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Cosmetic Services

BOTOX® Cosmetic

At Southeast Oklahoma Oral & Maxillofacial Surgery, we are eager to help you reach your goals. As part of our commitment to our patients, Dr. Igou is pleased to offer BOTOX®, a popular cosmetic treatment that can help you prevent and treat the development of facial wrinkles. If you are interested in improving your appearance, we invite you to contact our office today and to schedule an appointment with our experience oral surgeons to learn more about BOTOX!

women getting botox injected

BOTOX® (onabotulinumtoxinA) is a medication that is injected into the muscles of the brow to smooth frown lines between the brows and crow’s feet. In fact, BOTOX is the only approved treatment to temporarily improve the appearance of moderate to severe frown lines and crow’s feet lines. BOTOX can help you to look younger, calmer and more alert. Our oral surgeons may recommend BOTOX as a great choice to help you regain a more youthful appearance and boost your self-confidence. BOTOX can also be used for a number of other purposes. Based on your specific needs, we may suggest BOTOX to reduce migraine headaches, lessen excessive sweating or help treat a TMJ disorder. BOTOX involves no incisions, stitches or surgery, so you can resume your daily routine directly following your appointment. This also means that your treatment will be comfortable and fast. Our team will simply inject the medication into the muscles. We may use ice or a topical numbing cream before the treatment to ensure that you feel completely comfortable. You may begin noticing improvements as soon as 24 to 48 hours after the treatment, and your BOTOX results can last up to four months. To learn more about BOTOX and find out if it is right for you, we invite you to contact us today.

Subcision Scar Removal with Platelet Rich Fibrin (PRF)

Subcision is a surgical keyhole surgery for the treatment of deep acne scars. This method immediately ‘releases’ scar tissue attached to deeper facial structures. Subcision is the gold standard for the treatment of deep scars. This is performed under topical/local anesthesia. A beveled needle is inserted under the skin so that it is parallel to the skin surface. The needle is then gently advanced and retracted in a piston-like motion to cut or break the tethering bands of scar tissue. Patients own blood is drawn before procedure and then put into a centrifuge to separate the plasma and red blood cells. The plasma is then injected under skin where the scars where attached. The plasma allows the skin to heal and promote collagen growth. Bruising from needle subcision may take 5-7 days to fade away.

SubcisionTreatment

Absolute Contraindications:

​*Platelet Dysfunction Syndrome  *Critical thrombocytopenia  *Hemodynamic instability  *Septicemia  

*Local infection at the needle entry site  *History of hypertrophic or keloid scarring

Relative Contraindications:

​*Consistent use of NSAIDS within 48 hours of procedure  *Cortico-steroid injections in the treatment areas within 1 month  *Use of tobacco  *Recent fever/illness  *Cancer (especially hematopoietic or bone  *Hemoglobin less than 10g/dl or platelet count less than 10.5ul

Micro-needling

Micro-needling is an entry-level procedure. It is a form of non-laser fractional skin therapy. Needling can help boost collagen, treat textural changes including fine wrinkles, enlarged pores & very mild acne scarring. We use a number of micro-needling devices including Dermapen, Skinpen, Dermaroller, Dermastamp & energy-based devices including nanoneedle & RF micro-needling. The correct device will depend on your skin concerns.

Needling can either be a roller, stamper, digital Dermapen, or energy -based radiofrequency system. The depth of needles can be controlled by the device- ranging from 0.1 to 4.5 mm needles. Depth, passes & energy levels are adjusted, according to concerns. Needling can also help improve skin texture. Micro-needling can reduce mild forms of acne scars. Newer treatments such as RF micro-needling, nano-microneedles, & thermo-mechanical nano needling are more effective than non-energy based needling. Micro-needling PRF can give better outcomes in some conditions. ​ How can Microneedling improve skin concerns? Skin needling or microneedling, including Dermapen, can treat conditions that occur under the skin’s surface, including: Acne scars & textural changes Wrinkles & fine lines Stretch marks- especially old ones (white in color) Open pores / enlarged pores Sun damage Multiple treatments can also help with skin texture by decreasing fine lines, and skin pigmentation. Microneedling should not be used to treat melasma pigmentation as it can worsen pigmentation. I do not use microneedling to treat dark circles as the undereye area has very thin skin. This can lead to worsening of dark circles. My most frequent indication of microneedling is dermal delivery of medications including intralesional corticosteroids & tranexamic acid. Microneedling can deliver skin ‘actives’ & PRP, especially for the treatment of hair loss. How does microneedling work? Microneedling works on the basis of controlled micro-trauma. Once the skin’s upper epidermal layer is broken, skin cell release growth factors & cytokines. These molecules can stimulate cells to produce collagen, elastin & hyaluronic acid. Over a period of months, skin is rejuvenated. The result is an improvement in skin quality. The downside with micro-needling is that it does not provide controlled heating, unlike RF micro-needling, Tixel & fractional lasers. Sustained heating results in much more collagen remodelling. How many sessions of needling will I require? 3-5 sessions spaced 2-6 weeks apart. The number of sessions will depend on your skin condition, concerns, ethnicity as well as downtime. When will I see the difference? In some cases, after one session. Most patients will notice improvements over the following months as collagen is generated. As a guide you will notice bigger & faster gains with fractional lasers over microneedling. Laser resurfacing provides controlled heating. Microneedling does not.

micro needling

CO2 Skin Laser Therapy

The CO2 laser is a highly effective tool for removing thin layers of skin with precision and minimal damage to the surrounding area. This process involves the destruction of the outer layer of skin, which in turn heats the underlying skin and stimulates the growth of new collagen fibers. The result is a significant improvement in skin elasticity and thickness, as well as the restructuring of collagen, which can help to reduce wrinkles and improve dark spots. This innovative procedure is a safe and effective way to achieve a more youthful and radiant complexion.

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CO2 laser therapy can be done on an outpatient basis with either general anesthesia or local anesthesia with intravenous sedation. The number of treatments required for optimal results varies depending on the power of the laser and the type of treatment. Higher power lasers may only require one treatment but may result in several days of downtime, while lighter treatments may require multiple sessions with minimal downtime.

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Co2 laser
CO2 laser

Benefits of Carbon Dioxide (CO2) Laser Therapy for Skin

  • Reduces the appearance of acne scarring by causing thermal damage under the scar and stimulating collagen production

  • Removes thin layers of skin to treat sun damage, age spots, and uneven pigmentation

  • Smooths out deep wrinkles and tightens sagging skin

  • Improves skin texture and evens out skin tone

  • Stimulates collagen production for firmer, more youthful skin

  • Treats warts, birthmarks, enlarged pores, and skin laxity

  • May help treat pre-cancerous skin lesions,

  • Treats the skin in microscopic portions, ensuring thorough treatment without harsh damage

  • Results can be seen within a week, but collagen remodeling may take up to a year to develop.

Post Laser Treatment: Your skin will start to dry out and peel. Your new skin will initially appear pink, but it should gradually lighten over the next 2–3 months.CO2 laser resurfacing can require up to two weeks of recovery time, but the length of time can vary depending on the treatment. Here are some things to expect during the recovery process: Days 1–2 The treated area may feel like it's burning and your face may swell. This is normal and should subside after 1–2 days. Days 2–4 Your face may feel tight and a yellowish fluid may start to ooze from the treated areas. Crusts may also develop, which is a sign that new skin is growing. Days 5–7 Your skin will start to dry out and peel. Your new skin will initially appear pink, but it should gradually lighten over the next 2–3 months. To help with discomfort, you can try: Ice packs, Benadryl, Tylenol, and A healing ointment like Aquaphor. 1. Listen to Your Doctor's Advice After your CO2 laser treatment, it's important to do what your doctor says. They give you specific instructions that are just right for your skin and the kind of treatment you had. These guidelines cater to your specific skin type and the nature of your treatment, ensuring safe and effective healing. 2. Keep Skin Moist It's super important to keep your skin moist after the treatment. Use the special ointment your doctor gives you. This keeps your skin from drying out and helps it heal better. This not only aids in the healing process but also helps reduce the formation of scabs. 3. Stay Out of the Sun Your skin will most likely be quite sensitive after the treatment. Make sure to stay out of the sun. If you go outside, use a broad-spectrum sunscreen with an SPF of at least 30. 4. Drink Lots of Water Drinking water is good for your skin, especially when healing. Drinking plenty of water helps in faster healing and maintaining your skin's health. 5. Don't Pick Your Skin Even though you might want to, don't pick at your skin as it heals. This can lead to scarring or potential infections and can negatively impact the treatment results. 6. Use Gentle Skin Products Your skin will be sensitive, so don't use rough skin products. It's best to avoid harsh skincare products like exfoliants or alcohol-based toners. Instead, use gentle, soothing cleansers and moisturizers that won't irritate your skin. 7. Sleep with Your Head Up Try sleeping with your head higher up for the first few nights after your treatment. Prop yourself up with a few pillows for the first few nights post-treatment. This helps keep swelling down. 8. Eat Healthy Foods Eating foods that are good for you helps your skin heal. A valuable diet rich in vitamins and minerals supports the skin's healing ability. Incorporate plenty of fruits, vegetables, and lean proteins into your diet to enhance recovery. 9. Take It Easy with Exercise It's advisable to avoid heavy physical activity for a few days after your treatment. Exercising can lead to sweating and overheating. When you exercise, you sweat, which might not be good for your skin right after treatment. Wait a few days before doing any hard workouts. 10. Be Patient with Your Skin Remember that the full results of your CO2 laser treatment may take some time to become visible. It takes time to see the full results of your treatment. Give your skin the time it needs to heal and get better. Be patient and give your skin the time it needs to heal. Healing right after CO2 laser treatments is important for getting the best results.

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