Making a decision in my life has historically been a challenge. I think, rethink, and overthink again, weighing out every possible scenario before landing on an answer. Thank goodness for the guidance of Dr. Carls when it comes to choosing the right path for my facial care needs. With so many options out there, it’s best to have a medical expert walk you through it all.
After reading the handouts from my initial consultation with Christie, my thoughts had landed on either a microdermabrasion or gentle peel to start, followed up with some Intense Pulsed Light, or IPL, treatments for the larger brown spots. I was at the office today to review my thoughts with Dr. Carls and to see if my preconceived notions were on point. Upon arrival, I shared with him that I wasn’t looking for a big change, but rather baby steps to age gracefully. My sweet husband once told me that my smile lines are an indication of a life well lived, and they remind him of fond the memories we made together. Well, I certainly can’t argue with that. (Brownie points tipped the scale in his direction for that one). Dr. Carls shared a genuine little smirk at my story, and continued on to present me with a few minimally invasive treatments to keep those smile lines in check, and make sure the forehead crevasses don’t grow into grand canyons.
Dr. Carls then dove into a plethora of services, just so I had a well -rounded grasp of my options. Some of them I had no idea they even offered! Check here for a list of all services available at Lake Havasu CosMedics.
I appreciated that he started with an anatomy lesson of the skin so I could really understand how the subsequent treatment options would penetrate. Once we honed in on a few he thought would address my vanity—or as Dr. Carls put it “the top layer of skin that everyone can see”—w e got into specifics. My top aesthetic concern right now is creating an even tone and texture. As some of my previous blogs shared, I’ve been marked by the sun and melasma, causing dark spots and uneven coloring throughout my face. Dr Carls’ top choice to treat this was with a Platelet Rich Plasma, or PRP, Facial, which simply put, microneedles your own plasma into your face to stimulate healthy skin and collagen regrowth. Collagen is the groundwork of the skin, and PRP Facials help to tighten, smooth and improve skin tone. The before and after photos were extremely convincing; however, the price point per treatment was a bit over my budget.
Next up, which showed very promising results as well, was a VI Peel. The beauty of peeling is that it’s non-invasive, with very little downtime. Sure, you’re going to look like a shedding snake for a couple days, but it’s a small price to pay to strip off the dead skin and encourage new growth. Dr. Carls suggested that I follow up this peel with a luxurious facial to clean everything out and add on standard microneedling as a bonus. While this microneedling version doesn’t have the plasma added to it, any tiny damage created to the skin will signal a time for regrowth. Both of these services were more in my price range, coming in under $250 each, which was easier to swallow. I hope to get a couple treatments of each and see where we land. If needed, Dr. Carls suggested the IPL treatment to catch any stubborn spots that still hang on for dear life.
Sounds like a plan! I can’t wait to share my results with you. Stay tuned.
Medical spas have seen explosive growth in the past few years as more and more Americans seek facilities which can provide certain cosmetic and therapeutic services in a spa atmosphere. Whether you require physical therapy or are looking to smooth wrinkles and beautify your skin without having to take significant time off from work, a medical spa could be of help to you. Here are some things to look for when choosing a medical spa.
Medical clinics have a feeling that can only be described as, well, clinical. They can feel sterile and uninviting at times. Medical spas, meanwhile, take the opposite approach. The best medical spas are extraordinarily relaxing and rejuvenating spaces, decorated in a way that make them feel like a sanctuary where people can depart from their daily woes. From the sounds and scents to little things like the feel of linens, every detail should be designed in a way that makes you feel comfortable and at ease as a patient.
Medical spas are typically affiliated with a fully licensed doctor or medical practice, just like a regular medical clinic. But different medical spas handle the doctor’s responsibilities in different ways, so you should find out about the doctor’s background and what role he or she plays at the spa. Regulations on medical spas differ from state to state, and most states don’t require a full-time doctor on site. If you’re going there for a full medical procedure, as opposed to a traditional spa treatment, you should pay close attention to who will perform the procedure and what their experience and training level is. In the unlikely event that a problem is encountered, it’s good to have fully trained medical staff on site to deal with it. And while they’re taking place in a spa-like environment, you should take them just as seriously as any medical procedure. It’s a good idea to check the doctor’s certifications. The American Medical Association and the American Academy of Dermatology have online databases that let patients look up information about board-certified doctors.
Most medical spas offer a range of treatments to help patients look their best. Botox injections, facial peels, dermal fillers, hair removal, microdermabrasion and leg vein procedures are performed by many medical spas. You’ll want to find out what procedures your spa performs and get a doctor’s recommendation for them before you start. A doctor should be able to give you a good idea of what kind of results to expect once the treatment is started, along with how often these treatments should be repeated. You should also ask about who will be performing the procedures and what their qualifications are. The doctor may perform some treatments personally, while others will be handled by another professional under the doctor’s supervision. Either way, you should ask about this and know who will be performing it up front. If you find a good medical spa, you’ll see exactly why they’re growing so quickly in popularity. They help you look and feel your best, all in the luxurious atmosphere of a high-end day spa.
A fat transfer technique uses a patient’s own cells and tissue to renew and rejuvenate portions of a patient’s face where they have experienced volume loss. As we age, the fat pads in our face begin to diminish (see image below), and we lose the structure that keeps our skin tight, so we begin to see wrinkles and creases, along with some sagging and general deflation. This is a process that not only replaces some of that fat in the face to provide structural support for volume loss, but uses a patient’s own platelet-rich plasma (PRP) to stimulate the natural production of collagen. The result is a more natural process that uses your own body’s regenerative cells and fat tissues, providing a completely natural rebuilding of lost collagen and volume with no surgery, and even fewer side effects.
Donofrio LM. Fat distribution: A morphologic study of the aging face. Dermal Surg. 2000; 26(12)1107-1112.
The Procedure: Step-by-Step
Meet Marcie. She has been wanting to do something about the creases that extended from her nose to her lips (nasolabial folds), as well as fill in some of the jowl and cheek areas. She consulted with Dr. Carls at Lake Havasu Cosmedics and decided that a fat transfer process was the better option over fillers for several reasons. First, it was her own fat, so she knew she wouldn’t have any kind of unnatural reaction to it. Secondly, it was more cost effective for her than fillers and will last longer. Third, the PRP was an attractive part of the procedure because it stimulates collagen production and gives the skin a healthy glow.
Marcie, on her way into the building for her fat transfer procedure
Here’s what she experienced.
Prep: After changing into a gown, Dr. Carls examined her and determined he would take her fat from her belly. Typically fat is taken from the side or belly.
Blood draw: Doc drew her blood and put it in the centrifuge to spin it down and get the platelet-rich plasma (PRP) that will be used later with the fat injection to the face.
Pain management: The stomach area was numbed using minimal injections.
Fat harvesting: A micro-cannula is used to harvest belly fat—this was the most time-consuming part of the procedure and varies from patient to patient. Expect an hour or more.
Face numbing: A cream is applied to the face to numb the areas for injection.
Fat preparation: The fat is homogenized by pushing it back and forth in large syringes through a filter to make the fat cells as uniformly small as possible. This helps with a smooth injection into the face and also ensures that there will not be any lumps.
Face marking: Dr. Carls used a marker to symmetrically mark Marcie’s face. He made a plan for cannula injection sites as well as where the fat should go.
Fat/PRP injection: The fat/PRP mixture is injected into the face using a very small needle. The physician is able to inject at one site and use the long, thin needle to inject the fat into specific areas. What’s nice about this technique is that there are fewer injection sites because one small hole can be used to just move the needle around under the skin. As the fat is injected, you can see the face actually plump up. The physician is able to physically move the fat around under the skin to achieve the desired look and evenness.
Halfway through! Look at that plump, youthful face on the left side of the photo.
All done! Moments after the procedure is finished. Check out those round cheeks!
Patients see results immediately. Your body needs to adjust to the new fat, so you may see some volume loss over the next few weeks. The idea is that because the PRP is combined with your very own fat cells, you will make regenerate and rejuvenate your own tissue for long-lasting results. There is very minimal to no downtime. The doctor will prescribe some pain medication if needed, but typically the fat removal sites are the only sore area with little or no bruising. Marcie experienced abdomen pain for two days post-procedure and took Tylenol round the clock to manage it. She reported no bruising on her face and two very small bruises on her stomach.
A week after the procedure, she says, “I would do it again in a heartbeat!”
Two days post-procedure Five days post-procedure
Am I a Candidate?
By age 40, you’ve likely experienced 20% collagen loss, and by age 50, 30%. If you are starting to notice these signs of aging in the face—wrinkles, rough texture, dull tone, structure and volume loss—then you’re likely a good candidate for fat transfer. Because fat is taken from the belly or sides, your overall health should be considered as well.
Microneedling. That’s with the roller I can do at home that pricks my face in a million little places, right? Well, yes. And no. At-home microneedling is not the same as in-office microneedling.
“Microneedling that delivers significant, long-lasting results is a medical treatment,” says board-certified dermatologist Tina Alster, MD, FAAD, a professor of dermatology at Georgetown University Medical Center. This means that medical microneedling should be done in a medical office if you want long-lasting, safe results and rejuvenation.
What is it?
Microneedling is sometimes referred to Collagen Induction Therapy because the purpose of treatment is to stimulate your face to generate new collagen and skin tissue. Your doctor will use a small pen-like tool to make lots of pin pricks on your skin, essentially causing lots of little wounds. These little injuries will cause your skin to make collagen-rich tissue in response. The results are firmer, smoother, more toned skin. Many people turn to microneedling to treat minor scarring from acne, but also to rejuvenate skin that has lost its luster due to aging.
Microneedle face and neck
Apply soothing lotion and sunscreen
Am I a Candidate for Microneedling?
Because microneedling isn’t invasive and there is no downtime, it is safe for most people. It isn’t recommended for people who have skin diseases like psoriasis or eczema. It is also not recommended for pregnant women or for people who have a history of deep scarring. For best results, you may need several treatments.
How safe is it?
Safety. Another reason you want to go to a doctor’s office for microneedling instead of choosing an at-home treatment. At home, you use the same roller that can gather bacteria and be difficult to wash and sanitize completely. You won’t experience the same depth of penetration at home, and this means the results won’t be as visible or last as long. Because of these deeper punctures, you will most likely experience some irritation and redness for a few days, but you are able to go right back to work afterwards if you choose. Bleeding, bruising, infection, and peeling are always risks with any skin treatment, but the risks are significantly decreased when treatment is performed by a licensed professional in a medical office.
Getting Started with Lake Havasu Cosmedics
Call Lake Havasu Cosmedics at (928) 680-7356 today for a free consultation. Christie is willing to spend time with any potential client for a consultation at no cost. In addition to in office education, follow up consultations are very much a part of Lake Havasu Cosmedics’ culture. They believe in treating the whole patient and measuring results. Microneedling treatments start at $150.
Meet Pro-C, six antioxidant-rich facial products from A-Cute Derm. Light, refreshing, calming, protecting, and rejuvenating—Pro-C improves skin tone and softness. It helps fight UV damage and leaves your skin with a remarkably healthy glow. Healthy skin thrives off of Vitamin C. Vitamin C is essential for our skin’s overall well-being. It is the stabilizing component to keep Collagen and Fibril tissues healthy (i.e. plumped, unwrinkled, youthful-looking skin). Environmental stress caused by ultraviolet radiation (tanning beds and the sun) is the main cause of the destruction of Vitamin C in the skin.
What are antioxidants?
Antioxidants are chemicals that fight oxidization on your skin cells. Oxidation damages your skin cells and the genetic material inside them. Oxidation occurs from the molecules called free radicals that are a byproduct when we process food, sunlight, and toxins like smoke, pollution, and alcohol. We mostly get our antioxidants from plant-based foods, but our body can produce some too. Different antioxidants work differently—some stop free radicals from forming, and some break them down so they are harmless.
Vitamin C is particularly important because it can help protect the skin from sun damage and skin cancer. It can also reverse some discoloration and wrinkles that come with aging. Let’s meet the Pro-C family from A-Cute Derm—Available from Lake Havasu Cosmedics!
PRO-C Elite Serum W/ Ferulic+
PRO-C® Elite Serum with Ferulic+ is your defense against accelerated extrinsic skin aging. By destroying oxidative predators, it prevents new damage as it helps repair existing damage. Ferulic Acid is a key component in this superior antioxidant. It is a naturally recurring substance with proven medical benefits and it has been found to keep vitamin C stable for up to two years.
PRO-C Antioxidant Cleansing Gel
A light and refreshing natural botanical cleansing gel in a multi-fruit base enhanced with the powerful free radical scavenger Green Tea Extract and the essential Vitamin C. Calms the skin with soothing Aloe Vera Gel and Kola Nut extract. Leaves the skin feeling silky smooth for hours.
PRO-C Lightening Crème
Skin Lightening Crème is an extremely effective bleaching formulation that goes deep into the skin to get to the root of the discoloration deep in the dermis The unique blend of ingredients removes dead cells to improve penetration into the skin while improving tone, texture, and discoloration. Includes Hydroquinone, Bearberry Extract and Kojic Acid in an elegant crème base that works well with makeup.
PRO-C Moisture Max + Amino Acid
A super moisturizing system that controls the appearance of crow’s feet and surface wrinkles while adding nutrients to dry and environmentally damaged skin. Made from L-Serine, an amino acid, along with critical nutrients and vitamins to sustain healthy skin.
PRO-C Lipid Recovery Serum SC
This is a unique system that rebuilds your skin’s protective barrier (the Stratum Corneum) quickly. Developed specifically to help those who lose this function when undergoing deep chemical peels, Microdermabrasion and laser resurfacing. Delivery system has excellent penetration of Vitamins A, three forms of Vitamin C, Vitamin E and five critical lipids necessary to the rebuilding process and to maintain barrier function while stopping transepidermal water loss (TEWL).
PRO-C Vita Hydrator Mask
A rich moisturizing treatment mask packed with Vitamins A, C & E and skin softeners. Excellent on dry, mature skin. Designed specifically for damaged skin caused by U V exposure from the sun, tanning beds and environmental factors. Use for sensitive to normal skin types.
Walking into Lake Havasu Cosmedics is like showing up to a good friend’s house on a lovely afternoon for a glass of wine and great conversation. Except at Lake Havasu Cosmedics, you leave with healthier skin and first-rate medical grade skincare products.
Located at 1720 Mesquite #201, Dr. Carls and Christie Viands Carls have created a beautiful and comfortable space that really is all about a quality, caring experience for their clients. Having been in Lake Havasu City for 35 years, Dr. Carls started in family practice but opened Lake Havasu Cosmedics in 2014. They specialize in all-natural treatments, fat transfer injections, collagen stimulators, wrinkle and texture treatments, body contouring, skin rejuvenation, hair restoration, and eyelash treatments. If it has to do with your skin, they’ve got a treatment for you. They even work with the Cancer Society to provide information to their counselors for patients experiencing skin difficulties as a result of chemotherapy.
Measurable Results with Little or No Downtime
Christie starts by using a VISIA machine to analyze their clients’ complexion, looking for UV damage, sun spots, redness, bacteria, wrinkles, texture, pores, and brown spots. With this data, they are better able to treat a patient and track a patient’s results in a data-driven way. Christie explains that before and after photos are sometimes misleading, but VISIA analysis makes the progress easy to see and track. Christie explains, “We get measurable results with little or no downtime.”
More Natural Treatments
Lake Havasu Cosmedics prides themselves on educating clients and helping them to make the best decisions. They aren’t trying to sell a bunch of fillers or skin care treatments that are expensive but ineffective in the short-term. They spend time educating each client and “looking at the whole health of the individual.” Christie explains that many of their treatments use organic material from the actual patient, so there is not a risk of allergic reaction, and the treatments are more natural. Christie is also a licensed dealer of A-Cute Derm medical grade skincare products, which she sells to clients as well as to other licensed professionals.
Schedule a Visit Today
They hold a monthly open house every third Friday of the month from 4-6—you must call to reserve a spot. You can expect to talk with not only the doctor and Christie, but also clients who have experienced the treatments themselves. Christie also schedules consultations via the MindBody app. Check out www.LakeHavasuCosmedics.com for information about their treatments and facilities. Visit www.LakeHavasuCosmedics.net for Christie’s blog, online store, and client testimonials. Follow them on Facebook too!
1720 Mesquite #201
Blog and Product Info: www.LakeHavasuCosmedics.net
Putting your best face forward is not just about looking better, it’s about being healthier and feeling better. Here’s what our happy customers are saying…
Friendly, Knowledgeable, Comforting
Where to start! The staff is friendly and knowledgeable. Adrian is a sweetheart, Debbie is absolutely incredible (microdermabrasion, peel and facial). Love her. Christie really knows her business. The skin care product line she has is number 1. I’m sure I’ll use it the rest of my life. Thank you so much for everything and your friendship. I’ve had several procedures with Dr. Carls (some of which were a bit uncomfortable), but he always made me laugh. He has a great way of putting you at ease. Thank you all for everything!
Natural-Looking and Innovative
Super results! Lake Havasu CosMedics is highly recommended for your skin care and pro-aging needs including a high-grade line of skin care and topical products as well as procedures. Dr. Carls, Christie Viands, Debbie, and the office staff are always professional and meticulous in their care. Dr. Carls develops a plan for you that is realistic, attainable, and affordable, and they ensure that the treatments and outcomes look natural. The explanations are thorough so there are no surprises, and the aftercare/follow up is excellent. Looking forward to the innovative treatments in the next year!
I have never had such amazing results in skin care EVER!. Christie Viands Carls is really an amazing professional who knows her craft!! Dr. Carls, what an artist and perfectionist who really cares how you look and feel!! Debbie is a dream, what a relaxing touch!! All are so talented and knowledgeable! Havasu CosMedics products are the best I have ever used, why?…because the results I had from the regimen they have customized for my specific needs are way beyond my expectations, and without spending a fortune! Go figure! Affordable professional skin care products and services that ACTUALLY produce real results! I am a very happy client who has been in the professional world of beauty for over 38 years. I can buy most spa/skin care products at cost myself, but nothing has come close to being under the professional skincare guidance of Havasu CosMedics…Nothing! I invite you all to see and feel the difference, if not waste your time and money elsewhere. I’m staying with what works!! Thank you Havasu CosMedics Team!
My results are amazing. I have had almost all of the procedures and I am amazed at how different my skin looks. The products are wonderful too. I was about to have to have some surgical procedures done and now I realize that I can wait hopefully for another 10 years. I am thrilled with Lake Havasu Cosmedics LLC. I am 66 years old and I am so happy that I may be able to hold off on surgery indefinitely. Thank you, Christie Viands and Dr. Carls. You are amazing. My skin looks better than it did when I was much younger. You are so knowledgeable and so personable. I could never thank you enough for all that you have done for me.
I appreciate the expert skills and the professional manner in which Dr. Carls & Christie operate their business. Christi your loving & compassionate spirit is the perfect compliment to the procedures done by DR. Carls. Dr. Carl’s is very patient and has taken whatever time necessary to explain the procedures I have done. They’ve always presented the facts with no “false promises”. I appreciate that and therefore trust their recommendations. They’ve stood behind their work and always followed up by checking on my well being and progress. I am very excited about the Sculptra and have seen great results.
–Judy Steadman Overberg
Absolutely the most compassionate and professional team one could ever ask for. This office is dedicated to finding solutions that are suitable for you. They have earned my highest praise.
Debbie does the best facial I’ve ever had. I do a lot of traveling, and when I have time, I get a facial. Nothing compares to her time, care, and skills!
–Jody Barr Oliver
No Pressure, No Rush
These people were so very nice. They work with you to understand your goals and to get you there without selling your firstborn. I really liked them and their kindness. No pressure and no rush.
Comfort of Friends
Not only did I receive excellent services, I made some new friends. Everyone at Havasu Cosmedics makes you feel so comfortable.
Skincare and anti-aging consultations, education, and recommendations
All-natural anti-aging procedures
Traditional fillers and neuromodulators (Botox)
Male and female rejuvenation
Platelet-rich plasma therapies
Fat transfer (for hair growth, facial rejuvenation, hands, and sexual rejuvenation)
Collagen stimulators for long-lasting restoration of volume and reversal of skin damage
2. That’s a huge list! What can you do for me if I wanted something more natural or if I had allergic reactions to treatments in the past?
Many of our treatments use organic material from the actual patient, so there is not a risk of allergic reaction, and the treatments are more natural.
3. What sets you apart from your competition?
Clients deal directly with us, the owners—Dr. Jeff Carls and Christie Carls. We have a true interest in our client’s well-being as a person. We truly want to do the right thing for them. Integrity, service, and quality set us apart.
4. Whatis your favorite part of your business?
We love serving our clients and watching their progress!
5. Progress is important. How exactly do you measure a client’s progress?
One way we measure progress is by using a VISIA machine to analyze complexion, looking for UV damage, sun spots, redness, bacteria, wrinkles, texture, pores, and brown spots. With this data, we are better able to treat a patient and track a patient’s results in a data-driven way. Before and after photos are sometimes misleading, but VISIA analysis makes the progress easy to see and track.
6. How many employees do you have?
Zero. It’s just us and a few contractors and other professionals who assist us virtually. This allows us to stay small and intimate—we really get to know each client and can form relationships.
7. To what do you attribute your success?
Hard work, a passion for excellence, and a true concern for our clients.
8. Do you or your business give back to the community?
Absolutely! To name a few, Havasu Health Foundation, the Cancer Society, Parrot Heads, Havasu Football, Calvary Christian Academy, Women’s Network Exchange Association, Havasu Realtor Charity Events, and the Humane Society, as well as Sailing Angels—an organization I belonged to and volunteered with in Houston. It helps Am Vets, Wounded Warriors, children with disabilities, and children with terminal illnesses as well as last wishes.
9. When can I come in?
We are open 7 days a week by appointment. Normal business hours are Tuesday through Thursday 10-6 and Friday 10-4. We work many evenings and weekends and have hours by appointment with the doctor during the week on an as needed basis.
10. I’d be a little nervous to try something new. How can I find out more?
We hold a monthly open house every third Friday of the month from 4-6—you must call to reserve a spot. You can expect to talk with not only the doctor and me, but also with clients who have experienced the treatments themselves. I also schedule consultations via the MindBody app.
Check out their website for information about their treatments and facilities. Visit Christie’s page for her blog, online store, and client testimonials. Follow them on Facebook too!
Get the inside scoop on the best ways to treat skin volume loss and reclaim a youthful complexion.
Dr. Carls has offered to share his tips and truths on losing facial volume. Here’s his prescriptive advice on how to combat facial volume loss— and the skincare ingredients he relies on to look his best.
What are the telltale signs of facial volume loss?
DR. CARLS: Volume loss is noticed by sagging on the jawline, loss of fullness in the cheeks, atrophy of the temple area, and an increase in wrinkles.
At what age do women typically start losing facial volume?
DR. CARLS: Volume loss typically starts in your mid-30s.
What are the contributing factors to facial volume loss?
DR. CARLS: Volume loss in the face is due to fat loss, muscle atrophy, bone loss, as well as changes in elastin and collagen in your skin.
Why is important to incorporate a product containing hyaluronic acid into your skincare regimen?
DR. CARLS: Formulas containing hyaluronic acid, a great topical skincare ingredient, help restore volume back to the face, replenishing skin with a natural, youthful-looking fullness. For a concentrated dose of highly purified hyaluronic acid, try HA Supreme for cell recovery available at our office and available to purchase from our website for $55.
What are the best ways to keep skin hydrated?
DR. Carls: Use good moisturizer, such as Emunition E2 Lipid Crème, available at our office for $35, drink plenty of water, and incorporate Omega 3s into your diet. Don’t over wash your skin and stay away from alcohol-based toners, as they can dry out your skin.
When is the best time for women to start an anti-aging regimen?
DR. Carls: An anti-aging regimen can be started as early as your 20s. But even my tweens use sunscreen, which helps prevent future wrinkles! Our SPF 20 sunscreen, which starts at $10, can be used on infants from age 6 months and older.
These options are easy to work into any skincare routine. If you have moderate to severe volume loss fillers such as Juvederm and Voluma may be needed. To find out more, call 928-680-7356 for a free consultation.
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