Nine local experts help – from head to toe
Medical Treatments, Products, and Procedures
Doctors’ offices aren’t always for treating illness, and increasingly dermatologists and plastic surgeons are helping people restore sun- and age-damaged skin through a variety of non-invasive or minimally invasive treatments and procedures.
At Jansen Plastic Surgery, Drs. David Jansen, Ruth Owens and Ravi Tandon, along with Aesthetician Laura Shouest, provide a number of services from non-invasive rejuvenation and fillers to tummy tucks and lifts.
According to Jansen, microneedling has become a popular treatment for people whose skin has lost its luster and for whom peels require too much downtime. Microneedling injects growth factors and/or fillers into microscopic holes in the skin, and though the treatment has been around for years, a new handheld device makes the process smoother and quicker.
“There is improvement in skin texture and firmness, as well as reduction in scars and pore size. Depending on the issue or concern, the patient would need a series of three treatments spaced one month apart,” says Shouest.
“It’s a great way to rejuvenate and add luster to the skin, and what we like about it is it’s less than a day of down time – you can be working out again the next day,” says Dr. David Jansen.
At The Coleman Center for Cosmetic Dermatologic Surgery, Dr. William P. Coleman III and his son Dr. Patrick Coleman offer scientific solutions for cosmetic improvement through a variety of treatments and have pioneered many techniques here in New Orleans.
Microneedling is "a great way to rejuvenate and add luster to the skin, and what we like about it is it’s less than a day of down time."
Dr. David Jansen
Excess body fat is a typical concern during summer months, and according to Dr. William Coleman small, localized areas of body fat in people in good shape can be treated non-invasively with UltraShape or CoolSculpting. However, larger or multiple areas may respond best to Local Anesthesia Liposuction.
“Liposuction is the gold standard and gives far better results than the non-invasive techniques. No general anesthesia or hospital is needed,” says Coleman. “Our patients are driving and doing mild exercise within 24 hours,” he says. In addition to body fat, loose skin is another concern. To tighten skin, Dr. Coleman uses Ulthera and other skin tightening devices, often in conjunction with volumizing injectables.
“Kybella, for which we did some of the FDA research, can be used to dissolve fat under the chin and is often a perfect complement to skin tightening devices,” he says.
At Khoobehi & Associates, most summer patients are seeking removal of two main things: fat and hair. The practice recommends CoolSculpting for fat removal and Laser Hair Removal to smooth the skin.
“CoolSculpting is a non-surgical fat reduction procedure done in the office with no downtime,” says Dr. Kamran Khoobehi, who adds that popular areas of the body to treat are abdomen, waist and inner thighs. CoolSculpting works by freezing and eliminating fat cells, improving the body’s contour. As for hair removal, “Laser Hair Removal offers a permanent reduction of hair so shaving and waxing become unnecessary,” he says.
Khoobehi & Associates
In addition to its variety of services – fat and hair removal, lasers, microdermabrasion, fillers, etc. – Khoobehi & Associates also offer a number of products. New to the practice is SkinMedica’s HA5 Rejuvenating Hydrator, which is intended for immediate smoothing and to support the skin’s natural ability to replenish its hyaluronic acid (HA).
Chemical peels are another method of rejuvenating skin that often don't require much downtime. A method of exfoliating the skin using natural and synthetic acids as well as other ingredients, chemical peels can help even skin tone and reduce fine lines and wrinkles.
“Since people are outdoors during summer, we like to recommend a light chemical peel,” says Nicki Miler, Skincare Specialist at Audubon Dermatology. Since stronger peels require a bit more down time (usually due to post-treatment flaky, dry skin), they’re usually more popular later in the year. According to Miler, light peels require little-to-no downtime, and for oilier skin, she recommends a beta peel, which can be done any time.
In addition to peels, Miler is a big fan of AMP Glow Peel Pads, a new anti-aging product sold only by physicians and intended for use twice a week. A six-acid blend works in combination with vitamin B3, aloe vera and green tea. A true anti-aging treatment, the product works for both correction and damage-prevention and gives its user a nice glow.
Dr. Erin Boh, Chairman and Professor of Dermatology at Tulane University, also recommends chemical peels for damage removal.
“Since people are outdoors during summer, we like to recommend a light chemical peel."
Nicki Miler, Skincare Specialist at Audubon Dermatology
“There are several freshener-type chemical peels which help exfoliate and give a nice glow to skin, which includes alpha hydroxy acid (AHA) peels. These help remove superficial sun damage caused by excessive sun exposure,” says Boh. According to Boh, some deeper peels can also be helpful, but patients should be careful about sun exposure.
Prevention is a major concern of Dr. Boh, who emphasizes that the single most important topical for summertime is sunscreen, and daily application is best.
“It’s important to remember that none last forever and none are waterproof. So this means that one must reapply often, like every couple of hours, for most efficacy,” says Boh. Additionally, skin can dry out in summer, and keeping it hydrated with agents such as hyaluronic acid and other humectants can help.
“For overall skin care, topical retinoids or other antioxidants along with sunscreens are simple and effective. Once on this regimen, then additive procedures such as peeling or resurfacing will be beneficial to give younger appearance,” says Boh.
Different from a chemical peel, SilkPeel is another alternative for freshening the skin and giving it a youthful glow.
“SilkPeel uses dermal infusion technology to exfoliate and hydrate the skin at the same time with antioxidants and even skin lighteners,” says Dr. Kyle Coleman of Etre Cosmetic Dermatology and Laser Center. SilkPeel technology uses real diamonds in its patented design and simultaneously exfoliates, treats, cleans and hydrates the skin.
LEFT: Dr. Erin Boh, RIGHT: CoCoNola Skincare
“With no downtime, patients can resume summer activities without issue,” says Coleman.
Lasers are also a favorite “one and done” treatment used at Etre. One option is the Fraxel laser, which helps remove splotchy brown spots.
“Alternatively, we can use an intense pulsed light laser for broken blood vessels, brown spots, and ruddiness, or a CO2 laser for wrinkles,” says Dr. Lisa Donofrio of Etre. “These three lasers on a very mild setting as well as light chemical peels work well as a maintenance treatment,” she says.
Drs. Coleman and Donofrio are board-certified, Tulane-trained dermatologists who joined forces at Etre to provide the latest in minimally and non-invasive procedures.
Non-Medical Skincare Services and Products
Local Aesthetician and makeup artist Alexandra Mainieri has worked in both the cosmetic and medical fields since 2009. She combines her knowledge and experience from both fields to create a customized, spa-like experience for clients at her beauty studio. With a full menu of facial services, Mainieri incorporates a variety of techniques based on client needs, from dermaplaning and vitamin-focused hydrating to a resurfacing peel.
For Mainieri, the most requested service during summer months is typically a custom facial with dermaplaning.
“Even though humidity can be a great anti-aging benefit for the skin, the summer can also affect how we feel about our skin,” says Mainieri. “Since it can leave us with clogged pores, most of my clients like to have a little bit of a pick-me-up with a deep cleansing facial and the harmless and painless exfoliation of the skin better known as dermaplaning.”
While most anti-aging treatments focus on the face, another area of skin more often exposed in summer is that of the feet. Smooth skin on the feet can ensure flip-flop and sandal confidence. Shine Spa + Specialties, located in Mid-City, offers a couple of services explicitly for feet.
“‘Festin’ Feet’ combines our 60-minute Shine Pedicure – which includes a top quality Himalayan salt foot bath – with Shine’s custom scrubs and essential oil blends to exfoliate the skin and soften the feet,” says Chance Brignac, Director of Spas. Shine Spa + Specialties also offers a Happy Feet service for restless legs and tired feet.
According to Brignac, this 30-minute foot soak and foot rub uses Calendula + Rosemary infused bath crystals to cleanse, deodorize and soften skin. Additionally, a rich, moisturizing foot repair butter is applied to help prevent cracks and calluses.
"Liposuction is the gold standard and gives far better results than the non-invasive techniques. No general anesthesia or hospital is needed.”
Dr. William P. Coleman III
In addition to Shine Private Label products such as shea butter, scrubs and foot lotions, the spa also carries foot files, moisture socks and gloves, as well as the top-selling “Baby Foot” peel that uses fruit acids to remove dead skin within a week.
Another company enthusiastic about natural ingredients, CoCoNola Skincare is a locally made, chemical-free line of products described as “health food for the skin,” by Owner Tiffiny Wallace. After exploring the body’s ability to heal through absorption and in an attempt to fight what she calls an “epidemic of autoimmune diseases,” Wallace began researching natural ingredients and recipes for homemade balms, scrubs and sprays. Her research has turned into a fully fledged local business constantly working to meet demand in today’s all-natural and organic-thirsty markets.
“Everything is still handmade in my kitchen Uptown and using only things we find in the kitchen. My holy trinity – what I consider the perfect base for anything – is coconut oil, shea butter and beeswax – three completely magical products,” says Wallace. Rosewater is another of Wallace’s favorite ingredients due to its ability to clean, tone and moisturize skin all in one step.
One of the most popular CoCoNola Skincare products is the Amazing Body Butter, a mixture of Wallace’s trinity of ingredients plus coconut, avocado, and jojoba oils along with essential oils, lavender, rosemary, ylang ylang, sandalwood, orange and lemon. With ingredients that easy to pronounce, one has to admit the “health food” approach to skincare sounds both palatable and scrumptious.
Jansen Plastic Surgery 3900 Veterans Memorial Blvd., Suite 200, Metairie, 455-1000, JansenPlasticSurgery.com
The Coleman Center for Cosmetic Dermatologic Surgery 4425 Conlin St., Metairie, 455-3180, LiposuctionNewOrleans.com
Khoobehi & Associates 3901 Veterans Memorial Blvd.,Metairie; 4500 Magazine St., Suite 1, 779-5538; Khoobehi.com
Audubon Dermatology 3525 Prytania St., Suite 501, 895-3376, AudubonDermatology.com
Dr. Erin Boh – Tulane Dermatology 1415 Tulane Ave., 5th Floor, 988-5114, TulaneDermatology.com
Etre Cosmetic Dermatology & Laser Center 1224 St. Charles Ave., 227-3873, EtreCosmeticDerm.com
Alexandra Mainieri, LLC (225) 773-3812, AlexandraMainieri.com
Shine Spa + Specialties 421 N. Carrollton Ave., Suite 4, 486-0999, ShineDaySpa.com