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Being Family Friendly

Though “family-friendly” has several different meanings, in the setting of Nuance Facial Plastics, it means that we welcome your family (and friends!) to join you during consultations as well as treatments, as long as the treatment or safety is not compromised.  For the parts of treatments where family members cannot be in the room, we will entertain them outside while you get your “me” time during your treatment.
This is a common practice with our Botox and filler treatments, and also works well with aesthetic treatments such as dermaplaning. Most of our laser and light treatments take around 20 minutes, and by the time your little ones have fed our fish, counted the starfish, found our elusive Red Fish (who is unfortunately named), and kneaded the Play-Doh, your treatment is done.
Being a parent of young ones myself, I recognize the barriers that having a short person in tow can present, and we want to lower the barrier to taking care of yourself.  With young children, there are several situations where having childcare arranged is necessary.  We don’t want to be one of those situations.  Especially when we have simple solutions, such as a stash of (clean) toys and Play-Doh to keep the little ones busy, as well as a mesmerizing mini reef aquarium that can hypnotize even the most energetic children (for a few minutes, at least).  Let us know that you are coming with your child, and we will schedule extra time for the treatment, as we understand that things happen (and that your child may decide they are hungry upon your arrival to the office).

What Treatments Can I Get if I’m Pregnant?

Unfortunately, there are not a lot of treatments we can do safely to pregnant patients. We can have consultations about how to treat your skin after your family grows, but we shy away from offering treatments that pose even minor risks to your developing fetus.

What Treatments Can I Get While Breastfeeding?

We have many more options once your child has graduated to the stroller.  Though many practitioners will treat with Botox and fillers while breastfeeding, I personally shy away from this. Safety first. The treatments that I focus on here are ones that do not involve numbing creams, injected lidocaine, or Botox, all of which have the potential to be passed to your child through the breast milk.  Granted, these are theoretical and have not been studied, but until they have been studied and proven to be safe, I would wait.
The most popular treatment is the IPL Photofacial to address uneven skin tones. It involves bright light pulses delivered to the skin to improve rosacea, spider veins, and pigmented spots, all of which can be put into overdrive by the hormones of pregnancy and lactation. Treatments take 20 minutes, involve no numbing creams or medications, and have little or no downtime. You walk out of the office looking the same as you did walking in, though with an added layer of sunblock.
The next treatment is the Weekend Peel, which is an erbium laser procedure that focuses on skin texture and pigment spots. This treatment leaves you pink for up to 48 hours after the procedure, followed by a gradual peeling that takes place over the following 3 days.  This utilizes no numbing creams, but rather uses a Zimmer chiller to cool the skin during treatment. The procedure takes 20-30 minutes and you leave the office with a layer of Aquaphor on your face.  The vibrancy and thickness that the skin gets from this treatment are unlike other results. It pairs well with the IPL, and can be done as soon as 2 weeks after an IPL as a combination treatment for skin tone and texture.
Dermaplaning is the last step of our post-pregnancy skincare routine, as removing the outer layer of skin cells can have great results on its own, or even better results when combined with laser and light procedures. This medical-grade exfoliation also helps skincare products penetrate the skin better, which amplifies the results you get from your safe skincare.

What Skin Care is Safe With Breastfeeding?

The skincare we recommend after pregnancy is usually aimed at controlling the melanocytes, the skin cells that produce pigment.  This can reduce the “damage” that is done by melasma, or the “mask of pregnancy”.  The ideal treatment of this involves strong steroids, vitamin A derivatives (tretinoin, or a super-charged cousin of retinol), and hydroquinone, none of which are safe with breastfeeding.  This is the combination of medication we use once you are done breastfeeding.  While you are still nursing, however, we start you on SkinCeuticals Discoloration Defense, which is a medical-grade skin lightener.  This works well with a topical Vitamin C serum, such as the SkinCeuticals C E Ferulic, or Obagi Professional-C Serum.