Wrinkle Treatments

We can treat wrinkles with the following treatments:

  • BOTOX Cosmetic
  • XEOMIN
  • Laser Skin Resurfacing
  • Pixel CO2 Therapy
  • MicroLaser Peel
  • Profractional Therapy
  • Laser Skin Resurfacing FAQs

BOTOX® Cosmetic (Botulinum Toxin Type A)

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BOTOX Cosmetic is a non-surgical treatment for wrinkles that has been used in the medical profession over 30 years. With an experienced physician, BOTOX Cosmetic is injected into the muscles in the face to reduce the expressions that cause wrinkles and fine lines. To provide natural and effective results, it is crucial that the physician who administers the BOTOX Cosmetic must have a precise understanding of anatomy and technique experience. The results are noticeable between 4-5 days post treatment and the effects last for 4-6 months; however, patients have noticed longer lasting results.

BOTOX Cosmetic can also be used as a preventative treatment. BOTOX Cosmetic slows the muscles that contract throughout the day which leads to etching lines in the skin. It can be also used as a lifting treatment softening smoker lines around the mouth, eye drooping, and the corners of the mouth that sag with age.

Areas most commonly treated with BOTOX Cosmetic:

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  • Frown lines between the eyebrows
  • Horizontal lines running across the forehead
  • “Crow’s feet” around the outer eyes

XEOMIN®

Similar to BOTOX Cosmetic, XEOMIN is a neuromodulator designed to reduce the movement of overactive muscles that can contribute to wrinkle formation on the upper face. As a result, XEOMIN can help to diminish the appearance of existing lines and creases and provide gradual aesthetic enhancement over time. If you receive regular follow-up treatment, you can potentially train your muscles not to contract so often, typically leading to fewer creases in the future. If you are dissatisfied with your appearance due to wrinkles along the forehead, between the brows, and around the eyes (crow’s feet), our experienced physician, Dr. Shehla Ebrahim, can perform XEOMIN injections to help restore a more youthful look.

Dr. Ebrahim will customize a treatment plan that addresses your unique anatomical needs and expressed goals during the initial consultation. Most patients report little to no discomfort during the procedure, though we can provide additional options to help maximize your comfort. The process usually takes about 30 minutes or fewer, and you should be able to return to regular activities following the procedure. Some redness at the injection sites is normal and should fade within a few hours. Results typically will be visible after approximately one week, and the effects should last about four months. If you wish to extend the benefits, you can undergo a “touch-up” treatment when additional rejuvenation is desired.

For more information about XEOMIN or if you wish to schedule a consultation with Dr. Ebrahim, please contact us today.

Laser Skin Resurfacing

Laser skin resurfacing is a treatment that improves the visible signs of aging by enhancing tone and texture, reducing fine lines, deep wrinkles, pigmentation and excess freckles and scars.

The most commonly treated areas include:

  • Face
  • Neck
  • Back
  • Chest
  • Hands

The procedure is performed in our office and is custom-tailored to your specific skin conditions and desired outcome using a superficial resurfacing laser (MicroLaser Peel®), fractional resurfacing laser (Profractional Therapy™) or deep resurfacing laser (Contour TRL™). Each laser resurfacing technology is described in length below

Our state-of-the-art laser skin resurfacing technologies are the industry gold standard. The procedure is a very precise, controlled, and a physician-administered treatment where thin sections of skin are removed, layer by layer, and are replaced by younger skin growth.

Laser Skin Resurfacing Before-and-After Photos

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Pixel CO2 Laser Therapy

This innovative laser platform is designed to remodel the skin for a more youthful-looking and rejuvenated appearance. Designed to work just like the FemiLift for vaginal rejuvenation, the Pixel CO2 offers similar benefits for the face and neck, including tightening of the skin, stimulation of collagen production, and cell turnover. The laser delivers pulses of thermal energy deep into the skin’s foundation for a wide range of benefits. Pixel CO2 can address:

Depending on the size of the area treated, Pixel CO2 therapy can be completed in as little as 15-30 minutes. Some swelling, redness, and a sensation of a sunburn may occur, and these effects should fade quickly. Some patients will need multiple treatments for the optimal outcome. Dr. Ebrahim will discuss your options during your initial consultation and help you determine if this or another procedure is right for you.  

MicroLaser Peel®

Let your true beauty show…with the Sciton MicroLaser Peel® treatment

Benefits:

  • Younger-looking skin
  • Fine line reduction
  • Elimination of sunspots

MicroLaserPeel®, also named “the weekend peel,” is stronger than microdermabrasion but less aggressive than laser skin resurfacing. It is a gentle, laser-assisted skin peel; a revolutionary facial rejuvenation treatment requiring only a few days of healing time.

This superficial skin peeling procedure is individually customized to each patient and can be carried out on the face, neck, hands and chest.

Benefits, noticed within a few days following the procedure as skin peeling will occur, include:

  • Appearance of smoother skin
  • Healthier-looking skin
  • Radiant skin
  • Improved tone and texture
  • Improved elasticity
  • Reduction in the appearance of fine lines
  • Reduction in blotchy skin coloring
  • Reduction in brown/sun spots

MicroLaser Peel® Before-and-After Photos

Profractional Therapy

You can turn back time…

Look, and feel, years younger with a Sciton Contour™ Laser Skin Peel

Our state-of-the-art laser skin resurfacing technology is the industry “gold standard.” It has proven its effectiveness over time for treating the following conditions:

  • Deep wrinkles
  • Epidermal nevi
  • Acne scars
  • Solar lentigines
  • Actinic keratoses
  • Hypertrophic scars
  • Surgical scars
  • Crepiness of skin

By removing the outer layers of skin to the level of the papillary dermis “re-epithelialization” is induced as is new collagen formation, which creates a smoother, pinker, and more youthful appearance.

In order to achieve dramatic improvements, higher energy settings are used for deeper resurfacing. Downtime, therefore, usually lasts at least 10 days. Healing time will depend on the depth of the treatment

Benefits:

  • Deep wrinkle reduction
  • Scar revision
  • Sun damage reversal
  • Texture improvement

Profractional Therapy Before-and-After Photos

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Laser Resurfacing FAQs

What can be treated with a laser peel?

A Profractional and MicroLaser Peel® can be an effective treatment for:

  • Sun damage (freckles, rough texture, dark spots)
  • Fine lines and wrinkles
  • Hyperpigmentation
  • Scars
  • Stretch marks

Dr. Ebrahim personalizes each laser peel to treat the specific needs of the patient.

How does an ablative laser peel work?

Energy from the laser ablates or removes a superficial layer of skin creating a smoother surface which new skin will regenerate. Removing the top layer eliminates some of the damaged cells that give skin a tired, aged look. As the skin heals fresh cells grow and resurface the treated area. The result is healthier, more vibrant skin with reduced wrinkles and improved color tone.

Will an ablative laser peel hurt?

Oral pain medications, numbing cream, and nerve blocks are recommended for optimal comfort during the procedure. The treated area will radiate heat for the next several days, similar to a deep sunburn.

What can I expect during the next 5 days?

Oozing and weeping of the skin, slight bleeding, swelling, bruising, and itching can be expected and differ for each patient. Swelling will peak at day 2-3. Following the post-laser protocol regimen is crucial for a successful recovery.

When will the treated area look normal?

The laser areas will crust and peel like a deep sunburn. Regenerated new skin requires increased blood flow causing initial redness which fades to pink and finally normal skin color over a period of 4-8 weeks. Cleanser, post laser dressing, moisturizer, and sunscreen is mandatory for optimal post care. Most patients can return to normal social activities within 5-10 days. We recommend mineral makeup to camouflage any residual redness.

Does laser resurfacing remove all wrinkles and sun damage permanently?

A successful laser treatment can “reset the clock” back several years especially if proper skin care is initiated to protect the treated skin from further damage. Fine lines and wrinkles will improve, skin texture will be smoother and sun damage will diminish. Patients with severe wrinkles and sun damage may need more than 1 treatment. Normal signs of aging will occur over the years.

Normal Side effects

Discomfort and itching occur for several days and may be treated with iced compress, post laser dressing, Tylenol and oral Benadryl. (Prescription pain medication may be prescribed).

Swelling occurs for several days. Swelling can be eliminated by keeping the head elevated, using cold compresses, and/or taking an oral anti-inflammatory when recommended by the physician.

Hypopigmentation is extremely unusual with the Erbium laser.

Hyperpigmentation is rare and usually occurs in darker-skin individuals and patients who are exposed to significant sun within the first few months of the peel.

Redness although this eventually goes away, sun exposure causes a delay in resolution.

What medical conditions or medications would prevent laser resurfacing treatment?

  • Accutane and pregnancy
  • Infections or viral outbreaks

What follow-up appointments are necessary?

The following day of treatment our practitioners will cleanse your face and perform an oxygen facial. Post-care products and instructions will be covered in this appointment. A post-treatment appointment with Dr. Ebrahim will be made 3 days after the laser peel. Post-appointments for laser peel patients will be scheduled according to the particular procedure.

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