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Friday, January 20. 2017

Category : Acne Scarring Treatments

Friday, January 20. 2017

Introducing a center soley devoted to Acne and Acne Scar removal

I was very fortunate to train with a brilliant physician and surgeon with the name of James Fulton, III, MD.

He was eccentric and aggressive but kind and caring. Among his accomplishments was the co-development of Retin A in the 1960 with Dr. Kligman. He also developed Benzamycin topical antibiotic solution for the treatment of acne. In the 1980s he had many acne clinics all over Los Angele and treated hundreds of young adults.

Since 1999 I have improved on Dr. Fulton’s approach to acne and acne scarring. New laser and radiofrequency devices have make acne scarring treatments safer and more affordable.

Please visit our Acne Scarring page under the procedures and schedule a time to visit us at

Los Angeles Acne Center.

You can also e mail me for a complimentary copy of our Acne Book.

afshinrahimi@yahoo.com

323 653 7700

A. David Rahimi, MD,FAAD,FAACS,FAAFCS.

Friday, November 11. 2016

Category : Acne Scarring Treatments

Friday, November 11. 2016

Eclipse PRP for the treatment of Acne Scarring

One of the most important lessons I have learned after treating Acne and Acne scarring over the past 20 years is as follows:

No single treatment works for everyone.

Acne has many causes including hormonal, bacterial and genetic components.

Acne scars also come in a variety of form and shapes: icepick, box-car (a misnomer), atrophic, rolling are just a few examples.

My approach has always been to reduce or cure acne and attack the scars using a variety of treatment modalities.

My center offer 30 variety of laser, light sources, ultrasound, and radiofrequency devices to improve acne scarring.

I also use PRP is conjunction with Subcision for deeper rolling and box-car scars.

I am sure why it works; but it does.

Deep fibrous bands are cut using a sharp small blade and the resulting ‘dead space” is filled with either a filler (Bellafill, Sculptra, Juvederm, Radiesse) or with one’s own platelets and stem cell (PRP).

Please e mail me and I will send you a free PDF copy of my book on Acne and Acne scarring.

http://eclipseaesthetics.com/wp-content/uploads/2013/07/PRP-About_101916.jpg

Features & Benefits

  • Simple: Fewer steps than other PRP (platelet-rich plasma) systems
  • Superior: Optimal platelet recovery 90% ± 10%
  • Safe: High-tech gel designed for safe and consistent preparation
  • Fast: Centrifuge with a single spin in a matter of minutes
  • Convenient Procedure: Takes less than 30 minutes
  • Patient Friendly: Small volume of blood required
  • Best Value: High volume PRP yield, low cost per mL
    • ~6 mL of PRP per 11 mL tube
    • ~12 mL of PRP per 22 mL tube
  • Customized Concentration: Yield various volumes and concentration levels to meet patient and procedure needs
  • Consistent Platelet Concentration: Allowing for predictable performance
  • No Foreign Components: Virtually eliminates the risk of adverse reactions
  • FDA Clearance: 510(k) number: BK110035

Thursday, September 29. 2016

Category : Acne Scarring Treatments

Thursday, September 29. 2016

venus Viva nano-fractional ablative treatment for the treatment of Acne Scars

 I am delighted to report that my experience with venus Viva has been quite positive.

The ablative mode causes significant remodeling of Collagen and drastic improvement of rolling and atrophic acne scars.

Downtime is only 3 days but 2-3 sessions over 6 months are needed.

The cost of a treatment is $1500 and includes oral sedation.

Forever Young, Inc.

A. David Rahimi, MD, FAAD.

6333 Wilshire Boulevard, Suite 409 Los Angeles, CA 90048

(323) 653-7700 Fax (323) 653-6409

Dr. A. David Rahimi is one of the most experienced Acne Surgeons in Los Angeles. He is ready to put together an individual treatment regimen that fits your goals and budget. He has personally performed over 100,000 laser treatments in the past 16 years on many patients with White, Hispanic, Asian, Armenian, African American, and Middle Eastern backgrounds.

During the consultation he will discuss all the procedures that may be beneficial to you, including TCA peels, Jessner Peels, Needling, Subsicion, Punch grafting, stem cell fat grafting, Dermaroller, Erbium, YAG, and CO2 fractional laser resurfacing (Fraxel and Mixto), Pelleve and Ultherapy, Venus Viva ablative nano fractional Radiofrequency, Cooltouch lasers, Diolite laser, Diamond fraise Dermabrasion, Saline injections and much much more. We have 30 different laser and light sources to improve your scars and skin texture/color.

To receive a complimentary e-consultation:

Email me photos of your face and include a detailed description of previous treatments including laser and peels. I also need a little information about your past health history and any medications that you are currently taking.

Email: afshinrahimi@yahoo.com



Continue reading "venus Viva nano-fractional ablative treatment for the treatment of Acne Scars"

Thursday, October 29. 2015

Category : Acne Scarring Treatments

Thursday, October 29. 2015

Skin Needling and Dermarollers / PRP for the treatment of Asian Acne Scarring

Skin Needling and Subsicion for Treatment of Acne Scarring

Skin Needling or Micro-Needling is a process that induces the formation of deep dermal collagen and enhances the appearance of deep rolling acne scars.

Acne and depressed scars are treated using very fine sterile needles (such as the Keith needle). The most depressed part of the scar is treated with repeated shallow (1-2mm) penetrations of the sterile needle. This procedure effectively separates the top scarred skin tissue from the deeper bound down scar tissue. A small drop of blood pools under the treated area and stimulates the induction of the stem cells. These, in turn, produce autologous growth factors and Interleukins. The body is essentially fooled into thinking that trauma has occurred at the depths of the rolling acne scars and repairs itself.

This is followed by the treatment of the entire face with 1.0 mm or even 1.5 mm Dermarollers.

Harvested PRP (plasma rich protein) or fillers such as Sculptra and Bellafill can also be injected at this time. 

Several treatments two weeks apart are necessary to get a significant improvement. Eventually deep rolling scars level off with the surrounding skin. The needling process can be followed by the application of TCA acids or long wavelength lasers to further stimulate the production of collagen and elastic fibers.

The procedure is performed by Dr. A. David Rahimi and takes about 30 minutes to perform. A thick layer of topical anesthesia (EMLA cream) or local injection of Lidocaine with epinephrine significantly reduces any discomfort. occasionally IM sedation with Demerol is used.

Like other procedures there are risks of excessive bleeding, infection, and even scarring. I have had good results with Needling and Dermarollers; especially with difficult and depressed acne scars and self-inflicted sores on the face and chest area.

I have included most of this information in my newly published book. This book is available for purchase on Amazon.com and lulu.com

 

http://www.amazon.com/Acne-Scarring-Treatments-David-Rahimi/dp/1329203720/ref=sr_1_1?ie=UTF8&qid=1446157836&sr=8-1&keywords=rahimi+acne

call for a free consultation

323 653 7700

Los Angeles CA 

 

Category : Acne Scarring Treatments

Thursday, October 29. 2015

Acne Scarring in Asian Patients : China Korea

How to treat Asian skin with Acne Scarring:

Patients with Asian skin have more delicate skin and require a different approach when it comes to acne scar removal.

Mixto fractional Co2 laser is a fractionated CO2 laser that can be safely used in darker skin types. We still prefer to prep the skin for 10-14 days with a combination of Retin-A cream and Hydroquinone. Laser setting are generally milder for patient with darker or more delicate skin.

In addition to lasers these are a few of the other options available when it comes to treating Asian Acne scarring:

Venus Viva

Venus Viva was FDA approved I the united states in 2015.

The device has 2 hand-pieces; the Diamond hand piece is non ablative and tightens the skin without any downtime. In fact it does not break the skin and clients can return to work immediately. Several sessions are needed.

The second hand piece is the nano-fractional ablative Radiofrequency. Tiny prongs/needles actually penetrate the skin and release radiofrequency energy under the skin (in the dermis). This is where the actually scarring is. There is 2-3 days of redness and occasional peeling.

1-2 sessions over 4 weeks are needed to get significant improvement.

Please watch the video below and call us for a complimentary consultation:

http://www.foreveryoung.net/venus_viva.html

A. David Rahimi,MD,FAAD,FAACS

Thursday, October 1. 2015

Category : Acne Scarring Treatments

Thursday, October 1. 2015

What is the best laser for the treatment of Acne Scarring?

A question I am often asked by patients relates to the efficacy of specific procedures for the elimination of acne scars. The answer is invariably disappointing to them: No one procedure is capable of complete removal of all types of Acne scarring.

Patients often come in and ask for Micro-needling or Subcision or a certain laser to “eliminate” their acne scars.

I spend a substantial portion of my consultation explaining the difference between ice-pick scars, rolling scars, atrophic scars or box-car scars. I then proceed to explain the difference between fillers, lasers and tightening procedure.

Often times a combination of these modalities are needed to improve acne scars.

Deep atrophic scars need to be filled in.

Ice pick scars may need to be excised.

Rolling and Box-car scars need a combination of Subcision and Co2 laser.

My goal is to educate my patient and chose the best and most effective procedure combination for them.

I also make sure that their expectations are realistic. Most patients get 25-30% improvement with one combination treatment.

A second or even third treatment may be needed for even better results.

I recently published a book which discusses my approach and philosophy.

http://www.amazon.com/Acne-Scarring-Treatments-David-

Rahimi/dp/1329203720/ref=sr_1_1?ie=UTF8&qid=1443722957&sr=8-1&keywords=rahimi+acne

Thursday, June 4. 2015

Category : Acne Scarring Treatments

Thursday, June 4. 2015

New Book on Acne and Acne Scarring by Dr. A. David Rahimi

I am delighted to introduce my second published book:

Acne and Acne scarring

A Comprehensive Approach

You can purchase the book on www.lulu.com

Soon to be available on Amazon.com

Please e mail me for a free PDF copy

afshinrahimi@yahoo.com

Saturday, March 7. 2015

Category : Acne Scarring Treatments

Saturday, March 7. 2015

"Neda Protocol" for the treatment of severe acne scarring

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I often see patients with deep acne scarring who have atrophic, ice pick, box car, and rolling scars.

These types of scarring are difficult to treat. Each type of scar requires a separate modality and special consideration.

Ice pick scars are punched out using different size round punches. The holes are basically excised and the skin surtured back in place. The ensuing scar from the excision is evened off using a CO2 fractional laser (Mixto CO2).

Rolling and atrophic scars are treated with Subcison.

Subcision involves using a small knife under the skin to cut the bands that are pulling the skin down.

Atrophic areas are filled in with PRP (Plasma Rich protein) or fat.

The skin is tightened using Ultherapy or Pelleve.

I call this combination therapy “The Neda protocol”

Please see his for a free consultaion.

Dr. David R.

Forever Young, Inc.

Tuesday, January 27. 2015

Category : Acne Scarring Treatments

Tuesday, January 27. 2015

Acne Scarring treated with Mixto CO2 laser and Subcision

Acne scarring

Here is prime example of combination therapy for the treatment of deep Acne scarring

Subcision

Mixto fractional CO2 laser

PRP (Plasma Rich Protein)

I often also add:

Ultherapy and Micro needling or Dermapen to the procedure

These are results 2 months after one treatment

2 more sessions are needed to achieve another %50 improvement

Please email me photos for a free e-consult:

afshinrahimi@yahoo.com

Thank you

Friday, December 12. 2014

Category : Acne Scarring Treatments

Friday, December 12. 2014

Atrophic vs. Icepick vs. Rolling, vs. Box Car scarring

Acne scarring can be devastating and truly ruin a person’ chances for a deep and meaningful relationship or even a career.

We treat deep scarrig with a combination of Mixto CO2 laser, fat grafting, PRP, Ulthera and Subcision.

Even patients with darker skin color can benefit from such treatment regimen.

Please visit our Acne Surgery page for more information and videos.

There is hope and we can help.

https://www.facebook.com/pages/How-To-Treat-Acne-Scarring/187751721248937?ref=bookmarks

We offer Care Credit financing and prices range from $3000 to $4000 for a  combination treatment with laser, Subcision, fat grafting and more. Prices include blood work, sedation, OR fee and doctor' fee. All procedures performed by DR. David Rahimi with over 16 years of clinical experience and over 100000 laser treatments performed.

 

David Rahimi,MD,FAAD,FAACS.

Category : Acne Scarring Treatments

Friday, December 12. 2014

Acne scars treated with Mixto CO2 laser and Subcision

Acne scarring can be treated with a combination of Mixto CO2 laser and Subcision.

Even patients with darker skin color can benefit from such treatment regimen.

Please visit our Acne Surgery page for more information and videos

David Rahimi,MD,FAAD,FAACS.

Monday, November 10. 2014

Category : Acne Scarring Treatments

Monday, November 10. 2014

Treat Acne with Cooltouch CT III laser and Peels and More $400

One great way to treat resistant ACNE is with a combination approach using Laser and Chemical Peels

What Can you expect?

1)You will meet one to one for a private consultation with Dr. David Rahimi

Your topical Care is discussed and prescriptions (if needed) are written or renewed

2)Facial Acne is treated with a sophisticated non-ablative laser called : Cooltouch CT III

 http://foreveryoung.net/cooltouch-laser-treatment.html

3)Clogged pores are extracted

4) A 20%, 30%, 40% or 50% Glycolic Acid peel is applied followed by the application on a

non-comedogenic moisturizers

All of these steps are performed in one visit that takes 30-45 minutes

Dr. David R. personally performs each step.

Downtime is minimal and is due to occasional redness and flaking following the extraction and chemical peel

What is the cost?

One flat fee of $400 covers the visist, Laser, extraction and Chemical Peel.

How many sessions are needed?

Every patient is different and every type of skin reacts differently. Generally speaking 2-3 sessions over 2 months are needed to improve acne and acne scarring.

Limited time offer - valid until 12/2014

Zonya Villatoro

office manager

323 653 7700




Tuesday, September 2. 2014

Category : Acne Scarring Treatments

Tuesday, September 2. 2014

Acne scarring treated with punch excision and Mixto CO2 laser

Icepick scars can be treated with a combination of punch excision and CO2 fractional laser.

Please review our before and after photos on Instagram.

Our handle is #foreveryoungcosmeticsurgery

A. David Rahimi,MD,FAAD,FAACS

Wednesday, June 25. 2014

Category : Acne Scarring Treatments

Wednesday, June 25. 2014

Derma Rollers work well, BUT

 A new study recently published in JAMA clearly shows that Derma Rollers have the potential of significantly improving Acne scarring. I have included the study below for you to read. The results are quite impressive. There are several points to consider. Treating the skin with Derma Rollers is quite tricky and I have seen both infections and scarring when non professionals and patients have tried to treat their own skin. It can also be quite painful and result in moderate to severe swelling and bruising. I often combine Derma Rolles with PRP (Platelet Rich Plasma) and Cooltouch lasers. I also perform them under sterile conditions in an operating room and use mild oral or IM sedation when needed. Three to five sessions over 4 months are needed and can result in significant and lasting improvement in the appearance of acne scars, fine lines, pores, discolrations, and more. 

Cost can range from $500 to $1500 per treatment 

Dr. David Rahimi 

Needle Rollers Improve Acne Scars

By Rob Goodier

June 19, 2014




NEW YORK (Reuters Health) - Needling devices that prick the skin with 1mm or 2mm needles on a roller improved acne scars in a recent trial, according to patients and doctors.

The patients said the devices improved their acne scars by 41%. And dermatologists who were blinded to treatment procedures also reported a statistically significant improvement in scars treated with these devices, researchers said.

The treatment costs less than lasers and patients reported little or no pain, they reported online June 11 in JAMA Dermatology.

The trial did not include other treatments, so it is not clear how needling fares in comparison, but the study did appear to show a benefit, researchers say.

"Needling is so easy to undergo, and potentially so inexpensive, that even a modest benefit may be sufficient to make this a worthwhile treatment for some patients with limited budgets," Dr. Murad Alam of Northwestern University in Chicago, who led the study, told Reuters Health by email.

In each of the 15 patients in the trial, half the face was randomly assigned to needling; the other half of the face received no treatment. Patients underwent three treatments, each spaced two weeks apart. Three and six months later, two dermatologists rated the scars of both the treated and untreated sides of the patients' faces.

Compared to the scars at the start of the study, those treated with needling had improved significantly at six months (p=0.03) and not quite significantly at three months, as assessed by the global scarring grading system developed by Dr. Greg Goodman at the Skin and Cancer Foundation of Victoria, in Victoria, Australia.

When asked to rate the difference between the treated and untreated sides of their faces, patients perceived a 41% improvement.


Some needling devices have been cleared for use as general surgical instruments in the U.S. but clinicians should check on the regulatory status of the devices that they use, Dr. Alam says.

Comparing microneedlers to lasers is tricky now without much data, but at least one trial is underway to compare the two. In the meantime, Dr. Alam guesses that a fractional non-ablative laser is probably more effective.

"On the other hand, needling is easy and cheap," Dr. Alam says.

Or maybe the two could be used together, he said. "Acne scars are resistant to treatment, and commonly physicians have to come at them from various angles, and treat them with several different techniques, in order to get significant overall improvement," he noted. "Needling may be just another tool in the acne scar treatment toolkit."

SOURCE: http://bit.ly/1qeqbzq

JAMA Dermatol 2014.

Wednesday, June 11. 2014

Category : Acne Scarring Treatments

Wednesday, June 11. 2014

Subcision; How does it work and who is a candidate?

Subcision

How does it work and how effective is it?

Treating deep acne scarring is one of the most challenging dilemmas in dermatological cosmetic surgery. Most patients with deep acne scars are also people with darker skin complexion i.e. Asian, African American, Hispanic and Middle eastern.

As a dermatologist and cosmetic surgeon I have a number of modalities at my disposal. Each procedure or device has a purpose and helps a small subset of patients with acne scarring the type, size, depth and location of the scarring often dictates the type of procedure or device used by me:

During the consultation he I often discuss all the procedures that may be beneficial to a patient, including TCA peels, Jessner Peels, Needling, Subsicion, Punch grafting, stem cell fat grafting, Erbium and CO2 fractional laser resurfacing, Cooltouch lasers, Diolite laser, Dermabrasion, Saline injections, Ultherpay (Ulthera) , Pelleve Radiofrequency treatments, and much much more.

In this blog I want to briefly discuss Subcision:

Subcision refers to a procedure whereby deeper bound down scars are treated with various size needles. These needles often have small blade-like ends and cut the fibrous bands that pull the skin down and cause deep puckered indents. The trick is to use the right size needle (I often use a NoKor needle with 16 to 22 gauge diameter) and to apply the needle to the right depth of the scar. The needle used too superficially or too aggressively can cause the skin to break down (slough off) and cause an even deeper scar. The Subcision needle applied at the wrong depth can also cause minimal improvement. The philosophy behind breaking these fibrous bands are as follows: The bands are severed with thin needles and the body secreted platelets, growth factors, and stem cells and causes new Collagen synthesis. This, in turn, results in improvement of the deeper scars. A few of the fibers invariable re-adhere. This results in some of the scars to reappear. O often used Subcision in conjunction with fillers such as Juvederm or fat and/or PRP (Plasma Rich protein).

An experienced Surgeon should also be able to combine Subcision with a deep chemical peel or CO2 resurfacing.

Please visit our Facebook page and watch our videos on Mixto laser, Subcision, and more.

https://www.facebook.com/pages/How-To-Treat-Acne-Scarring/187751721248937?ref_type=bookmark

Dr. A. David Rahimi