FAQs on How You Treat Certain Conditions?

Acne is the most common skin condition in the U.S. affecting nearly 50 million Americans at any time.  Acne is caused when hair follicles become clogged with oil and dead skin cells. It can often be persistent and unsightly,

Acne is can be treated by:

1.  Benzoyl Peroxides – Works in three major ways. It kills germs, unblocks clogged pores and minimizes inflammation.
2. Antibiotics – Oral antibiotics such minocycline and doxycycline are commonly used to kill bacteria.  Topical antibiotics such as clindamycin can used directly on the skin
3. Retin A – Works by unblocking clogged pores and recycling healthy skin
4. Forever Clear BBL – A cutting-edge acne treatment that uses the power of light to comfortably and effectively clear acne without expensive creams or toxic medicines.

BBL is the world’s most powerful IPL (Intense Pulsed Light) device on the market.

Each Forever Clear BBL treatment uses Blue Light BBL, Yellow Light BBL, and Infrared Light to painlessly:

• Destroy acne-causing bacteria at its source, deep down in the pores.
• Reduce the inflammation and acne-associated redness
• Tighten inflamed skin

Many patients will see results with just one treatment with no downtime.

Brown sun and age spots are some of the first signs of aging and sun damage.

Treatment options include

1. Creams such as hydroquinone and retin A.  Hydroquinone is a bleaching agent while Retin A increases cellular turnover.  Over-the-counter creams will generally not have high enough concentrations to be effective.
2. Forever Young BBL – Cutting edge technology providing the most powerful and effective IPL option.

The Forever Young BBL uses Broad Band Light to alter skin melanin and rejuvenate cellular DNA.  Instead of spending time and money on ineffective skin care products many of our patients have turned to the Forever Young BBL to make their skin more vibrant and youthful; reducing brown and red pigmentation problems, promoting collagen, and rejuvenating cellular DNA. It is the most popular laser treatment in our clinic.

What to expect from the Forever Young BBL:

• Treatments take 20-30 minutes
• Up to 80% improvement after a single treatment.
• Most patients will benefit from adding a Micro Laser Peel and a Profractional Laser Peel ( Triple Laser Package )

Fine facial lines and wrinkles are a result of UV sun damage, the breakdown of collagen, and a decrease in skin hydration. The Micro Laser Peel and the Profractional Laser are ablative lasers designed to reverse these changes.

• The Micro Laser Peel precisely ablates the surface skin in order to remove UV damaged skin
• The Profractional Laser ablates deep columns of skin that can reach to the deep dermis. This allows for skin contraction but it also encourages new cell grown and organizes new collagen

Results depend on the depth of treatment. Recovery from a maintenance treatment can be as little as a day; but recovery from aggressive treatments can be as much as 7 days. Many patients will benefit from the addition of the Forever Young BBL ( Triple Laser Package ).

Scars are an inevitable part of tissue injury. Surface scars can be caused by surgical cuts or traumatic lacerations.
Scars should ideally heal as pencil thin white lines. However, this is not always the case. Depending on where the scar is located, how it is put back together, the surgical skill of the surgeon, and the diligence provided to the prescribed after-care of the cut, the scar can either heal well or heal poorly.

Strategy in revising scars:

• Surgical scar revision can be applied to cut out the scar and start from scratch in more ideal conditions.
• Laser scar revision can also be used to either primarily treat a raised or unsightly scar or used secondarily to improve the results of a surgical scar revision.

The Profractional Laser creates micro-columns of laser ablation to the scar. New collagen is regenerated and dermal cells are reorganized to provide a smoother, more uniform skin surface.

Unwanted fat bulges can be treated by either liposuction or one of the newer non-surgical devices such as Sculpsure or Coolsculpting. Liposuction is significantly more effective, but requires surgery and recovery time. The benefits of the non-surgical devices are that they can provide fat reduction of about 20% without surgery.

SculpSure is the world’s first FDA-cleared laser treatment for non-invasive lipolysis of the abdomen, flanks, back, inner thighs, outer thighs.

SculpSure is a technological improvement over the older Coolsculpting technology because it can selectively target fat while leaving the skin alone. The technology provides the following benefits over Coolsculpting.

1. Less complications
2. Result is much smoother
3. Significantly less pain

What to expect from Sculpsure:

• Treatments take 25 minutes
• Most can see up to a 20% reduction
• Minimal pain
• Return to work the same day
• Optimal results seen at about 3 months

Laser systems can be used to permanently treat visible vessels, broken capillaries, spider veins, and vascular lesions from your face and body. The ClearScan laser system by Sciton can quickly selectively target and remove the unwanted vessels.

Conditions that can be treated with the Clear Scan Laser include:

• Rosacea
• Redness
• Facial Veins
• Telangiectasia
• Spider Veins
• Broken Capillaries

What to expect from ClearScan vascular laser:

• Each treatment area takes 30 minutes
• Most patients can see up to a 80% reduction
• Minimal pain and discomfort
• Return to work the same day
• Disrupted vessels are absorbed over 2-4 weeks

SkinTyte offers a fast, safe and effective method for tightening skin without surgery. SkinTyte uses advanced infrared light technology, and patient tailored filters to deeply heat dermal collagen while continuously protecting the treated epidermis with sapphire contact cooling. With no need for a topical anesthetic, the energy is delivered in rapid, gentle pulses to promote contraction and partial coagulation of the collagen, initiating the body’s natural healing process, leading to the appearance of firmer tissue.

SkinTyte factoids:

• SkinTyte is a nonsurgical alternative to surgery
• Can be used in the face as well as the body :
• Used for lifting the jowls and neck
• Used for arms, abdomen and thighs
• Optimal benefits require 4 treatments 1 month apart
• 80% satisfaction rates
• Useful for all skin types
• Return to work the same day

Earlobes can be rejuvenated. Thin or stretched earlobes are common problems facing modern women who have worn heavy earrings for years. The earlobe does not have to necessarily be torn to benefit from treatment.

• Thin earlobes can sometimes be addressed by injecting fillers like juvederm or a fat transfer. Plumping up the earlobe can fill the slack while tightening up the earring hole.
• Long or wide earlobes will benefit might benefit from a reconstruction that involves removing some of the skin excess and rotating the tissue to give the appearance of smaller and cuter earlobes.

What to expect from the earlobe rejuvenation:

• Each earlobe takes about 15 minutes
• Return to work immediately
• New earrings are placed after 4 weeks

Thin lips can be treated by volume replacement using injectable fillers like juvederm, voluma or fat transfer. While most patients want “normal” sized lips, others want larger more luscious lips.

The goals of lip augmentation are very individualized and include:

• Adding volume where it is needed
• Providing a nice arching cupid’s bow
• Provide a nice vermillion border
• Decrease upper lip lines by adding volume above the lip
• Provide an upper lip pout by placing the filler in the upper lip philtrum

The injectable fillers can last 1 to 2 years while fat transfer provides a more permanent solution. Most patients will return to work the next day

Laser Hair Removal provides a permanent solution to dealing with unwanted hair. The most popular areas to treat includes the legs, back, underarms, and upper lip. The most effective and advanced laser system is the High Speed LightSheer DUET. It is the most advanced and effective laser system available today because:

• Its larger hand piece allows the procedure the be performed much quicker than other lasers; this means less pain and less time in the office. A typical let can be treated now in less than 30 minutes.
• The suction-assisted technology pulls the skin into a chilled and better targeted handpiece. This makes the the procedure relatively painless and yet more effective.

As with any hair removal device, multiple treatments are required in order to ablate the hair follicles in their growth cycles.

How can I get more hair without surgery?

PRP Stem Cell Hair Regeneration

PRP Stem Cells technology has provided the newest innovation in hair regeneration.  Growth factors extracted from your own blood is used to stimulate hair growth. The PRP has been shown to revive hair follicles out of their sleeping phase as well as their senile phase.  The hair is generated while thinning hair because thicker. Three treatments 4 weeks apart are required for optimal results.

PRP ( Plasma Rich Protein ) Stem Cell Hair Regeneration Facts:

• Procedure time 1 hour
• Treatment goals: Regenerate hair and thicken thinning hair
• Blood is drawn and processed.
• Growth factors are isolated from the rest of the blood
• Growth factors are directly into the hair roots
• Return to work next day
• Pain minimal

Hair Transplantation

Hair Transplantation is a cosmetic surgery procedure that allows you to grow new hair where you need or want it.  The newest most innovative technique is called microfollicular hair transplantation which transfers your hair follicles as single units from the back of the head to areas that are thinning or beginning to recede. Hair loss is a common problem in the United States, affecting more than 80 million men AND women.  Men and women can both benefit from hair transplantation procedures. PRP stem cell hair restoration is a nonsurgical alternative to hair transplantation or can be used to improve the results of hair transplantation.

Hair Transplantation facts:

• Hair is taken from the healthy hair in the back of the scalp
• Transferred hair is placed where you choose
• 2000 hairs can be transferred at a time
• Most patients will return to work in a week
• Hair transplantation is a permanent solution to hair loss
• Adding PRP growth factor and stem cell restoration can improve results

Thin lips can be treated by volume replacement using injectable fillers like juvederm, voluma or fat transfer. While most patients want “normal” sized lips, others want larger more luscious lips. The goals of lip augmentation are very individualized and include:

• Adding volume where it is needed
• Providing a nice arching cupid’s bow
• Provide a nice vermillion border
• Decrease upper lip lines by adding volume above the lip
• Provide an upper lip pout by placing the filler in the upper lip philtrum

The injectable fillers can last 1 to 2 years while fat transfer provides a more permanent solution. Most patients will return to work the next day

Dr. Chang has recently been featured in New Beauty magazine and is listed as one of the “Top Doctors” in Virginia by Health and Beauty magazine. According to Allergan, the company which provides BOTOX® Cosmetic and Natrelle breast implants, Dr. Chang’s office provides more BOTOX® Cosmetic treatments and facial fillers such as JUVÉDERM® than any other single practitioner in Virginia.

Loudoun Now asked their readers to share their recommendations about their favorite places, people and businesses last June 2018. The response was enthusiastic. More than 5,000 names were submitted as nominations in the poll’s more than 200 categories. Dr. Phillip Chang was voted as one of the best plastic surgeons in Loudoun, Virginia.