Tag Archives: cosmetic dermatology

Austin Dermatologist

dr-zimmet austin dermatologistDr. Steven Zimmet, with more than three decades of experience as a dermatologist, provides state of the art skin care solutions to patients in and around Austin, TX. He makes use of advanced laser techniques to achieve safe, targeted, and highly effective outcomes in various dermatology areas for his patients.

About Dr. Zimmet

Dr. Steven Zimmet received a certification from the American Board of Family Practice in 1981 as well as a certification from the American Board of Venous and Lymphatic Medicine in 2008. He also became a Registered Vascular Technologist (RVT) in 2007. As a leading dermatologist, Dr. Zimmet is associated with various professional organizations. He is the founding president of the American Board of Venous and Lymphatic Medicine, and served as President of the American College of Phlebology from 2005 to 2007.

Dr. Zimmet has received several honors and recognition for his contributions to the field of dermatology. He has received the 2013 HealthTap Top Doctor Award as a “Top Aesthetic Medicine Specialist in Texas” as well as the “Most Influential Doctor in the Austin Region.” He has also received the 2013 Patient’s Choice Award. The Vein Magazine has named Dr. Zimmet as one of the 25 most influential professionals in the field of the vein care globally. He was chosen for this honor through vote of physicians around the world who are related with the field of vein care.

Procedures

Dr. Zimmet provides a number of safe, proven and effective skin care products to his patients in Austin, TX and nearby areas.

Body Contouring

Dr. Zimmet provides non-surgical body contouring procedures that are designed to reduce unwanted fat pockets, which are resistant to exercise and diet efforts. Ultrashape and Venus Legacy are two such innovative techniques available at his practice.

Skin Treatments

Zimmet Vein & Dermatology practice offers Ultherapy and EndyMed 3DEEP skin tightening treatments to reduce the signs of aging in the skin. VariLight laser and other treatments are provided for Rosacea treatment. Fractional CO2 laser and fractional radio frequency treatments are provided for skin rejuvenation through resurfacing. Blu-U Blue Light Therapy, peels, cortisone injections and topical and oral treatments are provided to treat various acne conditions. Treatments for wrinkles, sun damage, melisma, and laser tattoo removal are also available at the practice.

Vein Treatments

As an experienced dermatologist, Dr. Zimmet offers sclerotherapy, which is a non-surgical treatment for varicose veins and spider veins. Laser and pulsed light treatments are provided for the treatment of facial spider veins. Ambulatory Phlebectomy procedure is available for the treatment of large varicose veins. Endovenous Laser Treatment (EVLT) is another in-office procedure that may be recommended for specific vein conditions at Dr. Zimmet’s practice.

Aesthetic Treatments

A range of peels and refreshers for skin rejuvenation are provided by Dr. Zimmet. Hair removal techniques such as laser hair removal and electrolysis are provided. The practice is also equipped to provide advanced skin rejuvenation techniques such as microdermabrasion and GentleWaves.

Lasers and Intense Pulsed Light (IPL)  – Austin, TX

Lasers and Intense Pulsed Light (IPL) Austin, TX

 

 

 

 

 

 

 

Lasers and Intense Pulsed Light (IPL) can provide excellent results in the treatment of a long list of skin problems.

  • Rosacea
  • Fine Lines and Wrinkles
  • Sun Damage
  • Loss of Skin Tone
  • Spider Veins
  • Cherry Angiomas
  • Port Wine Stains
  • Melasma or Hyperpigmentation
  • Keloids/Scars
  • Freckles
  • Tattoo Removal
  • Pigmented Lesions
  • Blood Vessels on the Face, Neck and Chest
  • Hair Removal
  • Precancerous Cells
  • Acne and Acne Scarring

There are many lasers and IPL choices. A laser is a source of high-intensity light tuned to a specific single wavelength. IPL, on the other hand, delivers a broader spectrum of wavelengths, rather than the single wavelength of a laser. The light energy is preferentially absorbed by target tissue selected for treatment, such as blood vessels, tattooed skin, a brown spot, or hair follicles, for example (see list above). The absorbed energy produces heat in the target tissues.

Optimal treatment requires not only the selection of an appropriate laser or IPL, but also proper settings and technique. Here are 7 factors your doctor should be thinking about carefully when planning your treatment.

1.    Are You a Good Candidate?

Your doctor, in consultation with you, must establish that you are likely to benefit from treatment. Then, in addressing your particular requirements, your doctor will customize your procedure.

2.   Are We on the Right Wavelength?

Your doctor must choose the correct light device to obtain the best outcome. The optimal wavelength will be well absorbed as it is pulsed over the target. The aim is to destroy the target, but not harm surrounding tissue. Also, as different wavelengths penetrate to different depths, the depth of the target must also be considered.

3.   How Much Light Energy?

How much energy to apply to the pulse of light? Too little energy will not adequately destroy the target or deliver long-term success. Too much will cause collateral damage to surrounding tissues. Your optimal energy level should be within the therapeutic window, giving good results but not causing collateral damage.

4.   Shorter or Longer Pulse Duration?

The duration of the light pulse should be selected based on what’s being treated, the size of the target, and type of laser.

5.   What’s Your Skin Type?

Your skin type is important is determining wavelength, pulse duration, and light energy level. Darker skin colors tend to absorb more light energy. This tendency increases the risk for burns, unless appropriate adjustments are made. This pertains especially to patients with a tan. If you have a tan, you will get better results with less risk of complications if you schedule your treatment after the tan fades.

6.   How to Stay Cool?

Cooling techniques are used in most laser and light procedures to reduce discomfort as well as the risk of skin injury. The most common methods of cooling include chilled air, cryogen spray, and contact cooling.

7.   What Are Potential Side Effects and Risks?

Your doctor will inform you of potential side effects and the likelihood of their occurrence for your specific situation and procedure. Some possible side effect include:

  • Temporary pain, redness, bruising, blistering and/or crusting
  • Infection, including reactivation of herpes simplex
  • Pigment changes (brown and white marks), which may be permanent
  • Scarring, rare when treatment is performed properly
  • Eye injury, which is why appropriate goggles must be worn

In expert hands, the risks of a laser and IPL treatments are small. Be sure you are treated by a qualified and experienced practitioner to avoid the more severe risks associated with treatment by untrained, inexperienced, or unethical personnel.

If you’re considering laser treatment, Zimmet Vein & Dermatology can help determine if laser is a good option for you. We have years of training and experience in the use of medical lasers for dermatology and vein conditions. Contact us today to make an appointment.


					

Have you ever considered a cosmetic dermatology procedure, but had a question you couldn’t find the answer to online?  Can you really trust the information you find on Yahoo Answers, Twitter or Google?  Here’s your chance to ask a cosmetic dermatology expert!  Every month, Dr. Zimmet will provide up-to-date answers to frequently asked skincare & cosmetic dermatology questions submitted to his blog.

May’s topic is Fractional CO2 Laser Resurfacing.

Does laser resurfacing hurt?

Laser resurfacing feels hot. We find that it’s pretty well tolerated with good topical anesthestics that are applied an hour before the treatment, along with local anesthetic nerve blocks and a cold air blower (Zimmer Chiller). We also offer Xanax to help you relax and a pain medication, if desired.

Why take Valtrex before CO2 fractional laser?

Valtrex is used to prevent a herpes fever blister outbreak. Many, if not most physicians recommend this for all patients undergoing facial resurfacing, even if there is no history of fever blisters.

What are pre-op instructions for fractional C02 laser?

Below is Dr. Zimmet’s fractionated CO2 (Active/Deep FX) pre-op care instructions:

-Avoid sun exposure and self-tanning cream for 4 weeks

-Avoid topical exfoliation for 2 weeks

-Understand the post-op care, and prepare by getting old pillowcases, shirts, etc

-Start the antiviral (Zovirax, Valtrex), if prescribed, the day before the procedure

– Eat a meal the morning of the procedure

-Shower and wash your face with an anti-bacterial soap

-Shampoo your hair

-Wear an old button-down shirt

Women (morning of procedure):

Do not use make-up, mascara, lipstick, lotions

Don’t wear jewelry

Do not use hair products of any kind

Do not use perfume

Men(morning of procedure)

Do not use any lotions on your face

Do not use hair products

Shave areas to be treated

What are post treatment instructions for fractional CO2 treatment?

Your physician should provide clear and preferably written instructions on how to care for your skin. The most important things are to apply Aquaphor to the treated area several times a day, and to be very gentle with your skin. Check out our survival guide for fractionated CO2 resurfacing.

Will I experience skin dryness after fractional C02 laser?

Your skin may ooze for the first day or so. We recommend Aquaphor ointment to speed healing. Without Aquaphor ointment, your skin would become very dry. Letting your skin dry out will greatly impede healing, so the Aquaphor or similar ointment is very important.

Can I use Cerave moisturizer after laser resurfacing?

I recommend nothing but Aquaphor ointment until your skin peels, generally about 5-6 days for the face. Following this, we advise SkinCeuticals Epidermal Repair for about 1-2 weeks.  Beyond 2 weeks, we recommend daily application of moisturizers like Cerave or Cetaphil.

What is the recovery time for fractionated CO2?

Recovery time depends on the area treated, the depth/aggressiveness of treatment and on the individual. Generally you can expect the following for the initial major healing phase: Face 5-6 days, Neck 7-10 days, Chest 10-14 days.

Should I ice my face after CO2 fractional laser?

Cold compresses or ice packs can help reduce the sunburn sensation that is typical the first day after treatment, and help reduce swelling.

Should I lay down after fractional laser?

You may be tired after the treatment, and laying down is fine. However, I do recommend sleeping with your head elevated for a couple of days, to help minimize facial swelling.

What are some tips for healing from C02 active laser?

The most important things are to apply Aquaphor to the treated area several times  a day, and to be very gentle with your skin. Your physician should provide clear and preferably written instructions on how to care for your skin. Check out our survival guide for fractionated CO2 resurfacing.

When does peeling start after fractional C02?

Peeling can start within a day or so, and is usually completed by day 5-6.

What does it look like when you have fractionated C02?

Your skin will usually be rather red for about a week, with gradual fading over a several week period. In my experience things look much better once the treated skin is fully peeled, usually about 5-6 days after treatment. There may be some oozing the first day, and swelling may be present the first few days. Learn more by reading our laser resurfacing diary.

Why does your face itch after fractional laser?

Itching is very common after fractionated CO2 resurfacing. The underlying cause probably relates to nerve signals stimulated by the inflammation and healing process. Medication such as Benadryl may be recommended if the itching is significant, but don’t drive or do similar activites as Benadryl can cause drowsiness.

Photo: By Craig Cloutier

If you’re looking for a cheap alternative to standard cosmetic dermatology, or even just a fun night out with the girls, you might be considering a “Botox party”: a get-together during which people mingle and socialize, then receive Botox injections. However, what may seem like a fun way to save some money it could be, at best, a waste of money, and at worst, risky.

Botox parties have gained popularity in the last few years, causing some health professionals to become alarmed at the possible risks. Although Botox is normally a very safe and effective procedure, some Botox party “practitioners” have no qualifications and use watered-down product or even substitutes for actual Botox. Furthermore, Botox parties are more likely to take place in a home rather than a doctor’s office, boosting the likelihood that the procedure will be unsanitary, and totally unprepared for dealing with emergency situations that may arise.

Does the “host” know how to deal with a vasovagal event? Have they ever heard of a vasovagal event? Do they have the know-how and supplies to manage an allergic reaction? Other questions that come to mind are how do they dispose of contaminated needles, and where are they getting their syringes and needles? Is there good lighting? Does the host use any magnification? Is the set-up, including the exam table/chair, conducive to administration of a good treatment, or do the ergonomics make this difficult? These are simple but important questions.

With Botox parties and any cosmetic dermatology procedure, Dr. Zimmet recommends the right questions about the person who is going to perform the procedure. Make sure he or she is a doctor or a nurse under a physician’s supervision who has the proper knowledge, skill and experience for the procedure to be done.

Soon, eliminating expression lines/wrinkles may require no more than a drop in temperature. A new alternative to Botox and Dysport based on chilling nerves to promote relaxation was recently presented at a meeting for the American Society for Laser Medicine and Surgery in Grapevine, Texas. The technology, called “cryoneuromodulation,” has not yet been approved by the FDA, but some believe it may be as safe and effective as Botox.

The technique, introduced in a study by Myoscience, Inc., may have similarities to Botox: the results last about three to four months, the procedure is quick and involves a few needle pricks, and the patient’s wrinkles and lines diminish. However, rather than injecting Botulinum toxin, the new technology uses probes to freeze nerves in the forehead area. After the procedure, the patient’s forehead returns to normal temperature, but the affected nerves are temporarily “injured.” The cold disrupts the nerve signals and causes the muscles to relax, which makes wrinkles substantially less visible. After the three to four months the cryoneuromodulation is in effect, the nerves should return to their former state.

Some believe that the technology will eventually become as popular as Botox. The researchers claim that cryoneuromodulation has immediate results, whereas Botox results become visible after a few days. However, the real selling point of the technology is that, unlike Botox and Dysport, cryoneuromodulation doesn’t use the Botulinum toxin. Though Botulinum toxin was approved in 2002 by the FDA for cosmetic procedure usage, some people are bothered by the idea of injecting a neurotoxin into their body. Cryoneuromodulation could be a viable alternative for people who want to smooth lines and wrinkles without the injection of chemicals.

Though many dermatologists have expressed excitement over the new technology, the FDA will have the final say regarding approval of cryomodulation. The possibility that the procedure could cause permanent nerve damage is still up for debate, but some researchers and dermatologists are calling the new procedure “promising.”  Before long, a wrinkle-free forehead could be only a freeze away.

Cryoneuromodulation vs. Botox

  • More natural for the body – no botulism toxin
  • Cold disrupts the nerve signals and causes the muscle to relax
  • Results may last the same timeframe as Botox

Potential advantages of Botox

  • Proven track record of safety and efficacy when properly used
  • Very quick and easy to undergo with virtually no recovery
  • Very versatile- used for forehead lines, frown lines, crows feet, mouth frown, and other areas

Cautions about Cryoneuromodulation

  • New technologies are often received with a very positive bias by physicians conducting the research, companies marketing a product, and patients looking for the latest.
  • Complications of a new treatment may not be fully recognized until a large number of patients are treated
  • Cryoneuromodulation may be more painful than Botox
  • Thermal-based nerve injury may have a higher risk of injury to surrounding tissue than Botox

Photo: stevendepolo

As of February 2011, the unemployment rate for adult men was 8.7%.  With more male candidates fighting over fewer job opportunities, landing work in today’s economy is more than a resume boasting professional experience and a college degree. Economists Daniel Hamermesh and Jeff Biddle discovered that attractive men and women enjoy hourly earnings 5% higher than those with average looks in a paper entitled, “Beauty and the Labour Market”.  Simply put, looking good pays.

In 2010, 1.1 million cosmetic procedures were performed on men according to a recent report released by the American Society of Plastic Surgeons.  The number of cosmetic procedures is up 2% from 2009 and experts believe fierce job market competition is driving men to seek everything from Botox to chemical peels to Ultrashape.  Men in their forties, fifties, and sixties are getting passed over for job raises that are going to their younger colleagues.

Below are the five most popular male minimally-invasive cosmetic procedures for 2010:

1. Botox (337,000)

2. Laser Hair Removal (165,000)

3. Microdermabrasion (158,000)

4. Chemical Peel (90,000)

5. Soft Tissue Fillers (78,000)

Males account for 5-10% of patients Dr. Zimmet sees each year, with the number of visits growing.  The top reasons male patients seek out Dr. Zimmet are Botox and pulsed light rejuvenation.

Women are quick to forget that men, too, are judged by their appearance and physique.  Whether a trimmer waistline, a wrinkle-free forehead, or a rejuvenated face, a more youthful appearance has been proven to boost a man’s salary level, self-esteem, and love life.

Photo:  Noii

A new study published in February’s Archives of Dermatology claims that Botox may help prevent some types of migraines in addition to smoothing the skin. In the study, 18 patients received Botox injections for cosmetic reasons, but they also suffered from painful migraines. After three months of treatment, 13 patients said they had significantly less pain from migraines. Continue reading

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