Color Correcting – Cosmetic Micropigmentation

Gigi and I are huge fans of cosmetic micropigmentation.  Basically a “tattoo” that looks like makeup but should look natural as well.  A brow or lip should look “natural”.  Eyeliner, obviously will look like makeup.  That all depends on the expertise of the professional doing the work.  Colors can turn however, depending on how much sun exposure one is getting as well as the types of skincare products one is using.

In the video below, Elayne Davis of Permanent Cosmetic Arts in the Napa Valley (permanentcosmeticarts.com) does some color correcting on Gigi’s brows.

Sculptra Aesthetic – the liquid face lift (part 2)

A further look at how Peri Corsiglia of Allure Aesthetics in Novato, California uses Sculptra to stimulate collagen growth thereby creating a “face lift”.

Sculptra Aesthetic – the liquid face lift (part 1)

Gigi and I are big believers in more of a maintenance routine, doing a little something every few months rather than going in once a year or so and getting a ton of product dumped into our faces. We prefer a natural look, or as natural as can be, and building upon it slowly, gradually with no downtime.  The combination of chemical peels, laser technology, and various toxins and fillers along with good products can certainly give you the skin and results you desire.

The goal of “anti-aging” is simply to build collagen production and keep the skin functioning in a normal and healthy manner.  That’s really all you can hope for outside of surgery.  Gigi has been using Sculptra for several years now and has seen incredible results.  Peri Corsiglia of Allure Aesthetics in Novato, California discusses her technique and the benefits of using Sculptra in the first video followed by the educational video from the company itself to further explain.

 

Laser Genesis

Laser Genesis is a breakthrough laser treatment that stimulates the skin’s natural processes to promote a vibrant, healthy complexion.  It is in fact FDA cleared for the treatment of wrinkles around the eyes and mouth.  It gently heats the dermis which is why there is no downtime and minimal discomfort.  It corrects redness due to clusters of broken red capillaries called “poikiloderma” and rosacea, plus increases collagen production.  Tackling issues whether they be these mentioned, keratosis or hyperpigmentation, lasers are the answer for all of our extrinsic aging (photoaging) dilemmas.

Carole Sarganis of the Cosmetic & Laser Surgery Institute in Kentfield, the office of Dr. Diana Parnell (the “Queen” of lasers!), is performing the procedure on Gigi.  For more information, please visit her website . . .  www.cosmetic-lasersurg.com.

Chemical Peel – part two

Terese Eastman of Skin Techniques in Petaluma (www.skintechniques.net) applies the second half of Gigi’s chemical peel in a two part process.  Again, Terese is using the professional grade product line Lira.

After applying the lactic acid peel (part one), Terese will place a hyaluronic acid gel mask to calm and soothe the skin.  The final step in Gigi’s peel will be a retinol seal.  The retinol solution will target lines and wrinkles, sun damage, pigmentation, acne and related scars.  Peels are also wonderful at stimulating collagen production.

Once Gigi’s skin sloughs off, she will see a noticeable difference as far as tone and texture.  We highly recommend a peel at least once a year.

Chemical Peel – part one

Gigi shows us the process of a two part chemical peel performed by Terese Eastman of Skin Techniques in Petaluma (www.skintechniques.net).  Terese is using the professional grade product line Lira. After cleansing, Terese applies the Lira lactic peel which consists of lactic acid, mandelic acid, kojic acid, salicylic acid, peptides, green tea extract, edelweiss cell culture among other ingredients.   The benefits of these ingredients will include skin lightening and rejuvenating, rebuilding collagen, infusing the skin with antioxidants along with anti-microbial and anti-inflammatory properties. Overall this peel will target pigmentation, sun damage and dehydration.

Where exactly do you place fillers?

We get a lot of questions on fillers and where they should go to get the most natural looking face.  We love using fillers, along with great skincare products and electrical modalities, and definitely recommend them.  That being said . . .  less is more!

I have coined a couple of terms that are appropriate given what we have seen over the years . . . “apple face syndrome” or “toddler face”.  Get that visual in your head for a second and you will totally get what that means.  Women that use too much filler have this “syndrome”! And it doesn’t look good, let alone natural.  Gigi and I are giving our opinion below on what we feel works for us . . . all the while trying to keep it soft and natural looking.

This will give you a clear idea on areas to focus on should you wish to use fillers  . . .

face-fillers

The first thing most women notice are the wrinkles on their foreheads and perhaps crows feet along with a droopy brow and the crease between the brow.  Botox hands down is the best for this (if you have waited too long and the wrinkles there are really deep, you would have to use filler here along with Botox).  But for fillers such as Restylane, Juvederm, Perlane (all of which are hyaluronic acids), we suggest (and do!) the following . . .

Cheeks are an instant lift  . . . but not too much!  As we age, our faces actually flatten out.  By adding filler there it brings a youthful look back to your face. Be careful with the new product from Allergan called Voluma.  We have friends that are doctors and nurses that have tried it and noticed that the cheeks “fall” after injected. Perhaps the molecular structure is too heavy . . . jury still out on this new filler.

The hollows at your temples . . . you would be surprised how much you lose here and what a huge difference it makes when you “fill it up”.  And when you do, it does give a slight lift to your lower face as well.  Definitely gives a youthful appearance.

Your laugh lines are the nasolabial folds and along with pucker lines or lipstick lines and the lips themselves . . .  those areas are greatly improved with filler.

The marionette lines are a little tough to deal with and that whole area starts to collapse especially around 50.  Fillers have nothing to cling to here and tend to “float” in the area where injected. That is the toughest area to deal with.  Now having said that, Sculptra is an interesting option.  Sculptra is a synthetic poly-L-lactic acid and when injected metabolizes and breaks down stimulating collagen production.  Unfortunately it takes a few months before you see it working unlike a hyaluronic filler that you see immediately.  I’ve personally done both and still haven’t found anything I believe truly works.

Yes, you can fill your ear lobes and for many that have torn lobes or stretched lobes from heavy earrings, this area can be somewhat repaired.

Belotero is another filler option which was initially best suited for around the eyes and the hollowness that develops there creating that sunken look. Unfortunately, we found it not long lasting and wouldn’t recommend it.

Again . . .  PLEASE go to a board certified doctor or aesthetic nurse for any of these fillers and procedures.  You may have to experiment with several brands of filler as everyone metabolizes them differently and there isn’t a “one brand fits all” solution.

The one thing NEVER to buy online

Gigi and I were recently with world-renowned dermatologist Richard Glogau at UCSF and we were discussing all things healthy and  beautiful when something not so beautiful was brought to our attention.  He told us of a woman who had purchased some kind of filler online and then proceeded to have a friend inject it into her face!  Needless to say . . .  both of our jaws hit the floor.

Apparently this woman knew right away something was wrong as she ended up shortly thereafter with lumps and bumps and fluid buildup. After a biopsy, they found splinters of some type of glass or acrylic (like Plexiglas) in that “filler”.  The face (cheek area) had to be drained and they obviously had to remove what was injected there resulting in scars.  Put aside the cosmetic or superficial aspect . . . there could have been serious injury or even death associated with this episode!  This is why Gigi and I OVER AND OVER AND OVER say to consult with a qualified doctor or aesthetic nurse for any type of procedure, big or small!  And honestly . . . prices vary minimally from a doctor or nurse on fillers themselves so it’s really not worth “shopping it” for the best deal.  What really matters is who is performing the injections and that they are credible as they will obviously use the actual authentic brand of filler or toxin.  Gigi and I do use filler, although minimal, and believe in them.  Still do!

I pulled this photo from the web as it looks similar to what Dr. Glogau had to deal with but no where near as bad.  This is the reality of bad filler and a botched injection.

bad

Dr. Glogau was one of the doctors in an article that appeared last week regarding this subject.  I linked the article here in case you wish to read further . . .

http://www.sfgate.com/health/article/Botched-illegal-cosmetic-fillers-are-on-the-rise-5493390.php?cmpid=email

Lash Extensions

Lash extensions are absolutely gorgeous!  However . . . there is maintenance involved.  You will need “touch ups” every two to three weeks, a definite commitment.  Below you will see photo’s before and after and two quick videos on the process as well as completion.

lashes1

lashes1a

IPL – Intense Pulsed Light

Below you will see Gigi receiving an IPL (photorejuvenation laser) procedure at Maintain Youth Medical Aesthetics in the Napa Valley (www.mymedaesthetics.com).  She and I both have had many IPL treatments in the past and have seen such wonderful improvements to our skin tone that we really wanted you to see it up close and personal. IPL technology addresses hyperpigmentation (sun spots, age spots), vascular lesions (small blood vessels), rosacea, acne scars, pigmented lesions (birth marks, liver spots, etc.). This can be performed not only on the face but on the neck, chest, hands, and other areas of the body.  As always, please do your homework and have this treatment done by a doctor or nurse who has had extensive training!  That is paramount when booking any procedure involving laser or RF (radio frequency) energy.

*Note . . .  you will see a reaction in the form of a green stripe/flash on this video while viewing.  It is the digital camera picking up on the energy of the laser.