Rejuvenated Medical Spa

Longevity, Anti-aging, and Improving our Health Span: Science, Obstacles, Research and a Practical Approach Nick Gentry, M.D.

Fri, 30 Dec 2022 18:41:00 GMT

Stress, Anxiety, and Optimal Health – by Nick Gentry. M.D.

Tue, 29 Nov 2022 18:55:00 GMT

Anti-Aging Peptide Therapy – The Top 12 Questions Answered

Wed, 26 Oct 2022 16:05:00 GMT

Radio Frequency (RF) Microneedling

Tue, 27 Sep 2022 17:23:00 GMT

Frequently Asked Questions

What is RF Microneedling? How does it work?

RF Microneedling devices use specially insulated needles that enter the skin before delivering high-intensity radio frequency energy into the target tissue.

How does RF microneedling work?

The radio frequency energy creates heat in the dermis of the skin, which stimulates the growth of new collagen fibers and elastin. The result is improved skin tightness, quality, and texture.

What Can RF Microneedling Treat?

Who is a good candidate for RF Microneedling?

People in overall good health who wish to improve the appearance and quality of their skin.

Who may not be a good candidate for RF Microneedling?

Why did you choose Genius RF Microneedling over other brands?

Genius RF is a terrific device made by Lutronic, which is a well-established company in the laser and energy based device market. We particularly like Genius because it has the most advanced technology for RF microneedling at this time. Specifically, Genius RF has real time feedback allowing precise and consistent energy delivery to each patient to produce results. This technology also allows Genius RF to reduce the discomfort of this treatment compared to other brands.

What can I expect with my Genius RF procedure?

A member of our team will cleanse your skin and apply a topical numbing cream. The numbing cream will be removed after about 45 minutes and your skin will be cleansed again. The procedure typically takes 30-45 minutes, depending on the area treated.

How much down time can I expect?

This can vary somewhat depending on the area(s) treated. A typical facial treatment will lead to mild swelling and redness for 24-48 hours. Some patients may experience longer redness or swelling. Other areas typically take longer to heal than the face.

How many treatments should I get?

Most patients will need a series of three treatments spaced 4-8 weeks apart, depending on the target area and quality of the skin.

How long does it take to see results?

You may see results sooner but the full results will take 3-6 months to appear.

How long do the results last?

While RF microneedling does not stop the aging process, your results should be long lasting. Most patients will see improved skin quality for years.

What treatments can be combined with Genius RF Microneedling?

Our amazing team of professionals can customize a treatment plan for your specific skin and goals. We often add platelet rich plasma (PRP) or growth factors to enhance the effects of Genius RF treatments. We may use superficial laser peel so that the surface of the skin appears brighter while the Genius RF works on the deeper layers. We use Broad Based Light (BBL) treatments to reduce sun damage and pigmentation. We also may use wrinkle relaxers such as Botox to improve dynamic wrinkles and lines in conjunction with Genius RF.

Bioidentical Hormone Replacement Therapy (BHRT): Frequently Asked Questions

Tue, 26 Jul 2022 20:10:00 GMT

Thread Lifts

Tue, 28 Jun 2022 17:33:00 GMT

Plasma IQ Pen – Non-Surgical Lift at Rejuvenated Medical Spa

Thu, 26 May 2022 21:18:00 GMT

Female Intimate Wellness

Thu, 27 Jan 2022 17:11:00 GMT

Boosting Human Growth Hormone

Thu, 25 Feb 2021 15:41:00 GMT

What are peptides?

Peptides are chains of amino acids that improve cell signaling in the body. There are currently dozens of peptides used in the U.S., Japan and Europe. In fact, insulin was the first peptide approved in the US. A peptide is just a name for a protein with fewer amino acids than a protein.

What are some of your most commonly used peptides?

Sermorelin, Ipamorelin, CJC-1295

These peptides all function to boost growth hormone production in your body. Human Growth Hormone (HGH) peaks at about age 20 and steadily declines as we age. Unfortunately, HGH is extremely expensive and has significant risks with long-term use (and is often illegally obtained). As an alternative, we prefer peptide therapy with Growth Hormone Releasing Factors such as Sermorelin/Ipamorelin/CJC-1295.

What could these peptides do for me?

How Will I Know It’s Working? How long does it take to work?

Typically, within a few weeks, you should see improved sleep, energy, and recovery from exercise. Full effects such as decreased fat and improved muscle mass can take 3-6 months.

Do I Need To Take It Forever?

Dr. Gentry recommends a minimum of 90-120 days. It is safe for most patients to take these peptides indefinitely if recommended by your physician.

Is it safe?

Our peptides are manufactured in the U.S., in FDA approved pharmacies. Also, because these peptides boost your own HGH production and release, they are much safer than taking HGH directly.

Peptide Therapy vs. Human Growth Hormone Therapy

So, if all of these medical issues are the result of Human Growth Hormone, why take these peptides instead of HGH? The main reason is, unlike HGH, they do not suppress your own HGH production. These peptides also minimize the risks associated with HGH therapy such as abnormal blood sugar/diabetes or cholesterol, carpal tunnel syndrome, joint pain, and other issues.

Who Should not take these peptides?

If you are currently taking corticosteroids such as Prednisone or thyroid medication, please let your doctor know. Those who have known cancer should avoid using any medication or hormone therapy that encourages the production of Human Growth Hormone. Women that are pregnant should not take Sermorelin or any Human Growth Hormone Therapy as it has never been studied for safety in pregnant women.

How much does it cost?

As of 2/9/21, the cost of most peptide therapy is about $400 for a 60 day supply.

How do I get started?

You will need to discuss your health conditions and goals with Dr. Gentry to determine if peptide therapy is right for you. This may require additional blood work.

Wellness Goals For 2021

Wed, 16 Dec 2020 14:42:00 GMT

IV Therapy Treatments

Wed, 28 Oct 2020 17:24:00 GMT

What is IV therapy?

IV therapy is intravenous therapy, which means the fluid and ingredients are infused directly into your bloodstream rather than being taken in orally. IV therapy has been used in some form for about 100 years. Fluids, electrolytes, medications and even nutrition are frequently used in hospitals and clinics around the world.

Who could benefit from IV therapy?

Almost anyone can benefit from IV therapy. I personally do an IV about every 4 weeks. Any time I am feeling run down I do our immunity boost IV and I definitely see improved energy and mental clarity with the NAD+ infusions. The best part about our IV therapy at Rejuvenated Medical Spa is that we can customize the treatment for your needs. Your particular needs can differ based on age, diet, exercise frequency and intensity, how much alcohol you drink, what supplements you take, and how healthy your gut is. We frequently treat patients with headaches, hangovers, dehydration, and fatigue. We have also successfully treated patients for exercise recovery, acute illnesses, chronic fatigue, mental fog and more. In fact, some of our therapies may even help slow the aging process. Several of our IVs include high doses of vitamin C and glutathione which are powerful antioxidants. We can all use these benefits as we are constantly exposed to toxins and oxidative stress in our daily lives.

Does IV Therapy Hurt?

There is a small amount of pain with the initial stick but once the IV is placed, there should be no pain.

How long does IV therapy take?

This varies based on your specific IV therapy but most IV therapy can be completed in 30-60 minutes. Another grat thing about Rejuvenated Medical Spa is that you can relax in our lounge or enjoy a facial while your IV infuses. Some medications and nutrients such as NAD+ have to be infused at a slower rate.

What IV therapies do you offer?

We can customize IV therapy for almost anyone. Our most common IV therapies are:

* NAD+ is best done in a series of 3 weekly infusions over 2 hours each or in weekly injections for 6 weeks.

Call us now to book your IV Therapy Treatment. Why not add it onto a facial appointment?! Please request in advance to ensure we are able to provide the IV that meets your needs.

Watch Dr. Gentry briefly explain in this video .

Sleep Disruptions: Overview and Treatment

Mon, 31 Aug 2020 12:07:00 GMT

Sleep

Sleep is essential for life and optimal health. However, despite the importance of sleep, about 70 million Americans have significant and chronic disruptions that affect their activity and health. A 2014 survey conducted by the National Sleep Foundation reported that 35% of American adults rated their sleep quality as “poor” or “only fair” (2). Poor sleep or inadequate sleep is one of the most common complaints of my patients. We all know sleep is important but sleep is still definitely not completely understood.

Types and Stages of Sleep

There are two types of sleep: Non-REM sleep and REM sleep. Non-REM sleep is composed of four sleep stages. The stages have been defined on the basis of physiologic parameters (i.e. muscle movements and eye movements) and changes in the frequencies and amplitudes of an EEG (electroencephalogram).

Stage 1 Sleep : there is muscle tone present in the skeletal muscles and breathing occurs at a regular rate.

Stage 2 Sleep : You are deeper in sleep and less able to be awakened and shows “saw tooth waves” and sleep spindles on EEG.

Stage 3 & 4 Sleep : AKA Deep Sleep: These stages are progressively deeper and are also known as “slow wave sleep” or delta sleep. A sleeper in these stages is always difficult to awaken. As we get older, humans spend less time in slow wave sleep and more time in Stage 2 sleep. These stages are believed to be the most restorative stages of sleep.

Stage 5 Sleep AKA REM Sleep: This stage of sleep is associated with dreaming. It is very different than other stages due to EEG waves but also that the skeletal muscles have little to no tone or movement, the breathing is more erratic, heart rate increases, motor and sensory areas of the brain show more activity and the eyes move rapidly (hence the term rapid-eye movement or REM sleep).

The Sleep-Wake System

The Sleep-Wake System is thought to be regulated by two major processes. One that promotes sleep (Process S) and one that maintains wakefulness (Process C). the need for sleep grows throughout the day and peaks just before you sleep while gradually decreasing during sleep. Process C is regulated by the circadian rhythm and counteracts the Process S, promoting wakefulness and alertness. Without Process C, the total sleep required remains the same but is randomly distributed throughout the day rather than separated into sleep and wake episodes.

Circadian Rhythms

This refers to the daily rhythms in physiology and behavior. Circadian rhythms control the sleep-wake cycle, physical activity, food consumption, body temperature, heart rate, muscle tone, and hormone secretion. Structures in the hypothalamus of the brain are responsible for circadian rhythms. Animals appear to have an internal clock to help determine daily behavior and rhythms but the external day-night cycle is also largely influential on these behaviors. In mammals, there are specific genes that are essentially turned on and off in a cyclical pattern that is very close to 24 hours (1).

Age Related Changes

Infants and Young Children

Newborns sleep 16-18 hours per day and the sleep is evenly distributed across the day. Circadian rhythms begin to form around 2-3 months, allowing sleep to be more consolidated into episodes during the day and night. These first 2-3 months are when melatonin and cortisol begin to cycle in patterns. Children gradually require less sleep. This is also likely influenced by social cues such as the elimination of naps etc.

Adolescents

Most adolescents require 9-10 hours of sleep per night but a considerable amount of adolescents are sleep deprived. Although not popular among teens, a relatively fixed bedtime can help to anchor REM sleep and help to prevent sleep deprivation.

Adults

Typically, adults develop earlier wake times and reduced sleep consolidation (1). Adults over age 65 have an average wake time that is 1.33 hours earlier and bedtime 1.07 hours earlier than young adults (1). Older adults have a higher risk of sleep disruption and sleep difficulty. Older adults do show a decrease in melatonin levels. Also, as we age, we are actually more easily awakened during Non-REM sleep as well, which means our sleep is more easily disrupted by minor environmental changes.

Sleep Disorders

There are about 100 sleep disorder classifications, but for our purposes we will look at them in three categories:

Short-term Sleep Deprivation

In healthy individuals, short-term consequences include a heightened stress response; pain; depression/depressed mood; anxiety; and altered cognition, memory, and performance deficits . When sleep is disrupted, levels of norepinephrine and epinephrine increase indicating activation of the sympathetic nervous system. Over time this can be not only harmful to the quality of life but also may lead to certain diseases and even increase the risk of death (2).

Long-term Sleep Deprivation

Long-term sleep deprivation can significantly alter hormone production and release. Chronic sleep disruption is associated with adrenocorticotropic hormone (ACTH) and cortisol. Chronic sleep deprivation is also associated with decreased insulin sensitivity, therefore increasing your risk of type 2 diabetes. Decreased leptin and increased ghrelin can lead to increased appetite. In addition, sleep disruption leads to changes in pro-inflammatory cytokines such as tumor necrosis factor (TNF) and C-reactive protein (CRP). Higher sleep disturbance scores have also been associated with higher risk of elevated cholesterol, higher body mass index (BMI), and increased risk of hypertension. There is also evidence that long-term sleep deprivation can increase risk of certain types of cancer and even overall risk of death. (2)

Prescription Sleep Medications

There are many prescription medications used for sleep. In the interest of time, I will only mention the most common prescription medications used for sleep.

Benzodiazepines (clonazepam, diazepam, alprazolam, triazolam, temazepam etc.)

There are several types of benzodiazepine medications and some have been used for the treatment of sleep and anxiety for decades. These medications bind to and activate the GABA receptor. They all have sedating effects. They all also have significant addictive and abuse potential. In addition, these medications can interact poorly with alcohol leading to dangerous changes in blood pressure and breathing.

Benzodiazepine Receptor Agonists

Zolpidem (Ambien), and eszopiclone (Lunesta) were developed in order to selectively bind to certain GABA receptors to help induce sleep while attempting to minimize the abuse and dependence potential of the benzodiazepine medications. These medications are very effective but still have significant risk of adverse effects. My recommendation is that these medications should only be used for short periods of time to help with short-term insomnia. The biggest potential adverse effects of these medications are that they can persist into the next day and can lead to potentially dangerous situations such as driving while still under the effects of these drugs. In 2013, the FDA recommended that clinicians use lower doses of zolpidem due to blood levels staying elevated the next morning.

Sedating Anti-depressants

Several older anti-depressants have sedating effects. The agents most commonly used for sleep are: Trazodone, Amitriptyline, Doxepin, and Mirtazapine. These medications have common adverse effects of dry mouth, dizziness, and next day drowsiness. I personally prescribe these medications only in limited cases such as patients who have failed other agents or those who have depression.

Over The Counter Sleep Aids

Antihistamines

Many antihistamines have sedating properties and are commonly used as sleep aids. Diphenhydramine is one of the most common OTC sleep aids and is found in brand name products such as Nyquil ,Z-quil, Tylenol PM, Advil PM and many others. Doxylamine is found in Unisom products. Unfortunately, these products are frequently overused, can rapidly lead to tolerance, and carry several possible adverse effects. My opinion is that these agents should never be used as sleep aids. These medications can reduce the quality of sleep, cause residual drowsiness the following day and can also cause dizziness, dry mouth, constipation, confusion and other adverse effects. Older adults are even more susceptible to these side effects and antihistamines can lead to falls during the night. Again, myself and most experts recommend against using antihistamines for sleep. (3)

More Natural Options

Melatonin

Melatonin is a hormone produced in the brain in preparation for sleep so it makes sense that taking a supplement of melatonin could help with sleep. My main issue with this is that, for most people, a physiologic dose of melatonin would be in the 0.3-1.0mg range but most supplements contain doses 10x higher in the range of 3-10mg of melatonin, which leads to elevated melatonin levels the following day and resulting drowsiness. (3)

Valerian

Valerian is an herbal product consisting of Valeriana officinalis . Valerian root has been used as a sleep aid since ancient Rome. Some studies show efficacy while others show minimal effects. My opinion is that Valerian can be helpful when combined with other ingredients but is not likely to be effective alone.

Magnolia

Magnolia is an herbal supplement isolated from Magnolia officinalis and has been used in Chinese medicine for over 2000 years for a variety of issues.

L-theanine

This is an amino acid that is used for anxiety, improved focus, and sleep. I frequently recommend this for my patients with anxiety or during times of increased stress. L-theanine is safe and is very useful for sleep, anxiety, and stress but not always effective when used alone for sleep.

My Preferred Sleep Agents

In my opinion and experience, the effectiveness and adverse effect of sleep aids vary significantly between individuals. For this reason, I am frequently researching sleep aids and we carry several options in our clinic for our patients. Below are my favorite sleep aids in no particular order.

Sleep (Farmakeio): 5HTP, Valerian, Magnolia, phenylbutyric acid, and 5mg melatonin for those who need more melatonin

Best Rest (Pure Encapsulations): passion flower, Valerian, GABA, L-theanine, lemon balm, chamomile, 1mg melatonin, vitamin B6

Seditol Plus (Douglas Laboratories): magnolia, ziziphus spinosea, chamomile, passion flower, lemon balm extract

Insomnitol (Designs For Health): GABA, 5HTP, vitamin B6, L-theanine, and 1.5mg melatonin – these are available in chewable or capsule form.

Sleep Hygiene and Lifestyle Management

Sleep hygiene refers to environmental and behavioral conditions intended to promote sleep. If you are having difficulty sleeping, you should definitely follow good sleep hygiene habits. This is not an exhaustive list but does include several helpful tips.

Summary

As we have discussed, sleep deprivation can lead to detrimental changes in memory and cognition, mood, and even increase the risk of depression, diabetes, obesity, heart disease and death over time. My preference is to avoid prescription sleep aids when possible and certainly to avoid antihistamines such as Benadryl (Tylenol PM etc.). I also prefer to keep the melatonin dose as low as possible. We are constantly researching new and safer sleep aids as there can be a lot of individual variation in the response to these supplements. Please let us know if you have any questions.

References :

Epigenetics: It Is Not All In The Genes

Wed, 29 Jul 2020 21:34:00 GMT

Genetics vs. Epigenetics and What it Means for Your Health

We have all heard how important our genetics are. From heart disease and cancer risk to your appearance and more, your genetics are the underlying map for health, wellness and longevity. However, this is hardly a simple topic. Let’s start by taking a quick look at how your DNA is used as a code for your body.

Cells are the basic functioning unit of our body. All of the instructions for our cells are contained within our deoxyribonucleic acid, or DNA. Our DNA is made of over three billion nucleotide bases that are all one of four bases: Adenine, Cytosine, Guanine, or Thymine. These are abbreviated A,C,G, or T. Human DNA contains about three billion of these nucleotide bases to form our approximately 20,000 genes. Genes are specific sequences used as instructions to make the proteins of our body. These proteins are used to carry out our life functions.

What is Epigenetics?

While genetics are certainly important, the way your genes are expressed is really how they affect your overall health. One way to study this expression is called epigenetics. Put simply, epigenetics is the study of how your genes can be turned on or off by external factors. Consider that our cells all have the same DNA, but our bodies contain many different types of cells. This occurs because they have certain sets of genes that are expressed (aka “turned on”) and other sets that are inhibited (aka “turned off”). Think of your DNA as a script to a movie. The words represent the DNA base sequence, the script the DNA, and the actors are the cells. Think of epigenetics as the director. The director can tweak or eliminate certain parts of the script, making a significantly different scene. Imagine if Quentin Tarantino would have directed E.T. rather than Steven Spielberg, it would have been a completely different movie, right? So that is a pretty extreme example but you get the idea.

Nature Vs. Nurture

Epigenetics determine a cell’s specialization. As a fetus develops into a baby through gene expression (active) or gene silencing (dormant). However, environmental stimuli can also cause genes to be turned on or turned off. In fact, a study by the American Physiological Society suggests that maternal exposure to environmental pollution such as lead may affect the asthma risk of offspring for three generations! (1)

Lifestyle, Nutrition, and Toxin effects on Epigenetics

What you eat, where you live, sleep quality, exercise and more can all lead to chemical modifications around genes that turn those genes on or off. Some of these actions happen quickly while others take years. Additionally, certain diseases such as cancer can turn genes on or off. Epigenetics can be changed, whereas your genetics are there to stay. It isn’t just your epigenetics affected by your environment and choices though.

Epigenetics Can Be Modified

This is currently a vigorously pursued topic of interest. If few could control how genes are turned on and off, we could potentially cure cancer, slow aging, and eliminate countless diseases. Although this seems reasonable, don’t get too excited just yet. In order for this therapy to work, the epigenetic treatments would have to be selective to irregular cells. Otherwise, if you were to activate or inactivate certain genes in normal cells, it could lead to the very disease (such as cancer) that you are trying to treat. Researchers are looking at some of these therapies for certain types of cancer treatments.

What Types of Information Does Epigenetic Testing Provide?

What Does This Mean For Me?

Although epigenetics is far from completely understood, an epigenetic diet may be able to guide you toward the optimal food regimen for you. A simple urine test can give us a thorough evaluation of your epigenetic profile and nutritional deficiencies so that we can design a diet and nutritional supplement program specifically for you.

The report will be sent to me and we can discuss the results and what you can do to improve your personalized nutrition and epigenetic profile. This allows us to look at how your body is expressing your genetics to determine which nutrients you are deficient in, which amino acids may need to be supplemented and can even give us insight into your risk for certain diseases.

At Rejuvenated Medical Spa, we are committed to helping you live your best life yet. Epigenetics is one more unique and powerful tool that Dr. Gentry and our team are using in order to help you experience optimal health. Give us a call today to schedule your first consultation.

References:

Wrinkle Relaxers vs. Fillers What, Which, Where, and When?

Tue, 30 Jun 2020 17:25:00 GMT

What are Wrinkle Relaxers aka “Toxins”?

Although Botox is the most well-known wrinkle relaxer, there are a total of four FDA approved brands in the U.S.: Botox, Dysport, Xeomin, and Jeuveau. To make things simpler for this blog, I will now refer to all of these brands collectively as “wrinkle relaxers”. Although they are somewhat different in shape and size, all of these brands are derived from a toxin produced by the bacteria clostridium botulinum. They also all work through the same mechanism shown below. These wrinkle relaxers actually prevent contraction of the targeted muscle. Without the target muscle contraction, you no longer make the wrinkles form in the skin. Over time, less folding of the skin allows the wrinkles to improve. Most of these wrinkle relaxers last 3-4 months so best results are with 3-4 treatments per year.

Which Wrinkle Relaxers do I use most?

Although I am comfortable with and have patients request all U.S. brands, I use more Botox and Dysport in my practice. Most of my patients get very similar results with all of the brands but in my experience the key difference is duration. One brand may work slightly better or last longer in a particular patient. Most patients get 3-4 months duration, but this can vary from patient to patient.

What are Fillers?

Fillers are prescription medications used for the treatment of volume loss and wrinkles/folds of the face. The vast majority of fillers are made of hyaluronic acid (aka HA). However, the size, shape, and linkage of the molecules varies between brands and indications. There are three common brands of HA fillers in the U.S.: Juvederm (Allergan makes Juvederm fillers and Botox), Restylane (Galderma makes Restylane fillers and Dysport), Belotero, and Versa. There are other types of fillers less commonly used. Radiesse, which is made from calcium hydroxyapatite a chemical found in your teeth and bones, is used in the chin, cheeks and hands mostly. Sculptra is made from Poly-L Lactic Acid and stimulates your body to produce more collagen at the site of injection. Sculptra is mostly used in the cheeks.

Which Fillers do I prefer?

This question is much more difficult to answer than my favorite wrinkle relaxer. My filler choice varies too much based on where I am injecting the filler as well as patient specific qualities such as age, degree of volume loss, prior history, treatment goals, and budget. I honestly carry most every major type of filler in my clinic as they each have advantages and disadvantages. For instance, I use seven different fillers in the lips and seven different fillers in the cheeks.

What is the difference between Fillers and Wrinkle Relaxers?

Fillers are used to improve or restore volume of the targeted area. Wrinkle relaxers prevent wrinkles caused by muscle contraction. One good analogy is to think of your face as a bed with the sheet being the skin and the mattress representing the underlying structures such as collagen, fat, muscle, and bone. Wrinkle relaxers keep the sheet from folding by relaxing muscles whereas fillers plump the mattress by adding volume.

Where are the wrinkle relaxers used? Where are fillers used?

**This image is over simplified as a skilled injector can also use wrinkle relaxers and fillers in other areas. These medications are used in various places of the body for different treatment goals. Some of these locations are “off-label”, meaning that the FDA has not specifically approved their use in that particular area. However, almost every injector uses filler in some off-label capacity.

Wrinkle relaxers can also be used to:
1) Forehead, Crow’s feet, Glabella (frown lines between the eyes)
2) Reduce lines around the mouth commonly referred to as “smokers lines”
3) Reduce lines of the neck called “platysma bands”
4) Reduce tension and size of the masseter muscle of the jaw to create a more feminine jaw line or to help jaw pain,
5) Reduce dimpling of the chin
6) Reduce frequency of migraine headaches
7) Reduce sweating of underarms, hands, feet, and scalp
8) Reduce acne- these medications can be used to reduce oil production in the face, therefore reducing acne

Fillers can be used to:
1) Improve the volume of lips, cheeks, nasolabial folds
2) Reduce tear troughs and dark rings around the eyes
3) Improve hollow appearing temples
4) Enhance the jaw line
5) Treat wrinkles of MOST any location on the face
6) Improve the appearance of the hands (volume loss)
7) Increase the girth of the penis (yes you read that right)

When should I get Wrinkle Relaxer, Filler or Both?

This is specific to each patient. Many patients do not need wrinkle relaxer treatments until their mid or late 30s, but I have patients in their early 20s who regularly get filler for their lips. The best way (and really the only way) to determine a specific treatment plan for you is to have a consult with a skilled injector. We offer free consults at Rejuvenated Medical Spa to help create a plan for your goals and budget. We pride ourselves on taking an interest in your specific goals and giving you the time you deserve.

How much do Fillers and Wrinkle Relaxers cost?

While we can give you general estimates (such as filler cost per syringe or wrinkle relaxer cost per unit) over the phone, it is much more accurate to have a free consultation so that we can give you the actual cost of your specific treatment plan.

COVID-19 Virus Update, Immunity Boosting Techniques and Supplements

Fri, 01 May 2020 21:31:00 GMT

Putting An End To Acne

Sun, 01 Mar 2020 20:55:00 GMT

Acne Overview: Causes, Treatment Options, & FAQs

Acne at any age is frustrating. We get it. We understand.

If the day to day frustration of acne wasn’t enough, there are countless occasions coming up on your calendar that you would do anything for clear skin. For some the occasion may be prom, or a big interview, while others it’s a wedding or a special vacation. And the more we stress about it, the worse the problem seems to get.

We have some good news for you. You are not alone AND there is likely an alternative treatment path that you haven’t ventured down just yet.

According to the American Academy of Dermatology, acne is the most common skin condition in the United States (3). Almost everyone suffers from acne at some point in their life and the number of adults with acne is growing. Physicians are not sure why this is occurring. Symptoms can range from a mildly bothersome to a more severe condition causing problems with self-confidence. Acne lesions are most common on the face but can occur anywhere that there are hair follicles.

Understanding Acne

Before we dive into some of the unique ways to treat acne, we’ll give you a quick overview of the causes as well as the kinds of acne.

What Causes Acne?

Although acne may not be completely understood, much is known about the causes of acne.

Types of Acne:

Acne Treatment Options

Acne treatments mainly focus on one or more of three mechanisms.

Cleansers:

There are thousands of cleansers on the market. Many of these are effective but many are not. Some can also leave a film on your skin. This film is not harmful but can block your active skin care products from being absorbed properly, thereby wasting your money and limiting the benefits of those products. Most cleansers aimed toward acne have some combination of benzoyl peroxide, glycolic acid, or salicylic acid. Cleansers must be used consistently to see results. Benzoyl peroxide acts to kill bacteria on the skin. Acetone can help to reduce sebum on the skin and alcohols can help to kill bacteria.

Topical Treatments:

Retinoid products keep pimples from being able to form. It causes increased turnover of skin cells, which keeps your pores from becoming clogged. Retinol products will typically need to be used 8-12 weeks to show improvement. These products may appear to worsen your skin initially as they uncover pimples that are already forming under the skin. These products can also be irritating to the skin. Many patients are not able to use them every day due to this irritation.

Topical Antibiotics:

There are many topical antibiotics used in the treatment of acne. Clindamycin and metronidazole are commonly used topical antibiotics. These are usually combined with benzoyl peroxide to help avoid bacterial resistance to daily use of topical antibiotics.

Oral medications:

Retinoids/Vitamin A derivatives:

Retinoid products increase cell turnover and can be prescribed by a physician as oral medications or topical prescription products. These products do have risks and physicians will typically obtain blood work regularly to help monitor safety. It is also absolutely imperative that female patients do not become pregnant while using these medications as they can lead to serious birth defects or even death of the fetus.

Oral Antibiotics:

Some of the most commonly used antibiotics are doxycycline, minocycline, clindamycin, and erythromycin. These prescriptions limit bacterial growth on the skin. They can have adverse effects such as rash and nausea/vomiting/diarrhea. I try to avoid these long-term because they also kill beneficial bacterial

Oral Contraceptives:

There are dozens of oral contraceptives available. Oral contraceptive pills or OCPs are often used to help control acne that may be affected by hormonal shifts. Interestingly, sometimes oral contraceptives can worsen acne as well. I try to avoid prescribing OCPs for only acne but many women do see improvement in their acne while taking OCPs.

Spironolactone

Spironolactone is a diuretic drug used for high blood pressure, heart disease and other conditions. It is also used for hormonal acne with some success. Spironolactone is believed to work by blocking hormone triggered oil production in the skin and has been shown to provide safe and effective reduction in acne (10). Spironolactone can cause birth defects and should not be used in women who may become pregnant.

Supplements and Natural Remedies

There are many natural remedies used for acne. Evidence is lacking for the majority. I only included three commonly used treatments below.

DIM

Diindolylmethane or DIM is a chemical found in cruciferous vegetables such as broccoli, cauliflower, and Brussel sprouts. There is a fairly large amount of research on DIM, mostly evaluating the reduced risk in certain types of cancers such as breast or uterine cancer (1). DIM alters the metabolism of estrogens so that there are less harmful metabolites and more protective estrogen metabolites. DIM has also been used extensively to improve hormone related acne. I recommend and carry DIM from Douglas Laboratories. They formulate their DIM in a way that is absorbed much better than most other companies (2). I also recommend Accumax from Jane Iredale, which contains DIM and other nutrients such as vitamins A, C, and E, that have been shown to improve acne over time (4). I have seen improvement in my patients using both of these products.

Tea Tree Oil

Tea tree oil may help to reduce oil and unclog pores. There are some studies that show improvement of acne with regular use of tea tree oil. However, most of these studies are very small and not of high scientific quality.

Aloe Vera

Aloe Vera is a natural remedy used for many things including acne. There is limited evidence for aloe vera and it is rarely effective when used alone. I did find one study that showed better results when using higher concentrations of aloe vera (9).

Other Treatment Options:

Facials :

Regular monthly facials such as dermaplane or microdermabrasion/hydrodermabrasion can help to remove dead and older skin cells, which reduces the risk of clogging the pores.

Laser/Intense Pulsed Light :

Laser and Intense Pulse Light (IPL) treatments have been shown to reduce acne (7). These treatments are safe and can be effective for acne. I frequently recommend these treatments for persistent acne.

LED Light Therapy :

LED light therapy is an easy way to improve acne. There is no significant risk and the procedure is painless. I typically recommend LED therapy in conjunction with other treatments. We frequently use LED as an additional treatment during facials. LED therapy has been shown to reduce acne lesions but often takes several sessions to see improvement (8).

Chemical Peels :

Chemical peels are frequently used to exfoliate the skin to a deeper level than a microdermabrasion or other type of facial. These peels can also be customized to improve pigmentation and reduce signs of aging

Frequently Asked Questions:

Q. Should I pop a pimple?

A. While tempting, it is almost never advised to pop an acne lesion. Disrupting the skin surface can increase the risk of scarring and can spread the bacteria leading to more acne lesions. If you are unsuccessful, you can push the contents of the clogged pore deeper, which can lead to a deeper and more inflamed lesion. A physician or aesthetician can uncover these lesions in a sterile technique to minimize the risk of scarring and spread of acne lesions. If you absolutely must pop an acne lesion at home, it is best to be sure your skin and hands are as clean as possible.

Q. Do certain types of food cause acne?

A. While diet may affect acne, there is no direct or clear evidence that certain foods cause or worsen acne (5). However, there are some studies that show evidence for diet improving acne. One such study was of 43 young men who ate a low glycemic index diet and did show improvement in acne lesions (6).

Q. Is my makeup causing acne?

A. Makeup does not typically cause acne but there are some key points to remember. Always remove makeup at the end of the day to help keep pores open. Certain types of makeup may irritate sensitive skin, which can increase inflammation and acne. Never share makeup as this allows the transfer of bacteria, which could lead to acne. It is also a good idea to clean and replace makeup brushes regularly. While it is not completely understood, it is likely a good idea to use makeup free of parabens, alcohols, fragrances, dyes, silicones, and acrylics. Many brands offer makeup that is labeled “non-comedogenic”.

So What’s Best For You?

We would love to be able to recommend a blanket treatment that works for everyone. However, it’s not that simple. But don’t lose heart! Rejuvenated Medical Spa has been helping adults and adolescents adjust their current skin care regimen & treatments in order to achieve clear skin. We even offer VISIA Digital Complexion Analysis. The VISIA captures visual information from six areas affecting skin health and appearance: wrinkles, spots, pores, texture, porphyrins (evidence of bacteria in pores), and UV spots, typically from overexposure to sun. This analysis is typically $100+ but we offer it as a complimentary service to our clients as part of their intake consultation.

With the VISIA we are able to:

So if you are ready to get to the root of the problem and start living life without the constant frustration of acne, we are here to help! Give us a call today (479-335-5777) to schedule your skin consultation.

References

Can We Talk About Female Rejuvenation?

Fri, 31 Jan 2020 16:00:00 GMT

Girls Night Out Confession Time

Ladies, you can attest to the fact that GNO (girls night out) conversations often lead to vulnerable confessions in which we can all too often relate.

They frequently go like this….

We order drinks & appetizers while we are catching up. Before we know it we are laughing pretty hard, and suddenly someone confesses, “Oh no, I just peed a little.” We all chuckle. Another friend then opens up, “I wet my pants almost daily. I pee a little when I’m running to catch up with my speedy toddler. I pee a little when I sneeze. Or laugh too hard. And I cannot go near a bouncy house or a trampoline park- they’re my worst nightmare.”

Another friend chimes in, “After a hundred million kegels, I still can not exercise without peeing. I even wear black tights when working out at the gym avoid embarrassment.” Then the conversation goes a layer deeper when my sweet friend says, “And sex after 30 has become a chore. It used to be great, but now… not so much. What’s that all about?” The conversation then shifts to wishing we had the bodies we did in our early 20’s, the sex drive, and the natural “readiness” we once had. Then my witty girlfriend quirps, “what once felt like thunder and lightning is now more of a drizzle.” Lots of laughter, some deep sighs.

Can you relate? Maybe you could even add to this conversation. You are not alone. Thousands of women deal with incontinence issues while they are still young and active. For many women, their plummeting sexual satisfaction is enough to make them wish they could turn back the hands of time. And that’s where vaginal rejuvenation comes in.

Female Rejuvenation – Not Just for Celebrities.

Vaginal rejuvenation, the modest term for the trend around getting your vagina back into shape. And although Vaginal Rejuvenation have been popular within Hollywood for years now, the treatments and non-surgical procedures are available to women just like you and me. The general idea and objective is that the vagina is restored to a more youthful state. Vaginal rejuvenation can help tighten, decrease dryness and decrease or eliminate stress incontinence (like from running, sneezing, coughing). There are procedures and non-invasive treatments like ThermiVa to help women have better sex, play sports and live their lives again without having to constantly geotarget a bathroom.

I’ll let the experts take it from here and provide further education and information that could help you accomplish the freedom and enjoyment you’ve been desiring.

Take it away Dr. Gentry & the Rejuvenated Medical Spa team…

Female Intimate Wellness and Vaginal Rejuvenation

Many of our patients seek answers for sexual health and intimacy issues. Some ask about vaginal rejuvenation but many others have complaints that fall into the category of female intimate wellness and may benefit from rejuvenation type procedures as well. Below we discuss some of the common complaints that we see and some of the options to address them.

What is Vaginal Rejuvenation?

Vaginal rejuvenation is a broad term for vaginal corrective treatments. These procedures can be performed for cosmetic reasons or to improve age-related issues such as lack of vaginal tightness, vaginal dryness and urinary incontinence. Some doctors only consider surgical treatments as vaginal rejuvenation but Dr. Gentry prefers to treat female intimate wellness with a combination of bioidential hormone replacement therapy (BHRT), platelet-rich plasma (PRP) injections through the O-Shot and painless vagina tightening called ThermiVa.

What symptoms of female intimate wellness can you treat?

Urinary Incontinence

Stress Urinary Incontinence (SUI) is extremely common in women who have had children. Carrying and delivering a baby puts significant stress on the muscles of the pelvic floor and vaginal region. SUI is the leaking of urine with physical activity/straining or with sneezing/coughing, jumping. Stress urinary incontinence occurs when the muscles and other tissues that support the bladder weaken and when the tissue of the pelvis becomes thinner and less supported. When those muscles weaken, anything that exerts force on the abdominal and pelvic muscles (sneezing, coughing, lifting, laughing etc.) can put pressure on your bladder and cause leakage. More than half of mothers have incontinence to some degree. Take our survey to see if we might be able to help.

Take this quick survey to determine if you have symptoms of stress urinary incontinence. Answer each question with the following scale:

How often do you leak urine (even small drops) or wet your undergarments when you cough or sneeze?

How often do you leak urine (even small drops) or wet your undergarments when you walk quickly or jog?

How often do you leak urine (even small drops) or wet your undergarments when you bend down or pick up something?

** If your total combined score for these three questions is 4 or greater, you likely have stress urinary incontinence. This is a very common condition in women who have carried children. In fact more than 50% of mothers have some degree of stress urinary incontinence. The vast majority of these women can often be treated without surgery or invasive techniques.

Vaginal Laxity

Carrying and delivering a baby puts a significant amount of stress on the muscles of the pelvic floor and vagina. Ask us about ThermiVa and/or the O Shot to help give you back your “pre-baby” body! You can improve sexual satisfaction, increase vaginal lubrication, improve ability or quality of climax.

Vaginal Dryness

As women age or have changes in hormones, vaginal dryness becomes very common. This is usually a very treatable condition. Bio-identical hormone replacement therapy is a great way to address vaginal dryness for many women. The O Shot and ThermiVa are both quite effective to improve vaginal lubrication allowing for more spontaneous and pleasurable sexual encounters.

Painful Intercourse

Painful intercourse can be caused by vaginal ldrynessm scarring from childbirth or surgery and other issues. This can lead to physical and emotional distance in relationships and be a major stressor in life. Often, we can use Platelet Rich Plasma injections and/or ThermiVa to help improve this issue in as little as one treatment.

How do you treat these issues?

Dr. Gentry typically uses a multiple modality approach to give our female patients the best possible results. Below are the most common ways that he treats the most common complaints of female intimate wellness. He can work with you to address your specific complaints through a treatment plan that is customized for you.

BHRT

Bio-identical hormone replacement therapy is a cornerstone of our practice. Dr. Gentry customizes a treatment plan to your specific complaints to help you improve your quality of life. Often, imbalanced or low hormone levels can lead to intimate issues as well. For instance, testosterone is important for sex drive and sexual response in women as well as men. Bioidentical hormones can provide the benefits of hormone replacement therapy without many of the risks of synthetic hormone replacement.

O Shot

Dr. Gentry is the only O-Shot provider in Fayetteville. He first learned the procedure from the inventor, Dr. Charles Runels in 2013. He has since trained with Dr. Runels on multiple occasions. The O Shot can be used to improve vaginal dryness, increase sexual satisfaction, improve urinary incontinence, improve climax and even treat painful intercourse.

ThermiVa

ThermiVa is a non-invasive treatment using radiofrequency heating to tighten the vaginal canal. This painless procedure is performed in about 30-45 minutes every 3 weeks for a total of 3-4 treatments. There is no downtime and no recovery. This treatment leads collagen bundles to tighten, therefore lifting and tightening the vaginal canal. The goal is to enhance collagen, improve blood flow and increase lubrication.

The best things about our female intimate wellness treatments are:

Have you heard enough? Are you ready to set up your confidential, free consultation with our medical team? We have helped dozens of women experience the freedom and sexual enjoyment they’ve been so deeply desiring. Give us a call today, and start the journey to rediscovering a more youthful version of you!

New Year, New You

Wed, 01 Jan 2020 15:23:00 GMT

New Year, New You

Stop! Don’t make that New Year’s resolution! Make a goal instead. Goals are specific and actionable while resolutions tend to be vague and difficult to define. According to Forbes magazine, only 25% of people who make New Year’s resolutions are still going strong with their resolutions after just 30 days and only 8% achieve their resolutions. We at Rejuvenated Medical Spa, want you to make achievable and lasting goals to live a better life by working toward wellness.

Wellness is a healthy balanced mind, body and spirit. So what do I mean when I say we want optimal wellness? I mean, we want to make choices to give us our best life. This means we want you to eat well, exercise regularly, be happy about the way you look, have energy and have the best quality of life you can have. So how can we help you do that?

At Rejuvenated Medical Spa, we focus on the whole you. We want to do everything we can to help you look great, feel better and live longer. Personalized wellness – we can help you achieve your wellness goals. There is no one size fits all with us! You are unique and your wellness plan should be developed for you specifically. We can help you achieve your optimal wellness by helping with weight loss, hormonal balance, increased energy, a more youthful appearance, and improved sexual health.

The Most Common Resolutions

In an article published by Inc., Peter Economy reported, “Here are the top 10 New Year’s resolutions according to a survey of 2,000 people:

If you’ve set these resolutions in the past and have difficulty following through, this year can be different. It’s a simple equation. In order to get different results, we must take different action. In other words, if you continue to do the same thing year after year, you will get the same results.

Ready For Different Results?

At Rejuvenated Medical Spa, we use a blend of functional, regenerative, and aesthetic medicine to help you look and feel your best. We are committed to addressing the root of the problem. Often times, our society looks for the quick fix versus getting to the root of the problem. This mindset only leaves us more frustrated when we end up back where we originally started. If you are ready to stop putting a bandaid over the issue, and want to truly feel your best in 2020, we are ready to partner with you.

Medical Weight Loss

If you are regularly frustrated with your weight, you are not the only one. Obesity is a major health issue, resulting in numerous diseases, specifically increased risk of certain types of cancer, heart disease , type 2 diabetes, stroke , as well as significant increases in early mortality and economic costs.

According to the CDC:

Successful weight management and good health is achieved through diet, exercise and behavior modification. At Rejuvenated Medical Spa, we know that the safest and most effective way for you to control your weight is through a program custom designed specifically for you. We start with our personalized initial medical assessment (including an extended physician consultation and labs) to determine your health status, specific weight loss needs and goals. If you have any health risks related to obesity, our medical providers address those issues and concerns, as well as your overall health and wellness. We will get a panel of labs to evaluate cell counts, kidney and liver function, electrolytes ,blood sugar, hormones, thyroid, cholesterol and certain vitamin levels.

Weight Loss Program

$349 includes 90 days of our program.

Coolsculpting

Almost everyone has some “problem area” when it comes to their body. Maybe it is a double chin, extra belly fat, love handles or thighs. With weight loss, fat cells shrink but the number stays the same. The great thing about CoolSculpting is that it permanently destroys fat cells, reducing the number of fat cells in the treatment area. CoolSculpting can treat: belly, love handles, inner/outer thighs, double chin, fat of upper arms, “bra fat”, “banana roll” fat and more. No down time, no surgery and permanent results. Yes please!

Coolsculpting is an FDA-cleared procedure. Cost-effective and 100% non-surgical, the clinic-based treatments last under two hours. We will develop a customized CoolSculpting treatment plan that addresses your problem areas. Additional sessions may further enhance your results, but clients can see results after as little as one treatment. Your individualized plan will be tailored to your body, your goals, and your budget. Each body is different and we make sure you are going to see the results you want in as little time as possible.

If you are interested in learning more about the process, be sure to visit our CoolSculpting page .

BHRT

As we age, most hormones in our body steadily decline. This greatly contributes to the feeling of getting older. As we age most of us experience decreased energy, fatigue, weight gain, decreased muscle mass, loss of sex drive and performance, depression and many more symptoms. Unfortunately, due to our high stress lives and society in combination with environmental toxins/exposures we are seeing decreased hormones in patients as young as 30! Men and women are trudging through their daily lives without living fully!

BHRT uses natural hormones that are chemically identical to the hormones in your body to replace and optimize your hormonal systems, which can restore your health and enhance your life. BHRT can be given in various forms such as topical gels/creams, pills, injections, and even pellets that are inserted under the skin 3-4 times per year. Unlike mainstream medicine that looks at hormone levels as “normal” or “abnormal”, BHRT is individualized to YOU! Lab hormone levels do not take into account age, lifestyle, or individual patient goals. BHRT does not focus on the numbers but is custom fit to you to provide optimal health and quality of life. Dr. Gentry can help determine which hormones and method is best for you. He typically will recommend pellet insertion for stability of levels and consistency (you don’t have to remember to take pills or apply a cream) but this varies as BHRT is an individualized process.

Bioidentical VS Synthetic Hormones

Traditionally synthetic hormones are isolated from sources such as the urine of a horse and then altered so that they will function in the human body. This can produce limited benefits and serious side effects. Bioidentical hormones are derived from plants and structurally identical to the hormones in your body and therefore provide much stronger effects without the significant side effects of synthetic hormones.

You don’t have to suffer the difficult symptoms of hormone imbalance for another year. Start living life to the fullest. Dr. Gentry’s focus is not simply on prescribing, but on combining the appropriate dosage and delivery method to balance a patient’s hormones. Each person is different, and their needs change over time. This is why Rejuvenated creates an individualized program designed for each patient. Bio-identical hormones are specifically compounded to identically match what your body once produced. This personalized approach could be the difference maker you need in order to experience optimal health and enjoy 2020.

Cosmetic/Aesthetic Treatments:

You may ask how appearance is related to wellness? Everyone wants to look good, right? More importantly, having a positive body image and feeling good about the way you look can improve self-esteem and mood. This is vital to your overall mental wellness and will lead to benefits at work, with friends and with your family.

At Rejuvenated Medical Spa, we offer an extensive list of aesthetic treatments to help you look your best.

To discover more about about our aesthetic services, be sure to visit our Services page .

Sexual Health and Wellness

The World Health Organization broadly defines sexual health as “a state of physical, emotional, mental and social well-being related to sexuality.” We offer treatments for sexual wellness for both men and women. A healthy sex life can improve your life in many ways. Regular sexual activity can improve mood, enhance confidence, and reduce symptoms of depression and anxiety. Physical intimacy builds connection, improves emotional intimacy and strengthens relationships.

We help patients get their sex lives back on track in many ways. Many of our female patients suffering from dryness, pain, or reduced libido can improve with BHRT, O-Shot, and ThermiVa. We discussed these services in depth in a previous blog post on Female Rejuvenation . Our brother site, Maverick Male Medical, helps men improve libido and sexual function through testosterone therapy, P-Shot, and Gainswave.

We understand that when you are not able to enjoy intimacy with your partner, it can be emotionally and mentally defeating. Dr. Gentry has empowered hundreds of people with their sexual health and performance. If you are ready to feel better & increase sexual performance, we are confident that we can help you accomplish your goals. Dr. Gentry will meet with you to develop a treatment plan specifically for you.

What’s Stopping You?

As we launch into a new year, we invite you to experience a “New You,” the very best version of you. Whether it is weight loss, hormone balance, aesthetic treatments or sexual health, YOU ARE WORTH IT. Living your life frustrated and discouraged is really no way to live life. If you spent 2019 knowing that __________ (you fill in the blank- your sex life, your confidence, your energy levels, etc) could be better, it’s time to take 2020 by the horns. It’s time for you to take control of your health and wellness at a whole new level. We look forward to embarking on this journey with you! So, what’s holding you back? Give us a call now and schedule your free consultation.

Exploring Laser Treatment & Skin Resurfacing Options

Mon, 02 Dec 2019 13:12:00 GMT

Laser Over The Razor

Fri, 01 Nov 2019 17:30:00 GMT

Why Your Life Will Be Better When You Choose to Laser & Ditch The Razor

Smooth is sexy. Smooth is comfortable. Smooth is preferred. From legs, to underarms, bikini line, Brazillian, faces and arms… our culture wants to be silky smooth without all the hassle of shaving daily. Today hair removal is desired, preferred, and even expected.

Perhaps, you’re tired of shaving, and waxing has become irritating to your skin. A solid solution for you may just be laser hair removal!

Everyone’s singing its praises but what makes laser hair removal so great, exactly? I mean, you’ve heard it’s a process ¬t an overnight wonder. So, is it really better than traditional methods, such as shaving or waxing?

At Rejuvenated Medical Spa, we say enthusiastically say, “Yes, laser hair removal is worth it!” And here are the reasons why:

Precise

Did you know the hair on our body grows in three various stages? They stages are called anagen, telogen, and catagen. Laser hair removal is most effective on the hairs in the early part of the anagen stage, when hair is actively growing. The laser heats up the hair follicle in these very early stages, preventing it from growing any further. With our highly-trained staff of medical professionals, the laser can target unwanted hair without damaging any of the skin around it.

Effective

Introduced to the general public in 1997, hair removal lasers were approved by the FDA for “permanent hair reduction,” meaning the practice itself is long-term and stable. Even though it’s not proven to permanently remove all body hair, laser hair removal will permanently reduce body hair, if you remain dedicated to the scheduled consecutive treatments every 4 weeks or so. Another perk is that laser hair removal will change the texture and color of your body hair, making it finer and lighter.

Convenient

There are so many convenient aspects to laser hair removal. First of all, it’s lightning-fast. Laser hair removal treats several hairs in a large surface area and depending on the area being treated, laser hair removal services can take anywhere from a few minutes to a half an hour for larger body areas. Plus, with many patients agreeing that it’s less painful than waxing, it’s been described as feeling like a gentle pinch or the snap of a warm rubber band. And of course, you don’t have to lift a finger during the entire process! The treatments can be done on your lunch break even! Now, if that’s not convenience, we don’t know what is.

What are some of the other benefits of Laser Hair Reduction?

If that’s enough reason for you, give us a call to schedule your first consultation today. If you are a researcher and need more of your questions answered, we’re happy to answer all of those frequently asked questions below.

All About Laser Hair Removal and Frequently Asked Questions.

Laser treatments have been making patients have better skin and less hair and have been a mainstay of cosmetic skin treatments for decades. Most everyone has heard of laser hair removal but what else can lasers do now? In the right hands, lasers can treat a number of conditions such as sun spots, age spots, red or brown discoloration, superficial veins, wrinkles, unwanted hair and more. Below, we discuss the basics and frequently asked questions of laser hair removal/reduction. Next month, we will dive into the benefits of BBL corrective photofacials, laser peels and laser vein treatments.

FAQs-

Is Laser Hair Removal permanent?

While some patients get close to permanent results, most have to undergo touch-up treatments every few years to keep hair at bay. This is largely dependent on your type of hair, ethnicity, and any hormone changes. For instance, if you undergo laser hair reduction of your lip but then go through menopause, you will likely begin growing hair on your lip again and require touch-up treatments.

How many treatments does it take?

Most patients require 6-7 treatments (performed every 4 weeks) for near complete laser hair reduction. We say “near complete” because finer and lighter hairs are not targeted by the laser and may remain.

Is Laser Hair Removal for all hair and skin types?

Some lasers can only treat certain skin types. At Rejuvenated Medical Spa, our laser is a Sciton Joule and we have the ability to treat all skin types safely. Only darker hair can be treated. Blonde or gray hair is not targeted safely by any lasers and therefore does not respond well to laser hair reduction.

What areas of the body can be treated?

Lasers are useful for removing unwanted hair from any area of the body. For instance, the face, leg, chin, back, arms, underarms, bikini line, Brazilian, and other areas. We have even had men treat the scalp.

When should I begin laser hair reduction?

Treatments can begin any time of the year. However, since most patients require 6 treatments performed every 4 weeks, we recommend treating in the Fall or Winter so that you are adequately treated for Spring Break or Summer swimsuits.

Are all lasers basically the same for laser hair reduction?

No, there are several different wavelengths used to treat unwanted hair and many brands of laser beyond that. While the type of laser does matter, it is most important who is running the laser. Our laser is a Sciton Joule and we have the ability to treat unwanted hair in all skin types. Our certified laser technician, Molly, has 15 years of experience running lasers of all types. Be sure the person performing your laser hair reduction is a certified laser technician.

How do I prepare for Laser Hair Reduction?

You may shave the area that will be treated but you should limit plucking and waxing for 4 to 6 weeks prior to your treatments. Plucking and waxing removes the hair from the follicle and it cannot be treated. You should limit sun exposure to the treated areas because the laser treatment can make you very sensitive to the sun.

Good news though… No need to grow hair between treatments. Unlike waxing, you can shave between treatments. Say goodbye to the days of having to grow your hair out; with laser hair removal, you can shave as much as you like between sessions. The benefits of laser versus other forms of hair removal are abundantly clear.

What should I expect during Laser Hair Reduction?

We will use a cooling device to reduce discomfort of the procedure. If the area is especially sensitive or for certain skin types we can apply a topical numbing cream.

When is the best time to start my Laser Hair Reduction Treatments?

Best time start laser hair removal is to be considered so you can be looking your best in your swimsuit in the spring before spring break trips or summer plans. Looking great in that tiny bikini means no razor burn or ingrown hairs. Typically, this is usually when most people start considering and inquiring about laser hair removal.

However, the beginning of summer is the worst time to start the laser hair removal process unless you are someone that avoids the sun and tanning beds like the plague.

The best time to start considering laser hair removal is in the FALL when your summer tan has faded away. It takes approximately 6-8 months to complete a treatment package so if you want to be swimsuit ready for next summer, it’s best that you book your first laser hair removal consultation this month! So, what are you waiting for?! Smooth & sexy is just a phone call away!

“What’s all this buzz about CoolSculpting?” And other Frequently Asked Questions.

Sun, 01 Sep 2019 19:42:00 GMT

Do you have unwanted fat? Sure! Who doesn’t!! There are millions of people in the United States looking for an effective treatment for unwanted fat. From legitimate exercise programs and healthy eating to all of the countless diet fads and gimmicks. What if you are taking great care of yourself with a healthy and balanced diet, exercise regularly but still can’t lose those unwanted pockets of fat? CoolSculpting can do just that and it is permanent! When you lose weight, fat cells shrink but the number stays the same. This is why we all have our own “problem” areas.

With CoolSculpting, the fat cells are damaged and killed so you actually reduce the number of fat cells in the treated area. CoolSculpting is gaining popularity so we decided to take the time to explain the process and answer some of the more common questions about CoolSculpting.

CoolSculpting FAQs

What is Coolsculpting?

Coolsculpting is a fat-freezing technology to treat troublesome bulges of fat so they aren’t so troublesome anymore.

How does Coolsculpting work?

Simply put, Coolsculpting freezes fat permanently. The device uses precise cooling to freeze your fat cells to -11C which crystallizes the fat cells, leading to the death of 20-25% of the fat cells in the target area. Your body will then remove these damaged and dead fat cells over the next few months. No incisions, no down time, no anesthesia, and no missed work.

Why is everyone talking about Coolsculpting?

Is Coolsculpting permanent?

YES, it is! Fat cells grow and shrink based on exercise, caloric intake and other factors but as long as you do not gain large amounts of weight, the number of fat cells in your body stays the same.

Is Coolsculpting dangerous?

In short, no it is not dangerous. Any procedure carries some risk but the risks are very small. This is one of the many things that separates us from other practices offering CoolSculpting. Dr. Gentry sees every patient to be sure that CoolSculpting is safe and appropriate for you specifically.

What areas can be treated?

CoolSculpting is FDA cleared to treat fat bulges in the following places:

How long does it take to see results?

Most patients will begin to see results at around week 5 or 6 but full results are not seen until about 12 weeks following your procedure. We are the only clinic in the area that uses a device nicknamed the “fat cracker” that can improve and speed up results. The “fat cracker” is an optional treatment using soundwaves that can be performed once weekly for 4 weeks to speed up the fat removal.

How much does Coolsculpting cost?

This is a difficult question to answer without a consult. CoolSculpting charges by the “cycle”. Each time we hook the applicator up to you is called a “cycle”. Each cycle lasts 35-45 minutes. Your cost will vary depending on what areas you wish to be treated, how many cycles it will take to adequately treat the target area, and how many treatments are required to meet your specific treatment goals.

Will I need more than one treatment?

This again varies from person to person. Some patients are happy with one treatment but many require additional treatments to meet their specific goals. Additional treatments can be performed 10-12 weeks after your treatment.

How does my body get rid of the fat?

Your body recognizes the damaged fat cells and clears them away through normal processes. The dead fat cells are then cleared and removed by your lymphatic system. Most patients do not notice their bodies clearing the dead fat cells.

What is the recovery following Coolsculpting?

Most patients experience soreness in the treated area for about 3 days followed by a tingling or slightly numb sensation for 7-10 days. Dr. Gentry hopped out of the chair and began injecting Botox immediately after his treatment. Many patients choose to go back to work. We have even had patients exercise right afterward. Some of the best parts about CoolSculpting is that there is no downtime, no time off work, no surgery, no anesthesia, and results are permanent.

Am I a candidate for Coolsculpting?

The only way to know for sure if you are a good candidate is to have an in-person consult. Our consults are free. Most people who are within about 20-30 lbs of their goal body weight can be a good candidate for Coolsculpting.

Who should not get Coolsculpting treatments?

The CoolSculpting procedure is not for everyone. You should not have CoolSculpting if you suffer from Cryoglobulinemia, cold agglutinin disease, or paroxysmal cold hemoglobinuria. In addition, other medical conditions such as hernia repair may alter your treatment plan. This is why Dr. Gentry evaluates every patient prior to treatment to ensure your safety

Is Coolsculpting a weight loss treatment?

No, CoolSculpting is not a weight loss treatment. CoolSculpting will help sculpt the bulged or pockets of fat for a better appearance. CoolSculpting should be used in conjunction with a healthy lifestyle and is not a substitute for a proper diet and exercise regimen.

Couldn’t I just exercise more?

Your health, in addition to your physical appearance, is largely reliant on a well-balanced diet and regular exercise. CoolSculpting shouldn’t take the place of either of these, but rather act as an aid that can help you accomplish your goals. Diet and exercise can help reduce the appearance of fat cells, but they don’t permanently rid your body of them. CoolSculpting freezes off fat cells for good, enhancing your diet plan and serving as great encouragement for continuing a healthy lifestyle.

What happens if I gain weight down the road?

Many people, after seeing the results from their CoolSculpting procedure, take even better care of themselves. However, if you do gain weight, you may gain it evenly all over your body, not just in the treated areas. You will however have fewer fat cells in your treated areas, so most patients see increased tone in treated areas, even after gaining weight.

When was this procedure discovered?

The science behind the CoolSculpting procedure, called cryolipolysis , was discovered by physicians Dieter Manstein, MD, PhD and R. Rox Anderson, MD, of the Wellman Center for Photomedicine at Massachusetts General Hospital, Boston, MA, a teaching affiliate of Harvard Medical School. Drs. Manstein and Anderson and their team conducted research demonstrating that, under carefully controlled laboratory conditions, subcutaneous fat cells are naturally more vulnerable to the effects of cold than surrounding tissues. Their initial work, published in Lasers in Surgery and Medicine in November 2008, concluded that prolonged, controlled, local tissue cooling can induce selective fat cell reduction and subsequent loss of subcutaneous fat without damaging the overlying skin.1 This discovery, called “selective cryolysis,” led to the development of the patented technology behind the non-invasive CoolSculpting procedure.

What are the advantages of CoolSculpting over Liposuction?

A method of fat removal, liposuction is a surgical procedure that often requires individuals to undergo general anesthesia. It works by using large tubes to pull out fat from targeted areas of the body, leaving individuals with immediate results. However, it’s an invasive procedure and can require weeks of recovery. CoolSculpting doesn’t require surgery and therefore does not require anesthesia or incisions and has no downtime.

How is the Coolsculpting procedure different from other non-invasive procedures?

The controlled cooling of the CoolSculpting procedure targets and eliminates only fat cells. Other treatment modalities, such as lasers, radiofrequency and focused ultrasound, affect fat cells and may affect other adjacent tissue in a way that is not comparable to the focused CoolSculpting method of cryolipolysis. Although heat can help tighten skin, cold is much better than heat for reduction of fat. Fat cells can be frozen without damaging surrounding cells. It is much more difficult to safely damage fat cells with heat because the skin can burn at temperatures lower than that required to damage fat cells.

Does insurance cover Coolsculpting?

No, Coolsculpting is a purely aesthetic treatment and is not covered by any insurance programs.

Why should I choose Rejuvenated Medical Spa for my Coolsculpting or other aesthetic treatments?

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