Tag Archives: Facial Acupuncture

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Benefits of Ancillary Services in Facial Acupuncture

 

 

I’ll be speaking to you today about is treatments ancillary treatments that you can add in to your facial acupuncture practice.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hi, my name’s Michelle Gellis. I am an acupuncture physician practicing in Florida, and I teach facial and cosmetic acupuncture classes internationally. Can you go to the first slide?

What I’ll be speaking to you today about is treatments ancillary treatments that you can add in to your facial acupuncture practice. A little bit about me, I am currently on faculty at Yo San University in the doctoral program. . And before that I taught at the Maryland University of Integrative Health as a clinic supervisor and adjunct faculty from 2003 to 2021.

I have been teaching facial and cosmetic acupuncture classes since around 2005. So when we’re talking. ancillary services. The things that are included in that, and this is not a comprehensive list, but they can be facial cupping and guha and microneedling and red light. . So I’m going to talk a just briefly about those topics and why you might wanna add them, and just a little bit about.

First we have to think about our facial anatomy. So when we’re doing cosmetic acupuncture, we’re really working a little bit on the skin level, but and a little bit on the fascia, but more on the muscles and The different meridians that help to lift and tone the face itself. And we’re also doing body treatment, so we’re working on a deeper level to help the face to look better because we’re working with all the organs and as we get, if you think about the face there’s a lot of things.

Affect the way our face looks. Our facial expressions can affect the quality and the appearance of our face. As we get older, our tissues in our face be, can become more stiff and inflexible, and this can affect the appearance of our face. The retaining ligaments can loosen, things, can sag. Also the fat layers on our face can move down and settle in different areas.

And since fat is one of the things that gives our face is volume and it descends really being able to work on the skin level, the muscle level, even the bone level. Can have the best effect on what your patients will notice during their cosmetic acupuncture treatments. So the first ancillary treatment is facial cupping.

So facial cupping is designed to bring blood and chi and circulation to the skin and the muscles just like cupping on the body. and it helps to stimulate the blood, get it into the tissues, to help the tissues to be more healthy, and it also helps to stimulate collagen and elastin production because when you’re stimulating the blood circulation, it helps with the fibro fibroblasts production, which helps in the production of collagen and elast.

and those fibroblasts are what help to thicken the skin because our skin thins as we get older and it keeps our skin looking more youthful. So facial cupping can help to lift and tone the face can help on the skin level, but it’s really a way to get that good healthy blood out to our.

Facial cupping can help with the fine lines. It helps to relax any tight facial muscles because what can happen is our facial muscles through overuse like our forehead muscles, the muscles around our lips, the abicus oris, they. Tight. And then the skin that’s over the muscle can become very wrinkled. So by relaxing the facial muscles relaxing any fascia that has become stiff, It can help the way the skin looks.

Also, facial cupping can move lymph through the face, and that means fluids and toxins down into the lymphatic system. And this can also help with issues like inflammation, like redness, such as rosacea and. Facial cupping helps to strengthen the vascular integrity of the face so you don’t end up with as many of those little spider veins and a lot of the discoloration that you can get as you age.

This is what facial cups look like. The ones that I like are the small rubber bell, a rubber ball with the glass bell cups. The glass is nice and smooth. It doesn’t harbor bacteria. It can be cleaned easily. It glides really well on the face and these small, specially designed cups. Are very easy to squeeze, unlike some of the other cups that you can purchase where it’s really hard to squeeze them.

This is a couple of slides. Taken from my facial cupping class. Facial cupping should start with a lymphatic drainage. You never wanna drag the cup down the neck, always suction and release. Then you go under the clavicle and into the lymphatic drainage area. . My classes are designed for acupuncturists, but can be attended by other individuals.

As far as health professionals, as long as you understand where the landmarks are.

So here’s a slide where I’m showing opening the entry exit points on the face, which can allow the greater movement of chi throughout the meridians and. . This is an example of how you might suction a cup on an acupuncture point and then drag it up to another acupuncture point up to Glo gallbladder two to help to lift the jawline area, and then suction and releasing down the neck and into the lymphatic drainage area.

Facial guha is really fabulous when you’re dealing with facial fascia, and it can really sculpt the face. The tools that I like are shaped like this. and AccuLift Skincare has two tools and two cups that come in a kit, which I really like. But when you’re looking at Guha tools, you want ones, I like the ones that are multipurpose and Jade is very much a part of our medicine.

J Jada’s very tonifying to the skin. and when Jade touches the skin, it creates an electromagnetic field and it helps to bring the blood and the sheet out to the skin. And it has, this particular tool has, as I mentioned, it’s multipurpose, it has corners for massaging different points. It has a nice. Flat edge when you’re working around the temporalis.

It has a smaller flat edge for under the jaw, and then this great notch here for working along the jaw line and along the cheekbone.

I had mentioned facial faia. The face is the only place on our body where our muscle system is connected to our skin, which is why we can move the skin on. Our face, and this happens through this smash layer. It is a superficial, muscular, upper neurotic system, which helps to amplify our expressions out to our skin, which allows us to move our lips and our forehead and our cheeks without moving any bones at all.

And. What can happen as we age is fascia, which is like this very fibrous layer if you’ve ever. Looked at raw chicken or raw meat, and you pull the meat away from the bone. That’s what fascia is. And nerves can get trapped in between the muscle and the fascia, and it can prevent the signal from getting out to the muscle.

And so our facial expressions cannot. Illuminated and it can also cause tightening and a pulling down of different areas of the face, especially in the cheeks around the jaws. By doing gua, you can help to release some of these BA adhesions, which can cause ent.

So here’s just a quick cross section. You have the smash layer and you have bone, and you have your maier muscle and you can see the nerve and how if the fascia is in the way, it can entrap the nerve.

This is an example of doing facial guha here. I’m using the tools underneath to help with. The that kind of waddle people can get underneath their chin, really moving any stagnation, helping to tone the digastric muscles and really work on that whole girdle that lifts up. Underneath the chin. And then in this bottom slide I have this bottom photo.

I’m using the u part of the tool to really sculpt along the jawline, help to break up any fossil adhesions to actually working on the bone level. And you can stimulate with the corners different acupuncture points as you go along.

Is also really wonderful for releasing tension down the back of the neck because everything that goes on in the back of the neck is going to affect the face. The back of the neck is connected to the face through. Occipital frontalis muscle, and also the connections on the temporalis. All of these things work together to halt the face up and it by treating the back of the neck, you c you’re also treating the front of the neck.

A lot of people are getting. At young ages, lines in the front of their neck from keeping their head down. Their trapezius muscles are getting elongated. They’re having a tightening in through the s e m and the platysma. And all of this can affect the way the neck ages both in the back and the front and the way the face ages and can also affect headaches in the back and well all over the head, which can affect the way your face looks.

If you are in pain and you’re making that facial expression, eventually it will get lodged in your. Next I wanna talk a little bit about microneedling. And microneedling is a big topic. It’s a hot topic in cosmetic acupuncture, and this is a picture of a microneedling device and. Microneedling helps to stimulate collagen.

It’s a very much a skin level treatment. It helps our body to produce its own collagen and it also helps serum any serum that you put on the face to be absorbed. , some of the benefits of microneedling are there’s very little downtime and it’s low risk, very effective. It produces collagen naturally.

You don’t have to inject anything into the face, can help with stretch marks scars, acne scars, any sort of depressed scar. It can help with hair loss and wonderful for neck wrinkles, lip wrinkles. It’s comfortable. It very little pain and the results are very long lasting. Once you’ve done a series of treatments, the results can last up to five years.

The way it works is when the microneedles go into the skin through the epidermis, the cur keratinocytes, produce keratin. And this happens right in the base layer of the epidermis. And when you’re microneedling. It helps to produce these fibroblasts which meet up with Venus and arterial capillaries, and they form together and they create new collagen.

And collagen is what gives our skin it’s. Its plumpness, its overall glow collagen is what keeps the ca skin smooth and helps it to snap back and to look more youthful and more healthy. . Now, there’s a lot of different types of microneedling devices. There are derma rollers, and these are great for at home.

If you do it gently, you could do it every day, every other day just to help your serums absorb. Or it can be done more deeply. And then you would only wanna do it every couple of weeks or less, depending on your age and your skin. . I sometimes offer this as a service in my treatment space, but typically I sell drummer rollers to my patients to use in between their cosmetic acupuncture treatments.

Microneedle pens are wonderful as well, and. They are electric devices. I do not recommend your patients do this at home. I recommend that they come into your treatment space and that you buy a good high quality microneedling device that is at least 18,000 RPMs and has a cord and batteries, and then you get trained.

By someone who’s registered with the American Acupuncture Council. AAC has been great. They have approved this AccuLift pen for use in the treatment room. And coming down here, this is a glass vial with gold needles on a little roller, and you can put CRM right in this, and you can do micro with that.

This is called a HRA roller. As I mentioned, safety is really important and. , if you can go to me, I’ll show the difference between some of the, so there’s different types of cartridges when you buy a microneedle pen. The best are the bayonet cartridges, and some of them have a double locking system.

Lemme see if I can get this really. Close. Wait a minute, . There we go. So this is like a double bayonet, maybe I’m too close. And it has a two, it locks in two places and then it has two holes on the outside to lock in to your microneedle pen. This has. , 12 needles. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 12 needles in it.

And the the AccuLift pen has a triple bayonet and I don’t know if you can see that it has three. I’m trying to get this in the screen here. , I don’t know. There we go. It has a triple locking mechanism and it also, so three bayonets instead of two. And then it also has a three holes here.

So it has three attachment points on the. and 16 needles and there’s many different microneedle pens out there. I recommend that when you’re choosing one, you do a little research and see which one works best for you. The anti backflow is very important. You want a cartridge that cuz these, the way the cartridges work is the needles go in and out.

And when they’re going in and out, you don’t want the fluid to go back into the pen. You shouldn’t have any bleeding, but you still don’t want. any sort of fluid getting into the pen. That’s why the triple locking mechanism is really great. Okay, we are gonna talk about red light therapy quickly, and this is another ancillary treatment that you can add on to your facial acupuncture.

And l e d lights are wonderful. They’ve been used since I, I think that’s like the 1960s or seventies. NASA started using them to help with wound healing and with different things with the astronauts. L e d light interacts with the cells of our skin and it helps them to produce new collagen and elastin and is really great for things like acne scars and skin dyschromia or discoloration.

And there’s a picture of me laying under mine and. . So these little tiny lights, these light emitting diodes it was the 1990s, I’m sorry, I said the 1960s. The 1990s, NASA began studying l e d effects in promoting wound healing. And l e d therapy was approved by the FDA for wound healing and for skin rejuvenation and helping tissues.

So when we’re talking about l e d lights they have several benefits. They can help with inflammation bone healing, swelling, and neuropathy. , and as I mentioned, wound healing. But for our purposes in our treatment room with cosmetic acupuncture, we really wanna think about things like collagen production, wrinkles hairy growth, skin dyschromia, and.

Tightening the skin. So the red light is the most powerful. This is where you get the skin. Rejuvenation helps the oxygen content in the blood and can help with pain. That has to do with some superficial inflammation. , the yellow light is great for increasing oxygen in the cell and helps with spots and removing pigment.

The green light really will target the dark pigment, broken capillary sun, sunspots, and like overall skin dyschromia like melasma. The blue light is great for killing bacteria, so you can use it before you do a microneedling treatment, which is wonderful. And, but the blue light can be a little stimulating.

People, they sit in front of the blue light. If they’re depressed, it can really help your energy level. So if you start out with a blue light in your treatment room, it’s nice to end on the red light, and that can help the with the person’s overall just relaxation. And then these particular lamps you can do a combination of red and yellow, red and blue, or all four lights.

So if you have any further questions, you can go to facial acupuncture classes.com on contact us or go to facial acupuncture on. Social and can either private message me or I have a group on Facebook called Facial Acupuncture. So I hope you enjoy today’s talk and I look forward to seeing you next time.

 

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LED Light Therapy – Michelle Gellis

 

 

Today I’m going to be talking about L E D light. and the benefits and some of the contraindications. So if you can go to the first slide.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hi, my name’s Michelle Gellis. I am a board certified acupuncture physician, and I teach facial acupuncture classes internationally. Today I’m going to be talking about l e d light. and the benefits and some of the contraindications. So if you can go to the first slide.

So this is a little bit about me. I’m a formal former faculty member and clinic supervisor at the Maryland University of Integrative Health, and I’m currently on the doctoral FA faculty at Usan University, and I’ve been published several times in the Journal of Chinese. , my area of expertise is facial acupuncture, both for cosmetic but also for neuromuscular facial conditions.

And at the end of the presentation, I have some information about some of the classes that I teach. So what is l e d skin rejuvenation or l e d light therapy actually? So l e d light therapy is using light through light emitting diodes or LEDs to affect the skin and the body in. So these l e d lights and you can see a picture of a light device here.

These l e d lights can stimulate the cells in our body to do different things. They can produce collagen and this can help to rejuvenate the skin. And it can also. help with a lot of other things in addition to helping with skin concerns. So LEDs are different from lasers and I p l therapies that are other therapies that are used for the.

Because this does not use thermal energy. It doesn’t damage the skin in any way. There’s no downtime and there’s no trauma to the tissue, which is really nice for our patients. And this particular device, which. is a freestanding device. I like this type of device because you can move it around the table.

You don’t have to somehow prop it over your patient and you can get it as close or as far away as you would like, and it will function on any body part. So these panels, they of move, like open and closed to get to smaller parts and larger parts of the body. So what are some of the benefits, other benefits of l e d light therapy?

L e d light therapy has. Approved by the FDA for anti-aging, tightening and toning of the skin, helping the skin’s elasticity, improving pigment like dark spots, and any sort of molas, things of that nature. It helps our immune system because it targets the mitochondria of the. , which enhances our immune system.

It also helps with hair regrowth. You may have seen some of those caps and different types of devices. People, the red light devices that people put on their heads to help to regrow hair, and it also can help with inflammation and for things like joint pain, for concerns like arthritis. and the way, one of the ways that it helps with skin is it stimulates the fibroblasts to increase collagen production and it also increases the production of melatonin in the body.

So it’s great for. It stimulates the lymphatic system, so it helps with any sort of inflammation that may be going on. And also cell repair. So if you’re doing cosmetic acupuncture, You can include this with the cosmetic acupuncture treatment and it can help to with puffiness and also to reduce the incidence of bruising.

And because it does work with the mitochondria of the cell, it can help with the tissue. Injury tissue regrowth, if there’s been any sort of trauma. And again, it can also help with inflammation. So the device that I was just showing you is made it’s being sold by ocu. And they they have a website.

It’s called AccuLift skincare.com and Mossa OMS will also be carrying it. And it has four different types of light. It has a red light, which has a wavelength of 640 nanometers, and that is the most powerful penetrating is the red light, and that is for pretty much everything. It will take care of the skin cell, rejuvenation, oxygen content in the blood circulation, aches and pains, and promoting the collagen.

So you would use the red light definitely. If you were treating the skin. , the yellow light helps with oxygen in the skin, also circulation, red spots, red face. It’s great for rosacea and it helps to remove pigment in the skin. That’s unwanted, like dark spots, red spots. The green light is good for dark circles.

Also pigmentation issues, broken capillaries, sunspots, so it will target some of the red in the skin and if the person has over irritated skin. And then the blue light. Helps to kill bacteria and it’s wonderful to use, like if you’re doing any sort of microneedling, it helps to kill bacteria on the skin ahead of time.

Also, the lights can be combined, so you can have red and blue, yellow, and red. or you can turn all four colors on, and this will help with different types of concerns. So a little bit about infrared light. So this, the light that this device emits is a near infrared. So the T D P lamps that we have, they get hot that is far infrared, and these lamps they don’t get hot like a far infrared.

The light spectrum that we’re working with is mainly in here. However, when you combine the lights, you can get a little further into the near infrared. , which helps to go down a little deeper when you are trying to deal with aches and pains and muscle issues. So the red light. The near infrared red light again, it stimulates collagen, fibroblasts, and it does have some anti-inflammatory action.

And as I mentioned this has all been approved by the fda and we can use them in our treatment room for all these different things, including. Stimulating the mitochondria of the cell. And this is a link to one study and there have been many studies that have been done on. Red Light therapy.

The nice thing about red light therapy is there’s no risk of burning the skin, and you can treat a large area within a very short period of time. A typical treatment is between 20 and 30 minutes, and there’s nothing special you need to do afterwards. There’s no downtime. The person doesn’t have to stay out of the sun or put any special products on their skin.

It is safe for many different types of skin and , it’s completely pain free. It’s very comfortable. It’s actually very relaxing. It’s easy to use. The machines are easy to use. The Accu Lift device comes with step by step manual and also video training and. , it really does have a wide range of uses in the treatment room.

Back pain, hip pain, leg pain lots of different things that you can use it for in addition to just rejuvenating the skin. Here, here is a picture of me. You could see I’m wearing the same shirt right before the presentation. I thought I would just chill out under my red light and it’s very relaxing.

It has a timer on it. I don’t think I have a picture of the controls, but the controls are easy. You turn it on and then there is a timer. You can set it from zero to 30 minutes. And power I always turn it all the way. and then what color light you want to use. You just cycle through whether you wanna do red, blue, green, yellow, or a combination.

So there’s different seven different settings. Red, blue, green yellow and red. Red and blue, and then all four. And. It’s on wheels, so you can just move it right around your patient, which is nice. And when you’re done, you can just wipe it with a cavity, wipe something that is safe, and that way if your patient coughs or sneezes or anything it will remain clean.

and it stores up pretty small. You could just stick it right in the corner. And the other thing is, if you’re doing cosmetic acupuncture, you can put your needles in and then you just place this right over the needles. And you can see with these adjustment knobs, you can lay it, you can have it so it’s completely flat like this, and you can put it right up against.

The person I don’t know. I did not include the contraindications, but there are some contraindications. You would never wanna use the device on someone who had cancer, skin cancer, any kind of cancer, because it does stimulate cell growth. You don’t want to use it on. People who are pregnant any sort of open wounds, anything like that.

But this is all included in the training. This is really just an overview on the devices . That’s pretty much all I have to say today about red light therapy. These are some of the other classes that I offer. I haven’t even added the red light therapy class on here, but I teach cosmetic acupuncture certification.

I have a, an advanced certification, which is essentially all of these classes. I also just have a, like a basic five module certification. I teach facial cupping, facial guha, facial derma rolling, and skincare microneedling, both with a microneedle pen and derma rolling. I also have to meet, and these are all C E U N C A O.

California and Florida approved CEU classes. I also teach ethics and safety within facial acupuncture treating neuromuscular facial conditions self-care for acupuncturists and anatomy of expression. . So that’s my topic today and let me move this out of the way. Oops. If you are interested in learning more, definitely visit the AAC channel.

They have lots and lots of instructional video. And I wanna say thank you to the AAC for the opportunity today to spend some time with all of you.

 

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Microneedling for Hair Loss

 

 

So what I’m going to talk about is the different topics I’m going to speak about today are the different types of hair loss and how microneedling is within our scope of practice of Chinese medicine, and then how it can stimulate hair growth.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hi, my name’s Michelle Gellis. I am an acupuncture physician and I am the founder and president of Facial Acupuncture classes. I would like to thank the American Acupuncture Council for this opportunity to speak to you today about microneedling for hair. Can we go to the first slide?

So what I’m going to talk about is The different topics I’m going to speak about today are the different types of hair loss and how microneedling is within our scope of practice of Chinese medicine, and then how it can stimulate hair growth. And some protocols for microneedling the Scalp. So I teach a one hour CEU class on this topic.

So you you’re getting like a little snippet, but I wanted to do a nice overview for you on microneedling for hair loss. So a little bit about me. Taught at the Maryland University of Integrative Health from 2003 to 2021, and I am currently on the doctoral. I’m on faculty at the doctoral program at Yoan University, and as I mentioned, I have been teaching facial and cosmetic acupuncture classes internationally since 2005.

There are many different types of hair loss and in general terms, some are due to stress or illness and So I’m just gonna go through the like the Western medical differentiations of different types of hair loss, and then we’ll talk about how we differentiate in Chinese medicine, the different types of hair loss.

So in Western medicine we have male and female pattern. This is Androgenetic alopecia, and this is the most common form of hair loss that we see for men. It’s either right on the top here or in the front, and in some cases both. Also there’s telegen. Hair loss where large numbers of the follicles on the scalp stay in the resting phase.

But so we have different phases with our hair growth. Some rests, some grows, and. If we stay in the resting phase too long, your hair falls out, but then new hair doesn’t grow in, and this is typically due to some sort of a hormonal imbalance, thyroid childbirth, or a shock to the system, like a surgery, a fever.

We’re seeing this with covid. People lost their hair with c. Sometimes it is from a vitamin or a mineral deficiency, and so that’s algen. And then there’s antigen, and this is from a medical treatment such as chemotherapy where your hair just suddenly falls out. Almost, it’s almost like it spontaneously falls out due to medical treat treatment.

There can be autoimmune conditions like rat at a rat. Da , I’m having trouble saying it. The slides are small, but that is an autoimmune condition. And tinia cap is ringworm, which is fairly uncommon in Western society, but it does happen. And then there’s scarring, alopecia, and there’s several different categories.

Of this. There can also be hair shaft abnormalities and hypori, which is another type of hair loss in tcm. We divide sudden hair loss. Into four categories, and that would be sudden hair loss due to blood, heat, and wind. And we see this more commonly in adolescents that are tending towards because Adolescents tend towards blood heat, which is going to generate wind, and the signs and symptoms might be some itching, right?

Irritation from the heat. There might be a headache. The tongue is gonna be red with a thin coating, and the pulse is thin and wiry and rapid. As with any. Heat condition and so the treatment is to clear the heat and the wind and we can also have sudden hair loss with a chi and blood deficiency pattern.

this would be after a sudden illness or postpartum because of chi and blood cannot ascend up to the hair. And so the treatment for that will be deify, the chi and blood. . Also, we can have gradual hair loss due to damp heat. Typically this is from dietary type conditions. People have damp heat from eating diet that would generate that in the body.

And the scalp would be greasy and sticky, and you might get some itching and the hair could fall out in clusters. The tongue is gonna be red with a greasy coat, and the pulse will be slippery and rapid, and the treatment would be to clear the dampness and the heat. We can also have a gradual hair loss.

Due to a liver and kidney deficiency pattern, and we see this most likely in middle age. And so this would be the kidney deficiency type of hair loss that is most common, and that would lead to some of the male and female pattern. Boldness that we would see, and the hair will be dull, sometimes yellowish white, and they will have typically typical kidney deficiency patterns, like a sore back knees, dizziness, and red tongue.

The pulse is gonna be thin and rapid, and the treatment would be to nourish the liver and the kidneys. Another reason for hair loss in Chinese medicine would be mental and emotional disorders, such as stress, grief, and worry, which can cause the hair to sin and fall out. When we’re thinking about microneedling in Chinese medicine we tend to think of microneedling as something that is more of a modern technique.

But the Chinese have used needles to beautify the skin for thousands of years. And in Chinese practice it’s referred to as Ma Huang, which translates to beautiful appearance. And so using needles to rejuvenate the skin has been used for Thousands of years. And although the tools that they used and the terminology was slightly different, microneedling, which is also known as collagen, induction therapy, is almost identical to what we might do with a seven star hammer or even when we’re stimulating our channels with a channel roller.

Surrounding the dragon to treat scars and but using a micro needle, derma roller, or a derma pen. And I’ve brought one with me today for you, toc. So this is a ACU lift micro pen. There are many manufacturers of micro needle pens. But these devices you turn them on and they have different speeds that you can set the pen at, and then the there’s a.

Guide right here. And let’s see, I gotta go in the right direction up. And as you can see, as I twist the the little dial, the needles, these little needles where am I? Go, come out, you can see the little needles there. And when the pen is on, they vibrate up and down like this, and they penetrate the skin.

So

when we’re using acupuncture, For to reduce hair loss or to increase hair growth using micro needle pen or der helps to reduce the inflammation that might exist in the hair follicle. It also increases the flow of blood to the skin and to the hair follicles. allows any nutrients that are in your blood to go out to the surface, and it helps to stimulate hair growth.

Acupuncture, full body acupuncture will help to reduce some of the stress, which as we saw is one of the causes for hair loss and acupuncture enhances your immune system. So if part of the reason that your hair is falling, Is because of an immune deficiency or something that’s stressing your immune system.

Doing full body acupuncture along with microneedling can help balance the hormones. Enhance your blood flow, enhance your immune system and allow your hair to naturally grow. Little picture of what it, like a cross section of what it looks like when the needles go in. So what does microneedling.

Actually do. It does two things. One, it stimulates your body’s own collagen production, and hair is made out of collagen and elastin, and it also opens the skin up. So when you do microneedling, , it should be done very superficially. It should not be done very deep. There shouldn’t be any bleeding, and it allows for the absorption of any products that you put.

On your skin. So if you’re using some sort of a hair growth stimulating product and you put it on your scalp, our scalps are pretty thick and it can be difficult for the product to get in. But if you put the product on and then you do the microneedling, it allows it to go down. Pass the outer layer of your scalp and get into where the blood supply is and allows the product to be picked up by your skin.

Here’s a few photos. There have been a lot of studies done, and I’m not gonna go through all of them. I do have a few references and there’s a bunch. My website. So ACU Lift has a website, and on the website there’s information about microneedling and different. Studies that have been done on microneedling, but this is just some pictures before and after pictures for microneedling that were done by a company that makes microneedle pens.

As I mentioned, I’m not gonna read through all of this, but clinical studies that have been done on microneedling and showing how much more effective microneedling. Was then even using minoxidil, which is currently known commonly known as Rogan. And some other studies that were done showing the body points that were used in conjunction with the micro needle pen and.

So you can flip through these as I mentioned on the website, and the protocol is that you would clean your patient’s scalp with either an alcohol spray or some witch hazel. You would let that dry. You can put numbing cream on the scout. And then put a shower cap on it because the heat will help it to absorb.

And you definitely wanna use numbing cream because microneedling, the scalp can be very sensitive. Any, if you’ve ever pulled just like one here, you know how. Sensitive. Our scallops can be once the cap is on with the numbing cream. If you have an l e d one of those l e D lights, you can set that on blue and that helps to kill an bacteria.

And then you. Insert any body points that you were going to use to treat the different conditions that we spoke about. You would wait about 15 minutes. You come back in, you wipe off the numbing cream, and then you put whatever serum you’re going to use. Aiff does make a hair serum. And before you would choose any prescription serums, your I.

Strongly recommend contacting a medical professional eye, the hair serum. I use on my patients that I sell is all organic and vegan and very few ingredients, but it’s all very good, even just on its own to help with hairy growth. And you don’t need to set the pen. Needles too long. So usually what I’ll do is I set it at 0.25 or 0.5, and then you work from the hairline back.

You can either go in a linear direction or you can use a stamping. So you can either stamp or you can work straight back. It really depends on how much hair they. Let’s say it was someone like myself, their hair is thinning a little bit like maybe right here, and you just wanted to get in there and help to stimulate.

You would be better off doing a stamping motion than trying to run the pan. But even if you’re doing a stamping motion, you start at the hairline and you work your way. Back. And after you’ve done that, you, if you have an l e d light, you can put it on red, leave it on there for about five to 10 minutes to allow the serum to really penetrate and for the blood flow to increase and.

Then you would take out your body points and you’re done. I always sell some serum to my patients and tell them to use it twice a day. And I’ve had some really great success with myself and with my patients. Trying to, at this spot me right here I had lost a lot of hair during covid. I don’t know if I was pulling my hair outta my head or what, but had started.

Some hair thinning in that area, and it’s pretty much all grown back now, which is great. So the serum that I’m talking about, can you pull my spot up? It this bottle looks a little larger. I, the bottle itself is I think it’s two ounces but it’s Very easily absorbed light oily serum.

And that’s a picture of the pen. And just real quick, the courses that I offer, I have a facial acupuncture basic certification. I also teach facial cupping in Guacs, Derma Rolling, and skin care microneedling. I teach a two part course on treating neuromuscular facial conditions. I am a classically trained wisely five element acupuncturist, so I have a course, a two part course on the anatomy of expressions about our emotions.

And how our emotions can affect our appearance and vice versa. Also, facial acupuncture, self care for acupuncturists. I have an advanced techniques course for those stubborn to treat conditions. I also have a safety course, and I’ve just added an ethics course so you can meet your se safety and ethics.

Requirements and I also have a comprehensive advanced certificate class, which is self-paced with monthly optional zoom meetings that we do. And there’s also a live hands on component. I do travel. As I mentioned internationally teaching hands on classes you ever get a chance, get it on my website, facial acupuncture classes.com, and I am available on Facebook.

I have a Facebook group for questions and answers and should we open it up for questions here or, If anyone has any questions now, I’m happy to take them. I cannot see the chat window though. Okay. So next time the American Acupuncture Council will be hosting Poney Chaing, and that will be on Friday.

Thank you again to AAC for this opportunity and I hope you’ve found this beneficial.

 

 

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Micro-current For Enhancing Facial Appearance

 

Today’s presentation will be microcurrent for enhancing facial appearance. For those of you who practice cosmetic facial, acupuncture, you’re gonna love this

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors. Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hello everyone. My name is Shelly Goldstein. I’m the doctor of acupuncture and Chinese medicine and licensed in Florida and in New York. Today’s presentation will be microcurrent for enhancing facial appearance. For those of you who practice cosmetic facial, acupuncture, you’re gonna love this. And it’s actually, and then for those of you who practice facial acupuncture of any sort, this is right up your alley.

Today, microcurrent is one of the most rapidly growing ancillary services for facial acupuncturists, but a lot of people don’t really know what it’s about. So here we go. Let’s begin now.

Patterns Microcurrent is what I call low level electrical current for skin and muscle re education. And this is what’s important because many of the ancillary services that we offer, Address the skin level or address the tissue level, but they don’t go down to the muscle level. So this type of service is addressing both skin and muscle.

When we think about the history of Microcurrent, it’s been used for decades. It was been used by acupuncturist, physicians, physical therapists, and chiropractors, and it’s primarily used for. Muscle education and tissue healing. So if you’ve ever damaged muscle damage or muscle strain or pulled a muscle and you go to physical therapy and they put these pads on you, it’s a form of microcurrent.

It’s a little stronger. And the intention of it is to actually heal the tissue, the trauma in the tissue, and reeducate the muscles on that level. What we’re talking about here is just a little bit different. And because we’ve been looking at it for so many years, particularly with patients with Bell’s policy, it started with people being treated with Bell’s Palsy, with low level micro.

And what happened was after they were treated and after the Bell’s Palsy had resolved, they noticed that their fine lines were softer, their face was more lifted, their eyelids were a little bit drier. And this really started the impetus to start exploring various forms of microcurrent for cosmetic treatments and appearance enhancements to lip facial appearance.

Just to give you a little bit of perspective about how this works, when we analyze the face from our perspective, You wanna look at the face in thirds. So the top third is the forehead to the eye to right underneath the eyes. The middle third is from right underneath the eyes to the corner of the nose, and then the lower third is the corner of nose to the chin area.

And in our younger years, when we look at someone, the height of the face or the widest part of the face is at the top of the middle. Third, it’s right below the eyes. You can see it in this image if you look at the triangle. So the base of that triangle is where the height of the, of your appearances.

So when you. At someone what is the upper portion of the face what happens as we age, whether it’s due to gravity, whether it’s due to tissue change, or bone resorption, or bone changes. The tissue begins to drop and the weight of the face moves to the jo area as opposed to the height of the face.

So what happens is when you look at someone with the, who’s older, with that drop, it looks as though the face is heavy, it’s saggy. And oftentimes this is when our patients come in and they say, I look old. I feel old. I, my jaw line is lost in. My cheeks feel flat. I just look old. And that’s what you’re looking at is this organic movement of the weight of the face shifting from the upper aspect to the lower aspect of the faces.

And not only does it move from top to bottom, it moves from the lateral aspect, the corner of the zygomatic area where the cheek bone is. To the middle area. So you would get a deepening of what we call the nasal labial fold, which is that full between the corner of the nose and the corner of the mouth, and the corner of the mouth and the jaw area.

So the weight of the face moves from outer to inner. And then also the forehead starts to shorten, in which case you start to see putting of the eyelid, puffiness underneath the eye. Some of it is organic. It changes within the tissue itself, but some of it is just the redistribution of weight in the face.

And many of those changes occur on multiple levels of the face. So we have the bone changes and starts to change the tissue layer on top of bone on the face. We have muscles. We have two different groups of muscles. On top of the muscle, we have what known as the subcutaneous of the hypodermic layer.

It’s where our adipose tissue is the fat in the face that fills out and gives you volume. So muscles gives your movement to all of the the math, the cheeks, the eyes, and all of the expressions that we make. The hypodermic. So the subcutaneous layer gives you the fat or the plumpness of your. And then the health of the tissue or the health of your skin is really determined by the dermal and dermis and the epidemics cells start at the base of that dermal the orange layer, and float up to the surface of the skin as it reaches the surface.

And in that dermis dermal layer. It’s bathed in hyaluronic acid and nutrients so that they grow healthy and strong and plum. And then as they move to the epidermal layer up to the surface, then they start to slough off and then new cells move their way up. And then all of these layers are surrounded by what is known as connective tissue.

Connective tissue looks like this. It’s sticky. It’s afl. It’s like a sticky film or sarn wrap, and it’s designed to either encapsulate, say the muscles and keep them protected. Or it’s also used to connect, so it can either connect, it can either protect the muscles and surround them and isolate them.

Or it can be used to connect, say the muscles to the more superficial layers of the tissue and then and top the skin, which is why we can see when the deeper, when the muscles of expression move, we talk, we blink our eyes. We smile, we frown. These are all the ability, the muscle’s ability to express themselves on the surface of the skin by virtue of that connective tissue, holding everything together and connecting them.

And collagen, we’ve heard this word a lot. Collagen is the primary component of connective tissue. And what’s unique about. Is that collagen has a mechanical and an electrical property, and it’s that property, the electrical and the mechanical property. That’s the basis for being able to interact with other tissue.

So in the presence of external influences, they can be pressure, they can be vibration, they can be an acupuncture needle going into the surface of the skin when the collagen is altered by any type of external influence that current or that electronic electrical current permeates from the connective tissue throughout.

The other areas of the body and migrates into neighboring structures. And this is how a lot of our ancillary services work. Works in this way, cupping face, cupping works in this way. A number of different services that we use, even acupuncture work by activating the elec, the Paso Electrical effect of collagen.

To create that electrical charge, which then vibrates through the connective tissue into migrating structures. And Microcurrent is another example of how this works. When you. Microcurrent is a vibration. You turn it on, it has a vibratory effect. And in that vibratory effect, it has a number of wonderful functions.

It a, it improves skin tissue circulation. When that happens, skin tone and texture start to change and improve also by going a. Deeper, we talked about the epidermis, the dermis, and then into the deeper fat layers, and then into the muscle. So it starts to move through all of those different layers so it can soften the appearance of fine lines and wrinkles.

And then also it’s used to re-educate muscle activity and interpreting. And this is what you, my current is unique for because a lot of the other service. Like cupping, wash out are primarily for more surface skin, for removing limp from the tissue and for sculpting the tissue, but not necessarily.

Integrating and educating the muscles. So in doing so, by changing the muscle integrity, you can lift and into the cheeks, the lower and the midface muscles. Now, microcurrent is different than tens, the tens that we use. You have needles, you have the little prongs that you put to the needles, and then you turn it on and it causes the muscles to twitch.

This is not what we’re talking. So TENS devices is delivers milli amps of current. This current is designed to blocking messages from the spine to the brain, and that’s why it’s very effective for say, back brain damage. It’s going to help mitigate the pain messages that move from the spine into the brain and help to heal the tissue.

Microcurrent on the other hand, delivers a sub censory micro amperage as opposed to milli amperage. So this current micro amperage is 1000 times less than that of milli amperage current. And when you use this type of current, first of all, the muscles are not gonna twitch. It’s gonna be, and it’s gonna be sub sensory, which means you don’t feel it.

So the current is actually moving into the tissue at a very low cellular intensity. And. Activates or it aligns with that collagen, Paso Electrical current and all of the other currents that we have in our body. So our body is always vibrating. There’s a current that runs through, we may call it Archie, that’s constantly running through our body.

This low level microcurrent actually. And its sub sensory format mimics the body’s own low intensity and this at the cellular level to do a number of things. So here’s what I’m talking about. Here’s the top image is the microcurrent. It’s that low level current. So it’s a very small current that’s moving through the mechanism and into the tissue versus the lower, more charged microcurrent.

Tense machine. Now, when the current moves through this tissue, it goes into the cells and it moves into the mitochondria to activate the Creb cycle. How many of us remember in high school learning about the Creb cycle? The most important aspect of the Creb cycle is to produce at. Triphosphate. Now, Atine Tri Phosphate is like Archie.

It’s what charges the body, keeps it activated, keeps it moving, and keeps us alive. So without atp, we do not exist according to the Western world. When ATP is activated, a number of things happen. It enhances the healthy synthesis of number of proteins. It stimulates the proliferation of fiberblast, or needed to collagen.

And it does it at such a high volume that it actually can increase ATP up to 500%. It can improve the cell wall permeability, and we’ll go into this in just a minute. By 30 to 40%, it increases protein synthesis up to 73% and increases collagen activity up to 60%. These are huge numbers. How does it do it?

First of all, when we produce ATP one, one of the things happens. It creates a the mi, the crib cycle begins. You get the production of atp, and then another couple of things happen. One is it stimulates the activity of the electric transport chain. The electric transport chain is very important for producing the healthy wall of the cell.

But it also helps to boost healthy skin dermal protein development, including collagen and safe development. When we have a cell and when we have the cell wall, there’s a kind of a, some gateway. Which means that there’s a charge that goes back and forth through the cell wall, and you need that fluidity within this cell membrane, not just to pass ions like sodium, potassium, and chloride, but in a bioelectrical potential at this charge as well.

As we age that the tissue of the wall gets heard, it gets damaged, and then we get an imbalance within that bioelectrical potential, which means the cell’s not activating and it’s not doing its job. The body naturally follows the path of least resistance. So in the effort to get that bioelectrical charge into the wall, it’s gonna pass the damage areas and it’s gonna try and get in other places.

And in doing so, it actually damages the cell even more. Microcurrent starts to reverse that process by healing the wall of the cell in order to create and boost that and restore that electrical transport. Also within that Creb cycle and when the activity of the mitochondria, we are also creating an antioxidant effect.

So what do we know about antioxidants? Antioxidants stop cells from oxidizing. If too many cells oxidize, they start to die. So it’s a way of rejuvenating cells and keep them. When we do that, we can heal the tissue. So microcurrent is beneficial for enhancing tissue repair and when tissue repair, when we get a wound a or some type of a physical wound microcurrent is actually beneficial for healing that wound and for our purposes for cosmetic acupuncture, it’s going to improve and reeducate muscle.

I. And this is what we need in order to lift those muscles that we talked about. Start to bring the weight from the base of the chin area all the way up to the top of the chin. It’s not good. Here’s an example. Oops, I’m gonna go back. Sorry about this. I think I’m gone the wrong direction. Oh no.

I don’t wanna do that. Sorry. What you’re gonna need to do is you’re gonna need to reshare that if you can, and then I think we’ll be okay. Okay. Yeah, so just make sure that you have that slide open. Then do share and it’ll be back. Everyone will be very patient. It’ll only take a minute. are did it work while you’re sharing the whole screen rather than just the slide?

So you wanna stop sharing. I’ll help you with. What I’m going to do is help by doing this for a second. So now they can’t see us . And let’s go back to.

Hi, welcome back. Okay, so here’s what happens. Take a look here. You see the microcurrent coming in. It’s. Moving its current into the tissue, and you can actually see the multiple layers, including the orange one. The orange one is the tissue, is the muscle itself. You can actually see the change that occurs.

Now there are some side effects although this is a very low risk treatment. Sometimes let me just say with the side effects are dizziness, headaches, tissue, swelling, pain, discover, redness, bruising, tingling. I have not found these in my practice. But that doesn’t mean that they don’t exist.

Every once in a while, someone may be red, but you can actually just turn the volume down and it’s not in my personal experience, I haven’t. These side effects. There are a few contraindications and precautions. So a contraindication is when not to use it. A precaution is to be aware.

Pregnancy is a precaution. If someone is cleared by their physician, no problem. You, if you are under the age of 18, that’s just because they’re a minor. So that would be a precaution. Active cancer, for me, that’s a contraindication because you wanna deal with the problem first. And then epilepsy seizures, it is current and it’s, but it’s very mild current.

So things like epilepsy, seizures, muscle nerve disorders. You just wanna make sure that’s not something that they’ve had recently or under, or is under control and it should be fine. Reach some facial surgery, filler implants and injections. You just need to wait a couple of weeks after their surgeries, fillers, implants and injections to begin pacemaker or electrical implant device.

Now we’re on the face and it’s a very mild current. So again, that’s not something that. Experience, but it’s in the literature. And then severe acne or inflamed skin as usual, you want, it is current. You are stimulating the face, and so you want to manage that situation or avoid the area.

So again, it’s very space, but you just need to be wise and be a little cautious. It’s a very mild current that you’re buying on someone’s. But the advantages of using it are just tremendous. So if you look at this image, in the remembering the weight of the face, moving from the upper face to the lower face.

If you look on the left where it says baseline, you can see where there’s puffiness and jowling on this image and this woman’s jaw area. And then after 60 days of five minutes of use. So this would be as like retailed as a home treatment, but also you can use it in the office. You will see the jawline begin to lift.

You can see the weight of the face starting to change, moving upwards. It’s actually a little more clear in the sculpted jawline area. You can actually see not just the weight of the face dragging in the jaw area, but you can also see the skin is starting to be creepy and drooping as well. So in this situation, The microcurrent is not only addressing the muscle level, but the tissue level as well.

So this is a really good indication. If you look at the 60 day of all of tightening of the muscles lifting the jaw area, but you can also see the collagen area that has been. Built and building collagen is tightening and lifting skin as well. And then the bottom one is smoother wrinkles, and this is the far ahead area.

And you can actually see the visible changes that occur from forehead, creasing, and lack and diminished creasing after. Microcurrent. So it’s a great treatment to use both in your office, but it’s also really good to use at home too. And there are many different devices that you can use. So the one that it, for those of you who are just starting, you’re interested in microcurrent and you don’t wanna put out a lot of money for it.

New face is a really good way to start. It’s very lightweight. It’s very easy to use. You can use it at home. You can use it in your treatment. You, it has an auto, a charging station that you put it on. I can help you get those. I give you a discount for being a part of the American Acupuncture Council.

For those of you who know you wanna do this, you’re investing in it. There are programs like Biotherapeutics, they’re a wonderful company from was. They have that Suzuki sequencing, which we talked about. It’s microcurrent going into. And to the body and matching the electrical vibration of our body. And this is the key to it.

If your system doesn’t do that, it’s just throwing current at you instead of working with you. This particular instrument is about five to $6,000. And then for those of you who really wanna jump in and know this is what you wanna do, and this is only what you wanna do, or a huge part of what. To do you can spend, 15 to 25,000 pounds.

And then this Casey is the workhorse or the gold standard of microcurrent. But honestly, if you’re just starting, either the new face or the biotherapeutics are really good. Microcurrent machines. And again, if you need help, I can help you do that. So if you have any questions or need additional information about Microcurrent or this lecture, you can contact me at hampton’s acupuncture gmail or at info hampton’s acupuncture.com, or you can watch.

On Instagram as well. So this is a, just an abbreviated lecture about Microcurrent. There are many more out there. And again, I just wanna thank the American Acupuncture Council for allowing me to be here today. And thank you for joining me as well.

 

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Treating Facial Wrinkles with Intradermal Needling

 

 

And today’s topic is going to be Treating Facial Wrinkles with Intradermal Needling. So let’s get started.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hi, my name is Dr. Shelly Goldstein. Welcome to the American Acupuncture Council. Thank you so much for having me here today. And today’s topic is going to be Treating Facial Wrinkles with Intradermal Needling. So let’s get started. We think of wrinkles on our face and we think of them as just wrinkles.

But in fact, there are many, types of wrinkles on the face, and they come from many different sources. We can get wrinkles from. Bone changes and over time, all of these changes occur on many different levels. So from the deepest level bone, as we age, bone resource, or starts to break down, bone is the underlying structure of our face.

And so when the bone starts to break down, so do the overlaying structures, including the skin or the surface, which is where the wrinkles. We can get wrinkles from muscle changes over time. We say muscles attenuate, which means they, they get stiff and stagnant and then they create different peaks and values increases in the face.

We can get wrinkles from fat changes. Over time, fat starts to break down and move primarily into the nasal labial fold, or that fold between the edge of the nose and the corner of the mouth and accentuates different types of wrinkling. And then of course, all of those wrinkles show up on the skin. So on top of the wrinkles that occur from the skin level.

Are those deeper wrinkles? So today we’re gonna focus on the wrinkles that we see that appear on the skin from skin changes. The skin is part of the Anta system. The anta system consists of that fat layer, the subcutaneous of the hypodermis. And then on top of that is, Dermal layer, which is the true health of the skin.

Skin cells start at the bottom of the dermis, make their way up to the epidermis, above the dermis, and then they float to the top and they come off. So the true health of the skin and the visible health of the skin reside in the epidermis and the dermal layer, and that is the layer that we’re going to talk about when we talk about intradermal needling.

Intradermal needling is one of many different types of needlings that occur when you go get an injection or a hypodermic shot if they go into the muscle. It’s called intramuscular need. If it’s at the slide slightly into the, that subcutaneous level that’s called subcutaneous needling, intravenous, lev needling goes right into the bloodstream, and then there is the intradermal needling, which goes between the.

Into the dermal layer. So we see on needling too deep is that it misses that middle dermis layer. If you needle too shallow, it stays too superficial at the epidermal level into, if it’s inserted properly, it goes into the dermis and you can actually see it creates a little swelling at the surface.

And that’s how you know if you are into the intradermal needling because you can actually see the surface of the skin popping. Why, intradermal needling into the dermal layer? What’s going on? Basically, and in a nutshell, we’re working in the connective tissue portion of the dermal layer. There are two types of connective tissue in the dermal layer of the tissue.

There’s the papillary layer. Which is that loose mesh work that we can see on the right, and this primarily provides the nutrients to the skin, and then there’s the rec particular level below, which is much thicker, and it provides the density of the tissue or density of that layer, the structure of that layer.

When we think about connective tissue, what are we talking about? The primary components that make up connective tissue are collagen. Collagen is the support system. It’s like the mattress that you lie on. It’s the firm structure that has enough balance in it to allow you to lie comfortably. But it also.

Has enough resilience and tension so that you have support. That’s collagen. It’s the mattress of the germal layer of the tissue and the mattress of connective tissue. In addition to connective tissue and collagen, we have elastic fibers. And as you can see in this slide, it’s a very thin vertical.

Structure and that’s gonna allow the snap or the ability for that dermal or the connective tissue to bounce back. So you lie on the mattress, it sinks in, you get up, it pops back up, and that’s due to the elastin fiber within the connect. Tissue and then also in the connective tissue. We have fibroblast cells.

And fibroblast cells are what stimulate the production of collagen, and then we, It’s all embedded in this aqueous solution of hyaluronic acid. And hyaluronic acid provides the moisture and the ability for cells to float around and receive the nutrients that they need to grow healthy. It’s also what keeps our skin nice and hydrated and moist.

Now as we age, what happens? We age, we start to lose the ability for the cells to mo migrate from the base of the germal layer up through the epidermis, and they lose their vitality. We start to lose the integrity of the collagen and the elastin in those layers. They begin to get disorganized or not line up properly.

We start to lose the VAs, the blood vessels that iva that area and nourish the, area as well. When all of this happens, we start to lose that plumpness, the plumpness of the. The connective tissue and the dermal layer itself. When it starts to, when we lose the integrity of that it starts to dry out, we start losing hyaluronic acid in within that area.

And then we start to see not only as it dries out, but that dermal layer in that epidermal layer start to thin and separate. Creates more dryness. And then as we lose that suppleness of disorganization of collagen, an elastin, we start to see pitting. And you can actually see in this image, you can see the surface of the skin starting to pit.

Sometimes we call that wrinkle. Sometimes we call it skin pitting. For our purposes, There are multiple types of wrinkles. There are fine lines are primarily due. They’re not wrinkles. They’re due to the loss of hyaluronic acid in the tissue or dehydration. And the key is to just drink more water.

We are apply more hyaluronic acid or hydration to the surface of your skin. For our purposes, we are going to look today at shallow wrinkles. Shallow wrinkles, you’ll see in a moment are very superficial wrinkles. When the collagen starts to move up and down, or the elastin starts to snap back we, lose the creases.

So the creases come when we’re activating our muscles or textures of the skin, and then they relax as they, as the shallow wrinkles become more sedentary, they move into deep wrinkle. And this is when we are actually start to see changes in the architecture and integrity of collagen in the skin tissue and, also lattin so it becomes more visible when the faces at Russ and then static wrinkles are are a different type of wrinkle.

They’re actually. Deep wrinkles that have been around for a while. And in this situation actually starts to create damage into the tissue via the loss of elasticity within an elastin within that skin tissue. And then again, this too is visible at when the faces rest. And then we have dynamic wrinkles.

And these have more to do with muscle as opposed to skin create, although they may. Static wrinkles and deep wrinkles and cello wrinkles. When you treat dynamic wrinkles, you actually have to treat the muscle as opposed to the skin. So here’s an example. Here’s shallow wrinkles are on the left. And as you can see in this image, the person on the left or the figure on the left is probably in her thirties.

The middle is probably in there, her fifties and sixties. And then the on the right is, older. Most shallow wrinkles occur earlier in. And as you can see, say particularly in this image starting at the nasal labial full dot full between the edge of the nose and the corner of the Mac, you start to see the creasing there.

You’ll start to see it in between the eyebrows, Ella creasing, and possibly across the forehead. As they move into deeper wrinkles, you can start to see the changes of the architectural changes in the face. You can start to see a deeper creasing between the eyebrows, the nasal labial, fo maybe around the mouth, starting to see a change in the mental crease, which is between.

The chin and the lower lips and the marionette lines, which are between the corner of the mouth and the jaw area. And then as they move into more static wrinkles, they create a number of changes in the architecture of the face. And you can see the visible difference here. In fact, it’s just a progression from left to right and most of it has to do with age and lifestyle.

And diet. What’s interesting about needling at different layers of the tissue, particularly at the epidermal level and the germal level, is the references to it that we’ve seen in the classics, notably the ling shoe over time. In the classics, they talk about numerous, there are numerous discussions about needling guidelines specific to the layers of the face, the skin, the flesh.

The channels around the muscles, and then at the layer of the bone. So there are constant references throughout time about different ways and the importance of kneeling at all of those different levels. Also in the Ling shoe, in chapter one, it says The skin, the flesh, the muscles, the tendons and the meridians occupy different places in the body and that different diseases respond to different methods of treatment.

In chapter seven, it talks about the illnesses. If illness is superficial and needling is deep, it will penetrate and injure the good flesh. If illness is deep and needling is superficial, results will not be obtained. So again, there’s the references to the changes, the importance of needling at different different layers, and then the results that can be obtained when properly kneeling into those different levels.

Intradermal needles is superficial needling, obviously, and it’s sim very similar to Japanese needling technique. We know in Japanese needling technique that the insertion is superficial, that the manipulation, if there is any manipulation occurs at the surface of the skin. We’re not needling for Dutch.

And the needle gauges. The needles themselves are different. They’re very thin, and the length varies, say between a very short needle and say a 30 millimeter, which is like an inch long. When we are needling for the purpose of intradermal needling, what’s going on? There are multiple theories as to why this works.

One that’s the most popular and actually the foundation of say Derma rolling or microneedling, is the fact that when you insert a needle into the surface of the skin, it actually creates a little wound. Wound healing results. When you put something in or you damage the surface of the skin fibroblasts, circle that area and immediately start to stimulate the production of collagen and elastin within that tissue to actually heal the wound from the inside.

This was what we called a wound healing cascade, and which case again? We insert the needle, it creates a micro damage into the surface of the skin or under the surface of the skin. Fibroblasts come in, they stimulate the production of collagen. Collagen starts to line up, as well as elastin into the dermal layer of the skin.

And you can actually see in this image, In the first image, you see where the damage was created, and then you start to see the abundance of fibroblasts building collagen and elastin at the dermal and epidermal layer to start to thicken and to heal this microtrauma. Another theory is in doing so, what we’re doing is actually enhancing not just the collagen, but also the elasticity as well.

So we’re building collagen, building elastin under the skin, stimulated by the trauma that was created by inserting a needle into the surface of the skin. And there’s also something else that’s going on, and that’s called Paso Electric. Collagen is the primary component in connective tissue, which we just learned, and it also is capable of transmitting electrical signals throughout the bottom.

So it has an electric energy, call it, she call it electro Paso. Call it whatever you want, but it creates a vibration or an electricity. that then signals throughout surrounding area. And it’s both mechanical. So inserting in the needle stimulates this Paso electricity. It creates both the mechanical and electrical properties that vibrate out into the surface and connect with other systems.

So when. Insert the needle as a form of an external influence. The electrical current in that tissue created by the collagen radiates out into neighboring structure. It’s a, it’s somewhat the foundation of acupuncture in our culture is creating some type of an energetic that then spreads, not just stays at the center where we’re need.

It begins to spread out throughout surrounding tissue. And in our world, the meridians that, that connected these points. So we need and put the needle in. Intradermal needling, it stimulates that wound healing cascade. It excites that collagen Paso electricity. And it also releases fascial tension, which is the tension that is created by holding that tissue in this stagnant place now for so long.

The slide in this presentation or in this PowerPoint is histological slide. So they take pieces of skin or where there are wrinkles, they put ’em on the slide and, they put them they put a little piece of glass on top of it and they slide it under a microscope and, then you actually get an, a larger image or a magnified image of what’s going on.

So here we see a wrinkle. And it looks like a little divot like this. This is another slide. The wrinkle is actually very, shallow. This would be considered a shallow wrinkle. This is very minor or more minimal wrinkle, moving into a deeper wrinkle. Here’s a deeper wrinkle. You can see it’s not just a, dip or, but more of a plummet, a little deep area.

So that’s a different kind of wrinkle. So as you can see, we’re going to see all different types of wrinkles, and we’re gonna needle them differently as well, depending upon the. The, wrinkle itself. So we can’t really look at a magnifying glass in our practice. We’re not gonna take a slide and put it under my magnifying glass.

So you have to start to train your eye to see what does a wrinkle look like? Is it very shallow? Does it look a little bit deeper? Does it look like it’s petted? And then we’re going to decide how to needle it, and we’re gonna decide which type of needles to. Most of the intradermal needles today are either the straight intradermal needles, the Japanese one, or the press tax.

And they’re good. They don’t give you a lot of flexibility if you, they’re very tiny. You have to use a pair of tweezers if you’re using an intradermal needle and just slide it in. And you get a very short distance of, being able of insertion the press tax. There’s only one way to needle it and it’s down.

So that is somewhat limiting. EUS is a new serum needle and I think it’s a really good needle, and it’s ones that I choose to use. They’re stainless steel needles. They’re triple polished. They’re similar to serum needles. They’re high. The, quality of them is great. They come in a bolt pack of four.

They’re really easy to use and they’re a little bit longer. Some, they range between they’re all about seven millimeters, but then the thickness of them is varies. Different sizes. So depending upon the type of needle you choose you can affect different types of wrinkles. All of them work. It’s just a matter of personal preference.

So I’m gonna show you these slides. So this is a shallow wrinkle, which means it’s going to show up and then disappear. So when the model lifts her eyebrows and cringes her forehead, then you’re gonna start to see them. And I’ve actually had her do this in this image. And so we’re gonna look at these needles.

It’s pretty good. It’s a little blurry, but basically she doesn’t have a lot of wrinkles. And the wrinkles that she does have moose. One way to find out whether it’s a shallow wrinkle list, actually, to have your patient lift their eyebrows, drop them further eyebrows, and see what stays, and see what goes away.

So in this situation, what I’m gonna do is I’m actually gonna spread. The tissue and needle very shallowly into the needle. So in this situation, when you’re spreading the needle it’s a very shallow insertion at the upper level of the dermal level. You open the wrinkle, slide the needle into the surface, and you can line them up because most of these are fairly long needles.

So this is a good technique to use if you’re doing, if you’re treating a very shallow. Let’s see. This is more of a deeper ecstatic wrinkle, and this is the nasal labial fold right here. It’s the different, it’s from the corner of the nose to the sock corner of the mouth. A lot of it has to do with tissue that has fat that has moved down, or gravity muscle attenuation.

Has some effect in it. But in this situation, you’re gonna actually treat the wrinkle itself. Now, it’s hard to spread this because it’s a deeper wrinkle and it’s static. You can see it, it will stay there whether the person is smiling or frowning or either or making any other muscle expression. So rather than trying to spread this, wrinkle, what you’re gonna do is you’re gonna actually grab.

Like this and pinch, and then slide the needle into the crease. So let’s take a look at this. So I’m pinching, it, and slide. Okay. I’ll show you. This is a closer version of it. This is a, and it’s a little bit blurry, but I think you get the image. You’re gonna pinch and slide. Okay. It takes little practice.

It’s almost as if you want to take that area, start further out, pinch it, and let’s do this one more time so that you can see it. You’re pinching, you’re starting f pretty far out. In order to pop it, pop the tissue up so that the only thing that you can actually see is the wrinkle. Perfect. Let’s keep going.

Okay. Now, we’re gonna talk about deep wrinkles for a moment. On top of the changes of the architecture that occur within the derma layer, when A wrinkle has been around for a long time, it starts to affect the tissue around it very similar to that of a. Scar tissue is composed of the same collagen protein as healthy skin tissue similar to this, but because of the trauma or because of the static nature of the wrinkle, the tissue around it starts to change.

So similar to a scar where during tissue healing, the collagen cells group together. Like this and bunch up. This is sometimes what a deep wrinkle looks like. We’re gonna look at one in a minute. The way to treat this is not to slide the needle in because that’s not gonna really break up the tissue is and not to pop it and go into.

Base, but actually to go into the wall of the tissue to start to break up the fibrous tissue that is starting to develop, to create this, that stagnant nature, that depth of, the wrinkle itself. So here we go. Take a look. This is, if you look at the, let’s look up here. This is what we’re gonna treat.

This where the red arrow is. But if you look at, and it’s right here on the large image. Now look at this wrinkle. This wrinkle starts at the, in the lip. It starts at the base of the bottom lip and actually projects all the way down, but right. This is the depth of the wrinkle. This is probably where it started, began to spread.

So here’s where the damage is. Here’s where potential scar damage is, what we’re calling scar damage, but it’s really not a scar. It’s basically tissue that has been in one position for a very, long time. So in order to affect this, we actually need to break this, tissue up and around it. So we’re gonna take.

And I’m gonna needle into the wall. You can either needle from the outside in or you can needle from the inside out, but the object is to actually get into the wall of that wrinkle as opposed to the base of the wrinkle itself.

So just as a recap, we have fine lines. Fine lines are basically due to creases in the skin surface caused by dehydration. And the way to treat it is to enhance water consumption or to apply it or both. We have shallow wrinkles, which have to do with creases that are just beginning, and they change so they’re not stagnant.

Over time, you spread the wrinkles and needle into the crease. We have deep wrinkles where the crease is caused by the beginning of. In a lack of integrity of collagen and elastin in the tissue itself, and they stma, they’re starting to show up and stay there, stay at the face, or stay visible when the face is at rest.

And then we have static wrinkles. And these result from a loss of elasticity, tissue damage, we see that build up or the change in the architecture of collagen elastin around those needle wrinkles. And the treatment is to, the intradermal, kneeling treatment is to needle into the crease of the wall. And then we have dynamic wrinkles, often known as ride tides.

And these develop from repeated facial movements, in which case we need to treat the muscle as well as the. So thank you for today’s presentation. If you have any other questions or want to know more about facial acupuncture or cosmetic facial acupuncture you can visit me@hamptonsacupuncture.com, my website.

You can email me@infohamptonsacupuncture.com or follow me on Instagram at Shellie underscore Goldstein. So thank you again everyone. Thank you, the American Acupuncture Council. It’s always a pleasure to be with you and next week stay tuned for Chen Yen she’s very exciting and a wonderful lecture. I’m sure you’ll enjoy her presentation as well.

 

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Facial Fascia: Appearance and Function

 

 

And I am going to talk to you today about facial fascia and what it is and how it can affect your facial acupuncture treatments and how it can affect your patient’s appear.

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hi, my name’s Michelle Gillis. I am an acupuncture physician and I teach facial and cosmetic acupuncture classes internationally. And I am going to talk to you today about facial fascia and what it is and how it can affect your facial acupuncture treatments and how it can affect your patient’s appear.

So I wanna thank the American Acupuncture Council for this opportunity, and I need to see the first slide.

So what is facial fascia? That is going to be the first thing we talk about today, and after that we will discuss how it affects your facial appearance. and the movement of your face. So it’s not just about cosmetic, but also how your face functions, and then some treatment modalities, things we can do in order to affect the function of the face by treating the fascia.

So facial fascia is composed of two layers, and the first is the superficial facial fascia, and that is On the outer layer, and that is, it’s right underneath your skin and it helps to support your face and hold everything up, and it’s responsible for giving you a youthful appearance and. It also can carry a lot of tension in it and restrict circulation to the face so things can get trapped, whether it’s lymphatic fluid or blood.

And even some of the superficial nerves. Then we have the deep fascia layer, and that kind of forms a girdle and it is called the mass layer, the superficial muscular epi neurotic system. So the superficial layer itself. Has the superficial fascia itself has two layers. It has the outer layer, which is this kind of fatty layer, and then we have the mass layer, which is right here and.

That is what allows us to make facial expressions. It takes the nerve impulses from deep and sends them out to the muscle, which then translates out to our skin.

So the superficial. Fasha layer is what is responsible for our facial expressions. And the deep fascia layer, which includes the fascia of the temporalis because the temporalis is connected to the face the parotid fascia, which goes down into the neck. The periosteum, which works around the part of the skull that connects to the face.

and the septum, the area around the orbit or the eye area. And this is where the deep fascia exists on the face. So here’s a. Pictorial representation of a piece of bone and a muscle and the skin. And the reason why this is important is because our face is the only part of our body where the skin is connected.

To the skin layer is connected to the bone through muscle, which is why you can move the skin on your face without having to move. Any part of your face so you don’t have to move joint in order to move the skin on your face, everywhere else on your body, if you wanna move the skin, one of your body parts has to move.

The skin can’t move Separate from the the body part.

So one of the things that can happen is, so here’s the bone and here’s the fat and the muscle and the skin. And what can happen is, so as the muscle contracts, the skin gets pulled towards the bone and we can get. Kind of wrinkling of the skin, right? If you smile, if you raise your eyebrows, if you pull your eyebrows together, if you purse your lips right, you can purse your lips without having to move any bone at all.

Just by moving the muscle, the ais ORs, and what can happen is, We can get these fossil adhesions, which are like scar tissue. They can happen as we age. They can happen through injury, they can happen through overuse or underuse. And it’s this very fibrous collagen fibers. It’s like if you think about, if you have like a chicken.

And you pull the chicken away from the bone. There’s that layer. It almost looks like really a strong cobwebs, and those fibers can. Trap nerves and blood and other things. And they can cause these adhesions where it can prevent the full expression on our face of different facial expressions, the full movement and.

Like if an individual perhaps had a stroke and things, or Bell’s palsy and things don’t move for a long time, then you have to physically get this area moving because of these muscle adhesions that can form. So here’s the bone. Here’s a piece of bone, and here’s the fascia, and here is a nerve, which as you could see, could get trapped in the fascia and it could prevent the signaling so the muscle won’t even.

The signal that it needs to move because the nerve is trapped or it can reduce. The ability of the muscle to move well, and it can also restrict blood flow. You can see there’s veins that could also get trapped. So here’s a picture of someone with Bell’s Palsy. They’re making a facial expression with the right side of their face, but the left side of their face isn’t moving.

At all, and part of this is due to nerve damage, but it can also be from entrapment

and wrinkles. When we think of wrinkles, we think of something that happens as we age, and in many cases it can be from sun damage, it can be from just the skin getting older, but also if you habitually make an expression and the skin is attached to the fascia. If that fascia is restricted at all, then you can end up with these deep wrinkles.

We see it a lot in people’s far heads and even sometimes around the eyes with crow’s feet or the lips. And also with jowling. , and I’m gonna talk about a couple of ways that we can help with this, but sometimes wrinkles and sagging are reversible just by doing things to the fascia layer. So here we have an example of forehead wrinkles.

Perhaps this person made the expression where they raised their eyebrows a lot. Also, this is when I said jowling. This is what is referred to as a jowl, and it can happen through the aging process. Things loosen and they become a fixed into a new position. Sometimes it’s from excess weight on the face, sometimes it’s from habitually frowning.

And When I was young, my mother used to say to me, Don’t make that face. It’s going to stay that way. And there was actually a lot of truth to that. A lot of our facial expressions get etched on our face over time.

So what are some of the treatment modalities that we can use in order to affect this fascia? On the face. One very effective treatment is facial cupping. Now, facial cupping is something it’s a skill that you would need to learn. It’s not like cupping on the back. You don’t want to try to use your glass cups and cup the face the way you would’ve back, or a neck or a shoulder or a.

Facial cupping uses small cups. and they look like this. And you would use these small cups and oil and you would glide these cups across the skin. You don’t park the cups and you do it in such a way that encourages lymphatic drainage. And works with the anatomy of the face. And this is a cupping set that is made by Oculus Skincare.

And so there’s a slightly larger cup and a smaller cup for different types of wrinkles and. Rubber part is very easy to squeeze so you can squeeze and move and release and squeeze and move and release, and really keep that chi and energy going. Facial Guha is also another technique that we can use.

And here are some facial guha tools. You can see that they are these are made out of Jade and they’re specially shaped to work around the gel. The cheeks to work along the temporalis and underneath the chin, across the clavicle. Lots of places where we can get these adhesions and by. This kind of physical movement of doing the cupping and then the guha afterwards.

You help to keep the lymphatic system of the face moving, the blood and the chi moving, and also to really get in there and break up those fas adhesions, especially with the guha tool on the forehead. You can spread the wrinkles and you can really get in there and break up a lot of that tension and that tight fascia.

So this is a picture of me just doing some gua along the jaw, jawline, sculpting the face, helping to lift everything up.

And the next technique that we can use, which is very beneficial for submuscular needle, for treating facial fascia is submuscular needling. and this is a technique where you would work on different areas of the face. And I teach a whole class just on submuscular needling, and it involves taking your needles and getting.

Underneath the muscle. So you’re really getting underneath these memetic muscles. I’ve lost my mouse. Where’d they go? You get underneath the memetic muscles. And you’re going to needle right through and down. And this can help get into the superficial fascia and then into some of the deeper fascia depending on which part of the face you’re working on.

And you would insert a few needles. Underneath the muscle, depending on what part of the face you’re working on. So I have a quick video that I’ll show in a moment, but you can use this to work. Underneath the mace here, you can use this to work along the attachment points for the pla. You can work into and underneath the anterior digastric.

You can work underneath the corrugator muscles. You can work underneath the frontals muscle. Pretty much any muscle were on the face where you have access to the margins of the muscle you can get underneath there. And this can really effectively break up some of those fossil adhesions, which is really quite wonderful.

And let’s see. I don’t know if you’ll be able to hear this, but you can see it and I can talk through it.

In needling, the frontalis muscle, the. Way that you isolate the muscle is you ask your patient to raise their eyebrows. Go ahead and raise your eyebrows. Okay? And then, so this is the frontals muscle and you can find the border of the frontals muscle. And the way that you needle is you’re going to go.

From the origin to the insertion, so you find the borders up here in the insertion is here. And typically what I do is I will put in usually three needles, and then you get right underneath the muscle lateral on either side and. I will put in two needles on the medial side, and when you’re needling, what’s important is that the angle of the tube is the angle that the needle’s gonna go in.

So if you go like this, it’s gonna go too deep. If you go like this, it’s going to be too shallow. I use. My thumb or a finger to help to guide the needle. So you wanna keep your fingers out of the way when you’re actually inserting. That way you can get to the correct depth right underneath the muscle.

That’s lateral side. Then you’re going to do the medial side, and usually two needles. Suffice. And I do the one side and then I do the other side and I’m using half inch noodles. You can use one inch noodles depending on how big your patient forehead is, so you just get all the way down underneath the muscle.

And isolate the muscle and needle right underneath it, and this, you would just leave the needles in for anywhere from 15 minutes to a half an hour. And this is especially helpful. Let’s say your patient has Bell’s Palsy or some sort of facial paralysis. You can do it on both sides. You can do it on one side, wherever the muscles are affected.

This is just a list of some of the classes that I teach facial and cosmetic acupuncture, facial cupping. A lot of what we talked about today is from my treating neuromuscular facial neuromuscular facial conditions class. I do some self care for acupuncturists safety ethics, microneedling. And a lot of the techniques that we use for cosmetic acupuncture can also be beneficial for treating neuromuscular facial conditions like osis.

Or if someone’s had a stroke, TMJ and vice versa. A lot of times when you’re working with a neuromuscular facial condition that your patient might have, it also helps to benefit the Movement of their face and therefore their skin will look healthier and more vibrant. So I think that’s everything.

I wanted to thank the American Acupuncture Council again, and next week we have Matt Callison and Brian Lao, and I hope to see you again next.