ABOUT Afterglow

Afterglow is a full-service medi-spa, founded in 2005 by Dr. Shehla Ebrahim, a practising family physician. Dr. Ebrahim's passion for wellness and beauty - the underpinnings of self-confidence - has led to Afterglow's growing reputation as a respected provider of professional skincare services in the Greater Vancouver area. Although the medi-spa is situated in North Vancouver, it attracts clients from all over the province: a testament to the satisfaction of those who have experienced Dr. Ebrahim's professional and friendly manner as well as her technical ability.

 

COMMUNITY CONTRIBUTIONS

COMMUNITY CONTRIBUTIONS

Photo by Mandana Zaidi

The staff of Afterglow Medi-Spa believe strongly in corporate social responsibility. Our special role as health professionals enables us to give back to the communities in which we live, as well as to the world at large.

In 2002, Dr. Ebrahim travelled to Tibet to provide free medical services to the nomads of the eastern regions. In 2006, she climbed Mount Kilimanjaro to raise money for BC Children's Hospital.

In 2010 Dr. Ebrahim climbed to Mount Everest Base Camp with a mission to promote and support community-based education, especially for girls, in remote, underserviced and war stricken areas of Northern Pakistan. She believes that the best hope for a peaceful and prosperous world lies in the education of all the world's children.

In collaboration with the Central Asia Institute, a non-profit organization, Dr. Ebrahim has been donating 2% of the profits from Afterglow, since January, 2009.

In 2012 Afterglow entered into a partnership with Opportunity International, providing small business loans and more in the developing world.

 

Afterglow for Men

Afterglow for Men

Now, the guys have their own treatment facility at Afterglow! Our unique men's skin care program will give you a firmer and smoother face and body and specializes in result-oriented solutions in a confidential and discreet atmosphere.

Dr. Shehla Ebrahim and her highly-trained staff offer the latest medical advancements in cosmetic medicine and skin care for men using state-of-the-art technology.

Take advantage of our men's skin care program today! Eliminate wrinkles, acne, excess body hair and age spots. Improve your looks and enhance your self-image...

 

We're in the news!

We're in the news!

Our reputation is growing. The following article appeared in the March 2009 edition of Fashion Magazine:

Those looking to get that certain covetable glow might want to book a visit with Dr. Shehla Ebrahim at her fully licensed and medically supervised medi-spa in North Vancouver. Asian-influenced decor is the finishing touch on a relaxed, private and no-pressure environment, where informative Power Point presentations about Botox, photofacial and laser hair removal help set realistic expections and put clients at ease. Menopausal women wary of synthetic hormones can look into bioidentical hormone replacement therapy....

To calm any pre-procedure jitters, enjoy complimentary tea and nibble on chocolates as you wait."

 

May 10, 2013

Evaluation and Treatment of Scars

Everyone has scars. Some we can see. Others we feel.

And some are too deep to ever reach.

Scarring, whether from surgery or the result of inflammatory skin conditions such as acne, burns or trauma is often associated with considerable emotional and psychological impact.

One of my greatest challenge and rewards come from treating patients with scars.

Scars - Before & After

Definition of a Scar

Scars are areas of fibrous tissue that replace normal tissue after skin injury.

A scar is an integral part of the wound healing process and involves reepithellialisation, neocollagenasis, neovascularizatin, and pigment deposition. However a prolonged inflammatory phase of 4 weeks or more during wound healing may lead to abnormal scarring.

Classification of Scars

Scars are classified according to both color and texture.

Classification by color.

Red Scars.

These are generally due to the presence of dilated blood vessels in the dermis in response to injury.The dilated blood vessels provide oxygen and nutrients to the skin to recover from the injury.

Brown Scars.

Brown scars are due to the deposition of Melanin and hemosiderin from the red blood cells where the skin is injured.Dark skin individuals are more prone to develop brown scars and post inflammatory hyper pigmentation as their skin heals from injury.

White Scars.

These are due to the absence of melanin as the inflammation may partly destroy the melanin in the melanocytes.

Classification by Texture.

Elevated Scars.

These are the result of EXCESSIVE collagen deposition and fibrosis at the site of injury.

  • These may be hypertropic or keloid.
  • Hypertropic scars are raised but do not extend beyond the margins of the injured skin.
  • Keloid scars are raised and always extend beyond the margins of the injured skin.
  • Darker skin types are more genetically susceptible to the formation of hypertropic and keloid scars.

Depressed scars.

These can be ice pick, boxed or rolled.

  • ice pick scars are less than 2 mm, superficial and at acute angles to the base.
  • Boxed scars are larger, more than 2 mm and at right angles to the base.
  • Rolled scars have rolled and non angled borders, are large and often the result of a deep acne cyst or nodule that has involuted.

Treatment of Scars

This depends upon several factors.

Age of the scar.

Current thinking is to treat scars earlier than later. Hypertropic scars take 4 weeks to form and may increase in size for 3-6 months.

Location.

Scars on the sternum, chest, shoulders and back are more prone to keloid.

Color.

Type of scar.

Keloid, hypertropic or Atropic.

Thickness of the scar.

Patient characteristics, skin type, comorbid medical conditions.

Treatment of RED SCAR.

Topical

  • Vasoconstrictors such as oxymetazoline, epinephrine can be used to constrict blood vessels, decreasing scar redness.
  • Silicone gels, e.g. Kelokote, have been shown to reduce the scar redness, if applied twice a day for 4 months
  • Camouflage.
  • BBL or broad band light and PDL or pulsed dye laser are non ablative lasers to treat the vascular component of the scar.

Treatment of BROWN SCARS

Topical.

  • Lightening agents such as HQ, Azelaic and Kojic acid inhibit tyrosinase thereby preventing the conversion of dopa to melanin.
  • Topical Retinoids.
  • Tretinoin or Tazarac reduce brown pigmentation by inhibiting tyrosinase and formation of melanin.
  • Side effects include redness, irritation, burning, itching, , contact dermatitis, dryness and scaling.

Treatment of Scar Texture and Thickness

Elevated Scars.

Strategies for prevention of hypertrophic and keloid scars during surgical procedures include minimizing tension and everting wound edges during closure, avoiding anatomic locations more prone to hypertrophic or keloid scars such as around joints, angle of jaw, shoulders, mid chest and upper back, placing incisions that follow along RSTL( relaxed skin tension lines) and achieving efficient hemostasis. Potent topical steroids such as dermovate or Ultravate may be used for minimally hypertrophic scars.

For thicker scars, intralesional kenalog 10-40mg/ml may help to decrease the elevation Of hypertrophic and keloid scars.

Steroids are immunosuppressants and diminish collagen synthesis. Adverse effects include Hypopigmentation, atrophy, telengiectasia, and delayed wound healing.

Topical imiquimod ( Aldara) stimulates interferon and nightly application of Aldara to keloid scars over an 8 week period has been shown to Improve the cosmetic appearance of these scars.

Silicone gels or sheets have been shown in clinical studies to prevent the development of keloid or hypertrophied scars and may be used as a first line prophylactic strategy.

Gels are preferable to sheets as they are better able to contour the flexural areas as optimal occlusion is achieved by close apposition of the product with the scar.

Depressed Scars.

Cosmetic camouflage using makeup creams and powders in patients normal skin tone will help fill and conceal dark shadows created by scar depressions.

Chemical peels exfoliate the skin surface, decreasing the depth of depresses scars.

Soft tissue fillers such as Juvederm, Radiesse, are good options to treat scars that are distensible.

Subcision, punch or surgical excision.

Total Ablative Laser resurfacing or fractional non ablative resurfacing is an excellent option for resurfacing depressed scars but involves considerable downtime and time off work.

Conclusion

All scars can be classified by their color and texture.

Many topical therapies are available to improve scar appearance. Failing this, a referral to a dermatologist for further management should be considered.

Category: Beauty,Body Skincare,Facial Skincare
Posted by: Dr. Shehla Ebrahim

September 23, 2012

Some Wrinkles are Cute – Most Aren’t

Some Wrinkles are CuteOne of our clients was commenting the other day about how few ‘good skin years’ she had between high school acne and the onset of fine lines and wrinkles.  Often that is the case, but we can help extend those ‘good skin years’.

1.Sun Screen – now ‘broad spectrum’ lotions are available that protect you against UVA and UVB rays.

It may be too late to stop the aging effects from early childhood sun exposure, but sun protection can help prevent further damage.

2. A good home care system for your skin with products that offer long term hydration, help with collagen remodeling, protect against free radicals, and stimulate cellular rejuvenation. We recommend a retinol cream, vitamin C cream and a good moisturizer.

3. Drink lots of water

4. Make a booking for a complimentary consultation at Afterglow and speak with Dr. Ebrahim about treatments available to help deal with those wrinkles!

Category: Beauty,Body Skincare,Community,Sun Damage/Protection,The Aging Face
Posted by: Dr. Shehla Ebrahim

April 4, 2012

Ultherapy on The Martha Stewart Show

Ultherapy on The Martha Stewart Show’s “Skin Care 101″ episode. — March 2012

Category: Beauty,Body Skincare,The Aging Face
Posted by: Dr. Shehla Ebrahim

Ultherapy featured on The Doctors

Ultherapy featured on The Doctors as a “New Treatment for Sagging Skin.” — March 2012

Category: Beauty,Body Skincare,The Aging Face
Posted by: Dr. Shehla Ebrahim

January 4, 2012

Ultherapy: Say Good Bye to Sagging Skin!

This article appeared in the December 2011 issue of Fresh Vancouver magazine.

Fresh Vancouver cover - December 2011Ultherapy: Say Good Bye to Sagging Skin!
By Dr. Shehla Ebrahim, MD

Few things are as inevitable as gravity’s toll on your skin. One day, all of a sudden, reality stares you square in the face. You might initially think it’s because you did not sleep well the previous night, but eventually you admit that an afternoon nap is not going to solve this issue. It’s a bona fide eyebrow droop!

Non-surgical methods to treat laxity of the face and neck are among the most sought-after solutions in aesthetic medicine. Many technologies to tighten the skin have been introduced in the past, and a variety claim to achieve skin tightening. Yet none have been shown to be consistent and reproducible, and many patients leave dissatisfied. Enter Ultherapy: a novel technology and a quantum leap from other non-surgical, energy-based devices used to tighten and lift the skin. This technology combines ultrasound imaging with acoustic energy to visualize tissue under the skin followed by the precise delivery of energy to the desired depth.

Ultherapy: A Non-surgical Breakthrough

As we get older, our faces sag and wrinkles appear due to gravity and sun. Until recently, the main approach to the improvement of skin laxity was a facelift – an effective but invasive procedure associated with downtime plus a risk of scarring and side effects. Ultherapy using ultrasound is a novel device that delivers energy that tightens the skin without cutting. No scalpels, no needles, no cutting. Ultherapy, however, is a not a facelift and does not give the same results as a facelift. A facelift stops the clock. Ultherapy slow down the aging process by creating new structural collagen. As a standalone treatment, Ultherapy may be optimal for surgical candidates who are unwilling or unable to undergo surgery or for those candidates who wish to postpone surgery.

The beauty of Ultherapy is that there is no downtime. There is no swelling, bruising or crusting and patients can return to work the same day. It’s aptly called the ‘Lunchtime lift’. Ultherapy uses ultrasound heat to set collagen production into overdrive deep below the skin’s surface. As it kicks in, the brow firms, the jaw line becomes well defined and the neck lifts. It’s a lunchtime lift without any surgery. Even more alluring is the Ultherapy provides an immediate smoothing effect. And since the collagen continues to grow, results actually improve over the course of a few months. More than 90 percent of patients notice improvement in tone, texture and some tightening within a few weeks, and are even more excited with the results after three to six months, when the deep wrinkles become fine lines and eyes appear more open.

The duration of response after a single treatment is estimated to last about 1.5 years. The ideal candidate is someone between 35 and 60 with early signs of laxity. These patients see results within three to six months with a single treatment. Patients over the age of 60 may require a second treatment in six months. Many patients are looking to stay competitive in the workforce, which they believe is tied to their appearance. Whether improving their appearance to look more vibrant or for the associated confidence boost, people perceive this to be important and they come into my office looking for help.

Stand Firm in the Face of Gravity

Fresh Vancouver article photos - December 2011Ultherapy has been extensively publicized in the media as a safe and effective procedure for lifting and tightening of the skin. You may have seen Ultherapy through Dr. Oz, Vogue, Harper’s Bazaar or other fashion magazines. Once it was featured on the larger talk shows, the flood-gates opened and our phones were ringing off the hook. Be aware that every procedure has risks and side effects if not done properly. With Ultherapy, the heat from the procedure could make you wince, and transient numbness along the jaw line is possible, though temporary. It is therefore, important to locate an experienced physician to perform the procedure.

Ultherapy offers a distinct advantage over other non-surgical alternatives. Most non-surgical, energy-based devices currently on the market treat only the skin’s surface.

Ultherapy goes deeper, providing a different dimension to rejuvenation; depositing energy at very precise depths because it sees and treats at the same time. Treatments can also be individualized according to each patient’s concern. Because the effects occur below the surface, treating specific facial areas individually is certainly possible with Ultherapy. However, most patients select full-face treatments as the best option for a more uniform result.

Category: Beauty,Body Skincare,Facial Skincare,The Aging Face
Posted by: Dr. Shehla Ebrahim

December 14, 2011

Dermal Rolling – a new treatment for Stretch Marks

Also referred to as skin needling, Dermal Rolling is used for collagen channeling for natural collagen induction.

The principal behind this therapy is simple:  when applied to the skin, under a local or topical anaesthetic, channels are created deep into the dermis of the skin.

These channels cause keratinocytes and fibroblasts to produce numerous growth factors which induce the growth of collagen – with no damage to the epidermis!

Dermal Rolling is used to soften fine lines, tighten skin, restore elasticity plus reduce the appearance of scarring, pigmentation marks and stretch marks.

The procedure is safe, entirely natural with a short healing period of approximately 5 days.  No sun sensitivity is induced and it can be used on laser resurfaced skin.  Another advantage to this treatment is the areas it can be used on:  face, neck and body!

So get Rolling and call Afterglow for your complimentary consultation.

June 3, 2011

Introducing ULTHERAPY® – an uplifting ultrasound treatment

Say goodbye to sagging skin!

I thought you might be interested to know I am now offering a new groundbreaking cosmetic treatment for the face and neck that has recently received national media attention. Our practice is the only one on the North Shore to offer the new Ultherapy® procedure.

The treatment Ultherapy®, uses ultrasound energy to reach the damaged skin layers that cause skin to ‘sag’ (including the deep support layers addressed in surgery) without disrupting the surface of the skin for a non-invasive ‘lift’.

After just one Ultherapy® treatment and no downtime, one will initially see signs of improvement with some lifting and tightening. However, the building of new collagen occurs gradually over the two to three months following treatment, helping the skin maintain it’s youthfulness.

Look who’s talking about Ultherapy®: Dr. Oz, Rachel Ray, The Doctors, Vogue Magazine, Self Magazine and many more.

Ultherapy® is a wonderful option for someone looking for a non-surgical way to counter the effects of time and gravity. I welcome the opportunity to answer any of your questions. Please contact us for a complimentary consult at either Afterglow in North Vancouver or my new second location opening July 4, 2011 in West Vancouver: Ambleside Dermedics and Health Centre. We look forward to hearing from you.

Category: Beauty,Body Skincare,Facial Skincare,The Aging Face
Posted by: Dr. Shehla Ebrahim

November 5, 2010

Introducing Laser Genesis for fresher, younger skin

Restore your skin's youthful glow...

Laser Genesis Skin Therapy has recently arrived at Afterglow. This non-invasive treatment safely and effectively treats fine wrinkles, large pores, uneven skin texture, scars and diffuse redness in both men and women. While you will see a subtle improvement after each individual treatment, the cumulative effect of multiple treatments can be quite dramatic. There are no unpleasant side effects such as bruising or excessive skin irritation.

Laser Genesis Skin Therapy treatments are performed in a relaxed and comfortable manner without the need for topical anaesthetics or gel. Clients who have received the treatment report excellent results over the entire face and  neck. (The treatment can also be applied to scarring on other parts of the body.)

Prior to treatment, you will be asked to remove all makeup. You will feel a gentle warming of the skin’s surface as the laser handpiece is moved  half an inch above the surface of your skin. As the upper dermis is gently heated, collagen renewal is encouraged*, pores are reduced in size, and redness is diminished. Over the course of four or five treatments, Laser Genesis Skin Therapy can help restore the skin’s youthful glow and appearance by smoothing out uneven texture caused by aging or sun damage. The complexion will appear more creamy as minor imperfections disappear.

Now you can have a more youthful appearance by treating the conditions typically associated with premature aging and sun damage. For more information or to set up a consultation/appointment, please call Afterglow today at 604.980.3993, or email us at info@afterglowskincare.ca

* Laser Genesis Skin Therapy has been scientifically proven to stimulate collagen growth.

June 16, 2010

Don’t forget your sunscreen!

After a long, wet winter and an equally wet spring, West Coasters are about ready for a little sunshine. This year in particular, we are likely to get a nasty sunburn if we don’t cover up properly. Why? Because our skins have not seen the sun in a long time, and will immediately become exposed to the strong overhead rays that June traditionally brings.

So remember to cover up, and try to stay out of the sunshine from the hours of 11 a.m. to 4 p.m. 

Love the beach too much to stay away from it? Then be sure to wear a broad spectrum sunscreen with both UVA and UVB protection. (This will be marked on the packaging.) For extra protection, whisk ColoreScience Sunforgettable over your face, neck and decolleté. (Some sun-savvy women use this on the back of  their hands too – every day!) Sunforgettable is available from Afterglow.

Since many sunscreens break down in sunlight, to be safe, you should reapply every two hours or so and always after a swim or dip in the pool.  You will need to apply approximately one shot glass full of sunscreen to your entire body to ensure proper protection.  Sunscreen should be applied half an hour before going out in the sun to allow the protective components to fully penetrate the skin.

Finally, be sure to eat as many sun-protective fruits and veggies as possible! Pomegranate juice, broccoli, carrots, beets and dark chocolate all help to provide an internal sunscreen that will help keep wrinkles at bay.

Category: Body Skincare
Tags: , , , , , , ,
Posted by: Dr. Shehla Ebrahim

February 11, 2010

Spring Packages for beautiful lips and smooth, hairless skin

Afterglow Medi-Spa Offers two Spring Packages for beautiful lips and smooth, hairless skin

Afterglow Medi-Spa  Offers two Spring Packages for beautiful lips and smooth, hairless skinBeautiful Lips Package: It’s kissing time again! With all the new spring lip colours on drugstore shelves, many of us are wondering how we can make our lips look plumper and more youthful.

Women generally seek lip enhancement for one of two reasons: They were born with “thin” lips, and would prefer a fuller, more plump appearance, or they are noticing that their lips are becoming flatter and less “padded” due to aging. Either way, a treatment at Afterglow can restore or create natural-looking fullness in the lips, in a mere half hour or so.

To help your lips look their very best, Afterglow is offering a special lip enhancement package, Teosyal Kiss®, a safe and pain-free filler that has a completely natural feel and will not “drift” inside the lips.

Afterglow Medi-Spa  Offers two Spring Packages for beautiful lips and smooth, hairless skinLaser Hair-removal Package: If facial or body hair is getting the better of you and you are tired of reaching for your razor, tweezers, depilatory, or waxing kit, a Laser Hair Removal treatment at Afterglow could well be the answer…

Women frequently have unwanted hair on the upper lip or eyebrow area, in the bikini zone, under the arms and on the legs, while men often wish to rid themselves of excessive hair on the back, chest, between the eyebrows or on other parts of the face.

The Sciton BBL™ (Broadband Light) laser offers a safe, effective and permanent alternative to shaving, tweezing and waxing, that you are sure to love.

Please call Afterglow at 604-980-3993 or email us now for more details.

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