Dr. Katie Beleznay

Vancouver Skin Care Specialist

Dr. Katie Beleznay is a leading medical and cosmetic dermatologist specializing in the latest treatments to repair and rejuvenate the skin

Filtering by Tag: ultherapy

All About The Chest

The chest, or its fancier term décolletage, is commonly neglected when it comes to prevention and rejuvenation strategies, but it really does deserve some attention! It’s often a clear give-away of someone’s age. So what are some treatments for this area? Here is a list of some of my favourites:

1)    Complexion: Evening out the red, brown, sun spots and more on the chest is an easy first strategy. The skin on our chests is often damaged from years of exposure to the sun and unfortunately this area, like the neck, is commonly forgotten when it comes to important sun protection strategies.

a.    IPL - This is one of my favourite go tos. It can reduce redness, sun spots, and help even out discolouration.

b.    Skin Care - Don’t forget to put skin care on your chest as well!! The neck and chest skin is often more sensitive so you may need to start out every few days or even once a week to begin with for your more active products.

2)    Lines and wrinkles: If you squeeze your chest pushing from outside in you can often see long vertical wrinkles. Side sleepers (me included) get this the most!  What are some different treatment options?

a.    Sculptra - This injection can stimulate collagen and is long-lasting, looks natural, and can help soften those lines and wrinkles. It often requires more than one treatment, but the degree of improvement can be quite meaningful (see video below).

b.    Thermage or Ultherapy - This will help soften lines and lift the chest. In fact Ultherapy is formally approved for improving lines and wrinkles in this area.

c.     Hyaluronic acid filler - Soft fillers like Volite or Restylane Skin Boosters can hydrate the skin and reduce some of the more superficial lines.


The before and after photos above are following two treatments of Sculptra to the chest. There is a subtle, but noticeable improvement in the vertical lines on the V-shaped central part of her chest despite the colour difference (a little sun education was implemented from the before to the after photos as well ;)

You can watch the video below for a little more information about the use of Sculptra on the chest. If you are interested in learning more please contact our office.


Make Yourself “No Makeup” Beautiful

This post was originally published on the Carruthers & Humphrey blog.


During this year’s “awards season” it became clear that the new beauty trend among Hollywood celebrities is to achieve a natural look with minimal makeup. Meanwhile the hashtag #nomakeup has been trending across social media, with everyone from Cindy Crawford to Kim Kardashian to Beyonce posting selfies to show off their makeup-free looks. The move toward less makeup, or no makeup at all, is refreshing to see.

A key message from this movement is to embrace your natural beauty without the need to alter your appearance. Of course many people wonder if they can pull it off and may want to improve their skin tone and complexion before going makeup-free.

At Carruthers & Humphrey, we strive to deliver natural looking results that give our patients greaterconfidence in the appearance of their skin. While every patient receives a customized treatment plan, for those looking to go makeup-free there are a few common treatments that may be utilized to help create that effortless look.

  1. Skin care – A proper skin care routine is vital to keeping skin looking refreshed. There are a number of products that can help give your skin a healthy glow, but I will highlight a few. Topical vitamin A, known as retinol, can be helpful to minimize fine lines, reduce brown spots and improve acne. Specific formulations of topical vitamin C can act as potent antioxidants and can protect the skin against damage from UV. Sunscreen daily and sun protection strategies are also essential to maintaining healthy skin.  It is important to get into a routine with skin care to protect the skin, prevent those signs of aging and help you get that makeup free look.
  2. Lasers and light-based therapies: There are a few different options that can help you achieve your no-make up look. Clear + Brilliant is a non-ablative laser that is helpful for reducing unwanted pigmentation, while also improving pore size and skin texture. Excel V is a different laser that is commonly used to reduce redness and the appearance of blood vessels. Intense Pulsed Light (IPL) also known as a photofacial can reduce pigment, redness, even out the skin town and help to create that healthy glow. These treatments all tend to have minimal downtime. There can be some immediate redness and swelling following the procedure, but this typically subsides within a day or two up to a week or so. Once this subsides the skin will appear smoother and clearer.
  3. Skin Tightening: There are now some great non-invasive options to lift and tighten the skin. Ultherapy utilizes ultrasound while Thermage relies on radiofrequency, but both achieve similar outcomes by triggering a natural process known as neocollagenesis that strengthens existing collagen and stimulates new collagen production that is essential for healthy skin. The results are generally seen over 2-3 months as the process of neocollagenesis takes effect. The results can be long-lasting  Both of these procedures are popular due to minimal patient downtime.

By taking both corrective and preventative actions for your skin you can have the confidence to go #nomakeup.


Lift and Tighten Skin Without Going Under the Knife

It is inevitable with age that skin loses its firmness and begins to sag, what is referred to as skin laxity. Plastic surgery has long been a common route for those who wanted to lift or tighten, but over the past several years a number of non-invasive options for facial rejuvenation have become available. While nothing can duplicate the results of a facelift, these alternatives to surgery are appealing to many patients due to lower cost, limited downtime and avoidance of going under the knife or looking over-done.

There are treatment options involving lasers and radiofrequency, and more recently ultrasound technology. One popular choice is Ultherapy, a non-invasive treatment approved by the FDA to lift the eyebrow line, as well as skin on the neck and chin. Ultherapy uses ultrasound imaging to target treatment below the skin’s surface. The ultrasound triggers a natural process known as neocollagenesis to strengthen existing collagen and stimulate new collagen production.

The process of neocollagenesis can be stimulated by heat or energy. The primary difference with ultrasound technology compared to lasers or radiofrequency is the depth and the temperature reached. The science behind Ultherapy indicates that it is able to target tissue at a more optimal temperature to promote collagen development.

A typical Ultherapy treatment will last 60-90 minutes. One of the main advantages compared to more invasive surgical procedures is that you can return to normal activities immediately after receiving Ultherapy. Some short-term side effects may include flushing, swelling, tingling or tenderness. Less common side effects may include temporary bruising or numbness on small areas of skin.

While some improvement in skin laxity may be noticeable immediately, the results generally are seen over 2-3 months as the process of neocollagenesis takes effect. Results can last up to a yearPatients with mild to moderate skin laxity are generally good candidates for treatment. To determine if you may be a good candidate you should consult a doctor who is experienced with Ultherapy as well as other treatment options