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woman with crows feet who needs botox
Botox is an injectable solution that can be used to temporarily prevent individual nerves from passing the electrical signals that cause associated muscles to contract.
Botox is widely used to reduce facial lines and wrinkles that are the result of facial muscle contractions – basically, any line or wrinkle that becomes more apparent when you activate certain facial muscles can be made less apparent by reducing or eliminating the ability of those muscles to operate.
Botox can be applied after lines and wrinkles have already developed, in which case it can stop the lines from worsening; in many cases, it can significantly reduce or even eliminate these lines. Botox can also be used proactively by applying it judiciously before facial lines have even had the chance to develop. Using Botox this way requires considerable skill and experience on the part of the practitioner to predict exactly how these lines will develop in the future.

How Can Crow’s Feet be Treated?

“Crow’s feet” refers to the fine lines that typically develop around the outside corners of the eyes; they’re often also referred to as “smile lines”, but they can be caused not only when we smile, but also when we squint. Although these lines are directly related to muscular contractions, they’re also more likely to appear as we age, as our skin starts to lose its collagen, and consequently becomes thinner and less elastic. The skin around the eyes is relatively thin to start with, so any further thinning can easily have visibly negative effects.
Applying Botox to the facial muscles located near the corner of the eye will cause these muscles to relax as they no longer receive the nerve signals that cause them to contract. This muscle relaxation will in turn result in the smoothing of the adjacent skin layers, effectively reducing or even eliminating visible crow’s feet lines.

Choosing the Right Practitioner

It’s important to apply the minimum possible dose of Botox to eliminate any undesirable side effects, especially when the injections are placed close to the eye. This is one more reason why you should ensure that the practitioner you choose to perform this procedure is both medically qualified and highly experienced. Botox injections are often combined with the use of dermal fillers, which can help to compensate for the lost volume and thin skin that also occur as we age.
You should see the results start to develop within a few days of being treated; the benefits of a Botox treatment typically last several months before you might consider a follow-on treatment to prolong the effects.

Your Laser Skin Care

Your Laser Skin Care practitioners are medically qualified and very experienced in providing Botox treatments. We also have extensive experience with a wide variety of other non-invasive cosmetic procedures, including dermal fillers. We can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information.
Varicose veins on female legs in the area of the knee and calves. Close-up
Spider veins are a less severe form of varicose veins, caused by blood flow problems in the veins, and especially by malfunctioning valves inside the veins. It’s possible to treat spider veins, depending on their size and severity, using laser treatments, or sclerotherapy. Laser treatment uses light and heat energy to seal off affected veins; Sclerotherapy involves injecting a solution directly into the affected vein, which causes the vein to contract and eventually completely close and wither away.

Chances of Reoccurrence

Following laser or sclerotherapy treatments the treated veins cannot return, however, the body is able to form new blood vessels to replace the treated ones. If your body continues to have blood flow problems then you should expect that new spider veins will eventually form. Fortunately, if they do return they will typically be less severe; it may also be a considerable time before any reoccurrence becomes visible.
You should ensure that you select a sclerotherapy practitioner who is both medically qualified and highly experienced. This combination will help ensure that your treatment is correctly and professionally performed; this will greatly reduce the chance that unwanted spider veins are incompletely eliminated, or that they are likely to quickly return. You will also want the cause of your blood flow problems to be medically evaluated, so that appropriate treatment is identified if they’re caused by more severe underlying medical problems.

How to Reduce the Chance of Return

The blood flow problems that cause spider and varicose veins to develop can be due to a host of different causes. These range from lack of sufficient exercise, wearing over-tight clothing, being overweight, or having a poor diet. They can also be due to a number of more serious health problems, several of which are hereditary in nature. Obviously adopting a more healthy lifestyle will reduce or delay the chance of spider veins returning. Compression stockings can also be an effective way to prevent the development of further spider veins. Your practitioner should be able to provide you with detailed information on how best to achieve this.

Your Laser Skin Care

Your Laser Skin Care practitioners are medically qualified and experienced in diagnosing the cause of spider veins, and also in providing sclerotherapy and laser vein treatments to treat the condition. We also have extensive experience with a wide variety of other non-invasive cosmetic procedures and can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information.
woman with dissolved lips after lip filler
Injectable lip fillers are an extremely popular way to achieve the plump contoured lips that are currently in demand. In the hands of an experienced and medically qualified practitioner, it’s possible to achieve enhanced lips while still remaining natural and healthy looking.

Why Might Lip Fillers Need to be Removed?

Unfortunately, we come across many patients who had somewhat unreasonable expectations for how much they could enhance their lips and went to inadequately experienced practitioners who went along with their patient requests, resulting in over-enhanced and unnatural-looking lips. Duck lips is the term commonly used to describe over-enhanced lips, but we also commonly see asymmetrical-looking lips and other unnatural-looking unwanted results.
In other cases the original lip filler was professionally and correctly applied, but (for various reasons) the filler has migrated away from the intended area, resulting in unwanted results. Worse still, once the filler has moved away from its intended area, it can continue to move over time.

How Can This be Accomplished?

Fortunately, all lips filler products are based on hyaluronic acid, and there exists an enzyme (hyaluronidase) that is able to break down and dissolve hyaluronic acid. This means that it’s quite easy to reverse the unwanted effects of the over-enthusiastic use of lip fillers. All dermal fillers will eventually be absorbed by the body; hyaluronidase simply greatly accelerates this natural process.

The Procedure

Hyaluronidase is applied using similar injections as are used to apply the lip fillers; it’s normally able to essentially reverse the effects of lip fillers in three to four days, in most cases.
Injecting Hyaluronidase will be accompanied by the application of the same topical numbing ointments used when performing the original lip filler procedure. The procedure may also be accompanied by a burning sensation; your practitioner should take precautions to minimize this discomfort. Light massage of the treated area ensures that the dissolving of the unwanted filler occurs evenly over the whole area being treated.
You should expect some temporary swelling and bruising following treatment; these should dissipate within a day or two following treatment.

Your Laser Skin Care

Your Laser Skin Care practitioners are medically qualified and experienced in providing both lip filler procedures, and in reversing any unwanted effects of the same procedure. We can provide expert advice on the best ways to address your particular situation. We also have extensive experience with a wide variety of other non-invasive cosmetic procedures and can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information.
woman getting botox in her underarms
Although Botox is well known as an effective way to reduce or eliminate facial lines and wrinkles, it has another lesser-known usage — treating excessive sweating.

How Botox Controls Sweating

Botox helps reduce facial wrinkles by blocking the nerve signals that cause associated muscles to contract – if muscles don’t receive signals telling them to contract, then any wrinkles linked to the muscles will become less visible.
Botox’s ability to block nerve signals can also be used selectively to prevent sweat glands from producing excessive levels of sweat. The FDA has approved the use of Botox to control excessive underarm sweating; it can also be used to control excessive sweating in other body areas. These areas include the scalp, face, hands, feet, and under-breasts.
Underarms are a relatively sensitive part of the body – although Botox needles are extremely fine and only inject just under the skin’s surface, and your practitioner will apply topical numbing ointment before treatment, it’s normal to experience some mild discomfort during the procedure.

Associated Benefits

Reducing sweat can also significantly reduce associated body odor – sweat creates the ideal conditions for odor-causing bacteria to multiply, especially in warm moist areas where the sweat cannot evaporate quickly. Most often this occurs in the armpits.
Note that using Botox to reduce excessive sweat does not mean that it should be used to try to totally eliminate sweating. Sweating is the body’s mechanism to cool down when it becomes overheated; it’s not healthy to try to totally eliminate this mechanism from working. Use Botox to reduce excessive sweating, and use traditional deodorants to control any remaining odor.

How Long Will the Benefits Last?

You should see results start to become apparent after a few days; they will continue to develop over the next week or two.
Under-arm Botox therapy may only require a single treatment; other body areas may require more. In common with facial wrinkles Botox treatments, the results are not permanent. You should expect the results to last between six months to a year; you may also find that this period will grow longer over time, as you repeat the treatment.

Your Laser Skin Care

Your Laser Skin Care practitioners are medically qualified and experienced in providing Botox treatments, for both wrinkle control and excess sweating. We can provide expert advice on the best ways to address your particular situation. We also have extensive experience with a wide variety of other non-invasive cosmetic procedures and can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information.
Beauty laser technician performing a cosmetic skin resurfacing session on a female patient, also called a photofacial
IPL stands for Intense Pulsed Light – in this case not from a fine-tuned laser, but from a broader range of light frequencies. These high-intensity light pulses pass deep into the skin layers and are able to treat a range of cosmetic problems, including fine lines and wrinkles, sun damage, age spots, and rosacea.
The IPL energy is absorbed by red blood cells, and by melatonin, which is responsible for the skin’s pigmentation. The intense light energy causes damage to the blood cells and unwanted blood vessels, as well as breaking up melatonin cells, thereby smoothing out uneven skin pigmentation. IPL is also reported to stimulate collagen production.

The Treatment

Your practitioner will first apply a cooling gel to the areas being treated, and will also provide eye protection.
The light pulses are generated by a handheld device that is applied to the skin. You will probably feel the pulses as they occur, often described as feeling like a rubber band flicking the skin. Some light applicators also cool the skin at the same time, which can further reduce discomfort.

Side-Effects

It’s common to experience side effects after IPL treatment – generally, the treated area experiences mild redness and swelling. Your skin’s pigmentation may also become discolored. The redness generally only lasts a few hours, while pigmentation changes may take a week or longer to completely dissipate. Pigmentation spots will typically first darken after treatment before they eventually fade away.

After Treatment

Most patients don’t experience any downtime after treatment, although they may decide to cover up any redness with makeup after a day or so.
Your practitioner will recommend avoiding sun exposure immediately afterward – this is especially important as the procedure will make your skin more sensitive (and easily damaged) than normal. Using sunscreen is also very highly recommended.

Results

Most patients see all IPL Photofacial benefits a week or so after treatment. It’s generally necessary to perform anywhere from three to three to five monthly treatments (depending on the severity of your skin damage) before maximum benefits can be achieved.
The results of a full course of treatment can be expected to last for a year or longer. This assumes that you limit sun exposure, apply sunscreen regularly, and don’t allow your skin to become damaged again.
Research indicates that IPL Photofacials can actually provide a general rejuvenating effect to your skin – repeating the procedure annually has been shown to create ongoing long-term positive effects.

Your Laser Skin Care

Your Laser Skin Care practitioners are medically qualified and experienced in providing IPL Photofacial treatments. We can provide expert advice on the best ways to address your particular situation. We also have extensive experience with a wide variety of other non-invasive cosmetic procedures and can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information.
Lip Augmentation. Woman Getting Beauty Injection For Lips
If you have thin lips and want a quick, safe, and easy way to enhance them, then lip fillers are what you’re looking for. The procedure involves injecting a dermal filer product into the lip area. Quite understandably many first-time patients are nervous about the procedure, so we’ve put together some answers to the typical questions that we get asked.

Is the Procedure Painful?

In general, no. The needles used are extremely thin. Your practitioner will apply a numbing cream beforehand and some ice afterward; together these will greatly reduce any pain or discomfort. Your lips are a particularly sensitive part of the body, so it’s normal that you’ll feel some sensation during the procedure. Let your practitioner know if you have particular concerns about this. In most cases, anticipation is the worst part.

How Quickly Are Changes Seen?

Dermal fillers don’t always provide instant results – it may be necessary to have more than one procedure to achieve the final results you want. It also pays to have reasonable expectations. Some patients have expectations that may not be achievable. Lips can be modified to be plumper, but fundamental changes to their shape may not be achievable. Again, this is an area that your practitioner should spend time discussing with you beforehand.

Can Natural Results be Achieved, and How Long do They Last?

This depends greatly on the experience and skill of your practitioner. There are a large number of different dermal filler products available, including several specifically formulated to provide the smooth, natural texture that is a hallmark of the lips. Your practitioner will probably steer you towards Restylane Kiss or Volbella for lips filler.
The results of dermal fillers are not permanent; they normally last for anywhere between a year to 18 months, depending on your metabolism and lifestyle. You may need periodic touch-ups to maintain the best results.

What Side-Effects Should One Expect?

It’s quite normal to experience minor bruising after the procedure. Sometimes some bruising can develop a day or two afterward; typically it lasts at most five to seven days.
Minor swelling is also a common result. This side effect is normally gone in a few days, but can also sometimes last for as long as two weeks after treatment.
You may notice that your lips feel strange after treatment – this is quite common, and you should definitely factor this into your expectations. Generally allow a week or two for the full results of your treatment to become apparent and for this feeling to dissipate.
Given the likelihood of some side effects developing, it’s prudent to take this into account when scheduling your procedure.

Pay Attention to Preparation and Post-Procedure Instructions

Your practitioner will advise you to avoid several medications and vitamins prior to treatment; it’s important to follow this advice to avoid unnecessary complications and achieve the best results. Similarly, they will advise you to avoid situations where your new lips could be damaged afterward, such as exposure to hot liquids or strenuous physical exercise.

Your Laser Skin Care

Your Laser Skin Care practitioners are medically qualified and experienced in providing a large range of dermal filler products. We can provide expert advice on the best ways to address your particular situation. We also have extensive experience with a wide variety of other non-invasive cosmetic procedures and can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information.
woman receiving cosmetic anti aging procedures at beauty salon. aesthetic treatment. injection vials
When researching the effects of various cosmetic injectable products on the body, it’s unusual to see any mention of the fact that injectable treatments (including dermal fillers and Botox) do not necessarily have identical effects when used on different people. This is one reason why an experienced practitioner will approach new patients cautiously, applying products judiciously until they’ve established exactly how each patient reacts to different products and dosages.
The term metabolism refers to the various complex processes that together determine how effectively the body digests and converts the food and liquids that we consume. Our metabolism converts the calories we eat and the oxygen we breathe into energy, this energy in turn fuels all the body’s functions and processes. This includes everything that we need to stay alive, including breathing, maintaining blood circulation, growing and replacing damaged cells, and regulating the myriad of chemical and physical processes, such as maintaining hormone levels and body temperature. Everyone’s metabolism is different; they reflect our genetic history, medical history, the diet we consume, and lifestyle that we follow. Needless to say, this is a very complex subject!
With respect to today’s blog, however, metabolism plays a key role in how our body reacts to injectable products introduced into the body, and how effectively (and quickly) our body breaks down and eventually disposes of these products.

Metabolic Rate and Absorption of Injectables

The effects of Botox and the various injectable dermal filler products are not permanent – they only last for a certain period, after which they gradually disappear as the product is absorbed into the body and eventually eliminated. Our metabolic rate governs how slowly or quickly this happens.
It’s not generally possible to predict with certainty how long injectable results will last, but as a general rule people who have active lifestyles, and especially those that exercise regularly will have faster metabolic rates, and will consequently need to repeat their cosmetic procedures more often than those who are sedentary. Muscular individuals also tend to have faster metabolisms than slender people. Bear in mind that these are observations drawn from looking at large numbers of patients – there are always exceptions, such as some unusually fit people for whom Botox injections last much longer than we might estimate.
There is one recommendation, however – avoid strenuous exercise for a few days after any procedure involving injectable products. This gives the product time to spread and start to take effect. After about three days it’s generally considered safe to resume regular exercise.

Effects of Product Formulation

While the Botox formula is standardized, there are large variations in the formulation of the various dermal filler products that are available. Some include ingredients that provide more long-lasting results than others, especially those products designed to add a more rigid large-scale structure. Your practitioner will take all these variables into account when recommending when you should return for another session.

Estimating When to Repeat a Procedure

Even something as simple as determining how often a procedure needs to be repeated can be far from straightforward. For cosmetic issues there is often no objective way to measure the benefits – there are psychological factors that lead some patients to continue to experience the benefits of a procedure even after the physical effects have disappeared. Here at least a professional medically trained practitioner should be able to provide an impartial viewpoint and offer suggestions based on their particular experience.

Your Laser Skin Care

Your Laser Skin Care practitioners are medically qualified and experienced in providing both Botox and dermal filler procedures. We can provide expert advice on the best ways to address your particular situation. We also have extensive experience with a wide variety of other non-invasive cosmetic procedures and can help you choose the safest, most effective, and most cost-effective way to achieve your cosmetic goals. Call us at (323) 525-1516 to schedule a free consultation, or visit us online for more information.
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Meet Dr. Fedonenko

Dr. Fedonenko is a member of the American College of Physicians and is Board Certified in Internal Medicine.

She completed her Residency at the University of Virginia School of Medicine in 1998 and since then has specialized in Cosmetic Dermatology.

She obtained additional training in aesthetic medicine procedures soon thereafter, and the results of her extensive training and experience show in each and every patient’s face. She’s a doctor that can truly been trusted with your skin care and anti-aging needs.

Our location

6221 Wilshire Boulevard,
Suite 102, Los Angeles, California 90048
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