What services do you offer at RIM Aesthetics?
Our physician-directed team of licensed professionals combines years of expertise and training with a genuine commitment to helping patients’ look and feel their best. We are committed to educating our staff on our ever-expanding menu of medical-grade services and the state-of-the-art technology that ensures the safest, most effective treatments. All treatments are performed by a highly-trained Registered Nurse.The medical-aesthetic procedures we offer are:
- Laser Hair Removal
- Fractional Resurfacing
- Dermal Fillers
Laser Hair Removal (Handpieces- R, Rs, Y, Ys):
How does Laser hair removal work?
The laser light targets the hair follicle pigment at the correct stage of hair growth and disables the hair shaft and root, causing subsequent regrowth to be finer and lighter. Because hair growth occurs in three stages, Hair
Removal treatments are scheduled six to twelve weeks apart, so that hair can be effectively targeted during each growth cycle, ultimately resulting in permanent hair reduction. As effective laser- and light-based hair removal depends on the presence of melanin in the hair, blonde, white, gray, and most shades of red hair are generally not susceptible to treatment.
What can patients expect during treatment?
During the treatment, a nurse will press a hand-held light- or laser-based instrument to your skin. When the nurse activates the light, it will pass through your skin’s surface to the hair follicles where hair growth originates. The intense heat damages the hair follicle, which inhibits hair growth. It takes several treatments to provide an extended hair-free period.
How many treatments will patients need?
Most people require six to twelve treatments for good results, because even though all hair is temporarily disabled during each treatment, not all hair is destroyed. A series of treatments is necessary to allow results to accumulate. Those with the biggest contrast between skin and hair (i.e. fair skin with dark hair) will generally need fewer treatments than those with dark skin and dark hair.
What areas can be treated?
Any area where there is excess hair, except adjacent to the eye. The most common areas requested are the face, upper lip, neck, chest, underarms, back, abdomen, bikini line and legs.
Does Hair Removal work for everyone?
Hair removal performed on the Palomar Laser System is effective on all skin types including dark-skinned patients of all ethnic origins. The only hair we are unable to target is white, blond, red or grey hair. This is because the laser selectively targets melanin, the substance that provides pigmentation to hair. Blond, red, grey and white hair does not contain enough pigment for the laser to target and therefore we cannot disable the follicle.
How will it feel?
Palomar uses the most comfortable technologies available, however it is not without sensation. During treatment, the patient will feel the heat energy as the laser light is applied to each area. Because everyone’s physiology is different, some people will require energy levels that create higher levels of sensation to maximize their results.
Is it permanent?
Yes. However, it normally takes at six to twelve treatments to remove most of the hair in any one area. Laser and light-based hair removal only works on follicles that are in the active growth (anagen) phase. At any given time, only a portion of the hair in an area will be actively growing. The rest of the hair is in a dormant, telogen phase and therefore cannot be targeted by the laser. This is why treatments will be scheduled weeks apart so that different hairs can be targeted while in their most susceptible growth phase.
What do patients need to do to prepare for treatment?
Patients must wear a sunblock with an SPF of 30 or higher and avoid all sun exposure for at least two weeks prior to treatment. We are unable to treat anyone who has sun-bathed, used a tanning bed or applied a sunless tanner within two weeks of treatment. Additionally, tanning post-treatment increases the risk for burns and blistering because of the skin’s sensitivity. Between treatments, patients should only shave to remove hair—waxing and tweezing remove the hair at the root, which can hinder the hair-growth cycle and the laser’s ability to target the follicle. Also avoid bleaching hair since the laser cannot target light hair.
Are there any side effects?
As long as patients limit their exposure to sunlight immediately before and after treatment, side effects other than the brief redness and sensitivity mentioned above are rare.
What will I experience post-treatment?
After the treatment, patients may have redness or bumps. This is normal and they may use a cold compress if needed. It’s a good idea to apply cool, alcohol-free aloe vera gel and a gentle moisturizer to hydrate the skin. Make sure to use SPF 30 sunblock after your treatment. Between treatments, patients should only shave to remove hair (as discussed above). For some individuals, hair will shed up to a month after treatment. It may seem like new hair growth, but it is just the hair coming out.
What more should I know about unwanted hair?
Except for our lips, palms, and soles of our feet, our entire bodies are covered with hair follicles. We’re talking millions…and the number of follicles each person has is set at birth.
Because most of this hair is fine and pale (called vellus hair), it usually isn’t visible to the naked eye. Consider this: The forehead has more hair follicles than any other part of the body. The thicker, fully pigmented hair most people consider “real hair” is called terminal hair. This hair is found on scalp, eyebrows, legs, backs, underarms, and genital areas.
Everyone’s hair grows differently, depending on age, weight, metabolism, hormones, ethnicity, medications, and other factors. But all hair goes through three distinct growth phases:
Active growth phase (called the anagen phase), which lasts up to several years. At any given time, the majority (85%) of our body hair is in this phase. During anagen, the hair has an abundance of melanin.
Regressive phase (catagen phase), which lasts about two weeks, during which the hair stops growing but is not yet shed. About 3 – 4% of our body hair is in this phase at any given time.
Resting phase (telogen phase), which lasts 5 – 6 weeks, at the end of which the hair falls out and a new hair begins to form. Approximately 10-13% of our body hair is in this phase at any one time.
What can I do?
Maintain a healthy average weight, especially if you’re a woman. Fat retains androgens, a male hormone which can cause an increase in female hair growth on the chin, upper cheeks and neck.
What should I avoid?
Medications that cause hormonal fluctuations in women. These can further trigger the production of androgens and thus coarser or new hair growth.
Excessive weight gain.
PhotoFacials (Handpieces- LUX G, MAX G):
What is IPL or Photofacial?
PhotoFacials use intense broadband light and delivers energy to both the superficial (epidermis) and deep (dermis) layers of the skin, while the epidermis is spared from damage. Thus, there is virtually no recovery time. Photofacial treatments have been shown to smooth the skin, improve the appearance of age spots, freckles, visible blood vessels, and may also tighten skin and improve fine lines.
What areas can be treated?
Treatments are typically performed on the face, neck, chest, shoulders and hands. However, any body area that has succumbed to the signs of photo-aging can be treated.
Will photofacial treat Rosacea?
Although not a cure, photofacials can substantially improve the symptoms of Rosacea–excessive flushing, broken blood vessels, inflammatory acne and enlarged pores.
What can patients expect during treatment?
Before treatment, a cold gel is applied to the area being treated and patients are given protective eyewear. During treatment, the nurse will apply the surface of the hand piece to the skin. Very bright pulses of therapeutic light will then be delivered to the skin surface in a systematic fashion until the entire area is covered.
How long does the procedure take?
Each session usually lasts about 30 minutes, followed by a warm feeling in the treated area afterward and patients may return to their normal activities immediately after treatment.
What can patients expect post-treatment?
Patients may experience mild redness, but it often disappears within a few hours. Brown spots may darken immediately after treatment, and areas of redness may intensify. Excessive post-treatment redness often calms within a few hours. Within the next day or so, darker spots may develop a fine flaky covering that will shed over the course of the next few days to reveal the fresh, even skin underneath.
What improvements can patients expect?
Skin Rejuvenation brings about gradual changes over the course of the treatments. After the series of treatments are complete, patients should notice improved skin texture, decreased redness, more even color and a more youthful skin tone.
How many treatments will the patient need?
On average, five treatments are recommended, scheduled at three-week intervals. However, each person is unique and the nurse will recommend a treatment program that best meets the patient’s individual needs and goals.
How long will the results last?
With good sun protection (SPF 30) and a customized at-home skincare regimen, results from a full series of treatments can last up to several years.
How should patients prepare for treatments?
Avoid tanning (sun bathing, tanning bed, sunless tanner) while undergoing treatments, since the skin will be more susceptible to over-reacting to the intense light.
Are there any risks or side effects associated with Skin Rejuvenation?
Because Photofacials do not damage the epidermis, side effects are generally limited to mild discomfort during the procedure and post-procedure redness and skin sensitivity. While there is no true recovery or “downtime”, pigmentation spots may temporarily darken as discussed, and some individuals may feel more comfortable covering these areas with mineral makeup.
Fractional Skin Resurfacing (Handpiece-Syneron Elos Plus sublative with RF):
What is Fractional skin resurfacing?
Fractional is an innovative new laser system that can rejuvenate, resurface and repair aging and sun-damaged skin. It also improves the appearance of acne scars, surgical scars, and minimizes the appearance of pores. Unlike its predecessors, which would damage an entire treatment area causing prolonged downtime and recovery, Fractional treats microthermal zones within the area, hence only causing “fractional” thermal damage. Because only 20 to 30 percent of the tissue is targeted during each treatment, the skin surrounding these microthermal zones is not injured, allowing healing to take place quickly and without creating a visible wound. Repeated treatments create additional microthermal zones, until the entire skin surface is treated.
How does Fractional work?
Rather than treating the entire skin surface at one time, Fractional creates a pattern of evenly spaced microscopic laser zones (ormicrothermal zones) to target flawed skin and leave surrounding healthy skin untouched. It is designed to resurface a fraction of skin at a time without breaking the skin’s protective outer barrier. Healthy new skin cells quickly fill the damaged areas in-between treated spots, so healing is much faster than when the entire top layer of skin is removed (as in traditional high-powered resurfacing peels).
What areas can be treated by Fractional?
Fractional can be used anywhere on the body where skin would benefit from rejuvenation from discoloration Rosacea, melasma, fine lines and wrinkles, thin or crepey skin, age spots and sun spots. It’s most often used on the face, around the eyes and mouth, on the neck, chest, back and hands.
How long does the treatment take?
Each treatment may take anywhere from 30 to 60 minutes depending on the area to be treated. Because topical anesthetic is applied prior to treatment, an hour is added to treatment time to allow for maximum comfort.
How many treatments will the patient need?
Each Fractional session treats approximately 20 to 30 percent of the skin’s surface. Because results are immediate and progressive, the patient will notice some improvement after the first treatment but five treatments, spaced three to four weeks apart,are required for optimal results.
Does Fractional hurt?
Treatment is well-tolerated after a topical anesthetic is applied to minimize discomfort. Contact cooling may also be used to increase comfort.
What can the patient expect during treatment?
A topical anesthetic is applied an hour prior to treatment. Once the skin is numbed,a nurse will use handpieces of varying sizes to systematically treat across the areas of concern. Areas will be treated in small sections, with each section being passed over three times or more before moving to the next. Treatment sensation is most often described as warm with a slight stinging or snapping (like that of a rubber band).
What can the patient expect post-treatment?
There will be some noticeable redness and swelling in the treated area, as well as a mild burning or itching sensation. These will improve gradually after the treatment, and much of the redness and swelling will be improved by the next day. However, some of this will continue to persist for several days, a sign that the skin tissue is repairing itself. The skin may then take on a “bronzed” appearance that lasts three to ten days after treatment as the excess, unwanted pigment is slowly pushed out of the skin. This is followed by a flaking process of exfoliation as new healthy skin replaces treated tissue.
When can patients resume normal activities?
Although the appearance of being sunburned may last for a few days some patients may return to their typical activities immediately while some choose to wait a day or two until redness and swelling have subsided.
How should patients prepare for treatment?
Because skin will be more sensitive to burning, avoid sun exposure during the series of treatments and apply a broad-spectrum SPF30 sunblock daily. Discontinue use of Retin-A or skincare products with retinoids one week prior to treatment so as not to cause excessive irritation.
Acne treatment (Lux V handpiece)
Is there a treatment option for acne?
Palomar Pulsed Light Systems offer an effective alternative acne treatment. Palomar systems deliver concentrated light pulses which target acne-causing bacteria and inhibit future acne breakouts. The result is a long remission time between treatments without any drug-related side effects.
What is Botox® ?
Botox® is a natural, purified protein isolated from the Clostridium botulinum bacterium through a highly refined, patented process. Upon injection, this safe and effective protein relaxes muscles, allowing the overlaying skin to look smoother. Botox® treatments are non-surgical, minimally invasive, simple procedures that are used to treat forehead lines, mid-brow furrows, crow’s feet, down-turned corners of the lips, neck creases and wrinkles. It has also proven effective in the treatment of migraines and hyperhidrosis (excessive perspiration).
How does Botox® work?
Over time, we develop expression lines (or dynamic wrinkles) as a result of muscle activity such as furrowing or smiling. When Botox® is injected directly into the muscles, it blocks the transmission of nerve impulses to the injected muscles, thus reducing the activity of the muscles that cause those persistent lines to form. Once the muscle is fully relaxed, there is a significant improvement in the wrinkle and those that are mild to moderate in depth may even temporarily disappear. As long as Botox® injections are maintained at regular intervals, the formation of future lines is also prevented because the movements that cause them are restricted.
Where can Botox® be used?
Botox® can be used to smooth forehead lines, relax the mid-brow furrow, correct crow’s feet around the eyes, lift eye brows, soften the lines around the neck and lift the corners of the mouth. It can also be used to treat excessive sweating in the underarm area.
When will patients see results from a Botox® treatment?
In three to ten days, the patient should see a marked improvement in moderate to severe lines. Lines continue to improve for up to a month, and results can last up to six months.
How long does Botox® last?
As with any medical procedure or medication, there are variations in individual response to Botox®. Results from treatment with Botox® can last from two to six months, with the predominant average among most individuals being three. If patients discontinue treatment, the lines will gradually look like they did before treatment.
Is treatment with Botox® painful?
Discomfort is usually minimal and brief, as treatment consists of several tiny injections to the muscles causing the wrinkling. The entire procedure takes approximately 10 minutes. Most people return directly to work or normal activity immediately following treatment.
Will the patient experience any side effects?
A small number of patients may experience slight bruising, headache, respiratory infection, flu syndrome, temporary eyelid droop or nausea.
What will happen to the wrinkles if a patient chooses not to continue treatments?
If patients do not continue treatments, the wrinkles will gradually look like they did before treatment.
Dermal Fillers- Juvederm
What are dermal fillers?
Used to plump out smile lines, lips, depressed scars, and moderate-to-deep skin creases and depressions, these gel-based products restore fullness to areas where collagen has been depleted due to the aging process or trauma. They can also be injected under the eyes to fill hollows and into cheeks to create volume associated with a youthful appearance.
How do fillers work?
When injected, fillers plump up the face from underneath the skin, actually filling in the hollows and folds. For wrinkles, filler injections produce natural volume under the crease, lifting and smoothing it out. For facial contours, fillers correct deep folds and lift up the skin from cheeks and chin. This provides a fuller shape for the chin or a rounder, more youthful line along the cheeks.
When using fillers for lip augmentation, the gel is injected into the inside of the upper or lower lip. It is also injected along the lip line. Not only does this produce a fuller, more youthful look, it can also help prevent lipstick from bleeding into the small lines around the lips.
What can patients expect during treatment?
Dermal fillers are injected directly into the skin in tiny amounts using an ultrafine needle. The procedure is simple and convenient, and results are practically instantaneous.
How long does it take?
Treatments usually take around 30 minutes.
What can patients expect after treatment?
It is common to experience some swelling in the treatment area, although this subsides within hours to a few days, depending upon the chosen filler, the area treated, and the individual. These factors will also influence the degree to which people experience bruising, injection-site redness or skin irritation. Bruising may be improved with application of topical Arnica cream.
Is there any downtime?
Patients may return to their normal activities after treatment, although it is recommended that they refrain from exercise for eight hours following treatment. Bruising and injection-site redness may be immediately covered with makeup.
How long do the results last?
Depending on the filler used, results can last four to twelve months but this varies based on each individual’s unique physiology. The filler is gradually broken down and absorbed by the body, so the lines, wrinkles or lips will ultimately return to their previous appearance without follow-up treatments
How can dermal fillers rejuvenate my face?
Dermal fillers are most effective for the following enhancements:
- Reducing lines between the nose and mouth (nasolabial folds) and on the upper lips
- Diminishing acne scars
- Renewing fullness in the lips
- Reducing “marionette lines” that run from the outer corners of the mouth to the chin
- Restoring the natural contours of the cheeks
- Adding height and definition to cheek bones
- Adding volume to the chin, which has “dented” or depressed as we lose underlying bone as part of the natural aging process
- Smoothing jowl depressions or nose bumps
What is Juvederm®?
Juvederm® is a dermal filler composed of non-animal stabilized hyaluronic acid. This is a natural substance that already exists in the human body, thereby eliminating possible allergic reactions. Juvederm® is formulated as a clear gel and uses a dual mechanism of action. Upon being injected beneath the skin’s surface, the gel adds natural volume and lifts the skin to smooth out wrinkles and folds. The substance is then integrated into dermal tissue which attracts and binds water molecules to help maintain this volume. Juvederm® is gradually degraded by the body’s own mechanisms. It can be used to correct all of the above-listed areas, with typical results lasting four to nine months.