For years, many of our patients have sought our advice regarding the treatment of pigmentation issues on their face.
We have long recommended the Obagi NuDerm skin care program for correction of sun damage and minor skin texture issues. Over the last six months, we have begun to incorporate a new laser procedure called PICO Genesis into our patients’ treatment plan.
This no-downtime (and pain free, believe it or not) procedure uses a special picosecond setting on our new tattoo removal laser to rapidly direct low energy pulses of light at the skin, targeting both pigmentation and superficial texture concerns.
Examples of some of the initial results are shown here. The treatment feels similar to Laser Genesis, an application on our vascular laser that we have used for nearly 15 years to treat redness and rosacea.
If you have concerns about blotchy pigmentation on your face, please give us a call us at (360) 823-0860 to set up a complimentary consultation. This new and exciting technology might be just the thing for you!
The surgeons and staff of Salmon Creek Plastic Surgery want to thank everyone who visited our Open House on Friday, October 21. It was a great turnout! Many people seem to prefer the earlier October date over the December date of previous years.
If you missed it, don’t worry! We’ll keep you up to date on sales and events through our newsletter and Facebook page. Congratulations to the winners of our basket raffles, all of whom have been informed.
A few weeks ago, we lost our wonderful springer spaniel at age 12 ½. No creature will love you unconditionally in the way that a good dog will. Jenny was my running buddy for many years, and she also excelled at board games.
Jenny, the springer spaniel
As she started to slow down in the last couple of years, and as my knee started to swell with running, I needed to find another form of exercise that would be easier on middle-aged joints. My wife suggested that I try out a new yoga studio that had opened just across the new I-5 bridge near our office.
To be honest, I didn’t think that yoga was actually exercise. After all, my mother had gotten into yoga in the 1970s, but was not much of an athlete. I also wasn’t interested in chanting, gongs or anything that I might perceive as “strange.”
It has now been 20 months since I tried yoga for the first time and I continue to really enjoy the classes. They counteract all of the bad postures I find myself in during a long office or operating day. My flexibility continues to improve very slowly, but my balance is significantly better, and my shoulder, back and neck pain have entirely disappeared.
Any golfers reading this might be interested to know that I have increased my clubhead speed by five miles per hour (which means that I now hit my ball much further into the trees).
One of the things I like best about yoga is that people of all ages and all body types can practice together, regardless of ability or experience.
I would encourage everyone to consider trying something new like I did, especially if you find yourself with some nagging pain or stiffness that you just can’t shake. Jessie, the owner/instructor at Simply Yoga, has offered 10% off of an initial series of classes for any new student who mentions Salmon Creek Plastic Surgery.
Richard Green, MD, FACS, was recently in Australia to speak about the new Cutera Enlighten laser. In the video, he explains how the new laser decreases the number of treatments for tattoo removal and how the laser is used for other conditions, including pigmentation, sunspots, dark crusty lesions, melasma, and more.
Salmon Creek Plastic Surgery has demonstrated its commitment to patient safety by gaining accreditation from the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF).
AAAASF just celebrated its 35th year of promoting the highest quality patient safety in the ambulatory surgery setting (office-based or outpatient), as well as rehabilitation and outpatient therapy agencies and rural health clinics.
AAAASF requires 100 percent compliance with all accreditation standards and does not offer partial accreditation. If a facility fails to meet any standard, it must correct the deficiency or risk denial or loss of accreditation.
To earn its accreditation, Salmon Creek Plastic Surgery passed inspection on hundreds of important criteria concerning patient safety. AAAASF facility inspectors are board certified medical specialists trained to perform a thorough and complete facility inspection. AAAASF facility inspectors follow a regimented procedure to inspect an outpatient surgery facility in the following categories:
Operating Room Environment, Policy and Procedures
Recovery Room Environment, Policy and Procedures
General Safety in the Facility
Blood and Medications
Quality Assessment and Quality Improvement
About the AAAASF
The American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF) was established in 1980 to standardize and improve the quality of medical and surgical care in outpatient facilities and assure the public that patient safety is top priority in an accredited facility. More than 2,400 outpatient facilities are accredited by AAAASF, one of the largest not-for-profit accrediting organizations in the United States.
Surgeons, legislators, state and national health agencies and patients acknowledge that AAAASF sets the “gold standard” for quality patient care.
AAAASF programs include surgical, procedural, oral maxillofacial, international surgical and dental. AAAASF is also approved by the Centers for Medicare and Medicaid Services (CMS) to accredit ambulatory surgery centers, rehabilitation and outpatient physical therapy agencies, as well as rural health clinics. For more information, visit the AAAASF website.
Have you ever heard of melasma? Most people have not, even if they happen to have it on their face.
Melasma is a chronic skin condition in which people (usually women) have abnormal dark brown or tan blotchy pigmentation on the face.
Patient with melasma.
This can develop during pregnancy (the so-called “mask of pregnancy”) because of hormonal swings in the body. Unfortunately, it often fails to resolve after delivery and becomes a cosmetic nuisance.
Most patients will have large blotches on the cheeks or forehead, but occasionally thinner patches of pigmentation will show over the eyebrows or upper lip.
Melasma can be a real bugaboo to treat, and most of the time we manage rather than cure it. We instruct patients to diligently use sunscreen every day, even in the winter. Unprotected sun exposure causes the abnormal pigmentation to darken significantly. A topical skin lightening medication called hydroquinone can help in fading the blotches. We like the Obagi Medical skin care system for this purpose.
New Advances in Laser Treatment
We have experienced varying degrees of success in using laser to treat melasma over the years. Laser applications which treat superficial pigmentation due to sun damage tend not to work as well when the pigment is deeper as in melasma.
Recently though, we have begun using our new tattoo removal laser (Enlighten) to go after this very stubborn pigmentation. This laser has the ability to deliver energy pulses very quickly (750 trillionths of a second) which allows it to break down very fine pigmentation so that the body can absorb it. We use this to our advantage in tattoo removal, but it seems to help in this challenging situation as well.
Please give us a call at (360) 823-0860 if you would like us to evaluate your skin and give you some treatment options!