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PHONE: (828) 526-3783 | TOLL-FREE: (877) 526-3784

209 Hospital Dr #202
Highlands, NC 28741

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Chemical Peels are Valuable Post-Summer Treatments

Chemical Peels are Valuable Post-Summer Treatments

Micro Peels in Highlands, NCWe’re not looking forward to the end of summer just yet, understanding there are many cool months ahead. Knowing that the time is coming when the temperature cools and the sun moves farther away from the Earth, we can plan ahead, though. Around here, planning ahead means discussing ways in which all the summertime sun exposure can be addressed. It may come as a surprise to know that chemical peels still offer a great value.

In recent years, several high-tech treatments have been developed. As they have, it has become easier and easier to forget what came before. For years before lasers and light treatments, chemical peels served doctors and their patients very well. We are still huge fans of the chemical peel, even more so with the variety of options that are available today. This method of treatment provides us with the opportunity to help people correct a wide range of sun damage, to improve the texture of their skin, or just to maintain the general health of the skin.

The way that chemical peels work is by removing a precise layer of tissue. Not all peels are intense. In fact, some peels don’t even cause noticeable peeling. DIY methods are posted across the internet, but do not offer what a professional peel does nor the insight to determine which peel will achieve your desired result.

A professional chemical peel is:

  • Tailored to your skin. There are numerous chemical peel solutions used in our office. Each allows us to meet the needs of every individual patient. Before conducting treatment, we perform a thorough skin analysis and consultation in which we discuss your objectives and preferences. The personal attention of a skilled esthetician makes all the difference in making the most of a chemical peel.
  • Professional chemical peels are the result of thorough research and development. Months, if not years, have gone into formulating the right ingredients in the right concentration to achieve optimal results across a wide variety of skin types. There is nothing more powerful than a professional chemical peel when it comes to achieving the ideal extent of exfoliation with the shortest amount of downtime.
  • The safety of professional chemical peel treatment is maximized by the combination of our clinical consultation and careful selection of the right, powerful peel solution. Patients are also monitored throughout treatment to ensure the desired tissue reaction is achieved.

We are passionate about offering patients minimally-invasive, low-downtime treatments that bring beauty to the forefront. To learn more about our chemical peel treatments, call our Highlands, NC office at (828) 526-3783.

Treating Facial Skin Wrinkles

Wrinkled or crepey facial skin is caused by an interplay of the skin and how it ages, gravity, loss of supporting volume, and action of the underlying muscles. As we age, the skin stops producing both collagen (the substance that gives the skin its thickness and strength) and elastin (the substance that makes the skin elastic). This happens around 30 years of age with collagen only being made after that as part of healing. With both collagen and elastin present, the skin contracts and then, because of its thickness, resists further muscle pull. With the loss of them, the skin does not contract and the muscle pulls the skin further than normal and causes it to pleat. With time, the muscles also hypertrophy and pull even harder and the places where the skin tends to bend become permanent lines. How much the skin crinkles or wrinkles varies due to your genetic predisposition and how you have treated your skin. Smoking, diet and other environmental factors speed the process. There are, however, several things that can be done to improve or reverse this.

Use of Botox®

If the muscle can be weakened with Botox® or a similar neurotoxin, the process can be slowed. This works best around the eyes and in the forehead where the muscle function is not essential. If started early, it can even slow the creation of wrinkles.

Improving the Quality of the Skin:

You can also slow the process and even reverse it by adding collagen and elastic tissue to the skin. Collagen can be added by use of tretinoin (Retin-A) or good retinol or by microneedling or similar laser procedures. We prefer tretinoin or retinol regularly as it continually stimulates collagen production, is less invasive and, we think, more reliable. Elastin can be added by use of Obagi’s ELASTIderm®, the only product proven to do this. We generally add these to Basic Skin Care at about 30 years of age when the skin stops producing collagen and elastin without some encouragement.

Reversing Wrinkles:

If the wrinkles are minimal or small, the above options will reverse them, but it takes about a year or so to do so. There are 2 things you can do to improve the wrinkles faster. One is laser resurfacing or a leveling peel that brings the surface of the skin down to the level of the bottom of the wrinkles and stimulates significant collagen production. Both these, however, have a prolonged recovery. The other is to fill the lines or depressions with a filler like Juvederm® Volbella and then crisscross it under the skin to stiffen it. This also helps the tretinoin work since it can increase the body’s use of the hyaluronic acid from the filler to convert it to collagen (something that is now proven to happen). Fillers are also the answer if the wrinkles are due to volume loss as they fill deep, replacing the lost volume, and stretch the skin back, flattening many of the wrinkles. This is especially true with lip wrinkles. The recovery from this is minimal with only a little swelling and, occasionally, some bruising that is easily camouflaged.

To find out more or to determine what is right for you, call 828-526-3783 to make an appointment at our Highlands office.

Spend Less Time Focusing on Fitness and Still Feel Fabulous with Laser Body Slimming

ZERONA™ Non-invasive Body SlimmingHighlands, NCIt is no secret that many people would like to reduce fatty deposits on one or more area of their body. Typically, this goal has been associated with a lot of hard work, a lot of discomfort, or both. It doesn’t have to. If you have a goal of revealing a slimmer version of you this year, we can help. Here, we discuss the value of laser technology for non-surgical body contouring.

Zerona™ Laser Fat-Reduction

Patients who are interested in feeling better about their body but are not in a surgical procedure and its inherent risks may discover that Zerona laser fat-reduction is their ideal strategy. The technology was initially developed as an enhancement for tumescent liposuction. However, during clinical use, it was discovered that the circumference of the thighs, hips, waist, and other areas could be reduced using the cold, low-level laser technology alone.

Zerona works by walls of fat cells. The disruption to the cell membrane of these cells allows the stored lipids to spill out of the cells into the interstitial space where they are then carried through the bloodstream for elimination.

Patients appreciate the non-invasive nature of Zerona treatments. To enjoy a slimmer shape, all that is required is that you lie on a comfortable treatment table over which the laser applicator is placed. During treatment, cold, low-level laser energy penetrates the superficial tissue and gets absorbed by adipocytes. All the while, you feel nothing. Each side (front and back) is treated for approximately 20 minutes. After treatment, you are free to go about your day as usual. No pain. No side effects.

Details You Should Know

It is important to us that our patients have options for non-surgical and minimally invasive procedures whenever possible. At the same time, we also want to achieve the results each patient envisions. Zerona is an excellent treatment option for fat-reduction but it is not designed to tighten the skin. Therefore, patients who have excessive laxity may wish to discuss how the condition of their skin could affect the outcome of treatment.

Zerona works in an entirely different manner than liposuction. Fat cells are not extracted manually during Zerona treatment; they are disrupted to trigger the body to eliminate the contents that have spilled from targeted cells. This not only contours the body but it may also trick the brain into jump-starting weight loss. Although fat cells are not extracted, we have had an outstanding success rate with long-term results.

This is not intended as a weight loss alternative, though we have used it to jump start weight loss with lifestyle and dietary modifications. It is also not ideal for small localized areas of fat, but works best on more generalized areas. For small areas, liposuction under local anesthesia is still the most effective method.

Achieving a better body doesn’t have to be so difficult. To learn more about Zerona and how it can support your healthy lifestyle, call our Highlands office at (828) 526-3783.

Skin Cleansing: How to Get the Most Out of Your Clarisonic

Clarisonic Highlands, NCLong gone are the days of using a warm washcloth and facial cleanser or Pond’s Cold Cream to clean your face. By using at-home cleansing tools like the Clarisonic, you can help to get your skin significantly cleaner than ever. By using a combination of uniquely designed brush bristles and a vibratory motion, the Clarisonic can remove 6X more makeup and 2X more dirt than cleansing with just your hands alone. However, if you’re not taking the proper care of your Clarisonic or if you simply don’t know how to use it correctly, you aren’t going to get the cleanest skin possible. If you either currently have a Clarisonic or if you are considering investing in one, it is important that you know how you can get the most out of it. Read on to learn more tips and tricks.

Change the Brush

The same way that you wouldn’t use one toothbrush for an entire year, you need to switch the brush head on your Clarisonic every three months. By accumulating dirt and oil, an old, dirty Clarisonic brush is simply just going to cause you to breakout. To switch out your brush, simply twist off the brush head, throw it away, and replace it with a new one— it’s as simple as that!

Clean Both the Brush and the Base

Dirt and grime can build up under your brush head if you don’t clean it often. To help keep your Clarisonic as clean as possible, remove the brush head after each use and clean both the brush head and the Clarisonic device. To remove the brush head from the Clarisonic, simply twist it off. Then, with warm water gently wash the brush. When cleaning your Clarisonic, simply wipe it under running water. Once every week or so you should also remove the thin white plastic ring around the central spindle that holds the brush. You have to pop it out from under the small brass pins around the outside of the brush well. This is best cleaned with a Q-Tip. While you are at it, clean the drain holes too .

Dry the Brush

To keep your brush head in the best condition possible, dry it after every use. To dry the brush head, remove it from the base and rub the brush against a clean, dry washcloth or towel— about 5-10 times— or until it is dry to the touch. You should  also set it at an angle where circulating air can get to it.

Get the most out of your Clarisonic by using the tips and tricks above. To learn more, contact The Center For Plastic Surgery today!



Many “Medical” Spas Lack Proper Oversight.

The Hampton Roads (VA) Virginian-Pilot (8/29, Simpson) reports on the growing trend of spas “tacking the word ‘medical’” onto their business’s name and “pitching invasive services,” often without “proper doctor oversight.” The paper writes that the trend is a result of a few factors, including “aging baby boomers, people looking for a cheaper alternative to plastic surgery and elective enhancements, and doctors looking for a way to replace shrinking insurance reimbursements.” Cases have begun to pop up, the latest of which occurring in Virginia when a Norfolk physician “received a state reprimand and a $5,000 fine” form the Virginia Board Of Medicine “for letting an unlicensed person use his prescription information to obtain medication for erectile dysfunction at a local medical spa.”

Other spas pay a non qualified off site physician to write prescriptions for other prescriptive medications including skin care products and then sell these without physician supervision. The Obagi Nu-Derm system is an excellent example as this system definitely requires oversight. Other spas are using lasers and other semi invasive machines without physician oversight. These too require oversight and the state of North Carolina where we are also requires this oversight. 

The Center for Plastic Surgery and Medi-Spa has been operating with more than the required oversight for over 14 years. All prescriptive skin care, such as Obagi, is personally supervised by Dr. Buchanan who also carefully oversees or personally does all invasive procedures, including lasers, IPL’s and major peels.

March Medi-Spa Specials

Ready to try something new at the Medi-Spa?

During the March only we will be offering our Renewal Eye and Lip Treatment. Using the botanical line of Epionce Skin Care, this Eye and Lip Treatment is designed to exfoliate and tighten these delicate areas with a light lytic acid wash. Once the wash is removed, the skin will be treated to a moisturizing mask with a light application of steam. A perfect solution for winter skin!

And, here’s the best part; as our gift to you, when you purchase the Renewal Eye and Lip Treatment, you will receive a free Obagi Elastilash and a free Jane Iredale Mini-Lip Drink. It is our way of saying “Thank You” for your continued support.     

The Renewal Eye and Lip Treatment and the extras are only $75.


And back by popular demand…

If you are experiencing “all over” dry facial skin, the Obagi Radiance Peel will remove the winter flakes and leave your skin tingling and taunt. This peel is available as a single treatment or packaged in a series of four or six.

Both treatments are available on Monday and Friday in our Medi Spa. Call 828-526-3783 for more details.

Christmas 2012 Specials

Time to spruce up your skin care for the Holiday Season!

If it has been a while since you treated yourself to a facial, our Pumpkin Enzyme Facial is the one to choose. Designed to naturally exfoliate and refresh your skin, the Pumpkin Enzyme facial will leave your skin glowing and refreshed. And the best part, it is now on sale for 20% off until the end of the year.
Let us help you with your Christmas shopping this season. Do you have a “hard to shop for” person on your list? We can help with that. We offer the complete line of Jane Iredale Skin Care Makeup where we can help you will find a great gift in any price range.

Visit our office to learn more about the newest member of the Clairsonic family. If you have been wondering about the Clairsonic Cleansing System, wonder no more. A staff favorite and a great way to deep clean your skin, this now comes in a Pro Face and Body Complete System. It is available in several color options. (And by the way, the charcoal gray makes a great gift for the man in your life!) We also have the regular Pro and the Mia on sale.

And don’t forget, a Gift Certificate is always a welcomed surprise!
Happy Holidays from Lynne, Maryam, Cathy and Diana

Jane Iredale Mineral Make-up

How can makeup actually be good for your skin? When it is the pure crystal mineral make-up line by Jane Iredale®, offered at The Center for Plastic Surgery.

The Jane Iredale® line contains no talc, no chemical preservatives, no parabens and no synthetic fragrance. It is also hypoallergenic and contains natural total UVA and UVB protection not just the UVB of most other brands. Their lipsticks are the only ones anywhere containing complete UVA protection from edible Zinc Oxide. Thus they actually help prevent skin aging from sun damage. It is also easy and fast to apply and leaves the skin feeling “breathable,” with a clean and healthy look.

Call and inquire about Medi-Spa at our office today at 828-526-3783 or toll free at 877-526-3784 to find out more about the Jane Iredale® Skin Care Makeup line. We will be happy to set up a time for you to receive a complementary color match, with the purchase of any Jane Iredale® product.


Most women have concerns about facial hair. From the fine ‘peach fuzz’ to those horrible dark chin hairs that show up overnight. What can we do?

Expensive laser hair removal treatments will only eliminate dark hairs and the fine light hairs will remain. Waxing of course is always an option. However, if you are on the full Obagi For Life System or any skin care line which contains retinols or glycolics, this is not the best choice.
Here at the Medi-Spa we have a solution! Dermaplaning is a non-invasive means to remove dead cells and facial hair at the same time. This treatment takes about 20 to 30 minutes as a stand-alone Spa service or it can also be added on to any of our other Medi-Spa treatments. It will give your skin a refreshed, smooth look.

For more information on the benefits of Dermaplaning, please contact our office.

The 10th Anniversary of FDA approval of Botox® as a Wrinkle Reducer

This year marks the tenth anniversary of the approval of Botox® to relax wrinkles. Botox® has been around for about 50 years as a treatment for eye muscle spasm. It was originally used in children treating strabismus, but later broadened to adults with eye muscle problems. In 1987, Dr. Jean Carruthers of Vancouver, BC, Canada, an ophthalmic surgeon, had a patient she was treating for facial muscle spasms tell her that the treatment gave her “a beautiful, untroubled expression.” This led to several clinical trials that resulted in the FDA approving Botox® as a cosmetic treatment of wrinkles in 2002.

Botox®, a potent toxin when used in large doses has proven exceptionally safe over this time. In the last year more than 5.6 million people were injected, making it the most popular cosmetic procedure in the world. Though it is officially approved only for treating the muscles between the eyes to get rid of the “11’s” there, it can be used anywhere there is a hyperactive muscle causing a problem.

To celebrate, Allergan, the maker of Botox®, is offering a discount for the next several treatments if they are prepaid before the end of April, 2012.

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