Beauty

Refining Beauty

Twin Cities cosmetic surgeons outline the spectrum of products and procedures available locally.

Refining Beauty
Randall Nelson

Beauty may be in the eye of the beholder, but when you’re the one looking at yourself in the mirror every day, it’s perfectly appropriate to think about refining and enhancing your own natural perfection.

A Spectrum of Services

From medical-grade skin care to laser surgery, here’s an overview of today’s most popular products and procedures, available at most Twin Cities cosmetic surgeons’ offices and medspas.

Medical-grade skin care and makeup

The Basics:

Designed to hydrate, smooth, and firm the skin, medical-grade skin care and makeup products are packed with a higher percentage of glycolic acid, hyaluronic acid, retinols, peptides, antioxidants, and other active ingredients than most drugstore and department brands. They’re available without a prescription at physicians’ offices and medspas.

The Brands:

Obagi, SkinCeuticals, Vivité, SkinMedica, Neostrata, Revision, Jane Iredale

Good to know:

Medical-grade makeup is a great way to streamline your beauty routine, as many of the products contain sunscreen.

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“To restore volume and add moisture, we recommend ultra-rich SkinMedica Dermal Repair Cream, which contains high levels of lipid soluble antioxidants and vitamins C and E.”  Elizabeth Hagberg, MD, Skin Rejuvenation Clinic, P.A.



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“For overall skin fitness and rejuvenation, the SkinActive program by Neostrata is a six-month, all-in-one skin fitness program for the face, neck, upper chest, and backs of the hands. We have had more than 1,000 patients on the program, and it appears to turn the clock back on the skin 10 to 15 years.”  Charles E. Crutchfield III, MD, Crutchfield dermatology



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Retinoids

The Basics:

Derived from vitamin A, retinoid gels and creams promote rapid cell turnover, unclog pores, and reduce fine lines and hyperpigmentation. Available by prescription only, retinoids cost $75 for a 20-gram tube.

The Brands:

Retin-A, Atralin, Tazorac, Avage

Good to know:

Retinols, found in medical-grade skin care and makeup, are the non-prescription form of retinoids.

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“Retinoids are huge. They’re the only skin care product that’s been documented to biologically change the collagen in the skin.”  Scott Ross, MD, Minneapolis Cosmetic & Laser Surgery



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“With skin care and makeup you can buy in a store, the efficacy is limited. When you come to a clinic, we have more potential to help you.” Douglas L. Gervais, MD, Carillon Clinic



Skin Lighteners

The Basics:

Formulated to lighten skin tone, diminish skin discolorations, and brighten the complexion, lightening creams, gels, and serums reduce existing melanin and inhibit the production of new melanin. Available in medical grade and prescription-strength formulations, lighteners cost $100 to $130, on average.

The Brands:

iS Clinical, Skinceuticals

Good to know:

Skin lighteners can take several months to produce results.

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“To help lighten mild cases of brown spots (solar lentigo), freckles, and melasma, we recommend iS Clinical White Lightening Complex in the morning and White Lightening Serum at night.”  Elizabeth Hagberg, MD,



Chemical Peels

The Basics:

Designed to improve skin texture, reduce discoloration, and minimize fine wrinkles, a solution containing glycolic acid, salicylic acid, or trichloroacetic acid is painted on the skin to dissolve the surface layer. On average, chemical peels cost $500 to $1,000 for a series of treatments.

Good to know:

Depending on the strength of the solution, the skin may take on the appearance of a sunburn, requiring seven or more days to recover.

Dermabrasion and Micro-dermabrasion

The Basics:

A technician uses a wand-like device to remove the top layer of the skin; the process is designed to minimize sun damage and hyperpigmentation, erase fine wrinkles, and stimulate collagen production. Each session costs $75 to $200, on average.

Good to know:

Each session takes about an hour, and it may take up to five treatments to see results.

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“Our clients love our hydrafacials, because they’re a great way to clean and exfoliate the skin and plump fine lines and wrinkles. They’re so relaxing, some of our clients even doze off!” Douglas L. Gervais, MD,



Hydra- dermabrasion

The Basics:

The next generation of microdermabrasion, hydradermabrasion uses a combination of water and hydrating serum to reduce fine lines, wrinkles, and hyperpigmentation, and to boost collagen production. Treatment costs start at $120, on average.

Good to know:

More gentle than microdermabrasion, this treatment requires no downtime and can even be used to enhance the complexion on the day of a big event.

Dermaplaning

The Basics:

Using a sterile surgical scalpel in a gentle scraping motion, a technician removes the surface layer of dead skin cells and vellus hair (peach fuzz) to smooth and brighten the skin. Each session costs $50 to $150, on average.

Good to know:

Dermaplaning can be done every two to four weeks; it is not recommended for people with acne.


“Microdermabrasion and dermablading are both terrific treatments for brown spots and sun damage, as well as fine lines, wrinkles, and acne scars. Our clients love the way their skin feels so smooth and silky after a treatment.”  Judy Kozlicki, National MEDSPA Manager, Lifetime Fitness

Injectables

The Basics:

Derived from a botulinum toxin that temporarily paralyzes muscles, these injections diminish brow wrinkles, frown lines, and crow’s-feet for several months. Each injection costs $300 to $600, on average.

The Brands:

Botox, Dysport

Good to know:

Not recommended for people with neuromuscular disorders, allergies to botulinum toxins, or an infection near the injection site.

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“We often use dermal fillers and Botox or Dysport to create what we call a Liquid Facelift. It’s not uncommon for us to make a 60-year-old’s skin look one or two decades younger.”  Elizabeth Hagberg, MD




Dermal Fillers

The Basics:

Designed to reduce frown lines, nasolabial folds, and other deep creases, these injectable fillers plump the skin and stimulate collagen production. Costs start around $600 per treatment, on average.

The Brands:

Juvederm, Restylane, Perlane, Radiesse, Radiance

Good to know:

Dense, calcium-based fillers last longer than collagen-based or hyaluronic acid fillers.

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“Selphyl is the most inventive skin care treatment today. It’s great for darkness and fine lines under the eyes and around the mouth. We use your own growth factors, so it’s all natural—just ‘you helping you.”  Charles E. Crutchfield III, MD



Platelet-Rich Plasma (PRP) Treatment

The Basics:

One of the newest wrinkle-treating treatments, Selphyl is an innovative technique that takes platelets from a small amount of the patient’s own blood and reintroduces them into areas of unwanted lines on the face. This platelet-rich plasma initiates collagen production, which naturally fills in wrinkles. Each treatment costs $900 to $1,500, on average.

Good to know:

Results are visible in about three weeks.

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“We often use pixel laser and intense photo-therapy treatments to create the ‘celebrity peel,’ a favorite of many Hollywood movie stars. The celebrity peel plus the SkinActive program and Selphyl is an absolutely winning combination for facial rejuvenation.”  Charles E. Crutchfield III, MD



Intense Pulsed Light (IPL) Treatments

The Basics:

Using a handheld wand to deliver bursts of light energy to the skin’s deep layers, this technique destroys broken capillaries and removes hyperpigmented spots, acne scars, excess hair, and lesions. Each session costs $350 to $600, on average.

Good to know:

Not recommended for people with dark skin.

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“We use IPL to remove age spots and broken blood vessels that result from sun exposure. The downtime is less than 24 hours in most cases, and people get excellent results with just one to three treatments.”  Scott Ross, MD



Broadband Light (BBL) Treatments

The Basics:

A variation of IPL, these treatments use light to stimulate the production of new collagen and treat age spots, rosacea, excess hair, sun damage, and other issues. Each session costs $350 to $600, on average.

Good to know:

IPL and BBL are not lasers, and because they use multiple wavelengths of light, they can treat a wide range of conditions at the same time.

Lasers

The Basics:

Using either a carbon dioxide or an erbium laser, a technician uses light energy to resurface the skin and promote the growth of new collagen. Lasers can also be used to reduce fine lines and wrinkles, treat hyperpigmentation, destroy hair follicles, and remove acne scars, birthmarks, warts, lesions, and certain forms of skin cancer. Treatment costs start at $700, on average.

Good to know:

Collagen growth can be a long process, so results may not show for six to 12 months.


Your Local Health Guide Interested in cosmetic procedures? Find top-rated Twin Cities doctors at mspmag.com/health.

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