Clearing Your Pores and Smoothing Your Skin Without Inflammation

Our Epionce Keratolytic Products block the formation and activation of chronic inflammatory factors in the skin and repair the skin barrier. Keratolytic comes from the word, "kerato", from keratin (meaning skin), and "lysis", or skin shedding. This means dissolving excess and abnormal skin cells to encourage cell turnover. This also serves the purpose of cleaning out your pores. 

The Epionce keratolytic products do not cause inflammation because they contain botanical ingredients along with azelaic and salicylic acids, rather than harsh exfoliating agents. 

At Sei Bella we carry the entire line of Epionce products for every skin care need. Below are the ones we recommend for cleaning pores, preventing and treating acne while controlling oil production, encouraging cell turnover and improving skin texture.

Lytic Gel Cleanser- is non-drying but quite concentrated. It's the daily cleanser Dr. Trussell uses. It is very effective at clearing pores of dirt, oil and makeup. Willow Bark Extract and Menthol remove bacteria from the surface of your skin while Marsh Mallow Root Extract calms any inflammation. $36

Purifying Toner- contains two very important keratolytic ingredients- Willow Bark Extract and Salicylic Acid. These help control oil and also clean out pores. The Menthol in the toner kills bacteria thus decreasing acne breakouts. $29

Lytic Products- these provide the most keratolytic benefits. There are four different Lytic Tx products based on the oiliness of your skin. These products are formulated specifically to promote cell turnover, clear skin imperfections and reduce inflammation. Using a Lytic Tx product also improves delivery of your other skin care products to the areas you need them. $54

Intensive Nourishing Cream- the only Epionce product with all three technologies that Epionce is known for- Barrier Repair, Anti-Inflammatory, and Keratolytic Technology. Intensive Nourishing Cream contains low concentrations of Azelaic Acid which again clears pores but is anti-inflammatory. This cream is super-hydrating and significantly improves the roughness of your skin anywhere you apply it plus decreases the signs of aging. This is probably the product we sell the most of at Sei Bella! $108

A really nice thing about Epionce products is that they are medical grade and therefore a little bit of product goes a long way, with some products lasting 2-3 months before you need to repurchase. AND you can order refills or try new products by going to www.epionce.com and using the Expert Code: 20150922 when prompted. We stock the full line of Epionce at Sei Bella Med Spa.

Stop in anytime to learn more about all of our Epionce products.

Ultherapy for the Arms

Ultherapy uses safe, time-tested ultrasound energy to lift and tighten the skin naturally—without surgery or downtime. 

Dr. Trussell has had great success using Ultherapy to treat lax, sagging skin on the face, neck and chest.  Ultherapy will work other places that you have sagging skin, too! She is having unbelievable success on the arms! One treatment! No downtime! Get rid of your "bat wings" by calling for an Ultherapy appointment with Dr. Trussell.....501-228-6237

Kybella for submental fat (aka "double chin")

Above is a lady I treated with 2 vials of Kybella for a very common problem.....double chin. The left is a before picture. The middle is one day after (to show swelling) and the right is 3 weeks post Kybella treatment. She will continue to show improvement for 6-8 weeks, then we will assess the need for more Kybella.

Let's talk about submental fat, what we all call "the double chin".

Submental fullness, sometimes referred to as “double chin”, is a common yet undertreated facial aesthetic condition. It can impact a broad range of adults, including both men and women, and can be influenced by several factors such as aging, genetics and weight gain, and is often resistant to diet and exercise alone.

If you’re bothered by submental fullness, you’re not alone. According to a 2015 survey conducted by the American Society for Dermatologic Surgery (ASDS):

• 67% of people said they’re bothered by under-the-chin fullness, or double chin
• People are just as bothered by under-the-chin fullness as they are by lines and wrinkles around and under their eyes

What is Kybella and how does it work?

KYBELLA® (deoxycholic acid) injection is the first and only FDA-approved injectable treatment that contours and improves the appearance of the “double chin”.

Dr. Trussell will design a treatment plan tailored to help you improve your chin profile. During your treatment sessions, she will administer KYBELLA® into the fat under your chin using multiple injections. Most patients experience visible results in 1 treatment session. Up to 3 treatment sessions may be required for optimal results, spaced 6-8 weeks apart.

What side effects can I expect?

The safety profile of KYBELLA® has been studied extensively. The most common side effects are swelling, bruising, pain, numbness, redness and areas of hardness around the treatment area. You are definitely going to swell as you can tell by the picture at the top of this post. It is most significant the first week post treatment. Patients have found that taking Zyrtec helps diminish the swelling. The area will then become more hardened and then feel like jello and then your double chin will look much smaller. The pain is minimal and occurs right when the Kybella is injected. This lasts for 4-5 minutes, is relatively mild and is greatly diminished by using an ice pack. After that the area is just numb for awhile. There could be minimal bruising or redness, but that is usually not significant. 

How long will my results last?

When injected into the fat under your chin, KYBELLA® causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat. After the desired results are achieved, retreatment with KYBELLA® is not expected. Much like with liposuction or coolsculpting, once the fat cells are gone, they are gone and can not reaccumulate fat. The procedure is much quicker and more comfortable, though, than coolsculpting or liposuction. 

Schedule your appointment with Dr. Trussell today to get rid of your double chin! 501-228-6237

Kybella.... $600/vial

Healthy Turnover For Your Skin With The Right Peel

The skin is the largest organ in our body. It is subjected to all the environmental wear and tear- sun, wind, air pollution- plus our internal stressors such as hormone fluctuations, bad dietary habits, and stress in general. Removing dead cells from the surface not only makes you look younger and your skin look brighter and more even, it also keeps our skin's barrier strong.

Gone are the days of needing really deep acid peels that leave you holed up at home not wanting to go out in public due to the redness and oozing and sometimes pain caused by these deep peels. At Sei Bella, we have 11 different peels of different strengths and components that are matched to your specific skin type and need. Let's review a few of these.

The basic categories of acids we use are alpha hydroxy acid (AHA), beta hydroxy acid (BHA) and retinoic acid. They cause dead skin cells to shed by breaking protein bonds between the dead and the living cells.

AHAs

1. glycolic acid- it comes from pineapple, sugarcane and sugar beets. It penetrates the top layer of skin quickly and easily, but may not be the best choice for those with very sensitive skin. Glycolic acid is great for acne treatment and also when mixed with other acids because it penetrates the skin so well.

2. lactic acid- it comes from fruit, veggies and milk and is less irritating for those with sensitive skin. Like glycolic acid, it stimulates superficial collagen production, and improves the appearance of acne scars and large pores. It will also increase our body's own natural moisturizers called glycosaminoglycans

3. mandelic acid- it comes from the extract of bitter almonds. It does not penetrate as well as glycolic acid so it is not as irritating to sensitive skin. I especially like mandelic acid peels in my Asian, Hispanic and African-American patients with darker skin tones because you don't run the risk of hypo or hyper pigmented areas. A series of mandelic acid peels in teens is a great adjunct to other acne treatments.

4. kojic acid- one of my favorite acids, works very well on dark spots and for overall skin brightening. It is a naturally occurring compound from the fungi Aspergillus oryzae. Kojic acid is found in many skincare products as well.

BHAs

1. Salicylic acid- the one used most often. It is an aspirin derivative, so if you have an aspirin allergy or sensitivity, this is not one we would choose for you. Salicylic acid peels are excellent for acne treatment.  It has anti-bacterial properties and cleans out pores while soothing the skin.

Retinoic acid

This is a must-have for anti-aging. Retinoic acid is a Vitamin A derivative like topical retinols and tretinoin (Retin-A, Renova, Refissa). Retinoic acid is very powerful for treating fine lines, scarring and hyperpigmentation. You can incorporate retinols into your daily skin care regimen to maintain the benefit of your peels.

As I said, we offer 11 different peels. Microdermabrasion prior to your peel will also enhance the benefits of your peel. A basic micropeel from our Skin Therapeutics line is $175. We recommend these be done in a series of 3-6 peels. You won't have the heavy flaking like you do with our Perfect Derma Peel which is $300 and has a different acid base called trichloracetic acid (TCA). Perfect Derma is good for patients who need a quick, dramatic result, have stubborn dark spots and is safe for all skin types regardless of ethnicity.
 

If you want to keep your peel results looking good, homecare is essential. We have several products that help you do just that and we will tell you which ones are right for you. We have Obagi tretinoin 0.1% and Refissa 0.05%, Obagi C-clarifying serum, plus Skin Therapeutic's cellular turnovers in a low strength of lactic, glycolic or salicylic acids, as well as Skin Therapeutics Brightnol, Crystal Exfoliating Scrub, Tri-Ex Peel Pads and Micro-Dermal Scrub. In our Epionce line we have a Lytic Cleanser and 4 Lytic Tx lotions based on your skin type as well Melanolyte Tx lotion and serum. Making your skin look better and you look younger, thus increasing your self-confidence, is our goal. Call today for your appointment! Dr. Trussell, her nurse Sandy, and her aesthetician stand ready to assist you! 501-228-6237

Kybella.....Get rid of your double chin!

According to a 2015 ASDS survey, 67% of aesthetically-oriented consumers are bothered by under-the-chin fullness, or double chin.* Feeling the same? Schedule a visit with Dr. Trussell today and talk with her about KYBELLA® (deoxycholic acid). Get rid of your double chin! 501-228-6237

*American Society for Dermatologic Surgery 2015 Consumer Survey on Cosmetic Dermatologic Procedures (N=7,315); Exact survey language was, "How bothered are you by excess fat under the chin/neck?

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”

The active ingredient in KYBELLA® is deoxycholic acid, a naturally-occurring molecule in the body that aids in the breakdown and absorption of dietary fat.

When injected into the fat beneath your chin, KYBELLA® causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat.

Dr. Trussell will help you decide how many treatments you need. Usually 2-3 are needed. Once the desired aesthetic response is achieved with KYBELLA®, retreatment is not expected.  Call for your appointment with Dr. Trussell today!.....501-228-6237

Kybella.....$600/vial

#kybella #doublechin #submentalfat #permanentfatremoval

Sculptra Aesthetic........The Secret to Youthful Looking Skin

Sculptra Aesthetic is a type of facial injectable made from poly-L-lactic acid, which helps to replace lost collagen. It helps correct shallow to deep facial wrinkles, and folds that appear with aging, by replacing lost collagen. The main ingredient is a biocompatible, biodegradable synthetic material that has been used by physicians for decades.
 

Sculptra Aesthetic works within the deep dermis.

Within the deep dermis, your skin's structure is reinforced as Sculptra Aesthetic helps to replace lost collagen. This reinforced collagen structure provides a foundation that gradually restores the look of fullness of your shallow to deep facial wrinkles and folds that has been depleted over time. The result? Sculptra Aesthetic is different because it gradually and subtly corrects these facial wrinkles. This can provide a refined, more youthful looking appearance that can last more than two years.

On average, three injection sessions are needed over a period of a few months. The number of injection sessions and the number of injections per session vary from person to person as well as the areas of your face I inject it. 4 to 5 vials over three sessions is average. And if you are looking for a compliment to Ultherapy treatments....Sculptra is your answer!  Call us today to schedule your appointment with Dr. Trussell.....501-228-6237

Sculptra $700/vial (discounts for 4 or more vials)

#sculptra  #collagen #antiaging

Ultherapy......for a non-invasive facelift!

Ultherapy is the only FDA-cleared procedure to non-invasively lift the eyebrow, neck and under-chin. 

Now, FDA-cleared to improve décolletage lines and wrinkles!

Ultherapy harnesses the power of ultrasound to transform the brow, chin, neck and chest. Ultrasound, of course, has been used safely throughout the medical field for more than 50 years—and Ultherapy has been established as safe and effective in clinical studies and in more than 350,000 treatments worldwide. 

Ultherapy relies on ultrasound therapy to deliver its deep collagen-boosting treatment. It also incorporates traditional ultrasound imaging, which allows Dr. Trussell to see the layers of tissue she is treating, ensuring the treatment energy is delivered to where it will be most beneficial. 

Ultherapy around the mouth

Ultherapy of the lower face

Full face Ultherapy

These are just a few before and after pictures, and as you can see we get dramatic results. These results last 2-3 years depending on your age, whether or not you smoke, and general overall health. Price is based on the area(s) you choose to treat.

Lower face.......$2500

Lower face and neck.......$3500

Brow lift.......$750

We can customize the areas you want treated as well as the price, so give us a call today and schedule your appointment with Dr. Trussell.......501-228-6237

Our Newest Filler.......Restylane

It's a part of life—our skin changes as we age. It becomes thinner, loses fat, and no longer looks as plump and smooth as it once did. And how your skin ages will depend on a variety of factors including your lifestyle, diet, heredity, and personal habits. But the Restylane family of products may be able to help.

WHAT HAPPENS AS WE AGE?

1. Hyaluronic acid is a naturally occurring substance in your skin that helps provide fullness and elasticity

2. Hyaluronic acid diminishes as we age, causing skin to lose volume, while increasing the chances for wrinkles and folds to appear

WHAT CAN YOU DO TO HELP COMBAT THE SIGNS OF AGING?

The good news is that you can do something about it, with help from a product in the Restylane family to reveal a younger-looking you.

Products in the Restylane family are used to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Restylane, Restylane-L®, andRestylane® Silk are also the first and only FDA-approved products for lip enhancement in patients over 21 years. Dr. Trussell loves the look of Restylane Lyft in her cheeks to replace lost volume. The nice thing about the Restylane family is that you can achieve a very natural look, not overdone or "fake" looking.

Restylane Silk in the lips

Restylane Lyft....$600/syringe

Restylane -L.......$600/syringe

Restylane Silk.....$600/syringe

Call for your appointment today with Dr. Trussell....501-228-6237

#restylane