A minor surgery that permanently removes varicose veins by removing the entire length of the affected vein.

Varicose veins are large, bulging, surface veins that commonly appear on the legs. Varicose veins form when the valves within the veins are unable to properly recirculate blood back up to the heart. The blood begins to pool within the vein causing a bulging appearance. Varicose veins are usually harmless, but can indicate a more serious health issue. Once it is determined that there is no underlying health concern, a treatment plan can be determined. 

Vein ligation and stripping is the most invasive treatment method for varicose vein removal. This treatment typically requires patients to undergo general anesthesia and surgery can last between 60-90 minutes or longer. The procedure involves removing the affected vein all at once, pulling the vein from the top of the leg through an incision at the knee or the ankle. Ambulatory phlebotomy is a similar procedure but only requires local anesthetic and removes the vein in smaller sections. 

Once the patient is sedated under general anesthesia, two incisions will be made: the first near the groin and the second near the knee or ankle. Incision location will vary depending on the individual needs of the patient. At the incision near the groin, the varicose vein will be located, severed, and stitched at the top. A wire will then be threaded through the entire length of the vein, exiting the body at the location of the second incision. As the wire is pulled out, the vein is removed from the body. Incisions will be closed with sutures. During surgery it is common to have smaller varicose veins removed as well. Incisions will be made near the vein, ligated, and surgically removed from the body without the need of a wire. These incisions typically only require adhesive strips for closure. The leg will then be bandaged and compression stockings may also need to be worn. Full recovery can take up to 4 weeks.

Ligation and Stripping for Varicose Veins

Vein Treatment

Skin

stripping1

- No special measures need to be taken before treatment 
- Advised to discontinue use of blood thinning medications 1 week before and after surgery

Before Treatment

stripping2

- General anesthesia
- Incisions made at groin and knee or ankle
- Varicose vein located and ligated at groin
- Wire threaded through vein and out second incision
- Wire pulls out affected vein
- Sutures to close
- Compressive dressings applied

During Treatment

stripping3

Immediately After Treatment

stripping4

- Return to work after a few days
- Wear compressive dressings constantly for 1 week
- Wear compressive dressings during the day for an additional week
- Compression therapy may last 4 weeks
- Return to all normal activity after 4 weeks

1-4 Weeks After Treatment and Beyond

stripping5

- Immediate results
- If the circulatory issue that originally caused the varicose veins is not addressed, recurrence is possible

Result Notes

Vein ligation and stripping is a minor surgery that permanently removes varicose veins. Here is a quick guide for what to expect before, during, and after a ligation and stripping procedure. 

ligation and stripping

Vein ligation and stripping is a minor surgery that permanently removes varicose veins. This technique is typically done under general anesthesia and removes the entire length of the affected vein. Ligation refers to the cutting and stitching of the vein, while stripping refers to the actual removal of the vein.

A minimally invasive procedure used to correct varicose veins using a small probe that collapses the vein walls.

Varicose veins are twisting, raised, visible bulges that typically occur on the legs. Varicose veins form when the valves within the veins are unable to properly circulate blood, causing a pooling of blood. While normally just an aesthetic issue, varicose veins can be an indicator of a more serious health problem. Once it is determined that there are no underlying health concerns, a treatment plan can be formed. 

Laser treatment for varicose veins is a minimally invasive procedure that is performed under local anesthesia, typically in under an hour. Endovenous laser ablation (EVLA) is very similar to radiofrequency occlusion treatment for varicose veins, however, EVLA is more successful in treating larger diameter veins. Once larger varicose veins have been treated with EVLA, smaller spider veins can be eliminated with sclerotherapy for a complete skin tone, texture, and contour improvement. 

During treatment, the patient will lay comfortably on a table. The end of the varicose vein, closest to the ankle, will be located using ultrasound technology and numbed with a local anesthesia. A needle will be inserted so a catheter can be guided into the vein. No incisions will need to be made. With the catheter is in place, the laser fiber will be guided up through the varicose vein towards the groin area. Once in place, a tumescent fluid comprised of saline, lidocaine, and epinephrine will be injected around the entirety of the varicose vein to protect surrounding tissue from the laser energy as well as improve contact between the vein wall and the probe. At this point, the lights may be dimmed in the procedure room as the laser probe will emit a light visible through the skin, indicating it is on. The probe will be slowly pulled out through the vein, ablating the vein walls, causing them to collapse. This collapsing inhibits blood flow to the vein, making the vein shrink over the course of several weeks. Once treatment is complete, the leg will be wrapped in a compressive dressing to help prevent swelling

Laser Treatment for Varicose Veins

evla1

No special measures need to be taken before EVLA treatment.

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- Ultrasound used to determine the location of the varicose vein
- Needle inserted to make entryway for laser fiber 
- Tumescent fluid injected around the vein
- Vein ablated with laser energy
- Once complete, leg will be wrapped in a compressive dressing

evla3

evla4

- Wear compression stockings continuously for 3 days
- After 3 days, wear compression stockings during the day for 3 weeks
- Elevate legs whenever possible
- Daily walking encouraged

1-3 Weeks After Treatment and Beyond

evla5

- Noticeable results after 1 week
- Final results after 3-4 weeks
- Sclerotherapy may be needed for spider veins 1 month after treatment
-  If the circulatory issue that originally caused the varicose veins is not addressed, recurrence is possible

Laser treatment for varicose veins, also called endovenous laser ablation (EVLA) or endovenous laser therapy (EVLT), is a minimally invasive procedure used to correct varicose veins. Here is a quick guide for what to expect before, during, and after EVLA treatment.

EVLA

Laser treatment for varicose veins, also called endovenous laser ablation (EVLA) or endovenous laser therapy (EVLT), is a minimally invasive procedure used to correct varicose veins. During an EVLA procedure, a small probe is inserted into the vein that emits laser energy to collapse the vein walls and eliminate the bulging vein.

Preserves the skin's outer layer which results in faster healing but with less dramatic results.

Uneven Skin Tone/Texture

Fine Lines/Wrinkles

In non-ablative resurfacing the endpoint is coagulation of the tissue, whereas in ablative resurfacing the endpoint is vaporization of the tissue. Either can be performed in a fractional technique, which delivers energy to the dermis to stimulate collagen remodeling through many narrow columns called microthermal treatment zones (MTZs). The epidermis at these sites is coagulated and destroyed, but the areas between these MTZs remains intact, leading to much faster healing. Each MTZ is one-tenth the size of a hair follicle. The energy deposited in the dermis then acts to tighten skin and stimulate collagen remodeling beneath a mostly intact epidermal layer. Remember that this energy is less than a full ablative technique and therefore multiple treatments are likely to be required.

Non-Ablative Laser Skin Resurfacing

Non-ablative laser skin resurfacing preserves the skin's outer layer. The layer that is being "ablated" or not is the epidermis - the outer covering of the skin. With ablative lasers the entire outer epidermis is removed, whereas in non-ablative techniques it is mostly preserved which results in faster healing but with less dramatic improvements.

Commonly found in skincare products that treat acne salicylic acid works to improve skin complexion through exfoliating.

Salicylic acid (SA) is a beta hydroxy acid that is naturally derived from willow bark, sweet birch, and wintergreen leaves. SA has been observed to decrease sebum secretion, exfoliate the skin, and reduce inflammation. In lower concentrations, typically .5-10%, SA can be found in many beauty and skincare products designed to reduce acne breakouts and facial redness. Salicylic acid in concentrations of 20-30% is effective as a superficial chemical peeling agent to improve the appearance of dry, dull, and uneven complexions. SA peels are considered superficial, meaning they do not penetrate deeper levels of the skin like medium and deep chemical peels. Multiple treatments are necessary to achieve desired results and are commonly combined with other procedures such as microneedling, microdermabrasion, and facials to further rejuvenate the skin. 

The patient's skin will be analyzed to determine candidacy for the chemical peel. Once approved and any pretreatment skincare courses have been completed, the patient will return to their provider's office for treatment. The skin will be cleansed and prepped. No anesthesia or topical numbing cream is needed as the SA solution will act as its own anesthetic. The solution will be applied to the skin is several coats and left on the skin for 3-5 minutes. Some patients notice a numbing affect to the treated areas 1-3 minutes and may experience a mild stinging sensation, all of which is normal.

Unlike a TCA peel, when frosting occurs during a salicylic acid peel it indicates a crystallization of the SA, not a change in the skin proteins. If the skin begins to turn a white color during a salicylic peel, the patient then may experience more peeling and crusting post procedure. Depending on cause for treatment frosting may or may not be acceptable, which is why it is important to seek a skincare professional to perform chemical exfoliating treatments. After 3-5 minutes the applied solution will be removed with water or a gentle cleanser, no neutralizing agent is necessary. A moisturizing cream will then be applied. Most patients are then able to resume normal activity with little to no downtime.

Salicylic Acid Peel

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- Avoid excessive sun exposure and wear an SPF daily 
- Stop smoking 2 weeks before and after treatment
- Begin pretreatment skincare regimen 2-6 weeks before treatment which will vary depending on reason for treatment

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- Skin will be cleansed and prepped
- No anesthesia 
- SA solution applied to the skin is several coats 
- Solution left on the skin for 3-5 minutes
- No neutralizing agent is necessary
- Skin cleansed
- Moisturizing cream applied

sal3

- Mild redness and irritation 
- Resume all normal activities

sal4

- Redness and irritation
- Use moisturizer and topical steroid cream as needed
- Mild peeling and crusting
- Makeup permitted once skin is no longer irritated 

1-2 Days After Treatment and Beyond

sal5

- Results after a series of 3-6 treatments, 4-6 weeks apart
- Maintenance treatments every 6 months

Salicylic acid is a powerful exfoliating agent used in chemical peeling treatment to improve overall complexion and pigmentation irregularities. Here is a quick guide for what to expect before, during, and after a salicylic acid chemical peel.

Salicylic Chemical Peel

Salicylic acid is a common ingredient found in skincare products that treat acne blemishes. In higher concentrations salicylic acid is a powerful exfoliating agent used in chemical peeling treatment to improve overall complexion and pigmentation irregularities.

Used to remove hair from the face and body by weakening the hair so that it easily scapes off.

Unwanted Hair

Depilatory creams are a form of temporary hair removal. Like waxing and threading, depilatory creams can provide longer lasting results as opposed to tweezing or shaving. While typically available as a cream product, depilatories are also available as lotions, gels, and aerosols. 

Before using a depilatory cream, be sure to perform an allergy test in a small, discreet area. The chemicals within the product that are used to break down the hair structure can also irritate the skin and cause skin reactions such as redness, itching, and bumps. The skin should be cleansed, the product applied, and left on for the suggested amount of time. Once the allotted time has elapsed, the product is rubbed away along with unwanted hairs. Wear loose fitting clothing and do not scratch the treated area afterwards for best results.

Depilatory Creams

dep1

- Patch test the product 24 hours in advance to check for allergies
- Hair must be at least 1/4 inch
- Exfoliate the treatment area for best results

dep2

- Cleanse the skin
- Apply product in areas with unwanted hair
- Product should be left on the skin for instructed amount of time
- Wipe away product and hairs
- Cleanse the skin once more

dep3

- No recovery needed
- Resume normal activities immediately
- Skin may be sensitive

dep4

- Immediate
- Maintenance treatments needed every 3-14 days

Chemical depilatories are used to remove hair from the face and body. Here is a quick guide for what to expect before, during, and after treatment with depilatory creams.

A chemical depilatory is used to remove hair from the face and body. Common active ingredients are derivatives of thioglycolic acid and thiolactic acids. These compounds breaks the disulfide bonds in keratin and weakens the hair so that it is easily scraped off where it emerges from the hair follicle.

A minimally invasive surgery that removes bulging, enlarged veins on the legs.

Varicose veins occur when veins are not able to efficiently transport blood back to the heart. Veins work against gravity to recirculate blood throughout the body, and when the valves within the vein walls do not work properly, blood can begin to pool and cause bulging varicose veins. Any vein can become varicose, although it more commonly occurs in the legs due to increased pressure caused by normal standing and walking. Varicose veins, like spider veins, are typically a cosmetic issue and do not cause most people pain, although they can be a sign of an underlying serious health issue. 

Once it has been determined that the varicose veins are not indicators for a more serious health concern, treatment can be performed. Ambulatory phlebectomy is a minimally invasive procedure that permanently removes the affected vein from the treatment area. Previous methods, such as ligation and stripping, are much more involved and require a greater recovery time. This technique requires no stitches and most patients are able to return to normal activity within a few days. Once the varicose vein is removed, the body will reroute the blood flow to healthier veins. 

For veins that affect the entire leg, the vein will be removed starting at the ankle moving upwards. Small incisions that require no stitches will be made every 2-15cm. The incisions will be infiltrated with a solution that is comprised of a numbing agent as well as epinephrine to help prevent bleeding. The surgeon will then carefully dissect the vein through the incisions, grasping the vein with forceps, removing any fibroadipose attachments, and pulling the vein out of the leg. This procedure can last between 60-120 minutes. When the procedure is complete, the patient will be wrapped in a compressive garment that should be worn constantly for 1-3 weeks.

Ambulatory Phlebectomy for Varicose Veins

phleb1

No special measures need to be taken before treatment.

phleb2

- Treatment area cleansed and numbed
- Small incisions made along varicose vein
- Vein is dissected in small sections through incisions 
- Procedure lasts between 60-120 minutes
- Compressive dressings applied once procedure is complete

phleb3

- Bruising and swelling
- Minor discomfort

phleb4

- Most patients return to work after 1 week
- Compressive garments should be worn constantly for 1-3 weeks
- Keep leg elevated whenever possible

phleb5

- Immediate improvement
- Permanent 
- If underlying circulatory issue that originally caused the varicose veins is not addressed, recurrence is possible

An ambulatory phlebectomy is a minimally invasive surgery that removes varicose veins for improved body contours. Here is a quick guide for what to expect before, during, and after an ambulatory phlebectomy. 

Ambulatory phlebectomy

Varicose veins are bulging, enlarged veins that typically occur on the legs. An ambulatory phlebectomy is a minimally invasive surgery that removes varicose veins for improved body contours.

Non-laser treatment that helps to reduce the appearance of fine lines, wrinkles, and facial volume loss.

For individuals with fine lines and wrinkles, there are several non-invasive options available to erase the signs of aging. While laser resurfacing treatments are popular, plasma skin resurfacing can produce similar results with a shorter recovery period. Plasma skin resurfacing is different from laser treatments in that ultrahigh-frequency waves impart energy to a flow of inert nitrogen gas, penetrating deep into the epidermis, encouraging collagen production. Plasma resurfacing does not cause the skin to immediately shed and exfoliate, but will begin to squamate 4-7 days after treatment. This allows the stratum corneum, the outermost layer of skin, to act as a bandage for the wounded skin underneath. Once the outer layer of damaged skin is exfoliated away, a new layer of skin will be revealed. Collagen production will continue for several months, making the skin appear younger and plumper.

Before treatment, the skin will be anesthetized with a topical numbing cream. The handpiece will be held over the treatment area, targeting uneven skin pigmentation, fine lines, and wrinkles. It is common for patients to feel a warm sensation throughout the duration of the treatment. Depending on the needs of the patient and the size of the treatment area, sessions will last between 15-45 minutes. Final results are noticeable after 3 months with continuous improvement for up to 6 months after treatment.

Plasma Skin Resurfacing

Skin Rejuvenation and Resurfacing

plasma1

- Limit sun exposure and wear sunscreen daily 
- Stop prescription strength skincare products 
- An antiviral medication may be prescribed

plasma2

- Topical numbing cream
- Handpiece held over treatment area to deliver plasma energy 
- Sessions will last between 15-45 minutes

plasma3

plasma4

- Do not wash the treated areas for 1 day
- Keep the skin moisturized 
- Use cool compresses and OTC pain medication for discomfort and swelling
- Redness and itching for up to 10 days
- Do not wear makeup for 3-10 days
- Wear sunscreen daily to prevent further skin damage

1-2 Weeks After Treatment and Beyond

plasma5

- Recovery complete within 2 weeks
- Final results after 3 months 
- Continued improvement for up to 6 months
- Several treatments may be necessary 
- Upkeep treatments needed once yearly

Plasma skin resurfacing is a non-laser treatment that helps to reduce the appearance of fine lines, wrinkles, and facial volume loss. Here is a quick guide for what to expect before, during, and after a plasma skin resurfacing treatment.

Plasma skin resurfacing is a non-laser treatment that helps to reduce the appearance of fine lines, wrinkles, and facial volume loss. Plasma resurfacing can also be used to treat skin discolorations as well such as age spots and certain precancerous marks.

Erases unwanted or regrettable ink in the skin with Q-switched lasers being the most commonly used to break ink pigment.

Tattoo Removal

The decision to have a tattoo removed can be caused by a number of reasons from dissatisfaction with the artistry to wanting to appear more professional. If covering up the tattoo with more ink is not a viable option, laser removal may be more suitable. Laser tattoo removal is typically a gradual treatment, with improvement seen over the course of 2-10 sessions. A number of different lasers may be used for treatment, all with the same goal of breaking down larger pigment particles of the tattoo for the body to naturally eliminate via the lymphatic system. Depending on the colors used in the tattoo, several laser frequencies may need to be used for the specific pigment to respond to the laser energy. Popular lasers for tattoo removal include Picosure and Enlighten.

Depending on the pain tolerance of the patient, no anesthetic may be applied, an oral sedative may be used, topical anesthetic may be applied, or simple ice packs used to numb the treatment area. Next, the laser will be held near the skin, deliver short pulses of laser energy to the skin. The treated skin will temporarily take on a frosted appearance. Some patients may experience some bleeding during the treatment session as well. Once the entire tattoo has been treated, a soothing ointment may be applied and the tattoo bandaged. Once the tattoo is healed after several weeks, successive treatments will typically be needed to completely remove the tattoo.

Laser Tattoo Removal

Laser Tattoo Removal Procedure

lasertattoo1

- No special measures need to be taken before treatment
- Stop smoking 4 weeks before and after
- Avoid sun exposure 4 weeks before and after

lasertattoo2

- Topical anesthetic may be applied
- Laser applied to treatment area
- Ointment applied after treatment
- Skin wrapped in protective bandages 

lasertattoo3

- Mild discomfort
- Redness and swelling
- Skin may start to peel and scab

lasertattoo4

- Keep area clean and dry while healing
- Apply a thin coat of antibiotic ointment at least 3 times daily or as needed
- Cool compresses can be used to alleviate any swelling or discomfort
- Do not pick at any scabs or peeling skin

1-14 Days After Treatment and Beyond

lasertattoo5

- Results are gradual and typically require 2-10 sessions
- Results are permanent 

Laser tattoo removal is an effective method for erasing unwanted or regrettable ink. Here is a quick guide for what to expect before, during, and after a laser tattoo removal treatment. 

Laser tattoo removal is an effective method for erasing unwanted or regrettable ink. A number of different lasers can be used during treatment although Q-switched lasers are most common as they can deliver short bursts of high intensity energy to break up tattoo pigment.

USed for treating varicose veins using RF energy that causes vein walls to collapse and blood to be rerouted.

Varicose veins are dilated and rope-like veins that typically appear on the lower extremities. When the valves inside of veins are unable to efficiently transport blood, the blood begins to pool and bulge. Any vein can become varicose, although the legs are more commonly affected since blood flow is constantly working against gravity to recirculate blood. Varicose veins are common and are usually just cosmetic, although sometimes they can be an indicator of a more serious health issue. Once it is determined that there is no underlying health concern, varicose veins can be easily treated with a simple, in office procedure such as radiofrequency occlusion. 

Radiofrequency occlusion is a minimally invasive treatment that helps to reduce and eliminate the appearance of unsightly varicose veins. This treatment uses RF energy to collapse and harden vein walls, causing the vein to close and blood to no longer flow through that vein. With no blood flowing through the vein, the bulging effect disappears. RF occlusion, unlike ambulatory phlebotomy and ligation and stripping methods, does not actually remove the vein from the body. However, RF occlusion can be performed prior to a vein removal surgery.

Ultrasound technology will be used to determine the location of the varicose vein and will help guide the surgeon for accurate placement of the initial needle insertion. The insertion point will be anesthetized with a local numbing agent for patient comfort and a series of guide wires and dilators will be inserted into the affected vein. The guide wires and dilators will then be removed so the radiofrequency ablation catheter fiber can be inserted. Once the fiber is in position, a tumescent fluid will be injected around the compartment that surrounds the vein. This not only provides patient comfort, but helps to protect surrounding tissue from the RF heat and improves contact between the vein wall and the catheter during treatment. 

Treatment then begins by ablating 3-7cm sections for 20-40 second intervals with RF energy as the fiber is drawn out of the leg. Once treatment is complete, the leg will be wrapped in a compressive dressing to help prevent swelling. Initial results can be seen after 1 week however final results are determined after 3-4 weeks.

Radiofrequency Occlusion for Varicose Veins

rfocc1

No special measures need to be taken before a radiofrequency occlusion procedure.

rfocc2

- Ultrasound used to determine the location of the varicose vein
- Needle inserted for guide wires and dilators to make path for RF fiber
- Guide wires and dilators removed and RF fiber inserted
- Tumescent fluid injected around the vein
- Vein ablated every 3-7cm for 20-40 second intervals
- Once complete, leg will be wrapped in a compressive dressing

rfocc3

- Swelling and discomfort
- Wear bandage for 24 hours

rfocc4

- Remove bandages day after procedure 
- Wear the support stockings during the day for 2 weeks
- It is not necessary to wear stockings while sleeping
- Walking is encouraged to decrease risk of blood clots
- Avoid strenuous activity or long periods of standing for 2 weeks

rfocc5

- Improvement noticeable after 1 week 
- Final results determined after 3-4 weeks
- If the circulatory issue that originally caused the varicose veins is not addressed, recurrence is possible

Radiofrequency occlusion, also know as radio frequency ablation or RFA, is a minimally invasive technique for treating varicose veins. Here is a quick guide for what to expect before, during, and after a radiofrequency occlusion treatment.

RF Occlusion

Radiofrequency occlusion, also know as radio frequency ablation or RFA, is a minimally invasive technique for treating varicose veins. During treatment, RF energy that is emitted from a catheter causes vein walls to collapse and blood to be naturally rerouted to healthier veins.

Exfoliates the skin by removing dead, uneven layers of skin to allow radiant skin to surface.

Melasma

Nasolabial Folds

The diamond tip microdermabrasion approach uses a diamond-tip wand that is gently moved across the skin to exfoliate the face. Diamond tip microdermabrasion is typically compared to its predecessor, crystal microdermabrasion, which exfoliates the skin with a precise stream of tiny crystals. Hydradermabrasion, which harnesses the power of a pressurized water flow to wear away dead skin cells, is yet another microdermabrasion treatment available to patients. While all three methods of microdermabrasion are effective, it is important to note that the skincare professional performing the service can be more important than which technique is utilized. 

During a diamond tip microdermabrasion session, each treatment will last about a half hour. You may feel a mild scratching as the procedure removes the superficial skin cells. This technique has been compared to a mild sand-papering of the skin, whereas crystal microdermabrasion would be akin to a light sand-blasting. Additionally, you'll notice a vibrating sensation akin to a massage. There is also a suction mechanism to lift off the dead skin.

Diamond Tip Microdermabrasion

Microdermabrasion

diamond1

- Do not use Retin-A or other exfoliating creams for 1-3 days
- Avoid tanning and waxing for 1 week before 
- No chemical peels or dermal injections for 2-3 weeks prior

diamond2

- Topical numbing cream may be applied
- Diamond tipped wand is moved across skin removing uneven, pigmented skin cells
- A suction mechanism lifts off the exfoliated skin

diamond3

diamond4

- Keep skin clean and moisturized
- Anti-inflammatory creams or cold compresses may be used as necessary
- Avoid irritating scrubs and skincare products for 1 week
- Return to work in 1-2 days

diamond5

- One session can improve skin's color, tone, and health
- Skin will appear smoother immediately after treatment 
- Best results with multiple treatments at intervals of 2-3 weeks

Diamond tip microdermabrasion is a minimally invasive treatment that professionally exfoliates the skin by removing dead, uneven layers of skin. Here is a quick guide for what to expect before, during, and after diamond tip microdermabrasion.

Diamond tip microdermabrasion is a minimally invasive treatment that professionally exfoliates the skin by removing dead, uneven layers of skin. This method of microdermabrasion uses a diamond tipped instrument to lightly abrade the top layers of skin and bring new, radiant skin to the surface.

A pill that may slow or reduce hair growth in areas with unwanted hair but will not get rid of hair on the scalp.

Spironolactone is a diuretic commonly used to treat fluid retention but has shown results for patients suffering from unwanted hair. Its anti-androgen effects can counter the hormones that promote excessive hair growth. Take medication after a meal, once daily or as prescribed. Take this medication for the entire length of time prescribed.

Spironolactone for Unwanted Hair

spiro 1

- No special measures need to be taken before treatment of acne with Spironolactone
- Notify your primary care physician once you have begun treatment

spiro 2

Side effects will start to develop during the first month of treatment and may include:
- Menstrual irregularities
- Fatigue and dizziness
- Breast tenderness

During Treatment: Week 1-4

spiro 3.1

Results are typically seen after 4-8 weeks of treatment. If unwanted hair does not clear up within this timeframe, your doctor may increase the dosage. Treatment will be continued until the patient would like to become pregnant. 


During Treatment: Week 4-8 and Beyond

spiro 4

Treatment with Spironolactone often results in prolonged clearance of unwanted hair, which can be permanent for some patients. Some hair may return which will usually not be as severe as before treatment. Some patients do not respond at all to treatment.

After Treatment: 

Spironolactone is a pill that may slow or reduce hair growth in areas with unwanted hair. It will not get rid of the hair on the scalp and may actually stimulate growth there. Here is a quick guide for what to expect before, during, and after treatment with Spironolactone. 

Spironolactone is a pill that may slow or reduce hair growth in areas with unwanted hair. It will not get rid of the hair on the scalp and may actually stimulate growth there.

Used to treat several ailments related to asthma, arthritis, and cosmetic reasons by reducing wrinkles and fine lines.

While there are a number of conflicting studies in regards to the efficacy of acupuncture, the practice has persisted for thousands of years. Acupuncture treatment involves the insertion of needles into the skin ranging from 3mm-2cm deep. Acupuncture originated in China, and was used to cure a number of illnesses and ailments. Thin needles were inserted into specific points to correct the flow of qi. Qi is the body’s life force, and when the flow of qi is disrupted, it causes an ailment ranging from allergies to tooth pain and everything in between. By inserting the needles at specific points along certain flows on the body, or meridians, it removes blockages, restores the flow of qi, and rids the body of its pain or sickness. 

Cosmetic acupuncture, also known as “natural Botox”, helps to reduce fine lines and wrinkles. Although this treatment will not garner the same results as Botox, the procedure is meant to induce collagen production and provide a natural plumping to the skin. Effects from cosmetic acupuncture are more akin to microneedling than Botox, but will still not produce the same effect as microneedling. This is because microneedling devices cover a larger treatment area than individual acupuncture needles. 

The same needles that are used for acupuncture to treat pain are used during this treatment. The treatment area will be cleansed and the needles will be individually inserted into the skin. Needles are kept within a plastic tube, placed on top of the skin, and tapped to insert the needle into the skin. Once all of the needles are in place—up to 30-50 all over the head, face, and body—the needles will be kept in place for 20-30 minutes. Cosmetic acupuncture will help to induce collagen production and circulation to the treated area, improving fine lines. Multiple treatments will be needed to see results

Cosmetic Acupuncture

acupuncture1

No special measures need to be taken before treatment, although it is recommended to eat but not drink caffeinated beverages or alcohol before treatment.

acupuncture2

- Treatment area cleansed
- 30-50 needles inserted into the face, head, and body
- Needles left in place for 20-30 minutes
- Needles removed

acupuncture3

- May experience slight bruising or spot bleeding
- Patients can return to normal activity
- No recovery time needed

Immediately After Treatment and Beyond

acupuncture4

- Results seen after a series of 5-10 treatments
- Maintenance treatments every 5 weeks
- Results are temporary

Cosmetic acupuncture is performed to reduce the appearance of fine lines and wrinkles for a more rejuvenated look. Here is a quick guide for what to expect before, during, and after a cosmetic acupuncture treatment.

Cosmetic Accupuncture

Acupuncture, which is used to treat a plethora of ailments from asthma to arthritis, can also be performed for cosmetic reasons. Cosmetic acupuncture is performed to reduce the appearance of fine lines and wrinkles for a more rejuvenated look.

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