What conditions and concerns can be treated at Medical Aesthetics of Muskoka?
We would be happy to discuss any issues or concerns you have about your skin’s appearance. The most common conditions we treat include:
- Fine lines and wrinkles
- Loss of facial volume
- Double-chin reduction
- Sun spots
- Scars (surgical or acne)
- Loss of skin elasticity and luminosity
- Adult acne
- Spider and smaller varicose veins of the legs
- Ear lobe rejuvenation
- Hypotrichosis (not enough eyelashes)
- General skin vitality
- Male-specific concerns such as post-shaving irritation
- Weight loss
At what age should I start considering medical aesthetic treatments?
The best age to start using medical aesthetic services varies with each client. People of all genders and ages should consider a product with sun protection for use on a daily basis. Skin care products, such as retinol, can provide significant benefits to adolescents with acne. In order to minimize the signs of aging, a proactive skin care regime may be highly recommended for clients in their 20s and 30s, when the structure of the skin begins to change.
Botox Cosmetic and Dysport can be used for both the treatment and the prevention of wrinkles, and is commonly used in clients from their early 30s to over 60 years of age. Many clients choose to start receiving Botox Cosmetic® Dysport in their mid to late 30s, when they start to notice fine lines and wrinkles forming. Others choose to start before wrinkles form; usingBotox Cosmetic and Dysport to relax a muscle’s action can prevent a wrinkle from forming in the first place.
Hyaluronic acid injectable fillers can be used to soften scars and augment facial features, such as the chin and jawline. Facial volume loss can become apparent after you lose weight, or as you age. Many clients in their late 30s to early 40s will note some degree of volume loss or facial feature flattening which can be rejuvenated with injectable fillers. Clients often benefit from the use of hyaluronic acid injectable fillers well beyond their 60s.
What changes occur to our faces as we age?
The effects of aging on our faces are due to a combination of two processes: skin aging and structural aging. Skin aging reflects the condition of the skin itself. Over time the skin begins to show signs of aging due to a reduction in skin thickness and elasticity, a decrease in skin hydration, an increase in skin laxity, and the loss of collagen. Other aging factors include exposure to the sun, wind, and facial expressions. Structural aging refers to the natural changes that occur as we age to the underlying structure and framework of the face: bone resorption in the eye, cheek and mouth areas, soft tissue volume loss and gravitational droop.
Skin and structural aging combine to result in changes to facial contours. This is best illustrated by comparing the Triangle of Youth with the Pyramid of Age. These concepts are based on the position of the widest point of the face. A youthful face presents high cheekbones as it’s widest portion, tapering to a narrower chin. As the face ages, the cheeks flatten, jowls develop, and the jawline becomes the widest portion. Lip edges may droop and display a persistent unhappy or sad look.
Facial rejuvenation involves the correction and augmentation of these aging factors to refresh the skin and create a more youthful appearance. Improving skin condition through cosmeceuticals (medical grade skin care products) can create a more luminous, even complexion. Injectable fillers can restore youthful facial contours, recreating the Triangle of Youth and softening the harsh angles and depressions created by soft tissue loss and descent. Botox Cosmetic and Dysport treatments can soften facial expressions, resulting in a reduction of wrinkles. Facial rejuvenation often requires a multi-faceted, global approach to achieve a natural and refreshed appearance, and is best tailored to your individual needs and preferences.
Triangle of Youth: A youthful face presents high cheekbones as it’s widest portion, tapering to a narrower chin.
Pyramid of Age: An aging face presents the jawline as the widest portion. The cheeks flatten, jowls develop, lip edges droop and display a permanent unhappy or sad look.
Facial rejuvenation involves the correction and augmentation of these aging factors to refresh the skin and create a more youthful appearance. Improving skin condition through cosmeceuticals (medical grade skin care products) can create a more luminous, even complexion. Injectable fillers can restore youthful facial contours, recreating the Triangle of Youth and softening the harsh angles and depressions created by soft tissue loss and descent. Botox Cosmetic treatments can soften facial expressions, resulting in a reduction of wrinkles. Facial rejuvenation often requires a multi-faceted, global approach to achieve a natural and refreshed appearance, and is best tailored to your individual needs and preferences.
Are all wrinkles the same? What can be done to improve their appearance?
Wrinkles of the face may be fine or deep, and can be located anywhere on your face. Some wrinkles occur only when your facial muscles are moving. These are known as wrinkles in motion. Other wrinkles are present even when your facial muscles are relaxed and are known as wrinkles at rest.
As we age, soft tissue in the face may shrink causing thinning of the skin and loss of plumpness and elasticity. This can lead to sagging and flattening of facial features, as well as the progression of wrinkle appearance.
The treatment of wrinkles depends on the type of wrinkle involved. There are many cosmeceuticals available which can help improve the condition of the skin and reduce the appearance of wrinkles, particularly fine lines. For even greater results, many clients choose to have injectable treatments. Botox Cosmetic and Dysport targets wrinkles in motion. Hyaluronic acid injectable fillers target wrinkles at rest, as well as restore lost facial volume. Microneedling can improve the appearance of fine lines and skin texture by allowing the controlled induction of the skin’s self-repair mechanism. These three treatments can be used individually, or combined for a natural, youthful rejuvenation of the face. These two treatments can be combined for a natural, youthful rejuvenation of the face.
Are injectable treatments painful?
Botox Cosmetic, Dysport and hyaluronic acid injectable fillers involve the use of small needles to inject the product at specific areas of the face. Most clients do not describe the treatments as painful, but they may experience a temporary discomfort, such as a pin prick. Clients are encouraged to arrive 30 minutes prior to injectable filler appointments for the application of numbing cream to treatment areas. At Medical Aesthetics of Muskoka, Dr. Kents uses an advanced technique to inject fillers, which involves the use of a blunt-tipped cannula under the skin. This technique substantially reduces the number of injection sites to one small poke per treatment area. The use of cannulas results in significantly less bruising, swelling and discomfort. Hyaluronic acid injectable fillers also contain an anesthetic medication called lidocaine, which increases the comfort of the injection. Ice packs can be applied at the injection sites to lessen any discomfort.
What causes brown spots on my face? What can be done to improve their appearance?
Exposure to sun and hormones are believed to trigger many brown spots on the face. A common feature of these dark spots is the increased production of melanin by certain melanocytes (skin colour cells) in the skin. Melanocytes are triggered by sun exposure and cause you to become darker when you get a suntan. Hormones can also trigger melanin production, such as during pregnancy, with the use of birth control pills or hormone replacement therapy.
Sun protection and avoidance can help decrease the appearance of dark spots. However, in order to lighten these dark spots, you may require medical treatments, including advanced laser light treatments, microneedling, and/or cosmeceuticals, to provide satisfactory results. At Medical Aesthetics of Muskoka, Dr. Kents will recommend the appropriate laser treatments and skin care products to improve the hyperpigmentation and/or redness of the face.
What causes redness and flushing on my face? What is rosacea? Are there options to improve these conditions?
Rosacea and prominent red blood vessels on the face are common skin complaints. Rosacea is a condition defined by its clinical presentation. The most common symptom is that of facial flushing, and can also cause an acne-like reaction over the nose, forehead and cheeks. Rosacea can cause skin thickenings to nose, chin, or forehead, and in many clients, eye symptoms such as conjunctivitis or irritated eyelids.
While sun damage can contribute to the appearance of facial vessels, the cause of rosacea is not known. Common triggers include alcohol, heat, exercise and stress. Avoidance of triggers can help improve the redness of the face, but the use of advanced laser treatments as well as pharmaceutical-grade skin care products can further decrease these symptoms.
Medical Aesthetics of Muskoka provides advanced laser treatments to remove both individual veins as well as reduce diffuse redness, whether due to sun damage or rosacea. We also carry effective cosmeceuticals that are easy to use, work quickly, help reduce the appearance of redness, and decrease the development of further redness.
What are cosmeceuticals?
The term “cosmeceuticals” is a combination of cosmetics and pharmaceuticals. These skin care products contain biologically active ingredients that can improve your skin’s vitality and appearance.
At Medical Aesthetics of Muskoka, we carry cosmeceuticals that are manufactured and tested at pharmaceutical standards. Most skin care products available through drug stores and department stores are not subject to rigid safety and quality testing, which can result in lower quality and less effective products. The medical grade products at Medical Aesthetics of Muskoka provide treatments and maintenance options for a wide range of skin conditions.
What would you recommend for a basic skin care regime?
A proper skin care regime is important to maintain our skin’s health and vitality. A basic protocol, which is appropriate for most clients, would include a cleanser, followed by a moisturizer, and as a last step, a broad-spectrum sun protection. It is often beneficial to include an exfoliation step several times a week, depending on your skin’s age and condition.
As we age, many individuals require the addition of specialized products to their skin care routine in order to improve their skin’s condition. An advanced or active treatment to target specific skin needs can be very beneficial at addressing concerns such as redness, wrinkles, acne and hyperpigmentation. Products specific to the eye area can provide further protection and rejuvenation of this sensitive area of the face. At Medical Aesthetics of Muskoka, we place a priority in individualizing a skin care regime that addresses your needs, priorities and lifestyle.
Why are skin care regime steps important?
The steps of an excellent skin care regime can include:
- Advanced and active treatments
- Eye area treatment
- Sun protection
Cleansing the skin is important to remove impurities (including dirt, make-up, and sweat) and prepares the skin for the penetration of active ingredients in subsequent skin care product application. Many clients benefit from cleansing 1-2 times a day. The frequency of cleansing, as well as the product used, will depend on the client’s skin type and condition.
Exfoliation helps to achieve a fresh, brighter complexion. After the age of 30, skin turnover begins to slow down and natural exfoliation decreases. This leads to a dull, uneven complexion. The removal of dead skin cells (exfoliation) allows better penetration of active ingredients and brightens the skin’s appearance. Regular exfoliation (2-4 times a week) can also decrease skin oil secretion, reducing acne and pore size. Methods of exfoliation include physical (such as microdermabrasion and facial scrubs) and chemical (such as lactic acid, glycolic acid, and retinol).
Advanced and active treatments provide clients with specific therapies for particular skin concerns. Many clients over the age of 30 will not find basic skin care regimes sufficient to maintain their skin’s vitality. Vitamin C is a powerful antioxidant with anti-inflammatory and photo-protective properties. It stimulates collagen synthesis and promotes wound healing. Hyaluronic acid, which has higher concentration in younger skin and decreases in concentration as skin ages, increases skin hydration to plump up the skin, smoothing out fine lines and wrinkles. Hydroquinone and arbutin are cosmeceuticals ingredients used to control hyperpigmentation. Copper and growth factors promote the healing of the effects of aging, encourage healthy dermal restructuring and heal wrinkles and stretch marks. Incorporating one or more of these treatments into a daily skin care regime can significantly improve the condition and vitality of the skin’s appearance.
The skin around the eye area is particularly sensitive and deserves special care and consideration. However, it is often neglected in basic skin care regimes. The eye area often shows signs of aging at an earlier age than other parts of the face. It contains no sebaceous glands, which makes it prone to dryness. The skin around the eye is thinner, more sensitive, has minimal fat padding and is also prone to puffiness. Eye movements and squinting stress this delicate area further. Investment in an advanced eye treatment can slow the progression of aging, and refresh and rejuvenate this area.
Moisturizing is important because dry skin has a decreased capacity to heal, and is more susceptible to skin damage from irritants, such as sun exposure or harsh detergents. Aging skin has a reduced ability to maintain moisture, and therefore requires even greater attention to moisturizing. Many advanced skin care products at Medical Aesthetics of Muskoka contain active ingredients that have moisturizing effects, so not all clients will require a separate moisturizing step.
Sun protection, while listed as the final step, is one of the most important parts of a skin care regime. Using a product containing broad-spectrum sun protection with at least SFP 30 will reduce the damage caused by harmful UVA and UVB sun rays. It will also decrease the sun’s effects on inflammation and hyperpigmentation in clients with rosacea and melasma. Sun protection needs to be applied 15-30 minutes prior to sun exposure, and reapplied throughout the day.