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Acne: Treatments, types, & causes

August 29, 2022 in , , /by

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.



Read about acne scarring here

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!



All about acne

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.



Learn more about VI Peel

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.



All about IPL

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. 



Shop Elite skincare

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.



Explore skincare treatments


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.



A guide to skincare by age


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!



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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

May 17, 2022 in , , , /by

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.



Schedule Here


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.



About IV Therapy


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.



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When to Consider Botox vs Dermal Filler

March 17, 2022 in , /by

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.



Read here

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. 



Filler for dummies

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.



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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 is Baby Botox?

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?

Botox treats the muscles that lead to wrinkles, where as filler treats deep lines/wrinkles that need to be filled to restore volume

Ali Wagstaff

Ali WagstaffNurse Practitioner

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. 



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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. 



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Inside a Lip Filler Appointment

March 1, 2022 in /by


How to prepare for a lip filler appointment

If you’re considering lip filler know that it is normal to be nervous, but we hope that after reading this article you’ll be more excited instead! Most commonly, people are concerned about pain from the needles, looking over-done or having “duck lips”, or  maybe not knowing what to expect at all.

Rest assured that these appointments are very thorough, and should be comfortable when you go to a licensed injector who follows all safety precautions.

Before actually getting the injections, it is recommended that you consult with your provider about what your desired results are. They will assess, and ensure that you are a good candidate and go over  realistic expectations of lip filler and known risks. Continue reading this blog to answer all of your questions about what you can expect from a lip filler appointment. 

Table of Contents


What is a lip filler consultation like?

First, your injector will talk to you about what you’re looking to achieve, what brought you in, and what questions you may have to better understand your goal with lip filler. Then they will assess your specific anatomy, and talk to you about the realistic expectations that can be achieved on you. Once you and the injector have agreed upon the treatment plan, they will go over benefits of the treatment, risks, and potential side effects (informed consent). 

Informed consent is crucial, and mandatory, for all medical procedures. This is where the provider goes into depth about risks, potential side effects, and even alternatives to the treatment. The goal here is to give you all of the information so you can make an informed decision if the treatment is right for you. Some people aren’t even a candidate for lip filler so it’s good to talk first!

If you are in the Lone Tree, CO area and are interested in booking a consultation to see if lip filler is a good treatment option for you, click here.

If you’re not local, here are some good sample questions to ask when you go in for a consult:

  • What are your credentials? I.e. RN, PA, NP, Physician
  • What kind of training did you do to learn these kinds of injections?
  • Do you have photos of your work?
  • What are the risks and how would you treat them?
  • What are the side effects of the procedure?
  • What product will you be using and why? Is it FDA approved in the U.S.?
  • Can the product you’re using be dissolved?
  • How can I reach you or your office on a Saturday in case of emergency?

How do I prepare for lip filler?

Once all of your questions and concerns are answered, the injector will start the numbing process. This is to ensure you are as comfortable as possible during the treatment. There are two option with numbing specifically for lip filler. You and your injector should discuss which option would be best for you, but read below for a description of both.

2 Types of Numbing Options

1. Topical Numbing Agent 

This is a topical medication that is compounded to combine local anesthetics such as lidocaine and tetracaine. Once this is placed on the lips, it starts working by blocking nerve signals in the body to reduce discomfort from initial injections.

2. Dental Block

A dental block refers to injecting an anesthetic agent, such as lidocaine, (typically) into the infraorbital nerve and mental nerve through the mouth. This provides the client with complete numbness of the lips prior to injection. 

How long does it take to become numb for lip filler?

For topical numbing, it usually takes 5-30 minutes for the effects of the numbness to work (depending on the compound). The area continues to remain numb for 30 minutes to 1 hour after removal. Dental Blocks immediately start numbing the lips and the effects of this numbing process may remain for several hours hours post injections.

Pro's & Con's of numbing medications for lip filler:

Pro's of topical numbing

This works quickly, allows patient to move their lips easier during injections (for better assessment), and wears off quicker for patient to go about their day

Con's of topical numbing

Patient is not 100% numb, some formulations can cause blanching (whitening) of the lips making the assessment difficult for the provider

Pro's of dental block

Complete numbing for overall patient comfort

Con's of dental block

Initial dental injections go deep into gums and are painful. This can also make assessment difficult when moving mouth, because patient can be too numb. Numbness lasts for hours after treatment.

What is lip filler treatment set-up like?

While the desired numbing agent is working, the provider will start to set up for the treatment using industry standards. This includes washing hands, placing sterile drape onto tray, using gloves, properly preparing the filler products, and cleaning the injection site(s) on the client. This step is especially important because lip filler injections are a medical treatment that needs to be administered safely. Going to licensed providers that have a clean and sterile environment is crucial to lower any potential risk, and ultimately to keep you safe.

How long do lip filler injections take?

This is the quickest part of the appointment. The actual lip injections only take 10-15 minutes. You can expect that your injector ensures you are comfortable throughout the injecting process, giving you breaks where needed. From here they will start to inject the filler by building the lips to fit the patient’s specific features. Overall, the goal should be to harmonize the lips and create balance to the face by subtly enhancing the lips. You should not feel anxious or worried about getting “duck lips” from this filler procedure. With the right injector, you will gain a boost of confidence, instead. 

For more on how to avoid “duck lips” with lip filler read this!

Will I swell after lip injections?

Swelling and bruising is normal, and your injector should disclose this part of the treatment with you at the consultation and assessment step, that way you are aware and can plan for social down-time. For initial downtime, the first 24 hours is the worst, then swelling subsides day by day and can be covered by makeup.

It is also recommended to not plan this appointment on (or too close to) any important social gatherings, pictures, or work presentations. 

Generally we tell people not to “love them or hate them for 2-weeks” but give them 30 days to fully settle. Ultimately, the treatment should be done at least 4-6 weeks before any big event. 

Click on the pink “read this” button to learn how you can reduce swelling and bruising post lip injections. 



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Photos of Before & Immediately After injections

From these photos, you can see there is initial swelling right after the injections. Keep in mind, this is normal and to be expected. Do not be surprised either, if swelling gradually increases throughout the day into the night. 

What do providers put on lips after injections?

Once the provider is finished with injecting, they will finish the procedure with these steps:

1. Massaging the filler to ensure it is even and smooth

2. Applying post-injection cream to prevent biofilm

3. Apply medical grade anti-bacterial ointment on top to prevent infection

These 3 simple steps make a big difference in treatment outcomes! As mentioned earlier, it is crucial to get dermal filler from a licensed provider who is well-educated and takes all necessary precautions to keep you safe. 

 

What is lip injection aftercare like?

After the injections, your provider will recap what to expect following the appointment, and any precautions to take. This is to ensure you are confident in what to expect with the healing process after the appointment and avoid any risks. At Elite Medical & Aesthetics we often tell patients:

  • No tongues on their lips for 24 hours (theirs, their significant other, children or pets)
  • No touching for 24 hrs
  • No make-up on the injection area for 24 hours
  • Avoid straws for 72 hours, or forever 🙂 !!!
  • Avoid alcohol and any medications that can increase bruising
  • Only ice for short periods as needed and wash ice pack between use
  • Avoid any harsh or irritating products
  • Contact us with any questions or concerns!

Be sure to talk to your injector to know what they recommend post treatment if you’re not an Elite Client. We also remind people that the first 24 hours of swelling can look crazy! It will get better quickly. 

Click on the pink “read here” button to learn about the lip filler roller coaster for emotional reassurance!



Read Here

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" I always make sure my patients have my contact information in case of questions or concerns, especially if going into a weekend"
Ali Wagstaff
Nurse Practitioner

Viola!

Even though it can be intimidating getting lip filler (especially if it is your first time) be reassured that at Elite Medical & Aesthetics we will be with you every step of the way! 

Regardless of where you go, we cannot emphasize enough the importance of going to a licensed medical provider that you trust and knows how to keep you safe, while also giving great results.This is a medical procedure and needs to be treated as one.

If you are in the Lone Tree, CO area come see us for a free consult so we can decide together if lip filler is right for you. Ali Wagstaff is a double board certified Nurse Practitioner with a fellowship in aesthetic medicine. She is also an artist and takes a holistic approach to patient care. Click the pink “book now” button below to book.



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Skin Wedding Prep

February 21, 2022 in , , , , /by

Photographer? Check. Photo ready? You tell us!

Wedding Prep Timeline

You might be surprised by how many beautiful, and naturally  appearing brides, have had Botox, fillers, laser treatments, Kybella and more before the big day! That, on top of social media filters and edited photos, there can be a lot of pressure to look a certain way before your event

When it comes to aesthetics, most brides have a lot of questions regarding skincare, injectables, lasers, and additional services that help a bride look and feel picture perfect on her wedding day. We want to assure you that there is no correct way to look for your wedding and generally comparing is the quickest way to feel like s*** about yourself. So don’t do that!

However, if you are thinking of doing something to enhance your already beautiful appearance, (without the worry of being overdone or not looking like yourself), keep reading to learn about the different options.

Table of Contents

Can I get Botox the day of my wedding?

Technically, yes you can get botox the day of your wedding, but we certainly don’t recommend it! You would be wasting your money, simply because it takes a full 7-14 days to kick in and best results are usually 4-6 weeks post injections. Also, while there isn’t any serious downtimes in regard to getting Botox, there are always potential risks for bruising and other unwanted side effects.

What is Botox?

Botox, Xeomin, Dysport, and Jeveau are all brand names of Botulinum Toxin A. This medication is a type of neuromodulator that when injected, works by blocking the communication between the nerve and the muscle. By blocking this movement, the skin does not crease as much which softens lines and wrinkles. Most common areas to treat are frown lines between the brows (glabella), crow’s feet, and the forehead.

Considering getting Botulinum Toxin injections? Learn more about how to prepare for this appointment Here!

When should you get botox before your wedding?

Again, Botox, or other neuromodulators, need about 7-14 days to fully kick in, and 4-6 weeks to reveal best results. We highly recommend getting your Botox injections 4-6 weeks before your wedding, because we want to ensure your treatment is at its best result on your wedding day. This time frame also allows for scheduling a follow-up appointment with your provider, because occasionally after the 14 day time frame a touch-up is needed. Getting Botox injections from a provider that encourages follow-ups, like our providers Ali , Molly, & Simone is very important! 

Below are before and after images of Botox injections 2 weeks apart



When should you get filler before your wedding?

To put it simply, you want to get dermal fillers about 2 months before your wedding, but a minimum of 4 weeks at least! Initial filler injections can cause swelling and bruising. So before your final results are revealed, there is a 2 week healing period. Once the swelling has subsided, you and your provider can assess if any other alterations are needed with your filler injections. 

What are dermal fillers?

Dermal fillers are gel-like substances that help restore volume, correct wrinkles, and contour the face. Common areas treated include cheeks, lips, chin, and jawline. They can also help smooth superficial lines. When done correctly, they create a beautiful, natural result that balances the face without being obvious that anything was done.

Read more about filler Here!

Should you get pre-wedding lip fillers?

Lip injections before your wedding day can be a wonderful glow-up if you are a good candidate and go to the right injector. In general, the goal is to enhance the lips without making it obvious one has lip filler. That is very much art!

Furthermore, if you do decide you are interested in getting filler before your wedding day, it is best to get lip injections 6-8 weeks prior to the date. This is because there is initial swelling and bruising from the injections for up to 2 weeks. for tips on reducing lip filler bruising and swelling read this.

Once swelling has subsided, we recommend you pop back in for a follow up appointment with your provider to ensure you’re happy with final results.

"Something I always tell clients is not to overly chase symmetry"
Ali Wagstaff
Np Injector

When should you get Kybella before your wedding?

We recommend getting Kybella done about 1 year prior to your wedding date. Before considering Kybella as a treatment for you, we want to be transparent that it is a commitment as it usually takes 3-6 sessions 1 month apart. Additionally, final results from a single treatment take anywhere from 1-3 months to be revealed with a 2 week healing time frame in between sessions.

What is Kybella?

Kybella is made from deoxycholic acid. This substance found in the human body that is responsible for breaking down fat. When injected directly into a fat pad, such as under the chin for a “double chin”, it causes the fat to break down in the area. The result is technically permanent (if weight remains stable) but it takes several treatments (3-6). It can also be used off-label for jowls and around the body for stubborn areas, too.

For further information regarding Kybella injections, be sure to read This

When should you get laser skin treatments before your wedding?

There are several different types of laser treatments on the market and it can be very confusing deciding which one is best suitable for you and your skin type. The best advice moving forward is that most treatments need to be done in a series of 3, 1 month apart for realistic skin improvements. You will want to complete your last treatment series 1 month before the wedding day for your skin to be at its best result and to allow for enough revoery time. Starting the series of treatments about 4-6 months before the wedding would be appropriate. Continue reading for an explanation of the benefits of IPL, ResurFX, and RF Microneedling, all offered at Elite Medical & Aesthetics.

How would an IPL benefit my skin before my wedding?

IPL, or intense pule light, targets skin discoloration such as age spots, hyperpigmentation, freckles, broken capillaries, and red spots. 

Specifically, this procedure works by using light energy that is converted into heat energy to target red/brown pigment in the skin cells

This causes destruction of unhealthy cells, for new cell regeneration. These light beams also heat up water in the skin creating a tightening effect. Even out your skin tone & gain rejuvenation

Have more questions about IPL?

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How would ResurFX benefit my skin before my wedding?

ResurFX treats skin concerns such as hyperpigmentation, stretch marks, wrinkles, sun damage, loose skin, and scarring. However, it will take multiple treatments to get the desired results. A non-ablative fractional laser such as ResurFX does not damage the top layer of skin, making it safe for all skin types with minimal downtimes. It shoots laser beams just below the top layer of skin, coagulating sections of the deeper tissue. A healing cascade is signaled and the old skin is removed by the body leaving room for new healthy tissue. This creates a tightening effect and more even complexion. To learn more specifically about this treatment…



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How would RF Microneedling benefit my skin before my wedding?

RF Microneedling combines the power of microneedling and radiofrequency into a combined treatment. Microneedling is used to stimulate new collagen growth by puncturing controlled micro-channels into the skin to create a healing cascade. While radiofrequency heats the tissue up to tighten & shrink. This treatment works well to tighten loose, crepey skin, target fine lines and wrinkles, as well as reduce the appearance of scarring from acne or trauma.

For those interested in regular microneedling, we do offer SkinPen as an option. This does not include the radiofrequency, but does offer all the benefits of microneedling 

Ali Wagstaff
NP

When should you get a facial before your wedding?

It is best to get a facial 1-2 months prior to your wedding. Some facials require no downtime at all, and others are more invasive and require minimal social downtime. More invasive facials that have downtime include intense chemical peels, such as the VI Peel, and deep cleansing facials with extractions. Usually there is 5-7 days of healing involved with these facials, so it is best to get these treatments 4-6 weeks in advanced. Other options of facials that do not have downtime include; dermaplaning, microdermabrasion, OxyGeneo, enzyme exfoliation, and a signature facial. These more gentle facials incorporate customized exfoliation and hydration which allows the skin to look refreshed and vibrant before an event.

Should I be on a skincare routine before my wedding?

Yes, it is always best to consult with your aesthetician to ensure you are on an appropriate skincare treatment plan and routine, well ahead of your wedding (and every day). Skin preparation is important before jumping into new facial treatments, that way there is no shock to the skin from using clinical grade products.  

Many times, using proper at-home skincare will enhance the results from facial treatments. It takes time for skincare ingredients to start working efficiently, so we recommend starting your skincare routine 6 months prior the your wedding. 

Read About a Simple Skincare 

Guide Here:



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On another note, scheduling routine facials can also be a great way to incorporate self care and relaxation from stressful wedding planning.

What type of facial is best before my wedding?

We always recommend getting guidance from your aesthetician on what facial would be best for your skin type. However, more universal facials that are usually safe and effective for most skin types include, dermaplaning, Oxygeneo, and our signature facials. These treatments tend to focus on exfoliation and hydration to reveal fresh, rejuvenated skin. 

"It is also important to note that even though you may be wearing makeup on your wedding day, your skin is the canvas. With that being said, the healthier and more balanced your skin is, the prettier the makeup will lay and wear throughout the day"

Aesthetician, Mary Beth Martin

What skin treatment is best for brides?

Every bride is unique and beautiful in different ways, there is no one-size-fits-all. What is best for you is different for another bride, so it is crucial to schedule a consultation with and esthetic provider you trust. Sooner rather than later!

Personalized skin quiz!

Learn more about your skin concerns and which treatments would be best fit for you before your big day!



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How to boost confidence before my wedding?

Being a bride can be nerve wracking, but feeling beautiful in your own skin shouldn’t be. What we can recommend is pursuing treatments and injectables that will enhance your confidence and make you glow from the inside out.

For when the time comes, getting married is a special and intimate occasion that should be cherished. We understand that planning a wedding is chaotic, but rest assured that we are here to help you in the aesthetic department. Leave your questions and concerns with skincare treatments and injectables in our hands, and watch your confidence flourish. You deserve to feel you best every day of the year, but we understand this one day is even more important. 

Get wedding ready!

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