In recent years, advances in technology have greatly increased the capabilities of dermatologists. Treatments including Botox injections, laser surgery and dermabrasion are widely available and popular dermatology procedures.


Content provided by Cleveland Clinic.

Here are some of the most popular skin treatments that your dermatologist can perform in his office. Although all of these treatments have reported great success, as always, you should be aware of possible side effects before choosing a procedure. Read on to learn more about dermatology procedures.

Botox

Botox is the brand name of a toxin produced by the bacterium Clostridium botulinum. Small, diluted amounts can be directly injected into specific muscles, causing controlled weakening of the muscles. The injected muscle can no longer contract, which causes the wrinkles to relax and soften. Botox is most often used on forehead lines, crow’s feet (lines around the eye), and frown lines.

The procedure takes only a few minutes, and no anesthesia is required. Botox is injected with a fine needle into specific muscles with only minor discomfort. It generally takes three to seven days to take full effect.

The most common side effect is temporary bruising. A small percentage of patients might develop eyelid drooping, which usually resolves in three weeks. This development is usually caused by migration of the Botox. For this reason, you shouldn’t rub the treated area for 12 hours after injection or lay down for three to four hours.

Chemical Peels

A chemical peel, also known as dermapeeling, is a technique during which a chemical solution is applied to the skin. The affected skin peels off, leaving the new skin smoother.

Chemical peels are performed on the face, neck or hands. They can help reduce:

  • Mild scarring
  • Certain types of acne
  • Wrinkles
  • Sun spots
  • Liver (age) spots
  • Freckles
  • Dark patches (melasma) caused by pregnancy or birth control pills

To perform a chemical peel, the doctor cleanses the skin and then applies a chemical solution (such as glycolic acid, trichloroacetic acid, or salicylic acid) to small areas on the skin. These applications produce a wound, paving the way for regenerated skin.

After the chemical peel, the patient’s skin will be red and will peel for up to a week. The process can be repeated as necessary.

Possible side effects include reactivation of cold sores (herpes infection) in patients with a history of herpes outbreaks. This can be prevented or treated with an oral medicine.

Dermabrasion

Dermabrasion, or surgical skin planing, is an abrasive dermatology procedure that “sandblasts” the skin to create a smoother layer of skin. Dermabrasion is used to treat scars, pox marks, age (liver) spots and skin lesions.

During the dermabrasion procedure, the doctor cleans and freezes the skin. To perform the abrasion, the doctor uses a high-speed instrument equipped with a wheel or brush to strip off the top layers of skin.

Your skin will feel rough and “burned” after the dermabrasion procedure, and it will be pink for a while. Stay out of the sun for several months and be sure to use sunscreen when you do go outdoors.

Risks of dermabrasion can include uneven changes in skin color, scarring and infection.

Sclerotherapy

Sclerotherapy is a procedure that is used to eliminate varicose veins and “spider veins” (enlarged blood vessels that are visible on the skin, especially on the nose, face and legs). Sclerotherapy involves an injection of a salt solution directly into the vein. The solution irritates the lining of the blood vessel, causing it to swell and stick together and the blood to clot. Over time, the vessel turns into scar tissue that fades from view.

The procedure itself takes approximately 15 to 30 minutes. The number of veins injected in one session varies and depends on the size and location of the veins, as well as the general medical condition of the patient.

Side effects after sclerotherapy include itching and raised, red areas at the injection site and bruising. Other side effects include:

  • Larger veins that have been injected might become lumpy and hard, and might require several months to dissolve and fade.
  • Transient hyperpigmentation (brown lines or spots) might appear at the vein site.
  • Neovascularization (a temporary development of new, tiny blood vessels) might occur.

Note: If you develop inflammation within five inches of the groin, a swollen leg, or small ulcers at the injection site after sclerotherapy, contact your doctor immediately.

Dermal Fillers and Collagen Injections

The dermis layer of the skin is primarily made up of the protein collagen. Collagen forms a network of fibers that provides a framework for the growth of cells and blood vessels. Because it is the main component of the dermis, collagen acts as the support structure for the skin.

In young skin, the collagen framework is intact and the skin remains moisturized and elastic. But, over time, the support structure weakens and the skin loses its elasticity. The skin begins to lose its tone as the collagen support wears down.

Collagen injections replenish the skin’s natural collagen. CosmoDerm and CosmoPlast are bioengineered human collagen products that are placed just beneath the skin, in the dermis, where the body readily accepts it as its own.

When you have a collagen injection, you will receive a small injection of local anesthesia to numb the area being treated. There is a possibility of slight bruising, and you might experience puffiness, redness and tenderness around the treated site.

Just like natural collagen, collagen replacements eventually begin to lose form and wear down. In order to keep up appearances, you will need a series of treatments, two to four times a year.

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