Over the past few months I have had patients who visited us from Canada, Belgium, Germany, and all over the united States (San Francisco, Las Vegas, North Carolina and more) to have their procedures performed. Experience counts. I have personally performed over 100000 laser and Cosmetic procedures since 1994. There is an Art to choosing the right procedure for the right patient. But implementing the treatment regimen is just as important

“The whole is greater than the sum of its parts.”

Aristotle

Quadrafecta refers to a technique of choosing 4 different procedures or devices to achieve the desired result. The emphasis is on “minimally invasive” and “natural appearance”.

 During the consultation process we chose from the following procedures and devices the 4 that will suite you best. Occasionally a fifth procedure is needed to address all the aspects of the aging face.

 Ultherapy (Ulthera)- Ultrasound deep Face, eye and neck lift

Pelleve- superficial Radiofrequency face and neck lift

Mixto Laser _ Co2 fractional laser for fine and deep lines

Fillers- Sculptra, Radiesse, Juvederm, Restylane, Perlane

Chemical Peels- TCA and Jessner Peels

Smartlipo Triplex- fat removal and skin tightening with Smartlipo Laser

IPL Photofacial- Light source to remove brown spots and Blood Vessels

Diolite Laser- Laser to remove larger blood vessels

COOltouch Laser- Non ablative laser to tighten pores

Clear and Brilliant Laser- to remove fine line and brown spots

Thermage CPT- Body lifting with Radiofrequency

Relume- Removal of light scars with focused UVB light

YAG 5 laser- Removal of discoloration and irregular pigmentation

Surgical face and neck lift (Tuliplift)- www.tuliplift.com

Allow me and my team to make you look and feel 10-15 years younger.

The key to the best possible results when it comes to Acne scarring treatments: use multiple modalities. By using a variety of procedures such as needling, Fat Transfer, TCA Cross, Diolite laser, Cooltouch Lasr, Mixto Laser, Dermabrasion and more, we can achieve a significant and permanent reduction of Acne Scarring.

Our newest tool is the Pelleve Radiofrequency system. Pelleve penetrates 1-2mm into the skin and cause Collagen Remodelling. I have seen a reduction of active acne and tightening of the pores in addition to improvement of superficial acne scars. Deeper scars still benefit from Subcision, Mixto fractional CO2 laser.

Schedule a complementary visit to see Dr. David Rahimi.

Visit our FB site for more information, photos, and videos..

https://www.facebook.com/pages/How-To-Treat-Acne-Scarring/187751721248937?ref=hl

Deep acne scars can improve with the Pelleve Radiofrequency treatment. Now available at Forever Young, Inc and performed personally by the doctor.

http://www.pelleve.com/ex1/patients-homepage.html

Dr. A. David Rahimi

In addition to Mixto fractional co2 laser wi have 2 other wavelengh lasers for the treatment of active acne and acne scarring.

Comparison of a 1450-nm diode laser and a 1320-nm Nd:YAG laser in the treatment of atrophic facial scars: a prospective clinical and histologic study.

We are now offering Smart Lipo laser treatments for as low as $2500!

Upper and lower abdomen and flanks are usually $7000. For a limited time we can offer Smartlipo of the abdomen and flanks for $5000. This includes blood work, Garment and light oral sedation. Please contact us for a free consultaion.

http://www.smartlipocynosure.com/

Why Smartlipo Triplex™?

Tighter Skin

Smartlipo Triplex™ allows more complete melting of the fat using advanced MultiPlex (MPX) laser techniques, in which two wavelengths of laser energy are used for not only superior sculpting of the fat, but also, the biggest advancement in liposuction surgery-skin tightening. The MPX Smartlipo Triplex™ is unique in that it gives Dr. Petti the opportunity to focus on skin tightening following fat reduction, and this produces smoother, more natural and superior aesthetic results.

Minimal Recovery Time

Smartlipo Triplex™ can be done under local anesthesia, and therefore patients are ambulatory following the procedure, with no downtime. In fact, it would be more accurate to describe Smartlipo Triplex™ under local anesthesia, as being associated with "up" time! This has been very rewarding for the patients, Dr. Petti and her staff.

Minimally Invasive

The Smartlipo Triplex™ is a minimally-invasive laser surgical technique, performed by using a smaller-than-a-fine-point-pen fiber optic laser. Therefore, the entry points in the skin are very small and leave an inconspicuous scar. The laser wavelengths close down the blood vessels, so the result is associated with not only minimal surgical trauma, but also minimal bruising, swelling and resultant quick recovery. There is minimal discomfort, and Dr. Petti's patients often tell her that they did not need to take any pain medications the evening of surgery. The Smartlipo Triplex™ patients that have local anesthesia can drive the next day if they are off of pain medications, and can return to their normal daily activities in one to two days after surgery, depending on each individual patient.

Dr. Petti and her patients live by her motto, "What a difference a day of Smartlipo Triplex™ can make!", since many of them are at or near their ideal body weight and have spent a lifetime dreaming of making the change that her Smartlipo Triplex™ procedure creates-in hours.

Targets Unwanted Pockets of Fat

Smartlipo Triplex™ can also be used to treat larger areas of fat accumulation, or multiple areas of fatty deposits. However, in these cases the patient may need to have general anesthesia. It is normal in these patients for the recovery to be longer. Some patients may prefer to have several areas treated at one surgical setting. These patients are done in her private, ambulatory plastic surgery center under the guidance and supervision of board-certified and experienced anesthesiologists.

A Journey Through Smartlipo Triplex™ MPX™

I have been practicing dermatology and Cosmetic surgery since 1994. Several times a month  I see a young man in my office for evaluation of penile lesions. You can see the pain in their eyes. Most have benign growth or warts. Some have this lesser known condition called Pearly penile Papules (PPP).

Most of these patients complain of spots on the penis that have been there for a long time and are now becoming bothersome. Some of my patients are not aware of the benign nature of PPP and believe that they have contracted a sexually transmitted disease. Other patients are aware of the diagnosis but have been told again and again that there is no cure and nothing that can be done for them.

PPP can actually be treated with a combination of surgery and CO2 laser. The white bumps of skin aligning around the corona of the penis are removed using sterile instruments. The base of the lesions are then treated using a fractionated CO2 laser. Scarring is minimal and downtime is 3 to 5 days. This is all done under local anesthesia with or without light oral sedation.

Please e mail me and I can send you “before” and ‘after” photographs of patients who had their PPP successfully treated by me.

Don’t permit a benign Cosmetic condition ruin your sex and social life.

Afshinrahimi@yahoo.com

Yours,

Dr. David R.

People live well into their 80s and 90s and are active and productive too!

I believe in balanced diet that includes fat, chocolate, greasy foods as well as pro-biotic yoghurt and salads. Everything in moderation. Top it off with a little exercise and common sense (don’t text while driving) and with some luck one can live a long and healthy life.

We, at Forever Young, Inc, will do the rest and make you look 10 to 15 years younger:

Check out our Holiday specials and read about our affordable non-invasive procedures:

Ultherapy (Ulthera face and Neck/Eye lift)

Coolsculpting (Freeze away unwanted fat)

Cooltouch laser (Acne and Acne scarring)

Cool-lipo (laser liposuction to remove unwanted inches and tighten the skin)

Clear and Brilliant Laser

Permea Laser

IPL Photofacial

Diolite Laser for brown spots and blood vessels

Thermage (Thermacool) CPT

This is only a sample of the 15 laser and Light sources we offer)

www.foreveryoung.net

www.ulthercenter.com

www.tuliplift.com

Over the last few months have noticed a very interesting phenomenon. I have been treating several patients with deep acne scarring (atrophic and box-car type acne scarring) with Ultherapy. These were patients who had sun damage and actinic damage and were doing the Ultherapy to get a face and neck lift. I am hearing from all of them that their acne scars have significantly improved as well.

I will start an in-formal study and treat several patients who suffer from deep acne scars with Ultherapy alone and with a combination of Ultherapy and Mixto fractional CO 2 laser and report back to you.

This could be a promising adjunctive therapy for people suffering from extensive acne scarring.

http://www.youtube.com/watch?v=ogoyeUr941Y

and

https://www.facebook.com/pages/How-To-Treat-Acne-Scarring/187751721248937?ref=hl

A. David Rahimi,MD,FAAD,FAACS

www.foreveryoung.net

How to safely get a tattoo removed

Tattoos are meant to be permanent, but there are still a few methods for removal or concealment.

STORY HIGHLIGHTS

• Tattoos are meant to be permanent; removal techniques won't work for everyone
  
• The de-inking process has evolved to a method that uses expensive laser technology
  
• Heavy-duty makeup kits or over-the-counter tattoo-fading creams could do the trick

(Health.com) -- Getting that tattoo seemed like a good idea at the time. But now that blast from the past on your back or tribal band around your arm may seem like a bit of body art you could live without.

If you're ready to get a tattoo removed, you're not alone: According to a 2006 survey in the Journal of the American Academy of Dermatology, 24 percent of 18- to 50-year-olds have tattoos, and 17 percent have considered tattoo removal.

There's good news and bad news when it comes to getting a tattoo removed. The bad news is that tattoos are meant to be permanent, and even state-of-the-art removal techniques won't work for everyone; your chance of success varies with your skin color and the tattoo's pigments and size.

The good news is that you don't have to undergo your mother's tattoo removal technique. The de-inking process has evolved in recent years, from a cringe-worthy, potentially skin-damaging process to a safer, more sophisticated method that uses laser technology.

Don't try these at home

In decades past, people trying to get rid of tattoos have gone to extreme measures to de-ink. For example, one technique known as dermabrasion involves scraping away or sanding down the skin. In salabrasion, a salt solution is rubbed into the skin and heated and scraped away. In both cases, when the area heals, the tattoo may be gone, but scars are likely to be left behind.

Surgically removing the tattoo is also likely to leave a scar. The tattooed skin is cut out and the surrounding skin is sewn back together. Occasionally, doctors can perform surgical removals of tiny tattoos.

Health.com: The best bathing suit for your body

Scars are the most common side effect of tattoo removal. However, for some, the removal technique known as scarification is a form of body modification itself, just like tattooing and piercing. Much like a chemical peel removes the top layer of skin, an acid solution is used to remove the tattoo in this procedure. The scar that forms in its place covers up whatever ink remains.

Cryosurgery, sometimes called cryotherapy, has also been used to remove tattoos. This procedure freeze-burns the tattooed skin with liquid nitrogen, which is commonly used to treat warts and other skin lesions.

None of the above forms of destroying the tattooed skin are recommended, says Dr. Paul Jarrod Frank, M.D., the founder and director of 5th Avenue Dermatology Surgery and Laser Center, in New York City. "You could throw kerosene on it and light a match -- that'd be the same thing."

Health.com: Sun-proof your skin from A to Z

The best way to remove a tattoo is with quality-switched, or Q-switched, lasers, which have become widely used in the last decade. The beam of light searches for contrast between skin tone and ink and pulses intensely on the skin to break the ink down into particles small enough for the body to absorb.

"Laser removal is the standard of care," says Frank, but that doesn't mean it's foolproof. "There is no great treatment."

Will laser treatment work?

Laser treatment works differently for all patients, depending on the tattoo. The greater the color contrast between the ink and skin, the easier the removal will be, says Frank. Black ink on light-skinned people, for example, is the easiest to remove, while fluorescent colors -- green and purple, in particular -- are nearly impossible to erase.

"Patients with tattoos with those colors, I actually try to convince them not to remove it, unless they just want to fade it enough to cover it up with another tattoo," Frank says.

Smaller tattoos are also easier to remove, as are older tattoos, because the ink is easier to break down. Taking those factors into consideration, patients should expect to undergo five to 12 laser treatment sessions, according to Frank. You will need to wait a month between treatments, so expect the process to last six months to a year.

Health.com: 15 ways to be a natural beauty

For Tricia R., 24, the road is a long one. In May 2009, she consulted a plastic surgeon in Indianapolis, Indiana, about removing a tattoo she got at age 19 on her lower back.

"As I became involved in various activities and organizations at college, I began to realize that my 'tramp stamp' was a huge mistake," she says. "I wasn't proud of my decision and wanted to hide it." Her doctor estimated she would need 20 laser sessions -- more than most people, due to the multiple colors in the tattoo. The entire procedure will cost a couple of thousand dollars, she says.

Laser removal can be painful, and for the first few days after the procedure the treated skin looks like a healing burn.

"I don't know what hell is like, but during my treatments, I would swear that's where I am," says Tricia, now on her sixth session. "I immediately felt like I was being pelted with hot grease and flicked with rubber bands. It by far is the worst pain I have ever felt in my entire life. On top of the pain, the noise of the laser burning my skin is similar to the noise of bacon frying in a skillet."

Patients should care for the skin like a burn too, applying antibiotic ointment and keeping the skin bandaged, Frank says. Compared with older treatments, laser removal leaves little to no scarring, but it may cause allergic reactions in some people. In some cases, the skin around the tattooed area can become discolored or infected, and it is important to shield this vulnerable skin with sunscreen.

Any scarring or discoloration should be limited to that area, though. "Lasers can target [tattoo ink] without destroying things you want to leave alone, like healthy skin," Frank explains.

Health.com: What's that rash?

Since treatment sessions add up, the cost of laser removal isn't so forgiving on bank accounts. Each session with Frank costs $350. Since a small tattoo is typically $80 to $100, the cost of removal often far exceeds the price tag of the original ink.

"Despite the pain, time, and cost, I am confident that it will be well worth it when I can look in the mirror and no longer see the evidence of a big regret," Tricia says.

How to camouflage a tattoo

If you're not ready to spring for laser treatments, heavy-duty makeup kits could do the trick. Companies like Tattoo Camo and Tattoo Cosmetics sell cover-up kits. Even mainstream cosmetics companies, like Dermablend, carry products that may be effective in hiding tattoos.

Many websites and infomercials sell over-the-counter tattoo-fading creams, such as Tat B Gone and Tattoo-OFF. Tat B Gone touts removal in three to nine months; a six-month supply sets a patient back about $270.

Health.com: Get flawless skin naturally

The sales pitch is enticing: The creams are easy to use and relatively inexpensive. But the Food and Drug Administration says not to try do-it-yourself products, as they may cause skin reactions. The ingredients active in the fading process are chemical irritants meant to erode the skin, says Frank. The hope is that the body's natural healing processes will dissolve some of the ink as it heals the area, he says.

Whatever technique you use, if you're not happy with the residual coloration or scarring, you could try one more thing -- another tattoo.

Depending on the design, shape, and location, a skilled tattoo artist may be able to incorporate an old tattoo into a new design. Unlike other methods, getting another tattoo -- and to a lesser extent, laser removal -- is the only procedure that guarantees results. If there were other methods that worked, says Frank, "I wouldn't need a $150,000 laser!

Summer Is the Best Time for Fillers and Injectable Treatments to Restore Volume

Summer is the ideal time to rejuvenate the face with injectable treatments, as little to no recovery time is needed

By Forever Young, Inc.

www.foreveryoung.net

There are a number of fillers and laser procedures that are ideal for the summer months. They require no or little downtime and result in immediate improvement.  

Belotero: New Hyaluronic acid filler for fine lines around the mouth and sagging eyes. Juvederm Ultra Plus XC- Long lasting filler with little to no downtime. I have seen this filler last for over 2 years! Restylane L: Perfect for fine lines and scars Radiesse: Long lasting filler to augment cheekbones and the chin. I also use this filler to fill the back of the hands.  Also read about Ulthera (Ultherapy) – Ultrasound face, neck and eye lift. This can be performed in the office in as little as one hour with immediate results that improve over 6 months. The results last for several years. Finally: Clear and Brilliant laser- This fractional laser can be performed on any skin type and has only a one day downtime. Redness resolves in a few hours and there is practically no after care.

Read more about us at

www.foreveryoung.net

www.ultheracenter.com

www.tuliplift.com

A. David Rahimi,M.D.,F.A.A.D.,F.A.A.C.S.

See what our clients say about us on acne.org

http://www.acne.org/messageboard/index.php/topic/315693-asian-doing-mixto-for-acne-scars-on-cheeks/

Update

I am getting amazing results with the Ulthera Radiofrequency face and neck lift. We have started combining it with a light fractional CO2 laser (Mixto). The Ulthera lifts the face and neck and tightens the skin around the eyes. The Mixto removes fine lines, brown spots, tightens the most upper portion of the skin.

This “Forever Young” combo is ideal for men and women who are still in the work force and can’t afford the 3-4 week downtime of a traditional cutting Facelift. It is also truly “Scar Less”.

A. David Rahimi, MD, FAAD, FAACS.

 I give my patients light Oral Sedation to make the procedure comfortable.

Excessive sweating in the armpit area can be safely treated with tumescentLiposuction.

If Drysol has failed and Botox is not an option; consider liposuction.

The literature is clear:

It is safe and effective and practically scar-less!

http://www.ncbi.nlm.nih.gov/pubmed/16681657

and

http://www.ncbi.nlm.nih.gov/pubmed/15842397

and

http://www.ncbi.nlm.nih.gov/pubmed/14507230

and

 http://www.ncbi.nlm.nih.gov/pubmed/10759833

and

http://www.ncbi.nlm.nih.gov/pubmed/17634083

The procedure is performed using local anesthesia and mild sedation. Downtime is 3 to 5 days and the results are impressive.

Cost: $2500 to $3500

A. David Rahimi, MD, FAAD, FAACS.

Any device that states it can: “Help clear Acne, Acne scars, Grey or Thinning hair, and much much more is Full of hot Air!

Please watch this video on the correct use of Derma Rollers! Pretty complicated and sophisticated for a non-medical person. None of the patients who I have asked have been using these devices appropriately.

http://www.youtube.com/watch?v=p1NH-5-PUIc

Post inflammatory hyper-pigmentation (dark brown pigmentation), hypertrophic scarring (thickened scars), and spreading of Herpes and bacterial infections are possible outcomes of using these devices incorrectly.

A. David Rahimi,MD,FAAD,FAACS.

Dermatological and Cosmetic Services for
Patients with Dark and Olive-Toned Skin

Some physicians shy away from treating Hispanics, Asians, and African Americans because their skin heals differently than those with white or European skin. African American skin is prone to developing thick and unsightly scars and Hispanic and Asian post-op patients can develop light or dark skin discolorations.

These risks often prompt less-experienced physicians to discourage patients with darker skin tones from seeking laser treatments, chemical peels or cosmetic surgery. This isn't the case at with Dr. Rahimi and the Forever Young clinic.

With over 10 years of conducting and perfecting his treatments in such ethnically diverse cities as Washington D.C., New York, and now LA, Dr. Rahimi has become an expert in treating dark and olive-skin complexions. The following procedures have been tailored by Dr. Rahimi to specifically treat darker and olive skin tones. All of these treatments are minimally invasive, requiring only local anesthesia and minimal sedation. What's more, when the treatments are done in combination with each other, the results are far greater than when one treatment is done alone.

Chemical Peel

Chemical peels improve irregular color and fade deep lines. A superficial chemical peel removes the top skin cell layers, eliminating dead skin, tightening pores, and producing new collagen and elastic fibers. Recovery takes about seven to 10 days. Results may not be completely evident for up to a year but will last for many years.

Manual Epidermal Dermabrasion

Manual Epidermal Dermabrasion (MED) works to diminish fine lines, wrinkles, traces of acne and pigmentation. A scalpel is used to exfoliate superficial epidermal layer of skin before using a compressor to extract milias, tiny subcutaneous cysts, keratosis, and superficial rough spots. Carbon dioxide mixed with acetone is then applied, creating a "local freezing" that penetrates through the skin and is long-lasting. The procedure immediately refines and tightens the skin and promotes new collagen synthesis that lasts for weeks.

Commercial Fillers and Fat Transfers

Commercial fillers and fat transfers can be used to smooth out lines in the skin or lips. Commercial fillers include Restylane, a naturally occurring substance in the body that is based on non-animal hyaluronic acid. Restylane dissolves safely and naturally within the body over time. The longevity of the results depends on many factors such as the structure of the skin, lifestyle and age, as well as on the degree of perfection sought. The fat transfer technique involves removing fat from one part of the body, such as the thigh, and painlessly injecting it into the treated area. Excess fat can be frozen for future fat transfer procedures (Forever Young has a licensed & State approved Tissue Bank). The results from both commercial filler and fat transfer procedures last for years.

Thermage CPT

Thermage CPT is a highly advanced, non surgical technique used to achieve lasting skin tightening with no down time. This treatment involves heating the skin and underlying structures with radio-frequency followed by external cryogen cooling. The combined effect creates an immediate collagen contraction giving the appearance of tighter, younger skin. The Thermage CPT system is the most effective noninvasive, non-ablative (meaning no injury to the skin and hence no oozing, bleeding, etc.) radio-frequency system available. Improvement appears slowly over weeks as collagen remodels and the skin and underlying structures tighten. Results last from one to two years.

CoolTouch 3 Plus Laser Treatment

CoolTouch 3 Plus Laser Treatment removes acne scarring gradually and without surgery. This laser treatment is particularly used for deep acne scarring. Unlike other laser treatments, the CoolTouch laser protects the outer skin and sensitive nerve endings with a unique cooling spray while the precise laser pulses light onto the skin to stimulate fibroblasts cells (the cells that produce natural collagen in the skin's foundation). The laser pulses of light penetrate the skin, giving a sensation similar to a slapping of a tight rubber band. Because this is a cellular process, the results of the CoolTouch 3 Plus Laser Treatment happen over a period of months. Multiple treatments are encouraged.

Tuliplift Facelift

This mini-facelift procedure has been personally developed and patented by Dr. Rahimi himself. Dr. Rahimi has designed the Tuliplift Facelift to work very well with dark and olive skin tones. The minimally invasive procedure lifts sagging skin and tightens the neckline. And because the Tuliplift Facelift is done entirely under the skin, it requires only small incisions and produces a minimal risk of scarring. Patients usually recover within seven to 10 days, and have results that last for years.

And the newest Additions:

Mixto Fractional CO2 laser

(For the treatment of Acne scarring and discolorations)

and

Clear and Brilliant Laser

(This laser was introduced in 2011 to tone and refine the skin and remove brown spots.)

Read about these procedures under the "Procedures" section. Watch videos and look at dozens of Before and After photographs.

www.foreveryoung.net