Our Dermatology Blog

Fat is complicated. It's stubborn, demonized, praised, misunderstood. As the recent wave of body positive conversations has helped to scratch at, everyone's relationship with fat is different. One thing that has remained fairly consistent is a cultural obsession with mastering fat — whether that means embracing it or erasing it.

As far as the latter is concerned, plastic surgery has always had seemingly magical answers. First there was liposuction, which, according to the most recent data from the American Society of Plastic Surgeons (ASPS), has declined in popularity by 30 percent since 2000 (though it still remained one of the top 5 cosmetic surgical procedures performed in 2017).

Then came the advent of non-invasive fat-reducing procedures, such as CoolSculpting and SculpSure, which are designed to get rid of the spots that your devotion to Barry's Bootcamp hasn't managed to budge. Given these are pretty much the closest things you can get to a fat-erasing magic wand, it's not surprising the ASPS reported a 7 percent rise in these procedures last year. Here's what the hype is about and what you need to know if you're considering a non-invasive fat-reduction procedure.

What is CoolSculpting?

CoolSculpting — scientifically known as cryolipolysis — is essentially a procedure to freeze (and thereby kill), fat cells. Here's how the FDA-approved treatment works: An applicator (think of it sort of like a giant vacuum hose) applies suction to the area you want to target. "The applicator then applies carefully regulated cooling plates to bring fat cells down to a temperature at which they are irreversibly damaged," Darren Smith, a board-certified plastic surgeon in New York City, tells Allure. For most areas, the process takes about 35 minutes [per attachment]. After the deep-freeze damage to the fat cells, they will eventually die and be eliminated by the body — a process which takes a little time. You'll start to see results after a few weeks with the final effects revealed in three months.

In theory, CoolSculpting can tackle just about any unwanted bulge — it's FDA-approved for the abdomen, "love handles," thighs, upper arms, "bra fat," back fat, "banana roll" underneath your butt, and "double chin" — but there is one big caveat: you have to have "enough fat for the applicator to adhere to," Stephen Greenberg, a board-certified plastic surgeon in New York and Florida, tells Allure. In other words, there has to be enough fat to pinch for the treatment to work.

What Is SculpSure?
"SculpSure essentially tries to arrive at the same end as CoolSculpting but with the opposite approach," explains Smith. Instead of freezing fat cells, heat is used to kill fat cells. "During a SculpSure treatment, applicators are placed over the treatment area, and a laser is used to heat fat in the treatment area to the point of irreversible damage," he says. Once damaged, the fat cells are swept away by the body's lymphatic system. Just like CoolSculpting, it takes about three months to see full results. SculpSure is currently FDA-approved to treat the stomach, "love handles," back, thighs, and the "double chin."

Which One Should I Get?

CoolSculpting and SculpSure are approved to treat almost all the same areas where stubborn fat is common. But there are still a few things to consider when choosing between treatments. First, consider your pain sensitivity. "SculpSure must reach a fairly high temperature, and this can be quite uncomfortable," explains Smith. While the treatment is designed to be safe for skin (it has a cool cycle built in so you don't have to worry about any burns) it heats fat cells to about 107 degrees, according to the ASPS. It can be painful to sit through if you have sensitive skin. CoolSculpting, on the other hand, is less uncomfortable, since the cooling action will have a numbing effect, Smith says. Secondly, consider how much fat you're hoping to erase. "For a candidate who has more fat to remove, CoolSculpting would be the better option," says Greenberg, since the treatment needs a solid pinch of fat to latch onto. One of the biggest perks associated with both procedures is that there's no downtime and the risks are minimal — you might expect some light bruising, swelling, or soreness afterwards, says Greenberg.

All things considered, "if someone is seeking a noninvasive body contouring option, I would recommend CoolSculpting over SculpSure," says Smith.

Do They Actually Work?

Neither treatment is a magic bullet. In a clinical trial published in Clinical, Cosmetic and Investigational Dermatology in 2014, CoolSculpting showed pretty impressive results — up to a 25 percent reduction in subcutaneous fat in the treatment area. However, the same study found that 14 percent of participants didn't see any improvements. There's less data available on SculpSure. One review of non-invasive body-contouring devices published in the Journal of Drugs in Dermatology found that the treatment reduced fat by about 11 percent.

The good news is, the results of both treatments are theoretically permanent. Bear with us for a brief anatomy lesson: When you lose weight by going to the gym or eating healthier, your fat cells shrink — when you gain weight, they expand. Either way, you maintain the same number. With CoolSculpting or SculpSure, fat cells are actually eliminated, which is a lasting change. That said, if you return to unhealthy habits post-procedure, gaining weight can eclipse the slimming effects. "I always recommend that my patients maintain a healthy lifestyle in order to maintain the results," says Greenberg. Like any procedure, make sure you consult with a physician to weigh your options.

What's the Difference?

acne

Microdermabrasion is one of the top 5 non-surgical procedures performed by medical providers. Using a mechanical device, the provider exfoliates the skin surface with an ablative material, like sodium bicarbonate crystals, to scrub off dead and dull surface skin cells. The device simultaneously uses suction to stimulate circulation in the skin. The result is smoother, brighter looking skin. There is little discomfort, treatments take about an hour, and there is no down-time afterwards. It is suitable for most skin types, but not all.

Microneedling, however, is different than a superficial Microdermabrasion treatment and provides much more benefit, because it reaches below the skin surface. The procedure creates many microscopic punctures in the skin's outer layers. This is sometimes called "collagen induction therapy," because the process stimulates the body's production of collagen and elastin during the wound healing response. It is used to help reduce the appearance of fine lines and wrinkles, acne scars and even stretch marks on the body. There are at-home devices called "dermal rollers," which have small surgical steel needles which are rolled over the skin. This is very superficial in nature, so it is not very effective; and it can be difficult to keep the device sanitary, so it is also potentially problematic.

The SkinPen Microneedling device used at Warrenton Dermatology & Skin Therapy Center has revolutionized microneedling, offering improved results compared to dermarollers and microdermabrasion. SkinPen is more sanitary because it uses disposable needle cartridges. Numbing cream is used to ensure comfort during the treatment session, and there is little down-time. Nothing should be put on the face (including products and makeup) for 48 hours post-treatment, until the micro-channels in the skin close. You may experience light peeling (like dry skin) a few days after your session, but nothing that should take you out of your normal routine.

SkinPen Microneedling is safe and effective for all skin types. If you desire a smoother, healthier, brighter complexion, you should consider Microneedling as one of your best treatment options!

Schedule a FREE Cosmetic Consultation with one of our Estheticians to find out which treatments would be best for you, and develop a customized treatment plan that fits with your lifestyle and budget. We are here to help! To learn more:

Call 540-341-1900, or go to  https://WarrentonDermatology.us12.list-manage.com/track/click?u=b51847402c05e65d5b84344c7&id=3598f161bd&e=864a15906e.

February 05, 2018
Category: Uncategorized
Tags: Acne   Skin Care   treatments   anti-aging   microneedling   PRP  

What is microneedling?

acneMicroneedling is a professional esthetic treatment to reduce the signs of aging (like fine lines, wrinkles, large pores, texture irregularities) and acne scarring. Like the name implies, we use a device called the SkinPen to prick the skin with tiny surgical steel needles to a very specific, therapeutic depth in the skin. These micro-injuries stimulate the body’s natural healing process, and the renewed production of capillaries, collagen and elastin produce smoother, healthier, plumper-looking skin.

How is it different than the at-home dermarollers?

A dermaroller is a round tube with needles sticking out of it on a handle, which the user rolls back and forth across the skin repeatedly. It is designed for in-home use or superficial day spa treatments. Unfortunately, the needles eventually dull with continued use, and it is difficult to ensure that the needles are sterile each time they are used. Also, there is only one, superficial depth to which the skin is penetrated with one of these devices. The SkinPen is a medical device and SkinPen Microneedling is performed by a Licensed Esthetician with a fresh, sterile needle cartridge for each treatment. It is far more maneuverable, can be used anywhere on the body. It will not drag or tear at the skin, and needle length is adjustable, so procedures are custom tailored to each patient’s need - penetrating to a deeper more therapeutic depth.

What is the PRP add-on to microneedling?

Kim Kardashian made headlines when she posted pictures of herself receiving a “Vampire Facial®”, which is a microneedling service including Platelet Rich Plasma (PRP) extracted from her own blood draw, which is applied topically to the freshly treated skin. At Warrenton Dermatology & Skin Therapy Center, you can choose to add PRP therapy to your microneedling service, for delivery of your own human growth factors deep to the skin and maximum skin rejuvenation.

How much down-time after treatment?

Aside from some mild post-procedure pinkness for 2 to 4 days, there is no downtime associated with microneedling when a SkinPen device is used (some see their skin return to normal within 24 hours). Makeup should not be worn for 48 hours after treatment, until the tiny channels in the skin have had time to close. You will experience light peeling several days post-treatment, but nothing that is not totally manageable within your normal routine.

Does it hurt?

No. Before beginning the treatment, our Master Esthetician will cleanse your skin then apply a numbing agent to relieve any potential discomfort.

How long does it take?

Each session is approximately 1 hour long, depending on your skin condition and the size of the area being treated. Multiple sessions are most often recommended for best-case-scenario results, with the services being spaced 4 to 6 weeks apart. We offer discounted treatment packages to encourage our patients to commit to the number of treatments they need to achieve their desired results.

If you would like to know more about microneedling, or think it might be just what your skin needs, take advantage of our introductory pricing and experience the skin rejuvenation trend that has swept the nation!

Call 540-341-1900 today to schedule a service or a FREE Consultation appointment to learn more.

By WARRENTON DERMATOLOGY & SKIN THERAPY CENTER
January 04, 2018
Category: Skin Care
Tags: Dermatologist   Acne   Skin Care   Pimples  

Your teen years may be several decades behind you, but your skin may not have gotten the message. Acne can affect people at any timeacne in their life; 20% of its sufferers are adults. Regardless of your age, it can be very frustrating to manage by yourself, especially if it's painful and recurrent. The skin care professionals at Warrenton Dermatology and Skin Therapy Center in Warrenton, VA are here to help you understand what acne is and how we can help you treat your condition in this informative article.

What is acne?

The skin contains sebaceous glands to create its own oil, which helps to lubricate the skin and keep it from drying out. However, these secretions of oil can become trapped in the hair follicles, the tiny openings of the skin's surface, and cause lesions to develop from a combination of the oil and dead skin cells. Everyone gets a pimple or blackhead now and again, but when they are numerous and chronic, your Warrenton dermatologist will likely diagnose you with acne. Contrary to what you might have heard, acne isn't a problem associated with too much chocolate or bad hygiene. The causes of acne are thought to be linked to hormones and genetic predisposition.

How is acne treated?

The first line of defense in treating acne at Warrenton Dermatology and Skin Therapy Center is often topical therapies, which can be either over-the-counter or prescription-strength, depending on the severity of your acne. Oral medications that treat the bacteria associated with acne can also be effective. There are other medications that can help to control hormones if your Warrenton dermatologist determines that your acne is due to hormonal imbalances. Your treatment plan will be tailored to your specific needs.

You don't have to live with embarrassing and uncomfortable acne. Contact Warrenton Dermatology and Skin Therapy Center in Warrenton, VA to make an appointment with Dr. Caballero today!

December 07, 2017
Category: Hair
Tags: hair  

With more than 35 million men and more than 21 million women currently suffering from hair loss in the United States alone, it is easy to understand why fear of losing hair is something that can affect us all.  This fear has led many to speculate wildly about things that could potentially help, or worsen, hair loss.  While the majority of these myths about hair loss represent either wishful thinking or unfounded paranoia, one common belief, specifically that hair loss becomes more pronounced during the autumn and winter months, may actually have some validity.  A study published by the journal Dermatology in 2010 documents how scientists tracked regular cycles of hair shedding in 800 healthy women over the course of six years and found that, on average, the group lost more hair during the autumn months.  To help understand why, we need to take a close look at the natural hair growth cycle.

Each of the 100,000 to 150,000 individual hair follicles on the human scalp goes through a life cycle of growth and shedding that can be influenced by age, disease, and a wide variety of other factors.  At any given time about 90% of the follicles are in the actively growing, or anagen, stage, while the other 10% are in the telogen (or “resting”) phase.  Those in the telogen stage remain there for approximately two to six months before their hairs are shed to make room for the next cycle of growth.  However, any kind of severe physiological or emotional stress, like a car crash, undergoing major surgery, or even the death of a loved one, can potentially trigger temporary hair loss, in the form of a condition called telogen effluvium where a greater than normal number of hair follicles all enter the telogen phase at once.  About two to six months after whatever trauma initiated the telogen effluvium, all of these follicles shed their hair at the same time, making it appear as though the patient is suffering widespread hair loss.

Some scientists speculate that the seasonal trend in hair loss is the result of a similar phenomenon.  Harmful ultraviolet radiation from the sun, which is far more prevalent in the hot summer months, triggers a higher than normal percentage of follicles to enter the telogen phase around July, which means that by about October or November those follicles are ready to shed.  Moreover, some damaging hair styling practices and environmental factors common to the cooler months can further exacerbate the problem.  Long term exposure to artificially heated air from a furnace or central heating unit can dry out the hair, while hot water, heated curling and flat irons, and hair dryers strip moisture and essential oils.  Ultimately, this damage can make the ends of the hair strands appear frayed, a condition commonly known as “split ends”, and can make any hair loss that may be occurring far more noticeable.

Fortunately, the hair loss that results from telogen effluvium is usually only temporary.  The hair follicles are not permanently damaged, so if the particular external cause that triggered the condition is short lived, the hair follicles should return to their growing state and start producing new hair strands within six months. 

If you are concerned about hair loss, problems with your scalp or other skin conditions, the skin care professionals at Warrenton Dermatology & Skin Therapy Center are ready to help you! Call 540-341-1900 to schedule an appointment. It would be our pleasure to be of assistance to you!





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