Using RF Microneedling to rejuvenate your skin! It goes without saying that aging is inevitable. But getting old? Not so much. We can apply a lot of resistance to getting old. Many say that getting old is only in your mind, and there is a whole lot of wisdom and truth in that statement. But looking old isn’t just in your mind. Looking old isn’t just in your mind. There are many things that we have no control over. As we are forced to take part in the inevitable process of aging our bodies start to look older. There are many things that we have no control over. Genetics, environment, and the human condition to name a few. The Yin is, there are plenty of things that we have lots of control over and can use that to our advantage to look much younger than our actual age. There is a Yang, of course, and that is there isn’t a magic pill, yet, and looking young is a lifelong process. Our bodies accumulate a lifetime of cellular and molecular damage that ages our skin. The goal for looking youthful despite your age is to prevent as much of that damage as possible from happening as well as repairing the damage that does happen. We know without any doubt that UV rays damage our skin and cause it to look aged. Sunscreen prevents the UV radiation from penetrating the skin and causing damage. First, let’s discuss prevention. It all starts with SPF. We have a complicated relationship with our Sun. It giveth and it taketh away. It gives us life and strips us of our youthful complexion. But we have a great defense, and that is sunscreen. We know without any doubt that UV rays damage our skin and cause it to look aged. Sunscreen prevents the UV radiation from penetrating the skin and causing damage. On top of that, hats, sunglasses, UV protective clothing, and umbrellas are all great ways of preventing those harmful protons from penetrating our skin.  Our bodies accumulate a lifetime of cellular and molecular damage that ages our skin. The goal for looking youthful despite your age is to prevent as much of that damage from happening and repairing the damage that does happen. First, let’s discuss prevention. It all starts with SPF. We have a complicated relationship with our Sun. It giveth and it taketh away. It gives us life and strips us of our youthful complexion. But we have a great defense, and that is sunscreen. We know without any doubt that UV rays damage our skin and cause it to look aged. Sunscreen prevents the UV radiation from penetrating the skin and causing damage. On top of that, hats, sunglasses, UV protective clothing, and umbrellas are all great ways of preventing those harmful protons from penetrating our skin.
Radio Frequency (RF) Microneedling uses heat energy to encourage the skin to heal. Pulses of energy released into the dermis stimulate collagen and elastin production providing a tightening and smoothing effect. The old damaged skin is sloughed off revealing new skin with a younger appearance.
Because it only affects a small fraction of the skin, downtime is short (a few days) compared to more intense ablative laser services or chemical peels. At SkinWise Rx we have multiple RF microneedling devices that provide reliable and comfortable treatments and results. RF Microneedling will also improve wrinkles, texture, acne scars, active acne, cellulite, and hyperhidrosis (too much sweat). Importantly, RFmicroneedling is effective on all skin tones and types because the needles deliver heat evenly and directly beneath the epidermis.
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 Introducing AGNES - Precision RF TechnologyAGNES Precision RF is a new, unique nonsurgical radiofrequency (RF) device that uses micro-insulated needles to precisely penetrate the skin at specific points, delivering RF energy to reduce unwanted fat and improve skin laxity. Each of the micro-needles is partially insulated minimizing unnecessary damage to surrounding tissue, delivering unparalleled precision to your aesthetic procedures. This revolutionary technology also reduces recovery time and allows technicians to customize treatments to your individual needs. AGNES Precision RF is a transformative technology that gives you solutions with the need for surgery.
AGNES Precision RF is a transformative technology that gives you solutions with the need for surgery. It is designed for both dermatological and aesthetic treatments. Permanently destroying fat and tightening the skin at the same time.
 Choosing The Best Neuromodulator For YouInjectable neuromodulators are a fantastic solution for dealing with fine lines and wrinkles that can make us look older than we may prefer to look. Understanding and choosing a neurotoxin can be a difficult and overwhelming process that is made much easier with the help of an experienced medical expert like Dr. Doser, DNP, FNP-C. Let’s start with what neuromodulators are. First, the clinical definition - “Neuromodulators are an extensive class of exogenous chemical neurological insults that can adversely affect function in both developing and mature nervous tissue.” That description is simultaneously hilarious, boring and terrifying! And it doesn't make much sense, so…. let’s go with the layman’s definition. Neuromodulators are injectable solutions that temporarily block nerve receptors in the muscle, decreasing the depth of lines and wrinkles that form in the face. It also allows for the baby cells that make collagen to start to produce again causing softening over time with regular use. "Understanding and choosing a neurotoxin can be a difficult and overwhelming process." Neurological “insults'' aside, neuromodulators are a large class of chemicals, a few of which can be used safely and effectively for aesthetic purposes. This class of FDA approved cosmetic treatments include Botox, Daxxify, Jeuveau, Dysport and Xeomin. Like everything in our universe, each of these treatments has both its yin and its yang. Dr. Doser has administered all five of these at SkinWise Rx and therefore has a great deal of insight into what works, what doesn’t and which ones she recommends. Dr. Doser no longer injects Jeuveau and Xeomin because there are better products available, so let’s just talk about the ones she likes and recommends.
 What Is Buccal Fat Pad Removal Surgery?"Buccal fat pad excision, commonly known as buccal fat removal surgery, is starting to trend a bit, or at least causing a stir in the algorithms. It is a surgical procedure that is gaining popularity with some stars in Hollywood. "Surgery" and "trend" are often two words that should give us pause when used together. We will get into the reasons for that in a bit, but let’s first start with explaining what buccal fat is and why someone would want it surgically removed. "Surgery" and "trend" are often two words that should give us pause when used together.
Buccal fat pad excision is not reversible. That may sound well and dandy, however, there are many issues that come along with a procedure like this. First and foremost, surgical procedures carry a certain amount of permanence. If you are unhappy with the results or trends change, reversal of the procedure more often than not requires further surgical procedures. Additionally, our bodies do not stay the same as we age and surgical procedures that we had when we were younger will not look the same. As we age collagen, fat, muscle and bone are lost from the face. The most common areas are the temples, brow, lips, and cheeks. When the cheeks sag, it makes the smile lines and tear troughs deepen. Fat and bone will also migrate to different parts of the face drastically changing its shape. As these inevitable steps of aging occur the results of previous surgical procedures will change. The buccal fat pad naturally disappears as we age. If fat from the pad is removed it can cause one to look prematurely aged and can even distort the face. The buccal fat pad is one of those things that naturally disappears as we age. If fat from the pad has already been removed it can cause one to look prematurely aged and can even distort the face. Attempting to get a more well defined jawline by having buccal fat pad excision in our twenties could result in additional surgeries to replace the fat with implants, or years of injecting dermal fillers.
Dermal filler injected along the jawline or cheeks can create the same desired definition without the permanence or the price tag of surgery. The temporary nature of dermal fillers make them a great way to test if you are going to like the way you look. FDA Issues Stern Warning In a recent safety warning issued by the FDA they state "Many of these over-the-counter fillers are meant to be used with at-home injection devices, none of which have been OK’d by the FDA. [these devices] use high pressure rather than needles to force facial or lip fillers into the skin. The hand-held devices are marketed under names like Hyaluron Pen and Hyla-Pen, and using descriptors like microinjectors, noninvasive injection pens, noninvasive nebulizer syringes, high-pressure pens or sprayer pens." It is extremely dangerous to purchase over-the-counter fillers and even more dangerous to have them injected by a non-licensed individual. It is extremely dangerous to purchase over-the-counter fillers and even more dangerous to have them injected by a non-licensed individual. There are nerves and blood vessels in the face that, when damaged, can cause paralysis or necrosis. The only fillers cleared by the FDA should be injected and must be injected with a needle or cannula by a licensed healthcare professional. The FDA states "The unregulated fillers and devices have been linked to serious adverse events, including permanent damage to the skin, lips and eyes." The American Society for Dermatologic Surgery (ASDSA) has also issued a patient safety alert regarding self-injecting hyaluron pens after videos surfaced online of children/teens buying and injecting themselves and others. The ASDSA stated that “Facial injections require an in-depth knowledge and expertise of anatomy and, when left to untrained consumers, pose the risk of serious injury.” Unapproved fillers are often manufactured in foreign countries that do not do an effective job of regulating the manufacturers of these medical products. It’s not just the delivery system that is dangerous. Unapproved fillers are often manufactured in foreign countries that do not do an effective job of regulating the manufacturers of these medical products. Ingredients can be contaminated with dangerous chemicals, made in unclean environments or even cut with other dangerous ingredients to reduce cost. Once injected these inferior products can cause infections, severe reactions, and even necrosis. These conditions can cause permanent damage and some injected products must be removed surgically. When self-injecting the consumer rarely has a way of knowing if the product they are injecting is genuine or safe. Unfortunately, most of these products are often discovered when clients begin reporting adverse effects from the contaminated or poor quality products. Further, there is little recourse with the manufacturer and little may be done to prevent them from continuing to sell their products. Having your procedure performed by an ethical injector gives you the option to have your hyaluronic acid (HA) lip fillers reversed if you're not happy with the results. An ethical injector will not attempt to reverse an injection if they don’t know exactly what product was injected in the first place because they are unable to predict what the results might be. This unfortunately means that someone who used a hyaluron pen and is unhappy with results are very likely to have surgical removal as their only option. If you received more HA filler than you expected, aren't happy with the appearance of your lips or the results were uneven or lumpy you don't have to live with the results until the filler naturally dissolves in 3-18 months. HA Fillers can be fully or even partially dissolved by an experienced injector. Injections of hyaluronidase can fully dissolve HA fillers if you aren't happy with your results. Hyaluronidase can also be used to partially dissolve HA fillers to even out asymmetrical or lumpy results or to just reduce size if you feel your injections made your lips too full. Dr. Doser, DNP, FNP-C, is a nurse practitioner with a clinical doctorate, the highest clinical degree given in her profession. Dr. Doser echoes the FDA and ASDSA's warnings and highly recommends that any type of medical cosmetic procedure only be administered by a medical professional. When considering an aesthetic medical procedure, first and foremost, you must be able to trust your injector.
Dr. Doser, DNP, FNP-C, is a nurse practitioner with a clinical doctorate, the highest clinical degree given in her profession. Since 2005, she has excelled in the healthcare profession as an educator, nurse practitioner, and lead clinician. Her specialties include aesthetic rejuvenation, high-risk obstetrics, women's health, and urgent care. Dr. Doser has traveled the United States training physicians and nurses on proper injection techniques and the nature of adverse events for Galderma Laboratories and has served as a subject matter expert in the areas of neuromodulators, fillers, and collagen stimulators. She has been featured on Oregon's KOIN Channel 6 News, offering her expert opinion on skin care and various health topics. Is Toothpaste An Effective Acne Treatment? Acne is the most common skin condition affecting nearly one of every six Americans. The most common skin condition affecting Americans is acne. That’s probably not surprising to hear. I mean, we’ve pretty much all had acne. More than 85% of us experienced acne as teens. If you’ve perhaps sold your soul to be a member of the other 15% then this blog isn’t likely for you (though you might find my FDA rant useful). For a significant number of people acne unfortunately doesn’t end with the teen years. Many continue to suffer the effects of acne well into adulthood. If you're suffering from adult acne it's important to know that it is treatable and you are not the only one. It affects nearly one in six people in the United States. While adult acne in women is more common, adult acne in men tends to be worse. Acne is the most common skin condition affecting nearly one of every six Americans. Unfortunately, left untreated acne outbreaks can lead to scarring. Scarring can be treated and improved but it's ultimately best to treat the acne before scarring occurs, if possible. Treatments can vary from OTC products for mild cases to prescriptions and laser treatments for severe acne. One ‘hack’ that still manages to make the rounds (thanks to social media) is applying toothpaste to zits. The root of this comes (mostly) from the past. Toothpastes and soaps used to have an antibacterial ingredient called triclosan that was effective at preventing plaque and gingivitis. Triclosan was likely effective in reducing mild acne caused by bacteria. However, as it turns out, triclosan is probably not safe and for the most part no longer used in toothpaste. I say ‘probably not safe’ because it was banned for use in soaps but not toothpaste. That’s a bit of a head scratcher, innit? Here’s why the FDA would ban something in soaps yet claim it’s safe to put in your mouth and likely swallow some of it: The FDA doesn’t do its own testing. The FDA relies on the corporations making fistfuls of money selling dangerous products to provide them with evidence that their products aren’t dangerous. Spoiler alert - The corporations weigh how much money they can make against how much the lawsuits will cost them, rather than by how many people will be harmed by unsafe products. Fun fact! It took more than 80 years from the time we knew that asbestos, mercury and lead were harmful until they were banned. In this case the FDA asked Colgate to prove that a chemical that isn’t safe for external use is safe for internal use, and *feigned shock!* they did. Ok, getting off my soapbox now. Fun fact! It took more than 80 years from the time we knew that asbestos, lead, and mercury were harmful until they were banned. With the exception of one brand of toothpaste, triclosan no longer is used in toothpaste. Triclosan was likely the only real benefit of putting toothpaste on acne. Unless you are using that one brand of toothpaste you aren’t likely to get that benefit.
There are, however, many other reasons not to use toothpaste on acne. Most toothpastes contain either alcohol, hydrogen peroxide or baking soda. Though good for cleaning your teeth they can cause your skin to be dry, red and flakey. Thankfully, there are many very effective options for treating acne today and we don’t need to rely on wive’s tales or hacks. Lash Serum Danger When I was five I was told every Sunday by the ladies at church how gorgeous my thick, beautiful, long eyelashes were. I hated hearing that! So much so that one day after church I grabbed a pair of scissors and I cut my upper eyelashes off. I do not recommend it. When I would rub my eyes my now stubby eyelashes would go inside my lower eyelid and poke it. I was a farm kid with hay fever and other airborne allergies so I had to rub my itchy eyes a lot. It was a valuable lesson that I have never forgotten. "Not everyone is blessed with the stunning lashes I had as a five-year-old and might find it blasphemous that I would cut them off." Dr. Doser's Little Brother
One of the options that has pretty impressive results and is growing in popularity is growth factor lash serums that help promote lash growth. There are a few FDA approved lash serums, but that doesn’t mean they are either safe or effective. So choose wisely as the side effects can sometimes be extreme and irreversible. Choose your lash serum wisely as the side effects can sometimes be extreme and irreversible. Many years ago it was discovered that a component of a glaucoma drug had an unexpected external benefit that resulted in longer, thicker and stronger eyelashes. Called Prostaglandin analogues (PGAs), this class of drugs was modified to be used as an agent to promote lash growth in the beauty industry. But every yin has a yang, and the side effects of this drug could be irreversible darkening of the iris, darkening of the periorbital skin, periorbital hollowing, and volume loss in the periorbital fat pad. Recent studies have shown evidence that use of Latisse, a hormone hair growth promoter which uses PGAs to grow lash hair, can result in permanent fat loss around the eyes causing a sunken appearance of the eyes as well as irreversible displacement of the eye. Known as enophthalmos, it literally means that the eyeball is displaced in the orbital socket. Some of these side effects began to occur as early as one month after beginning treatment. Although Latisse is intended for topical use it stands to reason that it can enter the eye and cause similar changes. SkinWise Rx recommends and exclusively uses AnteAGE lash growth serum because it doesn't contain PGAs SkinWise Rx recommends and exclusively uses AnteAGE lash growth serum because it doesn't contain PGAs and thus won’t result in fat loss around the eyes, enophthalmos, or periorbital hollowing. Anteage's unique serum contains twelve hair growth factors - including hyaluronic acid - and is free of parabens, prostaglandin, and fragrances.
 Introducing RHA DensitySkinWise Rx is one of the first clinics in the U.S. to offer RHA Redensity™ dermal filler. SkinWise Rx has placed its first order of RHA Redensity™! We are proud and excited to be chosen as one of the first clinics in the U.S. to offer the first and only FDA-approved dermal filler designed for injection into both the superficial dermis and dermis to treat moderate to severe dynamic perioral rhytids (smile and laugh lines around the mouth).
RHA Redensity is different from any other dermal filler currently available. It is specifically designed to be resilient enough to adapt to your facial movement, which can provide a more natural look both at rest and while your face is in motion. RHA Redensity has been designed to resemble the natural hyaluronic acid that the human body produces. The natural hyaluronic acid in your skin helps provide moisture, volume, and structure to your skin. Over time, your skin produces less hyaluronic acid. The exclusive manufacturing process helps preserve the natural structure of the hyaluronic acid, allowing it to more closely resemble the natural hyaluronic acid in your skin. It is well suited for addressing Lip lines, Marionette lines, lipstick lines and smoker lines. RHA Redensity last considerably longer than other dermal fillers - up to 15 months! Because RHA Redensity’s unique formulation is similar to naturally occurring hyaluronic acid it isn’t metabolized by the body as quickly as other dermal fillers and lasts considerably longer - up to 15 months! In comparison, most dermal fillers only last about six to nine months depending on your metabolism.
SkinWise Rx is extremely pleased with the results that can be achieved with the RHA collection and are excited to introduce you to the newest member of the collection.  Scars - Love 'em or Treat 'em?Scars - We've all got them and we all feel differently about them. They can be a badge of honor or the bane of one's existence. Scars may remind us of how strong we have had to be to overcome serious injuries or illness or the fortitude it takes to get through a difficult pregnancy. They often can be the source of great stories that involve epic adventures or monkey knife fights. Often they are unwanted reminders of domestic violence, service in wars or the simple fact that the human body is fallible, fragile, and too often frail. How you got your scars and how you feel about them can be deeply personal. At SkinWise Rx we will celebrate with you the scars you are proud of and treat those that you would like to wish away. Scars can be as different as snowflakes and have to be treated uniquely. Scars can be as different as snowflakes and have to be treated uniquely. There are many treatments/combinations of treatments that can be used to address unwanted scars. The combination of your age, the scar's age, its size, skin type, and scar type all affect how a scar should be treated for best results. Silicone gel sheeting has been used for first-line scar treatment for more than 30 years. Over the decades products have continued to improve, reducing costs and providing improved results. So much so that topical silicone gel products are overwhelmingly the preferred and recommended treatment for early scar management and the prevention of abnormal scarring. Exactly how Silicone Gel Sheeting works to improve scars is still being discussed and disputed in the medical field, what no one is arguing is if SGS works. "SGS improves hypertrophic scars, keloid development and recovery." It is generally believed by the medical community that SGS keeps the wound hydrated and closes off the blood vessels in the area suppressing the creation of scar cells. Silicone Gel Sheeting improves hypertrophic scars, keloid development and recovery. Silicone gel sheets are noninvasive and can easily be applied at home by the patient. For best results SGS should be worn daily for approximately 6-12 months. At that point other scar therapies can be considered. For minor scarring, chemical peels can be an effective and relatively inexpensive solution with little downtime. Chemical peels remove the top layers of skin causing the body to generate new skin and collagen which helps fill in superficial textural changes. This smooths and tones skin and decreases discolorations. For more severe scarring, your options include radiofrequency (RF) microneedling and laser resurfacing. RF microneedling is a minimally invasive treatment with little downtime. Using heat and small needles, RF microneedling breaks up the scars and encourages new skin and collagen growth improving texture and pore size. Three to four treatments are typically necessary to achieve desired results. SkinWise Rx offers several procedures for the treatment of scarring Ablative laser resurfacing is more invasive and has a 7-10 days downtime. Depending on the severity of scarring, laser resurfacing may be the most effective treatment. Laser resurfacing removes the damaged layers of skin which generates new skin and encourages collagen remodeling resulting in smoother and brighter skin. This also takes a series of 2-4 treatments.
The scarring caused by severe acne can be treated as well. SkinWise Rx offers several procedures for the treatment scarring depending on the type and severity. Know that acne scars vary from rolling, boxcar, icepick, and atrophic. Many of these types will be present in a single area of concern. Acne scar treatment is never one and done. It takes a series to lessen the impact of permanent damage.  Lip fillers don’t have to be semi-permanent. If you are unhappy with the results of your injections they can likely be reversed. Recipients of dermal fillers can sometimes be displeased with the results. Inexperienced injectors can often inject too much filler or not place it evenly or accurately. Just as often, a recipient may just decide that filler wasn’t the solution they were looking for. Perhaps you are in this boat and have received more HA filler than you expected, aren't happy with the appearance of your lips, or the results were uneven or lumpy. The good news is you don't have to live with it until the filler naturally dissolves in 3-18 months. HA Fillers can be fully or even partially dissolved. HA Fillers can be fully or even partially dissolved. Injections of hyaluronidase can fully dissolve HA fillers if you aren't happy with your results. Hyaluronidase can also be used to partially dissolve HA fillers to even out asymmetrical or lumpy results or to just reduce size if you feel your injections made your lips or other features too full. Unfortunately, if you’ve chosen the longer lasting and more permanent non-HA fillers such as Sculptra, Aquamid, or Bellafill, your options are fewer and much more difficult. Hyaluronidase can not be used to reverse the results of these non-HA dermal fillers. If you are unhappy with non-HA filler results your best option is to consult a reputable cosmetic surgeon. They may be able to even out or even remove the filler, however at considerable cost. If you have had injections from a disreputable injector your options are likely limited to a cosmetic surgeon. Additionally, if you have had injections from a disreputable injector your options are also likely limited to a cosmetic surgeon. These injectors who literally order their products illegally from China via Alibaba. China and many other foreign countries do not do an effective job of regulating the manufacturers of these medical products. These products may be contaminated with unknown substances or can even be mislabeled. It is unsafe to you to attempt to reverse the results of an unknown injectable. SkinWise Rx cannot stress enough the importance of making sure your injector is both licensed and experienced. An experienced injector is not likely to make mistakes that produce uneven or overdone results. An ethical injector will only use FDA approved and regulated products and will advise you to try reversible HA fillers before trying the non-HA fillers. Dr. Doser is a Doctor of Nursing Practice (DNP) and a Board Certified Family Nurse Practitioner( FNP-C). She earned her DNP from Oregon Health Sciences University in Portland, Oregon, one of the top medical schools in the nation and renowned worldwide for training in primary care. In addition to her extensive and impressive education Dr. Doser has 13 years of experience in the field of aesthetic medicine.  Daxxify - Coming Soon To SkinWise RxThe FDA recently approved Daxxify by Revance for temporary improvement of moderate-to-severe glabellar lines in adults. Daxxify is the first genuine neuromodulator innovation to the Aesthetics marketplace in more than 30 years.
SkinWise Rx is excited by this innovative new product and we are extremely confident in the safety and efficacy of Revance products. Daxxify is being given a carefully planned launch. It will only be going to Revance Aesthetics elite practice partners, like SkinWise Rx. We will be among the very first clinics in the state of Oregon to carry Daxxify! Daxxify is an injectable toxin, or neuromodulator similar to Botox, Dysport, Xeomin, and Jeuveau. But Daxxify is, in fact, a new class of neuromodulator whose effects last two to three times as long as current neuromodulators. In clinical trials Daxxify’s results were shown to last as long as 6 to 9 months!! Longer lasting results means fewer trips to the clinic! Glabellar lines are those two vertical lines that appear on the forehead between our eyebrows when we frown or focus. They are also referred to as the 11s due to their similar appearance to the number 11. By injecting Daxxify into the underlying muscles of the forehead they can be relaxed, smoothing the skin between your eyebrows that create these deep, undesirable lines. And even more good news, Daxxify is free of animal products because it’s made from amino acids. It’s also been approved for a wide-variety of off label uses such as treating migraines, excessive sweating, TMJ and even urinary incontinence. Follow SkinWise Rx on Instagram, Facebook, TikTok or sign up to get our newsletters and you will be the first to know when we receive our first batch of Daxxify and will begin scheduling appointments.  Propolis has been used for centuries to heal burns, cuts and other wounds and to protect the skin. It’s known to be beneficial for treating scars and has been used to improve skin texture damaged by acne scarring. We’ve known for decades the importance of our friendly neighborhood pollinator on our food supply - the unassuming honey bee. But more recently we’ve begun to discover significant biological benefits of honey, beeswax, pollen, venom and propolis, many of which are very beneficial to the skin. WARNING - THOSE WITH BEE ALLERGIES SHOULD AVOID USING BEAUTY PRODUCTS CONTAINING BEE PRODUCTS UNLESS DOING SO WITH THE ADVICE OF THEIR DOCTORS. WARNING - THOSE WITH BEE ALLERGIES SHOULD AVOID USING BEAUTY PRODUCTS CONTAINING BEE PRODUCTS UNLESS DOING SO WITH THE ADVICE OF THEIR DOCTORS. Recent clinical studies have shown that bee venom can reduce the appearance of wrinkles in the skin. Bee venom serum applied to facial wrinkles showed a reduction in wrinkle count, depth and total area. The specific mechanism that caused bee venom to contribute to a reduction of wrinkles is currently unknown, however it is believed it is a combination of anti-inflammatory properties, antiseptic properties and its ability to reverse UV damage. Propolis has been used for centuries to heal burns, cuts and other wounds and to protect the skin. It’s known to be beneficial for treating scars and has been used to improve skin texture damaged by acne scarring. Propolis can decrease inflammation and is used to treat eczema, psoriasis and has even been used to reverse the effects of UV damage to skin.
It should be noted that products made from bee products are not vegan. Further, bees use propolis to construct their hives. Harvesting propolis can cause damage to the hive and the bees and is therefore not a sustainable practice.  Tech NeckTech neck is a relatively new term for a condition that is becoming exceedingly more prevalent in our tech dependent society. Many of us spend hours everyday bent over ill-placed computers or scrolling the "Black Mirror" causing the delicate skin on our necks to form creases where it folds. "The more time we spend bent over our devices, the more the neck ages. The symptoms of tech neck can be aches, stiff neck, and WRINKLES on the front of the neck." Dr. Lani Doser, DNP According to data by Pew Research Center, 88% of women between the ages of 30-49 own a smartphone. And that number is even higher for those between 18-29. Moreover, an Asurion Insurance survey showed Americans check their phones an average of 80 times per day or every 12 minutes while awake!⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀ The more time we spend bent over our devices, the more the neck ages. The symptoms of tech neck can be aches, stiff neck, and WRINKLES on the front of the neck. "The remedy for tech neck is NOT throwing away your phone. It’s getting treated when you recognize the first signs." Dr. Lani Doser, DNP The remedy for tech neck is NOT throwing away your phone. It’s getting treated when you recognize the first signs.
So, what can be done other than switching to a rotary phone? Step one is to modify your behavior to help prevent the signs of tech neck. Spend less time staring at our cellphones and tablets and adjust your work monitor so that the center of the screen is eye level. And listen to your mother - "Sit up straight." Once you've addressed the causes of tech neck, visit SkinWise Rx for a consult. At SkinWise Rx we can look at your nonsurgical options and give you experienced and educated recommendations. Depending on the area and severity of symptoms, toxin injections such as Botox or Jueveau will help. And laser treatments (Lutronic Genius), fractional resurfacing (Erbium YAG Laser or Er:YAG), and/or dermal fillers like Juvederm or Restylane all have unique benefits to address the signs of Tech Neck.  Prejuvenation is a term that has suddenly thrust itself upon the aesthetic world. But what is prejuvenation? And why is it important? “There are two types of aging: Intrinsic, which is inevitable thanks to our DNA, and extrinsic which is brought on by exposure to environmental factors.” Dr. Lani Doser, DNP Prejuvenation is addressing signs of aging BEFORE they become a problem. The goal of an aesthetician is to prevent signs of ageing before they occur rather than correcting them once they appear. Dr. Lani Doser, DNP tells us, “There are two types of aging: Intrinsic, which is inevitable thanks to our DNA, and extrinsic which is brought on by exposure to environmental factors.” Extrinsic factors, which are typically avoidable, include sun/UV damage, smoking, poor diet, lack of sleep, etc. Preventative steps - “Your body is a temple. Treat it as such.”The first step in prejuvination is prevention - Avoiding the extrinsic factors that can cause aging. Avoid the sun The most effective action one can take is to wear sunscreen daily and apply it frequently throughout the day. Wearing a hat and sunglasses and avoiding direct sunlight will reduce the amount of UV damage to the skin. News flash: Smoking is bad, mkay? We are well beyond having to inform people that smoking causes premature aging and will very likely kill you. You already know it. So let’s not beat that horse anymore. However, many people are under the impression that vaping is a good alternative. It isn’t. As with cigarettes, nicotine dries the skin causing premature wrinkles as well as retarding the body’s ability to heal itself. Maintain a low-fat diet high in antioxidants Antioxidants inhibit oxidation which causes damage to skin cells. A diet high in nuts, beans and fresh fruits and vegetables (especially those high in vitamin C) helps prevent oxidation, thus keeping your skin cells healthier. Further, switch from foods high in saturated fat to foods with plant-based healthy fats (avocados, coconut oil, nuts, flax). Foods high in saturated fat are common contributors to acne and the subsequent scarring. Get adequate sleep During sleep the body puts its energy into healing itself. Lack of adequate sleep or disruptive sleep prevents the body from entering this healing stage and cell damage accumulates. "Bone remodeling is the process of bone and fat deteriorating in one area and reaccumulating in another, ultimately changing the structure of the face." Dr. Lani Doser, DNP Step two is treatment. The signs of ageing are no secret to medical professionals. Bone remodeling and UV damage are two of the biggest culprits. As we age bone slowly moves from places we are used to seeing and some is redeposited in new places. Our muscles are no longer able to rely on the support from this bone causing sagging and wrinkles. Injectable fillers are simple and effective way to add volume to these areas of the face. Regular toxin injections such as Botox, Jeuveau, and Dysport can help delay the deep glabellar lines (the 11s between the eyes) and crows feet from forming. In addition, there are many procedures such as microneedling, HiFU and laser therapies that will help encourage new collagen growth creating volume and filling out fine lines and wrinkles. Thanks to new technologies, UV damage can now be seen before it is visible to the naked eye. IPL, LaseMD and ErbYAG can all be effective treatments to address UV damage before it becomes a problem as well as improving the tone and texture of your skin. The bottom line on prejuvination is that signs of ageing become far more difficult to address as time passes. Begin a skincare routine and address aging early with preventative steps and treatment for best results!  Beauty is in the eye of the beholder, as the saying goes. Yet, a new and bizarre beauty trend is testing the validity of that adage. "You should seek a clinician with a similar look as yourself. If they aren’t willing to do it to themselves you shouldn’t let them do it to you.” Dr. Lani Doser, DNP “Devil lips” are trending on social media and the reception has been mixed. Some people find them interesting and intriguing and many others are shocked and disturbed. However, medical professionals are chiming in with warnings about duplicating the curious look. Essentially, having this type of procedure is akin to bending your elbow backwards - Can you? Sure. But you really, really shouldn’t. “The damage inflicted to achieve this look may be irreversible.” Dr. Lani Doser states. “It’s definitely semi-permanent and this look likely cannot be achieved using a reversible filler. I don’t know of a dissolvable filler that can create that type of structure.” Essentially, having this type of procedure is akin bending your elbow backwards - Can you? Sure. But you really, really shouldn’t.
This procedure could cause vessel occlusion, scaring, and infections. Further, changing the border of the lip can permanently distort it. Even with semi-permanent fillers it is unlikely they will wear off symmetrically leaving you with distorted and lumpy lips. Given the high likelihood of permanent damage, the ethics of performing such a procedure must be posited as well. Dr. Doser says "You should seek a clinician with a similar look as yourself. If they aren’t willing to do it to themselves you shouldn’t let them do it to you.”  The following blog post was written by a client of Dr. Doser's and has been reprinted here at her request. “If you squint like that, you’re going to get wrinkles,” my mother would say to me from the time I was in elementary school. The amblyopia and light-sensitive, far-sighted eyes led to the brow-furrowing habit that never abated due to the fact that I like being able to see. Glasses helped me see but didn’t stop the squinting habit – even when I do remember where I left them. "I’m the natural girl – the hippie chick minus the patchouli and comestibles. Keens, no bangs, hair down, casual." I’m the natural girl – the hippie chick minus the patchouli and comestibles. Keens, no bangs, hair down, casual. I’m not a stunner but I mostly feel okay with how I look. Consideration for my appearance has waxed and waned with how I felt about my weight and how much emotional, financial, and logistical bandwidth I had left after homeschooling two girls, having three more babies, running a business with 25 employees, and hosting a weekly home group. "I had noticed that when I took pictures over the last couple years (I am 47 now), I looked old. No position could make the wrinkles disappear." The thought of having medical aesthetic work done never really occurred to me before recently. I had noticed that when I took pictures over the last couple years (I am 47 now), I looked old. No position could make the wrinkles disappear. They exist no matter the cream I use, smile I modify, or facial gymnastic I try to execute for the sake of the camera. People would ask me why I was scowling, and I’d say I’m just squinting because of the light. My mother always said I looked tired. I notice that the eyes of men don’t stay like they used to. These are hard things. I try to face them directly and always with humor, but the sense of being looked over and not feeling as desirable weighs on me. Recently I found out that a couple of my friends, who look fantastic, have been having Botox injections for a couple of years. My first thought was, “That’s so shallow!” That was followed not long after with, “Hey, if they are doing it, maybe I should / could / will think about it.” Notably, these are not shallow women. They work for highly competitive companies in highly competitive industries. They are caring, involved women. I had no idea that they had been having work done except that they don’t look tired. "Would I like the look? Would I still be able to express myself? How would my family and my children feel about it? Was it a slippery slope of vanity and inauthenticity?" My friends’ use allowed me to explore the idea more deeply. I pondered how this would effect me as much emotionally as physically. Would I like the look? Would I still be able to express myself? How would my family and my children feel about it? Was it a slippery slope of vanity and inauthenticity? I finally wrestled with the answers to these questions, which allowed me to choose my next step. I was unhappy with my current look. Judging by my besties, I was going to like the softening of my wrinkles and it would look natural, not artificial. I had not noticed an inability for them to express themselves. I would still be able laugh, smile, inflect, and wink; they certainly did. Legitimately, my family and children would ask the same questions that circled my brain. "As much as I thought a good pantsuit would help me out, I realized that Botox should no longer be considered frivolous or vain. How useful are heels? They serve me no purpose. They are painful and I would rather wear Keens... I am competing in a tech-heavy industry against women half my age. Remaining brilliant but aged, regardless of how okay I was with it, was not going to help me find employment." What finally pushed me over the edge was a need for a job. It is known that beautiful people get hired, earn more money, have more power, have better mentors, get promoted more often, and that even doe-eyed babies look at their faces longer (Bennett, Newsweek, Jul 19, 2010). I will be looking for employment soon armed with a second degree and an additional social media marketing certification. As much as I thought a good pantsuit would help me out, I realized that Botox should no longer be considered frivolous or vain. How useful are heels? They serve me no purpose. They are painful and I would rather wear Keens but they are not appropriate for a professional interview. My same acceptance of heels for work would play into my acceptance of help to create a refreshed and natural exterior. My reality is truly ugly. I am competing in a tech-heavy industry against women half my age. Remaining brilliant but aged, regardless of how okay I was with it, was not going to help me find employment. It was time that I sought treatment, not to become a supermodel, but to keep me viable in a biased, complex, and uncompromising work force.
 "It won’t work" FALSE. Studies show that it can produce results similar to ablative laser resurfacing at a lower cost, less pain, less side effects, and a 1-3 day recovery time. It can be used for wrinkles, thin skin, UV damage, hyperpigmentation, scarring, and loose skin. All forms of skin rejuvenation consist of microinjuries through chemicals, as in peels; heat, as in lasers; and now needles. All of these methods cause new beautiful skin to develop. "It is going to hurt" FALSE. This may be true at other locations but not at SkinWise Rx! Our medical experts will thoroughly cleanse your skin using microdermabrasion to remove dead skin cells and prepare the epidermis. Next, a layer of anesthetic cream is applied to numb the skin and make the therapy comfortable. After about 20 minutes the patient is ready for treatment. "This treatment is ideal if you have serious worries about aging, scarring or discoloration, as there really is a noticeable improvement." Dr. Lani Doser, DNP "I can’t. I am on Retin A"
FALSE. The skin needs to be free of Retin A products for only 12 hrs prior to treatment. Unlike peels you do not have to discontinue your tretinoin or adapalene products for two weeks. You stay off of active skin care products for 3 days after treatment. You can resume your regular skin care after 3 days. "I can’t have lasers, so I can’t microneedle" FALSE. Microneedling works with all skin colors from white to black. You will be quite red post-treatment like a severe sunburn. We will apply Epionce Medical Barrier Cream to help the skin heal. Your skin may have a slight sting when the anesthetic wears off and you can use cold compresses and take Acetaminophen/Tylenol for it. We apply sunscreen at the office. No sun exposure or active skin care products (acids or items that sting or burn) for the next 3 days. "I won’t have immediate results" FALSE... & TRUE. Usually by day three you start to see some skin changes but know this is a cumulative treatment. It is recommended to undergo at least four sessions, once every four weeks, for best visible results. Do not expect immediate results; smooth flawless skin is a slow and gradual evolution. Who should use microneedling? This treatment is ideal if you have serious worries about aging, scarring or discoloration, as there really is a noticeable improvement. We do not recommend microneedling if you have minor skin concerns that could be addressed through less invasive methods like using carefully selected skin care products.  What exactly is a stretch mark?A stretch mark is a type of scar that develops when our skin stretches or shrinks quickly. The abrupt change causes the collagen and elastin, which support our skin, to rupture. As the skin heals, stretch marks may appear. Not everyone develops these narrow bands on their skin. Fluctuating hormone levels seem to play a role. You may also have a higher risk if people in your family get stretch marks.Stretch marks fade with time; however, treatment may make them less noticeable more quickly.
"In-office procedures have proven more effective at reducing the visibility of stretch marks than creams, lotions, and gels." Dr. Doser, DNP 
If you develop stretch marks, you’re most likely to do so during these times:
Applying a corticosteroid to your skin for a long time can also cause stretch marks. If you have Cushing’s disease or Marfan syndrome, you may see stretch marks. When stretch marks first appear, they tend to be red, purple, pink, reddish-brown, or dark brown, depending on your skin color. Early stretch marks may feel slightly raised and can be itchy. In time, the color fades and the narrow bands sink beneath your skin. If you run your finger over a mature stretch mark, you often feel a slight depression.
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SkinWise Rx is a top rated skin care and facial treatment clinic throughout the PDX area including Lake Oswego and Portland, Oregon communities. If you're looking to address skincare and facial concerns SkinWise Rx is among the best and if you're from Hillsboro, West Linn, Tigard or Beaverton you're only minutes away. At SkinWise Rx our injectors are experts in providing lip injections and dermal fillers and treating neck fat with our expert Kybella injectors. SkinWise Rx offers several laser treatments including fully ablative Erbium Yag and the less invasive LaseMD laser services. Intense Pulsed Light (IPL) laser treatments is also offered. SkinWise Rx is one of only a few clinics using Platelet Rich Plasma Treatments or PRP treatments in the PDX area to treat hair loss in women and men. When it comes to laser hair removal or laser hair reduction no clinic is better than SkinWise Rx. If you are looking for Radiofrequency Microneedling/RF Microneedling, Mechanical Microneedling, or Serum Microneedling treatments like DermaFrac, Diamond Glow and Tixel treatments look no further. SkinWise Rx is at the top of the list.
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