According to Dr. Fung

I’m considering having laser hair removal treatments done, what should I look for in a clinic?
- Misha K, Vancouver, BC

 There are a number of factors to look for prior to starting your treatments. First of all, you want to approach an experienced clinic with longevity in the industry and valid credentials. It takes extensive training and experience on the part of the Laser Technician to deliver optimum results. A professional skin and hair assessment will give you a realistic expectation. You should always obtain a patch test and wait at least 24 - 48 hours before your first treatment as it is an imperative safety procedure to see how your skin will react to the laser.

The equipment used is another determining factor when choosing a clinic. Look for a true medical Diode laser with optimal wavelength. This is the first FDA approved laser, which treats the widest range of hair and skin types safely and effectively. It also comes equipped with a built-in Chill Tip, which provides contact cooling to the skin right before the laser pulses through the skin. In comparison, the Nd: YAG laser or IPL (intense pulse light systems) which can increases the amount of treatments for the same results for most skin types.

Knowledgeable staff is the final key factor in determining the clinic you want to start your treatments with. A comprehensive medical history must be taken to ensure that you are a good candidate. Your Certified Laser Technician needs to be alerted to any medical conditions that might make laser treatments unsafe for your skin. Most important contra-indicator is recent sun exposure.

There are a number of qualified physician-directed clinics in the Lower Mainland. Be sure to find a skin care partner that you trust. It is an important decision and worth the effort and research.

I am confused about the difference between BOTOX and Dermal Fillers. I have wrinkles I want to get rid of but I'm not sure which I need?
- Angela T, Richmond, BC

Many clients come to their consultation with the same question. At all of our Dermal Laser locations we use BOTOX Cosmetic to prevent wrinkles, and for fillers either Restylane, Perlane, Juvederm or RADIESSE. BOTOX and fillers can work independently or together to treat wrinkles. Both products are injected and are used safely without the need for allergy testing.

BOTOX works by relaxing the muscles that cause dynamic wrinkles. For example, everyday expressions contract muscles that create frown lines, horizontal lines on the forehead and crow’s feet around the eyes. Like an accordion, over time your skin develops creases due to the repeated expressions. BOTOX also prevents some lines from becoming permanent. You will still look natural after your injections, but you won’t have the unwanted expressions that cause static lines.

If lines can be seen when your face is at rest, you may need dermal fillers for wrinkle reversal, and Botox to stop the lines from getting deeper. You may be concerned with horizontal lines on the forehead caused by raising the eyebrows. Botox can stop you from making them worse, and then fillers can be used to correct the permanent lines that already exist. Even deeper creases like the nasal labials (from the corner of the nose to the mouth) can be softened with dermal fillers. Hatch marks around the mouth, and thinning lips due volume loss as we age can also be treated successfully.

The best way to get information about this is to have a consultation with an experienced physician. You will be able to see before and after photos, have an assessment and find out more about the products. If you choose to go ahead with a treatment you will probably want to have a follow up appointment after your first treatment to make sure that you are getting the best and most long lasting results possible.