My Laser Girl



by on Jan.24, 2010, under Conditions, Sun Damage

Skin on the face may become damaged as a result of over-exposure to the sun’s ultraviolet rays. When this occurs, patches of skin may become discolored and rough in texture. 

Although most people love the warmth and light of the sun, too much sun exposure can significantly damage human skin. The sun’s heat dries out areas of unprotected skin and to deplete the skin’s supply of natural lubricating oils. In addition, the sun’s ultraviolet (UV) radiation can cause burning and long-term changes in the skin’s structure. 

Over a lifetime, repeated episodes of sunburn and unprotected sun exposure can increase a person’s risk of malignant melanoma and other forms of skin cancer. As a rule, if you have fair skin and light eyes, you are at greater risk of sun-related skin damage and skin cancers. This is because your skin contains less of a brown pigment called melanin, which helps to protect the skin from the effects of UV radiation.


Sun-damaged skin shows the following symptoms:

  • Dry skin – the skin appears dry, flaky and slightly more wrinkled than skin on other parts of your body that have not been exposed to the sun. Dry skin is also one of the most common causes of itching.
  • Sunburn – Mild sunburn causes pain and redness on sun-exposed skin. In most cases, there are clear boundary lines where the skin has been protected from the sun by shirt sleeves, shorts, a bathing suit or other clothing. More severe cases of sunburn produce painful blisters, sometimes together with nausea and dizziness.
  • Actinic keratosis – An actinic keratosis appears as a persistent patch of scaly (peeling) skin that may have a jagged or even sharp surface and that has a pink, yellow, red or brownish tint. At first, an actinic keratosis is the size of a pimple. Rarely, an actinic keratosis may itch or be slightly tender.

Long-term changes in the skin’s collagen – Symptoms of collagen changes include fine lines, deeper wrinkles, a thickened skin texture and easy bruising on sun-exposed areas, especially the back of the hands and forearms.


Ninety percent of all skin cancers are caused by the sun’s ultraviolet (UV) rays and can be prevented by taking the proper precautions against sun damage. Fair-haired, pale-skinned people are the most vulnerable to sun damage but all skin types are at risk. It also accumulates, so that damage to the skin from one year is added to the damage done in previous years. This explains why the elderly are more prone to skin cancer. 

But how exactly does exposure to the sun accelerate skin ageing? Even low or moderate exposure to UV radiation damages collagen fibres, which are the primary structural protein in the skin. Such exposure also causes the accumulation of abnormal elastin, which is the protein that allows tissue to stretch. During sun damage, large amounts of enzymes called metalloproteinases are produced. The job of these enzymes is to remodel the sun-injured tissue by synthesizing and reforming collagen. But this process appears not to work the way it should and some of these enzymes actually degrade collagen. As a result, an uneven formation of disorganized collagen fibres develop, called solar scars. As this process is repeated, wrinkles appear. 

There are other factors that contribute to skin ageing, including:

  • cigarettes
  • pollution (particularly ozone)
  • rapid weight loss
  • tanning studios (there is no such thing as a “safe” tan; use of tanning beds is no safer than lying out in the sun, and dermatologist would love to see them outlawed)

When to seek medical advice

Call your primary care physician or a dermatologist (a doctor who specializes in skin problems) if you have any of the following problems:

  • Dry skin that doesn’t respond to nonprescription treatments
  • A severe case of blistering sunburn
  • A milder sunburn over a very large portion of your skin, especially if your painful skin makes it hard for you to sleep or to wear clothing
  • An abnormal scaly patch or nodule anywhere on your skin, or a skin ulcer that does not heal
  • Abnormal bleeding under the skin, or skin that bruises very easily
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by on Jan.24, 2010, under Conditions, Stretch Marks

The amazing thing about stretch marks is that they’re not really caused by the skin “stretching.”  People associate stretch marks with weight gain or pregnancy and assume that stretch marks are caused by our skin stretching to fit around this new, larger body.  The association is so strong that the name ‘stretch mark’ was given; only further adding to the misconception.

Treatment is Available


There are treatments available, particularly with lasers, which can help improve stretch marks, however, no treatment can yet make a stretch mark go all the way back to looking like totally normal skin. We can reduce red stretch marks, diminish white marks, we can improve the texture and make them look better, even in some cases make it so that you can’t see them very easily, but stretch marks are still an area where we improve the problem but don’t remove it. There are no ‘perfect’ treatments for stretch marks.

New Affirm® Laser Treatment

Stretch Marks May Be Improved with Laser

Lasers work by reducing the redness in the red stretch marks and by improving some of the inflammation causing the stretch marks in the first place. Lasers also induce collagen growth and remodeling, as well as some elastin remodeling which improves the look of the skin.

The latest development in the treatment of stretch marks is fractional laser therapy. Cynosure Affirm® lasers, utilize this technology. The idea of the laser is to create a number of vertical injuries to the patient’s skin with non-treated, uninjured skin in between the treated areas. Imagine a lawn that’s been aerated. A similar process, on a microscopic scale, is done to the skin with fractional laser treatment. The laser makes small injuries the diameter of a hair shaft in the skin leaving normal, untreated skin in between. The untreated skin helps heal the wound quite quickly, replacing the area with new, healthy skin. During each treatment only a fraction of the skin is treated. Some patients have improvement of stretch marks of 30% to 40%.

A variety of stretch marks may be improved with laser treatment. Generally stretch marks which are red in color are the most responsive to laser therapy, though in many cases white stretch marks may also be improved with treatment. A series of treatment sessions are usually needed to obtain the best results. We perform a series of treatments and can get between a 20-40% improvement in the appearance of these stretch marks. Generally we are getting good results with minimal downtime. There are some risks that some patients may not be responsive to the therapy, as well as some risk of post-inflammatory hyperpigmentation in darker individuals that takes some time to fade away. I usually do a test-patch for these patients to be sure we can safely treat them

Hormones are the Cause

The true cause of stretch marks is hormones. That’s right, hormonal influences are the cause. How can I support this fact? Well, when people gain weight, our hormones are produced and metabolized by fat cells. Hormones resemble fat and cholesterol, so when we gain and lose weight it affects the hormones in our body, and also the hormones in our skin.

Gaining Weight & Pregnancy Changes Hormones

So why do people who gain weight or are pregnant often get stretch marks? During the times we are growing, certainly when women are pregnant, when guys are lifting weights, or growth during puberty, its true that your skin is expanding as your body is expanding. But these life changes are accompanied by a serious change in our hormones and a change in the metabolism in our skin. It is this, not the ‘stretching’, that is the cause of stretch marks.

Diet Can Effect Weight, Which Effects Hormones

To the extent that your diet can cause you to gain or lose weight rapidly, thereby affecting your hormones, yes diet is important. However no foods are proven to cause stretch marks. So if you eat a lot of ‘x’ food, it will not cause them.

Weight Loss and Gain Impacts Hormones in Skin

Weight gain or loss has a dramatic effect on your body’s hormones and it is those hormones, which are present in the skin, which cause stretch marks to appear. The body’s expansion is not ‘stretching out’ the skin. Its hormones related to weight gain, pregnancy, puberty or other events associated with changing hormones that cause stretch marks.

Why don’t they heal over time?

Stretch marks are a huge problem. The problem is that the elastic fibers in skin with stretch marks are damaged, and elastic fibers are the single hardest thing to repair in skin. When you have a wound that’s healing, our body’s replace the collagen proteins and all the skin structures that are injured, but the elastic fiber is very difficult to repair. The trouble with stretch marks is that it’s a defect in those fibers. So since our body cannot effectively repair those fibers, the stretch marks do not heal.

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by on Jan.24, 2010, under Conditions, Rosacea

Rosacea is a fairly common condition estimated to affect over 45 million people worldwide. This condition causes redness and flushing in the central face as well as across the cheeks, nose, and forehead in people with light complexion. 

Rosacea is an inflammatory skin disease that causes facial redness. You may mistake some of its characteristics, such as small, red, pus-filled bumps or pustules, for acne. In fact, rosacea has been called adult acne or acne rosacea, but the disease has little to do with the pimples and blackheads that commonly afflict teenagers. It’s also a misconception that this red-faced condition is caused by drinking alcoholic beverages.


Rosacea affects mostly adults, usually people with fair skin, between the ages of 30 and 60. About 14 million Americans have this chronic skin condition. Although it’s more common in women, men may develop more apparent signs of the disorder. It’s not life-threatening, but it can affect your appearance and lower your self-esteem. 

Left untreated, rosacea tends to be progressive, which means it gets worse over time. However, in most people, rosacea is cyclic, which means it may flare up for a period of weeks to months and then signs and symptoms lessen for awhile before rosacea flares up again. Besides acne, rosacea can also be mistaken for other skin problems, such as a skin allergy or eczema. Once diagnosed, it’s quite treatable.

Solutions for Rosacea:

  • XPL
  • Affirm
  • LaserFacial
  • Medical Grade Skin Care
  • Education

Rosacea is a chronic inflammatory skin disease. Signs and symptoms include:

  • A tendency to blush or flush easily.
  • Persistent redness in the center of the face.
  • Small visible blood vessels (telangiectasia).
  • Bumps and pus-filled pimples on the face (inflammatory papules and pustules).
  • Burning or stinging sensation on the face; the skin also may itch or feel tight.
  • Dry skin on the face.
  • Swelling on the central part of the face.
  • Eye problems, such as burning, itching, or watery eyes; swollen eyelids.
  • Thickening skin on the nose, cheeks, and/or forehead.
  • Rhinophyma—bumps on the nose that may develop if rosacea is left untreated.

Emotional Impact

Rosacea affects the face, so people with this condition can often experience embarrassment, low self-esteem, and depression. Rosacea is a disease that can deeply affect people emotionally as well as physically. 

Knowledge is one of most powerful empowerment tools that people with rosacea have to help them overcome embarrassment related to the visible facial aspects of the disease. 

The best way to gain this knowledge is to talk to a specialist at Image by Design. We can discuss treatment options with you and work with you to find treatments and skin care alternatives that work best for you.

Rosacea usually appears in phases:

  • Pre-rosacea: Rosacea may begin as a simple tendency to flush or blush easily and then progress to a persistent redness in the central portion of your face, particularly your nose. This redness results from the dilation of blood vessels close to your skin’s surface. This phase may sometimes be referred to as pre-rosacea.
  • Vascular rosacea: As signs and symptoms worsen, vascular rosacea may develop — small blood vessels on your nose and cheeks swell and become visible (telangiectasia). Your skin may become overly sensitive. Rosacea may also be accompanied by oily skin and dandruff.
  • Inflammatory rosacea: Small, red bumps or pustules may appear and persist, spreading across your nose, cheeks, forehead and chin. This is sometimes known as inflammatory rosacea.

In severe and rare cases, the oil glands (sebaceous glands) in your nose and sometimes your cheeks become enlarged, resulting in a buildup of tissue on and around your nose (rhinophyma). This complication is much more common in men and develops very slowly over a period of years. 
In addition, more than half the people with rosacea experience ocular rosacea — a burning and gritty sensation in the eyes. Rosacea may cause the inner skin of the eyelids to swell.


The cause of rosacea is unknown, but researchers believe it’s likely due to some combination of hereditary and environmental factors. 

Several theories exist as to what causes rosacea. One theory is that a blood vessel disorder causes vessels in the face to swell. Another is that rosacea is the result of a chronic bacterial infection in the gastrointestinal system caused by a Helicobacter pylori infection. Some researchers have suggested that tiny mites (Demodex folliculorum), living in human hair follicles, may play a role by clogging up sebaceous gland openings. Most people with rosacea have sun-damaged skin, which may also play a contributing role. None of these theories has been conclusively proved, however. 

One thing is certain — alcohol doesn’t cause rosacea. While the consumption of alcohol can lead to flushing of the skin and may worsen rosacea, people who don’t consume alcohol at all still can get rosacea.

Risk Factors

Although the exact cause of rosacea remains a mystery, a number of factors can aggravate it or make it worse by increasing blood flow to the surface of your skin. Some of these include:

  • Hot foods or beverages
  • Spicy foods
  • Alcohol
  • Sunlight
  • Stress, anger or embarrassment
  • Strenuous exercise
  • Hot baths, saunas
  • Corticosteroids
  • Drugs that dilate blood vessels, including some blood pressure medications

When to Seek Medical Advice

Unfortunately, rosacea rarely clears up by itself. Instead, it tends to worsen over time if left untreated. If you experience persistent redness of your face, come see us for a diagnosis and proper treatment. Many over-the-counter skin care products contain ingredients, such as acids, alcohol and other irritants, that may actually worsen rosacea. Because of the progressive nature of rosacea, an early diagnosis is important. Treatments tend to be more effective the earlier they’re started. 

XPL is a comfortable and extremely effective breakthrough in skin care technology. There are a million ways to try and change the appearance of your skin. 

XPL, which is also known as intense pulsed light therapy, can be used to treat a variety of skin conditions. It is typically used on the face, neck, and/or chest to treat facial erythema (redness) and flushing as well as remedy damage caused by overexposure to the sun. XPL can also help eliminate the redness and flushing of rosacea. Treatment only takes 15-30 minutes.

So, what happens after XPL? You will first see a gradual decrease in redness. The treated skin will feel softer and vary less in tone. Fine lines and wrinkles will also improve along with fading of pigmentation and age spots as well as a reduction in pore size. 

Rosacea sufferers will see a marked reduction in breakouts and, in some cases, may be able to decrease or discontinue their medication. Results occur with each treatment and improve gradually over time. Most people require about 5 treatments. Those with more complicated conditions may need more.

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by on Jan.24, 2010, under Conditions, Melasma

What is Melasma?

Melasma is a skin condition that mostly affects adult women with ethnic skin tones and is often triggered by a hormonal change. It is estimated that roughly 6 million women suffer from this condition in the United States. Although anyone can be affected by melasma, it is most commonly seen in Asian, Hispanic, Middle Eastern and African women. Melasma usually appears as patchy brown spots, typically on both sides of the face. It appears across the nose, cheeks, forehead and upper lip. Only ten percent of those affected by melasma are men.


  1. Affirm™ Fractional Laser Treatment
  2. Chemical Peel

Although the cause of melasma is still unknown, it seems that persons with a family history of melasma are more susceptible to developing the condition. Melasma is often triggered by a significant hormonal change like pregnancy and is sometimes called the “mask of pregnancy.” Other factors that can initiate the onset of melasma include birth control pills, sun exposure, and strong UV light exposure.

From a scientific standpoint, the process that develops melasma comes from the stimulation of pigment-producing cells in the skin called melanocytes. Because people with darker skin naturally have more melanocytes, the occurrence of melasma is much higher for this group. When a person who is already susceptible to melasma is exposed to the sun, the skin reacts by producing an excess amount of pigment.

How is it treated?

It is possible that melasma may disappear over time for some people; however, it can remain for many years after its onset. If the melasma arrived with the beginning of a birth control pill cycle, it may disappear by discontinuing the prescription. Right now, sunscreen is the most important weapon we have for the prevention of melasma. For those who have already developed melasma, it is crucial that sunscreen is worn all the time to prevent any kind of accidental exposure to UV light.

The Affirm laser delivers a series of microscopic, closely spaced laser spots to the skin while simultaneously preserving normal healthy skin between the laser spots. This preservation of healthy skin results in rapid healing following the laser treatment. The entire face can be treated with the laser in approximately 30 minutes.

Aside from the Affirm laser treatment, there are several other types of treatment available for melasma. Assessment by a doctor will help you determine which method will be effective.

Bleaching creams do not technically “bleach” the melanocytes but cause a decrease in activity of these pigment-producing cells. These creams contain low concentrations of hydroquinone, which is a widely used de-pigmenting agent and is often effective for mild melasma.

With any of the creams, it takes about three months to see an improvement in melasma. With more severe cases, we may prescribe creams with higher concentrations of hydroquinone. Other ingredients that may enhance the bleaching effect of the creams are tretinoin, steroids, and glycolic acid. Sunscreen is essential and comes combined with the bleaching cream in some products.

Two other medications that have been found to help melasma are azelaic acid and kojic acid. It is important to follow the direction of Dr. Bararia or Image by Design’s own medical aesthetician, Jena, carefully in order to get the maximum benefit from your treatment regimen and to avoid irritation and other side effects. Other treatments that may or may not help in the treatment of melasma include chemical peels and XPL, but the results have not been consistent.

Only a doctor can help you to manage or eliminate melasma. If you suffer from melasma, help yourself by avoiding the sun and other skin irritants, and come see us at Image by Design.

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by on Jan.24, 2010, under Conditions, Eyelash Hypotrichosis

Introducing Latisse

LATISSE™ is the first and only FDA-approved, science-based treatment to enhance eyelash prominence as measured by increases in length, thickness, and darkness of eyelashes. 

In the clinical study, 78% had a significant increase in overall eyelash prominence (including elements of length, fullness, and darkness) at week 16.


What is in LATISSE?

The active ingredient in LATISSE is bimatoprost, a prostaglandin which prolongs the growth cycle of the eyelash. By extending the hair growth cycle, lashes grow longer, more lashes remain present, and the result is a fuller, lusher eyelash that’s natural, not coated with sticky mascara or glued on with extensions or false lashes.


How long does it take LATISSE to work?

LATISSE shows lash improvements after a full growth cycle, usually beginning around 4 weeks. By weeks 8 to 10, most users have a growth “pop,” and by 16 weeks, the full effects are in place.

How is LATISSE different from other products like Revitalash?

LATISSE has FDA approval. Plus, you’ll know what’s in the product as the ingredients are right on the package label. Results are proven with scientific studies. LATISSE is a product of Allergan with the identical active ingredient in use for many years in the ophthalmologic sector. That means there is industry-leader research, safety testing, and established safe use directives.

How do I use LATISSE?

A once daily application is all that is required. This is done at night after cleaning the face, removing any eye makeup, and removing contacts. The solution is applied only to the upper lash line and the excess solution is blotted. Because the active ingredient affects all hair, it is important to wipe away any solution that drips beyond the lash line to prevent unwanted hair growth. Jena will give you all the necessary application instructions.

How long do I have to use LATISSE?

Ongoing use of LATISSE is required to maintain full results. If you stop using LATISSE, your lashes will return to their original condition. Although, after a full 16 week cycle, some users notice that they can skip 2-3 nights per week and still see satisfactory lash fullness and length. Official product use instructions call for every day application. Individual results will vary.

Latisse Results Timeline

Are there possible side effects?

Throughout clinical trials, some users did experience itchy eyes and eye redness. However, some users found that these irritations went away once they became accustomed to the product or began applying it properly. As with any prescription treatment, always consult with your doctor for information and proper usage of the LATISSE solution. 

Once you know how to apply LATISSE, it’s important to understand a few simple tips to help you make your treatment as effective as possible. 

Follow these guidelines for best results:

•    Think routine 
Try to incorporate LATISSE into your nightly routine. For example, apply it after you’ve washed your face and brushed your teeth.
•    Keep it handy 
Store the LATISSE bottle near your other skin care products or toothbrush, so you won’t forget to apply it each night.
•    Have patience 
LATISSE (bimatoprost ophthalmic solution) 0.03% takes time to work. Only use it once a night and don’t overuse it as this may increase the chance of experiencing eye redness or itchiness.
•    Start fresh 
If your eye makeup remover leaves an oily residue on your eyelids, wipe off any excess oils with soap and water to ensure a clean surface before you apply LATISSE.
•    Follow the rules 
Always use the sterile, disposable FDA-approved applicator provided in the kit. Don’t try to apply LATISSE with a cotton swab. The LATISSE applicator is specially designed to hold a drop and release a drop as well as ensure safety and maximize effectiveness.
•    Don’t play catch up 
If you miss a dose one night, don’t apply more just to catch up. Simply apply LATISSE the next evening and stay on schedule.
•    Beware of germs 
Don’t let the tip of the bottle or applicator come in contact with your fingers or any other unintended surface in order to avoid contamination.
•    Chart your progress 
When you start using LATISSE solution, be sure to mark your calendar and take pictures throughout weeks (week 0, 4, 8, 12, and 16), so you can have your own “Before and After Gallery.”

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by on Jan.24, 2010, under Acne, Conditions

Controlling Acne – A Comprehensive Anti-Acne Program

Acne pimples, cysts, blackheads and whiteheads can ravage a young person’s skin and destroy self-esteem. The best time to begin acne treatment is as soon as it becomes evident. Acne usually progressively worsens if untreated. Prevention and control is preferred – before acne has had a chance to take over and cause scarring and psychological damage.

Acne affects approximately 80% of the population. It’s an inherited skin condition that is controlled by prescription medications, hormone therapy, topical products, Affirm Laser Treatment, XPL, and Chemical Peels.

Acne Affected Areas

  • Face
  • Neck
  • Chest
  • Shoulders
  • Back

Acne is not just a teen’s concern. Many adults well into their 30′s, 40′s and even 50′s still suffer from outbreaks. It is never a good idea to “wait” for acne to go away. In some instances irreversible scarring takes place which becomes costly to even improve.

Acne is a serious problem and it is never taken lightly or dismissed as a passing condition. Your acne problems, regardless of severity, is treated with individualized anti-acne programs that work as quickly and as effectively as possible.

Why do I get acne?

The “cause” of acne is a little bacteria called P. Acnes. This bacteria grows quickly when no oxygen is present. The reason some people have acne and others don’t is that a person with acne has skin cells that don’t slough off at a normal rate. (The skin cell turnover of a person with acne tendencies is much slower than normal.) This slow turnover rate allows pores to become clogged with natural oils. The more oil your sebaceous glands produce, the more acne has a chance to show up. A plug forms and the little P. Acnes bacteria start to multiply. If nothing interferes with this bacteria growth, a pimple or cyst form.

Stages of Acne

  1. normal follicle
  2. open comedon 
  3. closed comedon 
  4. papule
  5. pustule

Basic attack plan of Acne treatments:

  1. Increase cell turnover to keep pores from clogging
  2. Introduce oxygen into the pore to stop the bacteria growth
  3. Use antibiotics to kill and control bacteria
  4. Slow down natural oil production

Specific Treatments for different levels of Acne

Very mild acne can often be treated successfully with non prescription acne-fighting preparations and special cleansers. Because acne skin is sensitive skin, it is important to use products that don’t throw your already wounded skin into deeper distress. Image by Design recommends certain acne-formulation cleansers, toners, moisturizers, spot treatments and sunscreens for acne-affected skin. Along with daily home skin care we also suggest a series of in-office exfoliation treatments.
Mild, Mid-Moderate to Severe Acne to Acne may need additional treatment resources such as oral and/or topical antibiotics, extractions, chemical peels, XPL, and/or Affirm.

Myths about Acne

  • Acne is caused by poor hygiene – Not so. Keeping your skin clean is of course important, but overly vigorous washing will only cause more oil production and aggravate your condition.
  • Acne is caused by stress – Not so. But stress can definitely worsen acne.
  • Acne is caused by diet – There’s no evidence to prove any correlation between diet and acne. However, there has been some speculation that removing dairy products from your diet makes a difference.
  • Acne is just cosmetic and therefore not serious – Anyone with acne knows this is not so. The emotional impact is very serious. Acne scars are a result of skin damage.
  • Acne will go away on its own – Acne can be cleared. Delaying or ignoring treatment options can cause permanent skin damage and prolonged psychological suffering.

Acne Scarring

*INSERT Before  After

Smoothing away the reminders of Acne
Acne scars are painful reminders of a period in your life you’d rather forget.

Before  After

Acne and the resultant scarring are two of the most psychologically distressing conditions a person can endure. Treating acne early will help prevent or minimize scarring and the treatment of existing acne scars helps alleviate anguish and embarrassment.


The Affirm is a fractional resurfacing laser with almost no recovery time. It freshens and rejuvenates the skin, treating fine wrinkles, acne, blotchy pigment, sundamage, scars, and redness.  We helped to develop the Affirm to treat aging skin with a series of 4-6 treatments a few weeks apart. One can resume one’s normal routine after each treatment. Redness and puffiness usually fade within hours to a day or two. There is slight stinging but usually no anesthetic cream is needed, making it a very fast and convenient treatment.


IMAGE ACNE FACIAL- This clinical acne facial is designed for oily, acne and acne prone skin. A combination of salicylic acid and benzoyl peroxide are used to remove excess oils from the skin and attack the acne bacteria. The result – clean, refreshed, healthy, oil-free skin. We recommend a series of 3


Acne lift treatment – A perfect blend of BHA (Salicylic Acid) and AHA (Glycolic Acid) working together to slow down oil production that clogs pores.  Glycolic Acid is a keratolytic agent that breaks up the keratin in the cell, gently exfoliating dead skin cells and increasing cellular turnover.  This dual effect makes it an excellent, safe and gentle peel.  Ideal for young and mature skin that has excess oil and enlarged pores, acne prone, oily and acne skin.


JESSNERs’ LITE – This peel is a perfect blend for anyone who wants to “PEEL”! It is perfect for anyone who desires “Skin Rejuvenation and Textural Improvement”. Recommended for all grades of Acne 1-4 as well as moderate pigmentation.

$150-$250 per treatment (depending on how many layers) Offer a discount for a series of 3

JESSNERS’ RX – When You Are Ready, A More Dramatic Improvement in your skins’ texture in only 7 days! The perfect blend of Alpha & Beta Hydroxy Acids along with Resorcinol, formulated to exfoliate the skin resulting in the peeling of the upper layers of the epidermis with regeneration of new epidermal tissue and “Baby Soft” skin. Ideal for hyper-pigmentation, acne, actinic (sun) damage and for decreasing fine lines and wrinkles.

$175.00-$350 per treatment (depending on the number of layers) 3 Coats ONLY! 

Clear~ Image Exfoliation Treatment

gloSalicylic 30%
Clear Image Exfoliation Treatment deeply purifies pores and improves the appearance of uneven texture and tone. This excellent acne treatment aids in overall skin rejuvenation. We use powerful antioxidants of Bioastin™ and Totarol™ to defend against harmful free radicals to ensure healthier skin.  This treatment is ideal for oily, acneic, thick or problematic skin.

Pure~ Image Exfoliation Treatment


Pure Image Exfoliation Treatment is a powerful combination treatment to refine surface texture and lessen the appearance of discoloration while clearing acneic disturbances in the skin. A synergy of effective exfoliates create a fresh appearance.  Mushroom Extract and Neem Leaf firm and tighten your skin. Experience our triplex combination treatment to enhance skin tone and texture while purifying blemish-prone skin.

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Age Spots

by on Jan.24, 2010, under Age Spots, Conditions

Also called liver spots and solar lentigines, age spots are flat, gray, brown, or black spots.


They vary in size and usually appear on the face, hands, shoulders and arms—areas most exposed to the sun. Though age spots are very common in adults older than age 40, they can affect younger people as well.

Also known as solar lentigines or liver spots, age spots are dark brown marks that appear on the surface of the skin. As we age, age spots appear in the most sun-exposed parts of our skin due to the activation of pigment-producing cells by ultraviolet rays. Age spots that appear on the face are a common occurrence in both men and women and can be effectively treated here at Image by Design. 

Image by Design offers Pigmented Lesion Treatment laser therapy for the treatment of age spots. Pigmented Lesion Treatment laser therapy is a breakthrough in skin care technology and has quickly become the industry standard for efficiently removing age spots and imperfections caused by a wide variety of benign pigmented lesions.


Age spots are flat, oval areas of increased pigmentation — usually brown, black, or gray. They typically develop in people with a fair complexion but can be seen even in those with darker skin. Age spots occur on skin that has had the most sun exposure over the years, such as the backs of hands, tops of feet, face, shoulders, and upper back. 

Age spots range from freckle-size to more than a centimeter across and can group together, making them more prominent. Often, age spots are accompanied by other signs of sun damage, including deep wrinkles; dry, rough skin; fine red veins on your cheeks, nose and ears; and thinner, more translucent-looking skin.


Ultraviolet (UV) light accelerates the production of melanin. Melanin is the dark pigment in the epidermis that gives your skin its normal color. The extra melanin, which is produced to protect the deeper layers of your skin, creates the darker color of a tan. Age spots develop when the extra melanin becomes “clumped” or is produced in higher concentrations than normal. 

Most often, it takes years of sun exposure for these dark spots to occur since they typically develop very slowly over time. Using commercial tanning lamps and tanning beds can eventually result in the same changes. 

In addition to sun exposure, simply growing older can cause the extra production of melanin and subsequent age spots. Genetics also plays a role in how susceptible you are to the development of age spots

When to Seek Medical Advice

You may not like the way they look, but age spots are usually harmless and don’t require medical care. However, your doctor should evaluate spots that are dark or have changed appearance because these can be signs of melanoma, a serious form of skin cancer. 

It’s best to have any new skin changes evaluated by a doctor, especially if a spot or lesion:

•    Is darkly pigmented;
•    Is rapidly increasing in size;
•    Has an irregular border; or
•    Has an unusual combination of colors


Laser treatment can remove the imperfections caused by a wide variety of benign pigmented lesions. Below are answers to some of the most common patient questions.

How does laser treatment work?

Selective absorption of laser light pulses by melanin-containing skin cells causes the targeted cells to scatter and degenerate while significantly decreasing potential damage to surrounding tissues. The dead cells are then removed from the skin by the body’s immune or lymphatic system.

Are there any side effects to treatment?

Overall, treatments are gentle and mild, causing only slight discomfort with minimal side effects.

How many treatments are required?

The number of required treatments is dependent on such factors as lesion depth and size. However, most people with dermal lesions need 5-6 treatments and begin seeing results after only 1-2 sessions.

Is any recovery time needed between treatment sessions?

Although treatment sessions are scheduled approximately 4-6 weeks apart, no rest or recuperation time is required after each visit. You will immediately be able to resume normal activities without restriction.

Am I a candidate for pigmented lesion treatment?

Typically found on the face, shoulders, and other exposed parts of the body, benign pigmented lesions include everything from bluish/purplish, black, or otherwise discolored spots to freckles and sun-damaged skin areas. If you have any such benign conditions, chances are you’re a candidate for treatment.

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