Advanced Aesthetics by Dr. Roxana Kerns

There are many different types of cosmetic surgery.  Some of these are basic, traditional methods that have been used for years.  However, these basic methods do not always work.  Sometimes it is because the treatment method is fairly outdated and never actually worked very well in the first place.  Other times, it is because the method actually is not the best for the patient.  Some older cosmetic professionals will continue trying these older treatments because it is what they are comfortable with, but progressive doctors such as Dr. Roxana Kerns of the Orchid Aesthetics Medical Spa keep abreast of the most recent medical techniques and routinely practice advanced aesthetics.

Laser Services

One of the most advanced forms of facial surgery involves lasers.  There are a number of different laser treatments that Dr. Kerns provides.  Laser skin resurfacing can be used to treat discolored spots, rosacea, dermabrasion, spider veins, and even hair removal.  Because laser treatments are still fairly new, professionals have to continue to train and learn new methods.  Dr. Kerns has practiced and become quite adept at performing laser skin tightening.  This technique can be used to tighten the skin anywhere from the belly button to the face, the feet to the neck.  It is safe for everyone, and the result is tighter, younger looking skin.  Laser skin tightening continues to see improvements, too, as new technology is invented and perfected.  Dr. Kerns is affiliated with the American Society of Laser Medicine and Surgery.

Studying New Treatments

Advanced aesthetics involves more than just lasers, of course.  Dr. Kerns and her staff continue to keep up with advancements in other areas, including those that may seem very experimental or even controversial.  Her team has made use of a variety of techniques, many of which they adapted to before the techniques became widespread.  These include the likes of LED light treatments, radio frequency treatments, infrared treatments, and more.  All of these require advanced study in order to learn and then master the methods involved.  Naturally, Orchid Aesthetics invests in many of the newest pieces of equipment so the staff can perform many of these procedures without the need to go to another facility to use the equipment.

Advanced Health Aesthetics

Being in skincare and cosmetic procedures involves more than just making someone look good.  It also involves understanding and treating the skin as an organ.  As with any part of the body, our skin looks its best when it is healthy.  A good skincare expert should have studied skin disorders, diseases, diagnosis, and more.  They should be able to spot the warning signs of more advanced problems such as skin cancer so they can recommend their patients to specialists as early as possible.  They also need to understand what ingredients are in cosmetics and be able to correlate these ingredients with patient allergies.

Overall, being in advanced aesthetics is more than just helping a patient pick out the best facial cream or performing a few microdermabrasion treatments.  It is a science, and experts such as Dr. Kerns have studied for years to be able to provide the high quality services their patients demand.

Facial Re-sculpting with Laser PRP and Fillers

One of the newest types of cosmetic surgery available is Platelet Rich Plasma (PRP), sometimes colloquially called the vampire facelift.  Laser PRP and fillings can be used to smooth out wrinkles, build up the neck or jaw line, and much more.  It can even be applied to the joints to help relieve pain in the shoulders, back, and knees.  PRP can also be used on the face, chest, and on the back of the hands and arms to reduce loose skin.

How PRP Works

PRP uses a unique type of treatment to fill in wrinkles and build up areas of the face and body.  Once a patient has been approved for PRP treatment, they visit their cosmetic professional and have a small blood sample drawn.  This sample is then prepared by spinning it in a centrifuge.  This separates out the platelets.  These platelets are isolated, mixed with blood plasma, and activated with either calcium chloride or thrombin.  This final mixture has incredibly high levels of growth factors that help stimulate the production of new cells.

Once finished, this mixture can be injected into the body just as with other types of dermal fillers.  Patients will later begin to see improvements to the overall firmness of their faces.  PRP treatments do have to be continued over time or the effects will fade.  They can be done as often as once every four weeks.  Usually, treatment only takes about 30 minutes from start to finish.

Why Choose RPR Over other Types of Treatment?

There are a number of different reasons why a patient might pick PRP for their cosmetic treatment.  First, it is a completely natural and safe method of removing wrinkles.  PRP uses no foreign chemicals.  A physician or cosmetic professional can do the entire treatment at their office and it takes only about half an hour.  PRP treatment works as both a wrinkle reducer and volumizer too, so no additional treatments are needed.  There are even signs that PRP can help with arthritis and other joint pains.

Recovery Time

As with any treatment, there will be some recovery time.  However, unlike with some methods of cosmetic surgery, your recovery time after PRP will be minimal.  Some people can even go back to their regular lives the next day.  The only negative effects of the treatment are bruising, redness, and swelling, but these symptoms usually last no more than three days.

Dr. Kerns and her staff at Orchid Aesthetics, for example, will work with patients to make certain they understand how the procedure works and what side effects may occur so they are prepared.

Repeat Treatments

Normally, cosmetic surgeons and physicians recommend one treatment scheduled about four weeks – 8 week apart for the initial procedure.  After that, patients should not need another treatment for anywhere from six to 18 months.  However, those with large wrinkles or other skin issues may need more treatments or may need to combine RPR treatments with laser resurfacing or even chemical peels.

Whether used as a form of medical healing therapy or cosmetic therapy, the number of treatments will depend on the injury, the area being treated, and how the patient responds to the treatment.

Fractional vs Non-Fractional Laser in Skin Rejuvenation

If you are considering skin rejuvenation, you will find that there are several different options.  One of the newest and most effective methods is laser skin resurfacing.  However, you will find that even if you decide laser rejuvenation is right for you, you still have to decide between fractional (or ablative) and non-fractional (or non-ablative) methods.  Both of these methods can make skin appear younger and healthier, but there are some important differences between the two.

Fractional Laser Rejuvenation

This method fires a number of short, small laser blasts at the skin.  These lasers actually cut through the epidermis and into the layers of the dermis itself.  The upper layer of the skin is actually vaporized, as is a part of the layer beneath it.  This forces the body to begin producing more collagen and new skin cells to repair the damage.  The doctor can control the ablation depth, allowing them to go deeper where necessary (in the case of scar tissue, for example).  Because it penetrates deep into the skin, fractal laser rejuvenation is usually a one-time treatment.

Fractional treatments do leave the skin looking red, swollen, and damaged.  It may take several days for it to heal, but people can usually return to their normal activities after that.

Non-Fractional Laser Rejuvenation

Non-fractional or non-ablative laser skin rejuvenation, on the other hand, actually fires a laser that passes through the upper layers of the epidermis.  The laser delivers coagulate to the underlying layer of skin, where it prompts the creation of new tissue.  Non-fractional treatments do not take nearly as long to heal because the outer layer of skin is not removed.  In fact, the only obvious sign of the treatment is a slight redness or a mild swelling, and even those symptoms usually fade within a day.  Patients will feel very little pain during the procedure.

However, non-fractional treatments are also not as effective.  A patient will need to return to have follow-up treatments if they wish to remain looking young, and they may need to have several treatments up front in order to achieve their desired look.

What the Treatments Do

Both fractional and non-fractional laser rejuvenation are options for treating wrinkles, lines, scars from injuries, acne scars, melasma, crow’s feet, and much more.  They may be used on the face, but both treatments can also be used on the chest, neck, legs, and arms.  The FDA has approved both methods for use in cosmetic treatments.

Being Treated by the Best

Because these procedures, especially the fractional method that does vaporize the top layer of the skin, involve aiming a laser at the face, they should be performed only by the very best.  Make certain your cosmetic aesthetician has the training necessary to operate this equipment, and you may even want to ask about reviews.  Many people prefer going to those with a reputation for high quality work such as Dr. Roxana Kerns of Orchid Aesthetics.  Dr. Kerns has years of experience in the field, and her staff are all professionals dedicated to making every patient look amazing.

Sun Damaged Hands and Chest Treatment

While many people wear long sleeves and a hat during the summer, they often do not realize that they are leaving two areas of skin exposed: the back of their neck and their hands.  These areas often need treatment for the damage they get from the sun. Dr. Roxana Kerns of the Orchid Aesthetics clinic offers a number of different treatments for sun damaged hands and chests.

Chest Rejuvenation

The chest can very easily burn if it is not properly coated in sun block. This exposure to ultraviolet light causes the cells in the skin that produce pigment to start creating more.  This leads to blotchy spots of melanin on the chest and can cause spider veins and, eventually, skin cancer as well.  There are a number of different ways that the skin on the chest can be rejuvenated.

Microdermabrasion – while mainly used on the face, the microdermabrasion device can be used on the chest, too.
Chemical peels – these peels can help reduce or completely remove the splotches of discolored skin.
Fractional laser therapy – by firing short pulses of light onto the skin, professionals can remove discolored, scarred, and damaged skin.  The body instantly starts producing new skin cells to take the place of the vaporized ones, creating new, healthy skin.
Intense Pulsed Light (IPL) – this type of device can reduce the discoloration on in the skin by destroying melanin cells.

Treating Sun-Damaged Hands

Very few people think to protect their hands when they are outdoors for long periods.  Fortunately, there are treatments to help rejuvenate the hands.  Sun damage can result in both prominent veins and in slack, loose skin.  Both of these issues can be treated with a method called autologous fat transfer.  Basically, fat is taken from another part of the body – often the stomach – and then injected into the back of the hand.  This fills in the hand, pulling the slack skin tight.  This makes the bones and veins not stand out quite so much.  Generally, the incision to remove the fat is very small, and local anesthesia is applied.  It usually only takes one treatment, but on occasion, a second treatment may be needed.  Some doctors prefer to use synthetic fillers instead of removing fat from the patient’s body.  However, using fat does tend to make the hands look more natural and may last for much longer.  Synthetic fillers often require extra treatments and only last for a couple of months.

Sun block (SPF 30, SPF60) – Medical grade skin care product that helps preventing skin from getting a UVA and UVB rays, that can cause pigmentation and wrinkling

Hand cream Fade-12.  Reduces and removes the appearance of age spots on hands and arms. It features innovative biomimetic whitening complex that inhibits melanin production at several different key steps and also induces desquamation.

Chemical peel- deep exfoliation using acid helping to remove dead cell layer of the skin, smooth out wrinkles and fine lines, brightening skin  and evening up tone. Dr. Kerns at Orchid Aesthetics Medical Spa offers Superficial peels as Glycolic/ Mandelic, Moderate as TCA and Deep peels as VI peel.

IPL – light energy delivered by BBL that gently heats the upper layer of the skin, the heat absorbed by targeted areas stimulates skin cells to regenerate new collagen and reduces unwanted melanin that produces pigmented lesions.

Vitamins, Minerals, and Hormones in Skin Rejuvenation

If you’ve ever heard about one of those “miracle” supplements that claim they can make your skin look younger just by taking a pill a few times a day, you’re probably right in suspecting the pill is a fraud.  However, there is some truth to the idea that certain vitamins, minerals, and hormones can have a positive effect on your skin.  Dr. Roxana Kerns of the Orchid Aesthetics skincare clinic has extensive training and experience in this area and often recommends her patients take certain supplements following their cosmetic procedures to help keep their skin looking great for years without any follow-up treatments.  While these supplements are not going to make a person stop aging, they will certainly help.

Vitamin D

One popular vitamin that has not always received the attention it should is vitamin D.  While many health professionals do check their patient’s vitamin D levels and have them take supplements to increase their overall health, few really understand just how necessary this vitamin is for the skin.  One problem with vitamin D is that the body creates it from sunlight, yet being in the sun can directly cause the skin to wrinkle and become discolored.  Another issue is that the body uses much of this vitamin D before the skin can actually use it.

Because of the many factors that affect how well the body makes vitamin D – the time of year, the location, the age of the person, etc. – not to mention the widespread use of sunblock, it’s actually fairly difficult for the body to make enough vitamin D.  This is why many people take supplements.  When taken in the form of calcitriol, vitamin D can quickly and easily be absorbed by the skin.  Here, it helps replace dead skin cells.

Vitamin K2

Another vitamin that may greatly help the health of our skin is vitamin K2.  Some research has uncovered a link between excessive wrinkles and a lack of vitamin K2.  This is especially true in postmenopausal women.  While more study needs to be done in this area, many do believe that if people were to increase their levels of vitamin K2, they may see fewer wrinkles.  There may also be less of a risk for osteoporosis, diabetes, and kidney disease.


Many older menopausal women find that their skin begins to show signs of aging more quickly.  That is because studies have shown that estrogen actually helps prevent skin from showing signs of aging.  Many women, then, begin using topical estrogen once their body stops producing it naturally to keep their skin looking younger and healthier.  This actually helps make the skin stronger and increases the amount of collagen in it.

Usually, this topical estrogen is such a low dose that it does not interfere with the body’s natural rhythm, but it is enough to increase how the skin looks.  Most doctors prescribe estriol, a very weak estrogen that is actually created from plants and has no negative side effects.

Open House October 14: buy one service get 2nd free

Dr. Kerns of Orchid Aesthetics Medical Spa launches new laser treatments and skin care products for the treatment of hyper- pigmentation. You can try some of her services for FREE at the Open House on October 14th at 57 west 57 st. suite 1203 between 4.30pm and 8.30 pm. RSVP required. Buy one service get the 2nd Free!


Dr. Kerns of Orchid Aesthetics Medical Spa is an international BC medical professional with formal training in surgery, anesthesia and aesthetic medicine.
As the owner and medical director of Orchid Aesthetics , Dr. Kerns specializes in natural rejuvenation of the skin, face and body. She uses advanced medical grade skin care products, natural properties of the human body( fat, Plasma growth factors), state-of-the-art ultrasound and laser technology to erase wrinkles and restore skin firmness and elasticity.
At the Open House you have an opportunity to meet Dr. Kerns and get direct insight of her anti-aging techniques and secrets.
Free one on one consultation available with RSVP. Cocktails and Hors d’oeuvres will be served. Mingle with other professionals learn about latest anti-aging technology, procedures and rejuvenate with Free mini facials/IPl.
Buy one service and get 2nd FREE!
Drop your business card for a chance to win a $500 Gift Certificate at the 7.30 pm Tombola!
Tuesday October 14th 2014 doors open at 4.30pm . Close at 8.30 pm. At 57 west 57street suite 1203, 12 floor, cross street 6 avenue in NYC. Closest subway F, R, Q. Quick park, Icon parking at 56/7-8 ave.
Try the most advanced laser treatment for pigmentation for Free!. No purchase required. Dr. Kerns and her team of estheticians will give a brief presentation on healthy lifestyle and tricks to delay the aging process.
Learn, celebrate and rejuvenate all in one party on October 14 2014 at 57 west 57 st #1203 in NYC.
RSVP @ 212-595-1958 or

How Radiesse Is Used In Facelifts

How Radiesse Is Used In FaceliftsRadiesse is a type of dermal filler.  It is often used in facelifts to smooth out wrinkles and repair the damage from scars.  However, it is not like many other types of dermal fillers and has been termed – liquid dermal filler rather than hyaluronic acid filler.  This next-generation filler makes use of small calcium-based microspheres that are suspended within a water-based gel.  Radiesse stimulates the body to produce more collagen, and it helps encourage the regeneration of tissue to make the skin appear younger.  It can be used in the same way that facial implants are, but it is less invasive and can be customized more easily.

Common Use

Typically, Radiesse is used in areas of thicker skin and in places that wrinkles are very pronounced.  Radiesse can last longer than other types of facial treatments, but it still must be injected once a year or so in order to keep the skin looking smooth.  Many physicians recommend that those new to the treatment return several times throughout the year for a checkup and for touch up procedures.

Both a Short-Term and a Long-Term Treatment

Radiesse is both a short-term and a long-term solution to wrinkles.  When first injected, the gel immediately begins to fill the lines, folds, and wrinkles of the skin.  However, over time the gel will start to dissipate.  As it does, the microspheres in the gel spread apart.  This creates a type of scaffolding that helps stimulate the production of collagen and encourages the growth of tissue in the area.  This process can be broken up into four phases:

1) The water-based gel is injected into the wrinkles and it begins to fill it.
2) The gel starts to dissolve and the calcium within the gel starts to stimulate the body’s production of collagen.  This happens after two to three months.
3) The gel completely dissolves; new collagen is formed.  This occurs about three to four months after the treatment.
4) The calcium particles begin to degrade, after which they then metabolized by the body.  This occurs nine months to a year after the treatment.

Additional Benefits

In addition to filling wrinkles and promoting collagen formation, Radiesse has several other additional benefits.  The treated area is often much smoother thanks to the increased collagen production.  Radiesse is also completely absorbed by the body after it degrades, making it 100 percent safe to use.

Approved Use

The U.S. Federal Drug Administration approved Radiesse for therapeutic use years ago.  In 2006, this approval was expanded to cosmetic use as well, including lipoatrophy (the restoration of fat loss in the face).  Since then, Radiesse has been used to smooth out folds and wrinkles around the mouth and nose, and can be used to shape various facial features such as building up the area under the eyes when that area becomes sunken.  Dr. Roxana Kerns has also used it to augment the cheeks and to fill in around the chin.  If you are ready for the treatment or consultation our experienced aesthetic physician Dr. Kerns will be glad to answer all your questions.

Before and After

How Radiesse Is Used In Facelifts

Radiesse for Non-Surgical Rhinoplasty

Radiesse for Non-Surgical RhinoplastyAs the cosmetic industry advances, new technologies have been introduced that allow for more and more non-invasive procedures.  These procedures may not be as effective or as permanent as going under the knife, but they are generally much less painful, require very little or no recovery time, and are cheaper.  The use of injections, lasers, and radio frequencies has changed how cosmetic surgery is performed.  This even includes how rhinoplasty, one of the most popular cosmetic procedures, is done.  Radiesse, which is often used to smooth out wrinkles and scars, can be used in a form of non-surgical rhinoplasty.

Why Radiesse?

Radiesse is often used in non-surgical rhinoplasty for several reasons.  One is its structure.  The chemical that makes up the majority of Radiesse is called calcium hydroxyapatite and these particles are actually very similar in characteristics to the human bone.  What this means is that the effects of Radiesse may last for as long as a year, possibly longer.  In some cases, Radiesse has even changed the appearance of a person’s nose for almost two years.  This makes procedures done with Radiesse some of the longest lasting.

Patients do not have to return for follow-up appointments as often as those who have procedures done with another chemical.  Radiesse’s structure also provides greater support to tissues in the face, which is ideal for nose surgery.

The Effects of Radiesse on the Nose

Radiesse is often used for enhancing two particular areas of the nose: the tip and the bridge.  It helps to elevate the bridge, giving the nose a higher look.  When injected in the nasal tip, it refines it and gives it a more pleasing appearance; this effect lasts for months without any pain or other side effects.

Performing the Procedure

Like most cosmetic procedures, only aesthetic physicians, as Dr. Kerns, who have been trained in non-invasive rhinoplasty should inject Radiesse into the nose.  This ensures that the patient receives the best results and that the Radiesse lifts and enhances the nose as planned.

The Best Patients

As with most non-invasive cosmetic procedures, non-invasive rhinoplasty performed using Radiesse is an option for almost all patients.  It’s especially a good idea for those who may want to have invasive, surgical rhinoplasty done in the future but aren’t certain if the look they think they may want is really right for them.  This type of temporary rhinoplasty can let them try out a new look without the pain, expense, or permanence of going under the knife.  Those who wish to temporarily improve their looks for an event but do not want to spend the time recovering from surgery may also seek out this kind of treatment. If you had concerns about your esthetics of your nose please call for a consultation with our doctor.

Before and After

Radiesse for Non-Surgical Rhinoplasty


The Use of PRP in Joint Healing

The Use of PRP in Joint HealingPlatelet rich plasma (PRP) therapy is a fairly new type of treatment that uses platelets from a person’s blood to create a gel that encourages the body to create more collagen.  First, platelets and fibrin are removed from the patient’s blood after the blood has been spun in a centrifuge.  They are then mixed with gel that is activated by calcium chloride or thrombin.  This creates a platelet-rich fibrin matrix and it is the different components of this matrix trigger the body’s healing systems.  While PRP therapy has become known to many for its cosmetic applications, it was originally created for other medical uses, including joint therapy.

PRP Therapy

PRP by Dr. Kerns is used as a form of pain relief and healing method for osteoarthritis found in the hip, knee, shoulder, and spine.  Additionally, it can be used to help alleviate pain and promote healing from rotator cuff tears, anterior cruciate ligament injuries, back and neck pain, chronic plantar fasciitis, tendonitis, ligament sprains, and tennis elbow.

How PRP Works

When an injury first occurs, the body responds by sending platelet cells to the site of the injured soft tissue.
Once the platelets reach the area, these begin to repair the damage and encourage new growth.  They also attract attention of nearby stem cells, which assist in making repairs.
The platelet rich plasma is injected at the area.  It begins to increase the body’s natural healing process by adding a high concentration of platelets to the damaged area.  Because of the mixture of other ingredients to the platelet rich fibrin matrix, the body quickly starts healing.

No Transfusion Danger

Covered by most Private Medical Insurance, PRP is an exceptionally safe procedure, performed in sterile environment in a medical office; there is no danger of infection or allergic reaction.  The main reason for this is that the patient’s own blood is used to create the platelet rich fibrin matrix.  Nothing is transmitted from patient to patient.

Therapy Length

The first part of the procedure is the longest. Our physician Dr. Kerns uses digital imaging technology to map the affected joint. The patient’s blood is drawn in a similar manner as a blood test.  That blood then has to be separated so the platelets can be harvested.  Then the platelet rich fibrin matrix must be created.  Once the final mixture is finished, it is injected into the injured area.  This can be done in any medical office; no surgery, hospital stay, or even anesthesia is necessary.  Patients are able to return to normal activities immediately.

Generally, no more than three treatments are done within a six-month window.  Normally, treatments are spaced out by two or three weeks.  However, most patients report feeling extreme pain relief after the first or second treatment.

Lasting Results

Studies have shown that the treatment is able to relieve pain, and MRI images and ultrasounds have shown that the tissue does heal more quickly when PRP therapy is used.  Overall, this method may result in the need for fewer surgeries due to the accelerated healing it provides.

The Use of Lasers in Nonsurgical Facelifts

The Use of Lasers in Nonsurgical FaceliftsThanks to a number of advancements in cosmetic surgery, fewer and fewer people are electing to go under the knife.  Instead, they are opting for methods that are not as invasive, not painful, or not as expensive.  There is a wide variety of facelift options available today, and most of them do not make use of the knife.

The Use of Lasers in Cosmetic Surgery

Lasers have been used in cosmetic surgery for a few decades but, in the beginning, the results were not great.  However, over time, two different methods have been perfected.  The first method is surgical in nature, and it is not used as often.

The second method is similar to facelift procedures that make use of radio frequencies.  A radiofrequency facelift actually heats layers of skin.  This causes the inner layers to start to tighten up, and it rejuvenates the collagen structure of the skin.  Even though it does heat the skin, radiofrequency facelifts are actually painless.

A laser treatment works the same in principle, although instead of using radio frequencies to heat the skin, it uses a tightly focused beam of infrared light.  As with radiofrequency treatments, the entire process is painless.  Because the beams are more focused, a number of facial surgeons prefer to use lasers than radiofrequencies.  However, patients will need more laser treatments – often, six treatments are needed to get full use out of the technique, while generally only one radiofrequency facelift is needed to see results.  Periodic treatments may also be necessarily every year or so.

The Overall Results

Once the series of treatments are complete, the patient’s face should appear younger.  The skin will have tightened around the area that was heated, making it appear smoother.  Sagging areas will have lifted, and the skin will often have a healthier glow to it.

Our laser skin tightening system is safe for all skin types, and can predictably and effectively treat any area of the body where improvement is desired, giving a firmer, more youthful appearance. This system delivers uniform, targeted and deep heating to effectively treat the desired area, stimulating collagen remodeling and contraction. There is no downtime and allows for regular activities immediately following your skin tightening treatment. Following treatment, a new foundation of collagen is created leading to increased skin firmness.

The Ideal Patient

Laser facelifts are safe for those of any age or gender.  These are an especially good treatment for those who may have to avoid surgical facelifts for medical purposes, such as those who do not heal quickly or easily due to illness or disease.  Both men and women can undergo laser treatment and, while the general stereotype is that older people get cosmetic surgery, those in their early 30s or even younger may opt for laser treatments.

Long Term Studies

While laser facelifts are effective and much less invasive than some other methods are, no long-term studies have been done on them.  What is known is that patients may have to have repeat sessions in order to continue to look as they wish because the effects are not permanent.  However, laser facelifts can provide short-term tightening, lifting, and rejuvenating of the skin.  For those who do not want to go under the knife, so far the results show that laser facelifts are a good alternative.