Cosmetic Procedures

We offer a wide variety of cosmetic services including peels, injectables and laser/light treatments. We require that you undergo a cosmetic consultation with Dr. Cavalli prior to receiving these procedures to ensure that you receive the best service or combination of services to address your areas of concern.

Botox®

 

Many are turning to Botox to reduce moderate to severe frown lines between their brows, forehead wrinkles and crow’s feet. Approved by the FDA in 2002, Botox consists of a few small injections of the purified protein into the muscles to temporarily reduce the lines. The procedure is minimally invasive, requires no recovery time and can be completed in about 10 minutes. Botox is also a safe and effective treatment of hyperhidrosis, or excessive sweating, in the underarms. For more information, visit www.botoxcosmetic.com.

 

Dysport®

 

Dysport is another brand of wrinkle-reducing injectable protein that won FDA approval in 2009 for treatment of brow creases. It has been used in Europe for over 15 years and is now an alternative treatment to Botox in this country. Most of Dr. Cavalli’s patients who have used both Botox and Dysport have not been able to appreciate differences between them and love both products. For more information, visit www.dysportusa.com.

 

Chemical Peels

 

Chemical peels are equally wonderful for skin rejuvenation and acne. There are various types of chemical facial peels that can aid in skin rejuvenation. Superficial peels generally take 15-20 minutes to complete and the chemical peeling agent (alpha and beta hydroxy acids) is applied to the skin for 3-5 minutes. The hydroxy acids help to exfoliate the upper layers of the skin to restore a more youthful, healthy look. It has been shown that intermittent use of high-strength glycolic acid will not only even out skin texture and pigment but also stimulate new collagen growth. A medium depth peel (35% trichloracetic acid peel) requires more healing days; however, it will also yield better results than with a superficial peel. Breaking through the deeper skin layers, medium depth peels are a popular option for skin rejuvenation. Ask us which chemical facial peel may be right for you.

  • Glycolic add peels: Various strengths of glycolic acid peels, ranging from 30% to 70% concentration are performed in a series of five peels every 2-3 weeks. Each treatment is finished with a growth factor cream for increased absorption to boost collagen response. After these ‘lunchtime peels’ your skin will look and feel radiant.
  • Salicylic acid peels: These beta-hydroxy peels are slightly deeper than the glycolic peels because they penetrate and exfoliate the oily milieu of the pores. They are best for those with normal to oily skin and/or acne. Similar to the glycolic peels, a series of five peels are performed every 2-3 weeks for the best results.
  • Trichloracetic acid (TCA) peels: The 35% TCA peel combined with Jessner’s solution is considered a medium depth peel, which is more aggressive in targeting line wrinkles, pigmentation and precancerous lesions. Because of the depth of this peel and the risk of hyper-pigmentation, it is only performed in the late fall and early winter when sunlight is low. It does require significant healing with average 5-7 days of “down time.”
  • Hydroxy Peels/Home Facials: Dr. Cavalli highly recommends a do-it-yourself weekly regimen of hydroxy acid facials that work overtime to even out pigment and exfoliate skin for a radiant look. Because intermittent use of high-strength hydroxy acids has been shown to stimulate collagen, the home facial consists of a potent mixture of alpha-hydroxy acids and a beta-hydroxy acid that is far stronger than over-the-counter products available. Hydroxy acid facials come in the form of acid-soaked pads which sink into the pores, followed by an application of an acid-impregnated clay masque which soothes and absorbs. The process is finished with the application of a growth factor cream to boost collagen response. Home hydroxy acid facials are an integral part of an anti-aging skin regimen — especially if you do not undergo the series of in-office chemical peels. For those patients who have finished the in-office peel series, the home facials are fabulous at maintaining skin radiance.

 

Silk Peel


 

Silk PeelSilk Peel is a unique wet microdermabrasion/dermal infusion treatment that both exfoliates the skin and evacuates pore-clogging impurities, while infusing skin with nutrients and antioxidants. Skin is smoothed and refined to a noticeable radiant glow.

More powerful than glycolic chemical peels or deep facials, the silk peel procedure combines state-of-the-art diamond exfoliation with dermal infusion for fresher feeling, brighter looking skin right away with no downtime.

Silk Peel is an essential for weddings, graduations, birthdays, anniversaries… and days when you need a pick-me-up!

FAQs

Q: What type of skin conditions can the Silk Peel help?

A: Designed to address a range of skin conditions from photoaging, uneven pigmentation, weathered rough skin, and acne, Silk Peel dermal infusions are individually selected to target your specific skin concerns. Hyaluronic acid, retinoids, vitamin C, or skin brightening agent Lumixyl, can be infused for a red-carpet ready, dewey complexion. Silk Peel is also very effective for acne with a specialized acne treatment tip and salacid infusion. Most people have noticeable results after one treatment and remarkable results after three treatments.

Q: Is the Silk Peel safe for people with rosacea or sensitive skin?

A: Yes, those with rosacea benefit greatly from gentle exfoliation and soothing dermal infusion of hyaluronic acic, leaving the skin supple and hydrated.

Q: Is Silk Peel just for the face?

A: No, Silk Peel treatments work beautifully on the neck, chest, and décolletage too.

Q: How often can Silk Peels be performed?

A: Silk Peels can be performed every 2 weeks for maximal impact (in case of a wedding or reunion!) or can be done on an “as needed” basis. Some people will have a single Silk Peel performed before a special occasion, while others receive monthly treatments as part of their ongoing skin care maintenance regimen. The Silk Peel can also be performed in addition to, or alternating with, traditional hydroxy acid chemical peels.

Q: How many Silk Peels do I need?

A: The optimal number of Silk Peels for each individual will vary depending on the treatment goals. For improvement of acne, brown spots, or overall skin quality, a minimum of 3 treatments performed at 2-3 week intervals are recommended. Many people chose to complete a series of 5 treatments for maximal results. For those who simply desire a deep facial exfoliation for an immediate healthy glow, one treatment will do.

Q: Is there anyone who should not undergo a Silk Peel?

A: The Silk Peel is performed on younger skin for acne and skin clarity, on adult skin for radiant complexion, and on mature skin to combat photo-aging. Both men and women enjoy the many benefits. Those with active skin infections, cold sores, or skin rashes such as eczema or psoriasis, those with a lowered immune system, or those with a history of keloid formation should not receive treatments. Only dermal infusions of hyaluronic acid and vitamin C are safe during pregnancy. In addition, those on retinoid creams (tretinoin or retrinal) should discontinue use for 1 week prior to the Silk Peel procedure.

Q: Is there any downtime?

A: Silk Peel is a no downtime procedure that gives immediate skin smoothing effects. It is optimally performed several days before, or on the same day as, your big event.

Q: Is there any special skincare after a Silk Peel?

A: Yes, it is the ideal time to make sure you are using your Lumiere, Journee, and/or Biocream in order to maximally stimulate collagen synthesis. Do wash daily with a gentle cleanser. Retinoid creams and vitamin C serums should be discontinued for 2 to 3 days after the treatment to avoid possible irritation. Of course, daily sunscreen should be continued.

Q: Can I give my friend a Silk Peel for a gift?

A: Yes, gift certificates are popular and are available at the office for Silk Peels and many other rejuvenating procedures and anti-aging cosmeceuticals.

 

 

Juvéderm®

 

Juvéderm is a smooth gel filler that is eased under the skin to instantly smooth those “parenthesis lines” on the sides of your nose and mouth. Please visit http://www.juvedermusa.com for more information.

 

 

Restylane® and Perlane®

Restylane and Perlane are both considered dermal fillers approved for the treatment of moderate to severe facial wrinkles and folds such as around the mouth. Composed of hyaluronic acid, a naturally-occurring skin substance that decreases over time, they both odd volume within the skin non-surgically and typically last 6-12 months. They have been used successfully for years, providing a more youthful appearance. Restylane works particularly well for fine lines and lip augmentation, while Perlane is better for deeper sculpting and volumizing. As with any filler, patients should be off of all anti-coagulant medicines (including aspirin, baby aspirin, Motrin, naprosyn, fish oil, vitamin E and herbal supplements) for 10 days prior to the procedure to lessen the risk of bruising. For more information, visit www.RestylaneUSA.com.

Restylane

 

Perlane

 

Sculptra®

 

Sculptra Aesthetic is a long-lasting filler designed to restore lost volume and youthful contours to the face. Made from biocompatible poly-L-lactic acid (the same material as dissolvable stitches), Sculptra® Aesthetic is different from traditional fillers because it stimulates your body to replace lost collagen naturally. Technically, Sculptra® Aesthetic is not a filler, rather it is a collagen stimulator that gradually rejuvenizes your overall appearance. It works particularly well to correct sunken temples, hollow cheeks, and a weak jaw sweep. On average, three treatment sessions are needed over a three-month period to produce results that can last two years and longer. Over months, a more defined and youthful appearance emerges. With Sculptra® Aesthetic, you gradually and subtly anti-age. For more information, visit www.sculptra.us/main/default.aspx.

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Blue Light Therapy

 

Blue Light

Blue light therapy is a safe and effective alternate treatment for resistant acne or for those who prefer to avoid oral medications. The blue light wavelength works by selectively targeting and destroying Proprionobacterium, the bacteria that are integral to acne lesion formation. Treatments are typically performed two to three times a week for six to eight weeks and are very well tolerated.

Blue light therapy can also be augmented with a topical treatment of liquid aminolevulinic acid (ALA) prior to the light exposure. This is called photodynamic therapy (PDT) and it boosts the efficacy of the treatment, helps to shrink pores, and decreases oil production. ALA blue light treatments are scheduled every two weeks for a total of three treatments. Although they are more effective they do require more down time. Check with Dr. Cavalli to see which treatment would be best for you. As with any laser or light-based therapy, patients must not be taking any photosensitizing medication such as tetracycline antibiotics, herbal remedies or dietary supplements at the time of the procedure.

 

Allumera

Allumera is a new photodynamic cosmetic treatment clinically proven to minimize the appearance of pores, smooth skin texture, reduce the appearance of fine lines and produce revitalized clearer skin with minimal downtime and results that last.

During the treatment, Allumera cream is applied to the entire face and allowed to bathe the skin for 60 minutes. The cream is then washed off and the skin is exposed to intense light. Three treatments spaced three weeks apart are performed. Allumera has proven an effective new option for people who want their skin to look refreshed without the downtime of more aggressive procedures. For more information, visit www.allumera.com.

Photos show actual patient of Dr. Cavalli before and 3 months after a series of 3 treatments 3 weeks apart.
 


Before

After
 

Before

After

 

Microneedling

Microneedling, also know as collagen induction therapy causes controlled micro-injuries that stimulate the body to produce new collagen.

During this minimally invasive procedure many tiny sterile needles prick the skin. We use Skin Pen, which is a premiere medical grade, state-of-the-art precision tool, specifically designed to improve acne scar, fine wrinkles, large pores, and overall skin texture.

Three to four treatment sessions spaced a month apart are usually needed for optimal results. Deep acne scars may need 4-6 treatment sessions.

Topical numbing cream is applied to clean skin for 30 before the procedure, and the procedure takes 30-45 minutes depending on the areas treated.

Treated skin is typically pink with some swelling like a moderate sunburn for 2-3 days. Aspirin, Ibuprofen, Fish Oil, Vitamin E, and other blood thinners as well as any dietary or herbal supplements must be stopped a week before treatment.

This treatment is not performed on people with the following conditions:

  • pregnant/nursing
  • keloid scars
  • history of psoriasis, eczema, lichen planus, or other chronic skin conditions on the target area
  • actinic keratoses/precancerous or cancerous lesions
  • bleeding or clotting disorders
  • immunosuppressive medications or conditions
  • history of any collagen-vascular diseases such as lupus, rheumatoid arthritis, or scleroderma
  • warts
  • active acne
  • impetigo, pustules, or other skin infections
  • history of cold sores or fever blisters (in this case you would need to be premedicated with Valtrex antiviral to prevent outbreak)
  • if you have been treated with Accutane in the last 12 months