Microneedling

November 4, 2022/by Dr. David Sieber

Non-surgical

Microneedling

San Francisco Microneedling

Microneedling is a minimally invasive procedure that is used to generate new collagen to smooth, firm, and tone the skin. The device creates hundreds to thousands of “micro” skin punctures per second to stimulate the skin’s natural wound healing process (inflammation, proliferation and remodeling). The goal of the procedure is to start your body’s healing process by sending collagen and elastin to patch up the tiny injuries, which subsequently heals your skin and gives you a more youthful appearance.

Microneedling is mostly used on the face and neck. It may reduce the appearance of acne scars, wrinkles, and enlarged pores. This is a minimally invasive procedure requiring little to no downtime. It is considered safe for most people who are in overall good health. It may not be safe for people who use certain acne medications, for those with active acne, or for those with moderate to severe psoriasis or eczema.

Quick Facts

Length: 10-20 minutes depending on the size of the treatment area.
Most patients need between 4-6 treatments for optimal results.
Anesthesia: none or light topical (15-30 minutes)
In Office Treatment

To find out more about a Microneedling at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation here.

Microneedling may help with issues like:*

Acne scars
Fine lines & wrinkles
Hair loss (also called alopecia)
Enlarged pores
Reduced skin elasticity
Scars
Stretch marks
Sun damage

Preparing For Microneedling Procedure

When coming in for a procedure, it’s best to have clean skin with no makeup, moisturizer, or sunscreen. Any makeup you have on will need to be removed prior to the procedure. Avoid aspirin, ibuprofen, vitamin E, ginkgo, and alcohol for at least 1 week before and for 2 days after treatment.

Recovery From Microneedling Procedure

You may experience a little burning or redness for the first few hours post procedure. The post-care regimen for microneedling is simple. Wear moisturizing physical sunscreen and stay out of the sun. You may experience minor redness and irritation for a few days after the procedure.

Microneedling Frequently Asked Questions

How many Microneedling treatments will I need?

4-6 treatments is typically recommended, spaced 4-6 weeks apart. Talk to your practitioner about your goals and they can advise you on the best treatment regimen.

How long does it take to see results after a Microneedling treatment?

Results will vary depending on your treatment goals and the plan you set forth with your provider. You can expect improved skin texture and radiance after about a week. You will continue to see improvements in your skin with subsequent treatments as more collagen continues to be produced.

Is Microneedling painful?

Differing levels of treatment may affect the sensations you feel during treatment, but most patients find the microneedling treatment experience very tolerable. The numbing cream prior to the procedure minimizes discomfort.

Does Microneedling work on darker skin tones?

Yes it can treat all skin types, year-round. Of course, if you ever have specific questions or concerns based on your skin tone, your provider will have all the training and experience to answer your additional questions.

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

MOXI Laser

Non-surgical

November 1, 2022/by Dr. David Sieber

Non-surgical

MOXI Laser

San Francisco MOXI Laser

Often, patients want to achieve subtle skin rejuvenation as a part of their overall skincare regimen. MOXI is a “prejuvenation” laser treatment designed to do just that. A MOXI treatment is perfect for anyone who wishes to brighten and refresh their skin. If you are just starting your skin care journey, looking for a light touch up, or simply want something more without the downtime, MOXI is an ideal choice. It’s also a great option for anyone looking to maintain results after a more aggressive laser treatment. Through its use of a gentle, non-ablative fractionated wavelength laser, MOXI delivers tonal and textural improvements to your face with little to no downtime. MOXI is designed to treat wrinkles, poor skin texture, appearance of minor skin laxity, uneven complexion and the signs of sun damage.

Quick Facts

Length: 15-30 minutes
Anesthesia: none or light topical (15-30 minutes)
In Office Treatment
Side effects: minor redness, swelling Skin will be pink/red and feel tingly (similar to a mild sunburn) immediately after. Depending on your level of treatment, you may see the small micro dots called “mendz” where the laser was applied. As the micro zones heal, they will darken and feel rough. Between days 3 and 5, the mendz will slough off, revealing the renewed skin beneath.
Results: Improved radiance and glow after 1 week
Corrective results: 3-4 treatments spaced 4 weeks apart to see a more significant improvement in dark spots and sun damage.

To find out more about a MOXI Laser treatment at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation here.

Preparing For MOXI Laser Procedure

When coming in for a procedure, it’s best to have clean, well moisturized skin. Any makeup you have on will need to be removed prior to the procedure. Because the MOXI laser cannot tell the difference between normal pigment from a tan and abnormal pigment from too much sun, please refrain from extended sun exposure or sunless tanning creams/self-tanners for at least 3 weeks prior to your treatment. Do not use aspirin, ibuprofen, vitamin E, ginkgo and alcohol for at least 1 week before and for 2 days after treatment.

MOXI Photo Facial Before & Afters

These MOXI Laser before and after will help to assist you in understanding your various options and enable you to set realistic goals for your own treatment outcome.

Recovery From MOXI Laser Procedure

You may experience a little burning or redness for the first 24 hours post procedure. MOXI revitalizes skin without breaking the surface, keeping the post-care regimen simple. Wear moisturizing physical sunscreen and stay out of the sun. You may wear makeup 24 hours after your treatment. A gentle cleanser and moisturizer will be recommended to protect and comfort the treated area and should be used until the skin has naturally exfoliated.

MOXI Laser Frequently Asked Questions

How many MOXI treatments will I need?

This will depend on your treatment goals and the level of correction desired. Most patients receive 3 to 4 corrective MOXI treatments, then often elect for regular maintenance treatments. Talk to your practitioner about your goals and they can advise you on the best treatment regimen.

How long does it take to see results after a MOXI treatment?

Results will vary depending on your treatment goals and the plan you set forth with your provider. You can expect improved skin texture and radiance after about a week.

Is the MOXI laser painful?

Differing levels of treatment may affect the sensations you feel during treatment, but most patients find the MOXI treatment experience very tolerable. The numbing cream prior to the procedure minimizes discomfort, and your provider may also use a cooling air device to keep you comfortable during. Simply put, this is one of the most gentle, low-pain laser treatments on the market.

Does MOXI work on darker skin tones?

Absolutely! It can treat all skin types, year-round. Since the MOXI laser isn’t as invasive as its stronger laser counterparts, it lessens the risk of hyper or hypopigmentation after treatment. Of course, if you ever have specific questions or concerns based on your skin tone, your provider will have all the training and experience to answer your additional questions.

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

Emsculpt Neo

Non-surgical

January 25, 2022/by Dr. David Sieber

Non-surgical

Emsculpt Neo San Francisco

San Francisco Emsculpt Neo

Emsculpt Neo is the only FDA approved device using simultaneous synchronized radiofrequency energy for fat reduction and high intensity focused electromagnetic energy (HIFEM®) for muscle stimulation and growth. The radiofrequency energy produces heat resulting in non-invasive fat reduction while at the same time warming up the muscles by several degrees, preparing them for a “workout”.

This is similar to what we do at the gym normally, warming up the muscle before putting them under significant stress. Within 4 minutes of beginning the treatment, subcutaneous fat temperatures have reached a level which promotes fat cell apoptosis (cellular death in which fat cells are permanently destroyed and removed from the body). Clinical studies demonstrate an average of 30% reduction in fat, which is higher than any other device currently on the market.

During normal exercise the brain limits the number of muscle fibers recruited for exercise. Emsculpt Neo is able to bypass the brain’s limitations on muscle contractions and actually activates 100% of the muscle fibers during the treatment. These types of contractions just aren’t possible with traditional exercises. The stress on the muscle from these contractions causes cellular remodeling and muscular hypertrophy.

Clinical studies demonstrated that participants had an average of a 25% volume increase in muscle mass after a series of treatments. This is all accomplished in a 30-minute session and has been approved for patients with a BMI of 35. Emscupt Neo has been studied in over 30 publications proving it’s efficacy!

Emsculpt Neo Technique

Once you have been determined to be a good candidate for Emsculpt Neo you will schedule and be seen for the treatment. During the treatment you will lay downand the applicators will be applied to the specific body parts being treated. Each treatment takes 30 minutes and is customizable to each patient’s level of comfort. During the treatment itself you may feel an intense yet tolerable muscle contraction similar to when exercising.

Along with the muscle contractions there will also be a warm sensation comparable to a hot stone massage, this is the radiofrequency working to heat and destroy unwanted fat. After the treatment there is no down time and you’re able to immediately get back to your daily routine. Over the following hours to days you may feel some tightness and soreness in the areas treated as the muscles recover after the treatment.

Quick Facts

Treatment: Four 30-minute sessions 5-10 days apart
Side effects: Muscle soreness
Recovery: Zero, some soreness similar to that experienced after exercising

To find out more about the Emsculpt Neo at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation.

Emsculpt Neo Improvements

Patients who are good candidates for Emsculpt Neo are of a normal BMI and already have a healthy and active lifestyle. This procedure can be used to treat the following muscle groups and can be used to target fat loss, muscle growth or both simultaneously:

Abs
Butt (glutes)
Arms (biceps/triceps)
Legs (quads, hamstrings, inner/outer thighs)
Calves

Preparing for Emsculpt Neo

There are no special preparations which are required for treatment. It’s always a good idea to drink plenty of water and consume a high protein diet around the time of treatment to maximize results.

Recovery from Emsculpt Neo

There really isn’t any recovery or downtime after the treatment. Some mild muscle soreness is normal and will gradually improve over the days following treatment.

San Francisco Emsculpt Neo Frequently Asked Questions

How many treatments do I need?

We recommend that all patients receive 4 treatments spaced apart by 5-10 days. This will provide maximal fat loss and muscle growth. For additional benefits we recommend that this series of treatment is repeated every 6-12 months. Emsculpt Neo does not replace a healthy diet and exercise program.

How much fat loss and muscle growth can I expect after a series of treatments?

Clinical studies demonstrate that on average patients see a 30% reduction in fat as well as a 25% increase in muscle mass. They even found that Emsculpt Neo is also able to help close diastasis recti from pregnancy by about 20%!

Is there anyone who cannot have Emsculpt Neo?

Yes, anyone who has implantable metal devices such as joints, pacemakers, etc should not undergo treatment. This is because the radiofrequency can cause the metal to heat up internally leading to possible injury. If you do have any metal inside, including IUDs please let Dr. Sieber’s office know.

If I’m already thin and have a low BMI will Emsculpt Neo still work for me?

Absolutely! Even in low BMI patients, you are still able to see a 25% increase in muscle mass after completion of a series of 4 treatments. Radiofrequency can always be added for additional fat reduction if necessary.

What if I want to increase the size of my butt but don’t want to lose any fat?

Emsculpt Neo treatments are totally customizable for each treatment area. In areas such as the buttocks, the HIFEM can be active while the radiofrequency is turned off. This way you’ll get all the muscle building benefits with none of the fat loss!

I already had liposuction, will Emsculpt Neo still work on me?

It sure will! Because liposuction is a fat reduction procedure, it does not do anything to the muscles underneath. Hi definition lipo and traditional liposuction patients are still great candidates for Emsculpt Neo as the treatments can both build muscle and add additional fat reduction if necessary.

I already had a Brazilian Butt Lift and want more projection in my butt, will this help?

Most of the buttocks projection is actually from the muscle underneath so if you had a BBL and don’t have a lot of projection it could be because the muscle underneath is underdeveloped (you’re not doing enough squats!). Emsculpt Neo is able to help build up the gluteal muscles without causing any loss to precious fat which was transferred there.

How do I know if I’m a better candidate for liposuction or Emculpt Neo?

Based on your goals and your conversation with Dr. Sieber, he will be able to tell you which treatment option is best suited for you. Liposuction is strictly a fat reduction procedure. The benefit of liposuction is that multiple areas are able to be treated in a single surgery and the 80-100% of fat can be removed from each area at once (this is assuming that you’re of a normal BMI and have less than 5 liters of total fat to be removed). Emsculpt Neo does not remove as much fat as liposuction but is able to simultaneously build muscle. Emsculpt neo is also an in-office procedure without any downtime! Both treatments have their pros and cons.

I heard that your fat can grow with fat freezing treatments, does this happen with Emsculpt Neo as well?

No, it doesn’t. There is something called paradoxical adipose hyperplasia (PAH) which can occur after fat freezing treatments. When this occurs, the fat grows disproportionately instead of being destroyed like it’s supposed to. There have never been any reports of abnormal fat growth after Emsculpt Neo treatments.

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

LATISSE Eyelash Treatment

Non-surgical

January 25, 2017/by Dr. David Sieber

Non-surgical

Latisse® Eyelash Treatment in San Francisco

Latisse® is an extremely effective treatment for lashes that are shorter and/or thinner than you’d like. Within just 3 to 4 months of using Latisse®, your lashes will grow longer, fuller and darker.* It’s important to note that though there are other products on the market that claim to improve lash growth, Latisse® is the only FDA approved product to treat inadequate or sparse lashes.

What is Latisse®?

Latisse® is a prescription-only medication that has been approved by the FDA for the purpose of lengthening eyelashes. The medication contains 0.03% bimatoprost as its active ingredient. With its safe and effective formula, Latisse® has been proven to enhance the length, thickness, and darkness of eyelashes.

Latisse® Before and After

How does Latisse® work?

Bimatoprost is the active ingredient found in Latisse®, a medication that was initially used by ophthalmologists for the treatment of elevated eye pressure in patients with glaucoma. It was later discovered that the same patients who were treated with this medication experienced an increase in the length and thickness of their eyelashes. Although the exact mechanism of action is not yet fully understood, Latisse® is believed to work by extending the duration of the eyelash growth cycle.

What are common uses of Latisse® ?

The use of Latisse® is approved exclusively for the treatment of eyelashes, and it should be applied solely to the upper eyelash using the applicator provided. Blinking during the application process can cause transfer of the medication to the lower eyelash.

Latisse® Frequently Asked Questions

Is Latisse® available over the counter?

No, Latisse® is not available over the counter. It is a prescription medication, which means that it can only be obtained with a valid prescription from a licensed healthcare provider. This is because Latisse® contains an active ingredient that can have potential side effects, and a healthcare provider needs to assess whether it is safe and appropriate for an individual to use.

Can I get Latisse® from my pharmacy?

You can obtain Latisse® from a pharmacy, but you will need a valid prescription from a licensed healthcare provider in order to do so. Once you have a prescription, you can take it to a pharmacy to have it filled. It is important to follow the instructions provided by your healthcare provider and the manufacturer when using Latisse® to ensure safe and effective use.

What are the risks of Latisse®?

The most frequently reported side effects associated with Latisse® use are itching of the eyes and/or redness of the eyes. Many individuals who experienced these side effects found that they resolved with continued use and proper application of the medication. Less commonly reported side effects include eyelid skin darkening or redness, eye irritation or dryness, and darkening of the iris.

Book A Consultation

To find out more about Latisse® at Sieber Plastic Surgery with either SALLY SHERRARD, PA-C or ARMEEN KARIA MSN, RN, FNP-BC, call us today at: 415-915-9000.

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

Laser Acne Treatment

Non-surgical

January 25, 2017/by Dr. David Sieber

Non-surgical

Laser Acne Treatment

San Francisco Acne Treatment

One of the most frustrating parts of adolescence and even adulthood is acne. It’s painful, unsightly and often emotionally traumatizing. As the most common skin condition in the United States, acne can occur at any stage of life. Though several factors can affect your propensity for acne such as hormones, genetics, stress, and medications, acne forms when dead skin cells, overactive oil glands and sebum block your pores thus trapping bacteria. This results in follicle damage and inflammation. In severe cases, acne can even lead to permanent scarring.

For the many patients who have tried oral and topical medications without relief, Dr. David Sieber recommends the BroadBand Light (BBL™) photo facial which has been clinically proven to help in the treatment of acne.* BBL works by heating up the skin which kills the bacteria that are causing your acne in the first place.*

For further improvement in deep acne scarring, ask Dr. Sieber about options such as the Halo laser for the treatment of acne scars.

BBL photo facial treatments can help reduce the formation of acne, and may also work to suppress and prevent future acne breakouts.* Significant improvements will typically require 6 treatments, with 1-2 treatments performed each week until improvement is seen.* BBL photo facial acne treatments can not only be performed on the face, but also on the back, shoulders and chest.

Acne Treatment Technique

Numbing medication is usually not needed for this treatment. A thin film of ultrasound gel is first applied to your skin. Then, Dr. Sieber passes the BBL handheld device over the area to be treated. The device emits small pulses of light that heat the upper layers of the skin. Most patients have little to no discomfort. Each treatment session lasts about 20-30 minutes and can be easily scheduled during your lunch hour.

Quick Facts

Length: 15-30 minutes
Anesthesia: None
Inpt/Outpt: In office
Side effects: swelling, redness
Recovery: 24 hours

Acne Improvements:*

Improvement in chronic acne
Reduction of acne flares
Reduction of redness due to acne inflammation

To find out more about acne treatment with Dr. David Sieber at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation here.

Learn More on YouTube

Sieber Plastic Surgery on YouTube

Preparing for Acne Treatment

Discontinue Accutane or its equivalent for at least one month prior to your appointment.
Avoid sun exposure and tanning beds for at least 3 weeks prior to your first session as well as throughout the entire course of your BBL treatment.
Sunless tanning lotions must also be avoided for 2-3 weeks prior to treatment.

Recovery from Acne Treatment

You may experience some redness and swelling for the first 24 hours after your BBL photo facial treatment for acne, but makeup can be applied immediately after treatment. You may also experience some slight discomfort, similar to that from a mild to moderate sunburn, for the first 12-24 hours following treatment, but most clients are able to return to their regular activities immediately.

Laser Acne Treatment Frequently Asked Questions

Will I notice an improvement in my acne right away?

It may take anywhere from a few days to a week before you’ll see an improvement in your acne. All of your acne won’t disappear after a single session. Most patients will require 4-6 treatments before seeing a dramatic improvement in their acne.*

How long will my results last?

Your results are dependent in part on your body. Some patients will get complete eradication of their acne after a series of treatments while others will need a “booster” treatment every 3-4 months to maintain their results.*

How long will my results last?Will this treatment help with my acne scarring?

Although BBL photo facial can treat active acne, it may only make a marginal improvement in your acne scars. Dr. Sieber typically recommends the Halo laser treatment to deliver the most improvement in acne scars.*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.

Microneedling

San Francisco Microneedling

Contents

Quick Facts

Microneedling may help with issues like:*

Preparing For Microneedling Procedure

Recovery From Microneedling Procedure

Microneedling Frequently Asked Questions

MOXI Laser

San Francisco MOXI Laser

Contents

Quick Facts

Preparing For MOXI Laser Procedure

MOXI Photo Facial Before & Afters

Recovery From MOXI Laser Procedure

MOXI Laser Frequently Asked Questions

Emsculpt Neo San Francisco

San Francisco Emsculpt Neo

Contents

Emsculpt Neo Technique

Quick Facts

Emsculpt Neo Improvements

Preparing for Emsculpt Neo

Recovery from Emsculpt Neo

San Francisco Emsculpt Neo Frequently Asked Questions

Latisse® Eyelash Treatment in San Francisco

Contents

What is Latisse®?

Latisse® Before and After

How does Latisse® work?

What are common uses of Latisse® ?

Latisse® Frequently Asked Questions

Book A Consultation

Laser Acne Treatment

San Francisco Acne Treatment

Contents

Acne Treatment Technique

Quick Facts

Acne Improvements:*

Learn More on YouTube

Preparing for Acne Treatment

Recovery from Acne Treatment

Laser Acne Treatment Frequently Asked Questions