Frequently Asked Questions
Do I need to see the Doctor?
Yes, All of the treatments offered at Coastal Medical Aesthetics are medical procedures. All patients must first see the MD, PA or NP to be evaluated and diagnosed before being treated.
Can I buy Latisse or Obagi without a prescription?
No, Latisse and Obagi products (containing 4% hydroquinone) are prescription drugs. All patients must first see the MD, PA or NP to be prescribed these products.
What is BOTOX® Cosmetic?
BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) in people 18 to 65 years of age for a short period of time (temporary).
BOTOX® Cosmetic is administered by a healthcare professional as a simple, nonsurgical treatment that is injected directly into the muscles between the brows. It works by blocking nerve impulses to the injected muscles. This reduces muscle activity that causes moderate to severe lines to form between the brows. Individual results may vary.
How does BOTOX® Cosmetic work?
BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of the “11s,” the moderate-to-severe frown lines between the eyebrows (glabellar lines). It works by blocking nerve impulses to the injected muscles. This reduces muscle activity that causes moderate to severe lines to form between the brows.
When will I see results from a BOTOX® Cosmetic treatment?
Botox takes several days to 10 days to onset. During that time, you may see a marked improvement in the moderate-to-severe frown lines between your brows. Lines continue to improve for up to 30 days, and results can last for up to 4 months. Individual results may vary.
How long does BOTOX® Cosmetic last?
Visible results have been shown to last up to 4 months. Your own results may vary – be sure to talk to your healthcare provider about what you can expect and when to schedule your next appointment.
What are the possible side effects of BOTOX® Cosmetic?
Fillers - How do they work?
Young, healthy-looking skin contains an abundance of a naturally hydrating substance called hyaluronic acid (HA). But as you age, sunlight and other factors can reduce the amount of HA in your skin. The lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds – like those parentheses lines around your nose and mouth.
Using dermal fillers like JUVÉDERM VOLUMATM, JUVÉDERM®XC and RESTYLANE® are safe and effective ways to replace the hyaluronic acid your skin has lost, bringing back its volume and smoothing away facial wrinkles and folds.
Juvederm® Voluma® Volbella® Vollure® FAQ's
What is Kybella?
KYBELLA® (deoxycholic acid) injection is the first and only FDA-approved injectable treatment that contours and improves the appearance of submental fullness, sometimes referred to as “double chin”.
Laser Genesis FAQ
Laser Genesis rejuvenates your skin by treating conditions such as fine lines, extreme redness, uneven texture, large pores, sun damage, rough skin, acne and acne scarring.
Commonly treating the face, neck and chest, this noninvasive laser treatment restores the skin’s youthful glow and appearance by gently heating the upper dermis stimulating your body’s own collagen production. Patients report extreme comfort and very minimal downtime resulting in its reputation of the “Red Carpet Laser”.
An initial series is recommended, but for optimal results, returning visits are necessary for maintenance. A comprehensive treatment proposal will be customized for your needs at your first visit.
IPL (Intense Pulse Light) FAQ
The IPL (Intense Pulse Light) is an amazing treatment that targets sun damage, age spots, and rosacea. Commonly used for the face, neck, shoulders, back and hands, the light targets red and brown spots resulting in a more even skin tone. IPL also stimulates collagen production which improves texture and fine wrinkles. Our advanced IPL technology now offers a very comfortable treatment without a need for topical anesthetic.
A series of treatments may be recommended however, one session does produce results in evening out skin tone. A complete and extensive treatment program will be created for you at your consultation.
Clear + Brilliant® FAQ
Titan Laser utilizes a safe, FDA approved infrared light to heat the dermis well below the skin’s surface to tighten the skin and stimulate an increase in collagen production. Titan is safe for all skin types and is a non-invasive way to tighten and reverse the signs of aging. Any area can be treated, but the most common areas are the jawline, under the chin, neck, arms and the abdomen. During the procedure, the skin’s surface is protected through continuous cooling with the Titan hand piece as the infrared light heats below the surface.
Although, one treatment produces noticeable results, it is common to have multiple treatments over a few months. At your initial consultation, a treatment plan will be customized to your skin’s needs.
How does the Laser remove hair?
The laser works by a principle called Selective Photothermolysis. The system emits near infrared laser light that is absorbed by the pigment located in the hair follicle; this is not UV (ultra-violet light) as from the sun. The laser is pulsed (turned on) for a millisecond emitting a beam of light on to the skin. The light energy passes harmlessly through the skin, but is absorbed by the pigment in the hair follicle and hair shaft. By absorbing this laser energy, the hair follicles are disabled by thermal heat, impairing their ability to grow. This thermal damage causes delayed re-growth of the hair, and permanent destruction of the hair follicle. The laser pulses (emits its light) for only a fraction of a second, just long enough to vaporize the pigment, thus destroying or significantly impeding the hair’s ability to re-grow, but not long enough to affect the surrounding skin. Unlike electrolysis, which kills one hair follicle at a time, the laser reaches and treats hundreds of follicles at a time.
What are the alternatives for hair removal?
Shaving- A simple method, it doesn’t affect the coarseness, thickness, growth rate or cycle of the shaved hair. However, it is only a transient solution, and requires a constant commitment to maintaining a hair-free appearance.
Tweezing- is tedious, painful and impractical for large areas.
Waxing- this procedure can cover a large area at a time and results may last a month or more.
Electrolysis- this involves inserting a needle into each and every hair follicle and applying an electrical current. Expertly used, it can be successful in eliminating hair permanently. However, because you can treat only one hair follicle at a time, it is a tedious, time-consuming process.
Can I choose to achieve finer and less hair in some areas rather than a full removal?
Yes you can. We can customize your treatment according to your needs and expectations. You can weaken and reduce hair in any area while still leaving a certain amount.
Who performs the hair removal?
Laser hair removal is a medical procedure, and should be done only by medically trained and licensed practitioners. California law (and good medical practice) requires that a licensed M.D., R.N. PA or Nurse Practitioner only can properly and legally perform laser hair removal. Electrologists, Medical Assistants, and other unlicensed personnel cannot perform laser hair removal (nor should they).
The laser device is an FDA approved medical instrument, which meets all FDA requirements for safety and efficacy. It can only be purchased by a licensed physician (just as controlled substances and prescription drugs require physician licensure).
Where are the treatments performed?
All treatments are performed in our dedicated facility, which combines a serene spa-like setting with immaculate state of the art medical treatment rooms. Patient comfort and satisfaction are among our highest goals.
Does Laser Hair Removal work on tanned or different skin colors?
For best results tanned patients with dark hair should wait until their tan fades before they are treated.
People with dark skin can be treated, as long as their hair is darker than their skin but results are slower, more sessions are required, and greater expertise is required on the part of the laser center.
The darker one’s skin, the more difficult it is to obtain adequate results from laser hair removal. However, with our state of the art instrumentation, laser hair removal can even be successful for many African-Americans.
Dark skin requires a test patch first and will require more visits using more conservative settings. Our medical professionals will determine during your initial consultation if you are a good candidate.
Light skin makes laser hair removal easier to perform. Laser hair removal is more effective on people with light skin and dark hair because dark hair absorbs the laser’s energy more efficiently and lighter skin allows more transmission of the laser light into the hair follicle and interferes less with the movement of the laser light into the hair follicle.
Will it work on blonde, white or gray hair?
Laser hair removal will not work on white, gray, or light blonde hair follicles. Light hair is very difficult to treat on all skin types. Multiple treatment sessions are required, and results are variable. Blonde hair usually contains pheomelanin, which absorbs laser energy less avidly than the eumelanin pigment, which is present in black or brown hair.
Who should NOT have Laser treatments?
LASER HAIR REMOVAL SHOULD NOT BE PREFORMED ON PATIENTS WHO HAVE:
A history of keloid scarring.
Active infection of herpes simplex in the treatment area.
Hypersensitivity to bleaching agents.
Use of Accutane within the preceding 6 months.
Also people who are experiencing PCOS (Polycystic Ovarian Syndrome) may experience poor results unless they receive medical support along with the laser treatment.
Women who are pregnant should not have laser treatments.
How should I prepare my skin for treatment?
Stay out of the sun and use sunscreen daily; any amount of suntan will interfere with the effectiveness of the treatment. Do not wax, pluck, or have electrolysis for at least 3 weeks prior to your treatment. Shaving is OK.
What should I expect?
After you have been approved for treatment, and you have filled out all of the proper forms including the “Fitzpatrick Skin Type” and Medical questionnaire, a nurse will treat you in a clean, private room.
The area to be treated will be shaved clean and an anesthetic cream will be applied to minimize discomfort. You may have to wait up to 60 minutes for the anesthetic cream to take full effect. Our topical anesthetic cream is provided at no extra charge.
You will wear protective glasses over your eyes. During the procedure, you’ll feel emissions of light on the skin as the laser is absorbed by the hair follicles. Each pulse of the laser lasts a fraction of a second and treats an area of approximately ½ inch however, the entire area will be treated at each session. Our lasers are equipped with cooling systems to decrease skin temperature, providing an additional mild anesthetic to protect the skin and make the procedure even more comfortable.
The length of a laser session may be a few minutes to an hour or more, depending on the size of the area being treated. The upper lip takes only a few minutes while the back or legs can take over an hour.
How does the treatment feel?
With Laser Hair Removal, you should expect some discomfort during the treatment. Some areas of the body are more sensitive than others. Most clients describe it as a burning or stinging sensation, and vary from one individual to the next. The treatment compares to the snap of a rubber band but this is mitigated or lessened by the application of our specially formulated topical anesthetic cream prior to treatment.
What should I expect after the treatment?
Within about 30 minutes, the treated area may become slightly red and bumpy. This is due to the swelling of the follicles. Laser is non-invasive and does not cut the skin, bandages are not necessary and usually the patient returns to normal activity immediately. You may experience a sunburn type sensation in the treatment area for a limited period of time. We recommend our Après Laser Lotion to soothe and heal the skin.
The treated areas should be handled with care after treatment. Avoid: Retin-A, alphahydroxy acids, glycolic acids, astringents or washing with a loofah. We advise cleaning the area using a mild antibacterial soap and water. You should avoid tanning and use a sunscreen on any treated area exposed to the sun. Your next treatment will be scheduled at the end of each treatment.
How many treatments will I need?
We expect a 15%-20% reduction of hair over the entire area each treatment. Therefore, we perform 5 treatments for optimal results. Some areas will require additional treatments for full patient satisfaction.
Why can’t you remove all the hair in one session?
You need to understand how hair grows. Not all hairs are actively growing at the same time. Your hair actually grows in three phases: active growth (anagen) phase, regressive (catagen) phase, and resting (telogen) phase. The laser works by targeting the melanin (pigment) in the hair follicles that are principally in the active growth phase at the time of the treatment.
The duration of each phase is dependent upon several factors, including body location. For example, at any one time 90% of the hairs on the scalp are in the growth (antagen) phase, compared to only 70% of the hair on our arms. During the regression (catagen) phase, the surrounding skin begins to absorb the hair bulb. Finally, the hair enters the resting (telogen) phase, at the end of which the hair falls out and the follicle begins the cycle again.
How long do I wait between each session?
Various body areas are treated in different time frames in accordance with hair cycles. For example, a back and shoulder area or a bikini is treated every 10-13 weeks; whereas facial areas will be on a 7-10 week cycle. Other areas may vary slightly. Treatments done any sooner than these time frames will result in twice as many treatments needed to produce the same results.
What areas can be treated?
Any area, except adjacent to the eye or the top of your head, can be treated. The most common areas requested are the face, upper lip, neck, chest, areola, underarms, back, abdomen, extended bikini line, legs, and private areas for men and women.
I have ingrown hairs on my face, legs, bikini area and back. Would laser help?
Absolutely. Even after one treatment you will notice that most of your ingrown hairs will be eliminated.
Are there any side effects or risks?
After treatment, minimal swelling and redness, similar to a sunburn usually occur as a result of the laser energy. The desired results include short term reactions such as redness and follicular edema (which is like goosebumps).
Pigmentary change of the skin treated can occur, including either dark and light areas. Pigmentary changes may persist for months, but are almost always temporary. They are very rare in patients with fair skin who are untanned. Blisters and burns are rare but occasionally occur, particularly in patients with dark skin.
What is truSculpt 3D?
truSculpt 3D is a new, nonsurgical radio frequency device designed to sculpt and contour the body. On average, patients who’ve had this treatment have experienced an average of 24% reduction in fat thickness in a single treatment.
Am I a candidate for truSculpt 3D?
Your provider can tell you whether you’re a good candidate for truSculpt 3D. Ideal patients typically have a BMI of less than 30.
How long does a treatment take?
The length of your procedure will depend on which areas you’re having treated. As a gauge, it usually takes about 1 hour to treat the abdomen and both flanks (love handles).
How many treatments will I need?
You should see results after one treatment, although some patients choose to have a second treatment for final tweaks or to treat additional areas.
Will it hurt?
Patients tell us that the procedure feels like a hot stone massage. Your provider will gently glide the hand piece over the treatment area and the temperature of the skin will rise but should remain comfortable for the duration of the treatment.
Will I need recovery time?
No. This is a noninvasive procedure and you’ll be able to resume your normal activities right after the treatment. You may feel some tenderness in the treatment area right after the treatment but that will go away within a day or two.
Are there any side effects?
You won’t experience any side effects except for the slight tenderness mentioned above.
When will I see results?
Right after the treatment, your body will start to break down and flush out the remnants of the fat cells that have been treated, which begins the reduction in the treated area’s circumference. Every body is different, but most people see noticeable results 6–8 weeks after being treated.