I want to try BOTOX®, but I’m worried about having an unnatural look.
In expert hands, BOTOX® can provide you with a subtle but highly effective reduction in unwanted frown lines, forehead lines, crow’s feet and upper lip lines. We can also use BOTOX® to give you a nice eyebrow lift as well as less noticeable neck lines and chin dimpling.You’ll keep your same great smile since we don’t relax any facial muscles that affect smiling or general expressivity. That means you’ll see a softer, calmer and more youthful look. Overall, our patients are highly satisfied with their BOTOX® treatments.
Isn’t BOTOX® a toxin? Will it affect the rest of my body?
BOTOX® is slowly metabolized by the body and when precisely injected into small muscles, works only where injected. BOTOX® has been used safely even in children for over 20 years. Relatively small doses of BOTOX® are used in cosmetic treatments. There are no known long-term effects.
Will I be swollen or red after a BOTOX® treatment?
In most cases, no one will know you’ve had a treatment at all! Bruising can occur but is uncommon and usually minor. We use ice to minimize both discomfort and swelling, but most patients are amazed at how simple the treatments are. If there is any redness from the injection, we provide post-treatment touch-up makeup for all skin tones free of charge.
What about “muscle relaxer” creams. I’ve seen advertisements claiming they’re as effective as BOTOX® in reducing wrinkles. Is that true?
Next to a facelift or aggressive laser resurfacing, there is no better treatment available today that can reduce certain lines and wrinkles faster, safer or more effectively for you than BOTOX®. Creams are unable to penetrate deeply enough to significantly affect muscles. Any advertising claims suggesting this are untrue.
I’ve heard of facial fillers such as Perlane and Restylane. What are they, and how can they help me?
Perlane and Restylane are clear gel fillers that can fill in deep lines and wrinkles as well as help make your lips fuller. They’re ideal for reducing deep folds on the side of your nose and mouth as well as the deep lines between your eyebrows. Even your cheeks can get a lift with these fillers to shave years off your age.There are many filler products available, but we like using Perlane and Restylane because they contain a hyaluronic acid that’s nearly identical to the one your body produces as fluid in joints and other tissues. As we age, we start to lose hyaluronic acid.This non-animal source hyaluronic acid, produced through a culture process similar to the way vaccines are made, is naturally integrated into the tissues to expand the crevices formed by wrinkles and folds. Your skin appears naturally fuller and younger.
What about the so-called permanent fillers? Should I be considering them?
We don’t recommend products marketed as permanent implants. They usually contain substances that are not natural to the body and, hence, cannot be absorbed. We wouldn’t want you to experience scarring, lumpiness or movement of the implant. We like to think of fillers such as Perlane and Restylane as maintenance therapy, much like teeth cleanings and haircuts.
I have spider veins all over my legs. Can I just have laser treatments to clear them up?
Although laser can treat your spider veins, they’ll often come back unless more comprehensive treatments with sclerotherapy are performed first.
Almost all spider veins are being “fed” by larger veins that have leaking valves. It’s best to treat the larger, leaking veins first before attempting to remove your smaller spider veins; otherwise, your spider veins will probably be back soon.
So what is sclerotherapy, and how many treatments will I need?
Sclerotherapy is a vein disease treatment that can be divided into two categories: 1) Ultrasound-guided sclerotherapy for the treatment of your larger, deeper veins, and 2) Surface sclerotherapy to treat your spider and small to medium veins.Sclerotherapy involves injecting a sclerosant solution into your offending vein which then inflames the vein and then ultimately shrinks the vein to the point where it is re-absorbed by the body. A series of treatments are necessary to remove all veins and the number will depend on the severity of your veins. Anywhere from two to ten treatments may be necessary. Sclerotherapy offers you a vein treatment that’s highly effective, virtually painless and very safe.
Is the sclerosing solution used to treat varicose veins safe?
The sclerosing solution used in our practice is called STS (sodium tetradecylsulfate) which has been in use for over 50 years. STS has an admirable safety record and has been used to help millions of patients worldwide. STS is a mild detergent which acts to irritate the inner wall of the vein, ultimately causing it to collapse. STS is both highly effective and remarkably safe.
What causes varicose and/or spider veins, and how do I prevent them?
Varicose and spider veins are the result of increased pressure in the venous system. Small valves inside the veins that normally direct the flow of blood back to the heart may become floppy or incompetent causing a backwards flow of blood and a build up of pressure. The most common cause is heredity but pregnancy and possibly prolonged standing may also predispose individuals who have a genetic tendency to varicose and spider veins. Abnormal veins can be eliminated allowing normal veins to assume the role of transporting blood effectively. No treatment is a guaranteed cure as new varicose or spider veins may occur in the future.
What are cosmeceuticals?
These are medical grade skin care products developed for physicians that provide pharmaceutical grade ingredients products and quality control. They have a proven record of cleansing, moisturizing, protecting and exfoliating the skin to reduce your fine lines, restore glow and tone, protect against the harmful effects of solar radiation and pollution, and generally slow the effects of aging on the skin. They contain higher concentrations of antioxidants, retinoids, alphahydroxy acids and other proven medical therapies in skin care. At Sanders Medical, we seek out only the highest-quality skin care products for our patients.
What is sun-damaged skin and what can I do about it?
Sun damage occurs to the skin over time primarily from the effects of solar ultraviolet radiation. Radiation damage degrades the collagen or protein deep in your skin. This leads to loosening of the skin and sagging as well as discolouration through pigment changes and the development of fine capillaries.Fortunately, we can treat your sun-damaged skin with a range of treatments: cosmeceuticals, photodynamic therapy, microdermabrasion, BOTOX®, Restylane and Intense Pulsed Light. Intense Pulse Light is avery effective treatment for your sun-damaged skin because it stimulates collagen, reduces the age-related pigmentation and capillary changes, and improves overall skin tone.Our cosmeceutical skin care products are formulated to help you reduce photodamage and to protect your skin from further sun damage.
What is photodynamic therapy and how does it work?
Photodynamic therapy uses a medication called Levulan (20% aminolevulinic acid) which is applied as a clear liquid to your face. It is allowed to incubate for a given period of time and then it is “photoactivated” using specific wave lengths of light. The photoactivate Levulan then kills off rapidly-growing cells such as actinic keratoses (precancers) on the skin. It also acts to kill bacteria and reduces the size of oil glands, and, therefore, has proven to be very effective in the treatment of acne as well. We activate the Levulan using a special blue light, but Levulan can also be activated using Intense Pulsed Light to provide an additional benefit to reduce brown age spots and capillaries.
I don’t like taking pills such as antibiotics or Accutane for my acne. How comparable are the benefits of photodynamic therapy?
Photodynamic therapy with Levulan can be even more effective than topical and antibiotic therapies for acne. In some cases, acne treatments with photodynamic therapy have been comparable to Accutane. Plus, you won’t suffer from any of Accutane’s side effects.Photodynamic therapy will work best for your acne in a series of treatments—between two and four visits each two to three weeks apart.
Does anything cure acne?
There is no known cure for acne. Managing acne means keeping it under control. Accutane, in some instances, does provide for a prolonged remission but recurrences are common no matter what therapy is used. This applies to photodynamic therapy as well.
Laser Hair Removal
How does laser hair removal work? Does it hurt? How many treatments will I need?
Laser hair removal is a modern alternative to older methods such as waxing, plucking and electrolysis. Laser hair removal works because the specific wave length of light in the laser targets and destroys the pigment in the hair follicle. The laser targets only those hairs currently in their growth phase and, therefore, a number of treatments are necessary since only about 20% to 30% of hairs are growing at any given time on the body. The number of treatments will vary from three to six or more depending on the colour of your skin, the thickness of the hair, the colour of the hair, and the location on the body. You’ll love how laser removal is both essentially painless and highly effective.
Is laser hair removal permanent?
Lasers that target the hair follicle pigment can eliminate the follicle. Sometimes the hair is just stunned and will regrow. Often the hair that grows back is finer than the original hair. Although repeat treatments will give the best results, there is a point where further treatments will not result in further hair removal. It’s important for the laser hair removal patient to receive a careful evaluation by a clinician experienced in laser hair procedures.
Are laser hair removal treatments safe?
In experienced hands, laser hair treatments are safe. Tanned skin should never be treated. Lasers target the pigment in skin. If you have a tan, the laser hair treatment will be compromised and, at best, you’ll get an inferior treatment; at worst, you could get a nasty burn. Because lasers are serious medical devices that can have adverse effects including skin burns, they should only be operated by clinicians under medical supervision in medical offices.
Intense Pulsed Light (IPL) Photofacials
What exactly is a photo facial?
A photo facial refers to a treatment with Intense Pulsed Light (IPL) to reduce many of the hallmarks of sun damage and aging. It works like a laser to safely penetrate through your skin to deeper structures without harming the skin itself. The light works to shrink small capillaries that cause flushing and unwanted redness on your face. It also breaks up age spots and other pigmented lesions caused by photo damage. IPL also stimulates the collagen, a protein in the dermis, to improve overall skin tone and texture. It reduces your pore size and diminishes fine lines to you smoother, more youthful-looking skin.We can also use IPL to treat sun damage on your hands, arms, neck, shoulders and the back. IPL therapy is one of the most popular non-surgical cosmetic procedures in North America for men and women.
Are all IPL devices the same?
There are many different IPL devices on the market. Some spa-grade IPL devices are under-powered and can’t perform as promised. Not all IPL devices work equally at eliminating capillaries and brown spots. The makers of the Lumenis Vasculight-invented IPL technology and their IPL devices remain among the best on the market today. We use the Lumenis Vasculight Elite to give you a superior treatment and results your friends and family will notice instantly!
What is Thermage and will it work for me?
Thermage uses radiofrequency (RF) energy to heat the deeper layers of your skin and the collagen protein that resides there to induce collagen contraction. If you are between the ages of 35 and 60 and already have adequate collagen, you’ll see the best results, though we have seen some impressive tightening in older patients too.Thermage differs from other treatments because it’s subtle. Where a surgical face lift will achieve better overall results, it often does alter the intrinsic appearance of the patient. Poor outcomes and complications such as infection and scarring are very real risks of any surgical procedure. Thermage won’t alter appearance. Instead, it tightens your skin in a subtle way without the recovery time or risks associated with surgery.If you’re looking for a mild and simple treatment so you can look just a little younger, consider Thermage.
Who is the best candidate for a Microlaser Peel (MLP)?
A Microlaser peel works best if you have lighter skin tones and fine lines or brown pigmentation and want a brighter skin tone and complexion. To make sure MLP is the right treatment for you, one of our physicians will assess your skin. Please note MLPs will leave your skin red for three to five days after treatment—a great time to finally read those books or re-watch your favourite TV series!
Surgical vs. Non-surgical Procedures
What are non-surgical cosmetics procedures?
These are procedures that do not require incisions, general anesthetic or healing time. They’re usually painless, have little or no recovery time, and are generally not associated with significant complications such as scarring or infection.
Do I need to see a plastic surgeon for a cosmetic procedure?
You need to see a surgeon only if an operation is required. Non-surgical procedures such as BOTOX® or Restylane injections are best performed by physicians with expertise in injection techniques who have a keen eye for artistic facial symmetry and who are passionate and committed to their work. Laser and IPL therapies can theoretically be provided by non-physicians but they won’t be qualified medically assess your skin. It’s best to seek a physician-run clinic with the best available equipment and well-trained staff.