Texas Cosmetic Dermatology Blog

End of summer skin care special!
Intense Pulsed Light Fotofacial for sun damage repair for those of you who do not want recovery time and are looking for a less invasive way to repair sun induced skin damage during our long, hot summer.
Until September 30,2010

Face IPL Fotofacial $195.00 per one Double Pass Treatment

Intense Pulsed Light is a light based skin treatment performed safely in doctor's office. Some of the advantages are:

• No downtime


• Minimal discomfort


• Each treatment takes about 20 minutes and can be done during lunch break


Most patients need 3-5 sessions and notice considerable improvement in:




• Skin Texture/tone


• Sun induced brown spots


• Broken capillaries


• Rosacea


• Cystic Acne


• Improvement in Fine lines and laxity



Please call our office 888-210-9693 for an appointment to see if this treatment is suitable for you.
Visit our website for more information on our practice and IPL Fotofacial Treatment

CO2 Laser DOT (Dermal Optical Thermolysis) is an effective new treatment to improve sun induced skin aging . Just One treatment leads to considerable improvement in:

• Pigmentation


• Skin Texture/laxity


• Wrinkles

DOT Treatment is a Fractional ablative Laser Therapy which can be performed safely and painlessly in Doctors office for all signs of solar aging and for Acne and other scars.

Until September 30, 2010 we are offering a special on CO2 DOT laser Therapy

Full Face Treatment for $1250.00

Please call our office 888-210-9693 for a complimentary appointment to see if you are a candidate for this treatment.
Check out before and after photos of DOT treatment on our website
Visit our website for more information about our practice

IPL Photo-rejuvenation is a treatment done with an Intense Pulsed Light source. This type of treatment is effective for treating skin conditions in the superficial layers. It is associated with some discomfort, most patients describe the treatment as a feeling of "rubber band snap" against the skin. Intense Pulsed light is absorbed by brown and red pigment, making the treatment more uncomfortable in people with dark pigmentation and redness.
IPL is quite effective and well tolerated in the appropriately selected patient group.
IPL is usually done without topical anesthesia. In our office , we use very cold gel and ice packs to reduce discomfort. I like to discuss the advantages, realistic expectations and the limitations of this treatment before starting. IPL treatment is usually done as a series of 3-5 sessions, 2-4 weeks apart. I frequently combine this treatment with procedures like Microdermabrasion, Dermawave facial toning for synergistic effect.
I have found with proper patient selection, IPL can help the following skin conditions:

• Superficial Brown Spots/sun Spots


• Facial Redness/Small broken Blood vessels


• Rosacea


• Cystic Acne lesions, unresponsive to conventional Treatment


• Superficial Photoaging manifested as rough texture, brown discoloration, fine lines etc.

If you are considering Intense Pulse Light Treatment also known as Photo rejuvenation or Fotofacial, please call our office at 888-210-9693 for more information or to make an appointment.

If you are interested in learning more about Anti Aging Skin Treatment options in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

Botox $9/Unit
Juvederm $450 per vial
Join us on Thursdays during July 2010 for Incredible savings on Liquid facelift

The above prices are for combination treatment with Botox and Fillers on Thursdays now through July 31, 2010.
Not valid with any other Coupons or promotions

Watch before and after Photographs of our patients for Botox and Fillers.

Call us 888-210-9693 for Botox Only special pricing during July

If you are interested in learning more about Anti Aging Skin Treatment options in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

1. Eat Well: A low glycemic diet, right amount of lean Protein and adequate amount of Good fats keep you youthful

2. Get Moving: Regular Physical activity including 30 minutes of aerobic exercise 5-7 days a week and 30-60 minutes of strength training 2-3 days a week boosts growth hormone production and circulation vital to great looking body and skin

3. Supplement your diet: Aging is mediated through oxidation, reduction and Glycation. Anti-oxidant, anti-inflammatory and anti-glycation supplements can slow down and even reverse aging.

4. Mange your stress: Chronic Stress leads to release of neurotransmitters which cause accelerated aging. Some of the effects of these stress induced neurotransmitters are excess weight gain, high blood pressure, poor skin circulation and chronic fatigue. Deep breathing, meditation, yoga, biofeedback are some ways to reduce stress.

5.Get good Quality Sleep: Chronic lack of sleep or poor quality sleep leads to production of stress mediated neurotransmitters which lead to accelerated aging.

6. Avoid environmental age accelerators: Like smoking, alcohol, toxins. Quit smoking, Ask your family doctor for help with prescription medication if you need . Have alcohol in moderation and try to have fresh organic food as much as possible. Get a good quality water filter system to reduce ingestion of toxins in water

7. Limit Sun Exposure: Wear minimum SPF 20 every day,Avoid direct sun exposure between 10 am and 4 pm

8. Use high quality skin products preferably without parabens: Skin products with high dose of quality antioxidants, anti inflammatory ingredients without unnecessary additives do well to slow down and reverse aging skin

9. Regular skin corrective and maintenance treatments: Skin treatments targeting your individual needs can take off years with little or no downtime. IPL treatment for reducing redness and sun spots, microdermabrasion to increase cell turnover and circulation, Botox and Fillers to reduce wrinkles, CO2 skin resurfacing to improve texture and tone, Dermawave to tighten skin, can all dramatically improve skin aging

10. have a positive outlook on life! You only look as good as you feel!

If you are interested in learning more about Anti Aging Skin Treatment options in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

A recent article on Web MD called it "The number 1 Anti-aging breakthrough"

Fractional CO2 Laser Resurfacing
Traditional carbon dioxide laser resurfacing has been the gold standard for facial wrinkle reduction for many years. However, the treatment is done under general anesthesia and can potentially have more than a few undesirable side effects.The newer, safer Fractional CO2 resurfacing consistently delivers Potent results without the detrimental complications of traditional CO2 laser.

I decided to add this treatment to my practice over a year ago and tried many types of CO2 Fractional laser devices before making my decision. I chose the device after considering several factors, patient comfort, recovery after treatment, flexibility of treatment parameters and of course clinical results.
I use DOT Fractional CO2 for skin resurfacing

The laser removes the superficial layers of skin improving texture, fine lines and superficial pigment irregularities AND penetrates deep into the dermis stimulating collagen production leading to reduction of deeper wrinkles and scars.

Advantages of Fractional C02 Laser over traditional CO2 laser

• Far less incidence of post Laser scarring
• Less Incidence of Pigment disorders
• Quicker Recovery than traditional C02 lasers 7-10 days compared with 4-6 weeks
• Done with Topical Anesthesia unlike traditional CO2 which requires general Anesthesia
• Effectively reduces wrinkles, sun induced skin damage and acne scars
• Tightens skin improving overall tone.


My patients specially like tightening of eyelids and jowls
On average, my patients notice, "it takes 5-10 years off "

What is the difference between Fractional C02 Skin Resurfacing and Erbium skin resurfacing?

Erbium laser skin resurfacing is a less invasive treatment. It improves skin texture, superficial pigmentation, fine lines quite well but does not have the same effect at deeper level. Fractional C02 laser penetrates deeper into the dermis than Erbium, therefore leading to more dramatic results for deep wrinkles and scars.

Who is a candidate for CO2 Fractional Resurfacing?

If you have fine lines, some moderately deep lines
If you have rough skin texture, superficial sunspots, poor skin tone
If you have acne or other scars

I have seen a dramatic difference in my patients undergoing this procedure by combining complimentary treatments specific to patients' needs, for example:
I usually combine CO2 skin resurfacing with Botox and injectables for a "non-surgical" facelift effect
For Acne scars, I combine CO2 fractional resurfacing with a series of microdermabrasion for enhanced improvement in texture
For my patients with broken blood vessels, I use vein laser after skin is recovered for a flawless complexion

If you are interested in learning more about Anti Aging Skin Treatment options in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

Non surgical facelift is one of the most requested service in my practice.Aging face begins to lose collagen and elastin leading to sagging eyelids, jowls and nasolabial folds. In the recent years, Physicians have utilized a combination of BOTOX®. and Faical fillers to reduce wrinkles and add volume to face. One interesting observation with this approach to treatment is the effect of "facial lifting".

What is a Liquid Facelift?

Over the years I have used BOTOX® to successfully achieve eyebrow lift in many patients. I have also used a combination of FDA approved dermal fillers mostly to lift and contour the face while reducing deep lines as a secondary benefit.
This approach has acquired the name "Liquid Face Lift", a non-surgical approach to face lift .
Broadly speaking, I divide the face into upper and lower half at lower margin of orbits.I use BOTOX® mostly for lifting and expressive wrinkle reduction of upper half and dermal fillers for voulme restoration, contouring and wrinkle reduction of lower half of face.Additionally, I use dermal filers cautiously for reduction of tear troughs and enhancement of cheek bones.

What can a Liquid Facelift do for you?

Generally a Liquid Face Lift can be used to achieve :
1. Reduction of deep lines, Naso-labial folds, hollows under eyes.
2. A subtle lift of facial profile due to volume restoration and reduction of deep folds
3. Enhancement of facial contours
4. A well rested, natural, youthful appearance

What types of Dermal fillers are used for Liquid Facelift?

I use one or more of the following dermal fillers depending on the area being treated and the effect desired. Juvederm, Juvederm Ultra, Sculptra, Restylane
I have tried a few other fillers but prefer one of the above due to their safety profile and cosmetic outcome. The Dermal fillers I use in my practice are FDA-approved for facial treatment. The approved products may be used "off label" by trained physicians for cosmetic applications not indicated in the manufacturer label. This is because the manufacturers rarely seek FDA approval for multiple facial areas.

BOTOX® is a Muscle relaxant; How does BOTOX® give a "Lift"?

BOTOX® reduces expressive wrinkles by relaxing muscles and causes dropping of eyelids when overdone, which is one of the most common complaint by BOTOX users. Our face has two sets of muscle groups that work in opposition, the "Levators" (muscles that elevate) and the Depressors (muscles that depress). These two groups contract against each other in a constant tug of war.
BOTOX® can be placed strategically to achieve elevation of face by weakening the Depressors thereby letting the Elevators take charge to achieve the lift!

What do you need to know before scheduling your Liquid facelift?

When considering Liquid Facelift you need to take into account the following:
1. Physician's experience with the products
2. The choice of products
3. The goals and expectations from the procedure
Each person is unique and no Two individuals have the same facial features . There is NO "cookbook" method of the injection technique. The Physician has to take into account individual differences and develop injection technique unique to each patient for optimum outcome.

What results to Expect from Liquid facelift?

Liquid Face Lift techniques are evolving and in the right hands the results are outstanding! The best results are subtle, natural and gradual. Most patients notice a "refreshed, youthful" look without a dramatic overnight difference. Individual results vary from patient to patient.
Unfortunately I continue to see patients who have had too much filler or too much Botox and are looking to reverse the effects. In this situation, the best thing to do is wait! None of these injectables are permanent and will eventually disappear. Reversal of BOTOX® is not possible. There is an enzyme, Hyaluronidase that some use to dissolve dermal fillers. I do not use it because it can break down the dermal collagen matrix in addition to the dermal filler, which is worse than where you started!
LEGAL DISCLAIMER

The information on this Web site is provided by Naila Malik MD for educational purposes only. It is not a substitute for professional medical care, and medical advice and services are not being offered. If you have, or suspect you have, a health problem you should consult your physician. Only your doctor can provide you with advice on what is safe and effective for you. Never disregard professional medical advice or delay in seeking it because of something you have read on the Site!
THE SITE DOES NOT PROVIDE MEDICAL ADVICE.

Cosmetic Skin treatments, Acne, Actinic keratosis, Rosacea, Viral wart treatments, HCG Medical Weight Loss, Bio-identical Anti aging Hormone Replacement in and around Southlake, Colleyville, Keller, Grapevine, Fort Worth, Dallas, North Richland Hills Texas. Visit our website for more information
For consultation or questions, please call our office at 888-210-9693

23 Ways to Reduce Wrinkles read the full story here
Worried that your skin looks older than you feel? Here are 23 ways to reduce wrinkles - starting now!

This Web MD article outlines some of the most common methods used to combat the effects of aging. I incorporate most of these in my practice for may patients.
I like to divide the anti aging measures into the following categories:

• LIFESTYLE CHANGES


• TOPICAL SKIN CARE


• MEDICAL TREATMENTS

LIFESTYLE CHANGES 1.Avoid sun exposure. Photo-aging is the number 1 cause of aging skin. Avoid direct sun exposure between 10 am till 4 pm .Wear sunscreen minimum SPF 15 EVERY DAY. Adequate intake of anti-oxidants like Vitamin C ensures some protection against sun induced damage.

2. Do not smoke. Cigarete Smoking causes reduces blood flow to skin and breaks down collagen and elastin resulting in rough texture, poor color, wrinkles and poor healing.

3. Get the right amount of restful sleep. This ensures adequate production of Human Growth Hormone which keeps the skin thick and supple. Chronic sleep dprivation leads to excess cortisol, a stress hormone that reduces skin blood flow, breaks down skin cells.

4. Sleep on your back. The American Academy of Dermatology (AAD) cautions that sleeping in certain positions night after night leads to "sleep lines -- wrinkles that become etched into the surface of the skin and don't disappear once you're up. Sleeping on your side increases wrinkles on cheeks and chin, while sleeping face-down gives you a furrowed brow. To reduce wrinkle formation, the AAD says, sleep on your back.

5. Don't squint. Any repetitive facial movement, like squinting, frowning, leads to wrinkle formation. Get reading glasses, wear sun glasses. Take break from staring at computer screen and practice relaxation of eye muscles.
6. Eat more fish. particularly salmon. Fish is rich in protein and omega-3 fatty acids which help skin retain moisture.

6. Eat more fruits and vegetables The antioxidant compounds in fruits and vegetables fight free radicals which combats photoaging.

7. Take Vitamin and anti oxidant Supplements: Vitamin D 3, B vitamins, Vitamin C, Vitamin E, Co-Q-10 all have a role in slowing down all aspects of aging including skin aging. Check with your Physician before starting any new supplement.

TOPICAL SKIN CARE

1.Use the right facial cleanser. Pick a cleanser most suited to your skin type, dry sensitive or oily acne prone.Tap water strips skin of its natural moisture barrier.

2.Pick the right skin care ingredients.
Alpha-hydroxy acids (AHAs) These natural fruit acids lift away the top layer of dead skin cells, reducing the appearance of fine lines and wrinkles, particularly around the eyes. New evidence shows that in higher concentrations, AHAs may help stimulate collagen production.

Idebenone, Thiotane and other anti-oxidants. These compounds are related to coenzyme Q10 (CoQ10)is a super-powerful anti oxidant. The fight free radicals and reduce photodamage

Growth factors. When applied topically, may reduce sun damage and decrease lines and wrinkles by inducing collagen production.

Pentapeptides. The results of a study supported by the National Institutes of Health suggested pentapeptides can increase collagen production in sun-damaged skin.

MEDICAL TREATMENTS

1. Botox.The number one requested cosmetic treatment at Docotor's office. Botox injections consist of injecting purified Botulinum Toxin into the expressive muscles under the skin, leading to muscle relaxation and wrinkle release. Very effective, very safe when administered by a trained Physician using legally obtained Botox from Allergan in US. The result is apparent in 3-5 days.

2. Wrinkle fillers. there are many different types of wrinkle fillers available, I have tried many types but prefer to use Juvederm or Restylane in my practice. Both are hyaluronic acid fillers, have fewer side effects (allergic reactions, natural looking results etc.)

3. Intense Pulsed light treatments: ( photorejuvenation). This type of treatment uses an Intense Pulsed light source to target sun induced skin lesions in the superficial skin layer. The treatment is non invasive with minimum to no downtime, minimal discomfort and effectively treats photodamage such as brown sunspots, superficial blood vessels and Rosacea. Photodynamic therapy (PDT) is done with use of photosensitizing agents like ALA to treat deeper skin lesions such as Actinic Keratosis. PDT is also effective in management of Cystic acne and Rosacea.

4. Laser Skin resurfacing. Many different types of lasers are available for skin resurfacing . I use CO2 fractional laser (DOT system) for my patients. A laser removes the top layer of skin, causing a noticeable skin "wounding." This stimulates skin's natural collagen-production system into high gear, resulting in smoother, more wrinkle-free skin. This type of treatment can smooth pitted scarring, textural irregularities and superficial brown discoloration (not melsama).

5. Chemical peels. A chemical acid (instead of laser) is used to "burn" away the top layer of skin, creating damage that causes the body to respond by making more collagen. You end up with younger-looking, smoother skin. It is harder to control penetration of chemicals for deeper peels and can lead to scarring and pigment irregularities in experiencd hands. I use superficial medicated anti inflammatory peels mostly to treat acne and acne scars. occasionaly I may use a custom peels to treat hyperpigmentation in resistant cases.

6. Micro- Dermabrasion. can be achieved with a vacuum suction device used in conjunction with mild chemical crystal or a Diamond tip. Micro dermabrasion helps remove the top layer of skin cells and bring new, more evenly textured skin to the surface. Repeated Micro-dermabrasion at regular intervals increases skin circulation and may induce some collagen synthesis. In the process, fine lines and wrinkles seem to decrease. I use Medical micro dermabrasion in conjunction with comadone extraction and topical Retin A for treatment of moderate papulopustular acne and scars.

If you are interested in learning more about Anti Aging Skin Treatment options in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

LEGAL DISCLAIMER

The information on this Web site is provided by Naila Malik MD for educational purposes only. It is not a substitute for professional medical care, and medical advice and services are not being offered. If you have, or suspect you have, a health problem you should consult your physician. Only your doctor can provide you with advice on what is safe and effective for you. Never disregard professional medical advice or delay in seeking it because of something you have read on the Site!
THE SITE DOES NOT PROVIDE MEDICAL ADVICE.