Facial Plastics & Cosmetic Center

Kendra BetheaKendra Bethea is a medical Aesthetician, specializing in skin care and non-surgical Aesthetics.

Ms. Bethea specializes in microdermabrasion, chemical peels, advanced skin care and more. She develops specific treatment plans for her patients by evaluating the skin and determining the best solution for each individual.

 

Services offered at the Facial Plastics & Cosmetic Center

Please call our office to set up your free initial consultation at either the Sanford or Apex office. Toll Free for all offices: 877-718-3277


XEOMIN® 

XEOMIN® is a prescription medication used in facial aesthetics to temporarily improve the appearance of moderate to severe glabellar frown lines between the eyes (glabellar lines) in adults.

xeomin

xeomin profile

Xeomin Before and After Photos

XEOMIN® in Aesthetics: How Does it Work?

When you squint or frown, the muscles between your brows contract, causing the skin to furrow and fold. These lines that occur due to facial mimics are referred to as dynamic lines. Over time, as your skin ages and loses some of its elasticity, these repeated contractions can cause persistent frown lines.

Botulinum toxin type A – the active ingredient in XEOMIN® – is used in facial aesthetic treatment to treat dynamic lines like glabellar frown lines. It acts on nerve endings in muscles to prevent muscle fibers from contracting. By reducing these contractions, XEOMIN® can temporarily reduce the frown lines on your forehead between your eyes.

xeomin before after

Related Newsletter Article - Botox - What's new for 2007 January 2007


Radiesse® Facial Filler

Radiesse

Radiesse

Radiesse Before and After Photos


Belotero® Balance Injectable Filler

Belotero

Belotero Before and After Photos


Obagi Nu-Derm System: For Skin That Looks and Acts Younger & Healthier

Obagi SkinCareAs you age and your skin incurs the abuse of daily living (such as sun, stress, pollution), the cell turnover rate slows down. This means that the new cells take longer to form and reach the top. The old cells accumulate and stay on the surface longer. As the stratum corneum thickens and the area of new cells shrink, skin becomes less healthy. You begin to notice those unwelcome signs of aging including: fine lines and wrinkles, freckles and age spots, uneven skin tone, loss of elasticity and loss of natural skin hydration.

How it works:

  • Pushes fresher cells to the surface faster, for smoother skin, reduced wrinkles and increased tolerance
  • Corrects current pigmentation (freckles and age spots) and prevents the appearance of new pigmentation
  • Promotes more uniform cells at the deepest layer for better skin structure and balanced, even skin tone
  • Increases collagen and elastin for firmer, more resilient skin
  • Increases nutrient's natural hydration and circulation for supple, healthy-looking skin 

Obagi Before and After images

The Obagi Blue Peel:Taking Transformation to a whole new level

The Obagi Blue Peel is a fast way to dramatically improve the appearance and health of your skin. It effectively removes layers of aged and damaged skin and replaces dead skin cells with healthier ones. This allows the skin’s own clarity and tightness to resurface.

Unlike alpha-hydroxy peels or other superficial procedures, the Obagi Blue peel allows the skin care professional to precisely control the peel in order to tailor the process to your skin’s specific needs.

The Obagi Blue Peel is effective for all skin colors and thickness for many conditions including laxity, wrinkles, brown spot/age spots, large pores, and acne. Obagi Blue Peel can also be used on the neck, chest, hands, arms, and even legs.

The Blue Peel is a quick, relatively simple procedure that usually requires approximately 20 minutes, depending on the number of coats your doctor has determined necessary to achieve your goals.

The Obagi-C™ Rx System:For Brighter, Photolumines™ Skin

As the first and only prescription-strength Vitamin C skin care system, the Obagi-C Rx System delivers brighter, Photolumines skin. Designed for people with mild to moderate sun damage, this simple prescription-strength System helps your skin to look more radiant and even toned The Obagi-C Rx System combines the proven benefits of Physician-strength Vitamin C with a patented formula of prescription-strength ingredients. This specially formulated combination works to:

  • Correct freckles and age spots caused by sun damage
  • Regulate the production of melanin-producing cells, resulting in even skin tone and radiant skin
  • Enhance collagen production, promoting smoother, brighter skin with fewer fine lines and wrinkles
  • Promote radiance, resulting in Photolumines skin that emits light you can actually see and measure


OBAGI CLENZIderm™

Breakthrough Acne solution from OBAGI

CLENZIderm M.D. is clinically proven to treat the three main causes of acne:

  • Excess sebum
  • Skin cell buildup
  • Ance bacteria


OBAGI ELASTIderm™

The missing piece of the anit-aging puzzle

Clinical studies of OBAGI ELASIderm show:

  • Increase in elasticity in 9 weeks, acheive youthful-looking skin fast.
  • Reduction in visiable wrinkles after 9 weeks. Proven to reduce wrinkles in as little as two weeks.
  • Subjects reported better results than achieved using other products.

Learn more about Obagi Skincare System


Cellex-C

Cellex-C Core Formulations are designed to help your skin look, act and feel like younger skin. After eight to twelve weeks of topical application, your skin will begin to feel firm, smooth and toned with deep wrinkles looking less pronounced.

With regular use, Cellex-C will improve the overall texture, color and look of your skin and help reduce the visible signs if aging.


Glominerals™ Makeup

CCENT offers the Glominerals™ Makeup line. Our micronized mineral bases combine powerful antioxidants and UV protection in a delivery system that provides flawless coverage. It's skin-nurturing makeup for beauty with a higher purpose. Glominerals™ is safe for camouflage and sun protection following microdermabrasion, chemical peel, cosmetic surgery, laser resurfacing and waxing.


Physicians Complex Skin Care Products

Physician's Complex is a medically oriented skin rejuvenation system which, with continued use, will improve the quality and appearance of your skin. This skin care system is available only through a physician or physician-owned website. The products contain only the highest pharmaceutical grade, anti-aging ingredients.

Benefits Include:

  • Softer, smoother skin
  • Firmer, retexturized, younger-looking skin
  • Improvement in the appearance of hyperpigmentaion
  • Improvement in uneven skin tone
  • Improvement in fine lines and wrinkles
  • Promotion of healthy cell renewal


Glycolic Acid Peel

Glycolic peel is a safe process that removes a micro thin top layer of skin. Removal of these damaged cells stimulates cell division that results in plumper, healthier, newer cells. The glycolic peel procedure smoothes and softens the skin, diminishes fine lines, decreases acne, even out discolorations and increases moisture retention.

The result is a wonderful appearance of glowing, healthier and more youthful skin!

Most people notice a change in skin appearance right away. Improvement continues over the course of the treatments revealing fresher, younger skin. Peels are done in a series of 6 at 2 week intervals and usually take about 20 minutes, making the procedure convenient and accessible at any time of the day, even the lunch hour!


TCA Peel- Trichloroacetic Acid Peel

Trichloroacetic Acid (TCA) Peels, often called "freshening peels", are chemical peels that have been used for many years to remove the buildup of dead skin cells. TCA (Trichloroacetic acid) Peels also help with age spots, acne, wrinkles, poor lusterless complexion, freckles, sun-damaged and weathered looking skin, shallow scars, pre-cancerous skin growths and skin pigmentation.

Trichloroacetic acid peels not only help to remove the buildup of dead skin cells but also promotes the growth of new cells. As your skin heals, new elastin and collagen tissues are formed and this will help tighten the skin, leaving it brighter and giving you a younger appearance. For optimal results, peels are performed in a series of 6 at 2-week intervals.

Related Newsletter Article - Skin Resurfacing Treatment January 2007


Skin Resurfacing

Scars are an inevitable part of life. Unless you’ve never fallen or cut yourself, all of us have undergone the healing process that can lead to scars. Any surgery that involves a cut in the skin leads to scars. This article discusses some of the things that can be done to minimize excess scar formation.

After surgery or repair of a cut in the skin, keep the wound clean and out of the sun for at least a year. Cover the wound with a physical barrier (hats, clothes, tape) and apply sunblock over the wound. Sometimes an occlusive or semi-occlusive dressing is useful right after surgery to maintain some moisture over the wound but you don’t want the wound to be too moist and breed infection. Having a good nutritional status is also important for effective wound healing.

Some occlusive or semi-occlusive dressings are available over-the-counter. Silicone gels have been shown to decrease the redness, vascularity, pain, height, and itchiness of a wound and works well with all skin types. Studies have shown these to be helpful when applied twice a day beginning two weeks after surgery through three months with minimal side effects. Silicone sheets have been shown to help reduce excess scar formation. The mechanism of action is not clear but has been attributed to keeping the wound moisturized but not excessively. The best length of use is unknown but most recommend starting two days after injury and continuing up to 6 months. The sheets should be changed daily and the wound cleaned and washed daily. Another product is MEBO (moist exposed burn ointment) which has been shown to decrease redness and hyperpigmentation although some patients had a skin hypersensitivity reaction. Mederma skin care gel has shown potential but no studies have proven it to be more beneficial than other products. The active ingredient is Allium cepa whose derivative quercetin (a bioflavinoid) has shown anti-proliferative and anti-inflammatory effects. Quercetin is also found in apples, red wine, and gingko biloba. In laboratory studies, quercetin has resulted in inhibition of the cells that promote scar formation. Rretin A, Rrenova or other vitamin A derivatives have been shown to be especially helpful for reducing acne scars and other scars.

Pressure garments have been shown in the burn literature to promote better organized wound healing. In the face, this is often difficult to apply except on the ear. Magnetic ear rings are often a useful and aesthetic pressure device for excess scar formation at the site of ear piercing that tend to recur (keloids).

Despite our best efforts with the above treatments, excess scars still form. Vvarious treatments exist and vary in their successes, applicability to certain skin types, and effectiveness.

A common treatment is with topical or injection of steroids. Usually several treatments are necessary (at one month intervals). Pain is minimal (just the pain of the needle injection) and there is a risk of skin atrophy.

lasers are very useful for scars that are vascular or raised. They have been shown to shrink keloids as well. Keloids are excess scars that extend beyond the original incision or site of injury and tend to recur. A laser treatment can be started six weeks after the initial wound formation and often requires more than one treatment. Some darker skinned individuals have a higher risk of pigmentary changes with treatment and overaggressive treatment can lead to worsening of the scar.

Dermabrasion is another popular treatment of scars. The skin is superficially abraded and results in a smooth texture and helps blend the scar into the surrounding tissue. This can be started six to twelve weeks after the initial wound formation. Over aggressive treatment can result in scar depression and pigmentary changes.

Botox injections (also discussed in the newsletter for the treatment of wrinkles) can help reduce wound tension by immobilizing muscle. These injections are temporary but can be helpful especially in the initial wound healing processes.

Several other treatments exist for severe scars such as keloids which are too large to be resected or reasonably treated with a laser. These include radiotherapy and injection of chemotherapeutic agents such as 5-Fluorouracil. Both contain a risk of promoting cancer formation at the treatment site.

After a scar has matured (your body is continually remodeling and fine-tuning a scar months and even years after the initial wound is formed), your surgeon may recommend removing the scar and reclosing the wound. This is especially helpful for scars that wide from the initial injury (after a large cut on the face from trauma) or for scars which are oriented in a very noticeable direction. For example, a scar which runs parallel to natural wrinkle lines is less noticeable that a scar which runs perpendicular and right through them.

What about herbal treatments?

vitamin E in the body has been shown to inhibit inflammatory responses and formation of collagen (involved in wound healing). However, studies on topical vitamin E have been scant. One study showed that in 90% of patients, topical vitamin E had no effect or actually worsened scars.

Aloe vera is another popular topical treatment which has been shown to improve healing in frostbite and electrical injuries. Studies on human wounds are lacking but it is otherwise safe to use. Centella asiatica (gotu kola) has been documented to aid in wound healing but again, human clinical trials are lacking but it is otherwise also safe to use.

There are many exciting studies involving herbs, barks or roots found in Africa and India with suspected wound healing properties. Curcumin, an antioxidant, has been found to help wounds heal faster, leaving smaller scars.

Conclusions:

There are many varied treatments of scars but all involve long term care and diligence on your part but can be guided along by your physician or surgeon.

This Article is presented in our January 2007 Newsletter - Download is here

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