Neck

Recommended treatments – Skincare , Facials

At SKIN MD and Beyond, our Medical Grade Neck-cials use products with the highest activity levels available to address multiple skin care concerns. Custom preparations combining a wide range of enzymes, hydrators and polyhydroxy acids are used to treat each individual patient. The procedure takes 60 minutes and patients can immediately return to regular activities.

Under the direction of Dr. Wright, your aesthetician will create a customized Medical Skin Care Program for your daily home regimen consisting of medical grade skin care products to optimize treatment effects and maintain good results. Programs are customized for each patient to ensure they are using the best products for their individual skin care needs.

Prescription Medications may also be prescribed by Dr. Wright in conjunction with your Comprehensive Neck Rejuvenation Treatment as part of our multifaceted approach to maximize results in a short period of time.  To learn more about Fiona WRxIGHT MD Skincare Products click here.

COLOR MISMATCH

Recommended treatments 

• Skincare
• Photofacial

Poikiloderma of Civatte is a chronic skin condition in fair-skinned adults, which is usually caused by long-term sun exposure. As well, photosensitizing chemicals in perfumes and cosmetics have been identified as a possible cause. It shows a specific mottled pattern of color changes in the skin of the front and sides of the neck, and occasionally on the cheeks. The mismatch of colors present with darkened skin color (hyperpigmentation) and lightened skin color (hypopigmentation) as well as a reddish/brown staining of the skin from iron that comes from red blood cells (hemosiderin). Fine blood vessels
(telangiectasia) in the skin are often seen as well. This condition is usually asymptomatic, although some people will report mild burning, itching and increased sensitivity of the affected skin. It is more common with women than men and more commonly effects middle-aged to elderly women.

Skincare

There are no oral or topical prescriptive medications that can improve Poikiloderma of Civatte, but Dr. Wright does encourage you to use sun-protective measures. Broad-spectrum sunscreens (with SPF 30+ or greater) covering both the UVA and UVB spectrum should be applied regularly. Dr. Wright recommends a Zinc Oxide Sunscreen every day. If able, scarves or other clothing should be worn to cover the neck, and the use of perfumes and cosmetics should be limited.

Pigment-lightening products, such as prescription tretinoin, glycolic acid, and bleaching creams with hydroquinone(2-6%) can be used to reduce the brown pigmentation. Dr. Wright offers several options within her Fiona WRxIGHT MD Skincare line to address the various levels of skin sensitivities that her patients have. Our most successful and popular products are Radiance and Complexion Correction Lotion and Complexion Correction Pads with and without Hydroquinone.
Antioxidant skin care products enriched with Vitamin C (which also can lighten pigment by its own) can help to repair damaged skin cells and stabilize blood vessels, improving the overall appearance of your skin. Advanced Renewal Serum is rich in superior anti-oxidants, offers the most active forms of Vitamins C, E, and CoQ10, with Ferulic Acid to help slow down the effects of aging and fight the environmental stress that your skin faces every day.

PhotoFacial

Poikiloderma of Civatte, is a mottled discoloration consisting of broken blood vessels, brownish-red (hemosiderin) staining of the skin and brown pigmentation created by melanin deposited in the skin from sun damage. To effectively clear this problem the treatment needs to target all three of these things, plus sun protection. Photofacial( IPL- Intense Pulse Light) is the treatment of choice for clearance of this problem.

Intense Pulse Light (IPL) treatments, which also are called PhotoFacials are effective at reducing pigmentation and closing off any superficial capillaries causing the redness. The light used in this treatment is absorbed by the pigmented areas and helps bring the pigment to the surface of the skin so it can flake off over a few days. Similarly the light can shrink blood vessels, thus reducing redness. Additionally IPL treatments done regularly help stimulate collagen, which helps your skin with fine lines and wrinkles.

BLOTCHY RED SKIN TONE

Recommended treatments

• Skincare
• PhotoFacial-IPL

Skin Care

Miravaso is the latest topical prescriptive gel that can clear up the redness in your skin for up to 12 hours by shrinking dilated blood vessels. Although this does not “cure” and redness, the new prescriptive gel, Miravaso (brimonidine tartrate gel 0.33%) offers a topical at-home solution to remove
redness and vessels.

This easy to apply gel works by constricting the miniature vessels on the surface of the skin, much like Visine taking the red out of your eyes. Best results are achieved by applying a pea-size amount once daily to five points on the neck. Miravaso topical gel should be applied smoothly and evenly as a thin layer across the entire area.

PhotoFacial

Skin redness, tiny veins, and red blotches develop on the skin as a result of aging, sun exposure, and sun damage. Removal of these blotches gives a more youthful appearance to the skin and can be achieved with PhotoFacial – IPL (Intense Pulsed Light) treatments, with the Lumenis-M22, the company that designed and developed IPL technology.

IPL is a non-invasive approach to skin rejuvenation using our Lumenis IPL-M22. The procedure offers the advantage of improving skin tone and surface imperfections associated with aging and sun damage.
It is ideal for any part of your face, neck and décolleté with skin redness, telangiectasia (tiny veins) or brown spots. Over time, ageing, trauma, sun exposure and certain lifestyle factors cause a number of veins and capillaries to break. These appear as red streaks or blotches on the neck and décolleté. IPL therapy can eliminate damaged veins and capillaries by removing virtually all traces of these unsightly blemishes.

Brown Spots and Age Spots

Recommended treatments

•  Skincare
• PhotoFacial-IPL
• Chemical Peels
• Microdermabrasion
• Laser Resurfacing ResurFX

Skin Care

Your face isn’t the only area that needs protection. The skin on the neck and chest get almost as much sun and weather as the face. We often find that the chest and neck are left out of the daily skin care regimen, which means they are aging at a much faster rate than the face.
Wearing sunscreen on the face, neck, and chest is the best preventative method to even out skin tone. Depending on the severity of the mismatch, you may need skin lightening creams (see Skincare for Color Mismatch above) or laser treatments (ResurFX, IPL) to fade sun damage and pigmentation. Prescription-only skin care products represent a significant step up from over-the-counter offerings available at grocery stores and pharmacies. These products are specially formulated for enhanced results, undergoing extensive testing to ensure their safety and quality. We carry a full range of skin care products appropriate for the special needs of almost any patient.

Photofacial – IPL

Intense Pulsed Light (IPL) is a rejuvenating treatment for your skin, and will gradually and naturally smooth away areas of uneven pigmentation, spotting, and redness. The end result is creamy-smooth colored skin which appears youthful and rejuvenated.

After researching different IPL therapies over many years, we found the Lumenis M22 IPL to be the best because the results are predictably excellent. Our machine suits our clients’ needs and gives the results promised. Lumenis M22 offers two outstanding features that make it one of the most effective IPL devices for sun damage removal systems to date.

• A refrigerated hand piece and patented cooling gel, which allows maximum energy delivered with minimum discomfort.
• The hand piece can be recalibrated daily, which means you get the same amount of energy delivery for the entire life of the hand piece –which provides you reliable and predictable results!

Chemical Peels

Chemical peels are a highly effective treatment for patients seeking to reduce and eliminate signs of aging, spots, blemishes, skin discoloration, and wrinkles. Depending on the severity of the case – there are several different “formulas” and strengths that can “peel” away the effects of time.

A chemical peel will rejuvenate your facial/neck/chest regions by “peeling off” affected areas that show signs of wrinkles, scars and discoloration to reveal a brighter and smoother complexion.  Chemical peels have been performed for many years and recent improvements have resulted a short recovery time and long-lasting results.

A chemical peel is a super effective non-surgical option for the treatment of lines and wrinkles, sun damage, pigmentation and acne scarring. By removing layers of dead cells from the surface of your skin, a younger, fresher looking you will be revealed. Dr. Wright has administered hundreds of chemical peels over her 18 year career, the results of which can be seen in the before and after gallery below. These medical grade peels offer the highest strength and efficacy available, and can only be administered by a doctor.

A chemical peels is among the most popular aesthetic treatments on offer today. You can gain a refreshed look, or, with more aggressive treatment, take years off your appearance.

Some additional benefits of a chemical skin peel can be:

• Remedy accumulated sun damage.
• Minimize the look of mild scar damage
• Diminish the appearance of surface wrinkles
• Improve blotchy, irregular skin color areas
• Removes stubborn blackheads and mild acne
• Reduce oily skin

Microdermabrasion / DermaSweep

Microdermabrasion skin resurfacing is a treatment that improves wrinkles, skin texture and color by removing the topmost layer of skin leaving it softer and plumper. Skin resurfacing also stimulates the elastic tissue beneath the surface of the skin resulting in a healthier and firmer appearance. At Skin MD and Beyond we offer traditional Medical Microdermabrasion and crystal free DermaSweep treatments which are both non-invasive, pain-free and requires no down time after treatment.

The length of the treatment and number of treatments vary depending on skin type and condition. Results are gradual but highly effective. Most people experience softer, smoother skin after their first treatment. Recent studies have demonstrated about 45% thickness in skin after a series of microdermabrasion procedures. It also kick starts the skin regeneration process.

Laser Resurfacing ResurFX

At the top of the list in retexturing and tightening loose neck skin is the ReSurFX Fractional Resurfacing Laser. The ResurFX Laser uses many microbeams to penetrate into the dermis far below the outer most skin causing collagen contraction and remodeling. The outer surface of the skin is safely cooled during treatment by the patented scanning tip eliminating pain and leaving the outermost layer of skin acting as a barrier to the elements while the deeper tissues heal and tighten.

Because these microbeams only target a pin-dot size of skin tissue at a time, the untouched skin surrounding the treated skin protects the integrity of the epidermis and healing occurs quite quickly.   There is negligible downtime (1-2 days of slight swelling) and no reason to miss work!  Patients will experience about 2 hours of heat to the face immediately after treatment and about 24 hours of redness. Because there is no actual peeling of skin, patients remark that the downtime is very minimal- which is very different to most of the machines available.  With this negligible downtime (1-2 days of slight swelling), there is no reason to miss work!

The ResurFX Laser is able to treat a wide variety of skin conditions such as skin laxity, wrinkles, scars, and photo damage. The effect is an immediate tightening and lifting of the skin and underlying tissue. Unlike other lasers, the ResurFX is useful for all skin types and tones and works on your entire face: forehead, eyes, nasolabial folds, lip lines, chin and even the neck, chest and hands.

Wrinkles and Crinkles

Recommended treatments

•  Neck-cials
• Microdermabrasion
• Chemical Peels
• Laser Resurfacing ResurFX

Medical Grade Neck-cials

SKIN MD and Beyond Medical Skin Care Treatments for the Neck use products with the highest activity levels available to address multiple skin care concerns. Custom preparations combining a wide range of enzymes, hydrators and polyhydroxy acids are used to treat each individual patient. The procedure takes 60 minutes and patients can immediately return to regular activities.

Under the direction of Dr. Wright, your aesthetician will create a customized Medical Skin Care Program for your daily home regimen consisting of medical grade skin care products to optimize treatment effects and maintain good results. Programs are customized for each patient to ensure they are using the best products for their individual skin care needs.

Prescription Medications may also be prescribed by Dr. Wright in conjunction with your Comprehensive Neck Rejuvenation Treatment as part of our multifaceted approach to maximize results in a short period of time.

To learn more about our Skin Care Product click here.

Microdermabrasion / DermaSweep

Microdermabrasion treatments are used to improve the texture and quality of your skin. This treatment is a very popular procedure to tackle dull, dry or rough skin, and reducing superficial pigmentation and fine lines. Microdermabrasion treatments are commonly used in combination with other treatments, including peels, wrinkle reduction and prevention. It is perfect to polish and deeply exfoliate your skin, while also promoting lymphatic draining. The small precision hand piece is passed over the neck and décolleté to loosen and remove the upper layer of dead skin cells. Following treatment, your skin will be brighter, smoother and softer to touch. Dr. Wright recommends a treatment series of six sessions done every two weeks and then maintain at monthly intervals for ultimate improvement.

Chemical Peels

Chemical Peels use a chemical solution to peel away the fine outer layers of the skin. These topical preparations are a combination of lactic acid, glycolic acid and salicylic acid which act to improve skin surface, texture and pigmentation – and have been shown to work better in combination, than either of these agents alone. The solutions are available in several strengths, depending on the degree of peeling desired. Healing can take from 3-7 days until a new, smoother layer of skin is then formed.

Anti-aging peels stimulate cells deep within the skin to promote collagen and elastin production and help eliminate lines and wrinkles for a firmer, smoother and more radiant appearance. As well, these controlled peels penetrate the skins pigment cells to gently and effectively reduce the appearance of unwanted discoloration for a more even skin tone.

At Skin MD and Beyond, Dr. Wright does not offer deeper chemical peels for the neck or déclotte, as she believe lasers are much better and safer for deeper skin resurfacing. We do offer laser peels, fractional laser resurfacing, Microdermabrasion and Dermasweeps which works very well with chemical peels and a combination of these can deliver superior results.

Laser Resurfacing ResurFX

The skin of the neck and décolleté is very delicate and for many years Laser Resurfacing was considered too aggressive. But now, with the introduction of fractional erbium laser resurfacing, Skin MD and Beyond can offer the ideal laser therapy with the ResurFX Laser to treat sun damage, brown spots, fine lines, wrinkles, skin laxity and textural aging. If you have spent years in the sun, especially without adequate sun protection, then you know what it can do to your skin. Wrinkles, skin discoloration, and sun spots can be reduced or eliminated with fractional laser. Also, if you have deeper etched lines, The ResurFX laser has a unique treatment pattern to aggressively treat these aging lines. With over 600 treatment patterns, ResurFX allows infinite combinations to treat different indications. It can be used for a very superficial weekend peel to conventional laser resurfacing for striking results.

SAGGING SKIN

Recommended treatments

• ThermiSMOOTH
• ThermiSHAPE
• ThermiTIGHT

ThermiSMOOTH

The ThermiSMOOTH is a non-invasive RadioFrequency (RF) Device specifically designed to stimulate new collagen growth and elasticity. You may be asking what is ThermiSMOOTH, and why is it so special? Unique ThermiRF technology allows the physician to drive energy deep down in a controlled fashion, manipulating the energy into areas it normally would not travel. This controlled heating causes the skin to contract and tighten while stimulating new collagen production, bringing fresh new skin to the surface. Collagen production continues long after treatment to further tighten skin and yield a youthful and taut skin appearance long term.

ThermiSMOOTH provides Dr. Wright with total targeted control of the energy as it has a one-of-a-kind thermal feedback camera to ensure that the skin achieves the required skin temperature, so it isn’t          dispersed.  By combining the best attributes of different radio frequency technologies,  ThermiSMOOTH offers the best of both worlds — safety and accurate, long- lasting results.  ThermiSMOOTH  delivers where others miss. Laser technologies are unable to deliver energy deep enough into the skin. Other RF technologies can be extremely painful, while others don’t deliver consistent results.  ThermiSMOOTH provides the optimal of both, offering the most effective depth control for maximum results, safely and with minimal discomfort.  The physician has complete control to adjust parameters and energy delivery real time, ensuring you receive consistent and accurate results.

ThermiSHAPE

Under FDA IRB trial as ThermiSmooth 250

Dr. Wright offers ThermiSHAPE which is the “big brother” to ThermiSMOOTH. The treatment is similar in that it applies targeted radio frequency energy on top of the skin to heat the skin and stimulate the patient’s natural production of collagen. The effect is causes the skin to naturally tighten, smoothing skin and reducing the appearance of wrinkles, cellulite, skin laxity and/or fat. At the same time, your skin’s natural inflammatory response to the heat is to produce new collagen, furthering the beneficial effects of the procedure.

How the ThermiSHAPE differs is that it can penetrate deeper and can remove superficial fat as well as tighten skin. While the ThermiSMOOTH treats skin laxity and textural changes, The ThermiSHAPE can also treat iunwanted inches and cellulite and can be used anywhere on the body as well.

ThermiSHAPE is a non-invasive procedure in Clinical Study Phase under the name of ThermiSMOOTH 250 that is performed at Skin MD and Beyond. We are excited to be one of only a handful of offices in the United States to be included in the IRB Clinical Study. The procedure is new to the United States but has been approved in Europe where they have performed thousands of treatments with successful results!

ThermiTIGHT

As recently featured in Bazaar Magazine, ThermiTIGHT is the “IT” treatment with breakthrough technology which employs temperature-controlled radio frequency to tighten skin and melt fat in the neck and chin area. Totally safe & FDA Approved.

Dr. Wright is one of the leading experts in ThermiRF technology. She is a researcher and advisory board member on the ThermiAesthetics Clinical Advisory Council and was one of the first doctors to offer the ThermiTight procedure in the United States. Her unique approaches to the aging face and neck rejuvenation make him one of the country’s top specialists in creating a fresh and natural look.

ThermiTight is the best skin tightening procedure on the market, which delivers radio frequency energy under the skin to reverse the effects of aging. This treatment is ideal for patients who want more results than non-invasive procedures can deliver and DO NOT want surgery or downtime.

NECK CORDS/ BANDS

Recommended treatments

•  BOTOX / Dysport

Under the skin of the neck is a thin sheet of muscle called the Platysma, which creates vertical neck bands or cords that run from the jawline down to the collar bone and can normally be seen when the teeth are clenched hard. As we age the left and right sides tend to separate in the middle under the chin and lose tone. This is more noticeable in thinner patients. This muscle, with time, can separate into bands and this can be aesthetically undesirable.

The over-active neck bands pull the jaw down creating the prominent neck bands and saggy jowl appearance (saggy jowls are also caused by loose skin and droopy fat pads).  Muscle-relaxing injections with Botox / Dysport can be injected into these bands to help flatten them.  By injecting into these platysmal muscle bands it will also reduce the downward pull of the platysma muscle on the face. A resulting lift in the face can often result. In addition to stopping the platysmal bands from forming, some injections can be placed along the jawline to help stop the pull of these muscles on the face and therefore help to lift the face.