As time passes, our skin shows the natural, inevitable signs of aging – wrinkles, sagging, sun damage. Cosmetic dermatology means that you don’t have to live with those effects anymore. Non-surgical cosmetic procedures available at our practice allow you to smooth lines and wrinkles, raise sunken areas, reduce blemishes and scarring, tighten sagging skin, treat spider and varicose veins, and generally produce fresh, glowing skin so you can look as young and rejuvenated as you feel.
The Selphyl® System is a patented technology for the safe and rapid preparation of autologous Platelet-rich Fibrin Matrix (PRFM), using a small amount of a patient’s own blood.
The Selphyl® System is safe to use and naturally reverses the aging process in a subtle yet stunning way. After all, nothing is more natural than you.
During a short office visit (30 minutes), a small amount of a patient’s own blood is drawn into a vacuum collection tube containing a gel separator.
The tube is then placed into a centrifuge and spun for six minutes to separate the blood into a supernatant plasma/platelet suspension, with the remaining cells located below the separator gel.
The fibrin, platelets, and serum are then transferred in a closed system to a second vacuum tube containing a small amount of calcium chloride solution.
Fibrin polymerization begins and there is approximately 10 minutes to inject the PRFM.
Platelets are embedded into the fibrin matrix. Platelets have been shown to be viable and capable of a sustained release of growth factors over seven days, which is associated with tissue regeneration.
Platelets are known to promote tissue regeneration. Physicians have reported a natural, refreshed and youthful appearance lasting 12+ months.
The Selphyl® System Technology is safe and requires zero patient down time. The reproducible 3-step system contains no animal or foreign components, so there is no risk of an allergic or adverse reaction. There have been zero reports of granulomas or nodules.
In addition to these areas, physicians are using PRFM for facial contouring, dermal defects, divots, acne scars, stretch marks, cellulite and hair loss. PRFM has also been instrumental in restoring a more youthful look to hands, neck and décolleté. PRFM has yielded successful results when used in conjunction with fat transfer and when applied to post-surgical incisions.
Physicians worldwide have used the Selphyl® System to address the effects of skin aging, including lost volume, fine lines and wrinkles, and skin texture and tone. In addition, the system has been shown to be effective for wound healing and for use with autologous fat transfer procedures by increasing vascularization and viability.
Merz Pharmaceutical’s Belotero Balance is FDA approved to add volume to superficial facial wrinkles and folds. This hyaluronic acid-based soft tissue filler has been widely used in Europe and Canada for years. Hyaluronic acid is a naturally-occurring substance found in the body’s connective tissues. Its supply dwindles with advancing age, but injections of Belotero or other hyaluronic acid-based fillers can increase volume, creating a more youthful appearance. Due to its ability to treat superficial wrinkles, Belotero holds an advantage over other dermal fillers since it can be administered close to the surface of the skin without causing a blue hue.
Belotero injections take 15 to 30 minutes and may involve some minor discomfort. It is common to experience some redness, swelling, and bruising that will typically resolve in a week. The results are immediate and last an average of 6 to 12 months. Treatment is safe, reliable and simple. Belotero offers high stability for cosmetic results that adapt perfectly to the skin, ensuring smooth transition between areas that have been treated and areas that are not. This means natural looking, beautiful results that last.
BOTOX® Cosmetic is a highly purified protein injected into the skin to relax the muscles that cause some kinds of wrinkles. While BOTOX® can treat certain medical conditions, such as excessive sweating, it is most commonly used for cosmetic purposes, primarily to reduce wrinkles on the face and neck. BOTOX® injections are relatively painless, as the needle used is significantly smaller than those used for other injectable fillers.
The best candidates for BOTOX® are men and women seeking an enhanced appearance with fewer wrinkles. In addition, it is important that those seeking treatment are in good physical health, are not pregnant or nursing, and do not have a neuromuscular disorder. People seeking BOTOX® injections should have realistic expectations regarding this procedure’s abilities and should discuss their desired goals with their doctor beforehand.
Chemical peels remove damaged outer layers of skin on the face to smooth texture, reduce scarring, and remove blemishes to produce healthy, glowing skin. At Dr. Khorenian’s office we perform glycolic and salicylic peels. There are three types of chemical peels, ranging from mild to strong – alphahydroxy acids (AHAs), trichloroacetic acid (TCA) and phenol – and formula strengths are tailored to each patient. Peels can be combined with other procedures such as facelifts for a younger look.
Dermapen® is a unique and innovative new technique to enhance the appearance of your skin without the need for invasive surgery. This fractional micro-needling treatment has an aerating effect on targeted areas of skin, helping to stimulate collagen production and prompt the skin to rejuvenate itself. This treatment can be very effective for improving areas of the skin affected by signs of aging and acne scarring.
Dysport is an FDA-approved injection used to reduce the appearance of fine lines and wrinkles by relaxing facial muscles in the forehead. Similar to BOTOX® Cosmetic, Dysport is injected directly into the site of wrinkles to prevent the underlying muscles from contracting. Dysport injections are made from the bacterium Clostridium botulinum, the same protein used in Botox injections.
Dysport injections are ideal for nearly anyone wishing to reduce the appearance of fine lines and wrinkles on the face and restore a younger, more refreshed appearance. The injections are administered directly into the facial muscles that cause frown lines and other wrinkles; these injections are generally painless, with no need for anesthesia. Treatment sessions typically take less 15 minutes, and are administered at six-week intervals. Three to five injections are usually required to achieve desired results.
Over time, a pierced earlobe can become stretched if a person frequently wears large or heavy earrings. In addition to creating a long or wide opening, earrings may tear completely through the lobe. A torn earlobe may also result from trauma, such as having an earring pulled off or caught on clothing.
Torn earlobes can be repaired with a quick in-office procedure performed under local anesthesia.
Torn earlobe repair first involves “freshening” the edges of the torn lobe by removing a small amount of skin. Then, using fine sutures, the earlobe is meticulously repaired to reconstruct a normal, rounded earlobe that matches your natural ear shape.
You will be able to return home immediately after the procedure, with only a small bandage covering the stitches. The stitches will be removed after one to two weeks. When the earlobe has healed and the scar has softened, you may re-pierce the repaired earlobe. It takes about three months for the earlobe to fully heal.
Juvéderm® Injectable Gel
Juvéderm Injectable Gel is a safe, effective gel that restores volume to the skin and smoothes away moderate to severe facial wrinkles and folds. Juvéderm is the first FDA-approved dermal filler proven safe and effective for persons of color. The Juvéderm gel is made of hyaluronic acid with a smooth consistency, allowing for easy injections and instant, natural-looking results. There is no pre-testing needed for this procedure.
Topical or injectable anesthesia may be used during this procedure to numb the treatment area and minimize any potential discomfort. The results of this procedure are available right away and can usually last for up to a year, the longest results available from any hyaluronic acid product.
Juvéderm Voluma™ is an innovative injectable hyaluronic acid facial filler that delivers smooth, natural-looking fullness to sunken cheeks and firmness to a softening jawline.This creates a smoother contour and more youthful appearance. The Only FDA-approved filler to correct age-related volume loss in the midface that last up to 2 years with optimal treatment.
Microdermabrasion improves mild to moderate sun damage, scarring, wrinkles and other superficial skin problems. A gentle stream of tiny particles exfoliates the outer layer of skin and provides a fresh, glowing, younger appearance. Only a small amount of skin is removed, so sensitive areas such as the face, chest, neck, arms and hands can be treated. Results are comparable to a light chemical peel and should be immediately visible. Microdermabrasion is often performed in conjunction with other skin renewal procedures, such as laser treatment and chemical peels. Multiple treatments are recommended for full effect.
Radiesse is a synthetic injectable filler that reduces wrinkles, creases and scars by augmenting the body’s natural collagen supply. Composed of microspheres in a biocompatible gel, Radiesse is made from the same minerals found in our bones, so it carries little risk of allergic reaction. Radiesse can be used on many areas of the body, including the lips, nasolabial folds, peri-oral lines, depressed scars and oral commissures.
Treatments typically take 15 minutes and require only local anesthetic. Side effects such as swelling or bruising are minimal and should fade within a few days. Results are visible immediately after the injection and can last for months or years, although the procedure can be repeated as often as you wish.
Restylane is an injectable filler, used for smoothing out facial wrinkles. It is a biodegradable gel composed of hyaluronic acid, a natural substance occurring within the body. In addition to adding fullness to the skin, Restylane attracts water molecules to the site of the injection, further enhancing its effectiveness.
Restylane provides results that are noticeable immediately after injection, although it may take a few days for swelling to subside. Day-to-day activities can be resumed immediately afterwards, with no downtime necessary. To maintain its effects, additional Restylane injections should be administered about 4 to 8 months later.
When you squint or frown, the muscles between your brows contract, causing the skin to furrow and fold. These lines that occur due to facial mimics are referred to as dynamic lines. Over time, as your skin ages and loses some of its elasticity, these repeated contractions can cause persistent frown lines.
Botulinum toxin type A – the active ingredient in XEOMIN® – is used in facial aesthetic treatment to treat dynamic lines like glabellar frown lines. It acts on nerve endings in muscles to prevent muscle fibers from contracting. By reducing these contractions, XEOMIN® can temporarily reduce the frown lines on your forehead between your eyes.