Skin Health & Acne

Skin Health and Acne

Skin evaluations are available to determine issues, desires, and realistic results. A personalized product and treatment plan will be created to correct and maintain the largest organ of the body. Everywhere, but especially in Arizona, sun exposure is an important factor and protection is highly recommended.

Systemic causes of skin issues include: food sensitivity, candida, hormones levels, inadequate gastrointestinal function and stress.

Areas of focus include:

  • Hormone Testing and Balancing Therapy
  • Dietary Review
  • Specialty Laboratory Testing for food sensitivities and candida

Treatment options include:

  • Home Product Regimen
  • Targeted Supplements
  • Micro-needling with PRP Treatment
  • Levulan/Photodynamic Therapy
  • Laser Therapy/Light therapy
  • Injectables

What is Acne? Understanding Acne Basics

Understanding Acne Basics

About Acne

The Skin

Acne vulgaris (cystic acne or simple acne) is a common human skin disease, characterized by areas of skin with seborrhea (scaly red skin), comedones (blackheads and whiteheads), papules (pinheads), pustules (pimples), nodules (large papules) and possibly scarring. Acne affects skin with the densest population of sebaceous follicles; these areas include the face, the upper part of the chest, and the back. Severe acne is inflammatory, but acne can also manifest in noninflammatory forms. The lesions are caused by changes in pilosebaceous units, skin structures consisting of a hair follicle and its associated sebaceous gland, changes that require androgen stimulation.

Acne occurs most commonly during adolescence, and often continues into adulthood. In adolescence, acne is usually caused by an increase in testosterone, which accrues during puberty, regardless of sex. For most people, acne diminishes over time and tends to disappear - or at the very least decreases - by age 25. There is, however, no way to predict how long it will take to disappear entirely, and some individuals will carry this condition well into their thirties, forties, and beyond.

Some of the large nodules were previously called "cysts" and the term nodulocystic has been used to describe severe cases of inflammatory acne. The "cysts", or boils that accompany cystic acne, can appear on the buttocks, groin, and armpit area, and anywhere else where sweat collects in hair follicles and perspiration ducts. Cystic acne affects deeper skin tissue than does common acne.

Aside from scarring, its main effects are psychological, such as reduced self-esteem and in very extreme cases, depression or suicide. Acne usually appears during adolescence, when people already tend to be most socially insecure. Early and aggressive treatment is advocated to lessen the overall long-term impact to individuals.

Some presentations of Rosacea look like acne. Rosacea may require an entirely different treatment than acne.

Every case of acne is different and needs to be assessed and addressed with a personalized treatment plan.

A treatment that has been extremely successful in many cases of acne is microneedling (Micropen) with PRP. Dr. Keiffer will help determine if this is an appropriate option for a presenting case of acne.

The use of the Eclipse Micropen™ is based on the Science of Collagen Induction Therapy (CIT). Micro needling stimulates the fibroblast cells in the dermal layers of the skin to produce new collagen by what is known as the wounding process. Anytime there is a break in the skin barrier and damage to the tissue layers, whether it be from a scrape or cut, laser treatments, chemical peels or CIT, the wounding process response is initiated by the body's natural ability to close and heal the wound. Collagen is produced and the wound closes.

Micro needling, creating CIT, promotes wound healing and natural collagen production with no scaring. This is the closest treatment to the Fraxel Laser Skin Resurfacing Treatment with much less down time, discomfort and expense to the patient. Typically an Eclipse Micropen™ treatment is best done in a series of 4 to 6 treatments spread out over the course of four to six months. The results can be dramatic and to maintain the collagen production and skin tightening effect, after the initial series, maintenance treatments should be done every three or four months.

Another benefit of micro needling is that superficial micro-channels are created from the treatment to allow for better, deeper absorption. So during the treatment PRP and/or other active ingredients in medical grade serums can be applied to enhance the effect of collagen and elastin rejuvenation. Scars from surgery, acne scars, healed wounds and stretch marks can be effectively treated with the Micropen™. The fibrous tissue is broken down and the new collagen is produced which forms in a healthy "basket weave" pattern resembling our natural youthful formation of collagen. Stretch marks are stubborn to fade but definitely diminish with CIT. Micro needling can give relief to the adhered scar tissue that sometimes forms and creates resistance.

Patient #1 Acne study left temple, Micropen with PRP treatment

The Skin The Skin
Pre 7/26/2013 9/15/13 2nd Treatment
The Skin The Skin
11/12/13 4th Treatment 12/17/13 5th Treatment

Patient #2 Micropen with PRP Treatment

The Skin
The Skin
After 1 Treatment

The Eclipse Micropen?

What is Automated Micro-Needling?

Automated Micro-Needling (also known as Collagen Induction Therapy or CIT) is a new innovation in aesthetic medicine for the treatment of fine lines, acne scars and improvement of the skin's overall appearance. During this procedure, tiny needles are used to create controlled micro-injuries to the skin in order to produce collagen and elastin. The skin's repair process results in a thicker dermis with the appearance of softer wrinkles.

What are the Benefits?

The benefits of micro needling are a reduction in the appearance of fine lines and wrinkles, younger-looking skin with fewer signs of aging, an improvement of texture with a glow in the tone of the skin. Eclipse Micropen? also has a positive effect on hyper-pigmentation as well as on hypo-pigmentation, acne scars, traumatic scars and stretch marks and generally creates a fresher appearance or glow to the skin.

What areas of the body can I treat?

Eclipse Micropen? can be used on all parts of the body including; Face, scalp, neck, décolleté , arms, hands, legs, abdomen and back.

How is the procedure done?

A sterile needle-tip containing 12 tiny micro-needles is attached to the Eclipse Micropen?. Your skincare professional will apply a thin layer of topical gel to your skin and select the appropriate treatment depth based on your unique needs. Next, in a single motion, the pen will be gently pressed against the skin while simultaneously gliding in one direction until the entire treatment area has been covered.

What does it Feel Like?

A topical numbing cream is applied to the treatment surface area. The feeling associated with the Eclipse Micropen? is similar to light sandpaper being moved across the skin. Some refer to a cats tongue across the surface of the skin. While some areas are more sensitive than others, the speed of the reciprocating needle tip reduces discomfort while PRP applied hydrating gel also makes the treatment more tolerable.

How long does the procedure take?

The procedure takes about 45mn-1hour from start to finish. Cleansing, numbing and the blood draw is done at the start of the procedure. The micro needling takes 15-30 minutes depending on the size of the area treated.

What is the downtime?

Immediately after the treatment some may notice a bright redness and tightening of the skin. The total healing time depends on the depth of needles used and the number of overlapping passes to the area treated. On average, patients are red up to 24 to 48 hours, leaving the appearance of sun exposure. Some patients heal completely in as little as 24 hours. Some patient may experience a fine flaking of skin over the next several days. Utilizing quality skincare products can help to speed up the healing process and provide moisture to the skins surface.

When will I see the results?

Patients notice an immediate "glow" to their skin. Texture and other visible changes to the skin develop over the course of several days and weeks. Results continue to improve up to 6 months after the treatment as collagen production continues.

How many treatments will I need?

Some patients only require a single treatment, once per year to achieve optimal results. However, it is recommended for most patients to receive a series of 2-3 treatments spaced about 4-6 weeks apart. For patients with deep wrinkles, advanced photo-aging, stretch marks or acne scars it is recommended to receive 6-8 sessions at 4-6 week intervals.

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