Los Angeles fractionated CO2 prices
I need to fix those old estimate. 3,000-5,000 would be about right for a large city price for full face and neck. The "never need another one," I disagree. Even with a VERY aggressive fractionated CO2, you are only replacing 20-25% of the surface area. Also, we always age, so aging occurs also after any CO2 or facelift, for that matter. TY for asking. Dr. I
Flat moles on the face. Hello, First, I’d like to say thank you for taking the time to give me some insightful feedback. Second, I have very flat small moles scattered around my face. I was thinking about doing IPL Rejuvenation but was skeptical. I am worried. Will there be any negative effects on the moles post treatment? Or, if there is any effect, will it possibly remove them? Thank you,
Many people get confused on this. IF the spots are true moles or seborrheic keratoses, the IPL won't remove them. IF the spots are spots are lentigoes (like freckles) they will generally lighten and disappear. Please see your doctor and ask which they are. Dr. I
Micropen causing acne cysts. Can the micro pen cause acne cysts? I hadmicroneedling done with the closed pen and radio frequency, 3 x’s.I am still waiting to see the commutative results although my face glowed beautifully for a few days post treatments but soon after, I started developing cystic acne on my chin. I wonder if it’s related and it caused my sebaceous glands to act up
Yes, and the reason I recommend avoiding micropens, microneedling, etc. right now is that there is so little data. We are starting to see reports of infections, scars, acne cysts in some microneedling patients.
Flat warts on legs. Dear Dr. Irwin, Several questions regarding flat warts, which I have all over my legs. 1) If I improve my diet etc and thus my immune system, will the warts disappear on their own? 2) If I had treated the warts when they first appeared, would they not have spread? 3) Are flat warts related to genital warts? Thank you for this webpage!
You're so welcome. Good nutrition is always good, but at this point probably won't cure the warts since they've spread. Please see a dermatologist for help. These are tough to get rid of on the legs. For sure though, no shaving, scrubbing, or picking in the meantime. This spreads them. Use waxing until the warts are gone. It's usually a different subspecies of wart virus than genital warts. Dr. I
Latisse safety. To Molly, I have a friend (age 64) who was prescribed latanprost opthamalic for her new onset glaucoma. Her daughter (age 36) is using it on her eyelashes! She said it is the exact same thing as Latisse, and if she doesn’t get it IN her eye, it won’t hurt her. She is an R.N. and works at a laser eye clinic that treats eye disease. She says she “is informed and knows what she’s doing”. I wonder if what she is doing is safe. She insists it is, but her Mother and I have some concerns. Do you have an opinion on this practice, either way? Please respond, I don’t want the girl to hurt her eyes if this could cause her problems down the road. And thank you, so much for any assistance and medical expertise you can pass on. Sincerely, Molly, Florida
HI Molly - thank you for writing. I would have her ask one of the eye doctors she works with. It's the same active ingredient, but is it the same concentration? I don't treat eyes, but this would be my concern. Also to think about, is she getting it by claiming to have glaucoma, which is insurance fraud. Dr. I
To Louisa – Can a cream tighten the skin? Hi, my name is Louisa and I,m 52 years old. I really enjoy reading your articles and find them really interesting and sincere. Lately I,ve noticed some sagging around my cheeks and chin. Do creams really firm and lift the skin? If they do can you please recommend a good firming night cream that actually tightens and firms the skin without resorting to surgery. Look forward to hearing from you. T
I really wish this weren't true, but there is no cream at this time that truly can tighten the skin. Please see the blog post on a good skin care regimen for 40s, 50s. Dr. I
To Robby – Pregnancy and Skincare ingredients. hi, i am worried had scholl foot mask, which contains lactic acid, shea butter and vitamin e. I am pregnant so was worried about the lactic acid, do i need to worry, thanks, robby
To reassure you, I don't know of many women with children who didn't use at least one product during pregnancy that they wondered about later. The lactic acid is just a tiny amount, and has been used for decades. I think you'll be just fine. Having said that, none of us can ever, predict the future exactly and neither can you or i. The more you eat healthily, exercise a little, and relax and enjoy your pregnancy, the better the environment for your baby.
Teosyal Kiss filler for lips. hey dr. Irwin absolutely love your site <3<3 I was wondering what are your thoughts on the Teosyal kiss brand of lip fillers ? Thank you in advance
As far as I have heard, this is NOT FDA approved in the United States. If you are in the U.S., my recommendation would be to avoid it, because any clinic offering it is buying it "bootleg." Not a good thing. In Europe, Teosyal products have been used for longer and are generally well regarded. Dr. I
Recurrent flares of eczema. Hi Dr.Irwin, I was diagnosed with eczema. I have it on my face and a little bit on my body. I remember the day when my face just flared up without a reason and to calm it down I used a steroid cream on my face. It got better within a week, my skin wasn’t red or irritated. But it flared up again. This condition continued for 2 months now. The skin on the face flares up, I use corticosteroid cream 1% for about 4 days (twice a day) moisturize it at least 5 times a day and then after around 10 days, it starts all over again. There is no end in this cycle. The biggest issue is that eczema comes back within 10 days and my face skin does not absorb any moisturizer/oil/ointment/lotion – all of these would just stay on my face as a layer..What do you think about it? Thank you, Juliana
HI Juliana. Please talk to your dermatologist about being evaluated for product/chemical allergies. This is called "patch testing." It's different than the tiny injection method for allergies to grasses, dust mites, etc. Also, ask you doctor for advice about how to tape the steroids and limit them, so you don't have "rebound" flares. Good luck, Dr. I
To Jean re filler problem in Ireland. Dear Dr. Good afternoon i live in Ireland I am contacting you for advice or help please I had dermal fillers 3 times over a period of 9 months between June 2015- March 2016. I was never told that there was a possibility of rare reactions. My whole life has turned upside down, Migration of filler and other things that i don’t basically understand. I have photos and videos of changes to my face If you can help or advise me in any way i would greatly appreciate it .I have photos , videos of the changes still now in 2017 of changes to my face. with the kindest regards Jean
My heart goes out to you! This is way too complicated for photos, videos or remote consultations. There are great doctors in europe who can help though. Please consider contacting Dr. Christine Dierickx at SKinperium Clinic in Belgium. If she's not accepting new patients, ask her staff if she could recommend other experienced, reputable physicians in europe who are used to treating complications of fillers. Hope this helps, Dr. I