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(1, 1, '2015-11-27 17:00:35', '2015-11-27 17:00:35', 'Welcome to WordPress. This is your first post. Edit or delete it, then start blogging!', 'Hello world!', '', 'publish', 'open', 'open', '', 'hello-world', '', '', '2015-11-27 17:00:35', '2015-11-27 17:00:35', '', 0, 'http://philadelphiadermatology.com/?p=1', 0, 'post', '', 0),
(4, 1, '2015-11-27 17:42:45', '2015-11-27 17:42:45', '', 'HOME', '', 'publish', 'closed', 'open', '', 'home', '', '', '2016-01-11 11:14:41', '2016-01-11 11:14:41', '', 0, 'http://philadelphiadermatology.com/?p=4', 1, 'nav_menu_item', '', 0),
(17, 1, '2015-12-06 18:24:15', '2015-12-06 18:24:15', '<div class="acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-treatment-photo.jpg" alt="" />\r\n<p>Acne is a frustrating and often embarrassing skin ailment. Fortunately, it is one of the most common skin conditions that we treat. We utilize medications, light therapies, acne facials, and other procedures to treat mild, moderate, and severe acne. No matter what type of acne our patients have, we use our experience and resources to customize the most effective treatment plan for them.</p>\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Procedure Efficacy</h4>\r\n<p>Everyone’s expression of acne is unique and can range from mild to severe. Severe acne is most responsive to photodynamic therapy and medication, such as Accutane. Moderate acne is most effectively improved with medication, acne facials, pulsed dye laser treatment, and smoothbeam laser treatment. A series of acne facials, chemical peels, and microdermabrasion are most effective at treating mild acne.</p>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>TREAMENT PLAN</h4>\r\n<p>The quickest and most effective way to treat acne is with a combination of different modalities that attack specific causes of acne. The efficacy of medication and photodynamic therapy can be enhanced with procedures that open up microcomedos, the starter lesions of all acne. These procedures include acne facials with extractions, salicylic acid peels, and microdermabrasion. \r\nGlycolic acid topicals and peels can also be used to reduce the appearance of lingering pigment caused by old acne breakouts.</p>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>TREAMENT BY CORE CAUSES</h4>\r\n<p>Acne can seem relentless because there are several factors that contribute to the formation of breakouts. The four most common causes of acne are clogged oil ducts, hormones, bacterial colonization, and inflammation. These factors can even be worsened by increased stress and an unhealthy diet. Combatting all of these causes can seem overwhelming and discouraging. Fortunately, our experienced dermatologists understand each cause and know what therapies are needed to attack each one. *see Treatment by Core Causes table*</p>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>TIME TO RESULTS</h4>\r\n<p>In mild acne, improvement can be seen after 1-2 months of treatment. Moderate acne usually takes about 2-4 months of treatment to see improvement, while improvement in severe acne can be seen after 4-6 months of treatment.</p>\r\n</div>\r\n</div>', 'Acne Treatment', '', 'publish', 'closed', 'closed', '', 'acne-treatment', '', '', '2016-01-04 23:11:45', '2016-01-04 23:11:45', '', 0, 'http://philadelphiadermatology.com/?page_id=17', 0, 'page', '', 0),
(18, 1, '2015-12-06 18:24:15', '2015-12-06 18:24:15', '', 'Acne Treatment', '', 'inherit', 'closed', 'closed', '', '17-revision-v1', '', '', '2015-12-06 18:24:15', '2015-12-06 18:24:15', '', 17, 'http://philadelphiadermatology.com/17-revision-v1/', 0, 'revision', '', 0),
(19, 1, '2015-12-06 18:29:35', '2015-12-06 18:29:35', '<img src="/wp-content/themes/ringpfeildermatology/images/acne-treatment-photo.jpg" alt="" />\r\n<p>Acne is a frustrating and often embarrassing skin ailment. Fortunately, it is one of the most common skin conditions that we treat. We utilize medications, light therapies, acne facials, and other procedures to treat mild, moderate, and severe acne. No matter what type of acne our patients have, we use our experience and resources to customize the most effective treatment plan for them.</p>', 'Acne Treatment', '', 'inherit', 'closed', 'closed', '', '17-revision-v1', '', '', '2015-12-06 18:29:35', '2015-12-06 18:29:35', '', 17, 'http://philadelphiadermatology.com/17-revision-v1/', 0, 'revision', '', 0),
(20, 1, '2015-12-06 18:30:26', '2015-12-06 18:30:26', '<img src="wp-content/themes/ringpfeildermatology/images/acne-treatment-photo.jpg" alt="" />\r\n<p>Acne is a frustrating and often embarrassing skin ailment. Fortunately, it is one of the most common skin conditions that we treat. We utilize medications, light therapies, acne facials, and other procedures to treat mild, moderate, and severe acne. No matter what type of acne our patients have, we use our experience and resources to customize the most effective treatment plan for them.</p>', 'Acne Treatment', '', 'inherit', 'closed', 'closed', '', '17-revision-v1', '', '', '2015-12-06 18:30:26', '2015-12-06 18:30:26', '', 17, 'http://philadelphiadermatology.com/17-revision-v1/', 0, 'revision', '', 0),
(21, 1, '2015-12-06 18:30:36', '2015-12-06 18:30:36', '<img src="../wp-content/themes/ringpfeildermatology/images/acne-treatment-photo.jpg" alt="" />\n<p>Acne is a frustrating and often embarrassing skin ailment. Fortunately, it is one of the most common skin conditions that we treat. We utilize medications, light therapies, acne facials, and other procedures to treat mild, moderate, and severe acne. No matter what type of acne our patients have, we use our experience and resources to customize the most effective treatment plan for them.</p>', 'Acne Treatment', '', 'inherit', 'closed', 'closed', '', '17-autosave-v1', '', '', '2015-12-06 18:30:36', '2015-12-06 18:30:36', '', 17, 'http://philadelphiadermatology.com/17-autosave-v1/', 0, 'revision', '', 0),
(22, 1, '2015-12-06 18:30:38', '2015-12-06 18:30:38', '<img src="../wp-content/themes/ringpfeildermatology/images/acne-treatment-photo.jpg" alt="" />\r\n<p>Acne is a frustrating and often embarrassing skin ailment. Fortunately, it is one of the most common skin conditions that we treat. We utilize medications, light therapies, acne facials, and other procedures to treat mild, moderate, and severe acne. No matter what type of acne our patients have, we use our experience and resources to customize the most effective treatment plan for them.</p>', 'Acne Treatment', '', 'inherit', 'closed', 'closed', '', '17-revision-v1', '', '', '2015-12-06 18:30:38', '2015-12-06 18:30:38', '', 17, 'http://philadelphiadermatology.com/17-revision-v1/', 0, 'revision', '', 0),
(23, 1, '2015-12-06 20:19:27', '2015-12-06 20:19:27', '<img src="../wp-content/themes/ringpfeildermatology/images/acne-treatment-photo.jpg" alt="" />\r\n<p>Acne is a frustrating and often embarrassing skin ailment. Fortunately, it is one of the most common skin conditions that we treat. We utilize medications, light therapies, acne facials, and other procedures to treat mild, moderate, and severe acne. No matter what type of acne our patients have, we use our experience and resources to customize the most effective treatment plan for them.</p>\r\n\r\n\r\n<div>\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Procedure Efficacy</h4>\r\n<p>Everyone’s expression of acne is unique and can range from mild to severe. Severe acne is most responsive to photodynamic therapy and medication, such as Accutane. Moderate acne is most effectively improved with medication, acne facials, pulsed dye laser treatment, and smoothbeam laser treatment. A series of acne facials, chemical peels, and microdermabrasion are most effective at treating mild acne.</p>\r\n</div>\r\n\r\n<div>\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>TREAMENT PLAN</h4>\r\n<p>The quickest and most effective way to treat acne is with a combination of different modalities that attack specific causes of acne. The efficacy of medication and photodynamic therapy can be enhanced with procedures that open up microcomedos, the starter lesions of all acne. These procedures include acne facials with extractions, salicylic acid peels, and microdermabrasion. \r\nGlycolic acid topicals and peels can also be used to reduce the appearance of lingering pigment caused by old acne breakouts.</p>\r\n</div>\r\n\r\n<div>\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>TREAMENT BY CORE CAUSES</h4>\r\n<p>Acne can seem relentless because there are several factors that contribute to the formation of breakouts. The four most common causes of acne are clogged oil ducts, hormones, bacterial colonization, and inflammation. These factors can even be worsened by increased stress and an unhealthy diet. Combatting all of these causes can seem overwhelming and discouraging. Fortunately, our experienced dermatologists understand each cause and know what therapies are needed to attack each one. *see Treatment by Core Causes table*</p>\r\n</div>\r\n\r\n<div>\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>TIME TO RESULTS</h4>\r\n<p>In mild acne, improvement can be seen after 1-2 months of treatment. Moderate acne usually takes about 2-4 months of treatment to see improvement, while improvement in severe acne can be seen after 4-6 months of treatment.</p>\r\n</div>', 'Acne Treatment', '', 'inherit', 'closed', 'closed', '', '17-revision-v1', '', '', '2015-12-06 20:19:27', '2015-12-06 20:19:27', '', 17, 'http://philadelphiadermatology.com/17-revision-v1/', 0, 'revision', '', 0),
(24, 1, '2015-12-06 20:41:49', '2015-12-06 20:41:49', '<img src="../wp-content/themes/ringpfeildermatology/images/acne-treatment-photo.jpg" alt="" />\r\n<p>Acne is a frustrating and often embarrassing skin ailment. Fortunately, it is one of the most common skin conditions that we treat. We utilize medications, light therapies, acne facials, and other procedures to treat mild, moderate, and severe acne. No matter what type of acne our patients have, we use our experience and resources to customize the most effective treatment plan for them.</p>\r\n\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Procedure Efficacy</h4>\r\n<p>Everyone’s expression of acne is unique and can range from mild to severe. Severe acne is most responsive to photodynamic therapy and medication, such as Accutane. Moderate acne is most effectively improved with medication, acne facials, pulsed dye laser treatment, and smoothbeam laser treatment. A series of acne facials, chemical peels, and microdermabrasion are most effective at treating mild acne.</p>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>TREAMENT PLAN</h4>\r\n<p>The quickest and most effective way to treat acne is with a combination of different modalities that attack specific causes of acne. The efficacy of medication and photodynamic therapy can be enhanced with procedures that open up microcomedos, the starter lesions of all acne. These procedures include acne facials with extractions, salicylic acid peels, and microdermabrasion. \r\nGlycolic acid topicals and peels can also be used to reduce the appearance of lingering pigment caused by old acne breakouts.</p>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>TREAMENT BY CORE CAUSES</h4>\r\n<p>Acne can seem relentless because there are several factors that contribute to the formation of breakouts. The four most common causes of acne are clogged oil ducts, hormones, bacterial colonization, and inflammation. These factors can even be worsened by increased stress and an unhealthy diet. Combatting all of these causes can seem overwhelming and discouraging. Fortunately, our experienced dermatologists understand each cause and know what therapies are needed to attack each one. *see Treatment by Core Causes table*</p>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>TIME TO RESULTS</h4>\r\n<p>In mild acne, improvement can be seen after 1-2 months of treatment. Moderate acne usually takes about 2-4 months of treatment to see improvement, while improvement in severe acne can be seen after 4-6 months of treatment.</p>\r\n</div>\r\n</div>', 'Acne Treatment', '', 'inherit', 'closed', 'closed', '', '17-revision-v1', '', '', '2015-12-06 20:41:49', '2015-12-06 20:41:49', '', 17, 'http://philadelphiadermatology.com/17-revision-v1/', 0, 'revision', '', 0),
(25, 1, '2015-12-06 20:42:07', '2015-12-06 20:42:07', '<img src="../wp-content/themes/ringpfeildermatology/images/acne-treatment-photo.jpg" alt="" />\r\n\r\nAcne is a frustrating and often embarrassing skin ailment. Fortunately, it is one of the most common skin conditions that we treat. We utilize medications, light therapies, acne facials, and other procedures to treat mild, moderate, and severe acne. No matter what type of acne our patients have, we use our experience and resources to customize the most effective treatment plan for them.\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box"><img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Procedure Efficacy</h4>\r\nEveryone’s expression of acne is unique and can range from mild to severe. Severe acne is most responsive to photodynamic therapy and medication, such as Accutane. Moderate acne is most effectively improved with medication, acne facials, pulsed dye laser treatment, and smoothbeam laser treatment. A series of acne facials, chemical peels, and microdermabrasion are most effective at treating mild acne.\r\n\r\n</div>\r\n<div class="acne-procedur-box"><img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>TREAMENT PLAN</h4>\r\nThe quickest and most effective way to treat acne is with a combination of different modalities that attack specific causes of acne. The efficacy of medication and photodynamic therapy can be enhanced with procedures that open up microcomedos, the starter lesions of all acne. These procedures include acne facials with extractions, salicylic acid peels, and microdermabrasion.\r\nGlycolic acid topicals and peels can also be used to reduce the appearance of lingering pigment caused by old acne breakouts.\r\n\r\n</div>\r\n<div class="acne-procedur-box"><img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>TREAMENT BY CORE CAUSES</h4>\r\nAcne can seem relentless because there are several factors that contribute to the formation of breakouts. The four most common causes of acne are clogged oil ducts, hormones, bacterial colonization, and inflammation. These factors can even be worsened by increased stress and an unhealthy diet. Combatting all of these causes can seem overwhelming and discouraging. Fortunately, our experienced dermatologists understand each cause and know what therapies are needed to attack each one. *see Treatment by Core Causes table*\r\n\r\n</div>\r\n<div class="acne-procedur-box"><img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>TIME TO RESULTS</h4>\r\nIn mild acne, improvement can be seen after 1-2 months of treatment. Moderate acne usually takes about 2-4 months of treatment to see improvement, while improvement in severe acne can be seen after 4-6 months of treatment.\r\n\r\n</div>\r\n</div>', 'Acne Treatment', '', 'inherit', 'closed', 'closed', '', '17-revision-v1', '', '', '2015-12-06 20:42:07', '2015-12-06 20:42:07', '', 17, 'http://philadelphiadermatology.com/17-revision-v1/', 0, 'revision', '', 0),
(26, 1, '2015-12-06 20:46:33', '2015-12-06 20:46:33', '<img src="../wp-content/themes/ringpfeildermatology/images/acne-treatment-photo.jpg" alt="" />\r\n\r\n<p>Acne is a frustrating and often embarrassing skin ailment. Fortunately, it is one of the most common skin conditions that we treat. We utilize medications, light therapies, acne facials, and other procedures to treat mild, moderate, and severe acne. No matter what type of acne our patients have, we use our experience and resources to customize the most effective treatment plan for them.</p>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Procedure Efficacy</h4>\r\n<p>Everyone’s expression of acne is unique and can range from mild to severe. Severe acne is most responsive to photodynamic therapy and medication, such as Accutane. Moderate acne is most effectively improved with medication, acne facials, pulsed dye laser treatment, and smoothbeam laser treatment. A series of acne facials, chemical peels, and microdermabrasion are most effective at treating mild acne.</p>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>TREAMENT PLAN</h4>\r\n<p>The quickest and most effective way to treat acne is with a combination of different modalities that attack specific causes of acne. The efficacy of medication and photodynamic therapy can be enhanced with procedures that open up microcomedos, the starter lesions of all acne. These procedures include acne facials with extractions, salicylic acid peels, and microdermabrasion. \r\nGlycolic acid topicals and peels can also be used to reduce the appearance of lingering pigment caused by old acne breakouts.</p>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>TREAMENT BY CORE CAUSES</h4>\r\n<p>Acne can seem relentless because there are several factors that contribute to the formation of breakouts. The four most common causes of acne are clogged oil ducts, hormones, bacterial colonization, and inflammation. These factors can even be worsened by increased stress and an unhealthy diet. Combatting all of these causes can seem overwhelming and discouraging. Fortunately, our experienced dermatologists understand each cause and know what therapies are needed to attack each one. *see Treatment by Core Causes table*</p>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>TIME TO RESULTS</h4>\r\n<p>In mild acne, improvement can be seen after 1-2 months of treatment. Moderate acne usually takes about 2-4 months of treatment to see improvement, while improvement in severe acne can be seen after 4-6 months of treatment.</p>\r\n</div>\r\n</div>', 'Acne Treatment', '', 'inherit', 'closed', 'closed', '', '17-revision-v1', '', '', '2015-12-06 20:46:33', '2015-12-06 20:46:33', '', 17, 'http://philadelphiadermatology.com/17-revision-v1/', 0, 'revision', '', 0),
(27, 1, '2015-12-06 20:47:31', '2015-12-06 20:47:31', '<div class="acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-treatment-photo.jpg" alt="" />\r\n<p>Acne is a frustrating and often embarrassing skin ailment. Fortunately, it is one of the most common skin conditions that we treat. We utilize medications, light therapies, acne facials, and other procedures to treat mild, moderate, and severe acne. No matter what type of acne our patients have, we use our experience and resources to customize the most effective treatment plan for them.</p>\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Procedure Efficacy</h4>\r\n<p>Everyone’s expression of acne is unique and can range from mild to severe. Severe acne is most responsive to photodynamic therapy and medication, such as Accutane. Moderate acne is most effectively improved with medication, acne facials, pulsed dye laser treatment, and smoothbeam laser treatment. A series of acne facials, chemical peels, and microdermabrasion are most effective at treating mild acne.</p>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>TREAMENT PLAN</h4>\r\n<p>The quickest and most effective way to treat acne is with a combination of different modalities that attack specific causes of acne. The efficacy of medication and photodynamic therapy can be enhanced with procedures that open up microcomedos, the starter lesions of all acne. These procedures include acne facials with extractions, salicylic acid peels, and microdermabrasion. \r\nGlycolic acid topicals and peels can also be used to reduce the appearance of lingering pigment caused by old acne breakouts.</p>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>TREAMENT BY CORE CAUSES</h4>\r\n<p>Acne can seem relentless because there are several factors that contribute to the formation of breakouts. The four most common causes of acne are clogged oil ducts, hormones, bacterial colonization, and inflammation. These factors can even be worsened by increased stress and an unhealthy diet. Combatting all of these causes can seem overwhelming and discouraging. Fortunately, our experienced dermatologists understand each cause and know what therapies are needed to attack each one. *see Treatment by Core Causes table*</p>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>TIME TO RESULTS</h4>\r\n<p>In mild acne, improvement can be seen after 1-2 months of treatment. Moderate acne usually takes about 2-4 months of treatment to see improvement, while improvement in severe acne can be seen after 4-6 months of treatment.</p>\r\n</div>\r\n</div>', 'Acne Treatment', '', 'inherit', 'closed', 'closed', '', '17-revision-v1', '', '', '2015-12-06 20:47:31', '2015-12-06 20:47:31', '', 17, 'http://philadelphiadermatology.com/17-revision-v1/', 0, 'revision', '', 0),
(29, 1, '2015-12-11 13:04:17', '2015-12-11 13:04:17', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>\r\n</div>', 'Chemical Peels', '', 'publish', 'closed', 'closed', '', 'chemical-peels', '', '', '2015-12-16 18:24:32', '2015-12-16 18:24:32', '', 0, 'http://philadelphiadermatology.com/?page_id=29', 0, 'page', '', 0),
(31, 1, '2015-12-11 13:04:17', '2015-12-11 13:04:17', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels.jpg" alt="" />\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-11 13:04:17', '2015-12-11 13:04:17', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(32, 1, '2015-12-11 13:05:05', '2015-12-11 13:05:05', '', 'chemical-peels1', '', 'inherit', 'open', 'closed', '', 'chemical-peels1', '', '', '2015-12-11 13:05:05', '2015-12-11 13:05:05', '', 0, 'http://philadelphiadermatology.com/wp-content/uploads/2015/12/chemical-peels1.jpg', 0, 'attachment', 'image/jpeg', 0),
(33, 1, '2015-12-11 13:05:08', '2015-12-11 13:05:08', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-11 13:05:08', '2015-12-11 13:05:08', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(34, 1, '2015-12-11 13:17:56', '2015-12-11 13:17:56', '<div class="acne-photo-content">\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\n</div>\n\n<div class="acne-procedur-content">\n<div class="acne-procedur-box" style="width:30%;">\n<h4>Overview</h4>\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\n</div>\n<div class="acne-procedur-box" style="width:30%;padding: 0 3% 30px 0;">\n<h4>Indications</h4>\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\n</div>\n<div class="acne-procedur-box" style="width:30%;">\n<h4>How Chemical Peels Work</h4>\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\n</div>\n<div style="clear:both"></div>\n<h2>Types of Chemical peels</h2>\n<h4><u>Glycolic Acid Peel</u></h4>\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\n</p>\n<h4><u>Salicylic Acid Peel</u></h4>\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\n<h4><u>TCA Peel</u></h4>\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\n</p>\n<h4><u>Melanage Peel</u></h4>\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\n<h4><u>Quelage Peel</u></h4>\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\n</p>\n<h4><u>Gloss Peel</u></h4>\n<p></p>\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-autosave-v1', '', '', '2015-12-11 13:17:56', '2015-12-11 13:17:56', '', 29, 'http://philadelphiadermatology.com/29-autosave-v1/', 0, 'revision', '', 0),
(35, 1, '2015-12-11 13:07:57', '2015-12-11 13:07:57', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box">\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-11 13:07:57', '2015-12-11 13:07:57', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(36, 1, '2015-12-11 13:08:47', '2015-12-11 13:08:47', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box">\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="clear:both">\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-11 13:08:47', '2015-12-11 13:08:47', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(37, 1, '2015-12-11 13:11:00', '2015-12-11 13:11:00', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-11 13:11:00', '2015-12-11 13:11:00', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0);
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(38, 1, '2015-12-11 13:11:34', '2015-12-11 13:11:34', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;padding: 0 3% 30px 0;">\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-11 13:11:34', '2015-12-11 13:11:34', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(39, 1, '2015-12-11 13:12:33', '2015-12-11 13:12:33', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;padding: 0 3% 30px 0;">\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<h2>Types of Chemical peels</h2>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-11 13:12:33', '2015-12-11 13:12:33', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(40, 1, '2015-12-11 13:13:08', '2015-12-11 13:13:08', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;padding: 0 3% 30px 0;">\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-11 13:13:08', '2015-12-11 13:13:08', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(41, 1, '2015-12-11 13:13:59', '2015-12-11 13:13:59', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;padding: 0 3% 30px 0;">\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<p>Glycolic Acid Peel\r\nGlycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-11 13:13:59', '2015-12-11 13:13:59', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(42, 1, '2015-12-11 13:14:27', '2015-12-11 13:14:27', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;padding: 0 3% 30px 0;">\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4>Glycolic Acid Peel</h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-11 13:14:27', '2015-12-11 13:14:27', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(43, 1, '2015-12-11 13:14:52', '2015-12-11 13:14:52', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;padding: 0 3% 30px 0;">\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-11 13:14:52', '2015-12-11 13:14:52', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(44, 1, '2015-12-11 13:18:01', '2015-12-11 13:18:01', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;padding: 0 3% 30px 0;">\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-11 13:18:01', '2015-12-11 13:18:01', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(45, 1, '2015-12-11 14:59:52', '2015-12-11 14:59:52', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;padding: 0 3% 30px 0;">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-11 14:59:52', '2015-12-11 14:59:52', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(49, 1, '2015-12-12 14:14:07', '2015-12-12 14:14:07', '<p>Thank you for contacting us. We will contact you shortly.</p>', 'THANK YOU', '', 'publish', 'closed', 'closed', '', 'thank-you', '', '', '2015-12-12 14:14:07', '2015-12-12 14:14:07', '', 0, 'http://philadelphiadermatology.com/?page_id=49', 0, 'page', '', 0),
(50, 1, '2015-12-12 14:14:07', '2015-12-12 14:14:07', '<p>Thank you for contacting us. We will contact you shortly.</p>', 'THANK YOU', '', 'inherit', 'closed', 'closed', '', '49-revision-v1', '', '', '2015-12-12 14:14:07', '2015-12-12 14:14:07', '', 49, 'http://philadelphiadermatology.com/49-revision-v1/', 0, 'revision', '', 0),
(51, 1, '2015-12-12 19:22:59', '2015-12-12 19:22:59', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-12 19:22:59', '2015-12-12 19:22:59', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0);
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(52, 1, '2015-12-12 19:35:36', '2015-12-12 19:35:36', '<div class="acne-photo-content">\r\n<img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;padding: 0 3% 30px 0;">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-12 19:35:36', '2015-12-12 19:35:36', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(53, 1, '2015-12-12 19:49:56', '2015-12-12 19:49:56', '<div class="acne-photo-content" style="width: 67%;">\r\n    <img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n<div class="sidebar-calendar" style="width: 33%;">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/sidebar-calendar.png" alt="">\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;padding: 0 3% 30px 0;">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-12 19:49:56', '2015-12-12 19:49:56', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(54, 1, '2015-12-12 20:12:54', '2015-12-12 20:12:54', '<div class="acne-photo-content" style="width: 67%;">\r\n    <img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;padding: 0 3% 30px 0;">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box" style="width:30%;">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-12 20:12:54', '2015-12-12 20:12:54', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(55, 1, '2015-12-12 20:16:58', '2015-12-12 20:16:58', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>', 'Chemical Peels', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-12 20:16:58', '2015-12-12 20:16:58', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(63, 1, '2015-12-14 13:06:12', '2015-12-14 13:06:12', 'test', 'test', '', 'publish', 'closed', 'closed', '', 'test', '', '', '2015-12-14 13:07:25', '2015-12-14 13:07:25', '', 0, 'http://philadelphiadermatology.com/?post_type=portfolio&#038;p=63', 0, 'portfolio', '', 0),
(72, 1, '2015-12-14 17:12:28', '2015-12-14 17:12:28', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels1.jpg" alt="" />\r\n</div>\r\n\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n<div class="acne-photo-content-no-sidebar">\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="botox-procedur-box1 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box2 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href=""><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands-soon.jpg" alt=""></a>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>\r\n</div>', 'Botox', '', 'publish', 'closed', 'closed', '', 'botox', '', '', '2015-12-19 11:15:55', '2015-12-19 11:15:55', '', 0, 'http://philadelphiadermatology.com/?page_id=72', 0, 'page', '', 0);
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(73, 1, '2015-12-14 17:12:28', '2015-12-14 17:12:28', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/uploads/2015/12/chemical-peels1.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 17:12:28', '2015-12-14 17:12:28', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(74, 1, '2015-12-14 17:16:31', '2015-12-14 17:16:31', '<div class="acne-photo-content-no-sidebar acne-photo-content">\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\n</div>\n<div class="acne-procedur-content">\n<div class="acne-procedur-box3 acne-procedur-box">\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\n<h4>Overview</h4>\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\n</div>\n<div class="acne-procedur-box3 acne-procedur-box">\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\n<h4>Indications</h4>\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\n</div>\n<div class="acne-procedur-box3 acne-procedur-box">\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\n<h4>How Chemical Peels Work</h4>\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\n</div>\n<div style="clear:both"></div>\n<h2>Types of Chemical peels</h2>\n<h4><u>Glycolic Acid Peel</u></h4>\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\n</p>\n<h4><u>Salicylic Acid Peel</u></h4>\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\n<h4><u>TCA Peel</u></h4>\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\n</p>\n<h4><u>Melanage Peel</u></h4>\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\n<h4><u>Quelage Peel</u></h4>\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\n</p>\n<h4><u>Gloss Peel</u></h4>\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\n</p>\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-autosave-v1', '', '', '2015-12-14 17:16:31', '2015-12-14 17:16:31', '', 72, 'http://philadelphiadermatology.com/72-autosave-v1/', 0, 'revision', '', 0),
(75, 1, '2015-12-14 17:16:41', '2015-12-14 17:16:41', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Overview</h4>\r\n<p>Whether you are looking to diminish the appearance of facial wrinkles and discoloration that have been present for years or wanting to make your skin glow before an upcoming event, we offer a chemical peel that addresses your dermatological needs. For years, our practice has offered chemical peels as a way to safely, quickly, and effectively treat various cosmetic and medical skin issues. To design a treatment plan that targets our patients’ specific concerns, our dermatologists determine which chemical, chemical strength, and length of time applied is right for you. We further customize our patients’ treatments by using chemical peels in combination with other modalities, such as microdermabrasion, light therapy, and laser.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Indications</h4>\r\n<p>We use chemical peels to address various cosmetic and medical dermatological issues. In cosmetic dermatology, chemical peels are used to improve skin blemishes, skin texture, skin elasticity, skin pigmentation, and fine lines. In medical dermatology, we use chemical peels to treat acne, rosacea, and melasma.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>How Chemical Peels Work</h4>\r\n<p>Chemical peels renew the skin by removing the damaged outer layer and allowing a new unblemished layer of skin to surface. They are applied in the office with little to no discomfort. The peel is then removed in the office or left on the face to be removed by the patient at home. We provide detailed at-home instructions to remove these peels. We also teach you how to care for your skin after having a chemical peel to ensure that you have the longest-lasting results.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 17:16:41', '2015-12-14 17:16:41', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(76, 1, '2015-12-14 17:30:26', '2015-12-14 17:30:26', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 17:30:26', '2015-12-14 17:30:26', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(77, 1, '2015-12-14 17:31:07', '2015-12-14 17:31:07', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 17:31:07', '2015-12-14 17:31:07', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(78, 1, '2015-12-14 17:47:49', '2015-12-14 17:47:49', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 17:47:49', '2015-12-14 17:47:49', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0);
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(79, 1, '2015-12-14 17:48:58', '2015-12-14 17:48:58', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 17:48:58', '2015-12-14 17:48:58', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(80, 1, '2015-12-14 17:52:57', '2015-12-14 17:52:57', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div></div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 17:52:57', '2015-12-14 17:52:57', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(81, 1, '2015-12-14 17:54:35', '2015-12-14 17:54:35', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Types of Chemical peels</h2>\r\n<h4><u>Glycolic Acid Peel</u></h4>\r\n<p>Glycolic acid is a natural substance derived from sugar cane and certain fruits. Because of this, it is one of few dermatological substances safe for use during pregnancy and breast feeding. Glycolic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture and fine wrinkles. It also hydrates the skin. Glycolic acid is available in several concentrations, which allows for variability in strength. The peel is performed completely in the office, after which mild redness can be appreciated on the skin for a few hours. Applied on the day before an event, a glycolic acid peel provides a smoother skin texture and glow on the day of the event. For optimal results, 3-6 peels are needed every 3-4 weeks. The results last several months and can be enhanced by using glycolic acid topicals and a retinoid for at least 2 weeks prior to the first peel. All retinoids must be discontinued on the night before the peel and can be restarted on the night after the peel. Only a gentle moisturizer with sunscreen is needed after a glycolic acid peel. Those who have taken isotretinoin in the past 6 months or have had phenol peels cannot receive this peel.\r\n</p>\r\n<h4><u>Salicylic Acid Peel</u></h4>\r\n<p>Salicylic acid provides a superficial peel that is most effective in treating acne, sun spots, skin discoloration, skin texture, and fine wrinkles. It treats these issues and provides a rejuvenated glow by removing thickened skin. Salicylic acid is available in various concentrations. The peel is performed completely in the office and can cause mild redness for several hours and possible fine scaling for a few days. On the day after the first peel, a smoother skin texture is noted. Optimal results are seen after 3-6 peels spaced 3-4 weeks apart and last several months. When used for acne, the effects of this peel can be enhanced with nightly use of a topical retinoid. All retinoids must be stopped on the night before the peel and can be restarted on the night after the peel. Salicylic acid cannot be used by those who are pregnant, allergic to salicylic acid (aspirin), have taken isotretinoin in the last 6 months, or who have had phenol peels.</p>\r\n<h4><u>TCA Peel</u></h4>\r\n<p>TCA peels utilize a synthetic substance called trichloroacetic acid to produce a superficial to medium depth peel. This peel is most effective in treating acne, improving skin texture, and reducing fine lines on the face. It is also used to remove sun spots, remove skin discoloration, even skin pigmentation, and reduce appearance of scars. Smoother skin is appreciated 5 days after a TCA peel, while collagen production is noticed after 3 months. For best results, 1-2 treatments are needed. These results can be enhanced with daily application of sunscreen and a retinoid for several weeks prior to the peel. Retinoids must be stopped the night before the peel and restarted only when renewed skin is visible after the peel. Contraindications for this peel include history of isotretinoin within 12 months and history of phenol peels.\r\n</p>\r\n<h4><u>Melanage Peel</u></h4>\r\n<p>The Melanage Skin Lightening System is used to reduce hyperpigmentation on the skin, such as that caused by melasma or sun spots. This highly effective superficial peel can be used on all skin types. It can also improve skin texture and subtly reduce fine lines. The Melanage peel consists of a medicated mask that is applied in the office and later removed by the patient at home according to specific post-peel instructions. This peel causes 7-10 days of irritation that is similar to sunburn. For best results, 1-2 treatments every 6+ months are necessary.  Contraindications for this peel include pregnancy, breast feeding, active rosacea or cold sores, a history of warts, and a history of isotretinoin within 6 months.</p>\r\n<h4><u>Quelage Peel</u></h4>\r\n<p>The Quelage peel is the most effective peel we offer to reduce redness and irritation in rosacea. It can also reduce appearance of sun spots, improve skin texture, and brighten the skin. The Quelage peel is comprised of different fruit acids and anti-inflammatory agents, which makes it safe for use on those with sensitive skin. This peel is applied in the office and later removed by the patient at home according to specific instructions. After application, peeling and redness is possible for up to 2 days. For best results, 4-6 treatments are needed every 3-4 weeks. To prolong the benefits of this peel, a customized at-home regimen is established for daily use after the peel. Sunscreen must also be worn daily for 1 week after the peel. Preparation for a Quelage peel involves avoidance of electrolysis, waxing, depilatory creams, laser hair removal, cosmetic facials, Botox, etc. for the week prior to the peel. Additionally any retinoids or exfoliating products must be stopped 2-3 days before the peel. Contraindications include active cold sores or warts, open wounds on skin, sunburn, dermatitis, a history of herpes simplex, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n<h4><u>Gloss Peel</u></h4>\r\n<p>The Gloss peel contains a combination of vitamin A, TCA, and compounds that promote cell turn over to provide the skin with a refreshed glow. It is a superficial peel that is most effective at brightening the skin and improving skin texture. The peel is completely performed in the office. It can cause redness and possible peeling for 2-5 days. To ensure the best results, specific at-home products are provided after the peel to be used for several weeks. Sunscreen with SPF 30 must also be worn daily for 1 week after the peel. Strenuous exercise cannot be done for 24-48 hours after the peel. About 1-2 treatments every 6 months are necessary for optimal results. Preparation for this peel includes avoidance of electrolysis, waxing, depilatory creams, laser hair removal, sunless tanning, spray tanning, UV-free tanning, cosmetic facials, Botox, retinoids, retinols, alpha hydroxyl acid, beta hydroxyl acid, benzoyl peroxide, or any exfoliating products that can be drying or irritating. Contraindications for this peel include an active cold, sores, warts, open wounds, sunburn, dermatitis, inflammatory rosacea, a history of herpes simplex, sensitive skin, pregnancy, breast feeding, current chemotherapy or radiation, or having taken isotretinoin within 12 months.\r\n</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 17:54:35', '2015-12-14 17:54:35', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(82, 1, '2015-12-14 18:00:51', '2015-12-14 18:00:51', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 18:00:51', '2015-12-14 18:00:51', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0);
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(83, 1, '2015-12-14 18:01:50', '2015-12-14 18:01:50', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n<div style="clear:both"></div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 18:01:50', '2015-12-14 18:01:50', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(84, 1, '2015-12-14 18:06:33', '2015-12-14 18:06:33', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 18:06:33', '2015-12-14 18:06:33', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(85, 1, '2015-12-14 19:14:18', '2015-12-14 19:14:18', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:14:18', '2015-12-14 19:14:18', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(86, 1, '2015-12-14 19:21:40', '2015-12-14 19:21:40', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="botox-procedur-box3">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box3">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:21:40', '2015-12-14 19:21:40', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0);
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(87, 1, '2015-12-14 19:22:15', '2015-12-14 19:22:15', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="width: 100%;"></div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:22:15', '2015-12-14 19:22:15', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(88, 1, '2015-12-14 19:23:41', '2015-12-14 19:23:41', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="botox-procedur-box1 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box2 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:23:41', '2015-12-14 19:23:41', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(89, 1, '2015-12-14 19:32:43', '2015-12-14 19:32:43', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="botox-content-1box">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n</div>\r\n<div class="botox-content-2box">\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n</div>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="botox-procedur-box1 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box2 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:32:43', '2015-12-14 19:32:43', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(90, 1, '2015-12-14 19:33:16', '2015-12-14 19:33:16', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="botox-content-1box">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n</div>\r\n<div class="botox-content-2box">\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n</div>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div class="botox-procedur-box1 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box2 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:33:16', '2015-12-14 19:33:16', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0);
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(91, 1, '2015-12-14 19:34:10', '2015-12-14 19:34:10', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="botox-content-1box">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n</div>\r\n<div class="botox-content-2box">\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n</div>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="botox-procedur-box1 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box2 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:34:10', '2015-12-14 19:34:10', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(92, 1, '2015-12-14 19:35:11', '2015-12-14 19:35:11', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="botox-content">\r\n<div class="botox-content-1box">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n</div>\r\n<div class="botox-content-2box">\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n</div>\r\n</div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="botox-procedur-box1 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box2 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:35:11', '2015-12-14 19:35:11', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(93, 1, '2015-12-14 19:35:53', '2015-12-14 19:35:53', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="botox-procedur-box1 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box2 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:35:53', '2015-12-14 19:35:53', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(94, 1, '2015-12-14 19:36:30', '2015-12-14 19:36:30', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="botox-procedur-box1 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box2 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:36:30', '2015-12-14 19:36:30', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0);
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(95, 1, '2015-12-14 19:37:01', '2015-12-14 19:37:01', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="botox-content">\r\n<div class="botox-content-1box">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n</div>\r\n<div class="botox-content-2box">\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n</div>\r\n</div>\r\n\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="botox-procedur-box1 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box2 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:37:01', '2015-12-14 19:37:01', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(96, 1, '2015-12-14 19:37:20', '2015-12-14 19:37:20', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="botox-content">\r\n<div class="botox-content-1box">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n</div>\r\n<div class="botox-content-2box">\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n</div>\r\n</div>\r\n<div style="clear:both"></div>\r\n\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="botox-procedur-box1 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box2 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:37:20', '2015-12-14 19:37:20', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(97, 1, '2015-12-14 19:38:40', '2015-12-14 19:38:40', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="botox-content">\r\n<div class="botox-content-1box">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n</div>\r\n<div class="botox-content-2box">\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n</div>\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="botox-procedur-box1 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box2 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:38:40', '2015-12-14 19:38:40', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(98, 1, '2015-12-14 19:46:13', '2015-12-14 19:46:13', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/botox-peels2.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="botox-content">\r\n<div class="botox-content-1box">\r\n<p>Botox became a common household term in recent years and is one of the most popular cosmetic services. It works.  It is safe. It is predictable and provides noticeable results with virtually no downtime. Basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox affords shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. While Botox is a brand name, it has become the widely used general abbreviation for neuromodulators. I will use the name Botox for reasons of simplicity to include all neuromodulators.</p>\r\n</div>\r\n<div class="botox-content-2box">\r\n<p>In this short video, I will touch on the difference between Botox and filler, explain which facial muscles can benefit from Botox injections and mention where people usually get the treatment done and talk about the safety and difference between the currently available Botox products on the market.</p>\r\n</div>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo1.png" alt="" />\r\n<h4>Botox vs Fillers</h4>\r\n<p>Unlike filler placement to areas of the face where aging causes loss of volume of the skin, the underlying fat and bony structures, Botox targets facial wrinkles that are created  by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents the line from forming. Many times, it even reverses wrinkles that have already settled.</p>\r\n<p>Let’s take the eyes, for example. With every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile anymore, But with the help of Botox we can now have a guilt-free smile without fearing that we deepen the dreaded crows feet. On the other hand, we can untrain the forehead muscle and those between the brows to no longer look constantly strained or angry.</p>\r\n<p>Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo2.png" alt="" />\r\n<h4>Areas</h4>\r\n<p>The most common areas for wrinkle relaxation are the frown lines between the brows, crow''s feet on the outside of the eyes, forehead lines and vertical lines above and below the lips where lip stick may bleed.</p>\r\n<p>In addition to wrinkle relaxation, advanced use of Botox allows shaping of brows and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile  and turn a square face into a more triangular one.</p>\r\n<p>Botox is currently FDA approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of our eyes that occur with smiling and squinting. The use in all other areas is off label, just like the use of aspirin is for prevention of heart attack or stroke.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="botox-procedur-box1 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo3.png" alt="" />\r\n<h4>Other Brands - Botox vs. Dysport and Xeomin</h4>\r\n<p>Botox brand was the first neuromodulator approved for cosmetic use in the United States and it is the only one currently approved for medical diagnoses in this country. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.</p>\r\n<p>Dysport differs from Botox brand by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox brand but it is bit more pure which reduces the risk of tolerance formation.</p>\r\n</div>\r\n<div class="botox-procedur-box2 acne-procedur-box">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/acne-procedur-logo4.png" alt="" />\r\n<h4>Risks and Safety</h4>\r\n<p>Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with a  neuromuscular disorders or a first degree relative with neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided with a cow milk allergy.</p>\r\n</div>\r\n<div class="botox-procedur-box3 acne-procedur-box">\r\n<a class="youtube" href="https://www.youtube.com/embed/_P1T_75XZ0g?rel=0"><img src="../wp-content/themes/ringpfeildermatology/images/botox-video-brands.jpg" alt=""></a>\r\n</div>\r\n\r\n\r\n\r\n<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<p>I will now show how muscles on the face work and interplay and will indicate how Botox can be strategically placed to achieve your goals.</p>\r\n<h4><u>Forehead</u></h4>\r\n<p>Starting on the forehead, frequent raising of the brows as part of our facial expression when we are younger can eventually lead to horizontal forehead lines. Botox distributed in small aliquots equally across this flat sheet muscle will relax these lines and will help you unlearn to subconsciously use this muscle. In people who have a predisposition to developing a Spock eyebrow, Botox may have to be placed here (lateral lower forehead) at the time of first injection or with a delay of 14 days.</p>\r\n<h4><u>Eyelids</u></h4>\r\n<p>As we get older, we may crunch forehead lines because we use the forehead muscle to take weight off the eyelids. In this case, Botox to the forehead muscle is not the right treatment. Instead we would consider a chemical brow or lid lift by placing Botox here (corrugators) and here (tail of brow). If laxity is too pronounced for Botox to make a difference, surgical lid and/or brow lift should be considered.</p>\r\n<h4><u>Glabella</u></h4>\r\n<p>Moving to the glabella, the interaction between a bellied vertical muscle (point to the procerus) and 2 fan shaped muscles that trail upward and outward (point to corrugators) creates one or two vertical lines that make us look angry. Placement of Botox to 3 or 5 different points in this area (pointing to the V created by these muscles) allows us to look relaxed again.</p>\r\n<h4><u>Eyes</u></h4>\r\n<p>Smiling and squinting creates lines on the side of the eyes. These are more pronounced on the outside of the eye (point to lateral canthal lines) than on the side of the nose (point to medial canthal lines). If skin has had a lot of sun exposure or if sun glasses were not routinely worn, these lines are often more accentuated.</p>\r\n<h4><u>Jelly Roll - under eye</u></h4>\r\n<p>When fine lines occur just below the eyes, or in those with a muscular ridge beneath the eye , also called jelly roll, a small amount of Botox (point to mid pupillary line) can make quite a difference as longs as the muscle shows perfect contraction before start of treatment.</p>\r\n<h4><u>Brows</u></h4>\r\n<p>Botox can shape brows. While women often seek arched brows, men typically prefer linear brows. Botox administered to the glabella (point to glabella), the lateral brow and the upper lid (point to both) will create the desired look.</p>\r\n<h4><u>Lip shaping</u></h4>\r\n<p>While Botox is predominantly used on the upper face, there are focal targets on the lower face. Botox to the upper cutaneous lip (point to it) can reduce vertical upper and lower lip lines (make an O) created by sun exposure, smoking or with genetic predisposition. Botox placed here (point to below nostrils) will lower the cutaneous lip to conceal the gums when your smile reveals them.</p>\r\n<h4><u>Mouth corners</u></h4>\r\n<p>The corners of the mouth are important to our perception by others. If they are downturned, we signal sadness, discontent or aging. These corners are elevated by this muscle (point to levator angularis oris) and pulled down by this one (point to depressor angularis oris). Weakening the muscle that pulls these down (point to DOA) allows the muscle that holds the corners of the mouth up (point to LOA) to gain the upper hand. When volume loss is present in the triangle below the corners of the mouth (point to marionette through), a soft hyaluronic acid filler will achieve a similar upturn.</p>\r\n<h4><u>Chin</u></h4>\r\n<p>A strong mentalis muscle can result in puckering of the chin (point to chin) when the lips are closed at rest. A small amount of Botox assures that the muscle is smooth but does not become fleeting.</p>\r\n<p>These vertical lines that are visible in our forties in thin people and with genetic predisposition  (point to them) are called platysmal bands. Botox can achieve enough relaxation of platysmal bands to be noticeable in more than 50% of those who are treated. In others, the relaxation might not create a significant difference. Yet, it is worthwhile a trial.</p>\r\n<h4><u>Lower face</u></h4>\r\n<p>Women from the Northern Far East like Japan, Korea and China often desire to minimize a squared contour of the lower face (point to lower face). Botox can weaken our bite or masseter muscle (point to masseter) enough to render a more oval contour here.</p>\r\n<h4><u>How long does Botox last?</u></h4>\r\n<p>In general, men have stronger and bigger bellied muscles than women and therefore require larger amounts of Botox for its effects. Botox lasts about 4-6 months in stronger bellied muscles such as in between the brows, in the chin and in the masseter. It wears off after 2-4 months in thinner muscles such as around the eyes and in the forehead. Botox should wear off before the next round is administered to prevent the muscle from weakening completely and permanently.</p>\r\n<h4><u>The best place to get botox</u></h4>\r\n<p>Please carefully consider the professional who places your Botox. While Botox parties have vanished for the most part, almost everyone offers Botox, from your hair salon or Yoga studio to your gynecologist, emergency room physician and dentist. You can make the math: You can have your weekend-trained gynecologist eradicate the furrows between your brows but unless Botox is all he or she performs these days, this gynecologist will probably not know the fine points that relate to brow position and minimizing preexisting  asymmetries. I recommend that you trust those who studied muscles of facial expression in detail , namely your dermatologist or plastic surgeon.</p>\r\n</div>', 'Botox', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-14 19:46:13', '2015-12-14 19:46:13', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0);
