Team Based Skin Care

Want to know what makes RN Esthetics unique in the skin care business?  Sure, we have awesome staff and an adorable historic red building, but it is actually our Team Based approach to skin care that sets us apart.  What does that mean?  Well, as Nurses, we have always been familiar with team based care.  We never received compensation for how sick our patients were or what procedures they were having.  It was a wakeup call when my partner, Linda Vecchione, and I opened RN Esthetics in 2011.  We had no idea about providers getting paid a commission to see clients or that it was all about a ‘me’ rather than ‘we’ mentality.  I was familiar with this in the hair industry… I mean one would feel like they were cheating on their stylist if they booked their next appointment at a time and date that worked for their schedule.  You get what I am saying, right?

Enter Strategies and its founder Neil Ducoff.  We first learned about this team approach to medical esthetics in 2012 and it just made sense to us.  Handpick your team, train them intensely and allow clients the opportunity to see any member of the team for appointments.  No commission.  No overworked providers.  No need to wait and see the same provider over and over.  The idea is simple, but really game changing in the spa industry.  As Strategies puts it ‘team service in the world today is a unique point of difference.  A company that is truly engaged in team service just feels different … to the customers, the staff and the leadership.’   Yep.  We agree.  As a team based company, our goal is to have you meet every provider on our staff, to have a comprehensive plan that includes skin care and medical services, plus home care products.  And… to reward our staff ourselves for hitting those goals.  No tipping.  No being locked in to see only one provider.  No getting ‘upsold’ on services or products that you may not need simply to increase the providers commission.  We believe this is the point of difference with our team and is what makes us stand out in a crowded environment.

RN Esthetics

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Apes Don’t Have Nasal Labial Folds

One of the most common complaints we hear from people when they come in for a consultation is that they do not like their Nasal Labial folds, the smile lines from the nose to the mouth.  We spend time educating people to why injecting that area with Dermal Fillers does not look natural and can, in fact, make them look like Apes.  Here is the truth about looking natural while having Dermal Filler treatments.

Its all about making people look natural and refreshed.  When you look at little children, they actually have nasal labial folds and some flattening in their mid cheek area.  Children are full in the temple, lateral cheek area and lower face.  They also have a slight depression under their eyes (commonly known as the tear trough area).  As we age, beginning in our mid thirties we start to lose collagen and hyaluronic acid, our fat pads in our mid and lower face diminish and we develop lines/wrinkles in motion (dynamic lines).

Skilled injectors understand age related changes and subtle ways to augment the face to lift and volumize, while creating a natural look.  Simply placing dermal fillers in the lines and folds will make us look like apes, the only other species on two feet without nasal labial folds.  The most natural treatment plan is to focus on three areas: foundational treatment to stimulate collagen, such as Ultherapy (see previous blogs that address Ultherapy), volumization with dermal fillers and neurotoxins (Botox or Dysport) to create softening and relaxation of muscle contraction.  With Dermal Fillers, our team prefers Voluma and Juvederm products to lift and soften.  We start addressing the temple and brow area, lateral cheek and then lip area and lower face (chin, jaw line).  Our team will also focus on using Botox to open the eye area, give a medial brow lift, soften forehead lines when appropriate and relax the lower face area.   Come in and let us create a treatment plan to make you feel and look your best.

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The Uplifting Treatment worth the time and money

We all want to look and feel great. The skin is the largest organ in the body and it protects us from the elements and ages us quicker than we care to admit. While investing in injectables and skin care is great... Ultherapy is the treatment that you really want to add to your arsenault of anti-aging skin care and this blog tells you why.

I first heard about Ultherapy 7 years ago from a Plastic Surgeon that I was affiliated with.  The concept made a lot of sense to me... using ultrasound technology, create controlled injuries under the skin, down in the deep dermis to stimulate collagen and elastin.  Ultrasound has been around for 50+ years.  I knew that this was a great option, but the treatment was expensive and a I heard that it hurt.  After trying to alternates in our practice including Radiofrequency and Lasers, it was time to get reacquainted with Ultherapy.  It has changed a lot in the past 7 years.  The amount of energy has been lowered, thus much less discomfort.  Also, there are more customizable treatments using the various handpieces and advanced techniques since I first trained on this device. Ultherapy is a non-invasive procedure FDA approved to lift skin on the neck, under the chin, the brow and chest area.  It can make your skin appear healthier from the stimulation of collagen.  There is really no downtime with this procedure and many consider it a 'lunch time lift'... though it does take more than a quick lunch- on average 2-3 hours for a lower or full face and 30 minutes for a brow.  There is some swelling post treatment and yellow bruising which can be easily covered.  Post treatment your face will feel sensitive to touch and a bit numb due to cutaneous nerve swelling for a few weeks.  The procedure it self feels zingy and like heat under the skin.  Many people will do the treatment with just Tylenol and Motrin pre treatment, but our team recommends some medication to take the edge off, which our Nurse Practitioner prescribes. The ideal age for Ultherapy is 40s-50s.  If you are older or have more laxity (loose skin), but are looking to avoid the scalpel, then it may take two treatments 6 months apart for best results.  The results start to work at about 1 month and peak at 3 months.  This procedure is also great post surgical procedure once healed.  The results are natural.  We often hear people ask 'how long does it last?'.  The results are permanent, but we keep aging and need to repeat the treatment every 3-5 years (more frequent for older clients). Our practice is unique in that our RNs perform the treatments and have advanced certification in Ultherapy.  We have used many of the other technologies out there including lasers and RF.  Ultherapy allows us to visualize the area we are treating and ramp up your collagen and alastin.  We combine the treatments with our Alastin Kits for home.  We are Advanced Nurses, medical experts and injectors who understand the anatomy and customize treatments to help you achieve your goals.   What are you waiting for?  Let us see you and customize a plan.
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Can your Vagina Be Depressed?

It is time for women to have a bit more focus on our lady parts. After all, men have had a lot of medications and treatments to help them achieve an erection, but when do women have their turn? Because our team is focused on the latest technologies, we have decided to partner with VConfidence to introduce an awesome laser that improves many of the symptoms that women experience post child birth and pre/post menopause.

This post is re-shared from the vconfidence site that our team partners with. More and more women are empowered by vConfidence’s non-invasive, no downtime vaginal rejuvenation to address laxity to reclaim their sexuality. Often, younger women who have endured induced menopause as the result of medical treatment for cancer or other issues can suffer from vaginal dryness and painful urination or dysuria. These problematic symptoms can also plague post-partum and older post-menopausal women. When sex loses its enjoyment factor and intimacy becomes painful, expectations across every dimension of one’s quality of life can diminish. vConfidence resolves major medical symptoms and invigorates your confidence with treatments that re-balance pH, reduce or eliminate urine leakage, and restore your pleasure with neo-collagenesis-based solutions that rebuild mucosa linings of the vaginal wall to tighten and revitalize tissue with a more youthful density so your pleasure receptors and romantic life are made great again.
Utilizing the latest laser technology for improved patient outcomes, vConfidence represents the ultimate in transformative fractional CO2 laser treatments that improve the health of the mucosal lining by triggering the growth of new collagen. For too long, these types of symptoms and related issues of vaginal health and well-being have been too challenging for patients to even discuss with their physicians. vConfidence represents the next generation in self-empowerment for women. Now with vConfidence, our discretion, and privacy-focused approach allows you to address your issues non-invasively. And since all of our vConfidence Approved Providers are specialized on the craft of noninvasive laser treatments, with the goal of benefiting you with better feminine health, you can know that you are in great hands. Book your consultation with our team and check out for more information. Team RN Esthetics

Skin Care Must Haves for all Medicine Cabinets

Medical grade skin care is essential when addressing pigmentation, acne, lines and wrinkles and more age related changes. It is not the same a going to the mall and purchasing a product with the MD brand name on it. Medical products are only available at Physician and Medical Esthetic practice. Here are some of the top must haves in your skin care line up and why they make a difference.

The must have skin care medical grade products that every medicine cabinet needs: 1. SPF: this is the top antiaging product.  Prevention is key to block both UVA & UVB rays.  UVA rays are the longer rays in length which penetrate deepr into skin reaching and damaging structures in the dermis and causing inflammation in the skin.  UVB rays are shorter rays that cause damage and inflammation in the surface of the skin.  Mineral based sunscreens must contain titanium dioxide and zinc oxide to deflect sunlight and penetration deep into skin.  A newer Super Screen from Skin Media, called Total Defense & Repair- also prevents Infrared penetration which can cause aging and volume loss. 2. Antioxidants: These products neutralize free radicals.  Common Antioxidants are Vitamin C&E, Coenzyme Q10 and green tea.  Vitamin C is also shown to increase collagen production. 3. Retinoids: As we age, epidermal cells and skin turn over diminish.  This can contribute to lines, wrinkles, pigment and other age related changes.  Retinoids will help increase cell turnover, exfoliation, increase epidermal thickness, increase production of collagen and quality of elastin and result in smoother, more even toned skin.  Retinoids are a girls BFF. 4. Growth Factors: These are naturally occurring tissue proteins that initiate tissue repair, stimulate collagen and elastin synthesis and control inflammation.  Not all growth factors are equal.  They must be stable and contain high concentrations of human growth factors.  Our fav is TNS Essential Serum.  This all in one product is our staff fav and must have for all skin. 5. Peptides: These are made up of Amino Acid Chains to increase cell production of collagen.  Peptides improve clinical appearance of aged and photo damaged skin. 6. Skin lightening agents:  Our team is not fans of hydroquinone products except for very limited courses when combined with peels or laser in deeply pigmented skin.  Lytera is a super power serum that contains the following Niacinamde, vitamine B3 to promote skin lightening, licorice root to lightening, vitamin c, retinol and more.  This is a must have for pigmented skin to break up pigment on the surface and prevent deep pigment from coming to the surface. Come in and see our team of experts.  Let us work within your budget to get you on a few must haves for skin.  Better yet, sign up for our 90 day Glow & Tell for a series of peels and 90 days of must have products for the skin. Team RN Esthetics

The Cure for the Blonde Peach Fuzz.

As a blonde woman, the peach fuzz facial hair is always a challenge to deal with. Lasers do not work and who wants to deal with waxing? Then I discovered the Dermaplane treatment and life was simple again. Ever heard of Dermaplanes? This blog addresses this treatment option.

Dermaplanning is a method of using a scalpel to exfoliate the skin and get rid of the blonde peach fuzzies.  This method is taught in school to Estheticians and is a great add on to any skin care treatment.  Dermaplaning is a safe (provided the person performing it is properly trained) and highly effective physical exfoliation procedure. It requires the use of a sterile, surgical scalpel to gently "shave" the skin's surface, removing the top-most layer of dead skin along with fine, vellus hair (aka peach fuzz).  Many people hear the word 'dermaplane' and they associate it with dermabrasion.  This is not the same procedure.  Dermabrasion is a medical procedure to deeply abrade the skin.  This procedure, often done under anesthesia, can be painful and leave patients with complications.  Dermaplanning is a super simple treatment leaving the skin soft, glowing and fuzz free.  Here is the procedure and benefits: Skin is cleansed deeply.  We prefer adding this to a Hydrafacial as this procedure will leave the skin clean and hydrated Using a scalpel or similar device, and of course a delicate touch, the provider simply abrades the surface of the skin using light feathering strokes. This is an ideal treatment with those who have vellus hair (thin baby like hair), which can cause a build up of dirt and oils on skin surface It is also great for people looking for an exfoliation, but do not wish to have peels performed (ie pregnancy).  It can help products penetrate deeper and even prep skin for peels and other treatments. The hair does not grow back thicker and darker.. this is an old wives’ tale.   As long as the hair is superficial vellus hair, it will grow back at the same rate and texture as before the treatment This procedure can be performed every 4 weeks as necessary. Interested?  Book with one of our Master Esthetician in combination with our Award Winning Hydrafacial and be fuzz free and glowing for October.

Why Retinol is a girls BFF

Retinol is a girl (and guys) BFF... but many people do not use this essential product. Most of the time it is because the prescription strength retinol are so irritating. Skin Medica makes an amazing, Medical strength Retinol that is easy to tolerate and can improve your skin in just a few weeks.