Midwest Skin Institute

Aging Skin Care Evansville, Indiana

Where serious skin care meets a tranquil retreat.

BOTOX™
Dermal Fillers
Chemical Peels
Laser Treatments
Ultra VPL™ Hair Reduction
Ultra VPL™ Skin Rejuvenation
Venus Freeze™

Aging Skin Care Evansville, Indiana Aging Skin Care Evansville, Indiana

Aging Skin Care Evansville, Indiana

How does BOTOX™ work?
Botulinum type A, also known as Botoxtm, is a common anti-aging treatment that blocks the nerve impulses that create the muscle contractions responsible for creating expression lines on the face.

Treatment with botulinum type A (Botoxtm) can relax the muscles that cause expression lines, thereby preventing wrinkles from forming and improving the appearance of existing wrinkles caused by facial expressions.

Botulinum type A can be used in a treatment called “facial shaping” to help improve asymmetry or other facial conditions that result from muscle action.

What can I expect?
Injections
• The area to be injected will be cleansed, commonly with alcohol swabs.
• No anesthetic is necessary; however, you may request a topical anesthetic cream for your comfort.
• You may be asked to make specific expressions to identify facial muscle contractions.
• Several quick injections will be made in the region to be treated.
• The treated area may be cleansed again.
• The entire treatment process will take 10 to 15 minutes.

After Your Injections
• You may experience mild swelling or bruising from any type of injection.
• You may experience a mild headache after treatment. It is unlikely, but possible, that you may experience mild flu-like symptoms after your injections.

Results
• If this is your first time being treated with botulinum type A, or Botoxtm, you can expect your results to develop within 5 to 10 days after treatment.
• You will no longer, or only with great exertion, be able to make the expressions that have created the expression lines and resulting wrinkles on your face
• Treatment is temporary. Within 4 to 6 months you will see movement return to the treated area. If you do not repeat treatment, your appearance will return to its pre-treatment state.   

Is BOTOX™ safe?
Botoxtm Cosmetic is FDA approved for the treatment of expression lines, facial wrinkles and hyperhidrosis. When injected by a qualified professional is an appropriate medical setting Botoxtm Cosmetic is extremely safe.

Is Botoxtm toxic?
No. Botoxtm is a natural occurring protein. Even in high doses it has not been found to contribute to botulism. 

Can BOTOX™ treat headaches?
Botoxtm is technically classified as a neurotoxin and has been used off label to treat migraines. 

Is there an age limit for BOTOX™?
Botoxtm for cosmetic purposes should not be administered to anyone under 18 years of age.

Who should not have BOTOX™ treatments?
If you are being treated for any neurological disorder, you should first consult your doctor. Some individuals with very lax facial muscles or excessive wrinkling may not be good candidates as the injections can cause ptosis, or sagging, rather than have a positive effect.

How do dermal fillers work?
Dermal fillers are substances injected at varying depths within the skin and soft tissues to fill facial imperfections such as wrinkles, creases and concave scars, as well as to enhance the fullness, or volume and shape of facial tissue. 

What can I expect?
Injections
The area to be injected will be cleansed, commonly with alcohol swabs. A topical anesthetic cream, icing to the injection sites or a local anesthetic via injection (such as a dental block) may be used for your comfort.

• Once your treatment region in numbed, injections in several locations will occur, placing the dermal filler where correction or volume enhancement is desired.
• Massage or manipulation the area may occur where the filler has been placed. The treated area may be cleansed again.
• You may be given ice or cold packs to place on the treated area to minimize swelling and bruising.
• The entire treatment process may take 20 to 30 minutes or more.

After Your Injections
Your enhancement will be visible immediately after your injections. However, due to swelling, you may look a little fuller than you might expect. This will improve rapidly over the next few days.
• You may experience mild swelling or bruising from any type of injection. Ice or cold packs can help to minimize swelling or discomfort.
• You can generally apply make-up over the treated area immediately.
• Hyaluronic acid fillers may result in 3 to 7 days of swelling, redness and post-injection bruising.

Results
Your results are visible immediately. However, due to swelling, you may look a little fuller than you might expect. This will improve rapidly over the next few days.

• The improvement from hyaluronic acid fillers (Juvedermtm) begins to diminish within 6 to 12 months after treatment.
• The improvement from Radiessetm begins to diminish within 12 to 24 months after treatment.

If you do not repeat treatment once your results have begun to diminish, or as directed by your doctor, your appearance will return to its pre-treatment state.

Are dermal fillers safe?
When prescribed by a properly qualified practitioner in an appropriate medical setting, U.S. FDA-approved temporary dermal fillers are extremely safe.

What are the potential risks associated with dermal fillers?
Risks include hematoma or blood pooling beneath the skin, and although rare, infection and necrosis or skin loss is possible. An unsatisfactory outcome is also a risk. Semi-permanent and permanent fillers may carry a risk of clumping (the particles form a granuloma or lump that can be felt or seen beneath the skin). Particles may also migrate or displace from the injection site. Injection of an anti-inflammatory may help to improve minor clumps or swelling. 

What if I don’t like my results?
One advantage of most injectable treatments is that they are temporary. If you don’t like the results they will diminish in time. A hyaluronic acid based filler like Juvederm can be more rapidly diminished (in weeks rather than months) with the injection of a substance called hyaluronodase in the treatment region. If you’re looking for a great treatment for aging skin care Evansville, Indiana, we recommend these.

Is there an age limit for dermal fillers?
Dermal fillers for cosmetic purposes should not be administered to anyone under 18 years of age. 

Can dermal fillers be used on skin of color?
Hyaluronic acid fillers, like Juvedermtm, are generally appropriate for skin of color as these are colorless gels that should not be visible under the skin or alter the skin color. 

Will I be able to feel the filler once injected into my skin?
In the first few days after injection, the treated area may feel a little firm; however, this should rapidly improve. In general, a dermal filler should not be felt under the skin. However, there is the risk with semi-permanent or permanent fillers of particles clumping together and forming a granuloma that may be felt or seen under the skin. This risk is increased if a dermal filler was not properly injected. 

Are there other forms of dermal fillers?
Your own fat can also be used as a dermal filler. Substances that are not specifically approved as dermal fillers for cosmetic purposes and substances that are not properly branded, named and defined as dermal fillers approved by the FDA risk your health and your beauty.

aging skin care evansville, indiana

What is a chemical peel?
A glycolic peel is a safe and painless exfoliation process that removes a micro-thin top layer of skin. This form of skin rejuvenation uses glycolic acid to remove damaged cells on the top layer of skin. Removal of damaged cells stimulates cell division that results in plumper, healthier young cells. It smoothes and softens the skin, diminishes fine lines, decreases acne outbreaks, evens out skin tone coloration and lightens hyperpigmented areas. 

How long do the treatments take?
Mild glycolic acid-based peels take about 20 minutes with the actual length of peel contact with the skin of approximately 5 minutes. Some peels may require hours on the skin so you may be sent home with solution actually still on the skin. 

What can I expect?
The solution is applied to the skin and patients usually note a burning sensation similar to a sunburn during and after the procedure. As with any exfoliation or resurfacing, it is important to use sunscreens, because the skin is more susceptible to injury by the sun. You may begin to peel, flake or scale immediately after the procedure to several days after the peel. Some people may not peel at all whereas some people will stay red for days. Your practitioner sill discuss a skincare regimen that will help maximize the results of your peel. If you have aging skin care Evansville, Indiana we highly recommend it.

Where can peels be performed?
The glycolic peel can be performed on the face, neck, chest, hands and even the arms and legs. 

How many treatments are needed?
For optimal effect it is recommended that glycolic peels are performed weekly for six weeks. 

Am I a candidate for a chemical peel?
You are a good candidate for a chemical peel if you are interested in preventing the signs of aging and premature wrinkling, you have discoloration, age spots, dull or unhealthy looking skin, rough texture, large pores, acne, skin lesions, or sun damaged skin.

How long does Fractional CO2 Laser treatment take?
Treatment with the Fractional CO2 laser takes anywhere from 15 minutes to 1 hour depending on the area(s) that are treated. If a repeat treatment is required, this is usually performed at least 2 months later. 

What are the pre-care instructions for the Fractional CO2 Laser?
Typically, we ask that you discontinue the use of retinoic acid products and glycolic acid products for 3 to 4 days before your Fractional CO2 laser treatment. In addition, we will prescribe an antiviral medication which is taken 1 day before your procedure. It is also wise to stay out of intense sunlight for up to 1 week prior to your treatment. 

How much discomfort can I expect?
There is minimal if any discomfort with this treatment. A topical anesthetic is all that is used. This is applied for 30 to 60 minutes on the treatment area(s). If you are anxious, we can prescribe and anti-anxiety medication regimen which can be taken 1 to 2 hours before your procedure. Someone must drive you to and from the office if this regimen is prescribed. Pain usually is described as a moderate sunburn, which can easily be controlled with ice and medications such as Motrintm or Adviltm

How long will I stay red?
The advanced technology of the Fractional CO2 laser allows the skin to recover quickly. There can be some minor redness and peeling of the skin. This quickly disappears within a matter of days. Redness can persist for up to two weeks. 

What about post-op care?
We recommend a very nice post laser kit that we supply after your treatment.. It is important to stay out of intense sun for at least one week after your treatment. We also recommend that you initiate a low dose corticosteroid medication to minimize swelling which occurs in most instances. Concealing makeup, e.g. Jane Iredaletm, can be used to minimize redness. Again, the beauty of the Fractional CO2 laser is that one is closely healed by 7 days postop. 

How long will the effects of the treatment last?
Fractional CO2 laser’s effects can be seen for several years and is perfect for aging skin care Evansville, Indiana. Repeat treatments are sometimes required but this is determined on a case by case basis. In our experience, patient satisfaction has been extremely high for this procedure. 

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What areas can be treated?
Ultra VPLtm is very effective at removing hair from the all over the face and neck, and from the underarms, legs, bikini line, chest, arms and back. Long lasting results are achievable for both men and women with Ultra VPLtm

 

What hairs can’t be treated?
Only hairs in the active growth stage can be treated which is why a course of treatments will achieve the best results. Your therapist will explain the different stages of hair growth during your consultation. Blonde and vellus hairs can be more difficult to treat and therefore it may take longer to see results, your therapist will advise you on the best course of treatment.

 

Are there any side-effects?
Due to the personalized treatment settings determined by your therapist during consultation, you should not experience any side-effects. A slight reddening of the skin can occur immediately after your treatment, this is an indication of an effective treatment and will fade very quickly.

 

How many treatments are required?
In most cases noticeable results are achieved after just three treatments, however your therapist will advise you on the best course of treatments for you during your consultation. The number of treatments you will need will be determined by the thickness and color of your hair, the area to be treated and the hair’s growth cycle. All hair growth cycles are slightly different and some women, at a mature stage in their life, will sometimes find that some small hairs will appear gradually over time due to increased hormonal activity.

 

What should I do after treatment?
In the days following treatment hairs will still be in place, however, they will slowly be released from the follicle. There is no need to pull or pluck the hairs, they will fall out naturally over a period of one to three weeks after receiving your treatment.

 

Can this system be used with other therapies
Yes, clients often have other treatments around the same time as having an Ultra VPLtm treatment. Always advise your therapist during your consultation about any other treatments you have recently received or are planning to have.

What Areas Can be Treated?
The treatment is effective at reducing and improving skin imperfections on the face, neck, décolleté and all over the body. Long-lasting results can be achieved on virtually all skin types.
 

What Can Ultra VPLtm Treat?
Ultra VPLtm is clinically proven to effectively treat and improve the appearance of thread veins, sun spots, age spots, wrinkles and fine lines, rosacea and acne. Ultra VPL™ has also been successful in reducing the appearance of stretch marks and scars in certain cases. If you need aging skin care Evansville, Indiana, this is great for you.
  

Are There Any Side-Effects?
Your skin type, specific condition and sensitivity to the treatment will be assessed by your therapist. Due to the personalised treatment settings determined by your therapist during consultation, you should not experience any side-effects. A slight reddening of the skin can occur immediately after your treatment, this is an indication of an effective treatment and will fade very quickly.
 

How Many Treatments are Required?
In most cases results can be seen after just three to five treatments, however, your therapist will advise you on a suitable course of treatments during your consultation. The number of treatments you will need will depend on your age, your skin condition, the severity of your condition and your lifestyle. Best results are achieved with a course of treatments. Your therapist will advise you as to whether top up treatments over a longer period of time may be required.
 

What Should I Do After Treatment?
Your therapist will apply a soothing gel where necessary after treatment as your skin may be slightly warm and pink. We recommend you use a sunscreen for a few weeks following treatment, and avoid tanning beds or sunbathing for at least 7 days. Your therapist will answer any questions you may have after you have been treated and will also advise you on a suitable skin care program to enhance your skin tone and texture.
 

Can This System Be Used With Other Therapies?
Yes, clients often have other treatments around the same time as having an Ultra VPL™ treatment. Always advise your therapist during your consultation about any other treatments you have recently received or are planning to have.

What are the immediate clinical results following a treatment with (MP)2?
When collagen fibers in the skin are exposed to heat (as during a treatment), their structure is modified and they immediately contract, making the skin tighter. This effect is noticeable upon completion of the first treatment, and is usually more enhanced in the body than in the face area.

What are the long term clinical results following a series of treatments with (MP)2?
The combination of Radio Frequency and Magnetic Pulse catalyzes an increase in the production of collagen and elastin fibers, as well as new dermal blood vessels. This effect, along with the inducement of lipolysis, brings about a healthy looking, smoother skin with improved elasticity and texture. Cellulite and circumferential reduction may also be seen, following the 3rd treatment.

How many sessions are required in order to get good clinical results
Generally, the recommended number of treatment sessions is 6-8 for the face and 8-10 for the body. However, the number of treatments may vary depending on the client’s characteristics.

What is the temperature difference between the skin surface and the internal layers?
The temperature beneath the skin surface is homogenous, and is about 10°C higher than the temperature on the skin surface.

How deep into the skin does (MP)2 penetrate
When using the Octipolar hand-piece, (MP)2 penetrates up to 3cm deep beneath the skin surface.

Does (MP)2 reach the fat cell?
The fat cells in the skin are located in the hypodermis, about 8mm beneath the skin surface. (MP)2‘s penetration depth of up to 28mm enables it to exert its effect on fat cells.

What is the impact of (MP)2 on fat cells
(MP)2 raises the temperature of the treated area, and induces lipolysis — enzyme-mediated breakdown of triglycerides into glycerol and free fatty acids. These fatty acids pass from the fat cell into the blood stream, and the volume of the cell is reduced. The fatty acids may be metabolized by various cells in the body, or restored again as triglycerides in fat cells.

Is there any effect on water content of the cells?
The water content is not affected.

How effective is the magnet pulse component of the (MP)2 and what scientific evidence is there to support it?
It is well documented that magnetic pulse has a positive effect on wound and bone healing, creation of new small blood vessels (angiogenesis) and collagen production. These clinical effects have been evident in many clinical trials. Furthermore, this non-invasive therapy was approved by the FDA as a safe and effective technology for medical use. The (MP)2 uses this technology to dramatically improve skin appearance, via inducement of angiogenesis and collagen production.

What is the effectiveness of the (MP)2 compared to a 400W RF system?
A 400W device uses mono-polar Radio Frequency and necessitates the use of active cooling to avoid skin burns. The system’s Octipolar hand-piece deploys much less power, since its 8 poles work very efficiently and generate focused and homogenous heat with no need of cooling aid and no risk of skin burns.

What is the nature of the synergy between Magnetic Pulse (MP)2 and Radio Frequency (RF)?
The (MP)2 induces the production of collagen via two synergistic mechanisms — the MP component induces the proliferation of fibroblast, who in turn produce collagen, and the RF component creates a controlled thermal damage, and initiates a wound-healing process that involves production of collagen. The result is a significant increase in collagen production.

Aging Skin Care Evansville, Indiana