Smoothy Slim
Smoothy Slim
Photo: Anna Shvets
In the short term, lines can appear worse for the first few days after a treatment due to transepidermal water loss (TEWL). You can reassure your clients that any wrinkle that develops quickly is not due to loss of structural integrity and it is temporary.
An interval session consisting of 30-second bouts of sprinting in between five-minute segments of jogging can burn 1,000 calories in less than 30...
Read More »
Top 10 Fat Burning Foods Salmon. Fatty fish, like salmon, are good for your heart and lower your triglycerides. ... Coconut Oil. Coconut oil has...
Read More »
The main ingredient for a potent powdered supplement, based on the diets of among the healthiest, longest-living hamlet in the world.
Learn More »Question: I would appreciate your thoughts. We have introduced medical microneedling into our Clinic in the last three months, however, some clients have commented they feel their wrinkles are more noticeable. Answer: Firstly, is this based on perception or reality? What do the before-and-after pictures demonstrate? One cannot go on “feelings”, and patients are notorious for not recalling the previous state of their skin, especially when changes are gradual and incremental. One needs to manage expectations in that noticeable improvement after only three months will not always be dramatic, and in some cases can take from six months to a year. Secondly, if results are not as expected, one should revisit the patient history, exam, and diagnosis to ensure that an underlying cause, such as hypothyroidism, has not been overlooked. One also needs to consider lifestyle influences, such as alcohol or caffeine that act as diuretics. There are several other considerations when establishing underlying causes of rhytides, but too numerous for this discussion. Thirdly, it would call into question the products being used in combination with microneedling. Some products include the needed “active” ingredients for the sake of making a label claim, but the concentration is inadequate (“angel-dusting”). There are other possibilities that can lead to increased wrinkling after medical microneedling. In the short term, lines can appear worse for the first few days after a treatment due to transepidermal water loss (TEWL). You can reassure your clients that any wrinkle that develops quickly is not due to loss of structural integrity and it is temporary. In the long term, wrinkles that get progressively worse over months most likely have glycation as the underlying cause. (See page 126 of my book The Concise Guide To Dermal Needling-Expanded Medical Edition, or page 243 in the Third Medical Edition: Q/A section: “Will needling help with the visible effects of glycation?”) Finally, some patients develop fine scarring after aggressive treatments, especially over bony prominences, or when combined with other treatment modalities that amplify the inflammatory cascade, e.g. PRP, chemical peels. This scarring is often mistakenly perceived as “enlarging of the pores”. The resultant increased skin rigidity from fibrosis may cause the skin to develop dynamic wrinkling in ways and areas not previously documented. Be sure to include the fact that wrinkles may worsen after microneedling in your “Informed Consent” for litigation purposes. ©2005 – 2020, Dr. Lance Setterfield. All Rights Reserved. Needling Guide™ and the Needling Guide Logo are trademarks of Dr. Lance Setterfield. All other product names and trademarks are property of their respective owners, and are used for identification purposes only. Communications between the user and NeedlingGuide.com are protected by our Privacy Policy. NeedlingGuide.com provides access to this site, and the content herein, subject to Terms of Service. Your access to the website is subject to such Terms of Service. Use of this website is at your own risk. All content, including any information, charts, documents, audio/video, products, software, and services is provided ‘as is’ with no warranties or guarantees whatsoever.
The American Heart Association recommends up to one egg a day for most people, fewer for people with high blood cholesterol, especially those with...
Read More »
Humans are not programmed for the nutritive deluge of a cleanse, and consuming some phytochemicals in massive quantities can have dangerous side...
Read More »
A scrumptious morning smoothy based on the diets of among the healthiest, longest-living hamlet in the world.
Learn More »
Baking soda and sea salt soak Dissolve 1 cup of sea salt and 1 cup of baking soda in a warm footbath. Soak the feet in it for 30 minutes. Sep 19, 2018
Read More »
Let the rice water sit at room temperature for 12 to 24 hours. This allows it to ferment and all of the yummy vitamins and minerals to come out....
Read More »
This effective juice jolts the metabolism, boosts energy and burns fat all day.
Learn More »
That's about five eggs every week, and for good reason too! Eggs have 1.89 mg of iron, which increases energy and boosts your immune system. Egg...
Read More »
This effective juice jolts the metabolism, boosts energy and burns fat all day.
Learn More »
You can't lose weight on 1200 calories a day because you're no longer in a calorie deficit. Your body has adapted to what it's been doing and...
Read More »