Looking for a holiday gift idea for yourself or others? Want to know some of the best skincare products around? Read on to learn our staff’s favorite picks and our most popular monthly specials.
Jessica: Revision’s Vitamin C Lotion 30% Lotion. This product gives me the daily anti-oxidant protection I need while brightening my skin and reducing fine lines and wrinkles.
Maggie: Colorescience’s Even Up. I love the way this product fights hyperpigmentation, will smooth my makeup and has an SPF of 50.
Mandy: Colorescience’s Whipped Mineral Sunscreen. I love this product because it goes on smooth and provides plenty of coverage for someone like me who does not like to wear makeup. Plus, I am getting SPF 30!
Melissa: Retinol. Retinoids continue to be the go-to ingredient for skincare professionals to treat acne, fine lines, dullness, uneven texture and tone, and clogged pores.
Noelle: iS Clinical’s Active Serum. I love it because it targets acne, dark spots, fine lines and wrinkles. And it is great for all skin types.
Ravan: NeoCutis’ Bio-Gel. This product is my favorite because it hydrates and gives my sensitive skin a fresh-face feeling!
Renee: iS Clinical’s Active Serum!
Sandy: iS Clinical’s Active Serum. This is my favorite product because you see IMMEDIATE results with your skin, specifically blemishes and fine lines.
Sharon: Revision’s Intellishade. I love that it contains SPF since I have had melanoma.
Carolina Plastic Surgery & Aesthetics
Please call either of our offices: (864) 454-4570 (200 Patewood Drive, Ste. B480) or (864) 233-8088 (920 Woodruff Road). As always, GHS members receive 10% off specials and discounts.
New Name, Same Great Offerings
GHS Plastic Surgery & Aesthetics and Carolina Aesthetics are proud to introduce themselves as Carolina Plastic Surgery & Aesthetics.
Our collaboration emphasizes the need for the best customized cosmetic and aesthetic services. We feature four board-certified plastic surgeons and five clinical aestheticians at two Greenville sites. Under the direction of James Fowler III, MD, we specialize in cosmetic and reconstructive surgery of the breast, head/neck/face and extremities. We maximize patient education and physician-patient interaction to assure understanding and match expectations.
Plastic surgery restores form and function to all areas of the body. Historically, plastic surgery has been predicated on innovation in problem solving. Only plastic surgeons are trained to operate on the body from head to toe. Plastic surgery, therefore, is equally vested in reconstructive and cosmetic procedures. Whether deformity is caused by trauma, cancer, congenital abnormality, previous surgery or age, plastic surgeons are uniquely qualified to help restore the body to normal.
Our aestheticians boast more than 50 years of experience in skincare needs and use the latest technology in lasers and topical treatments. Whether you want a relaxing facial, permanent makeup or brown spot removal, our aestheticians are trained to help you achieve healthy, vibrant skin. Plus, all are licensed by South Carolina to ensure that you receive the best advice and treatment for YOUR needs.
Skin is ever changing, depending on time of year, weather, medications taken, work environment, etc. By evaluating these changes and how they affect you, we can design a treatment plan for your lifestyle and long-term skin health. We begin with a thorough consultation and skin analysis to address changes you would like to see. Consultations are free and geared for your needs and skin type. All injectable consultations and procedures
are performed by our doctors.
We also provide the latest products such as Revision Skincare, Colorescience Pro, Cosmedix, iS Clinical and NeoCutis to complement your treatments while you maintain your regimen at home.
Please call either of our offices: (864) 454-4570 (200 Patewood Drive Ste. B480) or (864) 233-8088 (920 Woodruff Road). As always, GHS
members receive 10% off specials and discounts.
Carolina Aesthetics is pleased to introduce you to two of our fantastic aestheticians.
Please welcome Renée Cato and Noelle Monteleone from GHS Plastic Surgery & Carolina Aesthetics. These two licensed aestheticians bring many years of experience and dedication to their profession. They will work from our office a few days each week and at their current location on the health system’s Patewood Medical Campus.
Renée Cato is a licensed medical aesthetician who received her certification from the Institute of Cosmetic Arts. She has provided a variety of treatments to many clients over the past 16 years. Cato has formal training in laser treatments to address unwanted pigment, age spots, vascular issues, redness, unwanted hair, fine lines, wrinkles, photo rejuvenation and skin tightening.
Cato is passionate about her work and in meeting the needs of each patient. She continues to participate in ongoing education to stay on the leading edge of aesthetic advancements in skin care.
Noelle Monteleone has been practicing aesthetics since 1996. Having skin problems of her own influenced Monteleone to exhibit compassion for others with challenging skin issues. Over the past 20 years, she has witnessed the skincare industry grow exponentially. As a result, Monteleone strives to stay current on the latest skincare ingredients and modalities.
Monteleone holds a certification in chemical peels from the Institute Der Med and the Vitality Institute, along with laser certification from Sciton. In addition, she has training in Lamprobe, dermaplaning and micro-needling techniques.
Don’t forget: All of our five licensed medical aestheticians— Maggie Kittredge, Jessica Swaynghame, Melissa Owens, Renée Cato, and Noelle Monteleone,—are available to discuss and recommend peels during a free 30-minute consultation.
Maggie Kittredge and Jessica Swaynghame
Melissa Owens, Renée Cato, and Noelle Monteleone,
Hours: Mon.-Thurs., 8 a.m.-6 p.m.; Fri., 8 a.m.-5 p.m.
920 Woodruff Road, Greenville, SC 29607
For more information, call (864) 233-8088
Dr. Culpepper now offers injectable services at Carolina Aesthetics.
Carolina Aesthetics is proud to announce that as part of our new partnership with Plastic Surgery & Aesthetics of Greenville Health System (GHS), J. Wesley Culpepper Jr., MD, will be providing injectable services at our 920 Woodruff Road office.
Hailing from Atlanta, Dr. Culpepper graduated magna cum laude with a BS in genetics from the University of Georgia in Athens. He went on to receive his MD degree from the Medical College of Georgia in Augusta. Then, he completed a residency in General Surgery at the Medical University of South Carolina in Charleston, followed by a Plastic Surgery residency at the University of Tennessee College of Medicine, Chattanooga Unit.
Board-certified with the American Board of Plastic Surgery, Dr. Culpepper is an active member of several professional associations, such as the American Society of Plastic Surgeons, American Medical Association and the Greenville County Medical Society.
Dr. Culpepper joined GHS Plastic Surgery & Aesthetics in February 2014. Special interests include cosmetic surgery of the breast and body; reconstructive surgery of the breast, body and face; and facial reconstruction following traumatic events.
Soon after moving to the Upstate, Dr. Culpepper became an avid Greenville Drive baseball fan. However, you can still catch him cheering on (and howling for) his hometown team—the UGA Bulldogs—during football season.
Please join us in welcoming Dr. Culpepper to our practice.
To schedule an appointment, call (864) 233-8088.
Hours: Mon.-Thurs., 8 a.m.-6 p.m.; Fri., 8 a
Botox is a drug made from a neurotoxin produced by the bacterium Clostridium botulinum, which is called botulinum toxin. Before anyone misunderstands this terminology, let me explain. When spores transform into a vegetative cell and those cells increase, this transformation—called botulism—is a deadly form of neurotoxin. However, C. botulinum is found in an inactive form in the natural environment in lakes, streams, forests and soils. In addition, it can be found in intestinal tracts of mammals and fish. These naturally occurring bacteria typically are harmless.
Botulinum toxin type A, or onabotulinumtoxinA, is one of the more common forms of cosmeceutical treatments. For this toxin to be most effective and with minimal harm, the solution is diluted with a saline and then injected directly into the neuromuscular tissue, most commonly a patient’s fine lines and wrinkles. The botulinum blocks nerve signals that make muscles contract. The ability to interrupt the muscle-contraction sequence is what makes Botox an effective, successful and valuable cosmetic treatment.
The effects of Botox are best seen on forehead lines, crow’s feet (lines around the eyes) and frown lines (glabella lines or “11s”). On the other hand, Botox is approved for many other therapeutic applications, such as chronic migraines, blepharospasm (spasms of the eyelids) and severe primary axillary hyperhidrosis (excessive sweating), to name just a few.
Treatment usually takes only a few minutes with mild discomfort at the injection site. There may be some side effects, though these are rare; the doctor will discuss these possibilities at the consultation.
Botox generally takes three to seven days to take full effect and may last four to six months. Once the muscle action gradually returns, the fine lines and wrinkles will begin to show signs of needing re-treatment. Some individuals should not use Botox: pregnant or lactating women or anyone who has had previous allergic reactions to the drug.
If you are interested in receiving Botox, please call Carolina Aesthetics at (864) 233-8088 for a free consultation with one of our board-certified plastic surgeons.
According to the Skin Cancer Foundation, 90 percent of aging is caused by ultraviolet (UV) ray damage. Of that 90 percent, roughly half of your UV skin damage comes from free radicals. What are free radicals? Why do they harm your skin? And what can stop them?
A free radical is an atom, or molecule, with a single unpaired electron in an outer shell. Free radicals are unstable molecules that react quickly with other compounds to gain the needed electron to become stable. Once a free radical picks up an electron, it converts that molecule into a free radical. The result can be a destructive chain reaction of cell death, skin cancer or, in this case, damaged skin.
To prevent such harm, the body uses a defense system of antioxidants. Antioxidants neutralize free radicals by “donating” one of their electrons, thus reducing the free radicals’ ability to destroy skin. Antioxidants act as scavengers, helping prevent cell and tissue harm that could lead to cell damage, or worse, disease.
As we age, our defense against free radicals decreases, making antioxidants even more valuable. One of the most powerful antioxidants for our skin is vitamin C. It protects skin collagen and is needed for wound/wrinkle healing in addition to more collagen production. This vitamin is equally effective against both UVA/UVB rays, the major contributors to premature aging and wrinkles.
However, vitamin C is not alone in the fight against free radicals. For the best defense, combine vitamins C and E, resveratrol (the essential ingredient of red wine) and green tea. This mix of topical antioxidants helps firm the skin’s overall appearance, reduce fine lines and wrinkles, erase sun damage, and brighten dull skin.
Are antioxidants necessary to protect the skin? YES! Free radicals are like dominoes—once a chain reaction begins, it can be hard to stop the damage. Unless you use antioxidants daily, free radicals will win the battle of aging.
To learn more about antioxidants and products that help prevent skin damage, call Carolina Aesthetics at (864) 233-8088. Consultations are free, so call today to meet with one of our trained aestheticians to address your skincare needs.
By: Melissa Owens, Medical Aesthetician
The Southeast is known for sunshine, warm weather and beautiful landscapes. In short, there are lots of reasons to be outside! During the summer, brown spots (hyperpigmentation) are a chief complaint among our patients. These spots sometimes seem to appear out of nowhere, perhaps shortly after a stay at the beach or a day on the lake. Melasma is one form of hyperpigmentation that is particularly problematic.
There is still much to understand about what causes melasma, but studies show that triggers include hormones, sun exposure, inflammation and, occasionally, cosmetics. Melasma can appear in women or men of any skin color, but is most common in women with Fitzpatrick skin types III and IV—those of Hispanic, Asian, Mediterranean or Middle Eastern heritage. Brown spots associated with melasma tend to appear in symmetrical patches on the forehead, cheeks, upper lip and chin.
Melasma may resolve over a short time once triggers stop or continue for years. Fortunately, treatments are available to help manage the visible effects. Generally, the best way to manage melasma is with ample sun protection. Melasma is ultrasensitive to any sun exposure; recent studies show that infrared waves from the sun and possibly even visible light can trigger melasma. Thus, it is critical to apply and reapply a sunscreen with adequate protection from UVA, UVB and infrared waves. Wearing a hat, seeking shade and avoiding sun exposure between 10 a.m.- 4 p.m. (when UV rays are strongest) are other ways to protect skin.
A lightening product, in addition to sunscreen, often can yield good results. However, melasma can be persistent, so seeking professional treatments like chemical peels, microdermabrasion and other resurfacing procedures may be needed. Although light-based photorejuvenation procedures often are used to treat hyperpigmentation, they usually are not effective against melasma. That is why it is important to seek treatment from an aesthetician or doctor familiar with melasma and avoid unwanted side effects.
If you are interested in achieving healthier skin, remember that consultations are always free at Carolina Aesthetics. Our aestheticians will meet with you one-onone to discuss products and treatments that are right for your skin and lifestyle.
Nichole L. Wright, PA-C, GHS Carolina Dermatology of Greenville
Melanoma, the most serious form of skin cancer, is characterized by uncontrolled growth of pigment-producing cells. Fortunately, with early diagnosis and treatment, recovery chances are very good. Increased risk correlates to the depth of the melanoma, which is linked to the span of time it has been growing. In other words, earlier detection leads to thinner melanomas and better prognosis. The best way to detect a melanoma is through monthly self-examinations and an annual
total body skin evaluation.
The main cause of melanoma is excess exposure to ultraviolet (UV) radiation. UV rays from the sun and tanning beds can damage skin cells, causing them to grow abnormally. To help prevent melanoma, reduce time in the sun, use doctor recommended sunscreens, and wear hats and sun-protective clothing. However, not all melanomas are UV-related. Other possible causes include genetic factors and immune deficiencies.
Melanoma can occur anywhere—even the soles of your feet or fingernails. In women, it most often is seen on the lower legs; in men, it most commonly occurs on the upper back. Traits that put you at increased risk are fair or sun-sensitive skin that burns easily, excess sun exposure during childhood, family history of melanoma, tanning bed use and blistering sunburns.
Melanoma can start as a new mole or grow near/in an existing mole. The ABCDEs of melanoma can help identify abnormal characteristics in a mole.
A: Asymmetry, B: Border (irregular, scalloped or notched), C: Color (multi-colored or pigment
dropping out of mole), D: Diameter (bigger than the end of a pencil eraser), E: Evolving (changing shape, size or color).
If you are at risk, get screened by your dermatologist or qualified healthcare professional. Urge your friends and family to do the same—you may be saving their lives!
Courtney L. McFaddin, M.D., GHS Carolina Dermatology of Greenville
Purple blotches on the forearms are common, particularly if you like to bask in the sun. These annoying spots resemble bruises, but unlike true bruises, these spots are not painful, and you may have no recollection of the injury that caused them to appear. This unfortunate side effect of chronic sun exposure is called solar (or actinic) purpura.
Over time, skin exposure to ultraviolet (UV) rays can damage your dermal collagen. The most well-known side effect of this damage is wrinkles, but another result of damaged collagen is easy bruising. Dermal collagen strengthens skin and supplies a framework of protection around your blood vessels. Collagen altered by UV rays no longer provides a rigid support network for your vasculature. As a result, even minor trauma can cause bleeding into your skin. Throw in a few blood-thinning medications, such as aspirin or Coumadin, and the results can be unsightly.
Prevention is best. Broad-spectrum sunscreens containing physical blockers, such as titanium dioxide or zinc oxide, go a long way toward blocking harmful UVA and UVB rays. Some sunscreens containing these products include Dermal Resolutions’ Prime Protection and Sheer Physical Sunscreen along with Colorescience’s Sunforgettable powder brush sunscreen—these are available at Carolina Aesthetics. The sun protection factor (SPF) also is important; generally, the higher the better, but an SPF of at least 30 is needed to adequately protect your skin. Minimizing trauma to the skin by wearing protective sleeves can help, too. Plus, supplements containing citrus bioflavonoids, such as Excipial for Bruising or Purpurex, can speed the resolution of purpura.
Recent studies show that topical application of human epidermal growth factors, such as our Neocutis products, also can strengthen collagen and decrease purpura. Topical creams containing vitamin K, such as Auriderm gel, may help fade spots more quickly. Prescription-strength retinoids, such as Retin-A, can strengthen dermal collagen to a small degree. The same is true for over-the-counter retinol and products containing alpha-hydroxy acids. Interested in a more immediate way to improve the appearance of solar purpura? Cover the areas with a strong foundation such as Dermablend Cover Creme to help camouflage these spots until they fade.
Hours: Mon.-Thurs., 8 a.m.-6 p.m.; Fri., 8 a.m.-5 p.m.
920 Woodruff Road, Greenville, SC 29607
For more information, call (864) 233-8088 or visit carolinaaesthetics.com.
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20% OFF your favorite products...an Extra 10% OFF for GHS Employees. July 22, 2017 8am-6pm at Carolina Aesthetics, Woodruff Rd
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920 Woodruff Rd,
Greenville, SC 29607
(864) 233-8088Mon - Thu 8:00 a.m. - 6:00 p.m.