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Frequently Asked Questions for Intense Pulsed Light Systems -  i-pulse

 

  Is the Intense Pulsed Light i-pulse a laser?
   
 

No, it is a light-based technology. Unlike lasers, i-pulse uses a wider spectrum (typically from 590 nm to the near Infrared) to target the melanin found naturally in the hair shaft and hair follicle or the haemoglobin present in the vessels. Since these parts contain more melanin/haemoglobin than the surrounding skin tissue, they absorb more light, which rises the temperature and allow the destruction of the follicles/vessels.

     
  How do the results of i-pulse compare with other laser/light based hair removal systems?
   
  i-pulse delivers the longest lasting results available today. We can have a permanent reduction of hair regrowth of about 30-50% after only one treatment. The most dramatic changes normally occur after the second treatment. Multiple treatments (normally from 3 to 6) can reach 70% of hair reduction in various body areas. Only few people may require extra treatments.
     
  What areas of the body can be treated?
   
 

Virtually any body area, large or small. Arms, legs and back are normally treated as well as sensitive areas (bikini line, chin, upper lip…).

     
  Who is the ideal candidate for treatment?
   
  Almost everybody can be treated with i-pulse Of course the best condition is an individual with dark hair and light skin. However many studies show that also with people of Hispanic, Middle East or Pakistan/Indian origin it is possible to achieve very good results. Note that some patients may not always see an immediate difference after treatment. However within few days after each treatment most people see a dramatic effect, i.e. most of the hair will fall down and disappear .
 
  Which are the most common side effects?
   
  Patients may feel a slight discomfort that quickly disappears after treatment. Other effects can be a mild to moderate redness immediately after treatment that normally disappear after 24 hours maximum. In very few cases slight blisterings can results that disappear after few days. A temporary increase or decrease in skin pigmentation may also occur, but it is very unusual and in any case disappear in few months.
 
  How many treatments are required for hair removal?
   
  For permanent results the hair must be treated during active phase: for this reason from 3 to 6 treatments are normally necessary to have long-lasting results. The repetition rate varies from person to person and from the area of the body treated (density, location of the hair growth…) but it is normally 2-3 months.
 
  How long does a treatment take?
   
  Thanks to the very large spot size (50x25 mm) and the shooting rate (tipically 2 s) the treatments are very fast. Thus, a moustache area may take only a couple of minutes. A typical treatment session (back, legs…) takes approximately 30 minutes to 1 hour. In any case this value is strictly dependent from the area to be treated, the thickness of the hair and the patient’s skin type.
 
  Is there something the patient should be aware of?
   
  Some people can be very sensitive to light. Therefore some check must be executed before the first treatment. If the patient feels any discomfort during the treatment, he/she should inform the doctor immediately. Waxing immediately before treatments is not recommended, but shaving is fine. In addition exposure to the sun for some weeks before and after the treatment should be avoided.
 
  Is it safe?
   
  The light can spread out in all direction, but it does not affect the eye in anyway more than a camera flash. The use of protective goggles is in any case warmly recommended. As further safety, if the lamp box is not in proper contact with the skin, a safety switch stops undesired shots.
 
  Is it the i-pulse effective in other applications than hair removal?
   
  Yes. It is the most effective choice for improvement of the overall skin appearance, and particularly for skin rejuvenation treatments. The light treatment can improve lesions such as vascular and pigmented, fine lines, enlarged pores, different kind of scars, active acne…
 
  How does it work in these applications?
   
  The unit uses filtered light to selectively target the melanin, the haemoglobin and collagen by selective photo-thermolysis. In case of skin rejuvenation many clinical studies show that selective heating of the dermal collagen layer to a temperature of about 60°C stimulates the fibroblast to produce new collagen. The most recent studies are demonstrating that light radiation induces an intense production of H2O2 suitable to renew the collagen. This effect take place in a period of 8-10 weeks and lasts for 6-12 months after the last treatment. Small vascular lesions (telangiectasia, hemangioma, spider veins…) can be treated with the 520 nm lamp box, centered on the absorption line of the haemoglobin. At temperature of more than 60 °C the blood coagulates and the small/intermediate vessels coagulate and collapse.
 
  How many treatments are needed?
   
  This is strictly dependent on the application: typically 3-8 sessions are required, each every 2-3 weeks.
 
  What about potential patients?
   
  Almost every skin type, any age, can be treated. It is important to use the proper filter: 390-510 nm for active acne, 520 nm for vascular, 590 nm for hair removal (light skin) and skin rejuvenation, 640 nm for hair removal on dark skin.
 
  Are there any contraindications?
   
  Subjects with disorders like localized or systemic infections, immune system disorders, skin pathologies, under antibiotic therapy, assuming A, K vitamins and with elevated photosensitivity should not be treated. Moreover the area to be treated has to be healthy and not injured.
 
Frequently Asked Questions for Microdermabrasion:
 
  How frequently and in what time intervals must treatments be provided?
   
  Optimally, every 10-14 days to allow skin to heal. Treatments should be provided with realistic outcome in mind. Because it is a cumulative treatment, normally a package of 5 or more is suggested for retainable, tangible results.
 
  Who should consider a Microdermabrasion Program?
   
  Microdermabrasion is right for all skin types and for anyone interested in improving the appearance of: scarring, fine lines, wrinkles, pigmentation problems uneven skin tones, dull, lifeless and sun-damaged skin.
 
  Will I experience any discomfort during the treatment?
   
  Initially, you may feel a mild scratching sensation as the crystals make contact with the skin. As the treatments continue, this experience compares to a deep massage. Mild redness may occur for ½ hour to one day depending on the aggressiveness of the program.
 
  What results can you expect?
   
  Depending on the area treated, you may notice an improvement in you skin’s appearance. Acne scars will be less obvious. Age spots and fine lines are erased and many patients report that their skin seems to be softer, smoother and younger looking.
 
  How soon will I see results?
   
  After your first treatment, your skin will have a fresh pink low. Improvement continues to route your treatment program. The number of treatments recommended for maximum results ranges from 2 to 12.
 
  Who are the best candidates for Microdermabrasion?
   
  The best candidates for Microdermabrasion are men and women who are: In good health; have good skin tones; have realistic expectations.
 
  How long do treatments take?
   
  Microdermabrasion treatment sessions usually lasts about 10 to 30 minutes. During your session we focus on your problem areas, but time can be given to other areas of concern.
 
  What are the benefits of Microdermabrasion over other procedures?
   

Microdermabrasion takes less time.

There is less discomfort.

Recovery is quick.

There is no disruptions to normal activities.

 
  Who could perform this treatment?
   
  Medical Professional.
 
  How often can I receive this treatment?
   
  It depends on the area and the type of skin being treated. To obtain the maximum results, we recommend a series of six treatments at least 2 weeks apart.
 
  What are the crystals made of?
   
  Aluminum Oxide which is non allergic
 
  How does this compares with traditional Dermabrasion or cosmetic surgery?
   
  Dermabrasion often is painful for patients and in some cases may result in negative effects such as unnatural skin texture, a risk of dispigmentation or scaring. The treatment requires no anesthetic for superficial abrasion. For deeper peeling, a topical cream such as PRIMLA can be used prior to the treatment. All treatments are done no outpatient basis.
 
  What areas of the skin are mostly treated by Microdermabrasion?
   
  Face and neck, elbows and knees, hands and feet, shoulders, scratch & stretch marks on abdomen and hips.
 
  How will I look after the treatment?
   
  Your skin may look slightly flushed immediately after the treatment but should return to normal in 10-30 minutes. Your skin will look and feel smoother and more youthful even after the first treatment and will continue to improve with additional treatments.
 
  Are there any patients who should not use microdermabrasion ?
   
  Yes. Patients with rosacea or dilated capillaries (telangiectasia) should be cautious using microdermabrasion. Patients with sunburn should delay treatment.
 
  What preparations should be done prior to microdermabrasion?
   
  Stop all skin care products, RetinA and Renova several days prior to treatment. Read the information sheet and sign the consent form.
 
  What should I do after microdermabrasion?
   
  Use sunscreens and avoid direct sunlight. Avoid RetinA and Renova for three to four days. You may use make up after treatment. Schedule next appointment.
   
Frequently Asked Questions for Plastic Surgery:
   
  Who is a candidate for plastic surgery?
   
  The best plastic surgery candidate is someone with realistic expectations and an understanding of the limitations set by medicine, technology, and each patient's own body. Good candidates have a strong self-image, and well-developed reason for pursuing a plastic surgery procedure. They are looking for improvement of a physical trait, knowing that while this positive change may enhance their self-image, it will not change people's perception of them. Dangerous motivations for plastic surgery would be purely doing it to gain popularity, or attempting to reverse recent life crises.
   
  Is there a "right" age to pursue plastic surgery?
   
  There isn't any overarching rule as to the right age for plastic surgery. In fact, the appropriateness of a certain procedure should be determined more on a case by case basis, looking at the individual's unique body type and aging process. Of course, there are age tendencies for certain procedures. Facelifts generally are not performed on patients under 30, as mini-lifts or laser procedures might be suggested instead, but this is not a rule.
   
  What is the difference between cosmetic and reconstructive surgery?
   
  Cosmetic plastic surgery is performed to enhance or change a healthy, normal, functioning part of the body. Nothing but the patient's desire for physical improvement necessitates cosmetic plastic surgery. Reconstructive surgery, however, is intended to correct a physical abnormality caused by a birth defect, disease or tumor, physical trauma, or infection. The goal of reconstructive surgery may be to restore function or to achieve physical normality.
   
  How much pain is involved in plastic surgery?
   
  Each plastic surgery procedure carries a different level of discomfort, and requires different methods of anesthetizing. In most situations, the patient's preferences for safety and comfort, as well as personal pain threshold, can help determine what type of anesthesia will be used. Very minor, non-invasive surgeries might involve a topical anesthetic, while minor invasive surgeries may call for local anesthetic or local combined with sedation. In more involved surgery, general anesthesia is usually used.
   
  Is plastic surgery outpatient or inpatient?
   
  Most plastic surgery procedures are performed on an outpatient basis. In some cases, usually when the surgery is very extensive or complications arise, an overnight stay might be required.
   
FACE LIFT:
   
  Am I a candidate for a Face Lift?
   
  If you feel as if your skin is starting to sag around the jowls, the forehead and generally "all over," if you look tired and physically exhausted and you, in fact, are NOT. Perhaps you are feeling as if your skin is starting to become aged looking and are searching for a way to restore your appearance to its younger looking state. Then, a Face Lift is one of the options that you can take. Full face lifts are generally saved for those of us who are more "mature." However, younger patients are seeking mid and lower face lifts today.
   
  What is a Face Lift?
   
  The Face Lift is a cosmetic surgery procedure designed to improve the signs of the aging tightening the muscles beneath the skin of the neck, tightening the sagging skin itself, removing excess fat and overall improving the appearance; rejuvenating the face to its former youthful appearance.
   
  When is a Face Lift usually performed?
   
  There is no usual age that a patient requests a face lift. It can be from 30's to 80's. Although, a brow lift can work wonders for younger patients whose only complaint is horizontal lines on the forehead and sagging brows or slightly hooded eyes. Brow lifts are often requested in the late 20's-early 30's category and up. It is quite possible that a brow lift is all that is needed.
However, A face lift can produce better results in those who are more mature or need extensive lifting and tightening or rejuvenation. Seeking an entire lifting of the facial skin and/or structure to produce a more youthful and alert appearance. You can discuss your available options with your surgeon to determine what is best for your individual case.
   
  What does a typical Face Lift consultation entail?
   
 

First off, your doctor will discuss your goals with you and he will explain what can be achieved realistically.  Some patients may require a deep plane face lift involving the tightening of the inner muscular structure of the face.  You should bring  photos of yourself at an earlier age to determine your original facial look so the effect can be a natural one.  Most patients don't want to wake up and not look like yourself once you heal.  You just want to try and achieve a more 'pulled together' look; an attractive you at a younger age.  Although, some of you may want to change the structure of your face altogether.  Discuss with your surgeon the goals and general result you would like to achieve.  It is all individual.  Just like you!

   
  Am I a candidate for Mastopexy?
   
 

If  you have no serious health conditions, are not prone to keloid scarring and have noticed that your breasts have started to sag and the effects of gravity are wreaking havoc -- you may be a candidate for Mastopexy.  An ideal Mastopexy candidate should be mentally and emotionally stable and have realistic expectations as well.  When a woman ages, the breast skin loses elasticity and firmness and the breasts may tend to droop as the years creep up.  Mastopexy can reduce the extra skin and give the breasts their former, firmer shape and feel.

   
  What is Mastopexy?
   
 

The Mastopexy or breast lifting operation is really several different procedures.  Each of the different operations has as its intended purpose to lift the breast up and position the nipple in the position that it was in before sagging occurred.  Sagging occurs due to three circumstances either alone or in conjunction with each other.  First, after pregnancy and breast feeding the breast has become stretched and the skin loosened.  Frequently there is actual loss of some of the breast tissue and this allows for sag also.  Second, weight gain and loss can stretch the skin and also create sag. 
Third, the process of aging and the effects of sun and gravity tend to decrease the elasticity of the skin and this can be a significant factor creating sag of the breast.  The goal in all these instances is to move the nipple back to a higher position and to reshape the breast to create a more beautiful appearance.  Most often the need for excess skin removal is apparent.

   
  When is Mastopexy usually performed?
   
 

Usually, after pregnancy or after pregnancy and breast feeding there is a lot of breast tissue loss. Sometimes it is just age or even a drooping caused from not wearing a bra through most of one's life. Mastopexy is often sought out by women who have either been pregnant or have gained a lot of weight and have since lost the weight. A Mastopexy will transform a sagging breast to its former youthful appearance. However, if you are planning to have children (or additional children if you already have), you should postpone your Mastopexy until after you are sure you are not going to bear children any longer. If you choose to have a child after having had a Mastopexy you will only stretch your skin even more, and even thinner this time, and will have to get another Mastopexy. If you should decide to have children after a Mastopexy, your breast feeding ability should not be disturbed as the milk ducts should be left intact and undisturbed (unless it is the anchor incision technique where disturbance is quite possible). Discuss with your surgeon the techniques he prefers. Other than that, a Mastopexy can be performed at usually any age (under 18 with parent's permission) if you are in good health and meet certain emotional criteria (such stability).

   
  What does a typical Mastopexy consultation entail?
   
 

At your consultation your surgeon should  measure your breasts and general torso area to determine a natural and aesthetically pleasing position for your breasts and areola/nipple complex post-op.  You should provide your surgeon with photos of your breasts previously in life, if possible. If not, a bathing suit photo may help.  Your surgeon should take into account your skin condition and  (i.e. elasticity and thinness) and age.  Sometimes a surgeon will offer the option of having an implant inserted if there is barely any breast tissue remaining.

Your surgeon should discuss with you the details of how a Mastopexy is performed, explain the possible risks and complications involved and any post-operative special care instructions. .  Discuss with your surgeon any questions or concerns you may have before deciding whether or not to commit to Mastopexy.

   
  What are the different techniques for Mastopexy?
   
 

The amount of sag determines the best procedure to be performed.  It is important to decide whether augmentation or reduction should accompany the uplifting procedure.  The procedure that one elects to undergo is determined by several factors.  First and foremost is the amount of sag or ptosis (pronounced: toe-sis) present.  When a slight amount of ptosis is present then a Crescent Mastopexy can be performed.  The nipple can be uplifted 2 to 3 centimeters.  The incision and therefore subsequent scar is around the top of the areola (pigmented skin).  Should a greater amount of lifting be required an incision will be needed that completely surrounds the areola with a vertical line dropping down the center of the breast to the bottom of the breast and sometimes a horizontal incision at the bottom of the breast in the crease between the breast and the chest.

   
  How long does a Mastopexy last?
   
 

Any surgery can not be considered permanent as far as aging, gravity and your personal bra-wearing habits go. Gravity & age will prevail and you will sag -- period. Although we can attempt to slow its process by maintenance and healthy eating. Whatever the case, a woman's breast tissue, in 95% of cases, will sag eventually. Regardless of having had Mastopexy, a breast will sag again. It may be years from now, but you may need an additional Mastopexy depending on your habits of bra wearing, this may be slower. It is supposed that a breast may sag again after 15 years with part time bra wearing, less than half that in a bra is hardly worn. If you have very thin skin, even less. Be safe and wear a bra.

   
Breast Reduction:
   
  How many techniques are there for breast reduction?
   
 
  • There is a manual technique where surgeons remove tissue after having opened the breast along the tissue lines where surface tissue will be removed as well and lifted. 
  • There is the tumescent technique that is in all actuality, liposuction in a lesser form.  
  • The liposuction technique can also be used with  ultrasonic energy but has an increased chance of injury due to burns.  Apparently the high frequency waves can over-excite the water molecules (or any fluid) causing them to boil beneath the skin as well as damaging superficial tissues as well.  Unfortunately there is also the possibility that blind removal will accidentally disturb or remove milk ducts/glands in such a way that a patient's breast feeding chances are severely decreased.

 

   
  Is breast reduction permanent?
   
 

Yes, Breast reduction is permanent.  Although the remaining fat cells will swell and enlarge if you overeat and gain weight.  Breast tissue will still swell and be tender to the touch when affected by natural or synthetic hormones.  If you take hormone supplements it is quite possible to gain small amounts of breast tissue back.  Although it may not look the same or be as much.

   
  What does a typical breast reduction consultation entail?
   
 

Firstly, your doctor will discuss your goals with you and he will explain what can realistically be achieved.  A surgeon should take into account what your hip size is.  Your breasts may be a hindrance to you but removing too much will make your hips look large and give you a pear shape.  Obviously you can request significant removal, just consider balance when determining your end size.  Many women with large breasts just "want them out!"  but may later regret having the majority of the breast volume removed.  I am just suggesting thorough consideration before committing.

He or she will then show you photos of his work, you may also wish to show him photos that you have brought to the consultation of what you like and do not like.  He or she should discuss the risks at length and the details that are associated with a breast reduction.  There is no one size fits all technique when it comes to this procedure.  It is all individual, just like you!

   
  Protocol for a pre-operative appointment if you should choose to undergo a breast reduction:
   
 

Prior to surgery, a complete medical history is taken in order to evaluate the general health of the patient.  The breasts themselves are then examined thoroughly to determine the most effective surgical approach.  The surgeon will go over the anesthesia to be used, the procedure, what results might realistically be expected and possible risks and complications.
Mammograms or x-rays may be taken as well as pre-operative photographs.  Preoperative instructions often include the elimination of certain drugs containing aspirin for several weeks before surgery in order to minimize the possibility of excess bleeding.  Birth control and other estrogen containing hormones may also be discontinued temporarily (depending upon the individual).  Antibiotics, pain relievers and other medications prescribed a few days prior to your surgery for your convenience as we want you to be completely prepared for your surgery with no excess worry.

   
Rhinoplasty:
  What is rhinoplasty?
   
 

Rhinoplasty is cosmetic surgery of the nose.  It is also known as nasal refinement and the layman's term nose job. With rhinoplasty, 'defects' from either birth or trauma can be corrected by infracturing or breaking the bones of the nose and re-setting them in the desired shape, often narrow and straight. 
A hump may be removed to give a more pleasing, symmetrical look.  The cartilages of the nose can be molded and trimmed to create a more compact or pleasing shape.  Rhinoplasty can soften an otherwise beautiful face by refining one's features.

   
  When can rhinoplasty be performed?
   
 

Extensive nasal surgery is generally avoided in children.  There are major growth centers in the nose that affect the growth of the face.  In cases of severe disfigurement due to accidents, surgery is performed in an attempt to restore the alignment of those centers.   For lesser deformities surgery is deferred until after the child stops growing.  Rhinoplasties performed on teenagers and young adults, it seems, are often beneficial to the social development and self confidence of the individual.  The aging process is reflected in many ways in the nose and its correction can add youthfulness and freshness to the appearance.

   
  What does a typical Rhinoplasty consultation entail?
   
 

First, your doctor will discuss your goals with you and he will explain what can be achieved realistically.  A good doctor will not just slim your nose or shorten it, rather he will take into account what your facial features and bone structure would benefit from.  Be it a slimmer more defined or perhaps more turned up.  Perhaps it is only a hump that is desired to be removed, making it unnecessary to even have a Full Rhinoplasty.  There is no "one size fits all" when it comes to this procedure. It is all individual. Just like you!

   
  I am 16 and have been thinking of rhinoplasty for a long time. At what age is it safe to have a rhinoplasty?
   
 

Usually rhinoplasty is performed at the earliest, 13 or 14 years of age in girls and 15 to 16 years of age in boys.  Reason being, and it is a known fact, girls physically mature faster than boys and the collective goal is to perform surgery when at least 90% of the growth is complete.  There are major growth centers in the nose that affect the growth of the face.
In cases of severe disfigurement due to accidents, surgery is performed in an attempt to restore the alignment of those centers.  For lesser deformities surgery is deferred until after the teen stops growing.  Rhinoplasties performed on teenagers and young adults, it seems, are often beneficial to the social development and self confidence of the individual. 
In other words, this depends upon the stage of growth in the face as well as the gender of the patient.  A qualified surgeon can better help you upon personal examination. 


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