Say Farewell to Your Frown with Xeomin

We all expect to see a few lines and wrinkles on our skin at some point. That doesn’t mean that certain wrinkles don’t bother us. For many people, the most concerning creases are those that develop between the eyebrows. Glabellar lines, or frown lines, are the result of aging but they do a lot more than make us look older. Frown lines make us look angry. They can make us look unfriendly and may inhibit authentic social and professional interactions. It is possible to say farewell to frown lines. In our Spring Lake office, patients can choose to do so with Botox or with Xeomin. Here, we discuss why Xeomin is becoming a popular option.

What is Xeomin?

Frown lines aren’t merely the result of aging skin. We get these lines because of the frequent use of the muscles at the center of the lower forehead. When we squint or frown at all, the same muscles contract. As with any muscle in the body, the continual contraction of these muscles leads to toning. Just like toned abdominal muscles can etch the stomach, toned forehead muscles can create contours between the eyebrows. Xeomin can correct this.

Xeomin is an FDA-approved drug that is classified as a neurotoxin, neuromodulator, or wrinkle-reducer. The basis of this cosmetic treatment is the action that purified botulinum toxin type A has on muscles. As a muscle-relaxer, the botulinum toxin provides substantial efficacy in the treatment of muscular disorders. In much lower doses, this ingredient can relax the small muscles between the eyebrows to smooth permanent dynamic lines. It works by inhibiting the release of a neurotransmitter that is responsible for making muscles contract. When injected, the targeted muscle relaxes for three to six months.

How Xeomin Differs from Botox

Seeing Xeomin as just another Botox, many people may instinctively choose the more well-known product. There are differences between the two drugs that may affect the outcome of treatment. Making the best choice means making one that is well-informed. Though both drugs inhibit muscle contractions by inserting botulinum toxin type A into muscle tissue, Botox also introduces accessory proteins. These proteins may contribute to the risk of an allergic response after treatment. The response occurs as a result of antibody formation. With Xeomin, this risk may be decreased because there are no proteins included in the solution, only purified botulinum toxin.

Xeomin has been clinically proven to achieve comparable results to Botox and provides adults with the opportunity to see how much younger and friendlier they look without frown lines and other wrinkles. Learn more about Xeomin and what it can do for you. Call (732) 449-0167 to schedule a consultation at our Spring Lake office.

Skin Rejuvenation Spring Lake, Monmouth County NJ

Why Skin Rejuvenation Takes Time

Many of the people who come to visit us are interested in either postponing or correcting common signs of aging. You know the ones we’re talking about, the crow’s feet that show how much you’ve laughed over the years, the frown lines that used to go away when you weren’t actually frowning. These and other age-related changes to facial appearance can be frustrating, to say the least. However common it is for people to seek treatment for these and other cosmetic concerns, there are still misconceptions about beauty and how to maintain it.

“Maintenance.” This is the area in which we can go wrong. We don’t think about maintaining our skin, which is interesting because we know we have to regularly care for our health and wellness in other ways. Many people eat well and exercise every day to maintain their shape and overall health. We brush our teeth every day and see the dentist every six months to make sure we avoid cavities and gum disease. When it comes to the skin, though, we all but forget that care is needed. Then, when the signs of aging become a problem, we then wonder what it will take to address them.

In wondering what it takes to address the signs of aging, we have to keep in mind that the skin needs to be maintained. We don’t mean cleansed and moisturized, either. To postpone or correct crow’s feet, loose skin, sagging eyebrows, and other problems, the objective is to keep the skin infused with collagen and elastin. For about the first thirty years of life, this task is well-met by hard-working fibroblast cells. After age thirty, these cells no longer pull their weight. The infusions of collagen and elastin all-but end. However, the skin still utilizes about 2% of the collagen and elastin it has. The ongoing annual degradation of that percentage eventually makes a big impact on the skin’s appearance.

Knowing that the skin’s firm, supple foundation degrades without collagen and elastin, we know what we have to do. Fortunately, there are several ways to promote the production of these key proteins. Depending on the age of the skin, one may undergo regular chemical peels to assist with cellular turnover. More significant concerns may need a series of laser treatments to bring fibroblasts back to life. After the cells get woken up, periodic collagen-inducing treatments can keep them that way.

Your Spring Lake dermatologist can assist you with managing the health and beauty of your skin. To schedule a visit, call (732) 449-0167.

LoBuono, Philip MD

What is Microdermabrasion and Why Should I Get It?

We know so much more about the skin today that we’ve got more ways to manage it than we know what to do with. When the skin starts to show the signs of aging, we might think about laser treatment, injectables, or even surgery. There may not be a need to go that far just yet. Have you heard of microdermabrasion? You’ll want to.

What is Microdermabrasion?

Microdermabrasion is a professional treatment intended for deep exfoliation of the skin. Exfoliation is a vital aspect of skincare because, without it, dead and damaged cells accumulate on the top layer of the skin. Stuck here, cells cause dullness and create a barrier to skincare products.

How Microdermabrasion Works

A microdermabrasion treatment takes an hour or less when performed on its own. To begin, we cleanse the skin and dry it. A small handpiece is then passed over the skin, where tiny diamond chips spray against the skin. Our DiamondTome microdermabrasion system works gently to remove the uppermost layer of debris from the epidermal tissue using vacuum pressure. After exfoliation is complete, the skin may be gently cleaned with a brush or warm towel. Some patients choose to combine their microdermabrasion with other treatments, such as a chemical peel, to achieve more noticeable results.

Benefits of Microdermabrasion

  • Microdermabrasion helps skincare products work better
  • The skin looks brighter
  • Sunspots and hyperpigmentation fade slightly
  • Fine lines look softer
  • Skin tone becomes more even
  • Skin is softer overall
  • The pores are emptied of dirt and oil

Side Effects

In addition to these benefits, patients also appreciate that there are very few side effects after microdermabrasion treatment. This enables them to get right back to normal activities. Though microdermabrasion can cause temporary redness, this side effect is usually gone within an hour or two. In most cases, redness is also very mild.

Microdermabrasion is a great treatment for adults of all ages who want to promote healthy cellular turnover. To schedule a consultation to discuss what you’d like to achieve for your skin, call our Spring Lake office at (732) 449-0167.

Botox® Specialists Monmouth County, NJ

An Hour and Some Innovation Can Do a Lot For Your Skin

During this time of year, we can’t help but think about what’s to come. We also think about what has occurred in the previous months, and how the upcoming months will be different. After getting through a bustling holiday season, many people are ready for some pampering. What better way to do that than to visit your trusted dermatologist for a quick turnaround of your look?

Cosmetic Treatments for a Younger-Looking Face and Body

If you are interested in refreshing your look in some way but feel pressed for time (who doesn’t?), rest assured you only need about an hour or so to refresh, rejuvenate, and retain the beauty of your skin. You might be thinking, “I already know what Botox and dermal fillers can do and I’m not there yet.” Ok. We are aware that most people these days are well-informed about what injectables can do for their appearance, so we won’t go there. Here, we’ll focus on the lunchtime procedures that can make other types of impact on your look.

  • This beauty treatment is powerful because it can improve several concerns at once. From fine lines to laxity to acne scars, microneedling is an efficient corrective-measure. Treatment works by stimulating activity in the fibroblast cells, which are responsible for producing collagen and elastin. For about a week after a single treatment, the skin looks radiant and smooth. With a series of treatments, more significant concerns can be corrected.
  • Body-sculpting. Many people express an interest in either reducing waist circumference or getting rid of cellulite, sometimes both. With Velashape treatments, this is possible. During the brief appointment, patients lie comfortably beneath a radiofrequency applicator that delivers thermal energy deep into fatty tissue. The stimulation destroys fat cells and also tightens collagen fibers to improve both circumference and skin texture.
  • The skin needs periodic pick-me-ups to maintain a smooth, radiant appearance. Microdermabrasion is a comfortable, no-downtime treatment that is done to remove the dead and damaged cells that have accumulated on the epidermis.

There are many ways to support aging and sun-damaged skin. We can help. To schedule your visit to our Spring Lake dermatology office, call (732) 449-0167.

Addressing the Unique Changes in Aging Skin: Part III

The final installment of our three-part series on aging skin will take a look at the various superficial dermatologic changes that occur. More than listing how the appearance and texture of the skin transform with age, we discuss why this happens and why it may be a bigger deal than it seems.

As we’ve discussed in previous posts, wrinkles, creases, and looseness all relate to vital substances in the skin, or a lack thereof. Throughout our thirties and forties, we continue to lose the structural integrity of collagen and elastin in the epidermis and the dermis. Furthermore, what exists is degraded by stress, hormones, and sun exposure. This can sound like we’re fighting a losing battle, but we’re really not. When we understand how aging affects the skin, we are better equipped to address them as needed.

An Additional Chemical We Haven’t Talked About

One of the reasons that textural irregularities occur is because the skin gets dehydrated. This doesn’t happen because we need to consume more water. It happens because GAGs like hyaluronic acid are not distributed through the skin as well as they could be. The amount of hyaluronic acid is believed to start diminishing as early as our forties. Without it, the skin loses valuable moisture. Without moisture, the skin loses elasticity. Additionally, loss of hyaluronic acid has been associated with the skin beginning to look scaly. To address this change, we must become consistent in the use of exfoliants (chemical peel, anyone?) and moisturizers.

Skin Discoloration

We often think of skin discoloration as an indication of sun damage. We also think of discoloration as the dark spots that appear in areas we may not have protected as well as we could have. The problem with pigment in the skin is that it can both darken due to erratic melanocyte activity and lose tone. This is referred to as hypopigmentation (the opposite of hyperpigmentation.) Hypopigmentation looks like white spots. As we age, most of us will notice a mix of both pigmented and depigmented tissue, making the skin look mottled. Skin rejuvenating treatments like photodynamic therapy may help with some degree of mottling.

Aging skin is going to be a part of our lives whether we like it or not. We can’t stop it, but we can be ready for it. To correct the signs of aging that are affecting your sense of satisfaction with your appearance, schedule a consultation in our Spring Lake, NJ office.

Addressing the Unique Changes in Aging Skin: Part II

Knowledge is power. This statement can be true in numerous different situations, including how you address aging skin. The more you know about the ways your skin and face may change with age, and why, the more capable you are of managing your beauty regimen adequately. In a recent post, we discussed one of the three critical aspects of aging, the development of dynamic wrinkles. Here, we move on to the second: volume loss.

What Volume Loss Looks Like

The skin is not the only part of the face and body to show the signs of aging. It is the skin that we notice, though, because it is the outermost part of our being. At some point, most of us find ourselves looking in the mirror and using our fingers to pull the skin up and back over the cheekbones. Doing this, we see more contouring in the midface and less sagging at the jawline. If you’ve done this and found yourself thinking, “if only it could stay this way,” you’re experiencing the effects of volume loss.

Beneath the dermis are subcutaneous structures that “pad” the cheekbones and area under the eyes. The fat pads that live here act as a scaffolding for the skin. With age, fatty tissue in the midface begins to deteriorate. The loss of these structures allows the skin to slump downward. We may see hollows under the eyes or, conversely, puffiness that is exacerbated by the flattening of the upper cheeks. The lack of volume in the midface is also what is responsible for the creases the form around the nose and mouth.

How to Manage Volume Loss

It used to be common to undergo facelift surgery as a corrective measure for facial aging. Over time, we’ve learned that this may not be sufficient, especially when dealing with volume loss. The primary ways that volume is restored today include replacement and regrowth.

Volume replacement is often achieved with dermal fillers like Restylane and Radiesse. This technique inserts biological substances such as hyaluronic acid into the dermis where particles bind to water molecules. This marriage of the two increases the plumpness of the tissue beneath the epidermis, beautifully rounding out cheeks, lips, and lines.

It may seem difficult to regrow volume naturally. It’s actually quite simple. One way to do this is with the body’s own fat. Fat transfer treatment has become more popular in recent years, but it may not be right for everyone. The procedure is surgical; it requires minor liposuction. It is also somewhat unpredictable. Easier alternatives include microneedling and Sublime skin contouring treatments. Each stimulates the ongoing production of collagen, leading to tighter, smoother, plumper skin.

Restore volume for a more youthful look. Schedule a visit to our Spring Lake, NJ office at (732) 449-0167.

Sublative Skin Rejuvenation Spring Lake, Monmouth County NJ

Want to Fall Into Better Skin? We Can Help!

Skin rejuvenation is a hot topic these days. With the development of several different technologies in recent years, more people are making strides to age gracefully without having to turn to a plastic surgeon. There are numerous devices and techniques to choose from, including injectables and lasers galore. In our Spring Lake office, we provide options. Some address specific concerns and some pull double- or triple-duty. The elōs system is one that deserves a second glance.

The elōs radiofrequency device from Syneron has been developed as a multi-function platform. This means that each treatment targets the skin in such a way that multiple concerns are addressed. With this system, we can postpone and correct common signs of aging including visible veins, acne scars, stretch marks, sun damage, wrinkles, and more.

Skin Damage is a Work in Progress

As we go through our youth, most of us never realize how many factors may be promoting premature aging. Time in the sun without sunscreen, smoking, poor eating habits, stress, and our very genes all affect how well (or not) we will age. When we are young, we don’t think about these factors because the ongoing production of collagen at the time hides what is coming. As collagen and elastin decline, the effects of multiple factors begin to show. By this time, we cannot stop the aging process. We can, however, manage it.

Skin Rejuvenation from the Inside Out

Much of the way we approach skin rejuvenation works from the outside. We apply serums and lotions and all sorts of ingredients that are said to promote smoother, younger-looking skin. Professional treatments often work differently, Elōs included. This treatment delivers both radiofrequency (RF) energy and intense pulsed light (IPL) into the deeper layers of the skin to provoke the fibroblasts cells to make more collagen.

Elōs harnesses effective but gentle energies, which makes this treatment appropriate for a wide range of skin types and concerns. These energies can target the pigment in sun damage and vascular lesions, the pigment in unwanted hair, and the bacteria that cause acne, all at once. With a short treatment time of an hour or less and no downtime, this comfortable procedure may be just what you need to fall into great skin after a summer of fun in the sun.

Learn more about laser skin rejuvenation and other ways to fight the signs of aging effectively. Call our Spring Lake office at (732) 449-0167 to schedule your consultation.

Smiling mature couple embracing in white robes

Addressing the Unique Changes in Aging Skin: Part I

We all know that our skin will age. The question isn’t whether it will or won’t, it’s when and how. Because aging is expected, experts have outline specific recommendations. We know them so well that we actually might overlook them. You know, the tips about eating well and wearing sunscreen every day. Even with expert tips on how to care for your skin, there are details that you may want to know. Here, we will discuss the science of cosmetic aging to help you prepare for the unique changes that will occur in time.

There are three factors that contribute to an aging face. These include:

  • The development of dynamic wrinkles
  • The loss of volume
  • Superficial dermatologic changes

Knowing the way that the skin ages, you gain the ability to address specific problems at the right time. Seeing where you are in the aging process enables you to identify which treatments will best serve your current and future needs. In this part of our series, we’ll focus on Problem Number One, the development of dynamic wrinkles.

What are Dynamic Wrinkles, Anyway?

The beauty industry has names for every concern. Dynamic wrinkles are the lines and creases that form as a result of muscle movement. Examples of dynamic wrinkles include the crow’s feet at the corners of the eyes, the horizontal lines on the forehead, and frown lines between the eyes. At first, dynamic wrinkles are only visible when we use related muscles. Remember the day when your frown lines only showed up when you squinted or actually frowned? Ah, those were the days.

Dynamic wrinkles eventually become etched into the skin, not because of muscle movement alone but because the skin loses elasticity as collagen degrades. The less elastic and stretchy the skin is, the more difficult it is for it to retract after facial movements.

Dynamic Wrinkles are Treatable

If you’ve recognized the permanence of certain lines on the areas of your face in which muscle movement is consistent, you can benefit from professional cosmetic treatments. Once dynamic wrinkles have developed, they will not go away on their own. The body makes less collagen as we age, which means wrinkles will only worsen if we do nothing about them. In our Spring Lake office, the primary way that dynamic wrinkles are treated is with Botox and Xeomin.

Both Botox and Xeomin reduce wrinkles by relaxing the muscles that cause them. The base ingredient is a purified form of botulinum toxin A, a chemical that safely prevents muscle contractions for a short time. One treatment can provide months of smoother, younger-looking skin. In addition to softening dynamic wrinkles, treatment with Botox or Xeomin also slows the progress of aging by releasing the pull on the skin.

Learn more about addressing the early signs of aging. Schedule your consultation with us at (732) 449-0167.

Beautiful brunette woman lying down on black sheet

How Microneedling Boosts Beauty

Microneedling is not a new technique. Before automated devices were developed, this method of general skin rejuvenation had been performed using what is called a dermal roller. Professionally, microneedling is performed with a small device on which tiny needles move in a vertical fashion. The handpiece “stamps” the skin with tiny points that create minor injuries.

Why would anyone want to press tiny needles into their skin? As odd as this may sound, the use of a thorough microneedling technique is perceived as a wonderful way to trigger a natural wound healing process in the upper layers of the skin. This healing process involves an influx of collagen to the tissue that has been affected by injury or age. Initially, microneedling was seen as valuable for general and subtle cosmetic improvements. Over time, the treatment has extended to address concerns including stretch marks, scars, lines and wrinkles, and even hair loss.

What Is Microneedling?

A minimally-invasive procedure conducted in our Spring Lake dermatology office, microneedling is a technique in which tiny punctures are made across an area such as the face, neck, chest, or stomach. Needle depth ranges from 0.5 mm to more than 2 mm depending on the device. Microneedling is often referred to as collagen induction therapy due to the natural increase in neocollagenesis that occurs in response to the micro-injuries.

Collagen is a healing protein that is involved in the recovery of a cut or scrape. Collagen is also what provides the skin with overall firmness and strength. As it declines, we are more susceptible to the signs of aging. In addition to aging, collagen decline also results from sun exposure. For this reason, adults of all ages, even those who have yet to struggle with dramatic tissue changes, can benefit from routine microneedling. Along with collagen production, this treatment also stimulates fibroblast growth and the production of new endothelial and epithelial cells.

There are several cosmetic benefits achieved with microneedling. Patients also appreciate the there is virtually no downtime after treatment. The skin may look red for up to a few hours after treatment due to the increase in circulation through the dermis. However, most people return to their normal activities right away.

Summertime is a great time to pay close attention to your skin. To schedule a consultation for microneedling, call (732) 449-0167.

Older mature woman feeling her face in front of a mirror

Let’s Talk about Wrinkles

Wrinkles are expected. We all know that we’ll get them as we age. Because we commonly associate wrinkles with the natural aging process, we may overlook the fact that biological age is only one of several factors that contribute to the formation of lines and creases on the skin. Here we offer a few facts about wrinkles that may help you navigate their timing on your body.

  1. There are two kinds of wrinkles, dynamic and static. Dynamic wrinkles are the lines we see when we frown, squint, or laugh. When the face is at rest, dynamic wrinkles disappear. Static wrinkles are those that we see all the time. These creases become more visible over time due to the loss of collagen and elastin in the skin.
  2. One of the primary factors in premature aging is sun damage. It doesn’t matter how old you are, your skin can be well-supported by applying broad-spectrum sunscreen on a daily basis. Every time you go out unprotected, ultraviolet light in sunshine is breaking down the collagen your skin needs to remain firm and supple.
  3. Diet can help or harm the body, including the skin. In particular, studies show that glycation, the stiffening of protein fibers, can result from a high-sugar diet. On the other hand, supplements and foods rich in vitamin C and E can foster collagen production and tissue resilience.
  4. Smoking harms the body in several ways. On a cosmetic level, the nicotine in cigarettes leaches oxygen from dermal tissue. Without adequate oxygenation, tissue degrades. This makes it more susceptible to the other toxic chemicals in cigarette smoke. Kicking a cigarette habit offers more benefits than just looking better, but this is certainly not insignificant. To repair some of the damage done by smoking, one can use topical products with retinol, antioxidants, and vitamins C and E. Oral vitamin supplementation is also beneficial.

Managing the Signs of Aging

Today, we have numerous ways to promote graceful aging without surgery. Daily skin care using high-quality ingredients is a good place to start. Our team can help you determine which products may be best suited to your skin’s needs. To complement a skin care regimen, we may also suggest wrinkle-smoothing treatments such as Botox, dermal fillers, chemical peels, or photo facials.

Take control of your aging skin. Schedule a consultation in our Spring Lake office at (732) 449-0167.