Tag Archives: botox

Introducing ZO Skin Centres

ZO Skin Centres is the newest brainchild of Dr. Zein Obagi, and the flagship location opened in June 2015 at the posh Fashion Island in Newport Beach, California. Clients can stop by for a rejuvenating ZO peel, have a bit of BOTOX for your crow’s feet or Juvederm in your lips. You can even schedule a Coolsculpting session to freeze the fat on your tummy, all in the privacy and convenience of a modern pampering setting.

Dr. Obagi has spent over three decades researching and developing revolutionary ways to restore and maintain healthy, vibrant and glowing skin. Just like our celebrated ZO family of products, our signature services are sought-after by celebrities in Beverly Hills, London, Paris and more.

The experience begins with a consultation by Dr. Obagi himself or his plastic surgeon colleague Dr. Aaron Kosins. At your first Skin Health evaluation with Dr. Obagi or Dr. Kosins, you will have a comprehensive assessment of your skin  and an opportunity to discuss your specific concerns and review your medical history. Photographs will be taken to document your skin’s current condition and to be evaluated by the doctor. You will receive a fully individualized program designed to meet your goals. At each follow-up visit, new photographs will be taken to document your skin’s progress.

All treatments are performed by highly skilled medical aestheticians trained in the principles, protocols and methods of Dr. Zein Obagi. The services offered at the ZO Skin Centres are inspired by the ZO® Circle of Skin Health, which takes into account Prevention, Therapy, Daily Skincare and Maintenance. One of our client favorite treatments is the ZO® Signature Facial with Lymphatic Drainage for hydrated skin that glows.  This relaxing treatment utilizes cutting edge technology, including microcurrent therapy, to improve skin firmness, reduce wrinkles and smooth skin followed by lymphatic drainage to rid the skin of toxins and impurities. It’s perfect before a night out or special occasion!

Look for the ZO Skin Centre at 401 Newport Centre Drive, Suite A208, Fashion Island – open 7 days/week.

 

 

Get Smart About Fillers

If you’re in your 40s or 50s, chances are you’ve noticed some vertical lines in your face—not wrinkles, but loss of volume.

To the rescue: facial fillers. There are several on the market now, some of which you’ve probably heard about. But which one is right for you? Your doctor may be the best judge of that, but here are some things that you should know.

After you have lost collagen and elastin, fillers help the dermis return to a more youthful condition. They work underneath the skin to trap water, plump the skin, and restore volume that has been lost. They’re frequently used in the naso-labial folds on the sides of the nose and the “marionette lines” around the corners of the mouth. These areas are particularly susceptible to breakdown because there is so much chewing, talking, and smiling. But facial fillers can also be used to raise scar depressions, plump the lips, and enhance the temples, cheeks, or lower eyelids.

With fillers, there is little pain and not much downtime—although swelling and minor bruising can last for up to a week. Your doctor will use a fine needle and may use a numbing cream or local anesthetic to reduce the pain.

Fillers are made from synthetic compounds that are safe for your skin. There are many different brands, including Restylane, Juvederm, Perlane, Sculptra, and Radiesse. Restylane, Juvederm, Perlane are all made from hyaluronic acid, which is a natural sugar compound and provides fullness to the skin. Radiesse is made of tiny crystals that contain calcium hydroxyapatite, a substance found in our bones and skin.

Here are some of the pro’s and con’s of each:

  • Restylane: particularly good for nas0-labial folds, smile lines, forehead wrinkles, and lips. You can expect it to last for about 6-12 months.
  • Perlane: injected deeper, so typically recommended for the cheeks, chin, eyebrows, and around the mouth. The manufacturer claims it lasts 9-12 months. Not as popular as it used to be.
  • Juvederm: you’ve seen this advertised for the “parentheses” folds. It’s the leading brand and from the company that brought us Botox. Lasts for about 6-12 months in the nasolabial folds, about 3-6 months in the lips.
  • Radiesse: recommended for smiles and nas0-labial folds. Lasts for up to a year.
  • Sculptra: generally multiple treatments are performed over a period of several months, but it lasts for 2-4 years. Has lidocaine added to reduce discomfort. Generally more expensive.

At the Obagi Skin Health Institute, Dr. Obagi uses Juvederm and Sculptra. Ask your doctor to explain his/her recommendations. It’s your face and your money, so make an informed decision and be sure to select a provider who is well-qualified.

Making Changes to Your Skin

By removing the top layers of dead skin cells and activating the lower dermis (where all the action is), the texture, tone, and firmness of your skin can change. If your products and treatments only work on the surface, all you will get is a temporary cosmetic effect and no real change.

Think of the top layers of your skin as a dried sponge: if you get it wet, it will soften and plump; if you leave the sponge out on the counter, it will just dry up again—you will have a temporary change, but inevitably, the sponge will go back to its original dry state.

Similarly, with your skin, if you can get past the top layers and slough them off, you can open up pathways to deliver nutrients, antioxidants, hydration, and the essential building blocks to build support structures as in collagen, elastin, hyaluronic acid, and healthy new skin cells. The result will be skin that appears smooth, soft, firm, radiant—and the look won’t wash off.

Here is Dr. Obagi’s recommended approach to producing lasting changes and not just a temporary cosmetic cover-up:

  1. Seek the guidance of a licensed skin care professional.
  2. Start on a regular program of daily cell renewal, using a high concentration of retinol (natural Vitamin A).
  3. Accelerate resurfacing with more aggressive professional resurfacing treatments (microdermabrasion, laser treatments, etc.).
  4. Supplement your daily resurfacing regimen with application of nutrient-rich antioxidants and growth factors.
  5. Use targeted products to treat specific conditions: acne, hyperpigmentation, rosacea, tired eyes, etc.
  6. Use injectables such as Botox® to smooth the frown and Juvederm® to fill in the deeper wrinkles. Be sure to ask your doctor for his or her brand recommendations, though, as not all fillers are the same.
  7. Apply sun protection every day.
  8.  Stay on track with proper coaching and support from your skincare specialist.

Take Good Care of Yourself

If you’re concerned about wrinkles, and you know you can’t expect to solve all of your problems overnight, where do you start? Should you avoid sunshine and UV damage, reduce stress, change your diet, quit smoking and/or drinking, use better (or more!) skincare products, eat foods rich in anti-oxidants, take nutriceuticals, stay hydrated, exercise, have more facials?

Taking good care of your skin isn’t your only priority, so let’s address the worst offenders, as well as the best solutions.

  • UV exposure. This one is the real culprit of aging. UVB rays cause burning, but UVA rays, which penetrate the skin more deeply, cause wrinkles, loss of elasticity, and photoaging. You’re exposed to UVA rays even when you’re inside—about 90% of UVA rays are transmitted through ordinary glass and windshields. Wear a broad-spectrum sunscreen (like Oclipse SPF 30) every day, and use skincare products high in anti-oxidants.
  • Wake up your skin cells. Dormant skin cells exacerbate all of the signs of aging. You need to activate and stimulate them with high concentrations of retinol, which is generally considered the best topical anti-aging ingredient. In fact, scientists recently revealed that retinol (and other Vitamin A derivatives) is the only topical ingredient proven to provide anti-aging benefits.
  • Kick the sugar habit. Too much of the sweet stuff—either as sugar or as fructose—is the most common cause of glycation and inflammation. It binds to collagen, weakens it, and then induces sagging and wrinkles. Too much sugar will also reduce skin circulation and damage the texture.
  • Stay hydrated. Drinking 8 glasses of water/day is important for digestion, circulation, and excretion. For skincare, you need even more than that, especially after reaching age 40. Water helps hydrate the skin (thereby disguising wrinkles), flushes toxins from the skin (reducing acne), reduces dark circles underneath the eyes, and reduces eczema and psoriasis. Water is surely the most readily available, and the cheapest, skincare remedy.
  • Huff and puff—but not nicotine. Cardio-vascular exercise is good for your skin. It improves the circulation and delivers nutrients. Plus it makes you feel better about yourself, and the radiance shines through.
  • Relax. Many aspects of daily life can lead to increased stress, and that stress can cause or exacerbate a blotchy complexion, blemises, dullness, and acne and rosacea flare-ups. It’s impossible to eliminate stress, but you should help reduce it. Find time for yourself, exercise, get 7 hours of sleep a night, enjoy friends, practice yoga—whatever works for you.

It’s also important to eat a healthy diet, rich in anti-oxidants and Omega-3’s—the perfect excuse to have an ounce of dark chocolate. Peels, laser treatments, Botox, and fillers may be an option, but they shouldn’t be your first choice. What you do every day and how you treat your skin every night help to make medical procedures unnecessary. So take good care of yourself.

BOTOX® vs. Dysport

It used to be, when you asked a doctor for Botox®, you got Botox. That’s because Botox was first in the market and had no competition. These days, that’s all changing. The FDA has approved Dysport®, a new anti-wrinkle injectible also made from botulinum toxin. Should you ask your doctor to make the switch? That’s an important question, so let’s face the facts.

Dysport is a little different from Botox, but also safe and effective. It spreads a little more after it has been injected. The advantage is that if large areas (like your forehead) need injection, theoretically it requires fewer injections, thereby reducing discomfort.

The best thing to do is to find out what the experts have to say, and ask your physician to discuss it with you. The FDA requires drugs like Botox to carry a warning label, saying that the drug may spread from the injection site to distant parts of the body, and can have serious side effects, such as problems swallowing or breathing. While anything is possible with botulinum toxin, problems are less likely with Botox  when it is used for cosmetic treatments. They’re of greater concern when Botox is used to treat spastic muscles of the eyes and other systemic usage.

Once popular Botox parties are still around. The  hostess usually gets her treatment for free, compliments of the doctor, and the doctor hopes to meet some new clients—it can be a marketing tool. But for the patient, is it worth the risk?  In our opinion, the risk of complication is too high, and doctors should give Botox injections under the right lighting and sterile clinical conditions, and in the privacy of their own office. So skip the parties, and come to the clinic.

When it comes to Botox or Dysport, be informed. Before you make a decision, talk to your dermatologist or plastic surgeon about what is best for you.