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1478 Riverplace Blvd #110, Jacksonville, FL 32207 (904) 772-5828 info@cmamedicine.com

THE SUMMER SUN + STAYING SAFE

As we head into the summer months we all begin to think about sunscreen a little more. Most people don’t realize that wearing sunscreen is important all year long whether you are heading to the beach, into the office or gym. Exposure to harmful UVA and UVB sun rays can occur on a short walk, driving in the car or even when sitting by a sunny restaurant window. Sun exposure can cause sun damage, early onset aging and skin cancer.  

All Sunscreens are not the same. Sunscreens are broken into two main categories, Physical Sunblock and Chemical Sunblock. Each type has a different make up and mechanism of action.  Chemical Sunscreens absorb into the skin and then work by absorbing the UV rays.  After the rays are absorbed, they are converted to heat in the body and then released by the body. Chemical blocks are absorbed quickly & are effective starting 20 minutes after being applied. This is definitely something to keep in mind when doing any type of outdoor activity. We remind our patients to allow time for the sunblock to become effective. Chemical Blocks are often used when a water proof product is needed. Most Chemical Blocks have the active ingredients Avobenzone,  Octinoxate & Oxybenzone.  

Physical Sunblock works by sitting on top of the skin, when the sun rays hit the sunblock they are reflected off of it. Once applied the block begins working immediately. This type block tends to be less irritating, have a longer shelf life and be a better option for sensitive skin. Our patients with rosacea & redness benefit from the properties that Physical Sunblocks have. Since the sun rays are not being absorbed the skin stays cooler and redness and rosacea are not intensified. One down side to Physical Blocks is that they are harder to fully blend into the skin and can feel heavy. The minerals Titanium Dioxide and Zinc Oxide are the main active ingredients in Physical Sunblock. Whether choosing a Chemical Sunblock or Physical Sunblock it is important to remember that sunscreen must be reapplied to maintain effectiveness. 

Sunscreen should be a part of your daily routine. To get the best results it should be massaged thoroughly into the skin and given time to dry. People often ask how much should be applied we like to say when covering your entire body, a full shot glass of the sunblock is the appropriate amount.  People commonly miss spots on their bodies, these spots are the back, sides of face, neck & tops of the ears. It is important to make sure that the sunscreen is broad spectrum (protecting against both UVA &UVB rays). In addition, it is important that products are fragrance free, non-comedogenic (won’t clog pores), oil free, paraben free and a SPF of 30 or higher. 

At CMA Medicine we carry a variety of sunscreens and other skin care products. We have specialized treatments to treat patients with past sun damage and pigmentation. We look at each individuals specific needs and create customized treatment plans to achieve their ultimate goals.  It is never too late to add sunscreen as part of your daily routine! For more information please call our office at (904)772-5828. 

call us to schedule a complimentary consultation (904) 772-5828

1478 Riverplace Blvd #110, Jacksonville, FL 32207

©2018 CENTER FOR MODERN AESTHETIC MEDICINE | info@cmamedicine.com

How I Treat Acne with VBeam  Prima

How I Treat Acne with VBeam  Prima

Visit CMA Medicine in San Marco Jax for the latest in aesthetic treatments.

Acne vulgaris is the most common skin disease worldwide and inflammatory acne has a significant psychological impact with potential for long-term emotional and physical sequelae. (1)

Energy based treatments are useful both as adjuncts to traditional therapies and particularly for patients unable or not amenable to antibiotic, hormonal or retinoid based topical or systemic therapy.

Simply stated, the acne lesion is a result of defective keratinization of the follicular duct resulting in a distended sebaceous follicle which becomes plugged with sebum and debris. Propionibacterium acnes (P.acnes) bacterial overgrowth perpetuates the lesion and contributes to inflammation. Inflammatory lesions, papules and ustules can be large and tender and when persistent over time can lead to scarring.

Pulse Dye laser treatments at the 595nm wavelength (VBeam, VBeam Prima) are indicated for the treatment of acne vulgaris and the mechanism of action is multi-fold.  Erythematous papules and pustules have both a vascular and inflammatory component and VBeam has long been shown to be a safe and effective gold-standard technology for the coagulation of vascular lesions.  The inflammatory component is improved as PDL energy upregulates TGF-beta, a potent immunosuppressive cytokine. (2) Moreover, reduction of P.acnes by the 595nm wavelength effectively targets porphyrins inducing thermal damage to the bacteria. (3)

Our patient population includes both male and female patients over a range of ages from adolescence through to the peri-menopausal period. VBeam is our laser of choice as a safe an effective treatment. Cryogen cooling effectively cools the epidermis and provides comfort especially for our adolescent population. The 595nm wavelength does not have any depilatory effects and can also be used in males without concern for reduction of facial hair.  Reduction in lesion size and inflammation is noted rapidly with significant reduction within the first 24 hours after therapy.

Protocol pre-treatment involves holding any topical or retinol therapy two to three days prior to treatment and can be resumed the day after treatment. Immediately prior, the skin is prepared by thoroughly cleansing and drying.

Typical parameters are as follows:

Spot Size between 7-15mm. Smaller spot sizes are only selected in the case of discrete lesions in darker skin type patients up to Fitzpatrick skin type IV.

Otherwise, the 13-15mm spot sizes of VBeam Prima are used to cover the full face overall acne prone areas in two passes. The first pass is a generalized pass with the pulse duration of 6ms and energies from 6-7 J/cm2. The second pass covers discrete lesions using 10-15 mm spot size selected depending upon the density of the lesions with a 3ms pulse duration and 5-6.5 J/cm2. DCD is used with a 30ms spray and 20 ms delay.  Slight darkening and erythema of the inflammatory lesions is noted as a treatment endpoint. The skin is cooled afterward and sun protection is applied.

 

The zoom handpiece and single calibration capabilities of the VBeam Prima make the treatment very fast and easy to apply. The larger spot sizes also increase speed and decrease the number of pulses required for the patient.

Improvement is noted after a single session and the protocol involves monthly treatments for 3-5 sessions for mild to moderate cases. For optimal results in patients with more significant inflammatory lesions, treatments are scheduled every two-three weeks. Once control is achieved, which is typically within 6-8 weeks, the duration between sessions is lengthened to monthly intervals.

Treatment of such an important condition is safe, effective and easily applied with the VBeam Prima.

  1. Kellett, S.C. and Gawkrodger, D.J. “The Psychological and Emotional

Impact of Acne and the Effect of Treatment with Isotretinoin,”

Br. J. Dermatol., 140 (1999), 273-282.

 

Investigation of the mechanism of action of nonablative pulsed-dye laser therapy in photorejuvenation and inflammatory acne vulgaris.

Seaton ED, Mouser PE, Charakida A, Alam S, Seldon PM, Chu AC.

Br J Dermatol. 2006 Oct;155(4):748-55. Erratum in: Br J Dermatol. 2007 Feb;156(2):409. Seldon, P E [corrected to Seldon, P M]

 


J Cosmet Dermatol. 2004 Jul;3(3):182-3.

Lasers alleviate acne.

Nouri K1Ballard CJ.

Request your appointment below

or give us a call (904)772-5828!

Each month you’ll find special pricing on Botox Cosmetic, Body Sculpting, Tattoo Removal,
Laser Hair Removal, and other cosmetic enhancements.

call us to schedule a complimentary consultation (904) 772-5828

1478 Riverplace Blvd #110, Jacksonville, FL 32207

©2018 CENTER FOR MODERN AESTHETIC MEDICINE | info@cmamedicine.com

Dr. Schallen at Candela Technologies Media Day in NYC

Our very own Dr. Schallen at Candela Technologies Media Day in NYC! Dr. Schallen works on formulating the latest technologies to bring to CMA to keep our patients feeling their best!

Have a question about a procedure? Please message us or set up your complimentary consultation.

So excited to be getting the word out about all of our cutting edge Candela technologies, designed to help you stay looking your best! We offer only the most-advanced treatments at CMA and Dr. Schallen works hands on to continue improving and advancing new technologies to bring you!

Request your appointment below

or give us a call (904)772-5828!

call us to schedule a complimentary consultation (904) 772-5828

1478 Riverplace Blvd #110, Jacksonville, FL 32207

©2018 CENTER FOR MODERN AESTHETIC MEDICINE | info@cmamedicine.com

TREATMENT OF ROSACEA

At CMA Medicine, a variety of skin conditions can be treated with minimal downtime. The pulsed dye laser is used for the treatment of vascular lesions, such as Rosacea, sun spots, facial veins and Port Wine Stains. Stretch marks, warts, scars, and psoriasis can also be treated with this pulsed dye laser. The pulsed dye laser delivers a burst of light into the area of treatment that is absorbed by the blood vessels or melanin in pigmented areas. The blood absorption results in vessel coagulation dissipating redness in the area.

Patients often report a tingling or warm sensation during the treatment similar to a sunburn. The skin is protected by the Dynamic Cooling Device TM, which delivers a cool burst of cryogen before each laser pulse to cool the skin. Throughout the treatment, ice packs will be provided to the patient followed by a cold hyaluronic acid mask to calm redness and inflammation.

The pulsed dye laser device has safely been used since the 1980s to treat pediatric patients for the treatment of port wine stains in infants and children. It is a safe effective laser treatment with the capabilities to treat a variety of conditions. This laser is also great for Rosacea treatment.

Possible side effects of the pulsed dye laser include discomfort, crusting, bruising, scarring, and pigment changes. Some patients experience redness immediately post treatment that often resolves within 24 hours. Along with the redness, there is also a risk of bruising that may occur after treatment. This bruising often disappears in three to five days. Patients can also experience swelling which can be minimized by taking an oral antihistamine.

The amount of treatments vary depending on the area and the indication. In general, most patients require about 4-6 session spaced 1 month apart. Patients diagnosed with rosacea often require maintenance treatments every six months to prevent the reoccurrence of redness.

Request your appointment below

or give us a call (904)772-5828!

call us to schedule a complimentary consultation (904) 772-5828

1478 Riverplace Blvd #110, Jacksonville, FL 32207

©2018 CENTER FOR MODERN AESTHETIC MEDICINE | info@cmamedicine.com

LASER TATTOO REMOVAL

At CMA Medicine, we offer state of the art laser tattoo removal with PicoWay technology. The PicoWay is a picosecond Q switch laser used for tattoo removal that targets the ink using photo-acoustic technology, therefore, allowing the most tattoo clearance. The ink is broken into tiny particles that are then cleared by the body. Due to the short pulse duration used with the PicoWay, the risk of scarring is decreased and the tissue surrounding the tattoo is left safely intact.

What can I expect post-treatment?
Immediately post your laser tattoo removal treatment the area treated may be tender to touch, swollen, and blistered. Cold compresses, topical steroid, and Aquaphor can be used to help relieve any discomfort during the healing process.

What are the possible side effects post treatment?
Skin hyperpigmentation or hypopigmentation, scarring, and infection are side effects of tattoo removal. Please avoid sun exposure for one month prior to treatment as well as sunless tanning lotions or sprays. It is critical to avoid UV exposure to the treated area for one-month post treatment. Good sunblock and physical coverage are important factors to promote healthy healing.

Please avoid any exercise for 4 days post your laser tattoo removal treatment. Avoid hot showers, Jacuzzis, and saunas for 24 hours. Pool water and salt water should be avoided until the area is totally healed (generally one week). Cleanse the area two to three times daily with an antibacterial soap (i.e. Softsoap) and apply antibiotic ointment every morning and night for 7 days post-treatment. Do not pick the treated area as an open wound can increase the risk of infection.

How often are treatments?
We recommend a series of 6 to 10 laser tattoo removal sessions spaced 8-10 weeks apart. Some treatments require more than 10 treatments. The amount of treatments varies depending on the individual’s skin type, ink, and timeframe.

LEARN MORE ABOUT OUR TATTOO REMOVAL PROCEDURE BY CLICKING HERE.

call us to schedule a complimentary consultation (904) 772-5828

1478 Riverplace Blvd #110, Jacksonville, FL 32207

©2018 CENTER FOR MODERN AESTHETIC MEDICINE | info@cmamedicine.com

Importance of Skincare

The importance of Skincare

Developing a skin care routine is important for several reasons, regardless of age, skin condition, or skin type. A good regimen can start at any age but without a doubt, prevention is easier than correction. Taking good care of your skin today means the less you’ll have to spend on expensive treatments as you age.

Step 1 – Cleanse
The first step to a good skincare is a cleanser that is right for your skin. This is an important step because you want to make sure it’s taking off any dirt, oil, or makeup that may be on your skin. Choosing the right cleanser is also important because you don’t want anything that’s too harsh on your skin or exacerbates your problem. If your skin is sensitive or dry use a cream or gentle gel cleanser, if your skin is oily, acne prone or combination, use a salicylic acid or glycolic acid cleanser. Doing this can add the right amount of hydration or remove any excess oils and prevent build up in the pores.

Step 2 – Exfoliate
As we age our cell turnover rate slows, so it is our job to make sure we select products and treatments that help speed up that process. It’s important to make sure you exfoliate your skin with a good granular scrub at least 3-4 times per week, and a deep exfoliation (chemical peel, microdermabrasion) at least once a month, this helps to slough off the top dead layer of skin and make your skin appear brighter, smoother, and younger. It also helps your products to penetrate better and clear out any impurities that may be clogged in your pores. Using exfoliating toners with a mixture of AHA and BHA’s can also help absorb and control oil, take off any extra makeup or dirt left on the skin.

Step 3 – Correct & Prevent
Another important step is choosing the right corrective and/or preventative products for your skin issues. When dealing with dark spots, ageing, or acne, or all the above its imperative to use products with the correct ingredients to avoid worsening the problem you’re trying to treat or creating another problem. When dealing with ageing or dullness, products that have growth factors, or peptide technologies are best for stimulating collagen and giving the skin an overall plumpness. In addition, vitamin C serums or other antioxidants can prevent free radical damage caused by environmental and sun exposure, it can also prevent new pigment formation to keep the skin tone even. Acne is another issue that requires preventative and correction, topical products that include salicylic acid and benzoyl peroxide can help prevent build up in the pores by exfoliating the skin and keeping the pores clear. It’s important to be aware of the ingredients used in products that frequently break your skin out and to be sure to avoid them. Some silicones, typically dimethicone, and trimethicone are silicones added to products to give them a soft feeling but it can also sometimes be comedogenic, another ingredient to avoid is Vitamin C, or L- Ascorbic acid as it can be comedogenic to someone who has acne prone skin. It’s best to try products for at least 2 weeks to give your skin enough time to get used to the new products.

The best way to find out what products are right for is by talking to your Aesthetician so you can get a fully customized regimen based on your skin’s needs. Follow your prescribed regimen and if it doesn’t work at first, don’t panic, finding a regimen can take time but in the end it’s all worth it.

RESERVE YOUR APPOINTMENT 

call us to schedule a complimentary consultation (904) 772-5828

1478 Riverplace Blvd #110, Jacksonville, FL 32207

©2018 CENTER FOR MODERN AESTHETIC MEDICINE | info@cmamedicine.com