twice a day, oil-free moisturizer, and SPF everyday. A good skincare routine alongside treatments are very beneficial for acne prone skin and help prevent future acne. 

Do facials help acne?

Monthly facials are a great way to reduce acne because of the proper exfoliation, LED light therapy, and radio frequency that is offered in an Elite Acne Facial. Professional facials also include extractions that clean the skin’s pores and speed up the healing of current acne/pimples.


How can I get rid of acne fast?

 

Even though there is no “cure acne fast” method, there are some helpful tips and tricks that can alleviate the blemishes and speed up their healing time:

  • Do not pick at the blemishes
  • Apply ice to help calm inflammation and redness
  • Apply a spot treatment that has Benzyol Peroxide 
  • Use a pimple patch 
  • Apply products with Salicylic Acid in them to dry out the blemish 
  • Schedule an LED light therapy session. Blue LED light kills acne bacteria
  • Radio frequency 
  • Consume a healthy diet and lots of water/herbal teas
  • Avoid/limit sugar until breakout has cleared up
  • Manage stress 
Also consider working with a professional to help get to the underlying cause of your acne otherwise symptoms will just keep coming back!


What are the best acne treatments for teens?

Teen acne sometimes needs to be treated differently due to the age of the individual and what is safe for their skin. We highly recommend getting all teens on a simple skincare routine first. This should include products with ingredients like 

  • Salicylic Acid 
  • Benzyol Peroxide 
  • SPF
  • Gentle cleanser

Next, with consent of a parent, getting monthly customized facials that have LED light therapy, professional extractions, appropriate exfoliation, and radio frequency can help alleviate the acne and prevent it. Occasionally, depending on the severity, mild chemical peels and spot treating with IPL may be necessary. It is best to consult with a provider for teen acne, to make sure safety is priority! It will also take a family effort to clean up diet, improve gut health, decrease stress, and decrease inflammation! 

Learn more about skincare routines (by age) below.


How can I treat body acne?

Treating body acne is relatively the same as treating facial acne. In fact, you can even be a little more aggressive on the body because it is typically thicker skin than the face. At Elite, we recommend using our acne body wash 2x a day which has AHA/BHA exfoliants, a topical retinol, and using the medicated acne gel (with 5% benzyol peroxide) to spot treat. Going further than topicals, it can also be beneficial to get chemical peels, such as the VI Peel, on the body as well. Finding an appropriate way to shower or cleanse the skin after workouts is also important when dealing with body acne such as back-acne. 

For a complete body-acne routine, scheduling a consultation with a medical provider is key!


When should I see a provider for acne?

We recommend seeing a provider if the acne is worsening, not progressing with topical products, or you simply aren’t sure how to treat your acne. It can be extremely overwhelming seeing the amount of product and information on the web and social media. Typically, mild acne will clear up with topical products and lifestyle changes, but persistent, severe acne will need a diagnosis and a treatment plan customized to you. 

If you are located in the Denver, CO area, schedule a consultation below to talk with one of our providers today. You deserve to feel confident in your own skin! We are here to help. 










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Summer Skin Guide


Table of Contents

Introduction

There is no doubt that summer months are often busier and sunnier, but your skincare routine doesn’t need to drastically change. Often times the media scares people into never doing any skin treatments during the summer months, because you are exposed to the sun more. While you may be outdoors more often, do not let your skin care routine fall off path, or else all of your “hard work” may have to start at ground zero again, or close to it 😉.

This blog will cover the recommended treatments for summertime, from our licensed professionals, to maintain a youthful, healthy complexion.


Best sunscreen for summer

First things first, SPF!!! If there is one simple product that you could use every day, and age gracefully, is sunscreen. At Elite Medical & Aesthetics we emphasize and educate every patient about the importance of wearing mineral based sunscreen 30+ every sing day, and to reapply! We are not saying you cannot ever go out in the sun, just protect when you do!

Sunscreen protection is for everyone, wether you are receiving aesthetic treatments or not, because the UVA/UVB harmful rays can cause pre-mature aging and skin cancer. However, this is especially important if you are receiving any type of laser, chemical peel, or using clinical grade skincare products. 

Some helpful tips:

  1. Choose a sunscreen that you will actually wear every day. This may be different for everyone depending on their skin type, but there are many options.
  2. Reapplying can be a hassle, so finding a loose powder like, Matte Green Tea SPF Powder, makes this step easy and gives a sheer coverage.
  3. Pair your sunscreen with a cute hat when out in the sun for extended periods of time.

Below are two of our favorite sunscreen options that provide adequate protection without harmful chemicals or a “greasy” feeling.

Elite Matte SPF50 Green Tea Powder

Elite Tinted SPF


Summer spray tans

Opting for a quality spray tan over laying out in the sun and tanning is always the better option. It is understandable that feeling tan and getting color gives a boost of confidence, especially in the summer months. Luckily, there are many great options for spray tans that provide a natural glow, without the risks of UVA/UVB damage to the skin. Just remember, tan skin may look sexy when you are younger, but not so much as you age! Tan skin does not equal healthy skin, and once the sun damage has been done, it takes commitment, money, and time to reverse even a fraction of it.


Botox and filler in the summer

Continuing your provider’s recommended injectable routine is safe and just as effective in the summer. There are no contraindications, or risks, in the summer versus any other time of the year to get Botox, Xeomin, or any filler. If you wait to get your Tox or filler treatment too far after your last treatment, just because it is summer time, you may end up having to pay more money to get the results you want because the neurotoxin and filler substance is completely metabolized. 

Learn more about the differences between Botox and filler, and what they’re best for, by watching the video below.


Summer laser hair removal

Not having to constantly shave or letting your hair grow out to wax in the summertime is always a plus. Permanently reduce any unwanted hair with EMA’s Laser hair removal! We have newly advanced technology that makes this treatment safe for all skin types, all year around. Gain a boost of confidence, time, and money (in the long run) with laser hair removal. Treatments are quick, comfortable, and usually 4-6 weeks apart for 3-6 sessions depending on your goals and history. 

To talk with a provider about this treatment, please book a consultation below.


Microneedling and laser in the summer

Microneedling treatments such as, normal microneedling and RF microneedling can be done on any skin-type year round. Some lasers such as ResurFX can also be done year round. Since these specific treatments don’t target pigment you can even be tan (though we don’t recommend ever being tan unless it’s a spray 🙂 ). 

 

Each of these works to increase collagen, fade scarring, and reverse fine lines and wrinkles, year round. We still recommend being cautious in the sun after to maintain your results. Follow your provider’s after care instructions and continue your treatment plan as decided.


IPL in the summer

IPL, or intense pulsed light, should be done every 4 months to keep pigmentation and wrinkles at bay. In this study about the effectiveness of IPL/BBL treatments every 4 months for anti-aging, it is to be concluded that candidates looked 10 years younger than their actual age with no other treatments done.

IPL can be continued in the summer months for those who are diligent about not tanning and wearing SPF 30 or above with a wide brim hat. In most cases, people would rather be diligent with sun protection and staying out of the sun, rather than getting more sun damage and compromising the results from their treatment plans. 

***Note: Do not neglect your neck and chest! Bringing your skincare and SPF down to your chest is important! Also, ask your provider to add your neck and chest at your next treatment appointment. Just remember, your face is everything from the boobs, up 😉 


Monthly routine facials in the summer

In the summer, you may need facials more than any other time of the year, because of the extra sweat and oils we naturally accumulate from warmer temperatures. Facials like dermaplane, microdermabrasion, OxyGeneo, and enzyme signature facials are crucial in your skincare routines to properly exfoliate, hydrate, and keep your pores unclogged. 


Summertime IV therapy

Summertime can be accompanied by dehydrating activities and hot, dry weather which can wreak havoc on your vitamin and mineral balance. IV therapy is a great option for optimal hydration, especially when it is added to any facial treatment. At Elite, we offer an array of “cocktails” that can be customized to your inner and outer beauty needs. For more information on our IV Therapy, click the pink button below.


What is a good skincare routine for the summer?

Like all skincare routines, summer routines should be kept simple yet effective. Using a foaming/exfoliating cleanser in the summer months are beneficial since we tend to get more sweaty from the heat. Including a balancing toner can be helpful after cleansing, too. Incorporating a lighter moisturizer can be smart for the skin, as heavier creams can sometimes be too much. Ensuring you are continuing to use a clinical grade vitamin c serum in the morning and a retinol in the evening is best. There is no need to stop using “active ingredients” such as acids, retinols, or vitamin c’s in the summer if you are committed to using a quality mineral based SPF (which should be worn every day of the year). Again, reapply your SPF and wear a wide brim hat when out in the sun for extended periods of time. 

To shop clinical grade, private label skincare visit HERE.

Discover more about your skin by taking our skin quiz above!


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Consult with a trusted professional

When to Consider Botox vs Dermal Filler


Introduction

It is not uncommon for people to get confused when they go in for an injectable appointment thinking they need Botox, when really they might need dermal filler, or vice versa. Sometimes misinformation can be given from social media, the internet, or even other injectors. 

This blog will help you understand the differences between what Botox is intended for, and what filler is intended for. 

Watch our YouTube video below for a visual representation of information that this blog will cover, too.

Table of Contents

How does Botox work?

Botox, or Botulinum Toxin, is a prescription medication used to treat fine lines and wrinkles. Botox, or other brands of neurotoxin like Xeomin and Dysport, work to stop muscles from creating a repetitive movement that lead to unwanted lines and wrinkles. Botox injections are also preventative, to keep lines from worsening. 

For more information about Botox injections read our blog “Botox for Dummies” below.

How does filler work?

Most dermal fillers are made of a gel-like substance called Hyaluronic Acid (HA) that are used to restore lost volume, fill lines and wrinkles, sculpt areas of the face, and plump. When filler is injected properly into the desired areas, it instantly plumps or fills the areas of volume depletion, giving you a refreshed, natural, and youthful appearance. 

If you are curious about filler injections, and want to learn more, be sure to click on the pink button!


What areas can I get Botox injections?

The most common areas for Botox injections, or Botulinum ToxinA, are the glabella (11’s), forehead, and crows feet. There are several other areas that are considered “off label” that can be treated with neurotoxin, too, such as:

  • Bunny lines: lines on either side of the nose when you scrunch
  • DAO’s: depressor anguli oris muscle (around the mouth)
  • Platysmal bands: neck bands
  • Masseter muscle: jaw muscle  
  • Lip Flips

What areas can I get filler injections?

The most common areas for filler injections are probably the lips and the cheeks but other areas include:

  • Under eyes
  • Jawline
  • Temples
  • Chin
  • Nasolabrial folds
  • Marionette lines
Certain types, like Radiesse, can also be used to help create collagen in the face, neck and body. 

Remember, filler is considered much more dangerous than Botulinum Toxin injections because the gel like substance is more like an implant (usually lasting around a year) and can also occlude vessels. Some areas are higher risk than others and you want to go to an injector that knows the risks and how to treat them. 


Does Botox or filler help forehead lines & wrinkles?

Botox helps with forehead lines and wrinkles, and is our recommendation here over filler due to to less risk (see below). When you inject neurotoxin into the forehead muscles, it stops the repetitive muscle movement that causes lines and gives a refreshed appearance. 

Forehead lines treated with neurotoxin

Can you inject filler in forehead lines?

We do not recommend injecting filler into deep forehead lines, because there is a risk for vascular occlusion (filler that gets into an artery) that can lead to blindness. 

Vascular occlusion can happen anytime filler is injected but in high risk areas such as the forehead, glabella, and nose blindness or even a stroke could occur. As far as we know there are no cases where the blindness was able to be reversed when it was caused by filler. 

Some clinicians will do these injections, and if you decide to have it done, make sure you ask about their experience doing it and what they would do in case of emergency. 

There are several other treatments that can help with forehead lines and wrinkles such as Botox, microneedling, laser treatments or a surgical referral. 


Does Botox or filler help with Glabella (11's) lines?

Botox is recommended for Glabella lines over filler. This is because  when you continually scowl or frown, the glabella muscles are activated to move, and over time those constant movements cause lines. Botulinum toxin injections, once injected into the muscle, stop the constant scowl or frowning and thus softens the lines and wrinkles.

11’s treated with neurotoxin

Can you inject filler in the Glabella (11's) lines?

Technically, you can inject filler in the 11’s, but we do not recommend it. Like mentioned above, injecting filler in this area has a high risk for vision complications. Safety is a priority when it comes to injectables. If you have deep 11’s lines that are there at rest, and Botulinum Toxin injections have not worked for you, book a consult to see what else can be done.


Can I get Botox injections for my smile lines?

No, you should not get Botox injections in your smile lines because it could cause your face to look distorted or drop your top lip. 

Specifically in the nasolabrial fold area, there is a muscle called the levator labii superioris alaeque nasi (LLSAN) that is injected intentionally for people with a “gummy smile” to drop the top lip. If you don’t have a gummy smile, you don’t want to inject this area or it can lengthen your philtrum column (more below). 

Getting Botox injections in your smile lines can cause a ducky lip.

As above, if you inject Botox into the smile lines, it’s possible to cause the philtrum column (the distance between the bottom of nose and mouth) to lengthen. A longer philtrum column can create a ducky upper lip appearance with or without lip filler. 

Ensure you are going to an experiened licensed injector so these types of side effects/risks are avoided. However, Botox is not permanent, so side effects will wear off in 3-4 months.

Can I get filler injections for my smile lines?

Yes, filler injections are an appropriate treatment for smile lines. Smile lines can become static and more defined as we age, and people tend to dislike these lines. Filler is the best option because we want to fill the lines and wrinkles with volume to restore a natural look in the area. 

Full face filler, including smile lines


Can I get Botox injections in my cheeks?

No, getting regular Botox injections in the cheek region can cause unwanted side effects. These side effects cause face distortion to your smile and talking movements. Sometimes microtox or “baby botox” can be used to smooth the skin but it can still cause unwanted side effects.

What happens if Botox is injected into cheeks?

If Botox was injected into the cheek muscles, there is a risk that your smile will look as if you had a stroke or Bell’s Palsy. This is because the muscles in the cheek connect to the corner of the mouth to lift it when you smile. If these muscles are disabled, you will not be able to lift the corner of your mouth.  

These risks should be discussed in a consultation with your provider, along with other treatment options intended for cheek wrinkles. Book Consultation Now!

To learn more about specific areas to avoid injecting Botox in, watch our YouTube Video here. Our NP injector, Ali, demonstrates a visual representation of what could happen if Botox is injected into unintended muscles.

Can I get filler injections in my cheeks?

Yes, it is very common to get filler injected into the cheek region. Filler can enhance the appearance of lost volume in the cheeks, contour the cheeks for definition, and add structure to the cheek for other areas of concern to be treated such as under eyes.


What does Botox treat that filler doesn't?

What if I don't know if I need Botox or filler?

Do not worry! Being unsure of what treatment may be best for you is not uncommon. In most cases, we recommend scheduling a consultation to talk with a trusted provider about your concerns and gather information about what treatments you are a candidate for. 

What can I expect in an aesthetic consultation?

The goal of a consultation is to provide you with as much information as possible for you to make an informed decision on which treatment you want to do. Areas of conversation may include:

  • Addressing concerns
  • Goals of the patient
  • Anatomy assessment
  • Risk factors with treatments
  • Are you a candidate for the desired treatment?
  • Pricing and packages
  • Any other questions you may have

For more information about what you can expect in an aesthetic consultation, read this article


Conclusion

If you are in the Lone Tree, CO area, be sure to stop by our office or schedule a consultation by clicking on the pink “book now” button below. Our trusted providers will ensure they are there for you every step of the way. If you are not located in the area, make sure to schedule a consultation with a licensed injector whom you trust.