Thursday, April 28, 2016

Clearing Your Pores and Smoothing Your Skin Without Inflammation

Our Epionce Keratolytic Products block the formation and activation of chronic inflammatory factors in the skin and repair the skin barrier. Keratolytic comes from the word, "kerato", from keratin (meaning skin), and "lysis", or skin shedding. This means dissolving excess and abnormal skin cells to encourage cell turnover. This also serves the purpose of cleaning out your pores. 

The Epionce keratolytic products do not cause inflammation because they contain botanical ingredients along with azelaic and salicylic acids, rather than harsh exfoliating agents. 

At Sei Bella we carry the entire line of Epionce products for every skin care need. Below are the ones we recommend for cleaning pores, preventing and treating acne while controlling oil production, encouraging cell turnover and improving skin texture.

Lytic Gel Cleanser- is non-drying but quite concentrated. It's the daily cleanser Dr. Trussell uses. It is very effective at clearing pores of dirt, oil and makeup. Willow Bark Extract and Menthol remove bacteria from the surface of your skin while Marsh Mallow Root Extract calms any inflammation. $36

Purifying Toner- contains two very important keratolytic ingredients- Willow Bark Extract and Salicylic Acid. These help control oil and also clean out pores. The Menthol in the toner kills bacteria thus decreasing acne breakouts. $29

Lytic Products- these provide the most keratolytic benefits. There are four different Lytic Tx products based on the oiliness of your skin. These products are formulated specifically to promote cell turnover, clear skin imperfections and reduce inflammation. Using a Lytic Tx product also improves delivery of your other skin care products to the areas you need them. $54

Intensive Nourishing Cream- the only Epionce product with all three technologies that Epionce is known for- Barrier Repair, Anti-Inflammatory, and Keratolytic Technology. Intensive Nourishing Cream contains low concentrations of Azelaic Acid which again clears pores but is anti-inflammatory. This cream is super-hydrating and significantly improves the roughness of your skin anywhere you apply it plus decreases the signs of aging. This is probably the product we sell the most of at Sei Bella! $108

A really nice thing about Epionce products is that they are medical grade and therefore a little bit of product goes a long way, with some products lasting 2-3 months before you need to repurchase. AND you can order refills or try new products by going to and using the Expert Code: 20150922 when prompted. We stock the full line of Epionce at Sei Bella Med Spa.

Before and after with Epionce Keratolytic products

Stop in anytime to learn more about all of our Epionce products.

Anne R Trussell MD
Sei Bella Med Spa

Tuesday, April 19, 2016

Another Arm Treatment with Ultherapy!

Ultherapy uses safe, time-tested ultrasound energy to lift and tighten the skin naturally—without surgery or downtime. 

Dr. Trussell has had great success using Ultherapy to treat lax, sagging skin on the face, neck and chest.  Ultherapy will work other places that you have sagging skin, too! She is having unbelievable success on the arms! One treatment! No downtime! Get rid of your "bat wings" by calling for an Ultherapy appointment with Dr. Trussell.....501-228-6237

Thursday, April 14, 2016

Kybella...for Submental Fat (aka...double chin)


Above is a lady I treated with 2 vials of Kybella for a very common problem.....double chin. The left is a before picture. The middle is one day after (to show swelling) and the right is 3 weeks post Kybella treatment. She will continue to show improvement for 6-8 weeks, then we will assess the need for more Kybella.

Let's talk about submental fat, what we all call "the double chin".

Submental fullness, sometimes referred to as “double chin”, is a common yet undertreated facial aesthetic condition. It can impact a broad range of adults, including both men and women, and can be influenced by several factors such as aging, genetics and weight gain, and is often resistant to diet and exercise alone.
If you’re bothered by submental fullness, you’re not alone. According to a 2015 survey conducted by the American Society for Dermatologic Surgery (ASDS):
  • 67% of people said they’re bothered by under-the-chin fullness, or double chin
  • People are just as bothered by under-the-chin fullness as they are by lines and wrinkles around and under their eyes

What is Kybella and how does it work?

KYBELLA® (deoxycholic acid) injection is the first and only FDA-approved injectable treatment that contours and improves the appearance of the “double chin”.
Dr.Trussell will design a treatment plan tailored to help you improve your chin profile. During your treatment sessions, she will administer KYBELLA® into the fat under your chin using multiple injections. Most patients experience visible results in 1 treatment session. Up to 3 treatment sessions may be required for optimal results, spaced 6-8 weeks apart.

What side effects can I expect?
The safety profile of KYBELLA® has been studied extensively. The most common side effects are swelling, bruising, pain, numbness, redness and areas of hardness around the treatment area. You are definitely going to swell as you can tell by the picture at the top of this post. It is most significant the first week post treatment. Patients have found that taking Zyrtec helps diminish the swelling. The area will then become more hardened and then feel like jello and then your double chin will look much smaller. The pain is minimal and occurs right when the Kybella is injected. This lasts for 4-5 minutes, is relatively mild and is greatly diminished by using an ice pack. After that the area is just numb for awhile. There could be minimal bruising or redness, but that is usually not significant. 
How long will my results last?
When injected into the fat under your chin, KYBELLA® causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat. After the desired results are achieved, retreatment with KYBELLA® is not expected. Much like with liposuction or coolsculpting, once the fat cells are gone, they are gone and can not reaccumulate fat. The procedure is much quicker and more comfortable, though, than coolsculpting or liposuction. 

Call today to get on Dr. Trussell's schedule to rid yourself of your double chin!

Tuesday, April 12, 2016

Healthy Turnover For Your Skin With The Correct Peel.

The skin is the largest organ in our body. It is subjected to all the environmental wear and tear- sun, wind, air pollution- plus our internal stressors such as hormone fluctuations, bad dietary habits, and stress in general. Removing dead cells from the surface not only makes you look younger and your skin look brighter and more even, it also keeps our skin's barrier strong.

Gone are the days of needing really deep acid peels that leave you holed up at home not wanting to go out in public due to the redness and oozing and sometimes pain caused by these deep peels. At Sei Bella, we have 11 different peels of different strengths and components that are matched to your specific skin type and need. Let's review a few of these.

The basic categories of acids we use are alpha hydroxy acid (AHA), beta hydroxy acid (BHA) and retinoic acid. They cause dead skin cells to shed by breaking protein bonds between the dead and the living cells.


1. glycolic acid- it comes from pineapple, sugarcane and sugar beets. It penetrates the top layer of skin quickly and easily, but may not be the best choice for those with very sensitive skin. Glycolic acid is great for acne treatment and also when mixed with other acids because it penetrates the skin so well.

2. lactic acid- it comes from fruit, veggies and milk and is less irritating for those with sensitive skin. Like glycolic acid, it stimulates superficial collagen production, and improves the appearance of acne scars and large pores. It will also increase our body's own natural moisturizers called glycosaminoglycans

3. mandelic acid- it comes from the extract of bitter almonds. It does not penetrate as well as glycolic acid so it is not as irritating to sensitive skin. I especially like mandelic acid peels in my Asian, Hispanic and African-American patients with darker skin tones because you don't run the risk of hypo or hyper pigmented areas. A series of mandelic acid peels in teens is a great adjunct to other acne treatments.

4. kojic acid- one of my favorite acids, works very well on dark spots and for overall skin brightening. It is a naturally occurring compound from the fungi Aspergillus oryzae. Kojic acid is found in many skincare products as well.


1. Salicylic acid- the one used most often. It is an aspirin derivative, so if you have an aspirin allergy or sensitivity, this is not one we would choose for you. Salicylic acid peels are excellent for acne treatment.  It has anti-bacterial properties and cleans out pores while soothing the skin.

Retinoic acid

This is a must-have for anti-aging. Retinoic acid is a Vitamin A derivative like topical retinols and tretinoin (Retin-A, Renova, Refissa). Retinoic acid is very powerful for treating fine lines, scarring and hyperpigmentation. You can incorporate retinols into your daily skin care regimen to maintain the benefit of your peels.

As I said, we offer 11 different peels. Microdermabrasion prior to your peel will also enhance the benefits of your peel. A basic micropeel from our Skin Therapeutics line is $175. We recommend these be done in a series of 3-6 peels. You won't have the heavy flaking like you do with our Perfect Derma Peel which is $300 and has a different acid base called trichloracetic acid (TCA). Perfect Derma is good for patients who need a quick, dramatic result, have stubborn dark spots and is safe for all skin types regardless of ethnicity.

If you want to keep your peel results looking good, homecare is essential. We have several products that help you do just that and we will tell you which ones are right for you. We have Obagi tretinoin 0.1% and Refissa 0.05%, Obagi C-clarifying serum, plus Skin Therapeutic's cellular turnovers in a low strength of lactic, glycolic or salicylic acids, as well as Skin Therapeutics Brightnol, Crystal Exfoliating Scrub, Tri-Ex Peel Pads and Micro-Dermal Scrub. In our Epionce line we have a Lytic Cleanser and 4 Lytic Tx lotions based on your skin type as well Melanolyte Tx lotion and serum. Making your skin look better and you look younger, thus increasing your self-confidence, is our goal. Call today for your appointment! Dr. Trussell, her nurse Sandy, and her aesthetician stand ready to assist you!


Wednesday, April 6, 2016

According to a 2015 ASDS survey, 67% of aesthetically-oriented consumers are bothered by under-the-chin fullness, or double chin.* Feeling the same? Schedule a visit with Dr. Trussell today and talk with her about KYBELLA® (deoxycholic acid). Get rid of your double chin! 501-228-6237
*American Society for Dermatologic Surgery 2015 Consumer Survey on Cosmetic Dermatologic Procedures (N=7,315); Exact survey language was, "How bothered are you by excess fat under the chin/neck?

KYBELLA® (deoxycholic acid) injection is the first and only FDA-approved injectable treatment that contours and improves the appearance of submental fullness, sometimes referred to as “double chin”.

The active ingredient in KYBELLA® is deoxycholic acid, a naturally-occurring molecule in the body that aids in the breakdown and absorption of dietary fat.
When injected into the fat beneath your chin, KYBELLA® causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat.
Dr. Trussell will help you decide how many treatments you need. Usually 2-3 are needed. Once the desired aesthetic response is achieved with KYBELLA®, retreatment is not expected.
We will be having a Lunch-n-Learn about Kybella at Sei Bella Med Spa on Thursday April 14th from 11:30 am -12:30 pm. We will provide you a light lunch and drink while you relax and learn about Kybella and talk with Dr. Trussell and two of her patients who have had Kybella. Find out about their experiences and result.
Call today! 501-228-6237