dermatology - AestheticNurseDi

How I Became an Aesthetic Nurse pt. i

September 30, 2020 No Comments

Nursing has many trajectories and possibilities

The main keypoint to understand and realize is that everyone’s path and journey is so unique.

I did not go to nursing school initially dreaming about the aesthetics world. Honestly, I only discovered it the last semester of my schooling through instagram. At that point, being an aesthetics nurse, cosmetic nurse, beauty nurse, medspa nurse (there was no set description) was a daydream. I remember one time I was “joking” to my classmate friend and said, maybe I’ll be a cosmetic nurse one day – just to test out the water. Although that day I said it quietly, I think saying it out loud still helped cement the thought into manifestation. My curiosity and secret aspiration was growing and nurturing.

I thought I could become a seasoned, passionate educator and provider in the ICU or ER world, and envisioned traveling around the world to help save lives. All in all, you may not know where your path takes you. But I do believe that there are many opportunities of niches for nurses to discover – which is so amazing and magical!

Get Experience, NETWORK, put yourself out there

During my last year of nursing school, I worked as a student nurse worker at LAC+USC. I would typically work on some Fridays from 3pm-11:30 pm after a half day of lecture. However working in the hospital with a flexible schedule allowed me to float to so many different units (PCU, ER, ICU, SICU, PACU) and network with the nurses as well as the nurse managers. One nurse manager bestowed wisdom by telling me to remember to always work hard and humbly as you would in this profession, and it will be noticed. Never forget that.

My immediate goal after passing the NCLEX was to get a registered nurse job in medsurg, ER, or OR. Though meanwhile I also looked at medspas around my neighborhood that maybe would want to train a freshly minted, bright-eyed new grad nurse. I scoured through craigslist, ziprecruiter, indeed, monster, and glassdoor.

While I was waiting for job interviews, I still worked as a student nurse worker. It was one day in the ER when I talked to one of the nurses and found out she used to work at a medspa and loved her experience there! I asked where she worked, and applied there. It just so happened that I got my job interview for the medical spa before any interviews from the hospitals I applied to.. And well I took that as a sign and started working less than 2 months after I passed my NCLEX.

Learn Constantly, add to your toolkit

Since I worked at a chain medspa, I was able to work in Hollywood, Beverly Hills, Pasadena, Brea, Palo Alto, and Los Gatos. You can imagine the range and diversity of clientele with personalities, age, and preferences. I think this has helped me improve on my communications & people skills, and diversify in providing procedures & recommendations.

I grasped all the opportunities I could to build up my own foundation of aesthetics. In my toolkit I started out with:

Laser hair removal
Laser tattoo removal
Clear and Brilliant
Coolsculpting
Laser facial
IPL
Skin care regimen

Then gradually added:

Botox and Xeomin
Lip, Nasolabial, and Cheek fillers
Thermage

All the while learning and understanding the rationales of every procedure to always educate the patients in providing safe & effective results. This allows you to collaboratively come up with a treatment plan to give the patient the best outcomes! I also enjoyed asking the more senior providers and nurse directors of their own experiences, paths, and tips so I could learn and take notes and continue dreaming :).

Pt 2 coming soon, talking about how to passion plan and pivot to your next stage.

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Clear and Brilliant pt. ii

September 17, 2020 No Comments

Here’s Part 1 if you haven’t read already 🙂

What to Expect at your Clear and Brilliant Treatment

You will discuss with your provider on which handpiece to use depending on your skin goals and priorities. Permea and Original are both amazing, so there’s really no bad decision!

After your consult with your provider, along with a set of photos and signed consents expect:

+ 30 mins topical numbing time
+ 30 mins for treatment

Immediately afterwards, your face feels like a sunburn, tight & red. I apply a soothing vitamin C serum for hydration and healing, as well as sunscreen. The heat quickly subsides in about 30 mins-1hr and is very manageable.

These are my go-to's immediately after treatment

Obagi C-clarifying serum: Contains 4% hydroquinone to reduce hyperpigmentation (sun spots, melasma). Also contains 10% Vit C (antioxidant) to help defend against free radicals that cause aging skin. You can only get this in office, but I will link a similar one here

I love this oil-free EltaMD UV Clear Tinted spf. It helps calm and protect sensitive skins, especially those that are prone to acne and rosacea. This also contains niacinamide (Vit B3), hyaluronic acid, + lactic acid which all promote appearance of healthy looking skin. I also love how it is absolutely lightweight and silky, and oftentimes can substitute as light tinted coverup/foundation.

PRE-CARE instructions

Make sure to be diligent with being sun-avoidant and wear sunscreen daily.
Avoid retinols, salicylic acid, and any other active ingredients for at least 3 days prior to treatment.
You cannot put on numbing cream if you are pregnant or breastfeeding, however you can do the Clear and Brilliant treatment itself … (I’ve only done 2 patients out of many many 100s who didn’t want to have the topical numbing)
Try to arrive for treatment with a clean slate of a face 🙂

POST-CARE instructions

In time you may notice little “scab” like texture on your darker spots. We call it microcrusting. Absolutely do not pick nor exfoliate it off! Just moisturize and it will flake off in its due time.
For the next 3-5 days or so, your face will feel like rough sandpaper and appear dry. Keep moisturizing your face with gentle moisturizer
*Common sense note: if your moisturizer is feeling extra fiery and burning, please wipe and use something more gentle and simple. Aquaphor, vaseline, cetaphil, cerave suffice.
You can wear your makeup 12 hrs later, but personally I recommend to let your skin breathe.
DO wear sunscreen diligently and cover your vulnerable baby skin from the sun

After about a week you will see your beautiful glowy new skin.

It may still feel slightly rough but you can come into the office and get a gentle exfoliating + moisturizing dermalinfusion called DiamondGlow (I wholly love this so much too!) – your skin will be even more soft and supple and glowy!!

How many C&B treatments do you need?

Well depends on your overall goals for your skin. Most start out with a series of 3. However, C&B is easily a staple in the optimal skin care regimen. It eventually becomes part of a maintenance routine, similar to facials and massages. For instance, are you ever going to be done with 3 massages? No I don’t believe so, you’ll be doing it as a maintenance because we want massages for life right lol.

How long do results last and how to best maintain your results?: So the results are immediate and progressive. I say the results build upon the previous. Of course keep on top of your moisturizing and applying sunscreen to prolong your skin health and glow. For best maintenance and regimen, have a healthy lifestyle with a balanced diet, adequate water intake, exercise, as well as sleep and skincare applications. Protect the investment you make on your face so that your skin is more even, bright, and younger-looking.

How far apart do you do the treatments?: Typically we space out the treatments every 4 wks or so, to allow the regenerative process of your skin to complete itself. However, if patients want to target their acne scars ASAP, then the soonest you can do the treatment is at 2 wks. I also tell patients to do C&B at about 1-1.5 weeks before their big event to have the best glowy, dewy skin!!

Let me know if you have any questions :)!

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Clear and Brilliant pt i.

August 29, 2020 No Comments

Clear & Brilliant

This one is definitely one of my absolute favorite treatment to provide as well as receive, especially if you are seeking smoother, tighter, and radiant glowy skin. An added plus is that there is very little social downtime and the treatment is noninvasive

Why consider Clear and Brilliant?

Diminish the look of fine line
Reduce appearance of pores
Improve skin tone and texture

This means improving our skin’s overall appearance by Clearing the fine lines and pores, Getting brilliant tone and texture!

Patients notice quite quickly that their pores appear smoother & smaller, as the oil and dirt buildup has been essentially cleaned up by the treatment. This in turn also leads to aiding in acne and blackhead prevention, thus truly helping you get your optimal glowy, glass skin!

After the healing process, you will notice that the skin feels more supple, smooth, and definitely rejuvenated. You feel so fresh & young. *Warning: it’s addicting 😛

Noninvasive, gentle with little downtime:

C&B is known as a non-ablative laser resurfacing treatment aka baby fractional laser. But don’t let that fool you, as it is still a very effective treatment to prevent early signs of aging skin.

How does C&B work:

The procedure creates millions of microscopic treatment zones in the upper layers of skin. This triggers a “wound healing” response from our skin to replace damaged skin with healthy tissue = Younger looking skin, soft baby skin.
It also helps shed off the dead, dull skin and instead replace with new refreshed, healthier looking skin.
Furthermore, our skin is stimulated to produce more collagen

There are 2 different handpieces that target different levels of the superficial dermis:

1. PERMEA

1927 nm, depth of 170 um (level at which melanin resides)
Creates broad, more superficial microthermal zones to increase skin permeability and enhance efficacy of your topical brightening serums and skincare
Perfect for treating sun spots, sun damage, and melasma (targeting tone and hyperpigmentation)

2. ORIGINAL

1440 nm, depth of 200-300 um
Causes deeper injury and targets fine lines and texture, as well as reducing pore size
Perfect for mild acne scarring
Helps kill off that pesky little pimple that just won’t go away

Next post I’ll talk about What to expect for your treatment, The Pre & Post care instructions, and How to best maintain your results 🙂

Miradry

June 12, 2020 2 Comments

Summer is basically here, with spring 2020 just literally skipping over us huh.

Now that we are slowly returning back to society coming out of quarantine, we are reminded that we should probably wear deodorant and maybe shave when we are wearing our sleeveless outfits.

I personally sweat easily. Especially when I’m feeling warm, or even flushed with embarrassment or stress. I would absolutely love to have the miraDry treatment one day.

What is Miradry?

SWEAT, ODOR, HAIR

FDA approved in 2011 for treating excessive underarm sweating
Also cleared in 2015 to permanently eliminate underarm hair of all colors, as well as odor glands
For optimal results, it is recommended to treat 2-3 times, at least 3 months apart
However even with 1 treatment, it is clinically proven to have an average of 82% sweat reduction and 89% odor reduction

Of course results can vary from patient to patient

How does it work?

Noninvasive procedure that uses electromagnetic energy which target and destroy sweat gland via thermolysis – aka “microwave” technology
The energy works in depth of 2mm-5mm below skin’s surface where most sweat glands reside
Local anesthesia is injected for numbing as well as padding the nerve bundles farther away from the energy
There is a vacuum suction which stabilizes the skin and brings the sweat glands closer to the energy
The skin is also cooled with a cooling plate and temperature sensor to monitor and protect the dermis

It is about an hour long treatment where you can get to know your provider or listen to music and podcasts.

Is it bad to destroy the sweat glands in our armpits??

Nope not at all. We have ~2 million sweat glands throughout the body, and only 2% exist in our underarms. Sweating will be normal elsewhere and will not affect your body’s ability to regulate and cool off.

PRE-Procedure:

Shave your underarms at least 4 days prior, to prevent small cuts and infection. We also want to see some hair growth by the time you come into office to determine area of treatment
Don’t wear deodorant to the office
Wear a loose tank top and/or sports bras for easy access to underarms

*Note: Make sure to not schedule the procedure when you are planning to wear a sleeveless outfit within the next 1-2 weeks, for aesthetic reasons. So, obviously don’t do this treatment before a tropical vacation.

RESULTS + AFTERCARE and expectations:

Sweat glands that are targeted are permanently destroyed and do not regenerate!

Results begin immediately, long-lasting, and are often permanent results.

You may notice 100% dry with no sweat, however after 2-3 weeks some sweat will return.

There will be bruising, swelling, and lumpiness
Numbness and tingling can last for 5 weeks
Localized soreness and swelling – can gently stretch out armpits
ICE + IBUprofen to manage pain & swelling

That was a lot of information, but what questions do you have? I’m a visual person, so here are a couple of clips to show the general progress of what to expect 🙂

You can soon kiss your deodorant good bye! No long worry about ruining your outfits with sweat stains, and definitely go in for the big bear hugs at summer weddings without a care for sweaty, wet armpits.

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Moisturizing Skincare ASMR

May 27, 2020 No Comments

I’ve been obsessed with skincare routines for a long while. It’s silly right, watching other people put on products on their face. It made me wonder why, why does this innately just spark joy for me.

Essentially, I think self care and pampering is delightful. I would absolutely love if someone else massaged my face, but who else can cherish you (and your skin) the most other than yourself?

I then delved further, and came to a realization that listening to the clinks of skincare & makeup takes me back to when my mom would get ready in the mornings. Especially on Sunday mornings when you wake up and sleepwalk towards your parents’ bed and just cat nap there again. Waking up to the relaxing sounds of nostalgia is so much better than from the uproar of a vacuum lol.

All in all, these skincare rituals are a form of meditation I suppose. It is a commitment to yourself, even if for 5 minutes. If only workouts were shorter, maybe I can commit to that too heh..

Products used:

These tend to constantly be in my usual rotations!

⭐ Obagi Nu-derm foaming gel: love this nice foamy lather for my skin. This cleanser removes impurities and pollutants from your pores with a gentle complex of oats amino acids. It also contains alfalfa extract which detoxes the skin to prevent breakouts, as well as aloe vera gel to sooth inflammation and cools redness. It is perfect for normal to oily skin; to note I have combination oily/dry skin. I feel like it is very gentle and does not leave my skin feeling stripped at all. My skin feels smooth and pure afterwards – perfect canvas for applying products on right afterwards

⭐ Mario Badescu facial spray with aloe, herbs, and rosewater: This spray is definitely refreshing and hydrating. I absolutely love the smell of rosewater which is not pungent at all. It really is a pick me up boost when I feel like my skin is dry and wants some dewy radiance. It’s a great way to wake up when you spritz it on in the morning to signal your brain to wake up beautifully, let’s refresh for a new day

⭐ Origins ginzing eye cream: This energizing eye cream has ginseng and caffeine that helps diminish dark circles and depuff undereyes, as well as brighten and restore glow to tired looking eyes. This has a subtle shimmer-tint that adds sort of like a very very light concealer that easily blends into skin. I think this shine helps reflect light so that we look more energized & bright

⭐ Ole henriksen truth serum: Contains vit C serum that helps brighten and firm the skin with its antioxidant properties as well as promoting collagen. It does have a silky as well as sticky texture, along with a citrus aroma.

⭐ Caudalie polyphenol antiwrinkle defense serum: Ok I did not realize that this product is discontinued. This is a testament to when I had a phase of buying too many skin products at once and I am still working on depleting them loll. Don’t be like me and don’t go gung-ho on skincare products like a junkie. Anyways, I love that this claims to protect your skin from harmful environmental factors, and the antioxidants help correct wrinkles.

Another tip: You can use your products pretty liberally by also addressing your neck & chest and even back of hands, areas that are often neglected and forgotten. However, these areas DO show our age with time.

⭐ Herbivore orchid facial oil: This is one of my favorite oils. The jasmine scent itself is so divine and I feel exquisite while using this golden hued oil in such beautiful packaging. Definitely needed in skincare toolkit for the dewy glow

Project Inner & Outer Beauty, Diana

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To Dew & Go, or Not to Dew

May 20, 2020 No Comments

What kind of question is that? Of course I will say To DEW & GO.

It only took being quarantined for me to finally bring out the Dew & Go, don’t ask me why I took so long!

What is it. It’s a microdroplet microneedling-stamper that infuses the skin with serum. The do it at home Ritual Kit comes with a set of 4 skin hydration ampoules (Skin Brew – snail mucin + moringa leaf). Snail mucin has HA + glycolic acid and the moringa leaf is a superantioxidant common in Filipino beauty treatments as well as remedies, a nod to the founder’s heritage. You can find it at TheThingsWeDo.

The Founder, world-renowned medical aesthetic provider is Vanessa Lee, RN who I am a HUGE fan of not only for her medical aesthetic talents, but for her genuine dedication and contribution to the specialty as well as her super funny and cool sense of humor on her Instagram. Before I started in my career trajectory, I read her blogs and followed her to be constantly inspired, motivated, and enlightened. It’s truly been insightful to see someone that leads with so much vitality and genuineness.

Directions to help you get started:

⭐ Make sure to thoroughly cleanse your face and hands prior

⭐ Twist open the chamber, fill it up with 1 ampoule of Skin Brew. Leave upside down for 2 minutes

⭐ March along and stamp across your face with a 50% overlap

⭐ After the 1st pass, I dispersed the skin brew on my face and went off to do 2-3 passes total on each area. You can focus more on areas you want to plump and have collagen production such as under eyes, perioral region, nasolabial folds, and even neck & chest!

⭐ Let the skin brew absorb into skin and do not rinse off until the next morning

The treatment was a bit spicy, but definitely manageable. I had slight “sunburn glow” afterwards which cooled down quickly. Very minimal downtime, but of course you absolutely do NOT want to be outdoors with your skin unprotected.

After-glow: I love it! I looked glowy, hydrated, and DEWY right away. My skin was feeling tighter as well.

Definitely, Project Inner & Outer Beauty obsessed

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May 19, 2020 No Comments

Who am I, and Why am I blogging

Hello Lovelies,

Welcome to my first post, which will be a little intro to what may come.

Life is about discovering your journey and where you aspire to venture to, it’s a continuous evolution. This blog may be that adventure.

Being in quarantine since March 2020 has allowed me to seek ways to progress in innovative ways that were not necessarily the norm pre-Covid. I’ve realized that the experts in my speciality are so willing and passionate to educate. The world of aesthetics actually loves to showcase their expertise, in hopes that we can all discover a more natural beauty while being safe. It’s been eye-opening and brain-lickingly amazing. I’m in awe of how much camaraderie there can be in the medical aesthetics world and I am all here for it!

Who am I? I am an Aesthetic Registered Nurse at a multi-specialty plastic surgery-dermatology office. I feel very fortunate to be a part of a team that has the best of both worlds in the medical aesthetic specialty! Before I started working here, if you asked me what my dream job was, I would not have been able to describe to you what I actually am doing. I also realize that this is a coveted career, and maybe one day I can help someone, just as others have when they wrote their own journeys and taught the knowledge they have acquired.

A little bit more about me. I’m a true introvert, but sometimes I’m a social one.

Pre-Covid hobbies: hiking but mostly especially to waterfalls, kickboxing, Rumble boxing, traveling, eating and being a foodie.

Current-Covid hobbies: watching instagram lives and studying modules, listening to podcasts while playing animal crossing, attempting to bake, and applying skincare and watching ASMR skincare videos.

Why am I starting this blog. I am by no means an expert nor master at my craft, yet. I’ve been in this amazing niche for almost 3 years now and have learned so much while still constantly absorbing even more.

But truly, when can you self-proclaim as an expert when trends are changing, techniques are evolving, and technology is advancing? I believe we will always be students, as well as advocates and educators.

I know that medical aesthetics is my hobby and life-long passion project. My ideology is to always embrace and enhance natural beauty as well as bring out the confidence from within. I aim to stay up to date with non-surgical rejuvenation with evidence-based practices.

And you can learn along with me by joining me on this project inner and outer beauty 🙂