INSERT INTO `wp_new_posts` (`ID`, `post_author`, `post_date`, `post_date_gmt`, `post_content`, `post_title`, `post_excerpt`, `post_status`, `comment_status`, `ping_status`, `post_password`, `post_name`, `to_ping`, `pinged`, `post_modified`, `post_modified_gmt`, `post_content_filtered`, `post_parent`, `guid`, `menu_order`, `post_type`, `post_mime_type`, `comment_count`) VALUES
(99, 1, '2015-12-14 19:48:44', '2015-12-14 19:48:44', '<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<div style="clear:both"></div>\r\n<a class="youtube botox-video-right" 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<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 19:48:44', '2015-12-14 19:48:44', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(100, 1, '2015-12-14 19:49:55', '2015-12-14 19:49:55', '<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<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\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<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 19:49:55', '2015-12-14 19:49:55', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(101, 1, '2015-12-14 19:52:54', '2015-12-14 19:52:54', '<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<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<div class="botox-video 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<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 19:52:54', '2015-12-14 19:52:54', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(102, 1, '2015-12-14 19:56:22', '2015-12-14 19:56:22', '<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<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<div class="botox-video 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-soon.jpg" alt=""></a>\r\n</div>\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 19:56:22', '2015-12-14 19:56:22', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0);
INSERT INTO `wp_new_posts` (`ID`, `post_author`, `post_date`, `post_date_gmt`, `post_content`, `post_title`, `post_excerpt`, `post_status`, `comment_status`, `ping_status`, `post_password`, `post_name`, `to_ping`, `pinged`, `post_modified`, `post_modified_gmt`, `post_content_filtered`, `post_parent`, `guid`, `menu_order`, `post_type`, `post_mime_type`, `comment_count`) VALUES
(103, 1, '2015-12-14 19:56:58', '2015-12-14 19:56:58', '<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<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<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<div class="botox-video botox-procedur-box3">\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<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 19:56:58', '2015-12-14 19:56:58', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(104, 1, '2015-12-14 20:15:02', '2015-12-14 20:15:02', '<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<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<div class="botox-video botox-procedur-box3">\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<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 20:15:02', '2015-12-14 20:15:02', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(105, 1, '2015-12-14 20:21:04', '2015-12-14 20:21:04', '<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<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\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<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<div class="botox-video botox-procedur-box3">\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<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 20:21:04', '2015-12-14 20:21:04', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(106, 1, '2015-12-14 20:51:51', '2015-12-14 20:51:51', '<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\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<div style="clear:both"></div>\r\n<h2>Face area Botox can be placed effectively</h2>\r\n<div class="botox-video botox-procedur-box3">\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<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 20:51:51', '2015-12-14 20:51:51', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0);
INSERT INTO `wp_new_posts` (`ID`, `post_author`, `post_date`, `post_date_gmt`, `post_content`, `post_title`, `post_excerpt`, `post_status`, `comment_status`, `ping_status`, `post_password`, `post_name`, `to_ping`, `pinged`, `post_modified`, `post_modified_gmt`, `post_content_filtered`, `post_parent`, `guid`, `menu_order`, `post_type`, `post_mime_type`, `comment_count`) VALUES
(107, 1, '2015-12-14 21:23:45', '2015-12-14 21:23:45', '<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\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=""><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<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 21:23:45', '2015-12-14 21:23:45', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(109, 1, '2015-12-16 18:13:45', '2015-12-16 18:13:45', '<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 class="procedur-content3-box4">\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-box5">\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-box6">\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', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-16 18:13:45', '2015-12-16 18:13:45', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(110, 1, '2015-12-16 18:19:59', '2015-12-16 18:19:59', '<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 style="clear:both"></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 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', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-16 18:19:59', '2015-12-16 18:19:59', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(111, 1, '2015-12-16 18:24:32', '2015-12-16 18:24:32', '<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', '', 'inherit', 'closed', 'closed', '', '29-revision-v1', '', '', '2015-12-16 18:24:32', '2015-12-16 18:24:32', '', 29, 'http://philadelphiadermatology.com/29-revision-v1/', 0, 'revision', '', 0),
(112, 1, '2015-12-17 00:11:15', '2015-12-17 00:11:15', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/uploads/2015/12/restylanejuvedermbelotero-balance.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<h4>Overview</h4>\r\n<p>You can now regain your youthful appearance by reducing deep facial wrinkles, restoring volume to eliminate darker area under the eyes and plumping your lips with Juvederm or Restylane - two of the cosmetic fillers that revolutionized the specialty of cosmetic surgery. Its younger cousin, Belotero Balance, has replaced injectable collagen.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<h4>Contouring fillers</h4>\r\n<p>With no downtime, contouring fillers replace what until the beginning of the millennium was possible to achieve only with invasive surgeries or facial implants.</p> \r\n<p>The effect of Restylane, Juvederm and Belotero Balance are appreciated within 1-10 days after injection. After several months, these synthetic hyaluronic acid fillers are naturally degraded by our body’s own hyaluronidase enzyme. To maintain results, these fillers need to be renewed every 6-9 months.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<h4>Side effects:</h4>\r\n<p>Treatment with Restylane, Juvederm and Belotero Balance is easy and safe for nearly everyone. Some swelling, redness, and bruising may occur and can last up to 14 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<h4>Contraindications</h4>\r\n<p>The only contraindication to these fillers is an allergy to numbing medicine which is factory premixed with these fillers except Belotero Balance. An allergy to hyaluronic acid is almost impossible yet those with a myriad of allergies are not suited to receive filler injections as their immune system is already in overdrive. Avoidance of aspirin, ibuprofen, fish oil, vitamin E and St John’s wort for 7 days prior to the procedure is the only preparatory step necessary.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4>Differences</h4>\r\n<p>The downtime and durability of Restylane and Juvederm differ slightly due to the different amounts of cross-linked hyaluronic acid in each. I like both Restylane and Juvederm and in my opinion, both have their place. Although they can be applied to the same areas, I might favor one over the other. Restylane and its finer counterpart, Restylane Silk, work well for under eye troughs. Restylane Silk and Belotero Balance are great for etched lines such as the vertical ones above and below the lips as well as the ones that some people create around their mouth. Juvederm ultra plus is my favorite for deeper nasolabial troughs and nothing comes close to Juvederm ultra for refllation of a thinned lip.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4>Origin:</h4>\r\n<p>Regaining a youthful appearance is a great way to feel refreshed and confident. Because the extensive downtime and discomfort associated with plastic surgery and laser resurfacing can seem daunting, we offer an effective alternative to these interventions. Restylane and Juvederm fillers, placed every 6-9 months, can significantly improve the appearance of deep facial wrinkles, darkness under the eyes caused by volume loss, thin lips, and even scars. The effects of these fillers are appreciated within days after injection, during which time some swelling, redness, and bruising may occur. After several months, these synthetic hyaluronic acid fillers are naturally degraded by our body’s own hyaluronidase enzyme. The downtime and durability of Restylane and Juvederm differ slightly due to the different amounts of cross-linked hyaluronic acid in each. Treatment with Restylane and Juvederm is easy and safe for nearly everyone. The only contraindication to these fillers is an allergy to hyaluronic acid, which is extremely rare. Avoidance of aspirin and ibuprofen for 10 days prior to the procedure is the only preparatory step necessary.</p>\r\n</div>\r\n\r\n</div>', 'Restylane/Juvederm/Belotero Balance', '', 'publish', 'closed', 'closed', '', 'restylanejuvedermbelotero-balance', '', '', '2015-12-17 23:52:37', '2015-12-17 23:52:37', '', 0, 'http://philadelphiadermatology.com/?page_id=112', 0, 'page', '', 0),
(113, 1, '2015-12-16 23:44:13', '2015-12-16 23:44:13', '<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<h4>Overview</h4>\r\n<p>You can now regain your youthful appearance by reducing deep facial wrinkles, restoring volume to eliminate darker area under the eyes and plumping your lips with Juvederm or Restylane - two of the cosmetic fillers that revolutionized the specialty of cosmetic surgery. Its younger cousin, Belotero Balance, has replaced injectable collagen.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<h4>Contouring fillers</h4>\r\n<p>With no downtime, contouring fillers replace what until the beginning of the millennium was possible to achieve only with invasive surgeries or facial implants.</p> \r\n<p>The effect of Restylane, Juvederm and Belotero Balance are appreciated within 1-10 days after injection. After several months, these synthetic hyaluronic acid fillers are naturally degraded by our body’s own hyaluronidase enzyme. To maintain results, these fillers need to be renewed every 6-9 months.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<h4>Side effects:</h4>\r\n<p>Treatment with Restylane, Juvederm and Belotero Balance is easy and safe for nearly everyone. Some swelling, redness, and bruising may occur and can last up to 14 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<h4>Contraindications</h4>\r\n<p>The only contraindication to these fillers is an allergy to numbing medicine which is factory premixed with these fillers except Belotero Balance. An allergy to hyaluronic acid is almost impossible yet those with a myriad of allergies are not suited to receive filler injections as their immune system is already in overdrive. Avoidance of aspirin, ibuprofen, fish oil, vitamin E and St John’s wort for 7 days prior to the procedure is the only preparatory step necessary.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4>Differences</h4>\r\n<p>The downtime and durability of Restylane and Juvederm differ slightly due to the different amounts of cross-linked hyaluronic acid in each. I like both Restylane and Juvederm and in my opinion, both have their place. Although they can be applied to the same areas, I might favor one over the other. Restylane and its finer counterpart, Restylane Silk, work well for under eye troughs. Restylane Silk and Belotero Balance are great for etched lines such as the vertical ones above and below the lips as well as the ones that some people create around their mouth. Juvederm ultra plus is my favorite for deeper nasolabial troughs and nothing comes close to Juvederm ultra for refllation of a thinned lip.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4>Origin:</h4>\r\n<p>Regaining a youthful appearance is a great way to feel refreshed and confident. Because the extensive downtime and discomfort associated with plastic surgery and laser resurfacing can seem daunting, we offer an effective alternative to these interventions. Restylane and Juvederm fillers, placed every 6-9 months, can significantly improve the appearance of deep facial wrinkles, darkness under the eyes caused by volume loss, thin lips, and even scars. The effects of these fillers are appreciated within days after injection, during which time some swelling, redness, and bruising may occur. After several months, these synthetic hyaluronic acid fillers are naturally degraded by our body’s own hyaluronidase enzyme. The downtime and durability of Restylane and Juvederm differ slightly due to the different amounts of cross-linked hyaluronic acid in each. Treatment with Restylane and Juvederm is easy and safe for nearly everyone. The only contraindication to these fillers is an allergy to hyaluronic acid, which is extremely rare. Avoidance of aspirin and ibuprofen for 10 days prior to the procedure is the only preparatory step necessary.</p>\r\n</div>\r\n\r\n</div>', 'Restylane/Juvederm/Belotero Balance', '', 'inherit', 'closed', 'closed', '', '112-revision-v1', '', '', '2015-12-16 23:44:13', '2015-12-16 23:44:13', '', 112, 'http://philadelphiadermatology.com/112-revision-v1/', 0, 'revision', '', 0),
(114, 1, '2015-12-17 23:52:01', '2015-12-17 23:52:01', '', 'restylanejuvedermbelotero-balance', '', 'inherit', 'open', 'closed', '', 'restylanejuvedermbelotero-balance-2', '', '', '2015-12-17 23:52:01', '2015-12-17 23:52:01', '', 0, 'http://philadelphiadermatology.com/wp-content/uploads/2015/12/restylanejuvedermbelotero-balance.jpg', 0, 'attachment', 'image/jpeg', 0);
INSERT INTO `wp_new_posts` (`ID`, `post_author`, `post_date`, `post_date_gmt`, `post_content`, `post_title`, `post_excerpt`, `post_status`, `comment_status`, `ping_status`, `post_password`, `post_name`, `to_ping`, `pinged`, `post_modified`, `post_modified_gmt`, `post_content_filtered`, `post_parent`, `guid`, `menu_order`, `post_type`, `post_mime_type`, `comment_count`) VALUES
(115, 1, '2015-12-17 23:52:37', '2015-12-17 23:52:37', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/uploads/2015/12/restylanejuvedermbelotero-balance.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<h4>Overview</h4>\r\n<p>You can now regain your youthful appearance by reducing deep facial wrinkles, restoring volume to eliminate darker area under the eyes and plumping your lips with Juvederm or Restylane - two of the cosmetic fillers that revolutionized the specialty of cosmetic surgery. Its younger cousin, Belotero Balance, has replaced injectable collagen.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<h4>Contouring fillers</h4>\r\n<p>With no downtime, contouring fillers replace what until the beginning of the millennium was possible to achieve only with invasive surgeries or facial implants.</p> \r\n<p>The effect of Restylane, Juvederm and Belotero Balance are appreciated within 1-10 days after injection. After several months, these synthetic hyaluronic acid fillers are naturally degraded by our body’s own hyaluronidase enzyme. To maintain results, these fillers need to be renewed every 6-9 months.</p>\r\n</div>\r\n<div class="acne-procedur-box3 acne-procedur-box">\r\n<h4>Side effects:</h4>\r\n<p>Treatment with Restylane, Juvederm and Belotero Balance is easy and safe for nearly everyone. Some swelling, redness, and bruising may occur and can last up to 14 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<h4>Contraindications</h4>\r\n<p>The only contraindication to these fillers is an allergy to numbing medicine which is factory premixed with these fillers except Belotero Balance. An allergy to hyaluronic acid is almost impossible yet those with a myriad of allergies are not suited to receive filler injections as their immune system is already in overdrive. Avoidance of aspirin, ibuprofen, fish oil, vitamin E and St John’s wort for 7 days prior to the procedure is the only preparatory step necessary.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4>Differences</h4>\r\n<p>The downtime and durability of Restylane and Juvederm differ slightly due to the different amounts of cross-linked hyaluronic acid in each. I like both Restylane and Juvederm and in my opinion, both have their place. Although they can be applied to the same areas, I might favor one over the other. Restylane and its finer counterpart, Restylane Silk, work well for under eye troughs. Restylane Silk and Belotero Balance are great for etched lines such as the vertical ones above and below the lips as well as the ones that some people create around their mouth. Juvederm ultra plus is my favorite for deeper nasolabial troughs and nothing comes close to Juvederm ultra for refllation of a thinned lip.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4>Origin:</h4>\r\n<p>Regaining a youthful appearance is a great way to feel refreshed and confident. Because the extensive downtime and discomfort associated with plastic surgery and laser resurfacing can seem daunting, we offer an effective alternative to these interventions. Restylane and Juvederm fillers, placed every 6-9 months, can significantly improve the appearance of deep facial wrinkles, darkness under the eyes caused by volume loss, thin lips, and even scars. The effects of these fillers are appreciated within days after injection, during which time some swelling, redness, and bruising may occur. After several months, these synthetic hyaluronic acid fillers are naturally degraded by our body’s own hyaluronidase enzyme. The downtime and durability of Restylane and Juvederm differ slightly due to the different amounts of cross-linked hyaluronic acid in each. Treatment with Restylane and Juvederm is easy and safe for nearly everyone. The only contraindication to these fillers is an allergy to hyaluronic acid, which is extremely rare. Avoidance of aspirin and ibuprofen for 10 days prior to the procedure is the only preparatory step necessary.</p>\r\n</div>\r\n\r\n</div>', 'Restylane/Juvederm/Belotero Balance', '', 'inherit', 'closed', 'closed', '', '112-revision-v1', '', '', '2015-12-17 23:52:37', '2015-12-17 23:52:37', '', 112, 'http://philadelphiadermatology.com/112-revision-v1/', 0, 'revision', '', 0),
(116, 1, '2015-12-19 11:05:59', '2015-12-19 11:05:59', '<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\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=""><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', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-19 11:05:59', '2015-12-19 11:05:59', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(117, 1, '2015-12-19 11:13:50', '2015-12-19 11:13:50', '<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>\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', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-19 11:13:50', '2015-12-19 11:13:50', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(118, 1, '2015-12-19 11:14:55', '2015-12-19 11:14:55', '<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 acne-photo-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>\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', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-19 11:14:55', '2015-12-19 11:14:55', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0);
INSERT INTO `wp_new_posts` (`ID`, `post_author`, `post_date`, `post_date_gmt`, `post_content`, `post_title`, `post_excerpt`, `post_status`, `comment_status`, `ping_status`, `post_password`, `post_name`, `to_ping`, `pinged`, `post_modified`, `post_modified_gmt`, `post_content_filtered`, `post_parent`, `guid`, `menu_order`, `post_type`, `post_mime_type`, `comment_count`) VALUES
(119, 1, '2015-12-19 11:15:55', '2015-12-19 11:15:55', '<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', '', 'inherit', 'closed', 'closed', '', '72-revision-v1', '', '', '2015-12-19 11:15:55', '2015-12-19 11:15:55', '', 72, 'http://philadelphiadermatology.com/72-revision-v1/', 0, 'revision', '', 0),
(120, 1, '2015-12-21 15:26:24', '2015-12-21 15:26:24', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/Restylane-Lyft-Juvederm-voluma.jpg" alt="" />\r\n</div>\r\n<div class="content-no-sidebar-box2">\r\n<div class="procedur-content3-box1">\r\n<h4><u>Overview</u></h4>\r\n<p>Over the years, our facial contour changes. When we look in the mirror, it may seem like invisible weights are pulling down on our cheeks, giving us an unflattering “droopy” face. In reality, the natural fat in our cheeks that is abundant during our youth gradually degenerates. Muscle loses its volume, too, and the underlying bone becomes thinner and changes shape. The result is loss of midfacial contour (point to cheek bones and medial cheeks),  accentuation of nasolabial folds (point to them), grooves on the side of the chin (point to marionette lines) and jowl formation (point to jowls). Lifting fillers, such as Restylane Lyft and Juvederm Voluma, restore volume to the cheeks to provide a subtle facial “lift” without having to undergo plastic surgery.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Lifting Fillers</u></h4>\r\n<p>Restylane Lyft and Juvederm Voluma are safe and effective alternatives to a surgical face lift. These synthetically made hyaluronic acid fillers add volume and soften the appearance of facial folds by attracting water to the injected site. Results are seen as quickly as within 1-10 days after injection. These fillers are eventually degraded by our body’s own hyaluronidase enzyme.</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="procedur-content3-box1">\r\n<h4><u>Contraindications</u></h4>\r\n<p>Few contraindications to Restylane Lyft or Juvederm Voluma exist. The most important contraindication is an allergy to an ingredient within the products, specifically lidocaine or xylocaine. Hyaluronic acid is one of the main building blocks of our skin and a true allergy to this molecule does not occur. However, if someone has many allergies including many dietary or pollen allergies, his or her immune system is on hyperalert and may reject anything offered to it. This person is simply not a candidate for filler placement.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Differences</u></h4>\r\n<p>The greatest difference between Restylane Lyft and Juvederm Voluma is the duration of their results. Restylane Lyft lasts for up to 12 months, while results with Juvederm Voluma can last for up to 2 years. These differences were measured in different locations and are not absolutely comparable. In real life we observe that fillers that are placed over the bone tend to last longer and those placed in areas with mobility degrade faster. Therefore, you can usually expect these fillers to last for up to 2 years to reflate the mid-face, and for about one year when used to augment troughs created by movement such as nasolabial folds with smiling.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Side Effects</u></h4>\r\n<p>Lifting fillers can cause bruising, redness, swelling, pain, tenderness, or itching at the injection site. If experienced, these effects typically resolve within 2 weeks. Bruising can be minimized with microcannula injection when possible. It is recommended not to take pain medication like aspirin or ibuprofen and blood thinning supplements such as fish oil, vitamin E and St. John’s wort for 7 days before the intended procedure.</p>\r\n</div>\r\n</div>', 'Restylane Lyft & Juvederm Voluma', '', 'publish', 'open', 'open', '', 'restylane-lyft-juvederm-voluma', '', '', '2015-12-21 16:21:38', '2015-12-21 16:21:38', '', 0, 'http://philadelphiadermatology.com/?page_id=120', 0, 'page', '', 0),
(121, 1, '2015-12-21 15:26:24', '2015-12-21 15:26:24', '<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>', 'Restylane Lyft & Juvederm Voluma', '', 'inherit', 'open', 'open', '', '120-revision-v1', '', '', '2015-12-21 15:26:24', '2015-12-21 15:26:24', '', 120, 'http://philadelphiadermatology.com/120-revision-v1/', 0, 'revision', '', 0),
(122, 1, '2015-12-25 20:47:29', '2015-12-25 20:47:29', '<div class="acne-photo-content-no-sidebar acne-photo-content">\n    <img src="../wp-content/themes/ringpfeildermatology/images/Restylane-Lyft-Juvederm-voluma.jpg" alt="" />\n</div>\n<div class="content-no-sidebar-box2">\n<div class="procedur-content3-box1">\n<h4><u>Overview</u></h4>\n<p>Over the years, our facial contour changes. When we look in the mirror, it may seem like invisible weights are pulling down on our cheeks, giving us an unflattering “droopy” face. In reality, the natural fat in our cheeks that is abundant during our youth gradually degenerates. Muscle loses its volume, too, and the underlying bone becomes thinner and changes shape. The result is loss of midfacial contour (point to cheek bones and medial cheeks),  accentuation of nasolabial folds (point to them), grooves on the side of the chin (point to marionette lines) and jowl formation (point to jowls). Lifting fillers, such as Restylane Lyft and Juvederm Voluma, restore volume to the cheeks to provide a subtle facial “lift” without having to undergo plastic surgery.</p>\n</div>\n<div class="procedur-content3-box2">\n<h4><u>Lifting Fillers</u></h4>\n<p>Restylane Lyft and Juvederm Voluma are safe and effective alternatives to a surgical face lift. These synthetically made hyaluronic acid fillers add volume and soften the appearance of facial folds by attracting water to the injected site. Results are seen as quickly as within 1-10 days after injection. These fillers are eventually degraded by our body’s own hyaluronidase enzyme.</p>\n</div>\n<div style="clear:both"></div>\n</div>\n<div class="acne-procedur-content">\n<div class="procedur-content3-box1">\n<h4><u>Contraindications</u></h4>\n<p>Few contraindications to Restylane Lyft or Juvederm Voluma exist. The most important contraindication is an allergy to an ingredient within the products, specifically lidocaine or xylocaine. Hyaluronic acid is one of the main building blocks of our skin and a true allergy to this molecule does not occur. However, if someone has many allergies including many dietary or pollen allergies, his or her immune system is on hyperalert and may reject anything offered to it. This person is simply not a candidate for filler placement.</p>\n</div>\n<div class="procedur-content3-box2">\n<h4><u>Differences</u></h4>\n<p>The greatest difference between Restylane Lyft and Juvederm Voluma is the duration of their results. Restylane Lyft lasts for up to 12 months, while results with Juvederm Voluma can last for up to 2 years. These differences were measured in different locations and are not absolutely comparable. In real life we observe that fillers that are placed over the bone tend to last longer and those placed in areas with mobility degrade faster. Therefore, you can usually expect these fillers to last for up to 2 years to reflate the mid-face, and for about one year when used to augment troughs created by movement such as nasolabial folds with smiling.</p>\n</div>\n<div class="procedur-content3-box3">\n<h4><u>Side Effects</u></h4>\n<p>Lifting fillers can cause bruising, redness, swelling, pain, tenderness, or itching at the injection site. If experienced, these effects typically resolve within 2 weeks. Bruising can be minimized with microcannula injection when possible. It is recommended not to take pain medication like aspirin or ibuprofen and blood thinning supplements such as fish oil, vitamin E and St. John’s wort for 7 days before the intended procedure.</p>\n</div>\n</div>', 'Restylane Lyft & Juvederm Voluma', '', 'inherit', 'open', 'open', '', '120-autosave-v1', '', '', '2015-12-25 20:47:29', '2015-12-25 20:47:29', '', 120, 'http://philadelphiadermatology.com/120-autosave-v1/', 0, 'revision', '', 0),
(123, 1, '2015-12-21 15:34:54', '2015-12-21 15:34:54', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/Restylane-Lyft-Juvederm-voluma.jpg" alt="" />\r\n</div>', 'Restylane Lyft & Juvederm Voluma', '', 'inherit', 'open', 'open', '', '120-revision-v1', '', '', '2015-12-21 15:34:54', '2015-12-21 15:34:54', '', 120, 'http://philadelphiadermatology.com/120-revision-v1/', 0, 'revision', '', 0),
(124, 1, '2015-12-21 15:43:23', '2015-12-21 15:43:23', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/Restylane-Lyft-Juvederm-voluma.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="procedur-content3-box1">\r\n<h4><u>Overview</u></h4>\r\n<p>Over the years, our facial contour changes. When we look in the mirror, it may seem like invisible weights are pulling down on our cheeks, giving us an unflattering “droopy” face. In reality, the natural fat in our cheeks that is abundant during our youth gradually degenerates. Muscle loses its volume, too, and the underlying bone becomes thinner and changes shape. The result is loss of midfacial contour (point to cheek bones and medial cheeks),  accentuation of nasolabial folds (point to them), grooves on the side of the chin (point to marionette lines) and jowl formation (point to jowls). Lifting fillers, such as Restylane Lyft and Juvederm Voluma, restore volume to the cheeks to provide a subtle facial “lift” without having to undergo plastic surgery.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Lifting Fillers</u></h4>\r\n<p>Restylane Lyft and Juvederm Voluma are safe and effective alternatives to a surgical face lift. These synthetically made hyaluronic acid fillers add volume and soften the appearance of facial folds by attracting water to the injected site. Results are seen as quickly as within 1-10 days after injection. These fillers are eventually degraded by our body’s own hyaluronidase enzyme.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Side Effects</u></h4>\r\n<p>Lifting fillers can cause bruising, redness, swelling, pain, tenderness, or itching at the injection site. If experienced, these effects typically resolve within 2 weeks. Bruising can be minimized with microcannula injection when possible. It is recommended not to take pain medication like aspirin or ibuprofen and blood thinning supplements such as fish oil, vitamin E and St. John’s wort for 7 days before the intended procedure.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Contraindications</u></h4>\r\n<p>Few contraindications to Restylane Lyft or Juvederm Voluma exist. The most important contraindication is an allergy to an ingredient within the products, specifically lidocaine or xylocaine. Hyaluronic acid is one of the main building blocks of our skin and a true allergy to this molecule does not occur. However, if someone has many allergies including many dietary or pollen allergies, his or her immune system is on hyperalert and may reject anything offered to it. This person is simply not a candidate for filler placement.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Differences</u></h4>\r\n<p>The greatest difference between Restylane Lyft and Juvederm Voluma is the duration of their results. Restylane Lyft lasts for up to 12 months, while results with Juvederm Voluma can last for up to 2 years. These differences were measured in different locations and are not absolutely comparable. In real life we observe that fillers that are placed over the bone tend to last longer and those placed in areas with mobility degrade faster. Therefore, you can usually expect these fillers to last for up to 2 years to reflate the mid-face, and for about one year when used to augment troughs created by movement such as nasolabial folds with smiling.</p>\r\n</div>\r\n</div>', 'Restylane Lyft & Juvederm Voluma', '', 'inherit', 'open', 'open', '', '120-revision-v1', '', '', '2015-12-21 15:43:23', '2015-12-21 15:43:23', '', 120, 'http://philadelphiadermatology.com/120-revision-v1/', 0, 'revision', '', 0),
(125, 1, '2015-12-21 15:48:38', '2015-12-21 15:48:38', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/Restylane-Lyft-Juvederm-voluma.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="procedur-content3-box1">\r\n<h4><u>Overview</u></h4>\r\n<p>Over the years, our facial contour changes. When we look in the mirror, it may seem like invisible weights are pulling down on our cheeks, giving us an unflattering “droopy” face. In reality, the natural fat in our cheeks that is abundant during our youth gradually degenerates. Muscle loses its volume, too, and the underlying bone becomes thinner and changes shape. The result is loss of midfacial contour (point to cheek bones and medial cheeks),  accentuation of nasolabial folds (point to them), grooves on the side of the chin (point to marionette lines) and jowl formation (point to jowls). Lifting fillers, such as Restylane Lyft and Juvederm Voluma, restore volume to the cheeks to provide a subtle facial “lift” without having to undergo plastic surgery.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Lifting Fillers</u></h4>\r\n<p>Restylane Lyft and Juvederm Voluma are safe and effective alternatives to a surgical face lift. These synthetically made hyaluronic acid fillers add volume and soften the appearance of facial folds by attracting water to the injected site. Results are seen as quickly as within 1-10 days after injection. These fillers are eventually degraded by our body’s own hyaluronidase enzyme.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Side Effects</u></h4>\r\n<p>Lifting fillers can cause bruising, redness, swelling, pain, tenderness, or itching at the injection site. If experienced, these effects typically resolve within 2 weeks. Bruising can be minimized with microcannula injection when possible. It is recommended not to take pain medication like aspirin or ibuprofen and blood thinning supplements such as fish oil, vitamin E and St. John’s wort for 7 days before the intended procedure.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Contraindications</u></h4>\r\n<p>Few contraindications to Restylane Lyft or Juvederm Voluma exist. The most important contraindication is an allergy to an ingredient within the products, specifically lidocaine or xylocaine. Hyaluronic acid is one of the main building blocks of our skin and a true allergy to this molecule does not occur. However, if someone has many allergies including many dietary or pollen allergies, his or her immune system is on hyperalert and may reject anything offered to it. This person is simply not a candidate for filler placement.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Differences</u></h4>\r\n<p>The greatest difference between Restylane Lyft and Juvederm Voluma is the duration of their results. Restylane Lyft lasts for up to 12 months, while results with Juvederm Voluma can last for up to 2 years. These differences were measured in different locations and are not absolutely comparable. In real life we observe that fillers that are placed over the bone tend to last longer and those placed in areas with mobility degrade faster. Therefore, you can usually expect these fillers to last for up to 2 years to reflate the mid-face, and for about one year when used to augment troughs created by movement such as nasolabial folds with smiling.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<div class="contact-us-sidebar-content">\r\n    <h3>Contact Us Today</h3>\r\n    <form class="contact-us-sidebar" name="contact-us" enctype="multipart/form-data" method="post"  action="http://philadelphiadermatology.com/mail_small_contact_form.php">\r\n        <input type="text" name="name" id="first_name" placeholder="Name*" required>\r\n        <input type="text" name="email" id="email" placeholder="Email*" required>\r\n        <input type="text" name="phone" id="phone" placeholder="Phone*" required>\r\n        <textarea name="message" id="message" placeholder="Comment*" required></textarea>\r\n        <span>*required feild</span>\r\n        <input type="submit" value="Submit" name="submit-contact-us">\r\n    </form>\r\n</div>\r\n</div>\r\n</div>', 'Restylane Lyft & Juvederm Voluma', '', 'inherit', 'open', 'open', '', '120-revision-v1', '', '', '2015-12-21 15:48:38', '2015-12-21 15:48:38', '', 120, 'http://philadelphiadermatology.com/120-revision-v1/', 0, 'revision', '', 0),
(126, 1, '2015-12-21 15:58:24', '2015-12-21 15:58:24', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/Restylane-Lyft-Juvederm-voluma.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="procedur-content3-box1">\r\n<h4><u>Overview</u></h4>\r\n<p>Over the years, our facial contour changes. When we look in the mirror, it may seem like invisible weights are pulling down on our cheeks, giving us an unflattering “droopy” face. In reality, the natural fat in our cheeks that is abundant during our youth gradually degenerates. Muscle loses its volume, too, and the underlying bone becomes thinner and changes shape. The result is loss of midfacial contour (point to cheek bones and medial cheeks),  accentuation of nasolabial folds (point to them), grooves on the side of the chin (point to marionette lines) and jowl formation (point to jowls). Lifting fillers, such as Restylane Lyft and Juvederm Voluma, restore volume to the cheeks to provide a subtle facial “lift” without having to undergo plastic surgery.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Lifting Fillers</u></h4>\r\n<p>Restylane Lyft and Juvederm Voluma are safe and effective alternatives to a surgical face lift. These synthetically made hyaluronic acid fillers add volume and soften the appearance of facial folds by attracting water to the injected site. Results are seen as quickly as within 1-10 days after injection. These fillers are eventually degraded by our body’s own hyaluronidase enzyme.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<div class="contact-us-sidebar-content">\r\n    <h3>Contact Us Today</h3>\r\n    <form class="contact-us-sidebar" name="contact-us" enctype="multipart/form-data" method="post"  action="http://philadelphiadermatology.com/mail_small_contact_form.php">\r\n        <input type="text" name="name" id="first_name" placeholder="Name*" required>\r\n        <input type="text" name="email" id="email" placeholder="Email*" required>\r\n        <input type="text" name="phone" id="phone" placeholder="Phone*" required>\r\n        <textarea name="message" id="message" placeholder="Comment*" required></textarea>\r\n        <span>*required feild</span>\r\n        <input type="submit" value="Submit" name="submit-contact-us">\r\n    </form>\r\n</div>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Contraindications</u></h4>\r\n<p>Few contraindications to Restylane Lyft or Juvederm Voluma exist. The most important contraindication is an allergy to an ingredient within the products, specifically lidocaine or xylocaine. Hyaluronic acid is one of the main building blocks of our skin and a true allergy to this molecule does not occur. However, if someone has many allergies including many dietary or pollen allergies, his or her immune system is on hyperalert and may reject anything offered to it. This person is simply not a candidate for filler placement.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Differences</u></h4>\r\n<p>The greatest difference between Restylane Lyft and Juvederm Voluma is the duration of their results. Restylane Lyft lasts for up to 12 months, while results with Juvederm Voluma can last for up to 2 years. These differences were measured in different locations and are not absolutely comparable. In real life we observe that fillers that are placed over the bone tend to last longer and those placed in areas with mobility degrade faster. Therefore, you can usually expect these fillers to last for up to 2 years to reflate the mid-face, and for about one year when used to augment troughs created by movement such as nasolabial folds with smiling.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Side Effects</u></h4>\r\n<p>Lifting fillers can cause bruising, redness, swelling, pain, tenderness, or itching at the injection site. If experienced, these effects typically resolve within 2 weeks. Bruising can be minimized with microcannula injection when possible. It is recommended not to take pain medication like aspirin or ibuprofen and blood thinning supplements such as fish oil, vitamin E and St. John’s wort for 7 days before the intended procedure.</p>\r\n</div>\r\n</div>', 'Restylane Lyft & Juvederm Voluma', '', 'inherit', 'open', 'open', '', '120-revision-v1', '', '', '2015-12-21 15:58:24', '2015-12-21 15:58:24', '', 120, 'http://philadelphiadermatology.com/120-revision-v1/', 0, 'revision', '', 0),
(127, 1, '2015-12-21 15:59:11', '2015-12-21 15:59:11', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/Restylane-Lyft-Juvederm-voluma.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="procedur-content3-box1">\r\n<h4><u>Overview</u></h4>\r\n<p>Over the years, our facial contour changes. When we look in the mirror, it may seem like invisible weights are pulling down on our cheeks, giving us an unflattering “droopy” face. In reality, the natural fat in our cheeks that is abundant during our youth gradually degenerates. Muscle loses its volume, too, and the underlying bone becomes thinner and changes shape. The result is loss of midfacial contour (point to cheek bones and medial cheeks),  accentuation of nasolabial folds (point to them), grooves on the side of the chin (point to marionette lines) and jowl formation (point to jowls). Lifting fillers, such as Restylane Lyft and Juvederm Voluma, restore volume to the cheeks to provide a subtle facial “lift” without having to undergo plastic surgery.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Lifting Fillers</u></h4>\r\n<p>Restylane Lyft and Juvederm Voluma are safe and effective alternatives to a surgical face lift. These synthetically made hyaluronic acid fillers add volume and soften the appearance of facial folds by attracting water to the injected site. Results are seen as quickly as within 1-10 days after injection. These fillers are eventually degraded by our body’s own hyaluronidase enzyme.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Contraindications</u></h4>\r\n<p>Few contraindications to Restylane Lyft or Juvederm Voluma exist. The most important contraindication is an allergy to an ingredient within the products, specifically lidocaine or xylocaine. Hyaluronic acid is one of the main building blocks of our skin and a true allergy to this molecule does not occur. However, if someone has many allergies including many dietary or pollen allergies, his or her immune system is on hyperalert and may reject anything offered to it. This person is simply not a candidate for filler placement.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Differences</u></h4>\r\n<p>The greatest difference between Restylane Lyft and Juvederm Voluma is the duration of their results. Restylane Lyft lasts for up to 12 months, while results with Juvederm Voluma can last for up to 2 years. These differences were measured in different locations and are not absolutely comparable. In real life we observe that fillers that are placed over the bone tend to last longer and those placed in areas with mobility degrade faster. Therefore, you can usually expect these fillers to last for up to 2 years to reflate the mid-face, and for about one year when used to augment troughs created by movement such as nasolabial folds with smiling.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Side Effects</u></h4>\r\n<p>Lifting fillers can cause bruising, redness, swelling, pain, tenderness, or itching at the injection site. If experienced, these effects typically resolve within 2 weeks. Bruising can be minimized with microcannula injection when possible. It is recommended not to take pain medication like aspirin or ibuprofen and blood thinning supplements such as fish oil, vitamin E and St. John’s wort for 7 days before the intended procedure.</p>\r\n</div>\r\n</div>', 'Restylane Lyft & Juvederm Voluma', '', 'inherit', 'open', 'open', '', '120-revision-v1', '', '', '2015-12-21 15:59:11', '2015-12-21 15:59:11', '', 120, 'http://philadelphiadermatology.com/120-revision-v1/', 0, 'revision', '', 0),
(128, 1, '2015-12-21 16:07:16', '2015-12-21 16:07:16', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/Restylane-Lyft-Juvederm-voluma.jpg" alt="" />\r\n</div>\r\n<div class="acne-photo-content-no-sidebar">\r\n<div class="acne-procedur-box">\r\n<h4><u>Overview</u></h4>\r\n<p>Over the years, our facial contour changes. When we look in the mirror, it may seem like invisible weights are pulling down on our cheeks, giving us an unflattering “droopy” face. In reality, the natural fat in our cheeks that is abundant during our youth gradually degenerates. Muscle loses its volume, too, and the underlying bone becomes thinner and changes shape. The result is loss of midfacial contour (point to cheek bones and medial cheeks),  accentuation of nasolabial folds (point to them), grooves on the side of the chin (point to marionette lines) and jowl formation (point to jowls). Lifting fillers, such as Restylane Lyft and Juvederm Voluma, restore volume to the cheeks to provide a subtle facial “lift” without having to undergo plastic surgery.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<h4><u>Lifting Fillers</u></h4>\r\n<p>Restylane Lyft and Juvederm Voluma are safe and effective alternatives to a surgical face lift. These synthetically made hyaluronic acid fillers add volume and soften the appearance of facial folds by attracting water to the injected site. Results are seen as quickly as within 1-10 days after injection. These fillers are eventually degraded by our body’s own hyaluronidase enzyme.</p>\r\n</div>\r\n</div><div class="acne-procedur-content">\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Contraindications</u></h4>\r\n<p>Few contraindications to Restylane Lyft or Juvederm Voluma exist. The most important contraindication is an allergy to an ingredient within the products, specifically lidocaine or xylocaine. Hyaluronic acid is one of the main building blocks of our skin and a true allergy to this molecule does not occur. However, if someone has many allergies including many dietary or pollen allergies, his or her immune system is on hyperalert and may reject anything offered to it. This person is simply not a candidate for filler placement.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Differences</u></h4>\r\n<p>The greatest difference between Restylane Lyft and Juvederm Voluma is the duration of their results. Restylane Lyft lasts for up to 12 months, while results with Juvederm Voluma can last for up to 2 years. These differences were measured in different locations and are not absolutely comparable. In real life we observe that fillers that are placed over the bone tend to last longer and those placed in areas with mobility degrade faster. Therefore, you can usually expect these fillers to last for up to 2 years to reflate the mid-face, and for about one year when used to augment troughs created by movement such as nasolabial folds with smiling.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Side Effects</u></h4>\r\n<p>Lifting fillers can cause bruising, redness, swelling, pain, tenderness, or itching at the injection site. If experienced, these effects typically resolve within 2 weeks. Bruising can be minimized with microcannula injection when possible. It is recommended not to take pain medication like aspirin or ibuprofen and blood thinning supplements such as fish oil, vitamin E and St. John’s wort for 7 days before the intended procedure.</p>\r\n</div>\r\n</div>', 'Restylane Lyft & Juvederm Voluma', '', 'inherit', 'open', 'open', '', '120-revision-v1', '', '', '2015-12-21 16:07:16', '2015-12-21 16:07:16', '', 120, 'http://philadelphiadermatology.com/120-revision-v1/', 0, 'revision', '', 0),
(129, 1, '2015-12-21 16:10:22', '2015-12-21 16:10:22', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/Restylane-Lyft-Juvederm-voluma.jpg" alt="" />\r\n</div>\r\n<div class="acne-photo-content-no-sidebar">\r\n<div class="acne-procedur-box">\r\n<h4><u>Overview</u></h4>\r\n<p>Over the years, our facial contour changes. When we look in the mirror, it may seem like invisible weights are pulling down on our cheeks, giving us an unflattering “droopy” face. In reality, the natural fat in our cheeks that is abundant during our youth gradually degenerates. Muscle loses its volume, too, and the underlying bone becomes thinner and changes shape. The result is loss of midfacial contour (point to cheek bones and medial cheeks),  accentuation of nasolabial folds (point to them), grooves on the side of the chin (point to marionette lines) and jowl formation (point to jowls). Lifting fillers, such as Restylane Lyft and Juvederm Voluma, restore volume to the cheeks to provide a subtle facial “lift” without having to undergo plastic surgery.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<h4><u>Lifting Fillers</u></h4>\r\n<p>Restylane Lyft and Juvederm Voluma are safe and effective alternatives to a surgical face lift. These synthetically made hyaluronic acid fillers add volume and soften the appearance of facial folds by attracting water to the injected site. Results are seen as quickly as within 1-10 days after injection. These fillers are eventually degraded by our body’s own hyaluronidase enzyme.</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="procedur-content3-box1">\r\n<h4><u>Contraindications</u></h4>\r\n<p>Few contraindications to Restylane Lyft or Juvederm Voluma exist. The most important contraindication is an allergy to an ingredient within the products, specifically lidocaine or xylocaine. Hyaluronic acid is one of the main building blocks of our skin and a true allergy to this molecule does not occur. However, if someone has many allergies including many dietary or pollen allergies, his or her immune system is on hyperalert and may reject anything offered to it. This person is simply not a candidate for filler placement.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Differences</u></h4>\r\n<p>The greatest difference between Restylane Lyft and Juvederm Voluma is the duration of their results. Restylane Lyft lasts for up to 12 months, while results with Juvederm Voluma can last for up to 2 years. These differences were measured in different locations and are not absolutely comparable. In real life we observe that fillers that are placed over the bone tend to last longer and those placed in areas with mobility degrade faster. Therefore, you can usually expect these fillers to last for up to 2 years to reflate the mid-face, and for about one year when used to augment troughs created by movement such as nasolabial folds with smiling.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Side Effects</u></h4>\r\n<p>Lifting fillers can cause bruising, redness, swelling, pain, tenderness, or itching at the injection site. If experienced, these effects typically resolve within 2 weeks. Bruising can be minimized with microcannula injection when possible. It is recommended not to take pain medication like aspirin or ibuprofen and blood thinning supplements such as fish oil, vitamin E and St. John’s wort for 7 days before the intended procedure.</p>\r\n</div>\r\n</div>', 'Restylane Lyft & Juvederm Voluma', '', 'inherit', 'open', 'open', '', '120-revision-v1', '', '', '2015-12-21 16:10:22', '2015-12-21 16:10:22', '', 120, 'http://philadelphiadermatology.com/120-revision-v1/', 0, 'revision', '', 0),
(130, 1, '2015-12-21 16:11:11', '2015-12-21 16:11:11', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/Restylane-Lyft-Juvederm-voluma.jpg" alt="" />\r\n</div>\r\n<div class="acne-procedur-content">\r\n<div class="procedur-content3-box1">\r\n<h4><u>Overview</u></h4>\r\n<p>Over the years, our facial contour changes. When we look in the mirror, it may seem like invisible weights are pulling down on our cheeks, giving us an unflattering “droopy” face. In reality, the natural fat in our cheeks that is abundant during our youth gradually degenerates. Muscle loses its volume, too, and the underlying bone becomes thinner and changes shape. The result is loss of midfacial contour (point to cheek bones and medial cheeks),  accentuation of nasolabial folds (point to them), grooves on the side of the chin (point to marionette lines) and jowl formation (point to jowls). Lifting fillers, such as Restylane Lyft and Juvederm Voluma, restore volume to the cheeks to provide a subtle facial “lift” without having to undergo plastic surgery.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Lifting Fillers</u></h4>\r\n<p>Restylane Lyft and Juvederm Voluma are safe and effective alternatives to a surgical face lift. These synthetically made hyaluronic acid fillers add volume and soften the appearance of facial folds by attracting water to the injected site. Results are seen as quickly as within 1-10 days after injection. These fillers are eventually degraded by our body’s own hyaluronidase enzyme.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<div class="contact-us-sidebar-content">\r\n    <h3>Contact Us Today</h3>\r\n    <form class="contact-us-sidebar" name="contact-us" enctype="multipart/form-data" method="post"  action="http://philadelphiadermatology.com/mail_small_contact_form.php">\r\n        <input type="text" name="name" id="first_name" placeholder="Name*" required>\r\n        <input type="text" name="email" id="email" placeholder="Email*" required>\r\n        <input type="text" name="phone" id="phone" placeholder="Phone*" required>\r\n        <textarea name="message" id="message" placeholder="Comment*" required></textarea>\r\n        <span>*required feild</span>\r\n        <input type="submit" value="Submit" name="submit-contact-us">\r\n    </form>\r\n</div>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Contraindications</u></h4>\r\n<p>Few contraindications to Restylane Lyft or Juvederm Voluma exist. The most important contraindication is an allergy to an ingredient within the products, specifically lidocaine or xylocaine. Hyaluronic acid is one of the main building blocks of our skin and a true allergy to this molecule does not occur. However, if someone has many allergies including many dietary or pollen allergies, his or her immune system is on hyperalert and may reject anything offered to it. This person is simply not a candidate for filler placement.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Differences</u></h4>\r\n<p>The greatest difference between Restylane Lyft and Juvederm Voluma is the duration of their results. Restylane Lyft lasts for up to 12 months, while results with Juvederm Voluma can last for up to 2 years. These differences were measured in different locations and are not absolutely comparable. In real life we observe that fillers that are placed over the bone tend to last longer and those placed in areas with mobility degrade faster. Therefore, you can usually expect these fillers to last for up to 2 years to reflate the mid-face, and for about one year when used to augment troughs created by movement such as nasolabial folds with smiling.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Side Effects</u></h4>\r\n<p>Lifting fillers can cause bruising, redness, swelling, pain, tenderness, or itching at the injection site. If experienced, these effects typically resolve within 2 weeks. Bruising can be minimized with microcannula injection when possible. It is recommended not to take pain medication like aspirin or ibuprofen and blood thinning supplements such as fish oil, vitamin E and St. John’s wort for 7 days before the intended procedure.</p>\r\n</div>\r\n</div>', 'Restylane Lyft & Juvederm Voluma', '', 'inherit', 'open', 'open', '', '120-revision-v1', '', '', '2015-12-21 16:11:11', '2015-12-21 16:11:11', '', 120, 'http://philadelphiadermatology.com/120-revision-v1/', 0, 'revision', '', 0);
INSERT INTO `wp_new_posts` (`ID`, `post_author`, `post_date`, `post_date_gmt`, `post_content`, `post_title`, `post_excerpt`, `post_status`, `comment_status`, `ping_status`, `post_password`, `post_name`, `to_ping`, `pinged`, `post_modified`, `post_modified_gmt`, `post_content_filtered`, `post_parent`, `guid`, `menu_order`, `post_type`, `post_mime_type`, `comment_count`) VALUES
(131, 1, '2015-12-21 16:12:07', '2015-12-21 16:12:07', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/Restylane-Lyft-Juvederm-voluma.jpg" alt="" />\r\n</div>\r\n<div class="acne-photo-content-no-sidebar">\r\n<div class="acne-procedur-box">\r\n<h4><u>Overview</u></h4>\r\n<p>Over the years, our facial contour changes. When we look in the mirror, it may seem like invisible weights are pulling down on our cheeks, giving us an unflattering “droopy” face. In reality, the natural fat in our cheeks that is abundant during our youth gradually degenerates. Muscle loses its volume, too, and the underlying bone becomes thinner and changes shape. The result is loss of midfacial contour (point to cheek bones and medial cheeks),  accentuation of nasolabial folds (point to them), grooves on the side of the chin (point to marionette lines) and jowl formation (point to jowls). Lifting fillers, such as Restylane Lyft and Juvederm Voluma, restore volume to the cheeks to provide a subtle facial “lift” without having to undergo plastic surgery.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<h4><u>Lifting Fillers</u></h4>\r\n<p>Restylane Lyft and Juvederm Voluma are safe and effective alternatives to a surgical face lift. These synthetically made hyaluronic acid fillers add volume and soften the appearance of facial folds by attracting water to the injected site. Results are seen as quickly as within 1-10 days after injection. These fillers are eventually degraded by our body’s own hyaluronidase enzyme.</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="procedur-content3-box1">\r\n<h4><u>Contraindications</u></h4>\r\n<p>Few contraindications to Restylane Lyft or Juvederm Voluma exist. The most important contraindication is an allergy to an ingredient within the products, specifically lidocaine or xylocaine. Hyaluronic acid is one of the main building blocks of our skin and a true allergy to this molecule does not occur. However, if someone has many allergies including many dietary or pollen allergies, his or her immune system is on hyperalert and may reject anything offered to it. This person is simply not a candidate for filler placement.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Differences</u></h4>\r\n<p>The greatest difference between Restylane Lyft and Juvederm Voluma is the duration of their results. Restylane Lyft lasts for up to 12 months, while results with Juvederm Voluma can last for up to 2 years. These differences were measured in different locations and are not absolutely comparable. In real life we observe that fillers that are placed over the bone tend to last longer and those placed in areas with mobility degrade faster. Therefore, you can usually expect these fillers to last for up to 2 years to reflate the mid-face, and for about one year when used to augment troughs created by movement such as nasolabial folds with smiling.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Side Effects</u></h4>\r\n<p>Lifting fillers can cause bruising, redness, swelling, pain, tenderness, or itching at the injection site. If experienced, these effects typically resolve within 2 weeks. Bruising can be minimized with microcannula injection when possible. It is recommended not to take pain medication like aspirin or ibuprofen and blood thinning supplements such as fish oil, vitamin E and St. John’s wort for 7 days before the intended procedure.</p>\r\n</div>\r\n</div>', 'Restylane Lyft & Juvederm Voluma', '', 'inherit', 'open', 'open', '', '120-revision-v1', '', '', '2015-12-21 16:12:07', '2015-12-21 16:12:07', '', 120, 'http://philadelphiadermatology.com/120-revision-v1/', 0, 'revision', '', 0),
(132, 1, '2015-12-21 16:14:21', '2015-12-21 16:14:21', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/Restylane-Lyft-Juvederm-voluma.jpg" alt="" />\r\n</div>\r\n<div class="acne-photo-content-no-sidebar">\r\n<div class="procedur-content3-box1">\r\n<h4><u>Overview</u></h4>\r\n<p>Over the years, our facial contour changes. When we look in the mirror, it may seem like invisible weights are pulling down on our cheeks, giving us an unflattering “droopy” face. In reality, the natural fat in our cheeks that is abundant during our youth gradually degenerates. Muscle loses its volume, too, and the underlying bone becomes thinner and changes shape. The result is loss of midfacial contour (point to cheek bones and medial cheeks),  accentuation of nasolabial folds (point to them), grooves on the side of the chin (point to marionette lines) and jowl formation (point to jowls). Lifting fillers, such as Restylane Lyft and Juvederm Voluma, restore volume to the cheeks to provide a subtle facial “lift” without having to undergo plastic surgery.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Lifting Fillers</u></h4>\r\n<p>Restylane Lyft and Juvederm Voluma are safe and effective alternatives to a surgical face lift. These synthetically made hyaluronic acid fillers add volume and soften the appearance of facial folds by attracting water to the injected site. Results are seen as quickly as within 1-10 days after injection. These fillers are eventually degraded by our body’s own hyaluronidase enzyme.</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="procedur-content3-box1">\r\n<h4><u>Contraindications</u></h4>\r\n<p>Few contraindications to Restylane Lyft or Juvederm Voluma exist. The most important contraindication is an allergy to an ingredient within the products, specifically lidocaine or xylocaine. Hyaluronic acid is one of the main building blocks of our skin and a true allergy to this molecule does not occur. However, if someone has many allergies including many dietary or pollen allergies, his or her immune system is on hyperalert and may reject anything offered to it. This person is simply not a candidate for filler placement.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Differences</u></h4>\r\n<p>The greatest difference between Restylane Lyft and Juvederm Voluma is the duration of their results. Restylane Lyft lasts for up to 12 months, while results with Juvederm Voluma can last for up to 2 years. These differences were measured in different locations and are not absolutely comparable. In real life we observe that fillers that are placed over the bone tend to last longer and those placed in areas with mobility degrade faster. Therefore, you can usually expect these fillers to last for up to 2 years to reflate the mid-face, and for about one year when used to augment troughs created by movement such as nasolabial folds with smiling.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Side Effects</u></h4>\r\n<p>Lifting fillers can cause bruising, redness, swelling, pain, tenderness, or itching at the injection site. If experienced, these effects typically resolve within 2 weeks. Bruising can be minimized with microcannula injection when possible. It is recommended not to take pain medication like aspirin or ibuprofen and blood thinning supplements such as fish oil, vitamin E and St. John’s wort for 7 days before the intended procedure.</p>\r\n</div>\r\n</div>', 'Restylane Lyft & Juvederm Voluma', '', 'inherit', 'open', 'open', '', '120-revision-v1', '', '', '2015-12-21 16:14:21', '2015-12-21 16:14:21', '', 120, 'http://philadelphiadermatology.com/120-revision-v1/', 0, 'revision', '', 0),
(133, 1, '2015-12-21 16:21:38', '2015-12-21 16:21:38', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n    <img src="../wp-content/themes/ringpfeildermatology/images/Restylane-Lyft-Juvederm-voluma.jpg" alt="" />\r\n</div>\r\n<div class="content-no-sidebar-box2">\r\n<div class="procedur-content3-box1">\r\n<h4><u>Overview</u></h4>\r\n<p>Over the years, our facial contour changes. When we look in the mirror, it may seem like invisible weights are pulling down on our cheeks, giving us an unflattering “droopy” face. In reality, the natural fat in our cheeks that is abundant during our youth gradually degenerates. Muscle loses its volume, too, and the underlying bone becomes thinner and changes shape. The result is loss of midfacial contour (point to cheek bones and medial cheeks),  accentuation of nasolabial folds (point to them), grooves on the side of the chin (point to marionette lines) and jowl formation (point to jowls). Lifting fillers, such as Restylane Lyft and Juvederm Voluma, restore volume to the cheeks to provide a subtle facial “lift” without having to undergo plastic surgery.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Lifting Fillers</u></h4>\r\n<p>Restylane Lyft and Juvederm Voluma are safe and effective alternatives to a surgical face lift. These synthetically made hyaluronic acid fillers add volume and soften the appearance of facial folds by attracting water to the injected site. Results are seen as quickly as within 1-10 days after injection. These fillers are eventually degraded by our body’s own hyaluronidase enzyme.</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="procedur-content3-box1">\r\n<h4><u>Contraindications</u></h4>\r\n<p>Few contraindications to Restylane Lyft or Juvederm Voluma exist. The most important contraindication is an allergy to an ingredient within the products, specifically lidocaine or xylocaine. Hyaluronic acid is one of the main building blocks of our skin and a true allergy to this molecule does not occur. However, if someone has many allergies including many dietary or pollen allergies, his or her immune system is on hyperalert and may reject anything offered to it. This person is simply not a candidate for filler placement.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Differences</u></h4>\r\n<p>The greatest difference between Restylane Lyft and Juvederm Voluma is the duration of their results. Restylane Lyft lasts for up to 12 months, while results with Juvederm Voluma can last for up to 2 years. These differences were measured in different locations and are not absolutely comparable. In real life we observe that fillers that are placed over the bone tend to last longer and those placed in areas with mobility degrade faster. Therefore, you can usually expect these fillers to last for up to 2 years to reflate the mid-face, and for about one year when used to augment troughs created by movement such as nasolabial folds with smiling.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Side Effects</u></h4>\r\n<p>Lifting fillers can cause bruising, redness, swelling, pain, tenderness, or itching at the injection site. If experienced, these effects typically resolve within 2 weeks. Bruising can be minimized with microcannula injection when possible. It is recommended not to take pain medication like aspirin or ibuprofen and blood thinning supplements such as fish oil, vitamin E and St. John’s wort for 7 days before the intended procedure.</p>\r\n</div>\r\n</div>', 'Restylane Lyft & Juvederm Voluma', '', 'inherit', 'open', 'open', '', '120-revision-v1', '', '', '2015-12-21 16:21:38', '2015-12-21 16:21:38', '', 120, 'http://philadelphiadermatology.com/120-revision-v1/', 0, 'revision', '', 0),
(134, 1, '2015-12-21 17:16:08', '2015-12-21 17:16:08', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders”</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<img class="img" src="../wp-content/themes/ringpfeildermatology/images/scar3-Richardson-Faye.jpg" alt="" />\r\n<div class="acne-procedur-content">\r\n<h2>Combining the Picosure and the Infiny devices to untie imploded scar tissues, to promote collagen growth and to even the skin surface</h2>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Elevated scars</u></h4>\r\n<p><strong>Hypertrophic scars</strong></p>\r\n<ul>\r\n	<li>Caused by tension on skin after healing from a cutting injury or burn effectively treated by pulsed dye laser when red, fractionated CO2 (ScarFX) x multiple, fractionated radiofrequency x multiple, excision and Z-plasty, microneedling</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually pulsed dye laser treatments can be submitted to insurance] $150+</li>\r\n</ul>\r\n<p><strong>Keloids</strong></p>\r\n<ul>\r\n	<li>Caused by genetic predisposition or specific location (midline of our body) treated effectively by steroid or combination steroid/fluorouracil injection x multiple, pulsed dye laser treatment if red x multiple, external cryosurgery x  multiple, Cryoshape x 1 for appropriate size, excision followed by steroid injection x 3-4 at site every 2 weeks (applies to ear only) x 1</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually submitted to insurance] $50 /$150+/$80+/$1000+/$200+</li>\r\n</ul>\r\n<h4><u>Scars under the skin</u></h4>\r\n<p><strong>Stretch marks striae distensae</strong></p>\r\n<ul>\r\n	<li>Caused by stretch of skin with rapid growth in height or girth (teenage growth spurt, pregnancy, weight gain)</li>\r\n	<li>Treated effectively by pulsed dye laser when red x 1-2, fractionated CO2 DeepFX x 1, long pulsed Nd:YAG laser x 2-4,1540 non ablative fractional laser (Starlux 500) x multiple treatments</li>\r\n	<li>Expected results 100% of redness reduction, improvement of the stretched skin is fair</li>\r\n	<li>Expected price per treatment $250+ (depends on the size of the treated area for PDL, CO2, and Nd:YAG; Starlux is not available in our office)</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Depressed scars</u></h4>\r\n<p><strong>Rolling scars</strong></p>\r\n<ul>\r\n	<li>Caused by dense cystic-nodular and inflammatory acne treated effectively by subcision x 1-2, fractionated radiofrequency x 2-3, microneedling x 5-6, fractionated CO2 laser resurfacing x 3-6, fractionated Erbium laser 4-8, filler placement yearly</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/microneedling currently not available in our office/$500/$500/$580 per syringe</li>\r\n</ul>\r\n<p><strong>Box Scar</strong></p>\r\n<ul>\r\n	<li>Caused by cystic-nodular and inflammatory acne treated effectively by fractionated radiofrequency x 2-3/fractionated CO2 laser x 3-6, fractionated Erbium 4-8, picosecond laser x 3-4, energy powered microneedling x 5-6, filler placement very 1-2 years, subcision (if single scars) x 1-2, punch elevation x 1-2</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$500/$500/microneedling currently not available in our office/$580 per syringe/$150/$200 per spot</li>\r\n</ul>\r\n<p><strong>Ice Pick scars</strong></p>\r\n<ul>\r\n	<li>Caused by inflammatory and cystic-nodular acne treated effectively by TCA CROSS x 1-2, CO2 DeepFX x 3-6, punch excision (if single scar) x 1, punch grafting x 1-2</li>\r\n	<li>Expected results: 35-50%</li>\r\n	<li>Expected price per treatment $500, $500, $200 per spot/$300 per spot</li>\r\n</ul>\r\n<p><strong>Pores</strong></p>\r\n<ul>\r\n	<li>Caused by significant oil production, acne treated effectively by PDT x 3, fractional CO2 DeepFX x 1-2, glycolic acid daily</li>\r\n	<li>Expected results 30% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$50 per year</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<h4><u>Flat scars</u></h4>\r\n<p><strong>Flat wrinkled (atrophic) scars</strong></p>\r\n<ul>\r\n	<li>Caused by injury and inability to tighten the skin (Ehlers Danlos Syndrome, elastin deficiency)</li>\r\n	<li>Treated effectively Fractionated CO2 ScarFX, fractionated radiofrequency</li>\r\n	<li>Expected results; fair</li>\r\n	<li>Expected price per treatment $150+ (depending on size and number)</li>\r\n</ul>\r\n<p><strong>Flat red scars</strong></p>\r\n<ul>\r\n	<li>Caused by skin injury and inability to quickly resolve blood vessels that aid in healing initially, hence keeping inflammation for too long</li>\r\n	<li>Treated effectively pulsed dye laser 2-5, time (our body will eventually resolve most blood vessels on its own, a process that can take several years)</li>\r\n	<li>Expected results 75-100% reduction</li>\r\n	<li>Expected price per treatment $150+(depending on size and number)</li>\r\n</ul>\r\n<div class="contact-us-sidebar-content">\r\n    <h3>Contact Us Today</h3>\r\n    <form class="contact-us-sidebar" name="contact-us" enctype="multipart/form-data" method="post"  action="http://philadelphiadermatology.com/mail_small_contact_form.php">\r\n        <input type="text" name="name" id="first_name" placeholder="Name*" required>\r\n        <input type="text" name="email" id="email" placeholder="Email*" required>\r\n        <input type="text" name="phone" id="phone" placeholder="Phone*" required>\r\n        <textarea name="message" id="message" placeholder="Comment*" required></textarea>\r\n        <span>*Required Field</span>\r\n        <input type="submit" value="Submit" name="submit-contact-us">\r\n    </form>\r\n</div>\r\n</div>\r\n<div style="clear:both"></div>\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<h2>Glossary</h2>\r\n<div class="procedur-content3-box1">\r\n<p>High Intensity fractionated radiofrequency (Infini) treatments reach the second layer of the skin while protecting the top layer. They cause localized injury in the dermis which stimulates elastin production. With topical anesthesia, discomfort is minimal. Downtime includes redness for one day, mild swelling and minimal if any scabs for 3 days. It has been a game changer for rolling scars and it works very well for box scars.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Fractionated CO2 laser treatments can reach the deepest amongst all devices (DeepFX/ScarFX). They vaporize the tight strands that pull down scars in various depths of the skin and also refresh the skin surface on the outside of the scar (ActiveFX). They stimulates collagen production where they destroy the deep scars. Downtime is considerable with 4-5 days of swelling, oozing, scabbing and several weeks of redness.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Fractionated erbium laser treatments can be performed similar to a peel (Pixel) or deep reaching (FRAXEL Restore). The first will gently resurface the skin by stimulating new skin growth in many minute islands. Skin is red and swollen and feels rough for 5 days.The latter will reach deep, vaporize minute columns of skin and scars and tightens the skin within itself. DeepFx fractional CO2 laser treatments have largely replaced this deep reaching method because their effect is superior. Downtime of redness and swelling for 5-6 days are common. Topical anesthesia is preferred with both treatments.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microneedling is based on minimal targeted tissue injury of the second layer of the skin (dermis) without heat injury. It can be performed at home with a dermaroller or in the professional office with a power driven microneedling pen (Dermapen). It usually requires some form of topical numbing and has a brief downtime of 1 day of redness and a few days of swelling and mild roughness.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Picosecond laser (Picosure) treatment stretches adhesions under the skin and stimulates elastin production. Because it is super fast and does not produce heat it causes very minimal if any discomfort and no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Subcision helps to lift rolling scars. After local anaesthesia, a small needle is inserted under the scarred area to free the adhesions that pull the scars down. Downtime includes bruising and swelling for up to 10 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>TCA peels in various concentrations improve the skin surface with ice pick and rolling scars. The CROSS techniques works best to shrink deep ice pick scars and small box scars. Discomfort lasts about 8 minutes, downtime of 5 days of redness, swelling, peeling, crusting is not insignificant.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Tissue augmenting agents like hyaluronic acid (Juvederm,Restylane), calcium hydroxyappatite (Radiesse) and polymethylmethacrylate collagen (Bellafill) achieve very good results in individual box scars. Hyaluronic acid and calcium hydroxyappatite fillers can also be used to augment areas of rolling scars. Redness can be present for one day while swelling can last for 3-5. Fillers within scars typically last 1-2 years.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Punch excision can be used for individual ice pick scars. After local anesthesia, the scar is excised with a miniature cookie cutter device and the wound edges brought together with a few very fine stitches. these are removed after 7 days. Wound care is minimal.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Punch grafting is used to fill a defect after excision of larger ice pick scars. The scars is removed as described under “punch excision”. Instead of closing it, a similar piece skin is excised elsewhere on the head or neck and placed into the void created after punch excision of the scar. This piece of skin is sewn in place, stitches are removed after 7 days. This usually requires CO2 laser resurfacing after 4 weeks to fully level the skin.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Punch elevation is used to adjust the level of the skin with rolling scars. The punch device is inserted into some of the most deeply depressed areas, but instead of removing the skin, the piece is sewn into place at a higher level.This  will need to be followed by CO2 laser resurfacing. Its results are often disappointing.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Dermabrasion or CO2 laser assisted full ablation was almost the only way of treating a large area of scars until 2006. After local anaesthesia, the unaffected skin is sanded down to the level of the scars. This technique has become almost obsolete in the treatment of acne scars bit might still be useful for the blending of certain surgical scars.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microdermabrasion temporarily improves the surface of skin by smoothing its texture, mobilizing pigment and inducing minimal collagen production through dermal tissue pressure.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Cryoshape™ is the destruction of keloid tissue from the inside. After local anaesthesia, the Cryoshape™ probe is inserted through the long axis of the center of the keloid and cryogen is allowed to travel through this probe for 10-50 minutes. It works in one treatment when the diameter of the keloid is not bigger than one inch. This tissue freezing will gradually shrink the keloid over 2-4 months.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Cryosurgery is the external application of liquid nitrogen at-196 degree Celsius. It rapidly freezes the tissue which causes subsequent shrinkage. Freezing does not create the type of tissue injury that elicits keloids and can therefore be used externally and intralesionally.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Intralesional injection of steroid (triamcinolone) in various concentrations or a combination of fluorouracil and triamcinolone into a hypertrophic scar or keloid reduce pain anditching by shrinking these scars. Hypertrophic scars usually require just a couple of treatment while keloids may need many monthly injections. Needle free injection with the Dermojet, a pressure injection device, is possible for thicker keloids.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Pulsed dye laser treatment reliably closes blood vessels that were initially needed for healing. When our body “forgets” to undo them, blood flow can keep inflammation alive which maintains a red color and paradoxically can cause further tissue damage. The treatment feels like a rubber band snap at the skin and causes bruising for up to 7 days.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Photodynamic therapy destroys oil glands and improves scars. Aminolevulinic acid penetrates into oil glands during a 30-45 minute exposure. Activation of this photosensitizing substance by light in the red and blue spectrum allows the destruction of the oil gland. Swelling and redness after this procedure are minimal whereas treatment of acne, pre-cancers and cancers causes significant downtime lasting 14 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Glycolic acid or alpha hydroxy acid plumps skin cells through water influx and sheds off dead skin cells. This makes the skin surface look less porous, smoother and more radiant. While its effects are temporary, pores can shrink by 30% when applied daily or with glycolic acid peels every 3 months and even scarred skin will appear smoother.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Nd:YAG laser (long pulsed) treatment creates intentional injury in the depth of the second layer of the skin. This results in tightening of this plain and can be helpful when trying to minimize stretch marks which occur in this layer. Results are not very impressive but this is the only way to safely treat across all skin colors and there is no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Excision refers to the removal of a scar by cutting it out of the skin. The reason that scars form in an unideal way is often due to their location. Tension on the healing wound causes the resulting scar to spread or healing to overshoot (hypertrophic scar). Excision of an unsightly scar in an area of tension is often followed by Z-plasty. A keloid on the ear can be removed by excision as long as it is followed by agents that suppress keloid formation such as intralesional steroids or imiquimod. Keloid excision anywhere but the ear must be avoided at all costs.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Z-plasty is a surgical way to change the tension vector on a healing wound. As the name implies, it results in a Z shaped linear scar.</p>\r\n</div>\r\n\r\n</div>', 'Scar Treatment', '', 'publish', 'open', 'open', '', 'scar-treatment', '', '', '2015-12-23 18:18:15', '2015-12-23 18:18:15', '', 0, 'http://philadelphiadermatology.com/?page_id=134', 0, 'page', '', 0),
(135, 1, '2015-12-21 17:16:08', '2015-12-21 17:16:08', '<div class="acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<div class="acne-procedur-box">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="acne-procedur-box">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n</div>', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 17:16:08', '2015-12-21 17:16:08', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0),
(136, 1, '2015-12-21 17:19:50', '2015-12-21 17:19:50', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div class="content-no-sidebar-box2">\r\n<div class="procedur-content3-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n</div>\r\n', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 17:19:50', '2015-12-21 17:19:50', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0),
(137, 1, '2015-12-21 17:23:19', '2015-12-21 17:23:19', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content4-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content4-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="procedur-content4-box3">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content4-box4">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 17:23:19', '2015-12-21 17:23:19', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0),
(138, 1, '2015-12-21 17:30:35', '2015-12-21 17:30:35', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content4 procedur-content4-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box3">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box4">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 17:30:35', '2015-12-21 17:30:35', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0),
(139, 1, '2015-12-21 17:39:40', '2015-12-21 17:39:40', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content4 procedur-content4-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box3">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box4">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<img style="width: 100%;" src="../wp-content/themes/ringpfeildermatology/images/scar3-Richardson-Faye.jpg" alt="" />', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 17:39:40', '2015-12-21 17:39:40', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0),
(140, 1, '2015-12-21 17:41:59', '2015-12-21 17:41:59', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content4 procedur-content4-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box3">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box4">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<img class="img" src="../wp-content/themes/ringpfeildermatology/images/scar3-Richardson-Faye.jpg" alt="" />', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 17:41:59', '2015-12-21 17:41:59', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0),
(141, 1, '2015-12-21 18:09:22', '2015-12-21 18:09:22', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content4 procedur-content4-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box3">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box4">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<img class="img" src="../wp-content/themes/ringpfeildermatology/images/scar3-Richardson-Faye.jpg" alt="" />\r\n\r\n\r\n<div class="acne-procedur-content">\r\n<h2>Combining the Picosure and the Infiny devices to untie imploded scar tissues, to promote collagen growth and to even the skin surface</h2>\r\n<div class="procedur-content3-box1">\r\n<h4><u>Elevated scars</u></h4>\r\n<p><strong>Hypertrophic scars</strong></p>\r\n<ul>\r\n	<li>Caused by tension on skin after healing from a cutting injury or burn effectively treated by pulsed dye laser when red, fractionated CO2 (ScarFX) x multiple, fractionated radiofrequency x multiple, excision and Z-plasty, microneedling</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually pulsed dye laser treatments can be submitted to insurance] $150+</li>\r\n</ul>\r\n<p><strong>Keloids</strong></p>\r\n<ul>\r\n	<li>Caused by genetic predisposition or specific location (midline of our body) treated effectively by steroid or combination steroid/fluorouracil injection x multiple, pulsed dye laser treatment if red x multiple, external cryosurgery x  multiple, Cryoshape x 1 for appropriate size, excision followed by steroid injection x 3-4 at site every 2 weeks (applies to ear only) x 1</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually submitted to insurance] $50 /$150+/$80+/$1000+/$200+</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<h4><u>Depressed scars</u></h4>\r\n<p><strong>Rolling scars</strong></p>\r\n<ul>\r\n	<li>Caused by dense cystic-nodular and inflammatory acne treated effectively by subcision x 1-2, fractionated radiofrequency x 2-3, microneedling x 5-6, fractionated CO2 laser resurfacing x 3-6, fractionated Erbium laser 4-8, filler placement yearly</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/microneedling currently not available in our office/$500/$500/$580 per syringe</li>\r\n</ul>\r\n\r\n<p><strong>Box Scar</strong></p>\r\n<ul>\r\n	<li>Caused by cystic-nodular and inflammatory acne treated effectively by fractionated radiofrequency x 2-3/fractionated CO2 laser x 3-6, fractionated Erbium 4-8, picosecond laser x 3-4, energy powered microneedling x 5-6, filler placement very 1-2 years, subcision (if single scars) x 1-2, punch elevation x 1-2</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$500/$500/microneedling currently not available in our office/$580 per syringe/$150/$200 per spot</li>\r\n</ul>\r\n\r\n<p><strong>Ice Pick scars</strong></p>\r\n<ul>\r\n	<li>Caused by inflammatory and cystic-nodular acne treated effectively by TCA CROSS x 1-2, CO2 DeepFX x 3-6, punch excision (if single scar) x 1, punch grafting x 1-2</li>\r\n	<li>Expected results: 35-50%</li>\r\n	<li>Expected price per treatment $500, $500, $200 per spot/$300 per spot</li>\r\n</ul>\r\n\r\n<p><strong>Pores</strong></p>\r\n<ul>\r\n	<li>Caused by significant oil production, acne treated effectively by PDT x 3, fractional CO2 DeepFX x 1-2, glycolic acid daily</li>\r\n	<li>Expected results 30% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$50 per year</li>\r\n</ul>\r\n</div>\r\n\r\n\r\n<div class="procedur-content3-box3">\r\n<h4><u>Flat scars</u></h4>\r\n<p><strong>Flat wrinkled (atrophic) scars</strong></p>\r\n<ul>\r\n	<li>Caused by injury and inability to tighten the skin (Ehlers Danlos Syndrome, elastin deficiency)</li>\r\n	<li>Treated effectively Fractionated CO2 ScarFX, fractionated radiofrequency</li>\r\n	<li>Expected results; fair</li>\r\n	<li>Expected price per treatment $150+ (depending on size and number)</li>\r\n</ul>\r\n\r\n<p><strong>Flat red scars</strong></p>\r\n<ul>\r\n	<li>Caused by skin injury and inability to quickly resolve blood vessels that aid in healing initially, hence keeping inflammation for too long</li>\r\n	<li>Treated effectively pulsed dye laser 2-5, time (our body will eventually resolve most blood vessels on its own, a process that can take several years)</li>\r\n	<li>Expected results 75-100% reduction</li>\r\n	<li>Expected price per treatment $150+(depending on size and number)</li>\r\n</ul>\r\n\r\n</div>\r\n</div>', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 18:09:22', '2015-12-21 18:09:22', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0);
INSERT INTO `wp_new_posts` (`ID`, `post_author`, `post_date`, `post_date_gmt`, `post_content`, `post_title`, `post_excerpt`, `post_status`, `comment_status`, `ping_status`, `post_password`, `post_name`, `to_ping`, `pinged`, `post_modified`, `post_modified_gmt`, `post_content_filtered`, `post_parent`, `guid`, `menu_order`, `post_type`, `post_mime_type`, `comment_count`) VALUES
(142, 1, '2015-12-21 18:21:54', '2015-12-21 18:21:54', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content4 procedur-content4-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box3">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box4">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<img class="img" src="../wp-content/themes/ringpfeildermatology/images/scar3-Richardson-Faye.jpg" alt="" />\r\n\r\n\r\n<div class="acne-procedur-content">\r\n<h2>Combining the Picosure and the Infiny devices to untie imploded scar tissues, to promote collagen growth and to even the skin surface</h2>\r\n<div class="procedur-content2-box1">\r\n<h4><u>Elevated scars</u></h4>\r\n<p><strong>Hypertrophic scars</strong></p>\r\n<ul>\r\n	<li>Caused by tension on skin after healing from a cutting injury or burn effectively treated by pulsed dye laser when red, fractionated CO2 (ScarFX) x multiple, fractionated radiofrequency x multiple, excision and Z-plasty, microneedling</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually pulsed dye laser treatments can be submitted to insurance] $150+</li>\r\n</ul>\r\n<p><strong>Keloids</strong></p>\r\n<ul>\r\n	<li>Caused by genetic predisposition or specific location (midline of our body) treated effectively by steroid or combination steroid/fluorouracil injection x multiple, pulsed dye laser treatment if red x multiple, external cryosurgery x  multiple, Cryoshape x 1 for appropriate size, excision followed by steroid injection x 3-4 at site every 2 weeks (applies to ear only) x 1</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually submitted to insurance] $50 /$150+/$80+/$1000+/$200+</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<h4><u>Depressed scars</u></h4>\r\n<p><strong>Rolling scars</strong></p>\r\n<ul>\r\n	<li>Caused by dense cystic-nodular and inflammatory acne treated effectively by subcision x 1-2, fractionated radiofrequency x 2-3, microneedling x 5-6, fractionated CO2 laser resurfacing x 3-6, fractionated Erbium laser 4-8, filler placement yearly</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/microneedling currently not available in our office/$500/$500/$580 per syringe</li>\r\n</ul>\r\n\r\n<p><strong>Box Scar</strong></p>\r\n<ul>\r\n	<li>Caused by cystic-nodular and inflammatory acne treated effectively by fractionated radiofrequency x 2-3/fractionated CO2 laser x 3-6, fractionated Erbium 4-8, picosecond laser x 3-4, energy powered microneedling x 5-6, filler placement very 1-2 years, subcision (if single scars) x 1-2, punch elevation x 1-2</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$500/$500/microneedling currently not available in our office/$580 per syringe/$150/$200 per spot</li>\r\n</ul>\r\n\r\n<p><strong>Ice Pick scars</strong></p>\r\n<ul>\r\n	<li>Caused by inflammatory and cystic-nodular acne treated effectively by TCA CROSS x 1-2, CO2 DeepFX x 3-6, punch excision (if single scar) x 1, punch grafting x 1-2</li>\r\n	<li>Expected results: 35-50%</li>\r\n	<li>Expected price per treatment $500, $500, $200 per spot/$300 per spot</li>\r\n</ul>\r\n\r\n<p><strong>Pores</strong></p>\r\n<ul>\r\n	<li>Caused by significant oil production, acne treated effectively by PDT x 3, fractional CO2 DeepFX x 1-2, glycolic acid daily</li>\r\n	<li>Expected results 30% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$50 per year</li>\r\n</ul>\r\n</div>\r\n\r\n<div style="clear:both"></div>\r\n\r\n<div class="procedur-content2-box1">\r\n<h4><u>Flat scars</u></h4>\r\n<p><strong>Flat wrinkled (atrophic) scars</strong></p>\r\n<ul>\r\n	<li>Caused by injury and inability to tighten the skin (Ehlers Danlos Syndrome, elastin deficiency)</li>\r\n	<li>Treated effectively Fractionated CO2 ScarFX, fractionated radiofrequency</li>\r\n	<li>Expected results; fair</li>\r\n	<li>Expected price per treatment $150+ (depending on size and number)</li>\r\n</ul>\r\n\r\n<p><strong>Flat red scars</strong></p>\r\n<ul>\r\n	<li>Caused by skin injury and inability to quickly resolve blood vessels that aid in healing initially, hence keeping inflammation for too long</li>\r\n	<li>Treated effectively pulsed dye laser 2-5, time (our body will eventually resolve most blood vessels on its own, a process that can take several years)</li>\r\n	<li>Expected results 75-100% reduction</li>\r\n	<li>Expected price per treatment $150+(depending on size and number)</li>\r\n</ul>\r\n\r\n</div>\r\n\r\n\r\n<div class="procedur-content2-box2">\r\n<h4><u>Scars under the skin</u></h4>\r\n<p><strong>Stretch marks striae distensae</strong></p>\r\n<ul>\r\n	<li>Caused by stretch of skin with rapid growth in height or girth (teenage growth spurt, pregnancy, weight gain)</li>\r\n	<li>Treated effectively by pulsed dye laser when red x 1-2, fractionated CO2 DeepFX x 1, long pulsed Nd:YAG laser x 2-4,1540 non ablative fractional laser (Starlux 500) x multiple treatments</li>\r\n	<li>Expected results 100% of redness reduction, improvement of the stretched skin is fair</li>\r\n	<li>Expected price per treatment $250+ (depends on the size of the treated area for PDL, CO2, and Nd:YAG; Starlux is not available in our office)</li>\r\n</ul>\r\n\r\n</div>\r\n\r\n</div>', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 18:21:54', '2015-12-21 18:21:54', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0),
(143, 1, '2015-12-21 18:32:25', '2015-12-21 18:32:25', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content4 procedur-content4-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box3">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box4">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<img class="img" src="../wp-content/themes/ringpfeildermatology/images/scar3-Richardson-Faye.jpg" alt="" />\r\n<div class="acne-procedur-content">\r\n<h2>Combining the Picosure and the Infiny devices to untie imploded scar tissues, to promote collagen growth and to even the skin surface</h2>\r\n<div class="procedur-content2-box1">\r\n<h4><u>Elevated scars</u></h4>\r\n<p><strong>Hypertrophic scars</strong></p>\r\n<ul>\r\n	<li>Caused by tension on skin after healing from a cutting injury or burn effectively treated by pulsed dye laser when red, fractionated CO2 (ScarFX) x multiple, fractionated radiofrequency x multiple, excision and Z-plasty, microneedling</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually pulsed dye laser treatments can be submitted to insurance] $150+</li>\r\n</ul>\r\n<p><strong>Keloids</strong></p>\r\n<ul>\r\n	<li>Caused by genetic predisposition or specific location (midline of our body) treated effectively by steroid or combination steroid/fluorouracil injection x multiple, pulsed dye laser treatment if red x multiple, external cryosurgery x  multiple, Cryoshape x 1 for appropriate size, excision followed by steroid injection x 3-4 at site every 2 weeks (applies to ear only) x 1</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually submitted to insurance] $50 /$150+/$80+/$1000+/$200+</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<h4><u>Depressed scars</u></h4>\r\n<p><strong>Rolling scars</strong></p>\r\n<ul>\r\n	<li>Caused by dense cystic-nodular and inflammatory acne treated effectively by subcision x 1-2, fractionated radiofrequency x 2-3, microneedling x 5-6, fractionated CO2 laser resurfacing x 3-6, fractionated Erbium laser 4-8, filler placement yearly</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/microneedling currently not available in our office/$500/$500/$580 per syringe</li>\r\n</ul>\r\n<p><strong>Box Scar</strong></p>\r\n<ul>\r\n	<li>Caused by cystic-nodular and inflammatory acne treated effectively by fractionated radiofrequency x 2-3/fractionated CO2 laser x 3-6, fractionated Erbium 4-8, picosecond laser x 3-4, energy powered microneedling x 5-6, filler placement very 1-2 years, subcision (if single scars) x 1-2, punch elevation x 1-2</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$500/$500/microneedling currently not available in our office/$580 per syringe/$150/$200 per spot</li>\r\n</ul>\r\n<p><strong>Ice Pick scars</strong></p>\r\n<ul>\r\n	<li>Caused by inflammatory and cystic-nodular acne treated effectively by TCA CROSS x 1-2, CO2 DeepFX x 3-6, punch excision (if single scar) x 1, punch grafting x 1-2</li>\r\n	<li>Expected results: 35-50%</li>\r\n	<li>Expected price per treatment $500, $500, $200 per spot/$300 per spot</li>\r\n</ul>\r\n<p><strong>Pores</strong></p>\r\n<ul>\r\n	<li>Caused by significant oil production, acne treated effectively by PDT x 3, fractional CO2 DeepFX x 1-2, glycolic acid daily</li>\r\n	<li>Expected results 30% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$50 per year</li>\r\n</ul>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content2-box1">\r\n<h4><u>Flat scars</u></h4>\r\n<p><strong>Flat wrinkled (atrophic) scars</strong></p>\r\n<ul>\r\n	<li>Caused by injury and inability to tighten the skin (Ehlers Danlos Syndrome, elastin deficiency)</li>\r\n	<li>Treated effectively Fractionated CO2 ScarFX, fractionated radiofrequency</li>\r\n	<li>Expected results; fair</li>\r\n	<li>Expected price per treatment $150+ (depending on size and number)</li>\r\n</ul>\r\n<p><strong>Flat red scars</strong></p>\r\n<ul>\r\n	<li>Caused by skin injury and inability to quickly resolve blood vessels that aid in healing initially, hence keeping inflammation for too long</li>\r\n	<li>Treated effectively pulsed dye laser 2-5, time (our body will eventually resolve most blood vessels on its own, a process that can take several years)</li>\r\n	<li>Expected results 75-100% reduction</li>\r\n	<li>Expected price per treatment $150+(depending on size and number)</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<h4><u>Scars under the skin</u></h4>\r\n<p><strong>Stretch marks striae distensae</strong></p>\r\n<ul>\r\n	<li>Caused by stretch of skin with rapid growth in height or girth (teenage growth spurt, pregnancy, weight gain)</li>\r\n	<li>Treated effectively by pulsed dye laser when red x 1-2, fractionated CO2 DeepFX x 1, long pulsed Nd:YAG laser x 2-4,1540 non ablative fractional laser (Starlux 500) x multiple treatments</li>\r\n	<li>Expected results 100% of redness reduction, improvement of the stretched skin is fair</li>\r\n	<li>Expected price per treatment $250+ (depends on the size of the treated area for PDL, CO2, and Nd:YAG; Starlux is not available in our office)</li>\r\n</ul>\r\n</div>\r\n</div>\r\n\r\n\r\n\r\n\r\n<div class="acne-procedur-content">\r\n<h2>Glossary</h2>\r\n<div class="procedur-content3-box1">\r\n<p>High Intensity fractionated radiofrequency (Infini) treatments reach the second layer of the skin while protecting the top layer. They cause localized injury in the dermis which stimulates elastin production. With topical anesthesia, discomfort is minimal. Downtime includes redness for one day, mild swelling and minimal if any scabs for 3 days. It has been a game changer for rolling scars and it works very well for box scars.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Fractionated CO2 laser treatments can reach the deepest amongst all devices (DeepFX/ScarFX). They vaporize the tight strands that pull down scars in various depths of the skin and also refresh the skin surface on the outside of the scar (ActiveFX). They stimulates collagen production where they destroy the deep scars. Downtime is considerable with 4-5 days of swelling, oozing, scabbing and several weeks of redness.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Fractionated erbium laser treatments can be performed similar to a peel (Pixel) or deep reaching (FRAXEL Restore). The first will gently resurface the skin by stimulating new skin growth in many minute islands. Skin is red and swollen and feels rough for 5 days.The latter will reach deep, vaporize minute columns of skin and scars and tightens the skin within itself. DeepFx fractional CO2 laser treatments have largely replaced this deep reaching method because their effect is superior. Downtime of redness and swelling for 5-6 days are common. Topical anesthesia is preferred with both treatments.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microneedling is based on minimal targeted tissue injury of the second layer of the skin (dermis) without heat injury. It can be performed at home with a dermaroller or in the professional office with a power driven microneedling pen (Dermapen). It usually requires some form of topical numbing and has a brief downtime of 1 day of redness and a few days of swelling and mild roughness.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Picosecond laser (Picosure) treatment stretches adhesions under the skin and stimulates elastin production. Because it is super fast and does not produce heat it causes very minimal if any discomfort and no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Subcision helps to lift rolling scars. After local anaesthesia, a small needle is inserted under the scarred area to free the adhesions that pull the scars down. Downtime includes bruising and swelling for up to 10 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>TCA peels in various concentrations improve the skin surface with ice pick and rolling scars. The CROSS techniques works best to shrink deep ice pick scars and small box scars. Discomfort lasts about 8 minutes, downtime of 5 days of redness, swelling, peeling, crusting is not insignificant.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Tissue augmenting agents like hyaluronic acid (Juvederm,Restylane), calcium hydroxyappatite (Radiesse) and polymethylmethacrylate collagen (Bellafill) achieve very good results in individual box scars. Hyaluronic acid and calcium hydroxyappatite fillers can also be used to augment areas of rolling scars. Redness can be present for one day while swelling can last for 3-5. Fillers within scars typically last 1-2 years.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Punch excision can be used for individual ice pick scars. After local anesthesia, the scar is excised with a miniature cookie cutter device and the wound edges brought together with a few very fine stitches. these are removed after 7 days. Wound care is minimal.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Punch grafting is used to fill a defect after excision of larger ice pick scars. The scars is removed as described under “punch excision”. Instead of closing it, a similar piece skin is excised elsewhere on the head or neck and placed into the void created after punch excision of the scar. This piece of skin is sewn in place, stitches are removed after 7 days. This usually requires CO2 laser resurfacing after 4 weeks to fully level the skin.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Punch elevation is used to adjust the level of the skin with rolling scars. The punch device is inserted into some of the most deeply depressed areas, but instead of removing the skin, the piece is sewn into place at a higher level.This  will need to be followed by CO2 laser resurfacing. Its results are often disappointing.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Dermabrasion or CO2 laser assisted full ablation was almost the only way of treating a large area of scars until 2006. After local anaesthesia, the unaffected skin is sanded down to the level of the scars. This technique has become almost obsolete in the treatment of acne scars bit might still be useful for the blending of certain surgical scars.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microdermabrasion temporarily improves the surface of skin by smoothing its texture, mobilizing pigment and inducing minimal collagen production through dermal tissue pressure.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Cryoshape™ is the destruction of keloid tissue from the inside. After local anaesthesia, the Cryoshape™ probe is inserted through the long axis of the center of the keloid and cryogen is allowed to travel through this probe for 10-50 minutes. It works in one treatment when the diameter of the keloid is not bigger than one inch. This tissue freezing will gradually shrink the keloid over 2-4 months.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Cryosurgery is the external application of liquid nitrogen at-196 degree Celsius. It rapidly freezes the tissue which causes subsequent shrinkage. Freezing does not create the type of tissue injury that elicits keloids and can therefore be used externally and intralesionally.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Intralesional injection of steroid (triamcinolone) in various concentrations or a combination of fluorouracil and triamcinolone into a hypertrophic scar or keloid reduce pain anditching by shrinking these scars. Hypertrophic scars usually require just a couple of treatment while keloids may need many monthly injections. Needle free injection with the Dermojet, a pressure injection device, is possible for thicker keloids.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Pulsed dye laser treatment reliably closes blood vessels that were initially needed for healing. When our body “forgets” to undo them, blood flow can keep inflammation alive which maintains a red color and paradoxically can cause further tissue damage. The treatment feels like a rubber band snap at the skin and causes bruising for up to 7 days.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Photodynamic therapy destroys oil glands and improves scars. Aminolevulinic acid penetrates into oil glands during a 30-45 minute exposure. Activation of this photosensitizing substance by light in the red and blue spectrum allows the destruction of the oil gland. Swelling and redness after this procedure are minimal whereas treatment of acne, pre-cancers and cancers causes significant downtime lasting 14 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Glycolic acid or alpha hydroxy acid plumps skin cells through water influx and sheds off dead skin cells. This makes the skin surface look less porous, smoother and more radiant. While its effects are temporary, pores can shrink by 30% when applied daily or with glycolic acid peels every 3 months and even scarred skin will appear smoother.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Nd:YAG laser (long pulsed) treatment creates intentional injury in the depth of the second layer of the skin. This results in tightening of this plain and can be helpful when trying to minimize stretch marks which occur in this layer. Results are not very impressive but this is the only way to safely treat across all skin colors and there is no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Excision refers to the removal of a scar by cutting it out of the skin. The reason that scars form in an unideal way is often due to their location. Tension on the healing wound causes the resulting scar to spread or healing to overshoot (hypertrophic scar). Excision of an unsightly scar in an area of tension is often followed by Z-plasty. A keloid on the ear can be removed by excision as long as it is followed by agents that suppress keloid formation such as intralesional steroids or imiquimod. Keloid excision anywhere but the ear must be avoided at all costs.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Z-plasty is a surgical way to change the tension vector on a healing wound. As the name implies, it results in a Z shaped linear scar.</p>\r\n</div>\r\n\r\n</div>', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 18:32:25', '2015-12-21 18:32:25', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0),
(144, 1, '2015-12-21 18:34:00', '2015-12-21 18:34:00', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content2-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content2-box1">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<img class="img" src="../wp-content/themes/ringpfeildermatology/images/scar3-Richardson-Faye.jpg" alt="" />\r\n<div class="acne-procedur-content">\r\n<h2>Combining the Picosure and the Infiny devices to untie imploded scar tissues, to promote collagen growth and to even the skin surface</h2>\r\n<div class="procedur-content2-box1">\r\n<h4><u>Elevated scars</u></h4>\r\n<p><strong>Hypertrophic scars</strong></p>\r\n<ul>\r\n	<li>Caused by tension on skin after healing from a cutting injury or burn effectively treated by pulsed dye laser when red, fractionated CO2 (ScarFX) x multiple, fractionated radiofrequency x multiple, excision and Z-plasty, microneedling</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually pulsed dye laser treatments can be submitted to insurance] $150+</li>\r\n</ul>\r\n<p><strong>Keloids</strong></p>\r\n<ul>\r\n	<li>Caused by genetic predisposition or specific location (midline of our body) treated effectively by steroid or combination steroid/fluorouracil injection x multiple, pulsed dye laser treatment if red x multiple, external cryosurgery x  multiple, Cryoshape x 1 for appropriate size, excision followed by steroid injection x 3-4 at site every 2 weeks (applies to ear only) x 1</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually submitted to insurance] $50 /$150+/$80+/$1000+/$200+</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<h4><u>Depressed scars</u></h4>\r\n<p><strong>Rolling scars</strong></p>\r\n<ul>\r\n	<li>Caused by dense cystic-nodular and inflammatory acne treated effectively by subcision x 1-2, fractionated radiofrequency x 2-3, microneedling x 5-6, fractionated CO2 laser resurfacing x 3-6, fractionated Erbium laser 4-8, filler placement yearly</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/microneedling currently not available in our office/$500/$500/$580 per syringe</li>\r\n</ul>\r\n<p><strong>Box Scar</strong></p>\r\n<ul>\r\n	<li>Caused by cystic-nodular and inflammatory acne treated effectively by fractionated radiofrequency x 2-3/fractionated CO2 laser x 3-6, fractionated Erbium 4-8, picosecond laser x 3-4, energy powered microneedling x 5-6, filler placement very 1-2 years, subcision (if single scars) x 1-2, punch elevation x 1-2</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$500/$500/microneedling currently not available in our office/$580 per syringe/$150/$200 per spot</li>\r\n</ul>\r\n<p><strong>Ice Pick scars</strong></p>\r\n<ul>\r\n	<li>Caused by inflammatory and cystic-nodular acne treated effectively by TCA CROSS x 1-2, CO2 DeepFX x 3-6, punch excision (if single scar) x 1, punch grafting x 1-2</li>\r\n	<li>Expected results: 35-50%</li>\r\n	<li>Expected price per treatment $500, $500, $200 per spot/$300 per spot</li>\r\n</ul>\r\n<p><strong>Pores</strong></p>\r\n<ul>\r\n	<li>Caused by significant oil production, acne treated effectively by PDT x 3, fractional CO2 DeepFX x 1-2, glycolic acid daily</li>\r\n	<li>Expected results 30% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$50 per year</li>\r\n</ul>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content2-box1">\r\n<h4><u>Flat scars</u></h4>\r\n<p><strong>Flat wrinkled (atrophic) scars</strong></p>\r\n<ul>\r\n	<li>Caused by injury and inability to tighten the skin (Ehlers Danlos Syndrome, elastin deficiency)</li>\r\n	<li>Treated effectively Fractionated CO2 ScarFX, fractionated radiofrequency</li>\r\n	<li>Expected results; fair</li>\r\n	<li>Expected price per treatment $150+ (depending on size and number)</li>\r\n</ul>\r\n<p><strong>Flat red scars</strong></p>\r\n<ul>\r\n	<li>Caused by skin injury and inability to quickly resolve blood vessels that aid in healing initially, hence keeping inflammation for too long</li>\r\n	<li>Treated effectively pulsed dye laser 2-5, time (our body will eventually resolve most blood vessels on its own, a process that can take several years)</li>\r\n	<li>Expected results 75-100% reduction</li>\r\n	<li>Expected price per treatment $150+(depending on size and number)</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<h4><u>Scars under the skin</u></h4>\r\n<p><strong>Stretch marks striae distensae</strong></p>\r\n<ul>\r\n	<li>Caused by stretch of skin with rapid growth in height or girth (teenage growth spurt, pregnancy, weight gain)</li>\r\n	<li>Treated effectively by pulsed dye laser when red x 1-2, fractionated CO2 DeepFX x 1, long pulsed Nd:YAG laser x 2-4,1540 non ablative fractional laser (Starlux 500) x multiple treatments</li>\r\n	<li>Expected results 100% of redness reduction, improvement of the stretched skin is fair</li>\r\n	<li>Expected price per treatment $250+ (depends on the size of the treated area for PDL, CO2, and Nd:YAG; Starlux is not available in our office)</li>\r\n</ul>\r\n</div>\r\n</div>\r\n\r\n\r\n\r\n\r\n<div class="acne-procedur-content">\r\n<h2>Glossary</h2>\r\n<div class="procedur-content3-box1">\r\n<p>High Intensity fractionated radiofrequency (Infini) treatments reach the second layer of the skin while protecting the top layer. They cause localized injury in the dermis which stimulates elastin production. With topical anesthesia, discomfort is minimal. Downtime includes redness for one day, mild swelling and minimal if any scabs for 3 days. It has been a game changer for rolling scars and it works very well for box scars.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Fractionated CO2 laser treatments can reach the deepest amongst all devices (DeepFX/ScarFX). They vaporize the tight strands that pull down scars in various depths of the skin and also refresh the skin surface on the outside of the scar (ActiveFX). They stimulates collagen production where they destroy the deep scars. Downtime is considerable with 4-5 days of swelling, oozing, scabbing and several weeks of redness.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Fractionated erbium laser treatments can be performed similar to a peel (Pixel) or deep reaching (FRAXEL Restore). The first will gently resurface the skin by stimulating new skin growth in many minute islands. Skin is red and swollen and feels rough for 5 days.The latter will reach deep, vaporize minute columns of skin and scars and tightens the skin within itself. DeepFx fractional CO2 laser treatments have largely replaced this deep reaching method because their effect is superior. Downtime of redness and swelling for 5-6 days are common. Topical anesthesia is preferred with both treatments.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microneedling is based on minimal targeted tissue injury of the second layer of the skin (dermis) without heat injury. It can be performed at home with a dermaroller or in the professional office with a power driven microneedling pen (Dermapen). It usually requires some form of topical numbing and has a brief downtime of 1 day of redness and a few days of swelling and mild roughness.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Picosecond laser (Picosure) treatment stretches adhesions under the skin and stimulates elastin production. Because it is super fast and does not produce heat it causes very minimal if any discomfort and no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Subcision helps to lift rolling scars. After local anaesthesia, a small needle is inserted under the scarred area to free the adhesions that pull the scars down. Downtime includes bruising and swelling for up to 10 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>TCA peels in various concentrations improve the skin surface with ice pick and rolling scars. The CROSS techniques works best to shrink deep ice pick scars and small box scars. Discomfort lasts about 8 minutes, downtime of 5 days of redness, swelling, peeling, crusting is not insignificant.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Tissue augmenting agents like hyaluronic acid (Juvederm,Restylane), calcium hydroxyappatite (Radiesse) and polymethylmethacrylate collagen (Bellafill) achieve very good results in individual box scars. Hyaluronic acid and calcium hydroxyappatite fillers can also be used to augment areas of rolling scars. Redness can be present for one day while swelling can last for 3-5. Fillers within scars typically last 1-2 years.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Punch excision can be used for individual ice pick scars. After local anesthesia, the scar is excised with a miniature cookie cutter device and the wound edges brought together with a few very fine stitches. these are removed after 7 days. Wound care is minimal.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Punch grafting is used to fill a defect after excision of larger ice pick scars. The scars is removed as described under “punch excision”. Instead of closing it, a similar piece skin is excised elsewhere on the head or neck and placed into the void created after punch excision of the scar. This piece of skin is sewn in place, stitches are removed after 7 days. This usually requires CO2 laser resurfacing after 4 weeks to fully level the skin.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Punch elevation is used to adjust the level of the skin with rolling scars. The punch device is inserted into some of the most deeply depressed areas, but instead of removing the skin, the piece is sewn into place at a higher level.This  will need to be followed by CO2 laser resurfacing. Its results are often disappointing.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Dermabrasion or CO2 laser assisted full ablation was almost the only way of treating a large area of scars until 2006. After local anaesthesia, the unaffected skin is sanded down to the level of the scars. This technique has become almost obsolete in the treatment of acne scars bit might still be useful for the blending of certain surgical scars.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microdermabrasion temporarily improves the surface of skin by smoothing its texture, mobilizing pigment and inducing minimal collagen production through dermal tissue pressure.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Cryoshape™ is the destruction of keloid tissue from the inside. After local anaesthesia, the Cryoshape™ probe is inserted through the long axis of the center of the keloid and cryogen is allowed to travel through this probe for 10-50 minutes. It works in one treatment when the diameter of the keloid is not bigger than one inch. This tissue freezing will gradually shrink the keloid over 2-4 months.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Cryosurgery is the external application of liquid nitrogen at-196 degree Celsius. It rapidly freezes the tissue which causes subsequent shrinkage. Freezing does not create the type of tissue injury that elicits keloids and can therefore be used externally and intralesionally.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Intralesional injection of steroid (triamcinolone) in various concentrations or a combination of fluorouracil and triamcinolone into a hypertrophic scar or keloid reduce pain anditching by shrinking these scars. Hypertrophic scars usually require just a couple of treatment while keloids may need many monthly injections. Needle free injection with the Dermojet, a pressure injection device, is possible for thicker keloids.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Pulsed dye laser treatment reliably closes blood vessels that were initially needed for healing. When our body “forgets” to undo them, blood flow can keep inflammation alive which maintains a red color and paradoxically can cause further tissue damage. The treatment feels like a rubber band snap at the skin and causes bruising for up to 7 days.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Photodynamic therapy destroys oil glands and improves scars. Aminolevulinic acid penetrates into oil glands during a 30-45 minute exposure. Activation of this photosensitizing substance by light in the red and blue spectrum allows the destruction of the oil gland. Swelling and redness after this procedure are minimal whereas treatment of acne, pre-cancers and cancers causes significant downtime lasting 14 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Glycolic acid or alpha hydroxy acid plumps skin cells through water influx and sheds off dead skin cells. This makes the skin surface look less porous, smoother and more radiant. While its effects are temporary, pores can shrink by 30% when applied daily or with glycolic acid peels every 3 months and even scarred skin will appear smoother.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Nd:YAG laser (long pulsed) treatment creates intentional injury in the depth of the second layer of the skin. This results in tightening of this plain and can be helpful when trying to minimize stretch marks which occur in this layer. Results are not very impressive but this is the only way to safely treat across all skin colors and there is no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Excision refers to the removal of a scar by cutting it out of the skin. The reason that scars form in an unideal way is often due to their location. Tension on the healing wound causes the resulting scar to spread or healing to overshoot (hypertrophic scar). Excision of an unsightly scar in an area of tension is often followed by Z-plasty. A keloid on the ear can be removed by excision as long as it is followed by agents that suppress keloid formation such as intralesional steroids or imiquimod. Keloid excision anywhere but the ear must be avoided at all costs.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Z-plasty is a surgical way to change the tension vector on a healing wound. As the name implies, it results in a Z shaped linear scar.</p>\r\n</div>\r\n\r\n</div>', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 18:34:00', '2015-12-21 18:34:00', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0);
INSERT INTO `wp_new_posts` (`ID`, `post_author`, `post_date`, `post_date_gmt`, `post_content`, `post_title`, `post_excerpt`, `post_status`, `comment_status`, `ping_status`, `post_password`, `post_name`, `to_ping`, `pinged`, `post_modified`, `post_modified_gmt`, `post_content_filtered`, `post_parent`, `guid`, `menu_order`, `post_type`, `post_mime_type`, `comment_count`) VALUES
(145, 1, '2015-12-21 18:34:31', '2015-12-21 18:34:31', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content4 procedur-content4-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box3">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box4">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<img class="img" src="../wp-content/themes/ringpfeildermatology/images/scar3-Richardson-Faye.jpg" alt="" />\r\n<div class="acne-procedur-content">\r\n<h2>Combining the Picosure and the Infiny devices to untie imploded scar tissues, to promote collagen growth and to even the skin surface</h2>\r\n<div class="procedur-content2-box1">\r\n<h4><u>Elevated scars</u></h4>\r\n<p><strong>Hypertrophic scars</strong></p>\r\n<ul>\r\n	<li>Caused by tension on skin after healing from a cutting injury or burn effectively treated by pulsed dye laser when red, fractionated CO2 (ScarFX) x multiple, fractionated radiofrequency x multiple, excision and Z-plasty, microneedling</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually pulsed dye laser treatments can be submitted to insurance] $150+</li>\r\n</ul>\r\n<p><strong>Keloids</strong></p>\r\n<ul>\r\n	<li>Caused by genetic predisposition or specific location (midline of our body) treated effectively by steroid or combination steroid/fluorouracil injection x multiple, pulsed dye laser treatment if red x multiple, external cryosurgery x  multiple, Cryoshape x 1 for appropriate size, excision followed by steroid injection x 3-4 at site every 2 weeks (applies to ear only) x 1</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually submitted to insurance] $50 /$150+/$80+/$1000+/$200+</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<h4><u>Depressed scars</u></h4>\r\n<p><strong>Rolling scars</strong></p>\r\n<ul>\r\n	<li>Caused by dense cystic-nodular and inflammatory acne treated effectively by subcision x 1-2, fractionated radiofrequency x 2-3, microneedling x 5-6, fractionated CO2 laser resurfacing x 3-6, fractionated Erbium laser 4-8, filler placement yearly</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/microneedling currently not available in our office/$500/$500/$580 per syringe</li>\r\n</ul>\r\n<p><strong>Box Scar</strong></p>\r\n<ul>\r\n	<li>Caused by cystic-nodular and inflammatory acne treated effectively by fractionated radiofrequency x 2-3/fractionated CO2 laser x 3-6, fractionated Erbium 4-8, picosecond laser x 3-4, energy powered microneedling x 5-6, filler placement very 1-2 years, subcision (if single scars) x 1-2, punch elevation x 1-2</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$500/$500/microneedling currently not available in our office/$580 per syringe/$150/$200 per spot</li>\r\n</ul>\r\n<p><strong>Ice Pick scars</strong></p>\r\n<ul>\r\n	<li>Caused by inflammatory and cystic-nodular acne treated effectively by TCA CROSS x 1-2, CO2 DeepFX x 3-6, punch excision (if single scar) x 1, punch grafting x 1-2</li>\r\n	<li>Expected results: 35-50%</li>\r\n	<li>Expected price per treatment $500, $500, $200 per spot/$300 per spot</li>\r\n</ul>\r\n<p><strong>Pores</strong></p>\r\n<ul>\r\n	<li>Caused by significant oil production, acne treated effectively by PDT x 3, fractional CO2 DeepFX x 1-2, glycolic acid daily</li>\r\n	<li>Expected results 30% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$50 per year</li>\r\n</ul>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content2-box1">\r\n<h4><u>Flat scars</u></h4>\r\n<p><strong>Flat wrinkled (atrophic) scars</strong></p>\r\n<ul>\r\n	<li>Caused by injury and inability to tighten the skin (Ehlers Danlos Syndrome, elastin deficiency)</li>\r\n	<li>Treated effectively Fractionated CO2 ScarFX, fractionated radiofrequency</li>\r\n	<li>Expected results; fair</li>\r\n	<li>Expected price per treatment $150+ (depending on size and number)</li>\r\n</ul>\r\n<p><strong>Flat red scars</strong></p>\r\n<ul>\r\n	<li>Caused by skin injury and inability to quickly resolve blood vessels that aid in healing initially, hence keeping inflammation for too long</li>\r\n	<li>Treated effectively pulsed dye laser 2-5, time (our body will eventually resolve most blood vessels on its own, a process that can take several years)</li>\r\n	<li>Expected results 75-100% reduction</li>\r\n	<li>Expected price per treatment $150+(depending on size and number)</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<h4><u>Scars under the skin</u></h4>\r\n<p><strong>Stretch marks striae distensae</strong></p>\r\n<ul>\r\n	<li>Caused by stretch of skin with rapid growth in height or girth (teenage growth spurt, pregnancy, weight gain)</li>\r\n	<li>Treated effectively by pulsed dye laser when red x 1-2, fractionated CO2 DeepFX x 1, long pulsed Nd:YAG laser x 2-4,1540 non ablative fractional laser (Starlux 500) x multiple treatments</li>\r\n	<li>Expected results 100% of redness reduction, improvement of the stretched skin is fair</li>\r\n	<li>Expected price per treatment $250+ (depends on the size of the treated area for PDL, CO2, and Nd:YAG; Starlux is not available in our office)</li>\r\n</ul>\r\n</div>\r\n</div>\r\n\r\n\r\n\r\n\r\n<div class="acne-procedur-content">\r\n<h2>Glossary</h2>\r\n<div class="procedur-content3-box1">\r\n<p>High Intensity fractionated radiofrequency (Infini) treatments reach the second layer of the skin while protecting the top layer. They cause localized injury in the dermis which stimulates elastin production. With topical anesthesia, discomfort is minimal. Downtime includes redness for one day, mild swelling and minimal if any scabs for 3 days. It has been a game changer for rolling scars and it works very well for box scars.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Fractionated CO2 laser treatments can reach the deepest amongst all devices (DeepFX/ScarFX). They vaporize the tight strands that pull down scars in various depths of the skin and also refresh the skin surface on the outside of the scar (ActiveFX). They stimulates collagen production where they destroy the deep scars. Downtime is considerable with 4-5 days of swelling, oozing, scabbing and several weeks of redness.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Fractionated erbium laser treatments can be performed similar to a peel (Pixel) or deep reaching (FRAXEL Restore). The first will gently resurface the skin by stimulating new skin growth in many minute islands. Skin is red and swollen and feels rough for 5 days.The latter will reach deep, vaporize minute columns of skin and scars and tightens the skin within itself. DeepFx fractional CO2 laser treatments have largely replaced this deep reaching method because their effect is superior. Downtime of redness and swelling for 5-6 days are common. Topical anesthesia is preferred with both treatments.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microneedling is based on minimal targeted tissue injury of the second layer of the skin (dermis) without heat injury. It can be performed at home with a dermaroller or in the professional office with a power driven microneedling pen (Dermapen). It usually requires some form of topical numbing and has a brief downtime of 1 day of redness and a few days of swelling and mild roughness.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Picosecond laser (Picosure) treatment stretches adhesions under the skin and stimulates elastin production. Because it is super fast and does not produce heat it causes very minimal if any discomfort and no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Subcision helps to lift rolling scars. After local anaesthesia, a small needle is inserted under the scarred area to free the adhesions that pull the scars down. Downtime includes bruising and swelling for up to 10 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>TCA peels in various concentrations improve the skin surface with ice pick and rolling scars. The CROSS techniques works best to shrink deep ice pick scars and small box scars. Discomfort lasts about 8 minutes, downtime of 5 days of redness, swelling, peeling, crusting is not insignificant.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Tissue augmenting agents like hyaluronic acid (Juvederm,Restylane), calcium hydroxyappatite (Radiesse) and polymethylmethacrylate collagen (Bellafill) achieve very good results in individual box scars. Hyaluronic acid and calcium hydroxyappatite fillers can also be used to augment areas of rolling scars. Redness can be present for one day while swelling can last for 3-5. Fillers within scars typically last 1-2 years.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Punch excision can be used for individual ice pick scars. After local anesthesia, the scar is excised with a miniature cookie cutter device and the wound edges brought together with a few very fine stitches. these are removed after 7 days. Wound care is minimal.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Punch grafting is used to fill a defect after excision of larger ice pick scars. The scars is removed as described under “punch excision”. Instead of closing it, a similar piece skin is excised elsewhere on the head or neck and placed into the void created after punch excision of the scar. This piece of skin is sewn in place, stitches are removed after 7 days. This usually requires CO2 laser resurfacing after 4 weeks to fully level the skin.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Punch elevation is used to adjust the level of the skin with rolling scars. The punch device is inserted into some of the most deeply depressed areas, but instead of removing the skin, the piece is sewn into place at a higher level.This  will need to be followed by CO2 laser resurfacing. Its results are often disappointing.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Dermabrasion or CO2 laser assisted full ablation was almost the only way of treating a large area of scars until 2006. After local anaesthesia, the unaffected skin is sanded down to the level of the scars. This technique has become almost obsolete in the treatment of acne scars bit might still be useful for the blending of certain surgical scars.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microdermabrasion temporarily improves the surface of skin by smoothing its texture, mobilizing pigment and inducing minimal collagen production through dermal tissue pressure.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Cryoshape™ is the destruction of keloid tissue from the inside. After local anaesthesia, the Cryoshape™ probe is inserted through the long axis of the center of the keloid and cryogen is allowed to travel through this probe for 10-50 minutes. It works in one treatment when the diameter of the keloid is not bigger than one inch. This tissue freezing will gradually shrink the keloid over 2-4 months.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Cryosurgery is the external application of liquid nitrogen at-196 degree Celsius. It rapidly freezes the tissue which causes subsequent shrinkage. Freezing does not create the type of tissue injury that elicits keloids and can therefore be used externally and intralesionally.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Intralesional injection of steroid (triamcinolone) in various concentrations or a combination of fluorouracil and triamcinolone into a hypertrophic scar or keloid reduce pain anditching by shrinking these scars. Hypertrophic scars usually require just a couple of treatment while keloids may need many monthly injections. Needle free injection with the Dermojet, a pressure injection device, is possible for thicker keloids.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Pulsed dye laser treatment reliably closes blood vessels that were initially needed for healing. When our body “forgets” to undo them, blood flow can keep inflammation alive which maintains a red color and paradoxically can cause further tissue damage. The treatment feels like a rubber band snap at the skin and causes bruising for up to 7 days.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Photodynamic therapy destroys oil glands and improves scars. Aminolevulinic acid penetrates into oil glands during a 30-45 minute exposure. Activation of this photosensitizing substance by light in the red and blue spectrum allows the destruction of the oil gland. Swelling and redness after this procedure are minimal whereas treatment of acne, pre-cancers and cancers causes significant downtime lasting 14 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Glycolic acid or alpha hydroxy acid plumps skin cells through water influx and sheds off dead skin cells. This makes the skin surface look less porous, smoother and more radiant. While its effects are temporary, pores can shrink by 30% when applied daily or with glycolic acid peels every 3 months and even scarred skin will appear smoother.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Nd:YAG laser (long pulsed) treatment creates intentional injury in the depth of the second layer of the skin. This results in tightening of this plain and can be helpful when trying to minimize stretch marks which occur in this layer. Results are not very impressive but this is the only way to safely treat across all skin colors and there is no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Excision refers to the removal of a scar by cutting it out of the skin. The reason that scars form in an unideal way is often due to their location. Tension on the healing wound causes the resulting scar to spread or healing to overshoot (hypertrophic scar). Excision of an unsightly scar in an area of tension is often followed by Z-plasty. A keloid on the ear can be removed by excision as long as it is followed by agents that suppress keloid formation such as intralesional steroids or imiquimod. Keloid excision anywhere but the ear must be avoided at all costs.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Z-plasty is a surgical way to change the tension vector on a healing wound. As the name implies, it results in a Z shaped linear scar.</p>\r\n</div>\r\n\r\n</div>', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 18:34:31', '2015-12-21 18:34:31', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0),
(146, 1, '2015-12-21 18:48:24', '2015-12-21 18:48:24', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content4 procedur-content4-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box3">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box4">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<img class="img" src="../wp-content/themes/ringpfeildermatology/images/scar3-Richardson-Faye.jpg" alt="" />\r\n<div class="acne-procedur-content">\r\n<h2>Combining the Picosure and the Infiny devices to untie imploded scar tissues, to promote collagen growth and to even the skin surface</h2>\r\n<div class="procedur-content2-box1">\r\n<h4><u>Elevated scars</u></h4>\r\n<p><strong>Hypertrophic scars</strong></p>\r\n<ul>\r\n	<li>Caused by tension on skin after healing from a cutting injury or burn effectively treated by pulsed dye laser when red, fractionated CO2 (ScarFX) x multiple, fractionated radiofrequency x multiple, excision and Z-plasty, microneedling</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually pulsed dye laser treatments can be submitted to insurance] $150+</li>\r\n</ul>\r\n<p><strong>Keloids</strong></p>\r\n<ul>\r\n	<li>Caused by genetic predisposition or specific location (midline of our body) treated effectively by steroid or combination steroid/fluorouracil injection x multiple, pulsed dye laser treatment if red x multiple, external cryosurgery x  multiple, Cryoshape x 1 for appropriate size, excision followed by steroid injection x 3-4 at site every 2 weeks (applies to ear only) x 1</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually submitted to insurance] $50 /$150+/$80+/$1000+/$200+</li>\r\n</ul>\r\n\r\n<h4><u>Flat scars</u></h4>\r\n<p><strong>Flat wrinkled (atrophic) scars</strong></p>\r\n<ul>\r\n	<li>Caused by injury and inability to tighten the skin (Ehlers Danlos Syndrome, elastin deficiency)</li>\r\n	<li>Treated effectively Fractionated CO2 ScarFX, fractionated radiofrequency</li>\r\n	<li>Expected results; fair</li>\r\n	<li>Expected price per treatment $150+ (depending on size and number)</li>\r\n</ul>\r\n<p><strong>Flat red scars</strong></p>\r\n<ul>\r\n	<li>Caused by skin injury and inability to quickly resolve blood vessels that aid in healing initially, hence keeping inflammation for too long</li>\r\n	<li>Treated effectively pulsed dye laser 2-5, time (our body will eventually resolve most blood vessels on its own, a process that can take several years)</li>\r\n	<li>Expected results 75-100% reduction</li>\r\n	<li>Expected price per treatment $150+(depending on size and number)</li>\r\n</ul>\r\n\r\n<h4><u>Scars under the skin</u></h4>\r\n<p><strong>Stretch marks striae distensae</strong></p>\r\n<ul>\r\n	<li>Caused by stretch of skin with rapid growth in height or girth (teenage growth spurt, pregnancy, weight gain)</li>\r\n	<li>Treated effectively by pulsed dye laser when red x 1-2, fractionated CO2 DeepFX x 1, long pulsed Nd:YAG laser x 2-4,1540 non ablative fractional laser (Starlux 500) x multiple treatments</li>\r\n	<li>Expected results 100% of redness reduction, improvement of the stretched skin is fair</li>\r\n	<li>Expected price per treatment $250+ (depends on the size of the treated area for PDL, CO2, and Nd:YAG; Starlux is not available in our office)</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<h4><u>Depressed scars</u></h4>\r\n<p><strong>Rolling scars</strong></p>\r\n<ul>\r\n	<li>Caused by dense cystic-nodular and inflammatory acne treated effectively by subcision x 1-2, fractionated radiofrequency x 2-3, microneedling x 5-6, fractionated CO2 laser resurfacing x 3-6, fractionated Erbium laser 4-8, filler placement yearly</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/microneedling currently not available in our office/$500/$500/$580 per syringe</li>\r\n</ul>\r\n<p><strong>Box Scar</strong></p>\r\n<ul>\r\n	<li>Caused by cystic-nodular and inflammatory acne treated effectively by fractionated radiofrequency x 2-3/fractionated CO2 laser x 3-6, fractionated Erbium 4-8, picosecond laser x 3-4, energy powered microneedling x 5-6, filler placement very 1-2 years, subcision (if single scars) x 1-2, punch elevation x 1-2</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$500/$500/microneedling currently not available in our office/$580 per syringe/$150/$200 per spot</li>\r\n</ul>\r\n<p><strong>Ice Pick scars</strong></p>\r\n<ul>\r\n	<li>Caused by inflammatory and cystic-nodular acne treated effectively by TCA CROSS x 1-2, CO2 DeepFX x 3-6, punch excision (if single scar) x 1, punch grafting x 1-2</li>\r\n	<li>Expected results: 35-50%</li>\r\n	<li>Expected price per treatment $500, $500, $200 per spot/$300 per spot</li>\r\n</ul>\r\n<p><strong>Pores</strong></p>\r\n<ul>\r\n	<li>Caused by significant oil production, acne treated effectively by PDT x 3, fractional CO2 DeepFX x 1-2, glycolic acid daily</li>\r\n	<li>Expected results 30% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$50 per year</li>\r\n</ul>\r\n</div>\r\n<div style="clear:both"></div>\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<h2>Glossary</h2>\r\n<div class="procedur-content3-box1">\r\n<p>High Intensity fractionated radiofrequency (Infini) treatments reach the second layer of the skin while protecting the top layer. They cause localized injury in the dermis which stimulates elastin production. With topical anesthesia, discomfort is minimal. Downtime includes redness for one day, mild swelling and minimal if any scabs for 3 days. It has been a game changer for rolling scars and it works very well for box scars.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Fractionated CO2 laser treatments can reach the deepest amongst all devices (DeepFX/ScarFX). They vaporize the tight strands that pull down scars in various depths of the skin and also refresh the skin surface on the outside of the scar (ActiveFX). They stimulates collagen production where they destroy the deep scars. Downtime is considerable with 4-5 days of swelling, oozing, scabbing and several weeks of redness.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Fractionated erbium laser treatments can be performed similar to a peel (Pixel) or deep reaching (FRAXEL Restore). The first will gently resurface the skin by stimulating new skin growth in many minute islands. Skin is red and swollen and feels rough for 5 days.The latter will reach deep, vaporize minute columns of skin and scars and tightens the skin within itself. DeepFx fractional CO2 laser treatments have largely replaced this deep reaching method because their effect is superior. Downtime of redness and swelling for 5-6 days are common. Topical anesthesia is preferred with both treatments.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microneedling is based on minimal targeted tissue injury of the second layer of the skin (dermis) without heat injury. It can be performed at home with a dermaroller or in the professional office with a power driven microneedling pen (Dermapen). It usually requires some form of topical numbing and has a brief downtime of 1 day of redness and a few days of swelling and mild roughness.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Picosecond laser (Picosure) treatment stretches adhesions under the skin and stimulates elastin production. Because it is super fast and does not produce heat it causes very minimal if any discomfort and no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Subcision helps to lift rolling scars. After local anaesthesia, a small needle is inserted under the scarred area to free the adhesions that pull the scars down. Downtime includes bruising and swelling for up to 10 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>TCA peels in various concentrations improve the skin surface with ice pick and rolling scars. The CROSS techniques works best to shrink deep ice pick scars and small box scars. Discomfort lasts about 8 minutes, downtime of 5 days of redness, swelling, peeling, crusting is not insignificant.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Tissue augmenting agents like hyaluronic acid (Juvederm,Restylane), calcium hydroxyappatite (Radiesse) and polymethylmethacrylate collagen (Bellafill) achieve very good results in individual box scars. Hyaluronic acid and calcium hydroxyappatite fillers can also be used to augment areas of rolling scars. Redness can be present for one day while swelling can last for 3-5. Fillers within scars typically last 1-2 years.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Punch excision can be used for individual ice pick scars. After local anesthesia, the scar is excised with a miniature cookie cutter device and the wound edges brought together with a few very fine stitches. these are removed after 7 days. Wound care is minimal.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Punch grafting is used to fill a defect after excision of larger ice pick scars. The scars is removed as described under “punch excision”. Instead of closing it, a similar piece skin is excised elsewhere on the head or neck and placed into the void created after punch excision of the scar. This piece of skin is sewn in place, stitches are removed after 7 days. This usually requires CO2 laser resurfacing after 4 weeks to fully level the skin.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Punch elevation is used to adjust the level of the skin with rolling scars. The punch device is inserted into some of the most deeply depressed areas, but instead of removing the skin, the piece is sewn into place at a higher level.This  will need to be followed by CO2 laser resurfacing. Its results are often disappointing.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Dermabrasion or CO2 laser assisted full ablation was almost the only way of treating a large area of scars until 2006. After local anaesthesia, the unaffected skin is sanded down to the level of the scars. This technique has become almost obsolete in the treatment of acne scars bit might still be useful for the blending of certain surgical scars.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microdermabrasion temporarily improves the surface of skin by smoothing its texture, mobilizing pigment and inducing minimal collagen production through dermal tissue pressure.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Cryoshape™ is the destruction of keloid tissue from the inside. After local anaesthesia, the Cryoshape™ probe is inserted through the long axis of the center of the keloid and cryogen is allowed to travel through this probe for 10-50 minutes. It works in one treatment when the diameter of the keloid is not bigger than one inch. This tissue freezing will gradually shrink the keloid over 2-4 months.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Cryosurgery is the external application of liquid nitrogen at-196 degree Celsius. It rapidly freezes the tissue which causes subsequent shrinkage. Freezing does not create the type of tissue injury that elicits keloids and can therefore be used externally and intralesionally.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Intralesional injection of steroid (triamcinolone) in various concentrations or a combination of fluorouracil and triamcinolone into a hypertrophic scar or keloid reduce pain anditching by shrinking these scars. Hypertrophic scars usually require just a couple of treatment while keloids may need many monthly injections. Needle free injection with the Dermojet, a pressure injection device, is possible for thicker keloids.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Pulsed dye laser treatment reliably closes blood vessels that were initially needed for healing. When our body “forgets” to undo them, blood flow can keep inflammation alive which maintains a red color and paradoxically can cause further tissue damage. The treatment feels like a rubber band snap at the skin and causes bruising for up to 7 days.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Photodynamic therapy destroys oil glands and improves scars. Aminolevulinic acid penetrates into oil glands during a 30-45 minute exposure. Activation of this photosensitizing substance by light in the red and blue spectrum allows the destruction of the oil gland. Swelling and redness after this procedure are minimal whereas treatment of acne, pre-cancers and cancers causes significant downtime lasting 14 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Glycolic acid or alpha hydroxy acid plumps skin cells through water influx and sheds off dead skin cells. This makes the skin surface look less porous, smoother and more radiant. While its effects are temporary, pores can shrink by 30% when applied daily or with glycolic acid peels every 3 months and even scarred skin will appear smoother.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Nd:YAG laser (long pulsed) treatment creates intentional injury in the depth of the second layer of the skin. This results in tightening of this plain and can be helpful when trying to minimize stretch marks which occur in this layer. Results are not very impressive but this is the only way to safely treat across all skin colors and there is no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Excision refers to the removal of a scar by cutting it out of the skin. The reason that scars form in an unideal way is often due to their location. Tension on the healing wound causes the resulting scar to spread or healing to overshoot (hypertrophic scar). Excision of an unsightly scar in an area of tension is often followed by Z-plasty. A keloid on the ear can be removed by excision as long as it is followed by agents that suppress keloid formation such as intralesional steroids or imiquimod. Keloid excision anywhere but the ear must be avoided at all costs.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Z-plasty is a surgical way to change the tension vector on a healing wound. As the name implies, it results in a Z shaped linear scar.</p>\r\n</div>\r\n\r\n</div>', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 18:48:24', '2015-12-21 18:48:24', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0);
INSERT INTO `wp_new_posts` (`ID`, `post_author`, `post_date`, `post_date_gmt`, `post_content`, `post_title`, `post_excerpt`, `post_status`, `comment_status`, `ping_status`, `post_password`, `post_name`, `to_ping`, `pinged`, `post_modified`, `post_modified_gmt`, `post_content_filtered`, `post_parent`, `guid`, `menu_order`, `post_type`, `post_mime_type`, `comment_count`) VALUES
(147, 1, '2015-12-21 18:56:32', '2015-12-21 18:56:32', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content4 procedur-content4-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box3">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box4">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<img class="img" src="../wp-content/themes/ringpfeildermatology/images/scar3-Richardson-Faye.jpg" alt="" />\r\n<div class="acne-procedur-content">\r\n<h2>Combining the Picosure and the Infiny devices to untie imploded scar tissues, to promote collagen growth and to even the skin surface</h2>\r\n<div class="procedur-content2-box1">\r\n<h4><u>Elevated scars</u></h4>\r\n<p><strong>Hypertrophic scars</strong></p>\r\n<ul>\r\n	<li>Caused by tension on skin after healing from a cutting injury or burn effectively treated by pulsed dye laser when red, fractionated CO2 (ScarFX) x multiple, fractionated radiofrequency x multiple, excision and Z-plasty, microneedling</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually pulsed dye laser treatments can be submitted to insurance] $150+</li>\r\n</ul>\r\n<p><strong>Keloids</strong></p>\r\n<ul>\r\n	<li>Caused by genetic predisposition or specific location (midline of our body) treated effectively by steroid or combination steroid/fluorouracil injection x multiple, pulsed dye laser treatment if red x multiple, external cryosurgery x  multiple, Cryoshape x 1 for appropriate size, excision followed by steroid injection x 3-4 at site every 2 weeks (applies to ear only) x 1</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually submitted to insurance] $50 /$150+/$80+/$1000+/$200+</li>\r\n</ul>\r\n\r\n<h4><u>Flat scars</u></h4>\r\n<p><strong>Flat wrinkled (atrophic) scars</strong></p>\r\n<ul>\r\n	<li>Caused by injury and inability to tighten the skin (Ehlers Danlos Syndrome, elastin deficiency)</li>\r\n	<li>Treated effectively Fractionated CO2 ScarFX, fractionated radiofrequency</li>\r\n	<li>Expected results; fair</li>\r\n	<li>Expected price per treatment $150+ (depending on size and number)</li>\r\n</ul>\r\n<p><strong>Flat red scars</strong></p>\r\n<ul>\r\n	<li>Caused by skin injury and inability to quickly resolve blood vessels that aid in healing initially, hence keeping inflammation for too long</li>\r\n	<li>Treated effectively pulsed dye laser 2-5, time (our body will eventually resolve most blood vessels on its own, a process that can take several years)</li>\r\n	<li>Expected results 75-100% reduction</li>\r\n	<li>Expected price per treatment $150+(depending on size and number)</li>\r\n</ul>\r\n\r\n<h4><u>Scars under the skin</u></h4>\r\n<p><strong>Stretch marks striae distensae</strong></p>\r\n<ul>\r\n	<li>Caused by stretch of skin with rapid growth in height or girth (teenage growth spurt, pregnancy, weight gain)</li>\r\n	<li>Treated effectively by pulsed dye laser when red x 1-2, fractionated CO2 DeepFX x 1, long pulsed Nd:YAG laser x 2-4,1540 non ablative fractional laser (Starlux 500) x multiple treatments</li>\r\n	<li>Expected results 100% of redness reduction, improvement of the stretched skin is fair</li>\r\n	<li>Expected price per treatment $250+ (depends on the size of the treated area for PDL, CO2, and Nd:YAG; Starlux is not available in our office)</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<h4><u>Depressed scars</u></h4>\r\n<p><strong>Rolling scars</strong></p>\r\n<ul>\r\n	<li>Caused by dense cystic-nodular and inflammatory acne treated effectively by subcision x 1-2, fractionated radiofrequency x 2-3, microneedling x 5-6, fractionated CO2 laser resurfacing x 3-6, fractionated Erbium laser 4-8, filler placement yearly</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/microneedling currently not available in our office/$500/$500/$580 per syringe</li>\r\n</ul>\r\n<p><strong>Box Scar</strong></p>\r\n<ul>\r\n	<li>Caused by cystic-nodular and inflammatory acne treated effectively by fractionated radiofrequency x 2-3/fractionated CO2 laser x 3-6, fractionated Erbium 4-8, picosecond laser x 3-4, energy powered microneedling x 5-6, filler placement very 1-2 years, subcision (if single scars) x 1-2, punch elevation x 1-2</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$500/$500/microneedling currently not available in our office/$580 per syringe/$150/$200 per spot</li>\r\n</ul>\r\n<p><strong>Ice Pick scars</strong></p>\r\n<ul>\r\n	<li>Caused by inflammatory and cystic-nodular acne treated effectively by TCA CROSS x 1-2, CO2 DeepFX x 3-6, punch excision (if single scar) x 1, punch grafting x 1-2</li>\r\n	<li>Expected results: 35-50%</li>\r\n	<li>Expected price per treatment $500, $500, $200 per spot/$300 per spot</li>\r\n</ul>\r\n<p><strong>Pores</strong></p>\r\n<ul>\r\n	<li>Caused by significant oil production, acne treated effectively by PDT x 3, fractional CO2 DeepFX x 1-2, glycolic acid daily</li>\r\n	<li>Expected results 30% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$50 per year</li>\r\n</ul>\r\n</div>\r\n<div class="contact-us-sidebar-content">\r\n    <h3>Contact Us Today</h3>\r\n    <form class="contact-us-sidebar" name="contact-us" enctype="multipart/form-data" method="post"  action="http://philadelphiadermatology.com/mail_small_contact_form.php">\r\n        <input type="text" name="name" id="first_name" placeholder="Name*" required>\r\n        <input type="text" name="email" id="email" placeholder="Email*" required>\r\n        <input type="text" name="phone" id="phone" placeholder="Phone*" required>\r\n        <textarea name="message" id="message" placeholder="Comment*" required></textarea>\r\n        <span>*required feild</span>\r\n        <input type="submit" value="Submit" name="submit-contact-us">\r\n    </form>\r\n</div>\r\n<div style="clear:both"></div>\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<h2>Glossary</h2>\r\n<div class="procedur-content3-box1">\r\n<p>High Intensity fractionated radiofrequency (Infini) treatments reach the second layer of the skin while protecting the top layer. They cause localized injury in the dermis which stimulates elastin production. With topical anesthesia, discomfort is minimal. Downtime includes redness for one day, mild swelling and minimal if any scabs for 3 days. It has been a game changer for rolling scars and it works very well for box scars.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Fractionated CO2 laser treatments can reach the deepest amongst all devices (DeepFX/ScarFX). They vaporize the tight strands that pull down scars in various depths of the skin and also refresh the skin surface on the outside of the scar (ActiveFX). They stimulates collagen production where they destroy the deep scars. Downtime is considerable with 4-5 days of swelling, oozing, scabbing and several weeks of redness.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Fractionated erbium laser treatments can be performed similar to a peel (Pixel) or deep reaching (FRAXEL Restore). The first will gently resurface the skin by stimulating new skin growth in many minute islands. Skin is red and swollen and feels rough for 5 days.The latter will reach deep, vaporize minute columns of skin and scars and tightens the skin within itself. DeepFx fractional CO2 laser treatments have largely replaced this deep reaching method because their effect is superior. Downtime of redness and swelling for 5-6 days are common. Topical anesthesia is preferred with both treatments.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microneedling is based on minimal targeted tissue injury of the second layer of the skin (dermis) without heat injury. It can be performed at home with a dermaroller or in the professional office with a power driven microneedling pen (Dermapen). It usually requires some form of topical numbing and has a brief downtime of 1 day of redness and a few days of swelling and mild roughness.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Picosecond laser (Picosure) treatment stretches adhesions under the skin and stimulates elastin production. Because it is super fast and does not produce heat it causes very minimal if any discomfort and no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Subcision helps to lift rolling scars. After local anaesthesia, a small needle is inserted under the scarred area to free the adhesions that pull the scars down. Downtime includes bruising and swelling for up to 10 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>TCA peels in various concentrations improve the skin surface with ice pick and rolling scars. The CROSS techniques works best to shrink deep ice pick scars and small box scars. Discomfort lasts about 8 minutes, downtime of 5 days of redness, swelling, peeling, crusting is not insignificant.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Tissue augmenting agents like hyaluronic acid (Juvederm,Restylane), calcium hydroxyappatite (Radiesse) and polymethylmethacrylate collagen (Bellafill) achieve very good results in individual box scars. Hyaluronic acid and calcium hydroxyappatite fillers can also be used to augment areas of rolling scars. Redness can be present for one day while swelling can last for 3-5. Fillers within scars typically last 1-2 years.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Punch excision can be used for individual ice pick scars. After local anesthesia, the scar is excised with a miniature cookie cutter device and the wound edges brought together with a few very fine stitches. these are removed after 7 days. Wound care is minimal.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Punch grafting is used to fill a defect after excision of larger ice pick scars. The scars is removed as described under “punch excision”. Instead of closing it, a similar piece skin is excised elsewhere on the head or neck and placed into the void created after punch excision of the scar. This piece of skin is sewn in place, stitches are removed after 7 days. This usually requires CO2 laser resurfacing after 4 weeks to fully level the skin.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Punch elevation is used to adjust the level of the skin with rolling scars. The punch device is inserted into some of the most deeply depressed areas, but instead of removing the skin, the piece is sewn into place at a higher level.This  will need to be followed by CO2 laser resurfacing. Its results are often disappointing.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Dermabrasion or CO2 laser assisted full ablation was almost the only way of treating a large area of scars until 2006. After local anaesthesia, the unaffected skin is sanded down to the level of the scars. This technique has become almost obsolete in the treatment of acne scars bit might still be useful for the blending of certain surgical scars.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microdermabrasion temporarily improves the surface of skin by smoothing its texture, mobilizing pigment and inducing minimal collagen production through dermal tissue pressure.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Cryoshape™ is the destruction of keloid tissue from the inside. After local anaesthesia, the Cryoshape™ probe is inserted through the long axis of the center of the keloid and cryogen is allowed to travel through this probe for 10-50 minutes. It works in one treatment when the diameter of the keloid is not bigger than one inch. This tissue freezing will gradually shrink the keloid over 2-4 months.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Cryosurgery is the external application of liquid nitrogen at-196 degree Celsius. It rapidly freezes the tissue which causes subsequent shrinkage. Freezing does not create the type of tissue injury that elicits keloids and can therefore be used externally and intralesionally.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Intralesional injection of steroid (triamcinolone) in various concentrations or a combination of fluorouracil and triamcinolone into a hypertrophic scar or keloid reduce pain anditching by shrinking these scars. Hypertrophic scars usually require just a couple of treatment while keloids may need many monthly injections. Needle free injection with the Dermojet, a pressure injection device, is possible for thicker keloids.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Pulsed dye laser treatment reliably closes blood vessels that were initially needed for healing. When our body “forgets” to undo them, blood flow can keep inflammation alive which maintains a red color and paradoxically can cause further tissue damage. The treatment feels like a rubber band snap at the skin and causes bruising for up to 7 days.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Photodynamic therapy destroys oil glands and improves scars. Aminolevulinic acid penetrates into oil glands during a 30-45 minute exposure. Activation of this photosensitizing substance by light in the red and blue spectrum allows the destruction of the oil gland. Swelling and redness after this procedure are minimal whereas treatment of acne, pre-cancers and cancers causes significant downtime lasting 14 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Glycolic acid or alpha hydroxy acid plumps skin cells through water influx and sheds off dead skin cells. This makes the skin surface look less porous, smoother and more radiant. While its effects are temporary, pores can shrink by 30% when applied daily or with glycolic acid peels every 3 months and even scarred skin will appear smoother.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Nd:YAG laser (long pulsed) treatment creates intentional injury in the depth of the second layer of the skin. This results in tightening of this plain and can be helpful when trying to minimize stretch marks which occur in this layer. Results are not very impressive but this is the only way to safely treat across all skin colors and there is no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Excision refers to the removal of a scar by cutting it out of the skin. The reason that scars form in an unideal way is often due to their location. Tension on the healing wound causes the resulting scar to spread or healing to overshoot (hypertrophic scar). Excision of an unsightly scar in an area of tension is often followed by Z-plasty. A keloid on the ear can be removed by excision as long as it is followed by agents that suppress keloid formation such as intralesional steroids or imiquimod. Keloid excision anywhere but the ear must be avoided at all costs.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Z-plasty is a surgical way to change the tension vector on a healing wound. As the name implies, it results in a Z shaped linear scar.</p>\r\n</div>\r\n\r\n</div>', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 18:56:32', '2015-12-21 18:56:32', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0),
(148, 1, '2015-12-21 18:57:33', '2015-12-21 18:57:33', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content4 procedur-content4-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box3">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box4">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<img class="img" src="../wp-content/themes/ringpfeildermatology/images/scar3-Richardson-Faye.jpg" alt="" />\r\n<div class="acne-procedur-content">\r\n<h2>Combining the Picosure and the Infiny devices to untie imploded scar tissues, to promote collagen growth and to even the skin surface</h2>\r\n<div class="procedur-content2-box1">\r\n<h4><u>Elevated scars</u></h4>\r\n<p><strong>Hypertrophic scars</strong></p>\r\n<ul>\r\n	<li>Caused by tension on skin after healing from a cutting injury or burn effectively treated by pulsed dye laser when red, fractionated CO2 (ScarFX) x multiple, fractionated radiofrequency x multiple, excision and Z-plasty, microneedling</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually pulsed dye laser treatments can be submitted to insurance] $150+</li>\r\n</ul>\r\n<p><strong>Keloids</strong></p>\r\n<ul>\r\n	<li>Caused by genetic predisposition or specific location (midline of our body) treated effectively by steroid or combination steroid/fluorouracil injection x multiple, pulsed dye laser treatment if red x multiple, external cryosurgery x  multiple, Cryoshape x 1 for appropriate size, excision followed by steroid injection x 3-4 at site every 2 weeks (applies to ear only) x 1</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually submitted to insurance] $50 /$150+/$80+/$1000+/$200+</li>\r\n</ul>\r\n\r\n<h4><u>Flat scars</u></h4>\r\n<p><strong>Flat wrinkled (atrophic) scars</strong></p>\r\n<ul>\r\n	<li>Caused by injury and inability to tighten the skin (Ehlers Danlos Syndrome, elastin deficiency)</li>\r\n	<li>Treated effectively Fractionated CO2 ScarFX, fractionated radiofrequency</li>\r\n	<li>Expected results; fair</li>\r\n	<li>Expected price per treatment $150+ (depending on size and number)</li>\r\n</ul>\r\n<p><strong>Flat red scars</strong></p>\r\n<ul>\r\n	<li>Caused by skin injury and inability to quickly resolve blood vessels that aid in healing initially, hence keeping inflammation for too long</li>\r\n	<li>Treated effectively pulsed dye laser 2-5, time (our body will eventually resolve most blood vessels on its own, a process that can take several years)</li>\r\n	<li>Expected results 75-100% reduction</li>\r\n	<li>Expected price per treatment $150+(depending on size and number)</li>\r\n</ul>\r\n\r\n<h4><u>Scars under the skin</u></h4>\r\n<p><strong>Stretch marks striae distensae</strong></p>\r\n<ul>\r\n	<li>Caused by stretch of skin with rapid growth in height or girth (teenage growth spurt, pregnancy, weight gain)</li>\r\n	<li>Treated effectively by pulsed dye laser when red x 1-2, fractionated CO2 DeepFX x 1, long pulsed Nd:YAG laser x 2-4,1540 non ablative fractional laser (Starlux 500) x multiple treatments</li>\r\n	<li>Expected results 100% of redness reduction, improvement of the stretched skin is fair</li>\r\n	<li>Expected price per treatment $250+ (depends on the size of the treated area for PDL, CO2, and Nd:YAG; Starlux is not available in our office)</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<h4><u>Depressed scars</u></h4>\r\n<p><strong>Rolling scars</strong></p>\r\n<ul>\r\n	<li>Caused by dense cystic-nodular and inflammatory acne treated effectively by subcision x 1-2, fractionated radiofrequency x 2-3, microneedling x 5-6, fractionated CO2 laser resurfacing x 3-6, fractionated Erbium laser 4-8, filler placement yearly</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/microneedling currently not available in our office/$500/$500/$580 per syringe</li>\r\n</ul>\r\n<p><strong>Box Scar</strong></p>\r\n<ul>\r\n	<li>Caused by cystic-nodular and inflammatory acne treated effectively by fractionated radiofrequency x 2-3/fractionated CO2 laser x 3-6, fractionated Erbium 4-8, picosecond laser x 3-4, energy powered microneedling x 5-6, filler placement very 1-2 years, subcision (if single scars) x 1-2, punch elevation x 1-2</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$500/$500/microneedling currently not available in our office/$580 per syringe/$150/$200 per spot</li>\r\n</ul>\r\n<p><strong>Ice Pick scars</strong></p>\r\n<ul>\r\n	<li>Caused by inflammatory and cystic-nodular acne treated effectively by TCA CROSS x 1-2, CO2 DeepFX x 3-6, punch excision (if single scar) x 1, punch grafting x 1-2</li>\r\n	<li>Expected results: 35-50%</li>\r\n	<li>Expected price per treatment $500, $500, $200 per spot/$300 per spot</li>\r\n</ul>\r\n<p><strong>Pores</strong></p>\r\n<ul>\r\n	<li>Caused by significant oil production, acne treated effectively by PDT x 3, fractional CO2 DeepFX x 1-2, glycolic acid daily</li>\r\n	<li>Expected results 30% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$50 per year</li>\r\n</ul>\r\n</div>\r\n<div class="right-column">\r\n<div class="contact-us-sidebar-content">\r\n    <h3>Contact Us Today</h3>\r\n    <form class="contact-us-sidebar" name="contact-us" enctype="multipart/form-data" method="post"  action="http://philadelphiadermatology.com/mail_small_contact_form.php">\r\n        <input type="text" name="name" id="first_name" placeholder="Name*" required>\r\n        <input type="text" name="email" id="email" placeholder="Email*" required>\r\n        <input type="text" name="phone" id="phone" placeholder="Phone*" required>\r\n        <textarea name="message" id="message" placeholder="Comment*" required></textarea>\r\n        <span>*required feild</span>\r\n        <input type="submit" value="Submit" name="submit-contact-us">\r\n    </form>\r\n</div>\r\n</div>\r\n<div style="clear:both"></div>\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<h2>Glossary</h2>\r\n<div class="procedur-content3-box1">\r\n<p>High Intensity fractionated radiofrequency (Infini) treatments reach the second layer of the skin while protecting the top layer. They cause localized injury in the dermis which stimulates elastin production. With topical anesthesia, discomfort is minimal. Downtime includes redness for one day, mild swelling and minimal if any scabs for 3 days. It has been a game changer for rolling scars and it works very well for box scars.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Fractionated CO2 laser treatments can reach the deepest amongst all devices (DeepFX/ScarFX). They vaporize the tight strands that pull down scars in various depths of the skin and also refresh the skin surface on the outside of the scar (ActiveFX). They stimulates collagen production where they destroy the deep scars. Downtime is considerable with 4-5 days of swelling, oozing, scabbing and several weeks of redness.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Fractionated erbium laser treatments can be performed similar to a peel (Pixel) or deep reaching (FRAXEL Restore). The first will gently resurface the skin by stimulating new skin growth in many minute islands. Skin is red and swollen and feels rough for 5 days.The latter will reach deep, vaporize minute columns of skin and scars and tightens the skin within itself. DeepFx fractional CO2 laser treatments have largely replaced this deep reaching method because their effect is superior. Downtime of redness and swelling for 5-6 days are common. Topical anesthesia is preferred with both treatments.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microneedling is based on minimal targeted tissue injury of the second layer of the skin (dermis) without heat injury. It can be performed at home with a dermaroller or in the professional office with a power driven microneedling pen (Dermapen). It usually requires some form of topical numbing and has a brief downtime of 1 day of redness and a few days of swelling and mild roughness.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Picosecond laser (Picosure) treatment stretches adhesions under the skin and stimulates elastin production. Because it is super fast and does not produce heat it causes very minimal if any discomfort and no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Subcision helps to lift rolling scars. After local anaesthesia, a small needle is inserted under the scarred area to free the adhesions that pull the scars down. Downtime includes bruising and swelling for up to 10 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>TCA peels in various concentrations improve the skin surface with ice pick and rolling scars. The CROSS techniques works best to shrink deep ice pick scars and small box scars. Discomfort lasts about 8 minutes, downtime of 5 days of redness, swelling, peeling, crusting is not insignificant.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Tissue augmenting agents like hyaluronic acid (Juvederm,Restylane), calcium hydroxyappatite (Radiesse) and polymethylmethacrylate collagen (Bellafill) achieve very good results in individual box scars. Hyaluronic acid and calcium hydroxyappatite fillers can also be used to augment areas of rolling scars. Redness can be present for one day while swelling can last for 3-5. Fillers within scars typically last 1-2 years.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Punch excision can be used for individual ice pick scars. After local anesthesia, the scar is excised with a miniature cookie cutter device and the wound edges brought together with a few very fine stitches. these are removed after 7 days. Wound care is minimal.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Punch grafting is used to fill a defect after excision of larger ice pick scars. The scars is removed as described under “punch excision”. Instead of closing it, a similar piece skin is excised elsewhere on the head or neck and placed into the void created after punch excision of the scar. This piece of skin is sewn in place, stitches are removed after 7 days. This usually requires CO2 laser resurfacing after 4 weeks to fully level the skin.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Punch elevation is used to adjust the level of the skin with rolling scars. The punch device is inserted into some of the most deeply depressed areas, but instead of removing the skin, the piece is sewn into place at a higher level.This  will need to be followed by CO2 laser resurfacing. Its results are often disappointing.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Dermabrasion or CO2 laser assisted full ablation was almost the only way of treating a large area of scars until 2006. After local anaesthesia, the unaffected skin is sanded down to the level of the scars. This technique has become almost obsolete in the treatment of acne scars bit might still be useful for the blending of certain surgical scars.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microdermabrasion temporarily improves the surface of skin by smoothing its texture, mobilizing pigment and inducing minimal collagen production through dermal tissue pressure.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Cryoshape™ is the destruction of keloid tissue from the inside. After local anaesthesia, the Cryoshape™ probe is inserted through the long axis of the center of the keloid and cryogen is allowed to travel through this probe for 10-50 minutes. It works in one treatment when the diameter of the keloid is not bigger than one inch. This tissue freezing will gradually shrink the keloid over 2-4 months.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Cryosurgery is the external application of liquid nitrogen at-196 degree Celsius. It rapidly freezes the tissue which causes subsequent shrinkage. Freezing does not create the type of tissue injury that elicits keloids and can therefore be used externally and intralesionally.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Intralesional injection of steroid (triamcinolone) in various concentrations or a combination of fluorouracil and triamcinolone into a hypertrophic scar or keloid reduce pain anditching by shrinking these scars. Hypertrophic scars usually require just a couple of treatment while keloids may need many monthly injections. Needle free injection with the Dermojet, a pressure injection device, is possible for thicker keloids.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Pulsed dye laser treatment reliably closes blood vessels that were initially needed for healing. When our body “forgets” to undo them, blood flow can keep inflammation alive which maintains a red color and paradoxically can cause further tissue damage. The treatment feels like a rubber band snap at the skin and causes bruising for up to 7 days.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Photodynamic therapy destroys oil glands and improves scars. Aminolevulinic acid penetrates into oil glands during a 30-45 minute exposure. Activation of this photosensitizing substance by light in the red and blue spectrum allows the destruction of the oil gland. Swelling and redness after this procedure are minimal whereas treatment of acne, pre-cancers and cancers causes significant downtime lasting 14 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Glycolic acid or alpha hydroxy acid plumps skin cells through water influx and sheds off dead skin cells. This makes the skin surface look less porous, smoother and more radiant. While its effects are temporary, pores can shrink by 30% when applied daily or with glycolic acid peels every 3 months and even scarred skin will appear smoother.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Nd:YAG laser (long pulsed) treatment creates intentional injury in the depth of the second layer of the skin. This results in tightening of this plain and can be helpful when trying to minimize stretch marks which occur in this layer. Results are not very impressive but this is the only way to safely treat across all skin colors and there is no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Excision refers to the removal of a scar by cutting it out of the skin. The reason that scars form in an unideal way is often due to their location. Tension on the healing wound causes the resulting scar to spread or healing to overshoot (hypertrophic scar). Excision of an unsightly scar in an area of tension is often followed by Z-plasty. A keloid on the ear can be removed by excision as long as it is followed by agents that suppress keloid formation such as intralesional steroids or imiquimod. Keloid excision anywhere but the ear must be avoided at all costs.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Z-plasty is a surgical way to change the tension vector on a healing wound. As the name implies, it results in a Z shaped linear scar.</p>\r\n</div>\r\n\r\n</div>', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 18:57:33', '2015-12-21 18:57:33', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0);
INSERT INTO `wp_new_posts` (`ID`, `post_author`, `post_date`, `post_date_gmt`, `post_content`, `post_title`, `post_excerpt`, `post_status`, `comment_status`, `ping_status`, `post_password`, `post_name`, `to_ping`, `pinged`, `post_modified`, `post_modified_gmt`, `post_content_filtered`, `post_parent`, `guid`, `menu_order`, `post_type`, `post_mime_type`, `comment_count`) VALUES
(149, 1, '2015-12-21 19:01:00', '2015-12-21 19:01:00', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content4 procedur-content4-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box3">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box4">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<img class="img" src="../wp-content/themes/ringpfeildermatology/images/scar3-Richardson-Faye.jpg" alt="" />\r\n<div class="acne-procedur-content">\r\n<h2>Combining the Picosure and the Infiny devices to untie imploded scar tissues, to promote collagen growth and to even the skin surface</h2>\r\n<div class="procedur-content2-box1">\r\n<h4><u>Elevated scars</u></h4>\r\n<p><strong>Hypertrophic scars</strong></p>\r\n<ul>\r\n	<li>Caused by tension on skin after healing from a cutting injury or burn effectively treated by pulsed dye laser when red, fractionated CO2 (ScarFX) x multiple, fractionated radiofrequency x multiple, excision and Z-plasty, microneedling</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually pulsed dye laser treatments can be submitted to insurance] $150+</li>\r\n</ul>\r\n<p><strong>Keloids</strong></p>\r\n<ul>\r\n	<li>Caused by genetic predisposition or specific location (midline of our body) treated effectively by steroid or combination steroid/fluorouracil injection x multiple, pulsed dye laser treatment if red x multiple, external cryosurgery x  multiple, Cryoshape x 1 for appropriate size, excision followed by steroid injection x 3-4 at site every 2 weeks (applies to ear only) x 1</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually submitted to insurance] $50 /$150+/$80+/$1000+/$200+</li>\r\n</ul>\r\n\r\n<h4><u>Flat scars</u></h4>\r\n<p><strong>Flat wrinkled (atrophic) scars</strong></p>\r\n<ul>\r\n	<li>Caused by injury and inability to tighten the skin (Ehlers Danlos Syndrome, elastin deficiency)</li>\r\n	<li>Treated effectively Fractionated CO2 ScarFX, fractionated radiofrequency</li>\r\n	<li>Expected results; fair</li>\r\n	<li>Expected price per treatment $150+ (depending on size and number)</li>\r\n</ul>\r\n<p><strong>Flat red scars</strong></p>\r\n<ul>\r\n	<li>Caused by skin injury and inability to quickly resolve blood vessels that aid in healing initially, hence keeping inflammation for too long</li>\r\n	<li>Treated effectively pulsed dye laser 2-5, time (our body will eventually resolve most blood vessels on its own, a process that can take several years)</li>\r\n	<li>Expected results 75-100% reduction</li>\r\n	<li>Expected price per treatment $150+(depending on size and number)</li>\r\n</ul>\r\n\r\n<h4><u>Scars under the skin</u></h4>\r\n<p><strong>Stretch marks striae distensae</strong></p>\r\n<ul>\r\n	<li>Caused by stretch of skin with rapid growth in height or girth (teenage growth spurt, pregnancy, weight gain)</li>\r\n	<li>Treated effectively by pulsed dye laser when red x 1-2, fractionated CO2 DeepFX x 1, long pulsed Nd:YAG laser x 2-4,1540 non ablative fractional laser (Starlux 500) x multiple treatments</li>\r\n	<li>Expected results 100% of redness reduction, improvement of the stretched skin is fair</li>\r\n	<li>Expected price per treatment $250+ (depends on the size of the treated area for PDL, CO2, and Nd:YAG; Starlux is not available in our office)</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<h4><u>Depressed scars</u></h4>\r\n<p><strong>Rolling scars</strong></p>\r\n<ul>\r\n	<li>Caused by dense cystic-nodular and inflammatory acne treated effectively by subcision x 1-2, fractionated radiofrequency x 2-3, microneedling x 5-6, fractionated CO2 laser resurfacing x 3-6, fractionated Erbium laser 4-8, filler placement yearly</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/microneedling currently not available in our office/$500/$500/$580 per syringe</li>\r\n</ul>\r\n<p><strong>Box Scar</strong></p>\r\n<ul>\r\n	<li>Caused by cystic-nodular and inflammatory acne treated effectively by fractionated radiofrequency x 2-3/fractionated CO2 laser x 3-6, fractionated Erbium 4-8, picosecond laser x 3-4, energy powered microneedling x 5-6, filler placement very 1-2 years, subcision (if single scars) x 1-2, punch elevation x 1-2</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$500/$500/microneedling currently not available in our office/$580 per syringe/$150/$200 per spot</li>\r\n</ul>\r\n<p><strong>Ice Pick scars</strong></p>\r\n<ul>\r\n	<li>Caused by inflammatory and cystic-nodular acne treated effectively by TCA CROSS x 1-2, CO2 DeepFX x 3-6, punch excision (if single scar) x 1, punch grafting x 1-2</li>\r\n	<li>Expected results: 35-50%</li>\r\n	<li>Expected price per treatment $500, $500, $200 per spot/$300 per spot</li>\r\n</ul>\r\n<p><strong>Pores</strong></p>\r\n<ul>\r\n	<li>Caused by significant oil production, acne treated effectively by PDT x 3, fractional CO2 DeepFX x 1-2, glycolic acid daily</li>\r\n	<li>Expected results 30% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$50 per year</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2">\r\n<div class="contact-us-sidebar-content">\r\n    <h3>Contact Us Today</h3>\r\n    <form class="contact-us-sidebar" name="contact-us" enctype="multipart/form-data" method="post"  action="http://philadelphiadermatology.com/mail_small_contact_form.php">\r\n        <input type="text" name="name" id="first_name" placeholder="Name*" required>\r\n        <input type="text" name="email" id="email" placeholder="Email*" required>\r\n        <input type="text" name="phone" id="phone" placeholder="Phone*" required>\r\n        <textarea name="message" id="message" placeholder="Comment*" required></textarea>\r\n        <span>*required feild</span>\r\n        <input type="submit" value="Submit" name="submit-contact-us">\r\n    </form>\r\n</div>\r\n</div>\r\n<div style="clear:both"></div>\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<h2>Glossary</h2>\r\n<div class="procedur-content3-box1">\r\n<p>High Intensity fractionated radiofrequency (Infini) treatments reach the second layer of the skin while protecting the top layer. They cause localized injury in the dermis which stimulates elastin production. With topical anesthesia, discomfort is minimal. Downtime includes redness for one day, mild swelling and minimal if any scabs for 3 days. It has been a game changer for rolling scars and it works very well for box scars.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Fractionated CO2 laser treatments can reach the deepest amongst all devices (DeepFX/ScarFX). They vaporize the tight strands that pull down scars in various depths of the skin and also refresh the skin surface on the outside of the scar (ActiveFX). They stimulates collagen production where they destroy the deep scars. Downtime is considerable with 4-5 days of swelling, oozing, scabbing and several weeks of redness.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Fractionated erbium laser treatments can be performed similar to a peel (Pixel) or deep reaching (FRAXEL Restore). The first will gently resurface the skin by stimulating new skin growth in many minute islands. Skin is red and swollen and feels rough for 5 days.The latter will reach deep, vaporize minute columns of skin and scars and tightens the skin within itself. DeepFx fractional CO2 laser treatments have largely replaced this deep reaching method because their effect is superior. Downtime of redness and swelling for 5-6 days are common. Topical anesthesia is preferred with both treatments.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microneedling is based on minimal targeted tissue injury of the second layer of the skin (dermis) without heat injury. It can be performed at home with a dermaroller or in the professional office with a power driven microneedling pen (Dermapen). It usually requires some form of topical numbing and has a brief downtime of 1 day of redness and a few days of swelling and mild roughness.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Picosecond laser (Picosure) treatment stretches adhesions under the skin and stimulates elastin production. Because it is super fast and does not produce heat it causes very minimal if any discomfort and no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Subcision helps to lift rolling scars. After local anaesthesia, a small needle is inserted under the scarred area to free the adhesions that pull the scars down. Downtime includes bruising and swelling for up to 10 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>TCA peels in various concentrations improve the skin surface with ice pick and rolling scars. The CROSS techniques works best to shrink deep ice pick scars and small box scars. Discomfort lasts about 8 minutes, downtime of 5 days of redness, swelling, peeling, crusting is not insignificant.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Tissue augmenting agents like hyaluronic acid (Juvederm,Restylane), calcium hydroxyappatite (Radiesse) and polymethylmethacrylate collagen (Bellafill) achieve very good results in individual box scars. Hyaluronic acid and calcium hydroxyappatite fillers can also be used to augment areas of rolling scars. Redness can be present for one day while swelling can last for 3-5. Fillers within scars typically last 1-2 years.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Punch excision can be used for individual ice pick scars. After local anesthesia, the scar is excised with a miniature cookie cutter device and the wound edges brought together with a few very fine stitches. these are removed after 7 days. Wound care is minimal.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Punch grafting is used to fill a defect after excision of larger ice pick scars. The scars is removed as described under “punch excision”. Instead of closing it, a similar piece skin is excised elsewhere on the head or neck and placed into the void created after punch excision of the scar. This piece of skin is sewn in place, stitches are removed after 7 days. This usually requires CO2 laser resurfacing after 4 weeks to fully level the skin.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Punch elevation is used to adjust the level of the skin with rolling scars. The punch device is inserted into some of the most deeply depressed areas, but instead of removing the skin, the piece is sewn into place at a higher level.This  will need to be followed by CO2 laser resurfacing. Its results are often disappointing.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Dermabrasion or CO2 laser assisted full ablation was almost the only way of treating a large area of scars until 2006. After local anaesthesia, the unaffected skin is sanded down to the level of the scars. This technique has become almost obsolete in the treatment of acne scars bit might still be useful for the blending of certain surgical scars.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microdermabrasion temporarily improves the surface of skin by smoothing its texture, mobilizing pigment and inducing minimal collagen production through dermal tissue pressure.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Cryoshape™ is the destruction of keloid tissue from the inside. After local anaesthesia, the Cryoshape™ probe is inserted through the long axis of the center of the keloid and cryogen is allowed to travel through this probe for 10-50 minutes. It works in one treatment when the diameter of the keloid is not bigger than one inch. This tissue freezing will gradually shrink the keloid over 2-4 months.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Cryosurgery is the external application of liquid nitrogen at-196 degree Celsius. It rapidly freezes the tissue which causes subsequent shrinkage. Freezing does not create the type of tissue injury that elicits keloids and can therefore be used externally and intralesionally.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Intralesional injection of steroid (triamcinolone) in various concentrations or a combination of fluorouracil and triamcinolone into a hypertrophic scar or keloid reduce pain anditching by shrinking these scars. Hypertrophic scars usually require just a couple of treatment while keloids may need many monthly injections. Needle free injection with the Dermojet, a pressure injection device, is possible for thicker keloids.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Pulsed dye laser treatment reliably closes blood vessels that were initially needed for healing. When our body “forgets” to undo them, blood flow can keep inflammation alive which maintains a red color and paradoxically can cause further tissue damage. The treatment feels like a rubber band snap at the skin and causes bruising for up to 7 days.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Photodynamic therapy destroys oil glands and improves scars. Aminolevulinic acid penetrates into oil glands during a 30-45 minute exposure. Activation of this photosensitizing substance by light in the red and blue spectrum allows the destruction of the oil gland. Swelling and redness after this procedure are minimal whereas treatment of acne, pre-cancers and cancers causes significant downtime lasting 14 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Glycolic acid or alpha hydroxy acid plumps skin cells through water influx and sheds off dead skin cells. This makes the skin surface look less porous, smoother and more radiant. While its effects are temporary, pores can shrink by 30% when applied daily or with glycolic acid peels every 3 months and even scarred skin will appear smoother.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Nd:YAG laser (long pulsed) treatment creates intentional injury in the depth of the second layer of the skin. This results in tightening of this plain and can be helpful when trying to minimize stretch marks which occur in this layer. Results are not very impressive but this is the only way to safely treat across all skin colors and there is no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Excision refers to the removal of a scar by cutting it out of the skin. The reason that scars form in an unideal way is often due to their location. Tension on the healing wound causes the resulting scar to spread or healing to overshoot (hypertrophic scar). Excision of an unsightly scar in an area of tension is often followed by Z-plasty. A keloid on the ear can be removed by excision as long as it is followed by agents that suppress keloid formation such as intralesional steroids or imiquimod. Keloid excision anywhere but the ear must be avoided at all costs.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Z-plasty is a surgical way to change the tension vector on a healing wound. As the name implies, it results in a Z shaped linear scar.</p>\r\n</div>\r\n\r\n</div>', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 19:01:00', '2015-12-21 19:01:00', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0),
(150, 1, '2015-12-21 19:06:04', '2015-12-21 19:06:04', '<div class="acne-photo-content-no-sidebar acne-photo-content">\r\n<img src="../wp-content/themes/ringpfeildermatology/images/scar-types.jpg" alt="" />\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content4 procedur-content4-box1">\r\n<p>Our practice specializes in scar treatment. Utilizing the largest portfolio of scar treatment lasers and techniques in the Philadelphia area we treat over 1000 patients with scars every year.  We have developed unique treatment protocols for most scar types and we have the experience and technology to make a difference in our patients lives.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box2">\r\n<p>Skin imperfection caused by scars makes many of us self conscious. We carry these “reminders” from our past acne breakouts, chickenpox, other medical conditions, burns, or injuries and we wish we could eliminate them.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box3">\r\n<p>Scar treatment is one of the most challenging procedure at a dermatologist’s or a plastic surgeon’s practice. While there is not one technique that remodels  scar tissue to completely match the surrounding skin, recent technologies have enable advanced practices to achieve results that were not possible before.</p>\r\n</div>\r\n<div class="procedur-content4 procedur-content4-box4">\r\n<p>The root cause of the scar, the location on the body, the person’s age, genetics, and skin type are all factors that determine the scar size, depth, color, shape and texture. Tremendous progress has been made in recent years with reduction of scars. A customized approach to scar reduction includes the use of several different lasers, devices and techniques to treat texture, color, thickness or volume deficit.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<img class="img" src="../wp-content/themes/ringpfeildermatology/images/scar3-Richardson-Faye.jpg" alt="" />\r\n<div class="acne-procedur-content">\r\n<h2>Combining the Picosure and the Infiny devices to untie imploded scar tissues, to promote collagen growth and to even the skin surface</h2>\r\n<div class="procedur-content2-box1">\r\n<h4><u>Elevated scars</u></h4>\r\n<p><strong>Hypertrophic scars</strong></p>\r\n<ul>\r\n	<li>Caused by tension on skin after healing from a cutting injury or burn effectively treated by pulsed dye laser when red, fractionated CO2 (ScarFX) x multiple, fractionated radiofrequency x multiple, excision and Z-plasty, microneedling</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually pulsed dye laser treatments can be submitted to insurance] $150+</li>\r\n</ul>\r\n<p><strong>Keloids</strong></p>\r\n<ul>\r\n	<li>Caused by genetic predisposition or specific location (midline of our body) treated effectively by steroid or combination steroid/fluorouracil injection x multiple, pulsed dye laser treatment if red x multiple, external cryosurgery x  multiple, Cryoshape x 1 for appropriate size, excision followed by steroid injection x 3-4 at site every 2 weeks (applies to ear only) x 1</li>\r\n	<li>Expected results 50-95% reduction</li>\r\n	<li>Expected price per treatment [usually submitted to insurance] $50 /$150+/$80+/$1000+/$200+</li>\r\n</ul>\r\n\r\n<h4><u>Flat scars</u></h4>\r\n<p><strong>Flat wrinkled (atrophic) scars</strong></p>\r\n<ul>\r\n	<li>Caused by injury and inability to tighten the skin (Ehlers Danlos Syndrome, elastin deficiency)</li>\r\n	<li>Treated effectively Fractionated CO2 ScarFX, fractionated radiofrequency</li>\r\n	<li>Expected results; fair</li>\r\n	<li>Expected price per treatment $150+ (depending on size and number)</li>\r\n</ul>\r\n<p><strong>Flat red scars</strong></p>\r\n<ul>\r\n	<li>Caused by skin injury and inability to quickly resolve blood vessels that aid in healing initially, hence keeping inflammation for too long</li>\r\n	<li>Treated effectively pulsed dye laser 2-5, time (our body will eventually resolve most blood vessels on its own, a process that can take several years)</li>\r\n	<li>Expected results 75-100% reduction</li>\r\n	<li>Expected price per treatment $150+(depending on size and number)</li>\r\n</ul>\r\n\r\n<h4><u>Scars under the skin</u></h4>\r\n<p><strong>Stretch marks striae distensae</strong></p>\r\n<ul>\r\n	<li>Caused by stretch of skin with rapid growth in height or girth (teenage growth spurt, pregnancy, weight gain)</li>\r\n	<li>Treated effectively by pulsed dye laser when red x 1-2, fractionated CO2 DeepFX x 1, long pulsed Nd:YAG laser x 2-4,1540 non ablative fractional laser (Starlux 500) x multiple treatments</li>\r\n	<li>Expected results 100% of redness reduction, improvement of the stretched skin is fair</li>\r\n	<li>Expected price per treatment $250+ (depends on the size of the treated area for PDL, CO2, and Nd:YAG; Starlux is not available in our office)</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2 procedur-content2-box2-correct">\r\n<h4><u>Depressed scars</u></h4>\r\n<p><strong>Rolling scars</strong></p>\r\n<ul>\r\n	<li>Caused by dense cystic-nodular and inflammatory acne treated effectively by subcision x 1-2, fractionated radiofrequency x 2-3, microneedling x 5-6, fractionated CO2 laser resurfacing x 3-6, fractionated Erbium laser 4-8, filler placement yearly</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/microneedling currently not available in our office/$500/$500/$580 per syringe</li>\r\n</ul>\r\n<p><strong>Box Scar</strong></p>\r\n<ul>\r\n	<li>Caused by cystic-nodular and inflammatory acne treated effectively by fractionated radiofrequency x 2-3/fractionated CO2 laser x 3-6, fractionated Erbium 4-8, picosecond laser x 3-4, energy powered microneedling x 5-6, filler placement very 1-2 years, subcision (if single scars) x 1-2, punch elevation x 1-2</li>\r\n	<li>Expected results 50% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$500/$500/microneedling currently not available in our office/$580 per syringe/$150/$200 per spot</li>\r\n</ul>\r\n<p><strong>Ice Pick scars</strong></p>\r\n<ul>\r\n	<li>Caused by inflammatory and cystic-nodular acne treated effectively by TCA CROSS x 1-2, CO2 DeepFX x 3-6, punch excision (if single scar) x 1, punch grafting x 1-2</li>\r\n	<li>Expected results: 35-50%</li>\r\n	<li>Expected price per treatment $500, $500, $200 per spot/$300 per spot</li>\r\n</ul>\r\n<p><strong>Pores</strong></p>\r\n<ul>\r\n	<li>Caused by significant oil production, acne treated effectively by PDT x 3, fractional CO2 DeepFX x 1-2, glycolic acid daily</li>\r\n	<li>Expected results 30% reduction</li>\r\n	<li>Expected price per treatment $500/$500/$50 per year</li>\r\n</ul>\r\n</div>\r\n<div class="procedur-content2-box2 procedur-content2-box2-correct">\r\n<div class="contact-us-sidebar-content">\r\n    <h3>Contact Us Today</h3>\r\n    <form class="contact-us-sidebar" name="contact-us" enctype="multipart/form-data" method="post"  action="http://philadelphiadermatology.com/mail_small_contact_form.php">\r\n        <input type="text" name="name" id="first_name" placeholder="Name*" required>\r\n        <input type="text" name="email" id="email" placeholder="Email*" required>\r\n        <input type="text" name="phone" id="phone" placeholder="Phone*" required>\r\n        <textarea name="message" id="message" placeholder="Comment*" required></textarea>\r\n        <span>*required feild</span>\r\n        <input type="submit" value="Submit" name="submit-contact-us">\r\n    </form>\r\n</div>\r\n</div>\r\n<div style="clear:both"></div>\r\n</div>\r\n\r\n<div class="acne-procedur-content">\r\n<h2>Glossary</h2>\r\n<div class="procedur-content3-box1">\r\n<p>High Intensity fractionated radiofrequency (Infini) treatments reach the second layer of the skin while protecting the top layer. They cause localized injury in the dermis which stimulates elastin production. With topical anesthesia, discomfort is minimal. Downtime includes redness for one day, mild swelling and minimal if any scabs for 3 days. It has been a game changer for rolling scars and it works very well for box scars.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Fractionated CO2 laser treatments can reach the deepest amongst all devices (DeepFX/ScarFX). They vaporize the tight strands that pull down scars in various depths of the skin and also refresh the skin surface on the outside of the scar (ActiveFX). They stimulates collagen production where they destroy the deep scars. Downtime is considerable with 4-5 days of swelling, oozing, scabbing and several weeks of redness.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Fractionated erbium laser treatments can be performed similar to a peel (Pixel) or deep reaching (FRAXEL Restore). The first will gently resurface the skin by stimulating new skin growth in many minute islands. Skin is red and swollen and feels rough for 5 days.The latter will reach deep, vaporize minute columns of skin and scars and tightens the skin within itself. DeepFx fractional CO2 laser treatments have largely replaced this deep reaching method because their effect is superior. Downtime of redness and swelling for 5-6 days are common. Topical anesthesia is preferred with both treatments.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microneedling is based on minimal targeted tissue injury of the second layer of the skin (dermis) without heat injury. It can be performed at home with a dermaroller or in the professional office with a power driven microneedling pen (Dermapen). It usually requires some form of topical numbing and has a brief downtime of 1 day of redness and a few days of swelling and mild roughness.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Picosecond laser (Picosure) treatment stretches adhesions under the skin and stimulates elastin production. Because it is super fast and does not produce heat it causes very minimal if any discomfort and no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Subcision helps to lift rolling scars. After local anaesthesia, a small needle is inserted under the scarred area to free the adhesions that pull the scars down. Downtime includes bruising and swelling for up to 10 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>TCA peels in various concentrations improve the skin surface with ice pick and rolling scars. The CROSS techniques works best to shrink deep ice pick scars and small box scars. Discomfort lasts about 8 minutes, downtime of 5 days of redness, swelling, peeling, crusting is not insignificant.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Tissue augmenting agents like hyaluronic acid (Juvederm,Restylane), calcium hydroxyappatite (Radiesse) and polymethylmethacrylate collagen (Bellafill) achieve very good results in individual box scars. Hyaluronic acid and calcium hydroxyappatite fillers can also be used to augment areas of rolling scars. Redness can be present for one day while swelling can last for 3-5. Fillers within scars typically last 1-2 years.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Punch excision can be used for individual ice pick scars. After local anesthesia, the scar is excised with a miniature cookie cutter device and the wound edges brought together with a few very fine stitches. these are removed after 7 days. Wound care is minimal.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Punch grafting is used to fill a defect after excision of larger ice pick scars. The scars is removed as described under “punch excision”. Instead of closing it, a similar piece skin is excised elsewhere on the head or neck and placed into the void created after punch excision of the scar. This piece of skin is sewn in place, stitches are removed after 7 days. This usually requires CO2 laser resurfacing after 4 weeks to fully level the skin.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Punch elevation is used to adjust the level of the skin with rolling scars. The punch device is inserted into some of the most deeply depressed areas, but instead of removing the skin, the piece is sewn into place at a higher level.This  will need to be followed by CO2 laser resurfacing. Its results are often disappointing.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Dermabrasion or CO2 laser assisted full ablation was almost the only way of treating a large area of scars until 2006. After local anaesthesia, the unaffected skin is sanded down to the level of the scars. This technique has become almost obsolete in the treatment of acne scars bit might still be useful for the blending of certain surgical scars.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Microdermabrasion temporarily improves the surface of skin by smoothing its texture, mobilizing pigment and inducing minimal collagen production through dermal tissue pressure.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Cryoshape™ is the destruction of keloid tissue from the inside. After local anaesthesia, the Cryoshape™ probe is inserted through the long axis of the center of the keloid and cryogen is allowed to travel through this probe for 10-50 minutes. It works in one treatment when the diameter of the keloid is not bigger than one inch. This tissue freezing will gradually shrink the keloid over 2-4 months.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Cryosurgery is the external application of liquid nitrogen at-196 degree Celsius. It rapidly freezes the tissue which causes subsequent shrinkage. Freezing does not create the type of tissue injury that elicits keloids and can therefore be used externally and intralesionally.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Intralesional injection of steroid (triamcinolone) in various concentrations or a combination of fluorouracil and triamcinolone into a hypertrophic scar or keloid reduce pain anditching by shrinking these scars. Hypertrophic scars usually require just a couple of treatment while keloids may need many monthly injections. Needle free injection with the Dermojet, a pressure injection device, is possible for thicker keloids.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Pulsed dye laser treatment reliably closes blood vessels that were initially needed for healing. When our body “forgets” to undo them, blood flow can keep inflammation alive which maintains a red color and paradoxically can cause further tissue damage. The treatment feels like a rubber band snap at the skin and causes bruising for up to 7 days.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Photodynamic therapy destroys oil glands and improves scars. Aminolevulinic acid penetrates into oil glands during a 30-45 minute exposure. Activation of this photosensitizing substance by light in the red and blue spectrum allows the destruction of the oil gland. Swelling and redness after this procedure are minimal whereas treatment of acne, pre-cancers and cancers causes significant downtime lasting 14 days.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Glycolic acid or alpha hydroxy acid plumps skin cells through water influx and sheds off dead skin cells. This makes the skin surface look less porous, smoother and more radiant. While its effects are temporary, pores can shrink by 30% when applied daily or with glycolic acid peels every 3 months and even scarred skin will appear smoother.</p>\r\n</div>\r\n<div class="procedur-content3-box2">\r\n<p>Nd:YAG laser (long pulsed) treatment creates intentional injury in the depth of the second layer of the skin. This results in tightening of this plain and can be helpful when trying to minimize stretch marks which occur in this layer. Results are not very impressive but this is the only way to safely treat across all skin colors and there is no downtime.</p>\r\n</div>\r\n<div class="procedur-content3-box3">\r\n<p>Excision refers to the removal of a scar by cutting it out of the skin. The reason that scars form in an unideal way is often due to their location. Tension on the healing wound causes the resulting scar to spread or healing to overshoot (hypertrophic scar). Excision of an unsightly scar in an area of tension is often followed by Z-plasty. A keloid on the ear can be removed by excision as long as it is followed by agents that suppress keloid formation such as intralesional steroids or imiquimod. Keloid excision anywhere but the ear must be avoided at all costs.</p>\r\n</div>\r\n<div style="clear:both"></div>\r\n<div class="procedur-content3-box1">\r\n<p>Z-plasty is a surgical way to change the tension vector on a healing wound. As the name implies, it results in a Z shaped linear scar.</p>\r\n</div>\r\n\r\n</div>', 'Scar Treatment', '', 'inherit', 'open', 'open', '', '134-revision-v1', '', '', '2015-12-21 19:06:04', '2015-12-21 19:06:04', '', 134, 'http://philadelphiadermatology.com/134-revision-v1/', 0, 'revision', '', 0);
