International Aesthetic Meeting in Paris – I Am Always Learning

International Aesthetic Meeting in Paris – I Am Always Learning

I just came back from Paris where I attended the IMCAS World Congress for Aesthetic Medicine.  This meeting is an exceptional opportunity to explore the hottest new topics in the medical aesthetic field.   I saw the most innovative technical procedures and discovered cutting edge products and devices.  There were 8000 doctors from around the world.  It was great to meet doctors from other countries to learn from their experiences.  There were also 250 international exhibiting companies.   Of course, I specialize in injections.  Over the years, the methodology and techniques have changed markedly.   Beautifying by facial contouring is all the buzz.  How to inject and where to inject and to do so safely and effectively are the goals.   With the world experts sharing their experiences, I can incorporate these new ideas to help my patients.  Also, outside of the U.S., as doctors are freer to experiment, I can learn both from their successes and from their mistakes.   After all the hard work of attending lectures for three days from 8 am to 6:30 at night, there was a gala to celebrate the 20th Anniversary of this conference. This 20th Anniversary Gala was the best party I have ever attended! I will post more pictures and videos on Instagram.       I have been going to this conference for several years now, and this is the first time it snowed in...
What Should Your Skincare Routine Look Like?

What Should Your Skincare Routine Look Like?

With so many skincare products on the market, the right products to include in your daily routine can get a little confusing. You’re in the right place to get some simple answers. With so much damage done to skin on a daily basis, you want to get a head start on keeping your skin healthy and youthful. What products are really necessary in a basic regimen, and in what order should they be applied?   Cleanser: The first step — morning or night — is to remove any makeup or impurities on your face or in your pores. Look for a gentle cleanser that doesn’t strip your skin of its natural oils but instead hydrates and smooths skin. (Suggested products: Hydrate Cleanser by MaiSkin for all skin types, or Clarify Illumine Cleanser by MaiSkin for oily/combination skin or hyperpigmentation) Toner: Using a good toner will clean your skin on an even deeper level while restoring healthy pH levels and opening up your pores so later creams can be more thoroughly absorbed by the layers of the skin. (Suggested products: Restore Toner by MaiSkin for all skin types or Refine Illumine Toner for oily/combination skin or hyperpigmentation) Exfoliate/mask: Most exfoliators and masks are only meant to be used two to three times a week but do your skin a great service by removing dead and dehydrated skin cells. (Suggested product: Smooth Exfoliator by MaiSkin) Eye serums: Using a hydrating serum around the eye area can minimize the appearance of dark circles, wrinkles and bags. (Suggested products: Affirm Eye Wrinkle Serum, Awaken Dark Circle Eye Serum or Vanish Eye Bag Serum,...
Brighten Day Cream

Brighten Day Cream

The Brighten Day Cream from MaiSkin has been specially formulated to aid the appearance of blemish-prone, aging and pigmented skin. It contains powerful ingredients that work together to heal acne or other blemishes, brighten the skin, and fight unwanted pigmentation production like age spots. It is a great addition to the skincare regimen of those looking to maintain the youthful, hydrated and bright skin they achieved through their treatments at MD Refresh. It also makes a great staple in the beauty routine for those who are want to prevent aging and those who haven’t yet undergone a procedure with us. What Makes Brighten Day Cream So Effective? This unique blend formulated by Dr. Mai of MD Refresh covers all the bases of a good day cream. It helps: Improve skin texture Reduce redness and pigmentation Reduce the severity of fine lines Stimulate collagen production Strengthen the skin Fight acne at a bacterial level Moisturize skin Let’s take a look at the active ingredients in Brighten Day Cream and what they do for your skin. Azelaic acid: Is a pharmaceutical agent that provides antibacterial and comedolytic effects, fighting acne at a molecular level, and keeping pores clean. Niacinamide (Vitamin B3): This vitamin is full of goodness for your skin. It actually stimulates the production of collagen and ceramide, a lipid compound that is important for the structural integrity of your skin. It also moisturizes the skin and improves its texture while also lessening the appearance of red blotches and unwanted pigmentation, among other benefits. Alpha arbutin: Arbutin is a topical agent that can be applied to prevent the formation of...
Carboxy Facial: A No-Needle Route

Carboxy Facial: A No-Needle Route

The benefits of carboxytherapy are widely known, but what you may not have been aware of is that you can now get these astounding effects without the use of needles! MD Refresh is pleased to offer the carboxy facial — a no-needle route to hitting the restart button and giving your face the glowing, radiant skin it deserves. Whether you are healing from a more invasive treatment like microneedling, tired of seeing those pesky wrinkles or are trying to eliminate acne, read on to find out how a carboxy facial can hydrate your skin to its healthiest version yet. How Does the Carboxy Facial Work? Just like carboxy therapy, the active ingredient in this treatment is CO2 (carbon dioxide). But, whereas carboxy therapy entails the injection of the gaseous form of CO2 into the skin, in the carboxy facial, your skin is infused with CO2 in liquid form. Essentially, the CO2 releases a large quantity of oxygen to the epidermis by flooding the area with the healing properties of oxygenated blood. That increased blood circulation helps soothe any inflamed skin and smooth out wrinkles. Plus it balances moisture levels in the skin, tightens pores, enhances elasticity, evens skin tone and minimizes discoloration (i.e. age spots, freckles, pigmentation). The treatment takes 60 minutes and while the mask sets, you will be treated to a head and neck massage for maximum comfort during this zero downtime alternative treatment. Results will build as you repeat these facials. Most clients receive a series of five to ten treatments to see the end results they are looking for, which can last up to six...
The Special Powers of Renew Night Cream

The Special Powers of Renew Night Cream

Renew Night Cream isn’t your average retinol-based face cream. Dr. Carolyn Mai of MD Refresh specially crafted this product to help patients seeking to maintain vibrant, youthful and hydrated skin. This product fills the need for a night cream with all the benefits of retinol that is not too irritating to the skin, as most similar creams tend to be rather harsh. The result is a nourishing, hydrating and regenerating night cream that is made from some of the best ingredients available, including: Extended release retinol: The type of retinol in Renew Night Cream is cylosphere retinol, which is both hypoallergenic and non-irritating. Its slow release into the skin and its cytotoxic properties mean it is better accepted by the skin than other retinol products. Fig extract: Fig extract is an organic source of vitamin A, and is instrumental in repairing the dermis. It gives a major boost to hydration in the skin — up to 90% within an hour — and leaves the skin looking dewy and fresh. Chamomile extract: We’ve included chamomile to help soothe the skin and prevent the negative effects often experienced with retinol creams, such as redness and irritation. Its antibacterial and wound-healing properties act as a calming agent to leave your skin refreshed. One of the main ways to maintain that youthful glow is by helping speed the cell regeneration process so that new, fresh skin cells form in the dermis. A process that once took twenty-eight days extends to a 50-day process as we get older. Extended-release retinol works to increase cell turnover while evening out skin tone and even helping to...
Kybella: Plastic Surgeons Trade the Scalpel for the Needle

Kybella: Plastic Surgeons Trade the Scalpel for the Needle

There is finally a non-invasive alternative to liposuction to reduce submental fullness, commonly referred to as a “double chin”. With the recent introduction and FDA approval of the first and only non-invasive treatment for submental fat, more and more patients are opting away from liposuction. Kybella is a fantastic alternative to liposuction for many patients, and in this article we’ll discuss some of the similarities and differences between the two treatment options. Is Kybella more or less effective than liposuction under the chin? Both procedures are effective at eliminating the fat under the chin, but are done in different ways. Which treatment is right for you can depend on your body, your goals, and your preferences. Let’s talk about how each one works. Liposuction is the most common form of plastic surgery to reduce submental fullness. The surgeon will numb the area with local anesthetic and use a tube to suction out and remove unwanted fat. Kybella, on the other hand, is a non-invasive procedure that can be done in an office setting in about 30 to 45 minutes. Multiple treatments may be necessary, at eight-week intervals, with no more than six treatments. The active ingredient in the injection is deoxycholic acid, which is a substance your liver produces naturally. It is used in the body to break down and absorb dietary fat, and it does the same thing when carefully injected into the neck and chin area. It actually destroys fat cells, rendering them unable to store or accumulate fat in the future. The fat then gets processed through the body’s natural metabolism and eliminated. No other tissue...
6 Ways Vitamin C Serum Helps Your Skin

6 Ways Vitamin C Serum Helps Your Skin

6 Ways Vitamin C Serum Helps Your Skin Vitamin C serum is a fantastic way to keep your skin healthy and prevent long-term damage and premature aging. Here are six ways this serum acts to protect your skin: 1. Combats UVA & UVB damage 2. Contains powerful antioxidants to fight free radicals 3. Revitalizes aging skin and helps prevents wrinkles 4. Corrects dehydration and loss of volume 5. Reduces hyper-pigmentation and lightens skin 6. Supports collagen synthesis Many of the symptoms that can be helped by vitamin C serum are those that stem from those harmful free radicals and the damage they cause. What’s So Bad About Free Radicals? Free radicals are those molecules that have an extra electron in their outer ring, and in order to pair off that remaining electron, they try to steal one from the atoms in the skin. When that happens, it actually damages the skin’s DNA. That leads to visible effects of aging, dehydration, lines, wrinkles and loss of that youthful fullness in the face. Exposure to the sun actually encourages free radical damage to the skin and can lead to more than just early signs of aging. It has even been associated with skin cancer. Here in the beautiful state of Hawaii, sun exposure is something we all get plenty of, which is one of the many reasons it is so important to implement a healthy skin care routine. What Should I Do For My Skin? One fantastic product that combats free radical damage and subsequent premature aging is the Protect Illumine Serum by MaiSkin. The Protect Illumine Serum gets its Vitamin...
Tightening Skin with Venus Freeze

Tightening Skin with Venus Freeze

Tightening Skin with Venus Freeze If you’re looking to revitalize the skin on your face, neck or body to achieve that youthful, firm look it once had, let Dr. Mai and her team at MD Refresh help you realize your vision with the revolutionary Venus Freeze treatment. What Does the Venus Freeze Do? As we age, natural collagen production slows, leading to the appearance of wrinkles and sagging skin. Now there is a safe, effective, non-surgical treatment option available to help combat the appearance of aging. This quick, non-invasive procedure utilizes technology that encompasses both Multi-Polar Radio Frequency and Pulsed Electro Magnetic Fields to stimulate the body’s production of elastin and collagen. It does this by gently heating the tissue deep under the surface of your skin, which is a surprisingly pleasant experience for patients to undergo and not at all uncomfortable. The effects of the Venus Freeze treatment include: Tighter skin and body contouring Improved appearance of cellulite Reduced circumference measurement Reduced appearance of wrinkles Increased blood flow, oxygen and nutrients to the skin How Does Venus Freeze Work? The name is slightly misleading, as no freezing takes place — except perhaps the freezing of time! It’s actually quite the reverse — you will experience a deep heat during the treatment session while the advanced technologies work in tandem to refresh and tighten your skin and contour your body. The Pulsed Electro Magnetic Fields stimulate the growth of new blood vessels and the rapid production of the cells within the dermis (the middle layer of skin) that generate connective tissue and collagen. The Mutli-Polar Radio Frequency emits a...
The Different Areas Botox Can Treat

The Different Areas Botox Can Treat

The Different Areas Botox Can Treat Botox is as loved for its instant results as it is for its versatility. We’re going to take a look at some of the most popular areas patients choose to receive it. Eyebrows: There are two main aims many patients have when they choose to receive Botox around their eyebrows. One is to eliminate the lines between the eyebrows (“the eleven’s”) when squinting or frowning. The other is an eyebrow lift to relax the muscles that pull the brow down, causing hooded eyes. Eyes: One of the areas Dr. Mai treats most frequently with Botox is the crow’s feet, or laugh lines – the lines that appear with age at the outer corner of the eye. Forehead: Lines in the forehead are virtually inevitable as one ages, but these can be relaxed with well-placed, nearly painless injections from Dr. Mai. Nose: Many patients, both men and women, prefer to ease the lines that appear when you crinkle your nose, called bunny nose in women or wolf lines in men. Mouth: Botox can be injected to relax and smooth the area surrounding the lips, so when the lips pucker, there are no cigarette lines. Another common injection site around the mouth is the DAO area – often referred to in layman’s terms as “droopy mouth corners.” (DAO is an acronym for the technical name of a specific muscle.) When the DAO is treated with Botox, it will lift the corners of the mouth to prevent them from going downwards when frowning, and helps to prevent marionette lines from forming. Chin and jaw: Many patients...
How Do Dermal Fillers Work?

How Do Dermal Fillers Work?

How Do Dermal Fillers Work? As we age, we tend to lose mass from our bones and muscle, and the body slows its production of naturally-occurring substances like collagen, hyaluronic acid and elastin. This process leaves the underlying structure of the face with less volume. Consequently the face looks less youthful. Dermal fillers replace that volume and restore plumpness, smoothing out lines or wrinkles in the face, while also helping to define contours and fill out cheeks. Certain kinds of dermal fillers can actually help to stimulate collagen production in the body. There are several types of dermal fillers, and Dr. Mai will help you determine which will help you achieve your most natural, youthful look, based on your skin and the results you’re looking for. These fillers can be injected both superficially as well as deep in the tissue, depending on the effect you want to achieve. Patients choose to get dermal fillers to create a variety of effects, including: Plumping up lips Filling out laugh lines (nasolabial folds) Minimizing the appearance of fine or etched lines Evening out indentations or scars Minimizing the appearance of dark circles or bags under the eyes Filling out cheeks and creating contours What are Dermal Fillers Made of? There are many types on the market, some produced synthetically and others created from naturally-derived material, One common filler is made of hyaluronic acid, a substance the body produces to help lubricate and cushion internal tissues. Since hyaluronic acid attracts water within the body, it can help to plump up those areas that could use the extra volume, leaving you with a fuller...