Ask the Beauty Expert: Q&A

Here are some of the most commonly asked questions:


Botox, Newtox, Dysport & Xeomin are all neuromodulators.  They act by blocking communication between the nerve and the corresponding muscle.  It is a purified protein that is injected directly into the muscle that we want to keep relaxed.  It is used to soften, or relax, the frowning muscles between the eyebrows, the forehead and around the eyes during dynamic motion. When used in appropriate amounts, this treatment results in a more rested but still natural looking appearance. Neuromodulators do not act immediately; it can take up to 2 weeks for the full result.  It lasts 3-5 months.

Filler is a product that replaces volume to the face.  As we age, we lose fat pads on our face that result in a deflated appearance.  Hyaluronic acid fillers can be used to replace some of the volume that has been lost over time.  It can also be used to augment facial features such as the chin, nose and jawline.  You can consider filler to be a type of temporary implant. Typical areas include cheeks, lips and jawline.  The most commonly used filler is made with Hyaluronic Acid which is something that is already part of our skin.

Filler is placed using a small needle or a blunt tipped cannula.  Some filler brand names include Juvederm, Teosyal, Perlane and Restylane.  Filler products typically last between 6-24 months depending on the area it is injected into as well as the type and amount used.  The results of Filler can be seen immediately.  Bruising and swelling are the most common side effects but more serious complications can occur.  A consultation and discussion prior to a treatment will help ensure that side effects are minimized as well as ensuring that you and the injector are clear on what the treatment outcome should be.  Natural looking results can be obtained with this product.


One of the results of sun damage is the presentation of pigmentation or sun spots.  Pigmentation is the bodies way of protecting the skins DNA.  Once your skin produces pigment as its form of protection, it will stay with you.  Pigmentation results in an uneven skin tone.  This unevenness changes how the light reflects off your skin resulting in shadows.  This shadowing emphasizes any sagginess or aged appearance.

The most common and very successful treatment for sun damage pigmentation is Intense Pulse Light Treatments (IPL).  This is when a specific wave length of light is directed at your skin.  The light breaks up the pigment and the pigment sloughs away over the next few days.  This treatment is done during the fall and winter months when treated skin does not have a tan.  Proper skin type assessment is important prior to this treatment to avoid complications. Hormonal influenced pigmentation (melasma), should not be treated with IPL but instead with specialty skin care products.


In one word, EXFOLIATE!  As we age the natural process of dead skin lifting off easily is decreased. Our cell regeneration (where new cells are produced and pushed up to the surface), is slowed as well. Using mechanical and/or physical exfoliation is important to help lift off the dulling dead skin and to help stimulate the production of new skin cells. Removal of dead skin cells result in smoother and glowing skin. Getting a professional exfoliating treatment such as a type of microdermabrasion or chemical peel every season change is highly recommended. Home care that includes a skin appropriate type of exfoliation helps to maintain the results. Not all skin types can use all types of exfoliation methods. Consult a skin care specialist to get a recommendation for the best homecare product as well as tailoring a professional exfoliating treatment to your skin type. When dead skin cells are decreased, your serums and moisturizers can do their job.


There are 2 general types of moisturizers: one is to give your skin a drink of water and the other is to seal in the moisture and reduce trans epidermal water loss.  For combination skin you may need a hyaluronic acid gel or serum for that initial dose of hydration, or drink of water, and then a moisturizer to lightly seal in the hydration to areas where it is needed.  A skin care specialist can help you choose the best product for you.

Do not forget the importance of making sure your skin is appropriately exfoliated.  It is a common mistake that individuals with oily skin overly exfoliate which actually stimulates more oil production.


Acne scars result from inflammation of acne blemishes. The acne pore swells and the wall of the pore breaks down.  Small blemishes are small and heal quickly but larger blemishes impact more tissue and cause deeper scars.

Collagen remodelling is the treatment of choice to deal with scars after the acne is cleared.  A popular method of collagen remodelling is Microneedling with or without Radio Frequency.  Microneedling causes controlled micro-injuries that stimulate the body’s natural wound healing process while also minimizing cellular damage.  The result is a noticeable improvement of scar tissue with overall structure of the skin being kept intact. Downtime is 1-2 days after microneedling treatments. Skin will be red or moderately pink for 24 – 48 hours followed by dry feeling skin.  A series of 3 – 5 treatments every 4 weeks is the recommended protocol.

There are home dermarolling devices available for purchase.  While both professional microneedling and at-home dermarolling work similarly, creating micro-wounds in the skin’s surface to stimulate collagen production – at home dermarollers achieve different results than that of microneedling done in a professional clinic. The micro-wounds created with an at home dermaroller do not go deep enough to get effective results.  Professional treatments offer customizable depths of micro- injuries for maximum collagen and elastin production.

Written By: Sue Wagner, RN, owner of Skin Appeal, Orangeville

Author: LivingSpaces

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