Fortunately for you, medical technology has entered the “Beauty Age.” At Neo Surgery Center, we offer the latest techniques to make your skin and body more youthful and healthy in appearance. We achieve this by using a variety of treatments to counter the effect of sun damage, aging, genetics, and the environmental factors that make you appear older than you feel. One of the procedures we offer is Microdermabrasion, a natural skin-rejuvenating alternative that is less aggressive than chemical, surgical, or laser treatments. A favorite of celebrities, Microdermabrasion will give your skin the star treatment by removing the time-damaged epidermis, allowing your skin to once again breathe properly. Known as the “Lunchtime Peel,” typically a Microdermabrasion treatment takes less than an hour, although a series of periodic treatments prove most beneficial.
Dr. Brent Moelleken, M.D., F.A.C.S. is a plastic and reconstructive surgeon double board certified by the American Board of Surgery and American Board of Plastic Surgery. Specializing in cosmetic surgery, he received his premedical, medical, and surgical training at Harvard University, Yale University, UCSF, and UCLA. Dr. Moelleken has offices in Beverly Hills and Santa Barbara and he has developed several innovative cosmetic procedures, which he uses on his patients. Dr. Moelleken is committed to developing creative ways to obtain the desired results in the least invasive procedure. This demonstrates Dr. Moelleken’s dedication towards patient care and recovery and his passion is to continue to create cosmetic surgery procedures all of his patients will benefit from. Values like honesty, integrity, respect, loyalty, friendship, and compassion are characteristics his patients have come to appreciate and these qualities are the foundation for his practice, Neo Surgery Center.
Microdermabrasion is a skin-freshening technique designed to help repair your skin. Dr. Moelleken offers this procedure and through gentle abrasion and suctioning, this treatment is effective in reducing many unwanted conditions. Microdermabrasion exfoliates your skin by removing the dead, outer most layers, revealing a fresh new you and best of all, Microdermabrasion is a non-surgical, non-invasive, and virtually pain free skin care procedure. Show off your new glow today with this time-proven method that can take years off your face and body.
Medical science has proven through the study of tissue structure that Microdermabrasion improves the appearance of the stratum corneum (the outermost layer of skin made up of dead cells), as well as the integrity of the underlying layers of your skin. Microdermabrasion “sand blasts” your face to remove the top (dead) layer of skin while encouraging the production of new cells in your skin’s deepest layer. Microdermabrasion, also known as microderm, is one of the easiest and most effective anti-aging treatments available.
Microdermabrasion is essentially powerful mechanical exfoliation and there are two kinds of Microdermabrasion treatments. One approach involves a hand-held device that streams tiny crystals across your skin. The crystal Microdermabrasion device consists of a compressor that draws in air through a hand-held wand. When the wand touches the skin, a vacuum is created. Aluminum oxide crystals, also known as corundum (the second-hardest mineral next to diamonds) blast across the skin’s surface picking up dead surface skin cells along the way. The crystals and dead skin cells are quickly sucked up through a different tube in the same wand and disposed of. The depth of exfoliation is controlled by the strength of the vacuum and crystal flow.
Diamond-tip microdermabrasion uses the same vacuum technology and hand-held wand, but there are not any crystals moving through the tip. The diamond tip itself exfoliates the skin and the vacuum whisks the dead skin away. There are many different tips with various grades of roughness and Dr. Moelleken will choose the correct one for your skin type and condition. Diamond-tip microdermabrasion is much more comfortable and it achieves the same results.
The process of aging results from the loss of elasticity and the thinning of the epidermis and dermis. This process affects all layers of your face, including subcutaneous tissue, the musculofascial system, the superficial musculoaponeurotic system, and the facial skeleton. The result is bony resorption, atrophy of subcutaneous fat, attenuation of the musculofibrous system, and alterations of your skin surface. The dermal-epidermal junction flattens, which results in loss of rete ridges and a thinner appearance to your epidermis. The dermis also becomes thin, with a decrease in elastic fibers, collagen production, vascularity, and ground substance. The biochemical alterations in collagen and elastin result in a dermis that is more lax yet less elastic and resilient. These changes result in wrinkling of your skin and sagging of the tissues that overlay your facial skeleton.
Extrinsic photoaging causes degenerative changes in the skin that are superimposed on the normal chronologic aging process. Clinically, this process results in coarse and dry skin, deep wrinkles, sallowness, and dyschromia. Photoaged skin is characterized by epidermal hyperplasia and dysplasia, a thickened dermis with solar elastosis, actinic vasculopathy, decreased collagen fibers, and increased ground substance. Heliodermatitis is a term applied to the chronic inflammatory changes and degradation of elastin and collagen observed in photodamaged skin. Photoaging can also damage DNA, which increases the risk of squamous and basal cell carcinoma.
Based on the degree of skin wrinkling, patients can be classified as photoaging types I through IV, as delineated by Glogau. Appropriate skin rejuvenation techniques are chosen to produce superficial, medium, or deep depth of injury according to the severity of photoaging.
The Glogau classification of photoaging groups is as follows:
In contrast, the Fitzpatrick classification categorizes according to sun-reactive skin type rather than degree of photodamage. This classification helps identify patients who have a propensity for photodamaged and facial resurfacing and it can also be used to define the risk of pigmentary changes such as dyschromia, post-inflammatory hyperpigmentation, and permanent hypopigmentation.
The Fitzpatrick classification of skin types is as follows:
In appropriately selected patients, Microdermabrasion can be a very effective technique. Patients with photodamage, fine rhytides, age spots, acne, and enlarged pores can experience significant improvement in the quality and uniformity of the appearance of their skin. Microdermabrasion is not effective for deep wrinkles and scars or icepick acne scars because these lesions extend into the deeper layers of your dermis. Similarly, Microdermabrasion is not effective for pigmentary problems, such as melasma or post-inflammatory hyperpigmentation, because this treatment does not effectively address the dermis where these problems arise. Patients with these problems are best treated with more traditional resurfacing modalities, such as chemical peeling, Dermabrasion, and laser resurfacing.
Facial skin resurfacing can be traced to ancient Egyptian times with the application of abrasive masks of alabaster particles. For millennia, various substances have been used to peel, exfoliate, and rejuvenate the skin. These substances include acids, poultices of minerals, plants, and direct irritants such as fire and sandpaper-like materials. The evolution of chemical peeling and Dermabrasion into the procedures in common use today began in the early 20th century. In more recent years, the use of selective photothermolysis in the form of laser resurfacing has become widespread as a skin resurfacing modality.
Microdermabrasion was developed in Italy in 1985; its use was widespread in European countries prior to its introduction and popularity in the United States. The original Microdermabrasion technology was crystal Microdermabrasion but growing in popularity is the newer diamond-tip Microdermabrasion. It achieves the same results with less discomfort and without the crystal residue at the end of the treatment.
During your Microdermabrasion procedure, your skin is cleansed and prepped to ensure a smooth passing of the Microdermabrasion Handpiece over the treatment area. As the special Handpiece is passed along your skin, you may feel a light prickling or stinging sensation. In many cases, more than one pass is used during treatment and your skin may feel warm during and after treatment. Patients have described the sensation of the treatment as similar to a slight windburn and if the Microdermabrasion treatment becomes uncomfortable, the controls can be adjusted. Rehydrating toner, moisturizer, and sunscreen are applied following your Microdermabrasion treatment before you leave our offices.
A Microdermabrasion treatment typically takes 30 minutes for the face. If the treated area includes the neck and upper chest area, the Microdermabrasion could take up to one hour. Mild redness is expected, but should not persist more than a few hours, and the feeling of a slight sunburn should diminish in the same amount of time. After receiving a Microdermabrasion treatment, you need to take care of your new skin by avoiding sun exposure for at least seven days and the use of daily sunscreen is essential. You should also avoid skin exfoliants, alpha-hydroxy acid, and glycolic acids for 72 hours before and after a Microdermabrasion treatment. Although liquid foundation and pressed powder should not be used for at least 24 hours following the procedure, lipstick and mascara may be applied immediately after a Microdermabrasion. There is virtually no recovery time or discomfort and you can resume your normal routine immediately. In many cases, Microdermabrasion treatment involves a series of procedures, which often include 4-6 treatments at 7-10 day intervals to allow your skin time to heal. The risks associated with Microdermabrasion are almost non-existent although the medical grade machines used at high power carry some potential risk of hyperpigmentation, perforation, bleeding, or infection.
Microdermabrasion is milder than other types of chemical peels, and carries a much lower risk of complication however risks include:
Most of us do not realize the powerful effects of sun damage and aging until it is too late. If you are noticing premature signs of aging, Microdermabrasion is an ideal treatment for you. It buffs away damaged skin and reveals a new glowing layer.
Some of the benefits of Microdermabrasion treatment include:
Microdermabrasion also makes it easier for skin care products to penetrate into the deeper layers of your skin helping to build collagen so if you want a healthy, rejuvenated look, Microdermabrasion is a perfect choice for you.