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Kybella has become a buzzword in the aesthetic injectables world in recent years, but some confusion remains as to what Kybella does and how it works. We sat down with Dr. Kjar to answer some of these questions. Save $250 OFF your first two Kybella treatments if you book your first treatment before February 28, 2018.
Why did you choose to bring on Kybella in to your practice?
I do liposuction of fat under the chin in the neck often, but I chose to bring Kybella on in my practice to give my patients another option for fatty pockets in that area. It is a more permanent, non-surgical method to treat fatty necks.
What is Kybella doing for the double-chin area?
Kybella is an injectable solution that dissolves the fat cells in the area treated. It is injected in small increments spread over a grid pattern on the neck. It creates a temporary swelling of the area and will give some discomfort like a warm to hot sensation, like you have from mild jalapeño pepper for a day or two. This is caused by the Kybella interacting with the fatty tissue. This is a well studied form of mesotherapy.
How many treatments until your patients are seeing results?
Kybella treatments are done about a month and a half apart allowing enough swelling and healing to occur so that the next treatment works well. It usually requires 4 treatments to see the optimal result. Each treatment gets rid of some of the fat, and will give an improved look. But be patient, the swelling after the treatment will make you think: “Why did I do this?” However, you will be glad when you see the predictable changes that come from this treatment and enjoy permanent results.
What sort of down-time do your patients have?
Kybella injections don’t prevent you from doing many things, but you do want to take it easy for a day or two after the first injection. Avoid heavy exercising for a couple of days after. You’ll learn to adjust your activity after the first treatment. The “down time” is more social than physical. The swelling will possibly keep you from feeling comfortable in front of others who will ask you what you did. That subsides enough to hide with clothing or scarves after 2-3 days.
Bad habits are hardly ever unique to just you—and the same goes for the ones you are making with your skin. Celebrity aesthetician Renee Rouleau says she sees these blunders all the time. Here’s how to break them.
Mistake #1: Caring for your blemishes—the wrong way
Call them zits, pimples, acne or blemishes. Bottom line: Most people will get them at certain periods in their life, and some will get them more severe than others. “Where most people go wrong is in how they treat the blemish once it appears,” Rouleau says. “Picking at it—or what I like to refer to as ‘performing minor surgery in the mirror’—applying spot treatments at the wrong phase of thebreakout, and using the wrong breakout treatments on the wrong kinds of blemishes. All of these will result in a blemish lasting longer and leaving a post-breakout red or dark scar than can linger for months.”
Mistake #2: Using too many exfoliating products too often
In reference to skin care products, Rouleau says she has recently noticed the “If it’s not burning or stinging, it’s not working” trend. “In the quest to look younger and have smoother skin, people are doing too many aggressive exfoliating treatments that are actually injuring their skin. Too much exfoliation can cause a damaged moisture barrier, resulting in flaking, dehydration and inflammation, possible destruction of healthy cells, and a stimulation of melanin activity causing increased hyperpigmentation.”
Mistake #3: Not wearing sunscreen daily and not applying it generously enough
For starters, the number-one reason why your skin will get premature aging is from sunlight, daylight and UV rays—period—and Rouleau says 78 percent of those rays come from incidental exposure. “These are all the times when you don’t think you’re getting the damaging rays, like driving in the car, sitting in your home or office near windows or walking outside on a cloudy winter day when people don’t feel like they need sun protection. If you want to prevent wrinkles, wearing sunscreen365 days a year, rain or shine, inside or out, is a must. But in order for the SPF to truly protect your skin and prevent the harmful UV rays from damaging it, the formula has to be applied generously or it will not provide adequate protection. If you have a sunscreen that feels too heavy on your skin, you’ll probably only apply a small amount and you’re not doing your skin any good.” Her advice: Find one you love (she likes her Daily Protection SPF 30) and load it on every single day.
Mistake #4: Either using alcohol-based toners or skipping this step in your routine entirely
“Toners are an important step in a skin care regimen and should be used daily,” Rouleau says, but adds that, using one loaded with alcohol will only dehydrate your skin and cause an increase in dull cell buildup. “If you’re not using one, it’s usually because you notice that it leaves your skin feeling dry, so you’ll skip it completely and miss out on important skin benefits. Alcohol-free toners should be used after every cleansing because they offer the following benefits: They give your skin a drink of moisture when left damp on the skin before applying moisturizer, they remove drying chlorines and minerals found in tap water, and because damp skin is 10 times more permeable than dry skin, when left damp, they can carry the active ingredients of your serum and moisturizer (applied after) deeper within your skin.”
Mistake #5: Not taking care of your neck
Most women know to apply moisturizer daily and nightly to their neck, and many do. But the mistake: Treating your neck as an afterthought. “A woman will typically rub moisturizer onto her face and then whatever is left over on her fingertips will extend down onto her neck,” Rouleau says. Sound like you? “While the intention is good, it’s truly not helping that much in the quest for smooth, moist skin on the neck. This particularly applies with sunscreen, which is considered to be the best anti-aging product in the world. The little amount being applied as an afterthought is hardly enough to do its intended job because sunscreen needs to be applied generously in order to offer full sun protection.”
Mistake # 6: Using skin care products incorrectly
When instructions are given to you by an aesthetician or skin care professional or written on the product itself, Rouleau says it’s very important to follow them. “Many issues created by skin care products that seem to not work or cause non-favorable reactions, can be resolved by simply using the product correctly. For example, some people feel that when they are using products to reduce breakouts, it’s best to use them more often so that they will work better. However, in the case of acid serums, this is not a good practice. Acid serums, like those that contain glycolic, salicylic or lactic acid, are designed to reduce clogged pores and breakouts to promote clearer skin. They should not be overused because too much exfoliation can actually increase breakouts for some people due to irritation and inflammation. I cannot stress the importance of making sure that you thoroughly read the instructions on the back of skin care products before using them on your skin. Cosmetic formulators create products with certain intentions and using them as directed will give you the best results.”
Mistake #7: Not using the right skin routine to care for both wrinkles and breakouts
This one is common for those who are 25–35 who still get clogged pores and breakouts, yet they are noticing fine lines and wrinkles. “Their home routine is either only addressing the breakouts with drying acne products, or they don’t have anything to prevent blemishes and they are using heavier anti-aging products,” Rouleau says. “I realize that this type of skin is probably the most challenging because what your skin really needs is the best of both worlds. Any acne product that leaves your skin feeling tight, dry and irritated is most definitely a no-no, as this creates dry skin cell buildup on the surface that traps oil and bacteria within the pores and can lead to more breakouts. Any anti-aging product that feels remotely greasy on your skin is not good either because acne-prone skin needs less oil because oil breeds bacteria and bacteria leads to breakouts. I would say the best strategy for managing all your skin’s needs is to use a gentle salicylic acid exfoliant under moisturizer three nights a week.”
Mistake #8: Not wearing foundation daily
“Some of my clients hide their wrinkles, blemishes, scarring and brown spots under makeup, and they come to me with the goal of perfecting their skin so they can go makeup-free,” Rouleau says. “Other clients don’t have much they want to cover up, so they think that wearing foundation makeup is not needed and that not wearing it is helping their skin by letting it ‘breathe.’ For starters, the skin doesn’t have a respiratory system, so thinking that the skin breathes is a total myth. I like to educate my clients to think of makeup as a skin care product because during daylight hours it protects your skin from UV light and environmental damage. Most forms of liquid or powder foundations contain ingredients like titanium dioxide that act as a natural sun protectant. Even if your makeup doesn’t indicate it has SPF, it is definitely still guarding your skin from the sun’s rays.”
Mistake #9: Not exfoliating often with the right type of exfoliant
Most people have a facial scrub in their bathroom, but they only use it “when they remember.” Rouleau says, “Exfoliation is one of the best things you can do for your skin, so you’re missing out on some major skin improvement when you only use it once in a while. I like facial scrubs—using them three times a week is really beneficial—but I encourage my less-disciplined clients to instead use an exfoliating acid serum underneath their moisturizer three nights a week. An acid serum uses ingredients like glycolic, lactic and salicylic acids; when applied to the skin and left on overnight, they work deeply to dissolve the glue that holds dead cells together, revealing a brighter, smoother and clearer appearance in the morning. If you’re going to take the time for an extra step in your routine, you might as well make it one that’s really going to benefit your skin the most, and an acid serum is the BEST way to go.”
Wrinkles and lines aren’t the only signs of aging. Over time, the cheeks flatten, and the skin may begin to sag. This is caused by a natural loss of volume in the cheek area, or what the experts call age-related midface volume loss. JUVÉDERM VOLUMA® XC is designed to add volume beneath the skin’s surface to lift and contour the cheek area.
What is Voluma?
As you age, the cheeks may flatten and the skin may begin to sag. This is caused by natural loss of volume in the cheek area, or what the experts call age-related midface volume loss. JUVÉDERM VOLUMA® XC is designed to add volume beneath the skin’s surface, which provides lift and contour to the cheek area. All injections are performed by Board Certified Plastic Surgeon, Dr. Kjar.
What is Voluma Made of?
The JUVÉDERM® collection of fillers is made fom hyaluronic acid (HA). HA is a natural substance in the skin that delivers nutrients, helps the skin retain moisture and softness, and adds volume. Each product in the JUVÉDERM® collection of fillers is made from a modified form of HA.
Why Does Volume Loss Matter?
Over time, your face changes in many ways. This is part of the normal aging process, but genetics and environmental factors also play a role. You may notice a change in the appearance of your skin, typically in the form of deepening parentheses lines and wrinkles. But what may be less obvious is age-related midface volume loss.
What Are The Signs of Volume Loss?
Your cheeks may flatten, and the skin may begin to sag.
How Long Does Voluma Last?
JUVÉDERM VOLUMA® XC provides natural-looking and long-lasting results that last up to 2 years with optimal treatment.
Does It Hurt?
JUVÉDERM® injectable gels labeled with “XC” contain pain-reducing lidocaine to help manage pain or discomfort during the injection. Dr. Kjar will also offer you a local anesthetic or ice to help further minimize discomfort.
When Will I See Results?
You will see results immediately.
Want to Know if Voluma is Right For You?
Dr. Kjar offers complimentary consultations before all injectable appointments.