Aesthetics Specialist

Bertina Hooks, MD -  - Internal Medicine Physician

Phoenix Health & Wellness PC

Bertina Hooks, MD

Internal Medicine Physician located in Fair Oaks, CA

The next component of the medical practice is a medical spa that would offer aesthetics services such as injectable fillers, Botox, hydrafacials, microdermabrasion, chemical peels, as well as lash extensions and laser treatments. The medical spa would also offer massages and other treatments to enhance overall health. It would also provide education about health and wellness and courses such as yoga or Pilates to help improve overall health. Dr. Hooks has always had an interest in aesthetics and health enthusiast and would like to promote products that she believes promote health and wellness. She would like to implement a medical weight loss program as well.

Aesthetics Q & A

“Health and wellness are intertwined and a medical spa and practice can provides a holistic approach to addressing patient’s health concerns and needs.”  -- Dr. Bertina M Hooks

 

Medical Spa Services to be provided:

  • Injectable fillers like Restylane or Juvederm
  • Botox
  • Microdermabrasion and chemical peels
  • Hydrafacials
  • Laser for hair removal and scar removal
  • Skin care products
  • Cool sculpting and body contouring
  • Platelet rich plasma injections

Medical weight loss services to be provided:

  • Medical management and weight loss programs
  • Fitness classes including yoga and Pilates
  • Weight maintenance programs

Hydrafacial

A hydrafacial is a 4 part hydradermabrasion procedure that combines cleansing, exfoliation, extraction, hydration and antioxidant protection simultaneously, resulting in clearer, more beautiful skin with no discomfort or downtime. The treatment is soothing, moisturizing, non-invasive and non-irritating. 

What are the indications for hydrafacial?

The hydrafacial or hydradermabrasion procedures is indicated for all skin types for the following conditions:

  • Fine lines and wrinkles
  • Skin elasticity and firmness
  • Skin tone and vibrancy
  • Skin texture
  • Hyperpigmentation
  • Oily and congested skin (acne)
  • Enlarged pores
  • Signs of aging
  • Sun damage
  • Sensitive skin
  • Rosacea

What are the contraindications?

HydraFacial MD is not recommended if you are pregnant or breast feeding, if you have had a recent light or laser treatment, chemical peel, facial waxing, recent facial steroid injection, recent microdermabrasion, recent surgical procedure or skin infection, recent sun burn or recent changes in moles or growths in the treatment area. If you have skin sensitivity to light or porphyria (a metabolic disorder that can lead to light sensitivity) then the LED treatment may not be recommended. Medications such as thiazides (for high blood pressure), certain antibiotics (such as tetracylines, fluoroquinolones, griseofulvin or sulfonamides), sulfonylureas (used to treat diabetes), phenothiazines (used to treat certain emotional problems or induce sleep), Accutane, Gold therapy, St John’s Wort and Ginko Biloba may increase your sensitivity to the treatment and increase the risk of side effects and should be stopped prior to treatment. If you have an active or unstable medical condition such as a seizure disorder, cancer, autoimmune disease or diabetes then treatment should be deferred. If you have a history of cold sores, let us know and an anti-viral medication may be prescribed by the physician at your consult. You may notice increased bruising if you are on aspirin or other blood thinners. Recent Retin-A or retinoid use may make your skin more sensitive and red so it is advised that retinoids be avoided 3 days prior to the hydrafacial.  

What are the benefits?

  • It is a medically graded procedure
  • It is customizable
  • No recovery time
  • Instant and long lasting results
  • Non irritating, hydrating
  • Uses natural ingredients

What is the risks of the hydrafacial?

None.  Please refer to the contraindications above.

What is the procedure like?

The hydrafacial is 30-60 minute procedure that uses water or hydradermabrasion to clean, exfoliate, extract, and hydrate the skin.  The first step uses a specific deep cleansing solution to cleanse the surface of the skin removing the initial layer of oil and dirt.  Next exfoliation with a light chemical peel (combination of glycolic and salicylic acid) to remove debris or dead skin. The chemical peel lowers the pH of the skin breaking the bonds that hold the upper dead layers of the epidermis together to allow for gentle removal of dead skin with irritation.  The third step is extraction where the vortex suction easily dislodges blackheads, whiteheads, and sebum (oil) to extract impurities from the deep within the pores. Antioxidants and hyaluronic acid are infused into the cleansed skin to hydrate, nourish, and protect the skin. The final step involves LED light therapy.  The red LED light helps to simulate collagen and elastin improving tone, texture, and pigment issues while the blue LED light is good for oily and acne-prone skin. A combination of red and blue LED light treatment can help improve rosacea.

What is the cost?

The average cost is $150-300 depending on the customizable treatments added.  

What are the expected results?

Many clients report seeing visible skin refinement and an even, radiant skin tone after just one treatment. The smooth results and hydration may last 5 to 7 days or even longer. For maintenance, one treatment per month is recommended for improving the appearance of fine lines, wrinkles, brown spots, oily and congested skin. Continued HydraFacial treatments are highly recommended to maintain skin health results.

Injectable dermal fillers

Dermal fillers are approved by the Food and Drug Administration (FDA) for use in helping to create a smoother and/or fuller appearance in the face, including nasolabial folds, cheeks and lips and for increasing the volume of the back of the hand.

These fillers are absorbable or permanent.  FDA approved fillers include Juvaderm or Restylane which are hyaluronic acid which are temporary dermal fillers for moderate skin wrinkles such as in the nasolabial fold.  

 

What are the risks?

Common side effects include:

  • Bruising
  • Redness
  • Swelling
  • Pain
  • Tenderness
  • Itching, rash
  • Difficulty in performing activities (only observed when injected into the back of the hand)

Less common side effects include:

  • Raised bumps in or under the skin (nodules or granulomas) that may need to be surgically removed
  • Infection
  • Open or draining wounds
  • A sore at the injection site
  • Allergic reaction
  • Necrosis (tissue death)

The following rare side effects have also been reported to the FDA:

  • Severe allergic reaction (anaphylactic shock) that requires immediate emergency medical assistance
  • Migration/ movement of filler material from the site of injection
  • Leakage or rupture of the filler material at the injection site or through the skin (which may result from tissue reaction or infection)
  • The formation of permanent hard nodules in the face or hand
  • Vision abnormalities, including blindness
  • Stroke
  • Injury to the blood supply, 
  • Damage to the skin or the lips

FDA approved fillers include Juvaderm or Restylane which are hyaluronic acid which are temporary dermal fillers for moderate skin wrinkles such as in the nasolabial fold.  

What are the contraindications?

All Dermal Fillers

  • Your skin is inflamed or infected. If you have an active inflammatory condition, (cysts, pimples, rashes, or hives) or infection, dermal filler injection should be delayed until this inflammatory condition has been managed.
  • You have a bleeding disorder.
  • You have severe allergies or have a history of anaphylaxis (acute allergic reaction).

Dermal Fillers Containing Certain Materials

  • You are allergic to collagen or eggs when considering dermal fillers that contain collagen or egg-derived products.
  • You are allergic to animal products when considering dermal fillers that contain materials from animals.
  • You are allergic to lidocaine when considering dermal fillers that contain lidocaine. 
  • You are allergic to bacteria when considering dermal fillers that contain hyaluronic acid material derived from bacteria fermentation.

If you are interested in dermal fillers, please contact Dr. Hooks at Phoenix Health & Wellness PC at (916) 299-6501 to have a consultation about the appropriate filler for you and if you are an appropriate candidate for filler.

Platelet-rich plasma (PRP) with Microneedling

PRP is platelet-rich plasma concentrate that contains growth factors and cytokines that boost cell turnover to promote healing and reduce inflammation.  PRP can increase elastin and collagen, increase skin tone, diminish hyperpigmentation, and improve skin texture (reduce fine lines and wrinkles). PRP is used in several medical and surgical specialties including the following:

  • Sports medicine and orthopedics for athletic or sports medicine injuries
  • Dermatology and plastic surgery for hair loss and wound healing

What is the procedure?

The PRP process takes about 30-60 minutes which includes the preparation of the plasma product and the procedure itself.  Since 2009, two PRP preparation methods have been approved by the FDA. For 7 days prior the procedure, the patient will be instructed to avoid any non-steroidal anti-inflammatory medications including aspirin, naproxen, and ibuprofen and any anticoagulants like warfarin/coumadin, Plavix (clopidogrel), and Pradaxa (agatroban).  The plasma is applied topically to the skin after a microneedling treatment. Topical lidocaine applied to anesthetize the area to be microneedled. Use of a microneedling device such as a micropen is used to cause controlled injury or microtrauma to the skin. Before the microneedling is done, a blood sample is drawn from the patient.  The blood sample is centrifuged to separate the patient’s blood into liquid (plasma) and blood cells which takes about 15 minutes. The separated plasma is prepared for injection. Imaging especially ultrasound is used to pinpoint the special areas for injection and the medical provider injects the PRP into the affected area. The plasma is rich in growth factors that promote healing and cell turnover.  The microneedling allows a means to introduce the plasma and for the growth factors to penetrate the skin and stimulate elastin and collagen production, reduce hyperpigmentation, and improve skin tone and texture.

 

What is the cost?

This procedure is cosmetic and elective and is not covered by most insurances.  The cost varies on the location, facility, and the expertise of the physician performing the treatment.  The procedure costs approximately $500-1200 per treatment on average.

What are the potential benefits?

The potential benefits include:

  • Hair growth
  • Tissue healing for tendon, ligament, and muscle injuries (acute and chronic)
  • Inflammation reduction (e.g osteoarthritis)

What are the potential side effects?  

Allergic reactions to PRP are limited due to the fact that the PRP is autologous or harvested from the patient.  If there is any allergic reaction, it can be minimized with cortisone or hyaluronic acid. Other potential risks are irritation. bruising, injection, nerve injuries, pain at the injection site, and tissue damage.  Sid effects include mild nausea, lightheadedness/dizziness, or syncope. You should discuss the potential risks with your doctor along with the interventions your doctor will take to minimize risks. There is a 80% response rate in most cases.

What is the recovery time?  

The patient is to avoid use of non-steroidal inflammatory medication for 14 days after the procedures.  Rest is advised for the first 2 days to minimize complications.

What are the indications for PRP?

The indications for PRP area include:

  • Enhanced facial and face lift
  • Hair restoration
  • Hand and breast rejuvenation
  • Scar revision or rejuvenation

Please call (916) 299-6501 to schedule a consultation to learn more about PRP and determine if you are an appropriate candidate.  

What is Coolsculpting?

Coolsculpting is the world's #1 non-invasive fat-reduction procedure.  It is an innovative way to contour your body by freezing unwanted fat away with no surgery or downtime. Over 6 million Coolsculpting procedures are done worldwide.

CoolSculpting, also called cryolipolysis, is a medical procedure that helps get rid of excess fat cells underneath your skin. While there are several benefits to CoolSculpting, it’s important to be aware of the risks if you’re considering this procedure.

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