Acne scarring and Stretch Mark solutions with Affirm laser

The AFFIRM Multiplex laser is the only one of its' kind to treat acne scarring and stretch marks. It's a 2 for 1!

AFFIRM is a "next generation" laser, outperforming the Fraxel laser for laser skin treatments on many fronts.

The Fraxel and similar systems are generally 1540nm wavelength lasers that emit fractional energy at 800 microns to 1600 microns deep into the skin. The AFFIRM emits 2 wavelengths. The first is more shallow (about 300 microns) where most sun damage is found). The other wavelength goes deeper (2000-3000 microns) for deeper skin rejuvenation and tissue tightening.

The AFFIRM laser is called a "Multiplex" laser because it is two "fractionated" laser treatments in one. It has a 1320nm and a 1440nm wavelength combined in a single multiplexed treatment (both lasers fire almost simultaneously so that the pulse is felt only once).
The 1320nm is considered the "Gold Standard" for acne scar treatments.

The Affirm laser is considered a non-ablative fractional resurfacing laser since it does not remove a layer of the skin as the co2 Fractional laser does. This laser fires "columns" of energy down into the skin, leaving healthy untreated skin around these columns that can help the treated tissue heal more quickly. Although it doesn't ablate the skin, it "tricks the skin" into believing it is wounded -thereby incurring a "healing response".

With the use of anesthetic cream and a Zimmer Cooler we can keep our patients quite comfortable while this laser penetrates deep into the dermis to work its magic. The Affirm can diminish Scars, Stretch Marks, and Acne scars in a series of treatments with minimal downtime.

Our patients can get treated in approximately 30-45 minutes depending on the area. They'll have a sunburn look for about 24 hours and then can usually put their makeup on the next day and no one knows they've had anything done.

Patients who have come to us after having a previous Fraxel treatment have reported that the AFFIRM is far more comfortable than the Fraxel laser even when BOTH lasers fire at once. Some clients have told us that they couldn't even finish their Fraxel treatments because they were so painful.

We have gotten wonderful results with the Affirm and skin often regains good color and texture in just a few treatments. 3-6 treatments are recommended.

When more serious skin problems present themselves, such as a patient with severe skin texture problems or very deep acne scars, then I use my Fractional CO2 laser. I get incredible results but there is significantly longer down time (4-7 days) to achieve results.

Mild to moderate acne can be treated with chemical peels, microdermabrasion and acne medications and or skin care products. Moderate to severe acne may be treated with Acne LED Blue Light Therapy alone, or photodynamic therapy with Levulon. Each treatment has its merits and offers affordability to all clients. For more information visit our website www.SilkTouchMedspa.com

Perfect, plump, full lips with Juvederm lip enhancement

Before and after photos of upper lip filled with Juvederm.



Recently a woman sent an email to Dr. Kerr telling him how much she loved his work. She happens to live in Europe and since she couldn't get to Dr. Kerr, wondered if he would be willing to share his technique and how much dermal filler he used, etc. Dr. Kerr was happy to share his technique. And here is more of their correspondence. --Susie

Good evening doctor!

I am writing from Europe and I know you do not have to answer my question, but I would be really happy for a short information.

"I have seen a photo of a great job you did on lip augmentation with juvederm at your blog. As I live in Europe, unfortunately I can't go to the US just to get lip augmentation done by you, but if I could I certainly would :).

Nevertheless I'd like to ask my surgeon here, to get the same effect that is visible in your photos as I have exactly same lips as the patient photographed. Therefore I kindly ask for an information on how much of the filler was injected to gain such an effect." -Megan from Europe

Dr. Kerr's answer:

These lips were treated with Juvederm Ultra. As you can tell from the "before" picture this patient already had a very nice bottom lip, however she was very self conscious about her upper lip.

Generally I use about 0.4-0.5 ml in the upper lip and 0.3-0.4 in the lower lip primarily along the vermilion border starting about 2-3 mm from the corner of the mouth and let the Juvederm track medially under slow steady pressure. Often it will track along the vermilion border all the way to the mid line or across to the other side. Occasionally it will stop tracking and I will advance to the point where it has been impeded and begin injecting from that point. In this particular patient I used the entire unit (0.8ml) in the upper lip with about 0.5-0.6mls along the vermilion border and the balance into medial body of the lip to enhance the volume.

This patient continues to return to my Medspa about once a year for touch up of her lips.

Thanks for your inquiry,

Brian Kerr MD

And then a follow up email to Susie, Dr. Kerr's wife.

As I have my sister living in the U.S. maybe I could visit your medical center, while visiting her someday :) It would be great to get some lip treatment by Dr. Kerr as me and my friends find his work extremely well done- the effect is very natural and the amount of the filler is well- balanced. I hope i get a similar effect from my doctor using Dr. Kerr's advice and knowledge!

Thank you for your kind interest and support,
Megan M.

Breast Enhancement (augmentation) without surgery?

Boise's Idaho Statesman's Healthy Advice Page can be found in Thursday's Paper. Dr. Brian Kerr is a contributor.

Q: Is there anything I can do to get fuller breasts
besides having surgery?

A: Many of the clients that visit with me would like the “breast fairy” to sprinkle a little magic their way….but are afraid to get breast implants because they do not want to undergo breast surgery (breast augmentation or they don’t like the fake look.

There is an alternative out there that may solve your dilemma. Fat Transfer is a great way to give the breasts a lift.
A study by Louisiana State University found that out of 40 patients who had their own fat transferred from areas like their abdomen and thighs there was a high satisfaction rate. The patients showed improvement in the shape and size of their breasts which remained natural looking and soft. They had fullness and cleavage. This study concluded that fat transfer is a low-complication alternative to a breast lift with implants. I have found that within my practice clients enjoy fuller, softer breasts and the fat can create the illusion of a breast lift without actual breast lift surgery. Instead, we use laser liposuction, often called Smartlipo (Smart lipo) to remove the fat and then transfer it to the breasts. Fat Transfer can last for many years. For very low breasts or sagging breasts…surgery is still needed. For more information about Fat Transfer visit www.SilkTouchMedspa.com

Wrinkle reduction and skin tightening with Pelleve.

Women and men in their 40's often start to see some sagging in their lower jawline. They've been using botox religiously to keep wrinkles at bay, and perhaps a wrinkle filler to plump the lips and maybe a little filler like Juvederm in the face to give the face a lift, but it's not always easy to find a solution for the lower face, jawline and neck. I'm very excited that we are the first to bring the new Pelleve wrinkle reduction treatment to Boise, Idaho!

Click here to watch a video of pelleve wrinkle reduction treatment.

Pelleve wrinkle reduction treatment is the newest innovation in skin tightening. FDA cleared to treat facial wrinkles without surgery, this treatment uses advanced radiowave technology. The Pelleve system precisely heats the deep layers of the skin without damaging the epidermis. The heat causes the collagen in the skin to contract and tighten. After the treatment, the skin begins to produce new collagen, which improves the firmness. No anesthesia is required and patients can return to work immediately after the procedure. Many clients see results after just one treatment, with improvements up to six months later. Facial treatments take only an hour. Pelleve fits easily into busy schedules.
This treatment may allow a patient to postpone a face lift for ten years!