Crutchfield Dermatology Top 500 Practices

Top Dermatology AwardCrutchfield Dermatology Top 500 Practices Nationwide: Allergan Partner Privileges Program
I am excited and proud to announce that out of 23,000 cosmetic practices nationwide, Dr. Crutchfield has ranked in the top 500!
This is an incredible accomplishment for a solo dermatologist and his practice! The ranking is based on volume of injectables including Botox, Juvederm and Voluma.
Congratulations CEC!!!!!

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LA Times: Battle of Bulge

logoSmallWith cosmetic treatments, more men enlist in battle of the bulges

Several nonsurgical body-contouring treatments have seen an increase in male patients, doctors report. We look at some of the sculpting machines doctors are using.

By Melinda Fulmer

A slew of nonsurgical body contouring treatments promising to zap inches on your lunch hour has taken off recently, ushering a flood of new patients — many of them men — into doctors’ offices.

However not all of these treatments, touted on talk shows and marketed at medical spa happy hours, are created equal, physicians say, and the cost can run well into the thousands, rivaling or even surpassing liposuction but with less dramatic results.

“We are not talking about losing weight” with these treatments, says Grant Stevens, a Marina del Rey plastic surgeon whose practice does a booming business in body contouring. “This is about treating the bulges of fat that are resistant to diet and exercise.”

Still, at least one treatment is consistently delivering measurable results, doctors say — from 1 to 3 inches per application — with few adverse effects and no downtime. Others are on the way to lure the two-thirds of Americans, Stevens says, who won’t consider elective surgery.

These fat-zapping treatments have been a surprisingly big draw for men, who in 2012 accounted for a mere 9% of all cosmetic procedures, according to the American Society of Plastic Surgeons. Stevens estimates that 43% of his body-contouring patients are men looking to rid themselves of love handles and male breasts, or “moobs.”

Body contouring treatments also are turning aesthetic neophytes into cosmetic converts.

According to a July article by Stevens in the Aesthetic Surgery Journal, 62% of the 528 patients he saw for the procedure from 2010 through 2012 had never undergone any other cosmetic procedure, not even a professional facial. Now 40% of these new customers have returned for other surgical procedures, lasers and fillers.

Here’s a rundown of these no-downtime treatments and what doctors had to say about them.


Cost: $700 to $800 for each one-hour application. (Multiple applications may be needed.)

Plastic surgeons say this Food and Drug Administration-approved treatment has quickly become the “standard” in nonsurgical fat removal.

A vacuum-type head sucks in an area of fat from the abdomen or flanks and exposes the underlying fat to extremely cold temperatures for one hour while protecting the upper layer of skin.

This process, called cryolipolysis, destroys about 25% of the fat cells in the area, according to doctors who use it. These damaged cells are then flushed out of the body over the course of one to two months. Coolsculpting does not tighten loose skin.

Patients getting the procedure can sit or lie down comfortably during the treatment, with a bit of mild pain during the first few minutes of attaching the treatment head to an area. Once the area becomes numb, the pain subsides. When the 60-minute application is complete, the treated area will emerge from the apparatus looking like a frozen stick of butter, ready to be massaged, and eventually subsiding to look mildly swollen.

In addition to swelling, which can last for a couple of weeks, other adverse effects reported from the treatment include reddening of the skin from dilated capillaries, bruising and numbness as well as some cases of delayed-onset nerve pain. In some very rare cases — 60 of more than 500,000 treatments — the pain can be severe, says Irvine dermatologist Christopher Zachary, one of the first to use the machine. All of these adverse effects have been temporary, he says.

Of the 528 patients Stevens wrote about, three reported moderate nerve pain, and these cases resolved in four or fewer days, he noted in the article.

As with other body-contouring treatments, Coolsculpting is no quick fix. Michael, a Los Angeles-area attorney who did not want his last name used, likens the very gradual reduction of his treated abdomen and flanks to watching a child grow.

“You don’t really notice a change day-to-day.” But after two months, he was able to trade down to a more tailored slim-fit dress shirt. “I’m thrilled with it.”

Still, not every customer is satisfied. Zachary wrote on his website in 2010 that “three out of 10 patients are unimpressed” with the results, a lower number than company literature would suggest. Today, he says that number is improving, especially as patients get the procedure done twice or more in the same area, with more massage after each treatment.

Zachary himself has begun doing two back-to-back one-hour treatments with an acoustic radial wave massage in between applications. This double-shot procedure, however, ups the price per area by 50%.


$800 to $1,000 for each treatment. (Two treatments may be required.)

This machine uses radio frequency to heat fat cells, causing cell death, or apoptosis, with fat cells being flushed away over the course of one to three months, resulting in a reduction of the underlying fat layer.

Just how much fat it eliminates is debatable. Although the treatment’s website shows an ultrasound image of one patient who lost more than 25% of the fat after two treatments, Kouros Azar, a plastic surgeon in Thousand Oaks, says in the 200 treatments he has performed, he has seen an average loss of 1 to 2 centimeters of fat, or less than an inch.

Azar likes the machine because it is versatile enough to treat fat pockets all over the body, including the arms, thighs, above the knees and under the chin.

“I have found it to fill a huge void in our practice for non-invasive body contouring,” Azar says.


Cost: $3,000 for one treatment

This device uses high-intensity, focused ultrasound to destroy fat cells without damaging the outer layer of skin. As with the other methods, your body eliminates this fat over two or three months, the machine’s maker, Solta Medical, says. The results average about an inch of fat loss for the one-hour treatment.

As the treatment head is moved over your abdomen, patients can expect to feel discomfort, cold, prickling, tingling and warmth, which the company describes as “mild.”

That’s not how Stevens describes the process. “It’s effective,” he says. “However, it hurts like hell.” Potential adverse effects after treatment include discomfort, bruising, redness and swelling.


Cost: $2,500 to $3,000 for a series of six sessions

Promising to liquefy fat that can then be flushed away by the body, this low-level laser treatment has plenty of skeptics.

“It 100% does not work,” Stevens says. “We have never seen any fat reduction with this.” Studies on the company website promise an average loss of 3.64 inches on waist, hips and thighs if you follow the treatment regimen, which includes drinking lots of water, cutting out alcohol and caffeine, eating a healthful diet and exercising for 30 minutes a day.

Stevens is not alone in rejecting this treatment. The company that holds the license to Zerona recently filed for Chapter 11 bankruptcy protection after Zerona laser users began returning the machines earlier than expected and it could not make royalty payments to the laser’s manufacturer.


Cost: Estimated at $700 to $800 per treatment.

Another highly anticipated, pain-free method of fat removal is coming out later this year. It promises to zap fat without even touching your skin.

Called Vanquish, this FDA-approved machine by BTL Aesthetics hovers over your skin, heating and destroying fat cells (without disturbing the skin) in four 30-minute sessions spaced a week apart.

In a very small European clinical trial, patients lost an average of 5.68 centimeters, or 2.23 inches, around their midsection without significant side effects, save for a little redness and swelling that went away within an hour.

Stevens is now testing one of these machines. The photos, he says, look encouraging, but he doesn’t have the results yet. “The jury is still out.”

Despite the low degree of risk with these treatments, it’s important to make sure the person administering a treatment has proper training, or you may receive less impressive results and more discomfort.

“Just because it’s minimally invasive,” says Scot Glasberg, a New York plastic surgeon, “you shouldn’t go to a minimally trained doctor.”

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3 Ways To Get Skin Glowing

holiday skin care1. Get a Facial Peel

During this process, a high concentration of glycolic acid is applied to the skin for a short period of time and then chemically neutralized to end the treatment. This procedure rapidly removes the damaged layer of surface skin cells revealing fresh skin, and stimulating cell rebuilding and restructuring of deeper skin layers. This procedure can help the skin appear smoother, healthier, plumper and tighter, with more even pigmentation.
Learn about Crutchfield Dermatology’s Neostrata Facial Peel

2. Get Microdermabrasion

MicroExfoliation is a skin-revitalizing treatment that helps repair skin that is damaged from the sun, scars, acne and the unwanted effects of aging. A trained professional uses gentle abrasion and vacuum to remove the dead, outer layer of skin. MicroExfoliation using the original Crystal Free Diamond-Tome™ wands removes the dead, outer layer of skin by gently exfoliating the skin with natural diamond chips, while vacuuming the dead skin cells away in a clean and controlled manner. Removing the outer layer of dead skin leaves a smoother texture and promotes the growth of healthy new skin cells.
Learn about Crutchfield Dermatology’s MicroExfoliation

3. Begin A Skin Care Regimen

We recommend a comprehensive anti-aging regimen that you use each day. Potent professional products with active benefit ingredients. The NeoStrata Skin Active system is made up of four high-performance products, each formulated to deliver outstanding rejuvenating effects, including significant improvement in the appearance of deep wrinkles, crow’s feet, sagging and uneven pigmentation.
Learn about the Neostrata Skin Care line

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Resurfacing Skin with Microdermabrasion

Microdermabrasion on SkinMicro-exfoliation & HydroPlus Treatments The Revolutionary Solution for Age-Defying Skin

Micro-exfoliation is a skin-revitalizing treatment that helps repair skin that is damaged from the sun, scars, acne and the unwanted effects of aging. A trained professional uses gentle abrasion and vacuum to remove the dead, outer layer of skin.

Micro-exfoliation using the original Crystal Free Diamond-Tome™ wands removes the dead, outer layer of skin by gently exfoliating the skin with natural diamond chips, while vacuuming the dead skin cells away in a clean and controlled manner.
Removing the outer layer of dead skin leaves a smoother texture and promotes the growth of healthy new skin cells.

When To Use Micro-exfoliation:

  • Reduction of minor to moderate early aging and fine lines
  • Minor revision of scars
  • Sun damaged skin
  • Hyper-pigmentation reduction
  • Reduction of acne scars
  • Age spots
  • Extraction of blackhead and whiteheads

Learn all about Microdermabrasion at Crutchfield Dermatology

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Skin Deep: Everything You Need To Know To Age Gracefully

An interview with nationally recognized cosmetic dermatologist Charels E. Crutchfield III, M.D
Cosmetic dermatologists use a number of innovative techniques to treat stubborn fine lines and wrinkles, effectively turning back the clock. Best of all, the procedures can be performed without surgery and in a single afternoon, often allowing patients to return to work the next day. For these reasons, non-surgical cosmetic procedures are increasing in popularity. The American Society for Aesthetic Plastic Surgery (ASAPS) reported a 51 percent increase in non-surgical cosmetic procedures in 2004, compared to 2003. Among the most-requested non-surgical cosmetic procedures are Botox, fillers such as collagen, and chemical peels.
Our facial muscles age us
The facial muscles used for smiling, frowning, squinting, and laughing eventually leave creases where they expand and contract. As we age, these lines become more noticeable. Cosmetic dermatologists use a compound called botulinum toxin— commonly referred to by its brand name, Botox—to treat these wrinkles.
Doctors discovered the cosmetic benefits of Botox in the early 1990s. At first, patients were concerned about the product’s safety, because the botulinum toxin is related to botulin—a toxin that can sometimes induce fatal food poisoning. “People used to be afraid, but they realize now that it’s very safe,” says Dr. Charles Crutchfield III, from Crutchfield Dermatology in Eagan, Minnesota. “There has never been one adverse event or fatality.”
Cosmetic dermatologists ensure patients’ safety by using a diluted concentration of the toxin for procedures. “With the amount that’s in one vile of what we use to treat patients, you would need 300 viles to cause any problems,” Crutchfield says.
The substance is injected directly into the muscles that cause wrinkles in order to relax them, softening frown lines, furrows, and crow’s feet. The procedure is performed in one office visit, and patients can immediately return to work.
However, the results are temporary. Patients need to return to their doctor every four to six months to maintain their younger-looking appearance. “Once you achieve the look you want, then you maintain it,” Crutchfield says. “Some patients say, ‘I have to redo this every six months?’ Well how often do you have your hair color touched up or your nails redone?” Compared to a surgical facelift—which may cost thousands of dollars and require significant healing time—Botox is relatively convenient and inexpensive. For example, treating a single area, such as the forehead, costs $300 to $400.
Because of its ease and effectiveness, Botox is becoming increasingly popular. According to the ASAPS, more than 2.8 million Botox injection procedures were performed in the United States in 2004. “The operative phrase is ‘less is more,’ ”Crutchfield says. “Botox is probably the number one non-surgical procedure in the United States today.”
Search for the perfect filler Cosmetic dermatologists use other treatments to repair aged or damaged skin on the rest of the face. One method is to make the skin plumper by injecting materials, such as collagen, underneath the surface.
Collagen is a natural substance that is already present in the skin and promotes elasticity. Another natural substance called “hyaluronic acid” is also a crucial component of human skin.
As we age, the body produces less collagen and hyaluronic acid, causing the skin to become wrinkled. Replacing these substances restores the skin’s volume, thus smoothing out wrinkles.
The collagen used for cosmetic procedures is usually derived from cows, and has been in use since the 1970s. The results from bovine collagen are short-lived, because the body naturally dissolves the foreign substance in only a few months.
Many patients also develop allergic reactions to bovine collagen.
In search of a better alternative, many dermatologists are switching to human bioengineered collagen, or they’re using hyaluronic acid to safely replace the other component found in skin.
Recently approved by the FDA, hyaluronic acid works by connecting the natural collagen and another compound in the skin called elastin to create a framework under the skin. This framework then absorbs water and builds volume, which fills in the wrinkles. The effects of hyaluronic acid last longer than collagen, without posing the risk of an allergic reaction.
However, hyaluronic acid gel does not contain any anesthetic to numb the pain of the injections. As with collagen, there is usually temporary inflammation following the injection. Hyaluronic injections cost $500 to $1,000. Collagen tends to cost a bit less, starting at $400. Other fillers are awaiting FDA approval, such as polymethylmethacrylate, which is a mixture of miniature plastic spheres and bovine collagen. Once injected into the skin, the collagen holds the synthetic spheres in place. The collagen

Continue reading Skin Deep: Everything You Need To Know To Age Gracefully

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Selphyl Skin Treatments

Mpls St Paul Magazine October 2012The Vampire Facelift. The newest way to nip and tuck doesn’t require a scalpel- just your blood. For Selphyl, aka the vampire facelift, the patient’s blood is drawn, spun to concentrate its platelet-rich plasma, and then injected into unwanted facial lines or scars. The results are immediate and can last two years, about twice as long as other facial fillers such as Juvederm and Restylane. Prices start at $950 at Crutchfield Dermatology, 1185 Town Centre Dr., Ste 101, Eagan, 651-209-3600, See the Selphyl Treatment

Mpls St Paul magazine

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