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Imagine waking up every morning with a perfectly even complexion — the kind that looks like you’ve had a team of pros airbrushing your face overnight. That’s the promise of semi-permanent BB cream (a.k.a. ‘BB Glow’). But is it too good to be true? The AEDITION asks the experts.

## **What Is Semi-Permanent BB Cream?**
BB Glow is essentially a form of [microneedling](https://aedit.com/procedure/microneedling) that has made its way stateside from South Korea. Like typical microneedling, an aesthetician first applies numbing cream to the face. Unlike the traditional treatment, semi-permanent pigments are added to the mix to tint the complexion for about six months to one year. “This procedure is meant to improve the overall appearance of the skin including uneven skin tone, fine lines, wrinkles, hyperpigmentation, age spots, post-acne pigmentation, and large pores,” explains [Sejal Shah, MD](https://smarterskindermatology.com/about-us/sejal-shah-md/), a board certified dermatologist in New York City.

So, what makes semi-permanent BB cream different from a traditional microneedling procedure? “With anti-aging microneedling formulas, the ingredients absorbed through the channels are mostly skin-centric and nutritional raw ingredients,” says permanent makeup pioneer [Dominique Bossavy](https://www.dominiquebossavy.com/). As she explains it, they are usually biodegradable and either work with the lipids or water particles in the cellular makeup of the skin. “They are easily absorbed or carried away and expelled, so their negative effects are either limited and short or there are none,” she continues.

The same cannot necessarily be said of BB Glow pigments. The treatment is not approved or regulated by the United States Food and Drug Administration (FDA). As the FDA notes in its [Tattoos & Permanent Makeup Fact Sheet](https://www.fda.gov/cosmetics/cosmetic-products/tattoos-permanent-makeup-fact-sheet): “Although a number of color additives are approved for use in cosmetics, none is approved for injection into the skin.” The agency continues to investigate the safety of permanent makeup ink with periodic voluntary recalls, including one in 2017 involving inks that were microbially contaminated. While there are reputable providers using quality pigments, Bossavy warns that the lack of regulation makes BB Glow a “buyer beware” procedure.

## **How Semi-Permanent BB Cream Differs from Other Permanent Makeup**
Our experts say that the process of getting [semi-permanent blush or lip color](https://aedit.com/aedition/expert-guide-to-permanent-makeup-cosmetic-tattoo-microblading) is essentially the same as getting a semi-permanent foundation procedure. The difference lies in the amount of surface area being treated. The more skin being injected with pigmented serum, the more potential for complications and side effects.

Like all semi-permanent makeup, there’s really no way to predict exactly how the pigment will hold up over time. “When the pigment starts to fade, it may be more noticeable on the entire face because it is a relatively larger area,” Dr. Shah warns. From microblading mishaps to blundered lip blush, she has treated patients looking to remove their semi-permanent makeup — something that’s harder to do with an all-over treatment like BB cream.

It’s no secret that tattoos can be notoriously [difficult to remove](https://aedit.com/aedition/laser-tattoo-removal-treatment-guide-doctor-patient-perspective), and BB Glow pigments often contain titanium dioxide, which is blended with brown and red pigments to mimic skin tone. It is known to turn blue or black when exposed to lasers, potentially leading to permanent discoloration.

But that’s not the only concern associated with titanium dioxide. “[It’s] one of the largest, most opaque and lasting pigment particles that can remain a lifetime in the skin without fading,” Bossavy explains. “The quantity of non-degradable material deposited over an entire face every few months … can accumulate over time and trigger an immune response that can last longer — creating much uncertainty for the long term.”

BB Glow side effects can range from allergic reactions, contact dermatitis, broken capillaries, infection, and postinflammatory hyperpigmentation (PIH) to granulomas (i.e. the hardening of tissue surrounding the pigment particles), scarring, organ toxicity, and cell damage. Additionally, there is still much research to be done about semi-permanent makeup more generally. For example, some people with permanent eyeliner have reported experiencing burning and swelling from magnetic resonance imaging (MRI) procedures. Though it may be too early to say with certainty, pigment covering the entire face could prove similarly problematic.

## **How to Get Glowing Skin Without BB Glow**
Given the safety concerns of semi-permanent BB cream treatments, what can mimic the, admittedly, alluring effects of a ‘I woke up like this’ flawless face? “There are a number of topical treatments available, as well as chemical peels, lasers, [radiofrequency microneedling](https://aedit.com/procedure/microneedling-with-radiofrequency), and microneedling without pigments,” Dr. Shah says. On the skincare front, she recommends [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare), kojic acid, hydroquinone, arbutin, and [retinoids](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare) for lightening and brightening the skin. Fractional lasers (Fraxel®, CO2, Pico), microneedling, and chemical peels, meanwhile, can “address texture and tone,” she adds.

## **The Takeaway**
Until more research can be done into the long term safety and efficacy, Bossavy suggests steering clear of the ‘beauty’ treatment. “Many things are possible, but that doesn't mean they are safe,” she cautions. “Too often, when beauty is at stake, we are quick to recklessly sacrifice safety for instant beauty gratification. It may look good and feel good now, but we will pay a high price later.”

AEDITION trendsetters-min

Now Trending Collection | The AEDITION

Now Trending

Imagine waking up every morning with a perfectly even complexion. That’s the promise of BB Glow — but is it too good to be true?

Safety Of Semi-Permanent Foundation And BB Glow

What You Need To Know About The Permanent BB Cream Trend

shutterstock 738402076

You’ve heard the phrase: *Just because you can, doesn’t mean you should.* But, between the YouTube tutorials and [COVID-19 quarantine closings](https://aedit.com/aedition/what-its-like-to-get-a-facial-during-covid-19), DIY beauty treatments can be so darn tempting. So, what’s safe to tackle at home and what’s better left to the pros? We asked two cosmetic dermatologists what skincare treatments we can and can’t take into our own hands.

## **The Rise of DIY Dermatology**
Our experts agree that more and more people are trying to recreate beauty treatments they’ve seen on social media — particularly Instagram and YouTube videos — from the comfort of their own homes. “I have had patients try many different cosmetic treatments during quarantine,” says [Samer Jaber, MD](https://aedit.com/provider/samer-jaber-md-3882), a board certified dermatologist and founder of Washington Square Dermatology in New York City. The promise of a quick fix combined with the chaos caused by coronavirus shutdowns has escalated the trend.

While some of these videos seem innocuous (think: the club soda face wash), others are downright scary. Interested in a full face of makeup using only nail polish? It’s got over 3 million views to date. How about DIY [microblading](https://aedit.com/aedition/microblading-treatments-for-fuller-thicker-eyebrows)? Nearly a million people (so far) have watched. A 25 percent at-home [TCA peel](https://aedit.com/procedure/tca-peel) at home? There have been over half-a-million views of that one.

It seems fairly obvious that attempting those types of procedures outside the confines of a doctor’s office, spa, or salon is a bad idea, but it’s important to understand just how dangerous a professional-strength treatment in the wrong hands can be. 

## **The Dangers of At-Home Beauty Treatments**
No matter your skin concern, pretending you're an at-home aesthetician or dermatologist can have dire consequences. “Since COVID-19, my telederm business has skyrocketed largely due to patients with concerns from unsupervised home care,” says Amy Spizuoco, DO, a board certified dermatologist and founder of [True Dermatology](https://true-dermatology.com/) in New York City. “Many patients have caused skin damage or burned their skin with what’s typically considered mild treatments, such as [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare) and even garlic.”

Both of our experts have treated patients who purchased chemical peels online (often from Amazon or foreign countries) and damaged their skin. “I have had patients try aggressive chemical peels during quarantine that they saw on Youtube or Instagram that, unfortunately, resulted in burns and a significant amount of hyperpigmentation,” Dr. Jaber cautions. While some [burns](https://aedit.com/aedition/how-to-treat-first-second-third-degree-burns), he says, are treatable with “appropriate medical prescription therapy,” not all patients are so lucky. 

Complexion tools and at-home devices can also do harm. “Many patients have bought comedone extractors and have put craters in their faces,” Dr. Spizuoco shares, adding that she’s also treated a patient who suffered broken capillaries from trying out a DIY “pore vacuum.” One of Dr. Jaber’s patients took mole removal into his own hands and swapped one concern for another. “I saw a young man that tried to remove a mole on his nose with bleach based on a video he saw on YouTube, and he traded a normal mole for a scar,” he says. 

On the mild side, the risks of trying aesthetic treatments like [microneedling](https://aedit.com/procedure/microneedling) — which creates micro-wounds to stimulate collagen production — at home include bruising and redness, though infection, scarring, and hyperpigmentation are all possible. The same holds true for eyebrow microblading, and there is the additional possibility of ending up with uneven, splotchy, or discolored brows due to poor quality pigments.

### **Don’t Be Fooled by ‘Natural’ Products**
And don’t be fooled by online promises of product hacks and ‘[all-natural](https://aedit.com/aedition/what-clean-green-natural-mean-for-beauty-makeup-skincare-products)’ beauty solutions. “Natural does not always mean safe or effective,” Dr. Spizuoco explains. “I’ve seen chemical burns with tea tree oil.” Dr. Jaber agrees. “‘Natural’ does not mean it is safer or better for your skin, and it does not mean hypoallergenic or better for sensitive skin,” he cautions. “Plant-based skincare products can irritate the skin.” After all, poison ivy is natural. 

## **Beauty Treatments That Are Safe to Try At Home**
When it comes to DIY dermatology, Dr. Spizuoco has a very short list of what she considers safe. “The only treatments I consider safe for home use are hydrating face masks, when used appropriately,” she says. “Pimple popping, comedone extractions, chemical peels, and microneedling, all should be left to the doctor’s office.”

Unfortunately, this sage advice isn’t stopping people from experimenting. But because there are so many factors that contribute to how our skin may react to a treatment (think: other skincare products, diet, sun exposure, prescription medications), it’s unwise to try anything without talking to your dermatologist first. “If you are going to do a treatment at home, please be aware of the risks,” Dr. Jaber warns.

With that in mind, there are a few professional treatments that have far less potent at-home versions that may be safe to incorporate into your routine.

### **1. Light Peels**
Dr. Jaber suggests that people who insist on trying an exfoliating chemical peel (after consulting with their doctor, of course) use something very superficial, like a [salicylic acid](https://aedit.com/aedition/guide-to-beta-hydroxy-acids-salicylic-acid-in-skincare) or [glycolic acid](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare) peel. “Make sure when you try your peel that your skin is not irritated or inflamed and always start with the lowest concentration possible,” he says. It’s important to discontinue use of any products containing salicylic acid or retinoids a few days prior to avoid unnecessary irritation and inflammation. “If you have skin of color, please be especially careful, as irritation or burning of the skin can result in discoloration,” he shares. We like the [Algenist Blue Algae Vitamin C Dark Spot Correcting Peel](https://www.sephora.com/product/algenist-blue-algae-vitamin-c-dark-spot-correcting-peel-P457694) and [Dr. Dennis Gross Skincare Alpha Beta Universal Daily Peel Pad](https://www.sephora.com/product/alpha-beta-universal-daily-peel-P377533) for at-home use.

### **2. Dermaplaning**
At-home kits for [dermaplaning](https://aedit.com/procedure/dermaplaning) — which uses a blade to remove layers of dead skin cells — have hit the market recently. “At-home dermaplaning can be a nice treatment to decrease fine facial hairs and improve skin brightness, but be aware it only lasts for a few days,” Dr. Jaber says. Patients should take care not to cut the skin and be choosy about the equipment. “If you are going to try dermaplaning at home, I would not recommend using a straight blade which is used in medical offices,” he says. “Try one of the high-end home dermaplaning devices that minimize the chance that you can cut your face.” Our picks? The [StackedSkincare Dermaplaning Tool](https://www.sephora.com/product/dermaplaning-tool-P441054) and [Dermaflash LUXE Anti-Aging Dermaplaning Exfoliation Device](https://www.sephora.com/product/dermaflash-2-0-facial-exfoliation-peach-fuzz-removal-P429043).

### **3. Dermarolling**
“Dermarolling can be done safely at a very shallow depth, like 0.25 milimeters, when properly sterilized,” Dr. Jaber says. Think of it as a less invasive form of microneedling that can still pack a punch. “With long-term use, it can improve skin texture and very mild scarring,” he shares. The [BeautyBio GloPRO Microneedling Facial Regeneration Tool](https://www.sephora.com/product/glopro-microneedling-facial-regeneration-tool-P438641) is a go-to for many, as is the [Sdara Skincare Derma Roller](https://www.nordstrom.com/s/sdara-microneedle-skin-roller/5234143). 

## **The Takeaway**
Even if there are a few beauty treatment dupes that can [safely be performed at home](https://aedit.com/aedition/aestheticians-dermatologists-share-at-home-skincare-tips), don’t introduce any new procedure or product without first talking to your dermatologist. “It’s extremely important to consult your doctor because many of these DIY home treatments can lead to scarring and, worse, infection,” Dr. Spizuoco says. “In my opinion, only face washing and moisturizing should be done without a dermatologist consultation.”

Sure, your derm or aesthetician might make a treatment look easy, but that’s only because they have years of experience. “It's important to remember that dermatologists and plastic surgeons go to school for years so that they understand the anatomy of the face and potential complications and side effects of procedures,” Dr. Jaber notes. When in doubt, leave it to the pros.

AEDITION for men-min

Expert Opinion Collection | The AEDITION

Expert Opinion

Social media is filled with videos of at-home beauty treatments, but what’s actually safe to tackle at home? The AEDITION asks the experts.

Dangers Of DIY At-Home Dermatology And Beauty Treatments

The Danger Of DIY Dermatology Treatments

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For millennia (yes, it’s really been that long), humans have been searching for the most effective way to achieve the illusion of [long, lush lashes](https://aedit.com/aedition/what-eyelash-treatments-are-right-for-you). And the rise of face masks and facial coverings during COVID-19 has put the eyes firmly in the spotlight. Cosmetic dermatologists and plastic surgeons have seen an uptick in [eye-related procedure requests](https://aedit.com/aedition/popularity-of-eyelid-surgery-cosmetic-eye-procedures-during-covid-19), [eye creams and serums](https://aedit.com/aedition/eye-creams-serums-to-treat-crows-feet-dark-circles-puffiness) claim to lighten dark circles, decrease puffiness, and minimize the appearance of crow’s feet, and [mascaras](https://aedit.com/aedition/best-lengthening-curling-volumizing-mascaras) promise expertly curled, lengthened, and defined fringe that rival [eyelash extensions](https://aedit.com/aedition/what-its-like-to-get-eyelash-extensions). But what about a salon treatment that offers long-lasting color? Here, we take a closer look at the benefits of lash tinting.

## **The History of Lash Tinting**
As we mentioned, ancient civilizations — most famously the Egyptians — darkened their lashes with a substance called ‘kohl’ that was made by grinding the mineral galena (lead sulphide) into a fine powder and mixing it with oil. South Asian cultures, meanwhile, formulated ‘kajal’ by blending ash with castor oil. Later, Europeans used everything from sulfuric acid and saffron to the soot from the fireplace to tint their lashes.

In 1917, a Chicago chemist named Thomas Williams introduced the [Maybelline Cake Mascara](https://www.maybelline.co.uk/about-maybelline#:~:text=The%20product%20worked.,cosmetic%20made%20for%20everyday%20use.), which evolved from a formula of petroleum jelly and carbon dust that was favored by his sister. About a decade later, in 1933, the Cosmetic Manufacturing Co. of Los Angeles introduced [Lash Lure](https://www.aao.org/senior-ophthalmologists/scope/article/lash-lure-paraphenylenediamine-toxic-beauty), a “new and improved eyebrow and lash dye,” which may have been “new” but it certainly wasn't “improved.” Almost immediately, users experienced severe dermatitis of the eyelids and surrounding areas that, in some cases, required the removal of all eyelashes.

Investigations found that Lash Lure contained 30 times the safe human exposure of p-phenylenediamine (PPD). As a result, several states banned eyelash tinting, and the scandal was instrumental in the passage of the [1938 Food, Drug and Cosmetic Act](https://www.fda.gov/about-fda/histories-product-regulation/1938-food-drug-and-cosmetic-act), which, for the first time, allowed federal oversight of cosmetics.

### **Eyelash Tinting Today**
Even today, the rules governing eyebrow and eyelash tinting vary from state to state. The controversy surrounding the treatment centers mostly around the safety of the dye. While semi-permanent and vegetable-based dyes are considered acceptable in states that allow the service, permanent dyes tend to be banned. [According to the United States Food and Drug Administration (FDA)](https://www.fda.gov/cosmetics/cosmetic-products/eye-cosmetic-safety#:~:text=Permanent%20eyelash%20and%20eyebrow%20tints,dyes%20containing%20coal%20tar%20colors.): “No color additives are approved by FDA for permanent dyeing or tinting of eyelashes and eyebrows. Permanent eyelash and eyebrow tints and dyes have been known to cause serious eye injuries.” 

All the while, both impermanent lash and brow tinting remain popular salon treatments — even in states where the practice is technically prohibited. 

## **So, Is Lash Tinting Safe?**
“This is a bit of a loaded question,” says Alisandra Tobia, a licensed aesthetician and the founder of [Beauty Mood](https://www.beautymood.com/). “There are some lash tinting dyes that are safer than others, and there is some controversy around whether lash tinting should be allowed.” Tobia tells us that, in New York, semi-permanent (but not permanent) dye is permitted. In California, all brow and lash dye is prohibited.

Hold on: You can’t have your eyelashes or eyebrows tinted legally in California? It’s surprising news when you consider the fact that a simple Yelp search for “best lash tinting Los Angeles” yields a top-10 list, complete with customer reviews. As it turns out, lash and brow tinting was outlawed in California in 2001, but the state didn’t start enforcing the law until 2015. “These laws caused us to have to hide our coloring agents and be very secretive about it,” says Alisha*, the owner of a high-end Los Angeles salon that still performs the services. “When we were caught just having a tube of coloring agent in a drawer, we got a $500 fine.”

California law prohibits salons from using any products not FDA approved, and it’s currently the only state in the U.S. that has banned both lash and brow tinting. “It makes absolutely no sense to me that the law also banned eyebrow tinting because there’s no real danger there,” Alisha says. Our experts agree that, when performed by a trained professional using semi-permanent dye formulated for the face, eyelash and eyebrow tinting is generally safe. But it’s not meant to be done at home. “It should never be attempted as a DIY or at-home treatment,” Tobia warns. “The lashes and skin on the eyelid are so [delicate and sensitive](https://aedit.com/aedition/how-to-treat-the-skin-around-the-eyes-with-skincare-and-non-surgical-cosmetic-procedures) and, therefore, more susceptible to irritation and infection.”

## **What Lash Tinting Treatments Entail** 
Usually, a lash tinting appointment begins with a brief consultation to determine the client’s desired look. As Tobia explains, the entire procedure takes about 30 minutes, but you’ll only spend a portion of that with the dye on your lashes.

Once you’re situated in the salon bed or chair, your practitioner will place a pad beneath your eye to catch excess dye. After the dye is applied, you’ll lay still with your eyes closed for about 10 minutes while the tint processes. After the tint is set, your practitioner will use a cotton swab to carefully remove the dye from your lashes and gently cleanse the area with a saline solution.  “It’s very important that you remain relaxed during this part of the procedure and avoid squinting your eyes or flinching,” Tobia shares, adding that both are common reflexes.

The tint lasts for up to four weeks, at which point the natural shedding and regrowth of the lashes brings them back to their natural color.

### **Side Effects of Lash Tinting**
Though the semi-permanent and vegetable-based lash dyes used by salons today cannot legally contain PPD (the toxic substance found in Lash Lure), some of them do contain its gentler cousin, toluene diamine. This substance and others in dyes (even those touted as ‘vegan’ and ‘natural’) may cause irritation, which is why some people experience stinging and watering during lash tinting treatments. Many salons require clients undergo a patch test prior to treatment to help prevent any adverse reactions.

### **How to Find a Reputable Lash Tinting Professional**
Choosing the right aesthetician and salon for your lash tinting treatment is critical. Tobia recommends people take these steps to ensure your visit goes smoothly:

- **Ask About Experience & Licensing**: Don’t be shy about asking your lash professional to disclose their training and experience. After all, we’re talking about your eyes and, in the age of COVID-19, salon safety is about more than just your face. “You should feel comfortable with the salon or spa itself, especially their cleanliness protocols nowadays,” Tobia says.
- **Find Out What’s in the Dye**: Steer clear of permanent products in favor of semi-permanent and plant-based dyes. Those with allergies or sensitivities should request for a patch test.
- **Seek Out Referrals**: “Just like you would ask friends and family for recommendations for things like auto mechanics and dentists, referrals and recommendations can be a good way to find a lash tinting practitioner that you can feel comfortable with,” Tobia shares.

As with all salon services, [coronavirus-related regulations](https://aedit.com/aedition/what-its-like-to-get-a-facial-during-covid-19) vary by state. “Right now, lash tinting is allowed in many places, with masks required for both the client and the provider,” Tobia explains. “Providers are also required to wear face shields and gloves.” Even if salons are open in your state, they may not be able to perform your requested treatment(s) right now. So, be sure to call ahead to learn more about their service offerings and safety protocols.

### **Best Treatments to Combine with Lash Tinting** 
According to our experts, it’s quite common for clients to combine lash and brow treatments. “Getting both your lashes and brows tinted at the same time is a very convenient pairing, since the dye can be applied to the brows while your lashes are processing or vice versa,” Tobia says. In Alisha’s L.A. salon, lash and brow tinting often accompany a brow-shaping session.

A [lash lift](https://aedit.com/procedure/lash-lift) (a process akin to perming lashes to create curl) is another natural pairing. “Getting a lash lift in combination with a tint tends to work well because you’re already physically situated for the tint once you’ve gotten a lash lift,” Tobia shares. “And, obviously, if you’re trying to make a wow statement with your lashes, getting both a lash lift and tint definitely achieves that.”

## **The Takeaway**
Despite its checkered past, lash tinting by a trained professional using ingredients safe for the face can provide a big — and time-saving — beauty boost. “There’s a huge convenience factor,” Tobia says. “Rather than applying mascara every day as part of your makeup routine, a lash tint can last around a month.” As she explains it, a half hour in the salon can streamline your makeup routine for weeks at a time. 

*Name has been changed

AEDITION rejuvenators-min

Medical Aesthetics Collection | The AEDITION

Aesthetics

For millennia (yes, it’s really been that long), humans have been searching for the most effective way to achieve the illusion of long, lush lashes. Here, we take a closer look at the benefits of lash tinting.

Guide To Professional Eyelash Tinting 

Everything You Need To Know About Eyelash Tinting

shutterstock 1421129825

From scalding water and hot pans to too much sun and more, burns happen. “Some 1.2 million individuals experience burns in the United States [every year], and burn injuries account for approximately 500,000 emergency department visits,” reports [Samer Jaber, MD](https://aedit.com/provider/samer-jaber-md-3882), a New York City-based board certified dermatologist and founder of Washington Square Dermatology. “Of those visits, 9 percent (45,000) require hospitalization.” Here, The AEDITION breaks down everything you need to know about treating burns and preventing scarring.

## **How Burns Are Classified**
“First, second, and third-degree burns are categorized by the depth of the burn,” says [Nima Naghshineh, MD](https://aedit.com/provider/nima-naghshineh-md-600), a board certified plastic and reconstructive surgeon in Pasadena, CA. Below is what you can generally expect from each:

- **First-Degree Burns**: Also known as epidermal burns, they only damage the epidermis. “They do not blister but are red and painful,” Dr. Nima explains. “However, over the next few days, the pain and the redness tend to subside.” First-degree burns are superficial and usually don’t require medical attention.
- **Second-Degree Burns**: Also known as partial-thickness burns, they move through the epidermis and part of the dermis (i.e. the second layer of skin). “These are extremely painful and cause the skin to look red, swell, and blister,” Dr. Jaber says. They typically take one to two weeks to heal.
- **Third-Degree Burns**: Also known as full-thickness burns, they involve the entire thickness of the skin and are often less painful because of the nerve damage involved. After the third-degree trauma, the skin looks “dry, pale, charred, white, or black,” Dr. Jaber explains. Treatments and recovery vary depending on the extent of skin, nerve, hair follicle, and sweat gland damage involved.

Finally, fourth-degree burns represent the most severe and damaging burn injuries. “These burns damage fat in the body, muscles, blood vessels, bones, and joints,” Dr. Jaber says. Once the healing process begins, patients receive intensive care to prevent infection. Later, the doctor will explore skin grafting options, since the burned tissue will not regenerate on its own.

### **Additional Burn Classifications**
Beyond degree, burns are further broken down into classifications such as thermal, electrical, and chemical. “The importance of these categories is that specific treatments are often needed based on the type of the burn,” Dr. Nima says. “For example, certain chemical burns need specific neutralizing treatments. And there are additional considerations to look at for electrical burns that include deeper tissue burns that are not visible.”

Thermal burns range from scalds from boiling water to contact injuries, such as direct contact with a hot surface. Electrical burns, meanwhile, happen when the skin makes contact with heat-making electrical currents. “The severity of the injury depends on the current path, the body area affected, and the strength and duration of the electric current,” Dr. Jaber notes. Chemical burns occur when someone comes into contact with burn-causing chemicals. The severity of this injury depends on the amount of skin exposure.

## **How to Treat Burns**
After a burn, it is critical to know when to seek help. While small, superficial burns can be treated from home, burns that cover larger areas require medical attention. Depending on the severity, IV fluids (to treat dehydration), antibiotics, tissue removal, and/or skin grafting may be needed.

### **Treating First-Degree Burns**
“Simple burns like a sunburn or a first-degree burn is easily treated at home, if there are small enough areas,” Dr. Nima says. First-degree burns are commonly treated by “cooling the skin with cold compresses and using acetaminophen or ibuprofen for pain control,” Dr. Jaber explains. Applying a [fragrance-free](https://aedit.com/aedition/fragrance-free-beauty-skincare-for-sensitive-skin) moisturizer, like aloe vera, honey, or Vaseline, can improve wound healing.

### **Treating Second-Degree Burns**
With second-degree burns, blistering accompanies the pain and redness. “You should not pop the blisters, if possible,” Dr. Nima cautions. “The healing will occur on its own.” If there are raw areas, your doctor will prescribe antibiotic ointments or topical treatments, such as Silvadene, to help with scarring and preventing infection. Deeper second-degree burns carry a low to moderate risk of scarring, and they could potentially result in discoloration or pigmentation. “As a general rule, you should keep any burn area out of the sun and treat it according to medical advice,” he shares. “If excess scarring or thick scarring is a concern, silicone sheets and gels will reduce the damage.”

### **Treating Third- and Fourth-Degree Burns**
Third-degree and fourth-degree burns result in thick, contracted scars. There are a few options to address the appearance and functionality of the scarring, including removing the discoloration and placing healthy tissue on the site. A more in-depth procedure replaces the contracted scars and rearranges existing tissue to allow for more give. The latter surgery is needed if a burn resides at a joint site (think: the elbow or knee) to restore function and range of motion. In more advanced and complex cases, tissue from non-burned areas can be transferred to the burned areas to replace the scar altogether. These procedures require microsurgery and significant healing time.

## **The Takeaway**
Once a burn is fully healed, the resulting [scar can be treated](https://aedit.com/aedition/minimizing-scars-after-surgery) to improve tone and texture. “There are many treatments to improve scarring, including lasers like Fraxel, fractionated C02, or intralesional steroid injection,” Dr. Jaber says. Consulting with a board certified dermatologist or plastic surgeon will ensure you get the best treatment for your condition.

AEDITION minimalists-min

Wellness Collection | The AEDITION

Wellness

From classifications to treatment options, a dermatologist and plastic surgeon break down exactly what you need to know about caring for burns.

How To Treat First, Second, And Third-Degree Burns

Everything You Need To Know About Treating Burns

sleep

The term ‘[beauty sleep](https://aedit.com/aedition/impact-of-beauty-sleep-on-skin-health-nighttime-skincare-products)’ takes on a whole new meaning after a tweakment or cosmetic procedure, as catching your *ZZZs* is vital to the healing process. Regardless of whether it’s something on the surgical side (like a [breast augmentation](https://aedit.com/procedure/breast-augmentation-with-implants) or [facelift](https://aedit.com/aedition/popularity-of-facelift-cosmetic-surgery-for-aging-sagging-neck)) or minimally invasive (think: [dermal fillers](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) and [neurotoxin injections](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin)), taking care in how you hit the hay can help minimize swelling, [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox), and speed up the recovery process. 

In a world that’s increasingly obsessed with getting quality REM sessions in, we now know a lot about the best ways to effectively combine good sleep habits and care to minimize side effects and complications and get to your coveted “after” shot faster. Here, the best P.M. tips to ensure you wake up on the right side of the bed after an aesthetic procedure.
 
## **1. Find the Right Sleep Position**
The ideal position you sleep in after a procedure is dependent on the area worked on:

### **Post-Facial Procedures**
If you anticipate swelling after a facial surgery or procedure, you’ll want to sleep on your back in the “semi-fowler” position — a 45 degree elevation of the head and torso — for at least a week to allow for proper [lymphatic drainage](https://aedit.com/aedition/benefits-of-lymphatic-drainage-massages-after-cosmetic-surgery). “Many patients build a crib of pillows around them so that they do not flip over, while others have used a ‘body’ pillow to stabilize them while sleeping,” says [Melissa Doft, MD](https://doftplasticsurgery.com/), a double board certified plastic surgeon in NYC.

If you’re a staunch stomach sleeper whose will is unlikely to overcome the tendency to roll over, [Jennifer MacGregor, MD](https://www.unionderm.com/about/dr-jennifer-macgregor/), a board certified dermatologist at Union Square Laser Dermatology in NYC, suggests investing in a post-surgical neck-support pillow that keeps you on your back. Her pick: The [CosMed Recovery Pillow](https://www.cosmedcomfort.com/product/cosmed-deluxe-pillow-with-charmeuse-satin-pillowcase/), which she says works particularly well for patients who have facial surgery (aesthetic or skin cancer-related) and ablative laser resurfacing. 

It may take a few pillows and some determination, but [Suzanne Trott, MD](https://drtrott.com/), double board certified plastic surgeon in Beverly Hills, can say from first-hand experience that it’s worth it. “When I had work done on my face, I was sure that I wouldn't be able to handle sleeping on my back, but I did,” she shares. “And if I can do it, anyone can because I'm one of those people that normally has to sleep curled up on my side in the fetal position.”

### **Post-Body Procedures**
For work done below the neck, how you should sleep depends on which side of the body was treated. If it’s on the back side, like a [Brazilian Butt Lift](https://aedit.com/procedure/brazilian-butt-lift), the docs we spoke to say you’ll want to sleep on your stomach. For procedures on the front of the body, it’s less straightforward.

- **Upper Body Procedures**: After procedures on the upper torso (like a breast augmentation) the same front-up, 45 degree angle pose recommended for face work is ideal.
- **Lower Body Procedures**: For surgeries that involve the torso and below (like abdominoplasty), Dr. Trott recommends a week in the semi-fowler position, but with the body in the shape of a ‘W’ with the bed and knees flexed with pillows under them.

And then there’s a procedure category that gets to choose its own adventure. “If my patient has had a liposuction only, they can really sleep any way that they are most comfortable,” Dr. Trott says. Enjoy the freedom, and don’t be alarmed if you wake up to some swelling in the beginning. “[Patients] just need to understand that the swelling will ‘pool’ in the most dependent places,” she cautions. So, don't be freaked out when you wake up in the morning and the dependent side is fuller — it’s just temporary.

## **2. Kick Your Feet Up**
No matter what kind of work you had done, use your recovery as an excuse to kick your feet up. Dr. Trott says leg elevation is a good idea for nearly everyone sleeping on their backs after an invasive procedure. “I have a strict rule that, when [my patients] are sitting or lying down, their ankles have to be at least at knee level,” she explains. It’s a small but important part of making sure the “venous fluid doesn't pool down in their lower extremities and increase risk of blood clots,” Dr. Trott shares.
 
## **3. Dress Smarter**
To state the obvious, you’ll likely be sore after your procedure. If it is a part of the body that is usually clothed, what you wear can be an added source of discomfort. As such, you’ll probably want to opt for loose-fitting sleepwear. Breathable cotton pajamas will do the trick. If your recovery involves compression garments, those baggy PJs will easily slide over top.
 
### **How to Dress Wounds**
As for how to dress your wounds themselves, it’s time to forget that old wives’ tale about keeping them uncovered so they can ‘breathe.’ Open sores “heal best if coated with petrolatum or lighter blend healing ointments, like [Doctor Rogers Restore](https://www.doctorrogers.com/products/restore-healing-balm), then covered with a non-stick pad,” Dr. MacGregor says. This strategy not only helps the cells migrate faster, but “the covering prevents a hard, crusty scab, which impedes wound healing and [is] a nidus for infection.”
 
While the above serves as a good general rule of thumb, be sure to check with your doctor about specific wound protocols, as some procedures come with their own specific recommendations. For example, Dr. MacGregor gives ablative laser patients a very strict set of guidelines to follow. “For ablative laser procedures — I’m talking about only those that cause raw skin and recovery for a few days after — we have a very detailed protocol to follow, which includes special soaks and ointment for a few days,” she explains. “Then, we recommend a slow transition to healing creams.”
 
## **4. Fall Asleep Faster** 
Some people have no problem drifting off after an aesthetic surgery because, on a cellular level, your body doesn't know that you did this on purpose, Dr. Trott says. “[The body] goes into a healing mode where all of the healing factors from your liver are sent out to the injured areas,” she explains. “Your metabolism is jacked up about one and a half times normal for at least a few weeks.” When explaining the effect to patients, she likens it to both a marathon and sprint. “The analogy that I give my patients is that your body is basically running a marathon all day at the same time that you are going about your daily routine, so be prepared to get suddenly tired,” she says.
 
But not everyone is so lucky. Sometimes pain or the fear of messing up the results overnight can interfere with post-procedure sleep cycles. That’s one of the reasons why [Bruce Moskowitz, MD](https://www.specialtyaestheticsurgery.com/bruce-moskowitz-md/), an oculoplastic surgeon in Manhattan, stresses the importance of pain management. “I encourage my patients to follow the instructions for their medications carefully and try not to tough it out,” he shares. “If someone is in pain or nauseous, it's difficult or impossible to get the proper rest.” Another benefit? Pain meds are known to induce drowsiness. 

If you’re looking for an over-the-counter alternative, there is another course of action to help bring on the sandman: “Benadryl can be very helpful when patients are having a hard time,” Dr. Doft says. And then, of course, practicing good sleep hygiene can work wonders if you’re having trouble falling or staying asleep. A few things that have been proven to work:

- Sleeping with socks on (according to a [2018 study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5921564/#:~:text=The%20present%20study%20found%20that,operations%20in%20the%20homeothermic%20core.))
- Laying off blue-light devices (shown to work in a [study published in PLOS ONE](https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0165331))
- Keeping nighttime meals lighter (as proven to help in a [study in the Journal of Clinical Sleep Medicine](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3227713/))

## **5. Don’t Take It Too Easy**
Sleep is great — vital, even — after a procedure, but don’t go overboard with the lounging sessions. “Many patients want to stay in bed right after surgery, but it is also important to walk around the house a few times a day,” Dr. Doft says. It’s key for improving circulation, which promotes wound healing and helps ward off blood clots. 

## **The Takeaway**
While all these sleep tips are meant to promote the most comfortable recovery process, keep in mind that you don’t have to stress about it too much — as long as you’re following your doctor’s advice. Sure, procedures like rhinoplasty require you not to sleep directly on the treatment area. But, for most others, good sleep habits are primarily about getting you back to your normal routine safely and smoothly. 

So, if you’re having trouble falling asleep post-op and counting sheep isn’t cutting it, remember this: “I think it's really hard for a patient to permanently damage their cosmetic result by making a ‘sleeping mistake,’” Dr. Trott says. “I can't think of any that have *ruined* an outcome!”

The term ‘beauty sleep’ takes on a whole new meaning after a tweakment or cosmetic procedure, as catching your ZZZs is vital to the healing process. Here’s how to sleep smarter after surgery.

How To Sleep After Cosmetic Surgery And Aesthetic Procedures

5 Expert Tips For Sleeping Better After Aesthetic Procedures

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The first at-home laser hair removal system approved by the United States Food and Drug Administration (FDA) came to market over 10 years ago. And with social distancing and stay-at-home orders in place during the COVID-19 pandemic, they’ve enjoyed a renaissance of sorts as salons and doctor’s offices that offer professional hair removal services were closed. 

Needless to say, hand-held hair removers are not as powerful as their in-office counterparts. But, as I look at my dull razor, I can’t help but wonder: Do at-home hair removal devices live up to the hype?

## **What Is Laser Hair Removal?** 
Professional [laser hair removal](https://aedit.com/procedure/laser-hair-removal) is a type of laser therapy that employs pulsating, highly concentrated light deep into the skin to target and destroy the hair follicles. Treatments are scheduled around the hair growth cycle, which is why sessions tend to be scheduled every four to six weeks. It can be used on most parts of the body to remove unwanted hair with semi-permanent to permanent results. Larger limbs like legs and arms are commonly treated, as are smaller areas like bikini lines, underarms, the upper lip, and chin.

Contrary to the laser therapy used in professional treatments, many at-home hair removal devices utilize [intense pulsed light (IPL)](https://aedit.com/procedure/ipl-for-unwanted-hair). “First thing to understand is that, although these devices are commonly referred to as ‘home lasers,’ most are not actually lasers,” says [Tony Adar, MD](https://www.mdcsnyc.com/provider/tony-adar-md), a board certified dermatologist in NYC. “Most products utilize a well-known technology called intense pulsed light. IPL provides a broad spectrum light while lasers emit monochromatic (i.e. single spectrum) light.”

The concept behind laser hair removal and IPL for unwanted hair treatments is similar, but the potency is different. “Both work on the same principle of the light energy targeting the melanin pigment in the hair follicles to destroy them and thus eradicate discoloration,” he shares. “In other words, they work similar to the in-office professional machines but use smaller energies.”

## **Are At-Home Hair Removal Devices Safe?**
First things first: If you are considering investing in an at-home hair removal device, make sure it is approved by the FDA. When used properly, the tools are safe for home use. But following the directions is key for achieving the best and safest results. “At-home lasers generate light energy that, when not used properly, can also burn the skin,” he says. “Because lasers must pass through our skin to reach the hair follicle, the skin necessarily absorbs some of that energy.”

Because of this, Dr. Adar recommends avoiding photosensitizing medication (think: antihistamines, tetracycline antibiotics, oral contraceptives) and skincare and minimizing sun exposure four weeks before introducing the at-home hair removal device and for an additional two weeks after. 

## **Expert Tips for At-Home Laser Hair Removal**
When it comes to choosing an at-home hair removal device, Dr. Adar recommends the [Tria Beauty Hair Removal Laser 4X](https://www.triabeauty.com/products/hair-removal-laser-4x) and the [Silk’n Infinity](https://silkn.com/collections/permanent-hair-removal/products/silkn-infinity-hair-removal-device). Both are cleared by the FDA and are similarly priced, but they do work differently. While the Silk’n device utilizes IPL, the Tria features a diode laser technology that more closely mimics professional treatments. Both work on fair to light brown skin and light brown to black hair. 

Once you’ve decided on a device, here’s how to get the most out of it:

### **1. Consider Your Skin Tone & Hair Color** 
Lighter skin with dark hair performs best for laser hair removal. Dr. Adar says that if you have lighter hair (think: blond, gray, and shades of red), save your money — these devices won't work. Additionally, many at-home devices are not suitable for those with [darker skin tones](https://aedit.com/aedition/guide-to-fitzpatrick-skin-types), so be sure to consult with a board certified provider before beginning treatment. 
 
### **2. Don’t Forget a Patch Test**
As a best practice, Dr. Adar recommends doing a small test spot and waiting a few days to see how your skin reacts. “Never double pulse on the same spot,” he warns. “Most devices have sensors that will only allow you to fire it when there is full contact with the skin.” That sensor is also meant to protect your peepers. “Never point any laser toward your eyes, as the back of the eye (i.e. the retina) has light-sensing cells that can be damaged and in extreme cases cause permanent blindness,” he says.
 
### **3. Never Pluck or Wax** 
Since the lasers target the pigment in the hair follicles, they need to be present in order for the treatment to be effective. If you pluck or [wax](https://aedit.com/procedure/waxing), the light will not have a way to hone in on the hair follicle root. Instead, Dr. Adar recommends shaving before each treatment to prevent the hairs above the skin from being too long and absorbing the light energy, thus diminishing effectiveness of the device. 

### **4. Start With Clean Skin**
It may seem obvious, but it bears repeating: Make sure skin is squeaky clean before treating. Ahead of using the device, remove any skincare products, which can interfere with the devices efficacy, from the face or body. Oh, and skip sunbathing. Increased pigment in the skin from a tan can interfere with treatment.
 
### **5. Take Your Time**
As with professional treatments, you should space out your at-home laser treatments. Depending on the brand and body part being treated, Dr. Adar estimates it could take four to eight sessions, spaced anywhere from two to four weeks apart (check the instructions that come with your device) for results. “Remember, removing hair at home is a marathon not a sprint,” he says. “Dont crank up the device to the maximum setting right away. I recommend starting at the lower setting and working your way up.”

### **6. Prepare for Some Discomfort** 
Since the energies used in at-home devices are lower than in-office options, they are generally better tolerated with lesser side effects. Most patients feel a zap (similar to snapping a rubber band), and some mild discomfort may be involved. Dr. Adar recommends icing the area beforehand, pointing a cool fan at the targeted area during treatment, or applying a topical anesthetic to ease pain. 

### **7. Maintenance Is Key** 
IPL hair removal delivers long-term hair reduction, though maintenance will likely be needed to keep the target area free of fuzz. After your initial four to eight sessions, touch-ups can be spaced out four to six weeks apart. Dr. Adar explains that this timing is due to the life cycle of the hair follicle. “Each treatment destroys the hair follicle in place, and the hair that regrows comes in thinner and lighter,” he says. “So, these procedures are better named ‘laser hair reduction’ rather than ‘laser hair removal.’”
 
### **8. Avoid These Areas** 
When it comes to treating skin around the eyes, tattoos, moles, or other types of skin lesions, be sure to consult with a board certified dermatologist first to avoid any unintended damage.

## **Are Laser Hair Removal Devices Worth It?**
For people with the optimal complexion and hair color, at-home laser hair removal systems can deliver quite a bit of bang your buck. The one-time investment of $200 to $500 for the device is less than the cost of a series of professional hair removal sessions, though patience will be key. “Although these devices have a favorable price point relative to in-office lasers, there is a considerable time investment for the DIY approach,” Dr. Adar says. “This is due to the smaller spot size on the devices and the lower energies.” 

Hand-held hair removers are not as powerful as their in-office counterparts, but they can serve a purpose. Here’s what you need to know.

How To Use At-Home Laser Hair Removal Devices

Are At-Home Laser Hair Removal Devices Too Good To Be True?

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COVID-19 has changed life for all of us in many ways — including how we approach our skincare regimen. So, we wanted to see how the experts in the field have tweaked their routines in the age of mask-wearing, when [face covering-induced breakouts](https://aedit.com/aedition/how-to-treat-prevent-acne-caused-by-covid-19-masks-face-coverings) (or ‘maskne,’ as the world has begun to call it) and irritation have joined the list of everyday skin annoyances. 

Read on to get a peek into how plastic surgeons, aestheticians, dermatologists, and product formulators are cleansing, soothing, moisturizing, protecting, and otherwise helping their complexions cope during the pandemic. Spoiler alert: [hyaluronic acid (HA)](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler), the humectant known for its water-drawing and moisturizing capabilities, makes many a guest appearance.
 
### **1. The Expert**: [Morgan Rabach, MD](https://aedit.com/provider/morgan-rabach-md-17913), board certified dermatologist in NYC
**How she’s changed her skincare routine**: To head off breakouts, Dr. Rabach has not only started spot-treating with benzoyl peroxide, but she has also “added more exfoliating to help reduce dead skin build-up,” she says. Her strategy is to wash with [SkinMedica AHA/BHA Exfoliating Cleanser](https://www.skinstore.com/skinmedica-aha-bha-exfoliating-cleanser/11289657.html) twice a week.
 
After some trial and error, she’s also recently adjusted her hydrating routine. “I only moisturize at night because applying it twice a day was making my face feel too oily under my mask,” she shares. She’s also gotten even more vigilant with [sunscreen application](https://aedit.com/aedition/how-to-apply-sunscreen-and-not-miss-a-spot). “No one wants a mask tan!” she insists. She opts for the [Isdin Mineral Brush](https://www.isdin.com/en-US/sun-care/on-the-go-protection-isdinceutics-mineral-brush-8429420135185.html), a physical-blocking tinted mineral powder, that doubles as a light concealer. 
 
### **2. The Expert**: Charlene Valledor, product formulator and president of [SOS Beauty](http://sosbty.com/)
**How she’s changed her skincare routine**: She’s begun loading up her handbag. Along with micellar water wipes to clean her face before putting on a *new* mask, Valledor says she carries a bottle of alcohol in her purse to spray the inside of her mask “just to kill any bacteria around the areas that are in direct contact with my chin, cheeks, and mouth.” A potential side effect of the sanitization, however, has been dry patches in those same areas. As a result, she is laying off makeup for now. Last but not least, she’s added a hydrating serum with hyaluronic acid — the ingredient touted for its ability to plump and effectively moisturize — to her routine to treat those trouble spots.
 
### **3. The Expert**: [Michelle Henry, MD](https://www.drmichellehenry.com/), NYC-based dermatologist & clinical instructor of dermatology at Weill Medical College
**How she’s changed her skincare routine**: She’s gone [fragrance-free](https://aedit.com/aedition/fragrance-free-beauty-skincare-for-sensitive-skin) and non-comedogenic with all her products so as not to give her skin more to deal with while she’s wearing a mask all day. HA has also made an appearance in her regimen, with her relying on moisturizers that contain both hyaluronic acid and ceramides to strengthen and fortify her skin’s own protective barrier. Another addition? “Occasionally, I will use an ointment like [Aquaphor](https://www.target.com/p/aquaphor-healing-ointment-for-dry-38-cracked-skin-14oz/-/A-11014466) to prevent any skin breakdown on my nose or other areas due to friction and pressure,” she shares.
 
### **4. The Expert**: Ron Robinson, cosmetic chemist & founder of [BeautyStat Cosmetics](https://www.beautystat.com/)
**How he’s changed his skincare routine**: “[I’ve been] avoiding heavier moisturizers that can clog pores and now opting for lighter-weight ones that work to hydrate without being too heavy,” Robinson explains. That means turning away from richer formulas in favor of the oh-so-popular hyaluronic acid, as well as glycerin by way of his own [BeautyStat Universal Pro-Bio Moisture Boost Cream](https://shop.beautystat.com/products/universal-pro-bio-moisture-boost-cream.html) (it also boasts ceramides and ancient mushroom extract).  
 
Since the cosmetic chemist’s daytime routine is all about preventing irritation and breakouts, nighttime is when he concentrates on treatment. To take full advantage of the [skin’s natural repair cycle](https://aedit.com/aedition/impact-of-beauty-sleep-on-skin-health-nighttime-skincare-products), he’s been slathering on a [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare) serum “to reduce fine lines, wrinkles, as well as even out skin tone” before bed.
 
### **5. The Expert**: [Natalie Aguilar](https://www.instagram.com/n4skincare/), LA-based celebrity facialist & dermatological nurse 
**How she’s changed her skincare routine**: “One, I’m no longer wearing makeup,” says the skin guru. “And two, I am no longer using active serums, such as [alpha-hydroxy acids](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare) and vitamin C to avoid irritation due to the friction, humidity, and the heat of the mask.” She also wipes her face every four hours before changing out her mask. Other than that, she says, “I have kept my routine relatively the same simply because I don’t want my skin to freak out.” But she does have one more secret to keeping her face calm in the coronavirus chaos: “I love pulling my serums out of the refrigerator and applying them cold — it helps relieve inflammation.”
 
### **6. The Expert**: [Jonathan Kaplan, MD](https://www.pacificheightsplasticsurgery.com/about/dr-jonathan-kaplan/), board certified plastic surgeon in San Francisco
**How he’s changed his skincare routine**: “I’ve been paying attention to my morning skincare,” says Dr. Kaplan, who explains that means giving a little more time and attention to his cleanser in the shower (he uses one from [Obagi](https://www.obagi.com/patients/product-line), but he says any gentle cleanser will do). And while he hasn’t changed his moisturizer, he says he’s using more of it to create a barrier on his skin throughout the day. “I’m a surgeon, so I’m used to a medical mask all day,” he notes. “It’s these cloth masks we all wear around I find irritating!”
 
He’s also added the most unusual step we heard from the experts we chatted with. When he takes off his masks after work, he rubs his hands with a sanitizer, and then, he says, “I run residual around the edge of the nostrils just to kill the bacteria there, then I wash my hands again.” This gives him a little more peace of mind that he’s catching anything that could work its way into his lungs. But, before you consider this move, beware: “It can be very drying,” he warns.

Spoiler alert: hyaluronic acid — the humectant known for its water-drawing and moisturizing capabilities — makes many a guest appearance.

How Skincare Experts Changed Their Routines For COVID-19 Masks

How 6 Skincare Experts Changed Their Routines For COVID-19 Masks

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After undergoing a cosmetic surgery or procedure, we’re all eager to heal and get back to our normal routines as quickly as possible without compromising results, right? Case in point: our overview of [post-procedure exercise guidelines](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures). 

As it turns out, it’s not just gentle movement, proper rest, and a healthy diet that benefit healing. In fact, a spa staple may very well deserve a spot in your recovery process thanks to its ability to reduce swelling, promote healing, and improve results. What is it, you ask? A manual lymphatic drainage massage. Here’s the scoop…

## **What Is the Lymphatic System?**
The lymphatic system is composed of a series of lymphatics (read: channels) that run throughout the body and lead back to larger lymph nodes. The job of the lymphatic system is to rid the body of toxins, waste, and unwanted materials, in addition to transporting lymph — a fluid containing white blood cells — throughout the body to help fight infection.   

## **Regular Massage vs. Lymphatic Massage**
Regular massages target the muscles, whereas lymphatic drainage massages address the skin in order to improve the efficiency of the lymphatic system. “A lymphatic drainage massage is different than getting a regular massage in the sense that long, rhythmic, wave-like strokes are used to open and then shut the lymphatics, leaving little time for that lymph to get sucked down along the vessel,” explains Leyla Valladares, manager of [Health in Hands Spa](https://healthinhandsspa.com/) in Hoboken, NJ.  

But that’s not all. “An appropriate rhythm will also stimulate the parasympathetic nervous system, causing the client to relax,” she says. Other benefits include reducing the effects of delayed onset muscle soreness and decreasing swelling, muscular fatigue, weakness, and pain.  

## **Benefits of a Post-Op Lymphatic Massage**
After cosmetic surgeries like [liposuction](https://aedit.com/procedure/tumescent-liposuction), [tummy tucks](https://aedit.com/procedure/abdominoplasty), or [arm](https://aedit.com/procedure/arm-lift), [thigh](https://aedit.com/procedure/thigh-lift), and [Brazilian butt lifts](https://aedit.com/procedure/brazilian-butt-lift), the lymphatic channels are disrupted and take about two to three months to make new connections.  Plastic surgeons agree that adding a series of lymphatic massages to a patient’s post-op care routines can benefit their recovery.

The massage technique helps to reduce swelling and improve aesthetic results by decreasing congestion of the tissue. “The masseuse will massage extra fluid towards the lymphatic tissue, so that it is more quickly absorbed by the body,” says [Melissa Doft, MD](https://aedit.com/provider/melissa-doft-md-63), a New York City-based double board certified plastic and reconstructive surgeon. And that can also help to prevent infection. “When there is lymphatic congestion, infection is a much higher risk and you can have healing problems due to the swelling of tissue,” explains [Richard Brown, MD](https://aedit.com/provider/richard-brown-md-4646), a double board certified plastic and reconstructive surgeon in Scottsdale, AZ. “That, in turn, can lead to pressure on incision lines.”

While lymphatic massages may be most closely associated with body procedures, Dr. Doft is known to recommend them for patients undergoing facial surgeries (think: [facelifts](https://aedit.com/procedure/smas-facelift)), too. Since all types of surgeries result in swelling, they can all benefit, she says.

## **When to Schedule a Lymphatic Massage** 
It’s recommended that patients who underwent surgeries like liposuction or tummy tucks start with three to five massage sessions beginning two weeks after the procedure. “The timing is ideal because the bruising will be gone, so it won’t be painful,” Dr. Doft shares.

It should be noted that lymphatic drainage massages aren’t recommended for patients if they have any of the following conditions:

- Congestive heart failure
- History of blood clots or stroke
- Current infection
- Liver or kidney problems

As with any treatment, expertise is key. Your surgeon will likely be able to recommend a licensed massage therapist in the area. And, of course, be sure to consult with your doctor before booking a series of lymphatic drainage massages to make sure they’ll benefit your post-operative plan. 

Treating yourself to post-procedure massages can help speed up recovery time and improve your cosmetic results. The AEDITION spoke with top plastic surgeons and a certified massage therapist to find out more.

Benefits Of Lymphatic Drainage Massages While Recovering From Cosmetic Surgery

Benefits Of Lymphatic Drainage Massages After Surgery

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I don’t know about you, but my face is freaking out. Between Zoom-illuminated under eye circles, [maskne that’s triggering teen trauma](https://aedit.com/aedition/how-to-treat-prevent-acne-caused-by-covid-19-masks-face-coverings), and a complexion dulled by quarantine cocktail hour(s), I’m in serious need of some professional assistance. 

My poor pores.

Fortunately, the stars have finally aligned. The State of California, Los Angeles County, and the City of Beverly Hills have all declared that it’s now possible for salons to provide post-quarantine  skincare services. And since I’ve managed to snag an appointment at one of L.A.’s hottest skin care meccas — [Lemaje](https://lemajeskincare.com/) on Robertson Boulevard — I’m absolutely beaming beneath my mask (can’t you tell?).

I’m stoked and, at the same time, a little apprehensive. I’m sure my skin will get the attention it deserves. But selfishly I wonder: Will I? Is this going to be the same pampering, relaxation-inducing experience I’m used to or will hand sanitizer and PPE prevent me from enjoying myself?

It’s a sunny, unusually humid afternoon in SoCal as I head out sans-makeup in quarantine casual. Not exactly dressed for a day of Beverly Hills boutiquing and brunch at The Ivy, but I’ve put on a bra and sneakers without holes. With the incredible lack of L.A. traffic, I make it there in record time. The first thing I notice when I arrive at Lemaje is the utter abundance of street parking. Like, there are spots — *plural* — on both sides of the tony, shop-lined street. While I feel for the proprietors of the many shuttered stores, I’m elated about my positive parking karma.

Per protocol, I wait outside in my mask for my appointment to begin — no perusing the pages of the latest gossip mags in the waiting area. An assistant props open the door to welcome me into the salon, as Maria emerges from behind the newly-installed plexiglass protecting the reception station to touchlessly take my temperature and squirt sanitizer into my hands. Owner and master esthetician Marina Lerman, who’s been in business for more than two decades, is also there to greet me. Her mask and face shield are unable to hide her smiling excitement to be receiving clients again at her salon.

Marina leads me down the hallway to Room 3, where the mood lighting and soothing music making my apprehensions melt away. Some things haven’t changed. I slip into the white terry cloth wrap and under the cozy covers to await my prognosis. *What will Marina say about my skin?* As if quarantine weren’t bad enough, lately it seems like I’ve simultaneously aged ten years *and* time-traveled back to my breakout years.

Marina breezes back in and cleanses my face with a soothing, repetitive motion of her gloved hands. I’m surprised that the gloves don’t feel as foreign as I’d assumed they would, and Marina tells me that she spent hours sourcing the softest, thinnest gloves available. “Most of the clients say they don’t mind,” she mentions. After removing the cleanser from my face with a warm, damp towel, she flips on the interrogation-grade lighting to examine the state of my complexion. “Mmmhmm,” she murmurs, “some pigmentation here, dryness over here… a bit of blackheads and whiteheads.” She pinches my cheeks a bit forcefully. “You have good tone. Your skin is not too sensitive,” she asserts in her Russian accent. “You have *pretty* good skin.”

She agrees that my melasma is noticeable but not terrible, and that I may be showing signs of mild rosacea. “Ask your dermatologist,” she advises. “Maybe a peel in the wintertime.” Marina gets the steam ready. “You’ll steam for eight minutes,” she instructs. “It’s very important that the steam be nice and warm, not too cold or too hot.”

She leaves me with the warm mist wafting across my face, and I feel myself melting just a little bit more into memories of carefree, pre-quarantine days. When Marina returns, I’m feeling very relaxed and ready for my facial massage. Turns out, I only thought I was relaxed. As she works her hands over the muscles of my neck and collarbone, Marina declares that I am “very, very tight.” The heels of her hands convene at the top of my sternum and extend outwards below my collarbone as she presses down firmly. “Feel yourself opening up like a book,” she commands.

I’m visualizing — hard — but I can tell this book ain’t budging. Months of hunching over the keyboard combined with zero trips to the gym to strength train and stretch flash before me as a mini-panic wave threatens to crash this facial siesta. Thankfully, Marina is completely unfazed by my unspoken internal chaos as she massages and manipulates my neck, arms, and décolleté until I finally submit. “Much better,” she proclaims. “Now we start on the face.”

Marina massages my cheeks and along my jawline using a combination of pressure from her fingertips and quick, pinching motions that feel like she’s trying to snap my skin into submission. It’s not as painful as it sounds. She tells me that she learned this technique, which stimulates blood flow and improves muscle tone, back in Russia. “It’s like a workout for your face,” she explains. “We go to the gym to strengthen our bodies but our face? No.” She compares taking care of your skin to maintaining a regular exercise routine. “The results of treatment stack up and keep your face lifted the more often you do it,” she explains. “It’s like working out: if you stop then you’ll gain weight, just like if you stop facial treatments, the effect won’t last.”

She checks in to make sure I’m doing okay, but, truthfully, the technique appeals to my Scandanavian sensibility. A little bit of pain means it must be working. When she’s finished, she remarks about my improved color and tone as she sets up for the next act: My first-ever oxygen facial. Soon, I’ll be ready for my close-up.

The [Intraceuticals Oxygen Facial](https://intraceuticals.com/our-expertise/oxygen-facial.html) has become a part of red carpet lore. Starlets swear by it — legend has it that Madonna kept a machine and an esthetician on standby so she could get glowing before every appearance. Marina checks to make sure I’m not allergic to vitamin C, which she explains is an integral part of the hyaluronic acid-based serum that she’ll infuse into the upper layers of my epidermis. She shows me the nebulizer tool (essentially an airbrush) that’s connected to a compressor that uses oxygen instead of regular old air. The idea is that the pressurized oxygen, along with the aerosolized serum (customized for each client’s complexion) penetrates to deliver skin-stimulating molecules, which impart an immediate, youthful radiance.

Sounds good to me.

Google this treatment, and you’ll find a fair number of naysayers — none of whom can deny the visible benefits well-documented by countless happy clients. If Marina, who at 58 looks more dewy and glowing than some of the Gen-Zers I know, swears by this solution to maintain her own beautiful skin. I’m all in.

Marina moves the tool methodically over each area of my face using slow, sweeping strokes that feel like a super-cool breeze. I don’t usually do cold. Or breezes. But, surprisingly, it’s extremely invigorating. We pause for a picture after she’s completed the entire right side. “You see how plump and *beautiful* it is, compared to the other side?” she remarks to her assistant as she gets going on my left cheek. I can’t wait to catch a glimpse of the new, post-quarantine me.

Speaking of quarantine, I ask Marina about how the shutdown affected her and her business. “I’m a workaholic, so I was going a tiny bit crazy,” she confesses. “But it would be unfair for me to say I suffered because everyone suffered. No matter what kind of business you have, everyone lost revenue when this pandemic shut down the city.” She says that CARES Act loans and a spike in their online product sales helped Lemaje weather the storm.

When I inquire about all the new regulations, Marina is matter-of-fact. “We’ve pretty much always followed these protocols,” she explains. “We have always had fresh sheets ready on the treatment beds and fresh towels, gowns, and headbands for each client.” She tells me that, in addition to wiping everything down with sanitizer, salon employees now sweep the entire treatment room with a UV sanitizing wand between clients.

As she’s finishing up, Marina asks me how I feel. Like Keanu Reeves in *The Matrix* awakening after his first training session: *I know kung fu.* Or Gwyneth Paltrow the morning after bedding the bard in *Shakespeare In Love*: *It is a new world.* “Wonderful,” I gush — and I haven’t even seen myself yet.

She leaves me to get changed, and I gaze for a moment in the mirror. *Holy smokes.* I’m plump and vibrant and glowing like a Rubens cherub. On my way home, I keep snatching glances in the rearview mirror. It’s like I’ve been real-life Facetuned. My daughter asks me how it went and quickly exclaims, “Wow, all your little wrinkles are gone.” Not even that ego-crushing reality check of a compliment can phase me because *yeah, she’s right.*

It’s true what they say. Looking better makes you feel better. “At the end of the day, people still need to look beautiful,” Marina had told me. But today I’ve realized that there’s more to it than that. People still need pampering, and, thankfully, people like Marina have a passion for providing it.

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Patient Perspective Collection | The AEDITION

Patient Perspective

With masks and facial coverings part of the new normal, one writer took hers off for a facial in Beverly Hills. Was it worth it?

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