Having smooth, youthful skin is the first step to feeling great about your appearance. Dr. Marilyn Mehlmauer and Dr. Sogol Saghari offer a wide variety of solutions for any problem areas on your face and body with skin rejuvenation procedures at their Pasadena practice.
Botulinum toxin is a injectable neuromodulator that works to prevent and improve the appearance of fine lines and wrinkles. There are currently three available types of botulinum toxin approved by the FDA: BOTOX® Cosmetic, Dysport®, and Xeomin®.
Now with the availability of Dysport® and Xeomin®, our doctors have more versatility in the products they use. Our doctors will determine where to administer the injections by examining your ability to move certain muscles in your brow area. The injections are made using a tiny needle, so no anesthesia is needed, and you will be able to return to your normal activities immediately. The actual procedure takes only about 10 minutes. One of the reasons botulinum toxin treatment is so popular is that it is a quick, painless procedure with no downtime. The results of botulinum toxin injections can last for up to 3-4 months, at which time treatment can be repeated.™
BOTOX® Before and AfterEvery time you smile, laugh, or frown, the contractions of the delicate underlying facial muscles form wrinkles in the outer layer of your skin. Over time, these wrinkles become more permanent, remaining visible even when your face is relaxed. When injected into the skin, BOTOX® Cosmetic, a purified protein produced by the Clostridium botulinum bacterium, selectively targets and reduces the activity of the muscles that cause fine lines and wrinkles to form. BOTOX® (botulinum toxin type A) injections are approved by the FDA as a safe, effective treatment for wrinkles and frown lines.
Dysport® (abobotulinumtoxinA) is an injection used to temporarily improve the look of moderate to severe frown lines without changing the look of your whole face. Dysport® works by blocking the signal from the nerve to the muscles, ultimately resulting in a reduction of muscle activity and temporarily preventing contraction of the muscles that cause frown lines. The results of Dysport® injections can last for up to 3-4 months, at which time treatment can be repeated.
Xeomin®(incobotulinumtoxinA) is an injection used to temporarily improve the look of moderate to severe frown lines. The results of Xeomin®injections can last for up to 3-4 months, at which time treatment can be repeated.
Dermal fillers are injectables that work to fill in static wrinkles (those that are constant) and restore fullness in the skin producing a more youthful appearance. Dermal fillers have immediate results, and recent studies have shown a long-term result by promoting further collagen remodeling in the skin.
Our physicians have extensive training and experience to provide you with an individualized approach to rejuvenation that leads to a natural and youthful appearance.
Restylane® Before and AfterRestylane® is an injectable gel designed to eliminate wrinkles and folds in the skin of the face and the lips. Restylane® is a unique and innovative solution to wrinkles, because it is the only filler derived from a substance called hyaluronic acid, which occurs naturally in your body. This gel produces volume under the wrinkle, which is lifted up and smoothed out. Because Restylane® is not derived from an animal source and is completely biocompatible, patients do not have to undergo an allergy test prior to treatment.
Restylane® is injected directly into the skin in tiny amounts by an ultra-fine needle, resulting in minimal discomfort. Dr. Mehlmauer will give you a nerve block if you are having lip lines filled in. This skin rejuvenation treatment usually takes only about 30 minutes. Other than some minor redness or swelling, patients usually do not experience side effects. Any reaction to the treatment will subside in two to three days. Our patients love the fact that the effects of Restylane® last up to 60 percent longer than those of collagen injections, and treatment requires no downtime.
BELOTERO™ balance is an FDA approved dermal filler that is injected into the skin in a simple, quick procedure that can even be done using a thin needle over your lunch hour. Once injected it instantly smoothes the lines and wrinkles in your face. While Boletero is made of the same material (hyaluronic acid) as some other fillers, Boletero has unique properties that allow for it to adapt within the skin for soft results. Individual results may vary, but Boletero filler may last about 6 months or more.
RADIESSE™ is one of the longest-lasting injectable fillers available. An average treatment will last between one and two years, but can endure for up to three years! RADIESSE™ consists of calcium hydroxylapatite suspended in gel. Because calcium hydroxylapatite is a natural body component, it requires no skin test. RADIESSE™ will remain soft and take on the characteristics of the surrounding tissue. It can be used to treat smile lines, or nasolabial folds, wrinkles at the corner of the mouth, vertical lip lines, frown lines, and more.
On the day of your skin rejuvenation treatment, our physicians will choose the injection site and may administer local anesthesia. RADIESSE™ is then injected beneath the skin. The entire procedure will take up to 30 minutes. Any discomfort or bruising you may experience can be relieved with medication. You will immediately be able to return to your normal activities, although you may notice some swelling, which will subside in one or two days. RADIESSE™ is a very economical choice of cosmetic filler, due to its long-lasting effects.
JUVÉDERM® is a smooth consistency gel made of hyaluronic acid-a naturally occurring substance in your skin that helps to add volume and hydration. Dr. Mehlmauer or Dr. Saghari will inject JUVÉDERM® under the skin to instantly restore your skin's volume and smooth away facial wrinkles and folds, like the "smile lines" or the creases that run from the bottom of your nose to the corners of your mouth, (nasolabial folds). JUVÉDERM® is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds. JUVÉDERM® is the only FDA approved hyaluronic acid filler that may last up to 1 yr or longer. Individual results may vary. JUVÉDERM® does not require allergy skin testing and is proven safe and effective for persons of color. With JUVÉDERM®, the skin rejuvenation injection process takes 15 to 20 minutes and results are immediate. There's minimal recovery or downtime. The most common temporary side effects following injection include localized pain, inflammation, tenderness and swelling.
Sculptra™ LogoScupltra® is a long-lasting, clinically proven treatment that can smooth deep lines and wrinkles and restore facial volume lost to the body's natural aging process.
There are many options when it comes to reducing the visible signs of aging- but there is nothing quite like Scupltra®. Referred to by some physicians as a "Face lift in a bottle", Scupltra® represents a new and unique non-invasive option that helps facial skin naturally regain a more youthful and natural-looking appearance.
Scupltra™ is derived from fruit acids, it is a biocompatible and biodegradable injectable material known as poly-L-lactic acid that naturally stimulates the body to produce its own collagen.
The result is a fuller, smoother, more youthful and natural-looking face with less pronounced lines, wrinkles and folds. Unlike traditional skin rejuvenation treatments Scupltra™ results can last up to 2 years!
Fraxel® Laser Treatment
After this skin rejuvenation treatment, you will experience a mild sunburn sensation for about an hour and then minimal discomfort. The skin will have a pinkish tone for five to seven days. This is a normal sign that the skin is deeply healing. Swelling is minimal and generally resolves in two to three days.
Rather than treating the entire skin surface at one time, the Fraxel® laser creates a pattern of evenly spaced microscopic laser “spots” surrounded by normal undamaged skin. This fractional skin rejuvenation treatment allows the skin to heal much faster than if the entire area were treated at once, using the body's natural healing process to create new, healthy tissue to replace skin imperfections. Repeated treatments create additional spots, until the entire skin surface is treated.Acne scars, brown spots, and fine lines caused by aging can now be effectively treated using the Fraxel® laser. The Fraxel® laser is an innovative new laser system that can resurface and rejuvenate discolored and sun-damaged skin without causing a visible wound or requiring a prolonged, uncomfortable healing period.
Fractionated C02 Laser
The Carbon Dioxide laser is an ablative skin resurfacing laser used to treat a large number of skin conditions, but the two most common indications are photo-aging and scarring. Resurfacing removes the old skin in micorthermal zones, and stimulates contraction and remodeling of the skin for many months after treatment. The fractionated C02 laser significantly improves photo-aged skin, particularly the areas around the mouth and eyes, which are resistant to face-lift procedures. The procedure usually takes about 45 minutes. Post treatment care with meticulous skin care is important to ensure safe and effective results. The downtime with the fractionated C02 laser is on average 2 weeks and we are here to support and guide you through the entire skin rejuvenation process.
Affirm™ Anti-aging Laser
Affirm Anti-aging Laser Before and AfterCosmetic lasers are proven to effectively treat the wrinkles, photo-aging and skin discolorations that time and sun have wrought. The Affirm™ reverses the signs of aging by stimulating collagen production and promoting tightening through tissue coagulation. The treatments are simple and safe for all skin types. The Affirm™ improves overall skin texture and makes your skin appear more supple and full. The Affirm™ anti-aging treatment should cause only minimal discomfort. Any redness, swelling or puffiness that occurs can be gone within a few days, if not a few hours. Patients may require from 3 to 4 treatments to achieve desired results, although results may vary. Each skin rejuvenation session will last from 15 to 30 minutes and are down here in the office.
IPL Photo Rejuvenation
IPL Photo Rejuvenation can be used to treat redness caused by acne and rosacea, hyper-pigmentation, facial veins, as well as the fine lines and wrinkles caused by aging or sun damage. Unlike other laser therapies, the visible light energy from IPL Photo Rejuvenation is absorbed by the pigment in the skin’s surface, while the energy stimulates the production of collagen from within.
During the skin rejuvenation treatment, the laser emits intense pulses of light to penetrate all the layers of the skin. Collagen and blood vessels under the top layer of skin constrict, reducing redness, pore size, and age lines. A series of five or six IPL Photo Rejuvenation treatments are administered at three- to four-week intervals.
Most patients experience only mild discomfort and may develop facial pinkness. Patients can return to work or resume their normal activities immediately after the procedure. After one or two treatments, your skin will have a more even tone and a smoother look and feel. Sunspots will start to fade, and pores can become less apparent. Fine lines and wrinkles may soften over time. These improvements continue with each treatment.
Elite™ MPX Laser Hair Removal
New advances in hair removal have made getting rid of unwanted body hair quicker and less painful than ever before. Old methods of hair removal are time consuming, can cause irritation, and must be repeated frequently. Laser hair removal gently and effectively removes unwanted hair using a low energy laser. Unlike electrolysis, which is time-consuming and more painful, laser hair removal can treat a larger area all at once by simply scanning the area with the laser. Since the laser treats more than one hair at a time, it is possible to treat larger areas such as the back, shoulders, arms, legs, and face.
First, the area to be treated is cleansed and shaved. Then the area is scanned with the laser. The pigment in the hair follicle absorbs the laser energy and within a fraction of a second, the hair follicle is disabled. After your laser treatment your skin will be smoother and silkier, and your hair will typically grow back slower and thinner. The number of treatments needed to achieve your optimal results depends on the area you wish to have treated and the color of your skin and hair.
Our new Elite MPX™ Laser, uses dual wavelength technology (755nm and 1065nm) to effectively treat both course and thinner hair. This laser is particularly safe to use for darker skin types.
Vbeam® Perfecta Vascular Laser
The Vbeam® Perfecta uses pulse dye laser technology to treat vascular lesions. It is considered the skin rejuvenation treatment of choice for many vascular lesions, including facial telangiectasias, redness caused by rosacea, angioma’s and port-wine stains. The Vbeam® selectively treats blood vessels without causing injury to the overlying skin. To schedule a consultation, contact our office.
Pronounced blood vessels and large veins can not only make you self-conscious about your legs, but can also be quite painful. Certain conditions and activities that put pressure on the veins, such as gaining weight and sitting or standing for long periods of time, can contribute to the development of spider and varicose veins. Dr. Mehlmauer treats spider and varicose veins with sclerotherapy, which consists of using a very tiny syringe to inject a sclerosing solution into the vein.
Before the procedure, Dr. Mehlmauer will thoroughly cleanse the affected area with alcohol. Using the micro-needle, she injects a small amount of the solution into the vein, which causes irritation to its lining. The vein swells shut, and will eventually turn white and gradually disappear.
Our physicians may also choose to use laser treatment to deliver a precise dosage of energy to each vein in a series of brief pulses. The blood vessel absorbs this light energy and coagulates, eventually being absorbed by your body.
Depending on the severity of your case, Dr. Mehlmauer will form a skin rejuvenation treatment plan for your unique needs. Vessels often require additional treatments at three week intervals.
Microdermabrasion Before and AfterMicrodermabrasion is a non-surgical, exfoliating skin rejuvenation treatment which helps repair facial skin that is showing the negative effects of aging and sun exposure. Microdermabrasion improves skin texture, uneven skin color, dull patches, fine lines, sun spots, and age spots. It can also aid in the treatment of acne and acne scarring, clogged pores, and blackheads.
Dr. Mehlmauer uses a device like a fine sandblaster to spray tiny crystals across the face, mixing gentle abrasion with suction to remove the dead, outer layer of skin. Following treatment, patients have the benefit of a smooth complexion and healthy glow. Microdermabrasion can be used to treat the face, neck, chest, hands, and back. Patients love that it is safe and quick, and that there is no downtime!
The treatments take about 20 minutes each and are typically scheduled one to two weeks apart. To achieve optimal results, several treatments are recommended.
LATISSE™ is the first and only FDA approved prescription treatment for inadequate or not enough lashes. It's a once-a-day treatment you apply topically to the base of your upper eyelashes. Patients in a clinical trial saw results in as few as 8 weeks with full results after 12 to 16 weeks.
Congress Cosmetic Medical Corporation has an experienced and licensed clinical aesthetician in the office, Annie Frenzley. Annie has over 23 years of experience and offers a wide variety of skin care, including facials, microdermabrasion, chemical peeling, acne treatments and skin care education.