All posts by opadmin

Refresh your wrinkles.

Interested in removing the wrinkle on your face or trying to get rid of the “tired “look.  Come in for a consultation with Dr. Jagruti Patel, Dr. M. Patel and Keira Proctor  to be evaluated for neuromodulator therapy.   Neuromodulator are used to help paralyze  the muscles that cause wrinkle in the skin.

New wrinkle laser at Kayakalp Aesthetics.

Stay tuned we have a frational Co2 laser to remove wrinkle and tighten skin. It is considered an invasive procedure and has a down time of 2 weeks, but it is worth it. Make an appointment with Dr. J and or  M. Patel  to learn more about the treatment and the results we are getting and see if you are  a candidate for the latest laser.

Home Skin Care Regimen

Although there is no standard skin type, in general Rosacea skin is sensitive and skin care should include:

Home Skin Care Regimen

  • Use a gentle, soap-free cleanser
  • Never pull, tug, scratch or treat the face harshly
  • Avoid loofas, brushes granular products on the face
  • Rinse thoroughly with lukewarm water
  • Dry by blotting with a soft cotton towel or air dry for several minutes
  • Apply a topical medication.
  • Let the medication soak in for an additional five or 10 minutes
  • Use an oil-free moisturizer

It is important to be sure that it is it true Rosacea and not simple skin redness or flushing? The professional opinion of our well trained physicians can guide you correctly. Consult with our well trained aesthetician who can advise you on a good skin care regimen and demonstrate ways to use your cosmetics to minimize symptomatic signs of Rosacea. Our in-clinic professional treatments and a good home-care regimen can make a world of difference. Kayakalp carries many products and can also offer laser treatment options that can address Rosacea in an effective way.

Helpful Hints

– Avoid the sun! Never skip the full spectrum sun block and remember to reapply including neck and hands.
– Apply sun block 30 minutes before sun exposure even on cloudy days.
– Reapply Sun block every hour when involved with outdoor activity.
– Get car windows tinted to the legal limits.
– Skip ‘active’ products on irritated skin, use OTC cortisone cream and a sun block.
– Get treatments every 2 weeks thus allowing the superficial exfoliation to ensure a better penetration of therapeutic products.
– Get follow up visits no less than every month and get product potency and lifestyle issues reevaluated.
– Get refills before running out to ensure that you do not have to start over.
– Do not apply scented aftershaves or colognes on exposed areas of the skin.
– Wear 100% UV protection sunglasses or get eyeglasses ‘coated’ by an optometrist.
– Do not scrub dead skin cells when flaking..
– Do not use wash cloths, buffing pads or abrasive scrubs. Never scrub with towels.
– Apply retinoid and skin lighteners as directed and make sure all traces have been absorbed by the skin.
– Never dot lighteners or apply too thickly and avoid the mouth area for a few days if it becomes darkened, too dry or irritated.


Every season, no matter where we live, has skin health obstacles to overcome. Since the skin organ, is our first line of defense, effects of seasonal changes, air conditioned or heated homes, skiing or swimming, bacteria, free radicals, all play havoc on skin health and beauty. As skin care specialists, we are expertly trained to restore your skin to its optimum health. Our personalized, professional approach is one that listens to your needs before designing treatments and recommending a regimen to achieve your desired results.

Sun Protective Clothing

Sun-protective fabrics differ from regular fabrics by typically having a tighter weave or knit. Garments made with these fabrics may have a label listing the garment’s Ultraviolet Protection Factor (UPF) value.

UPF rating indicates how much of the sun’s UV radiation is absorbed by the fabric. A fabric with a UPF rating of 20 allows 1/20th of the sun’s UV radiation to pass through it. This means that the fabric would reduce your skin’s UV radiation exposure by 20 times when covered by the fabric.

The Higher the UPF, the Higher the UV protection

  • Good -UPF 15 to 24
  • Very Good -UPF 25 to 39
  • Excellent -UPF 40 to 50

Garments with a rated above UPF 50 may not offer substantially more protection than those with a UPF of 50. Those rated below 15, offer little UV-protective. Sun-protective clothing may lose its effectiveness if it’s too tight or stretched out, damp or wet, or worn and washed repeatedly. The American Society for Testing and Materials (ASTM) has developed a standard guide for the testing and labeling of UV protective fabrics which is not mandatory. ASTM compliant manufactures label their garments with UPF values.

Sun Safety

  • Wear sunglasses- Reduces sun exposure that can lead to cataracts and other eye damage.
  • Wear sun protective clothing- reduces the amount of radiation reaching the skin
  • Wear a wide-brimmed hat- protects areas prone to sun overexposure i.e. eyes, ears, face and the back of neck
  • Use sunscreen before you go out, and reapply every two hours.
  • Water resistant sunscreens will come off when you towel off sweat or water.
  • Be aware- children under six months of age should never have sunscreen applied to their skin; protect by sun avoidance
  • Avoid midday sun when the sun’s UV rays are strongest.
  • Pay attention to the UV Index- indicates the degree of caution to be taken when outdoors and provides a forecast of the expected risk of overexposure to the sun and predicts exposure levels on a scale of 0 to10+.

Low risk = 0

High risk =10+


Kayakalp Skin Care Experience

In the deafening commotion made by thousands of self-proclaimed experts, it seems that there is a growing need for access to reliable skin care information and personalized skin care. Issues related to the quality of life and concern about the adverse effects of chemically derived ingredients in products are becoming increasingly important.

However many of so called “latest” advances in skin care, have in fact been used for thousands of years by older cultures who quietly and systematically integrated information on every aspect of life before effecting a solution to a skin concern. It was a holistic approach that addressed the person’s – body, mind, and spirit – their individuality. A disorder, whether in terms of internal organs or the skin, our largest organ, was understood to be the result of physical, emotional, spiritual, social and environmental imbalance – It was an understanding that was confident that when all of these aspects of life were brought into proper balance, ‘Healing’ would take place naturally. Read More

There is no doubt that there is an intricate connection between the mind and body and the need to address both physical and emotional well-being is the key to good skin care.

It has been seen that, except in the cases of traumatic injury, many isolated communities for most of their lives looked to the body’s inner wisdom, and believed that the responsibility for their own health lay within themselves. The ‘reward’ was beautiful teeth, strong bones, very little degenerative disease and yes – clear skins. In this day and age to propose to a patient/client an “isolation as a means to health” seems impractical to say the least. However, isolating ourselves from time to time from everyday life by taking a break from our everyday concerns, even for a short time, can be very beneficial
Thus an environment like the KayaKalp Skin Care Clinic is an ideal place to renew contact with the inner self and get answers to much sought after questions. It is a place that will positively affect the mind body and spirit with the aid of our visionary Skin Therapist. We provide spa-like services that rejuvenate the skin as well as clinical treatments that soften the trauma of surgical procedures.

Our role is that of a guide, a mentor and a role model, that leads and nudges the patients to tweak their lifestyles, beliefs and old habits in order to facilitate healing and gain optimum skin health. Thus we take pride in that KayaKalp Skin Care has a holistic approach that is mindful of the uniqueness of an individual. It is a step by step implementation of long held beliefs that Quality not Quantity is the guiding factor and a motto that says

“It is never too late or too soon to start good skin care”

Even Tone Skin – Everyone’s Concern

Surprisingly no matter what the varied body parts concern of different individuals may be, an even skin tones seems to be everyone’s concern.
A question that is asked more and more in conversation is -“what cream do you use? I’ve got to do something about my skin…..”

It seems that these days I spend a lot of time explaining why their question/approach is all wrong. There are so many factors that regulate what skin is going to look like at a given age for a given person.

From age related skin changes, genetics, and medical history, to seasonal changes and different lifestyles, there are a variety of factors that govern the way the skin will look and what it will require at a particular stage in anyone’s life.

The regimen that is optimal for me may well not be for you and definitely not for a fresh faced carefree young adult or a middle aged smoker or that stressed out mother of three.

Although the retort to those new patients may be a light hearted “Hmmm have you got time – I feel a lecture coming on”, – the fact remains that there is a serious misunderstanding amongst old and young alike. This may well be the result of a very massive and profitable over the counter skin care market that as often as not, presents itself as a cookie cutter solution to every ones skin care needs.

Even though in recent years cosmetic companies have been focusing more and more on communicating/ marketing the science of skin damage in their anti-aging formulations, in reality it matters little which celebrity is the spokesperson for “the latest what” – be it in a glossy magazine, tell all insider ‘inforticle’ or a television ‘infomercial’. The fact is that – an admired celebrity’s even toned skin is not a duplicate of everyone else’s skin and there is no such thing as a wonder cure-all cream on the market that will suffice for everyone’s skin.

Spectroscopic quantitative measurements of changes in skin (e.g. hyperpigmentation, vascularity) due to natural aging processes and UV radiation have already been studied extensively (ref. 1). However, according to a HBES Scientific Study (ref. 2), apart from lines, furrows, and wrinkles, the other most important indicator of health, attractiveness, and youth, seems to be an even toned skin. This study looked at chromophore distributions as perceived by the human eye. Chromophores are light reflecting molecules found in melanin, collagen, and hemoglobin and determine luminosity and even tone of the skin.

Result: Irrespective of age, the study showed that the more luminous and even tone the skin, the greater the perception of attractiveness and youthfulness. Furthermore, with the help of the ‘SIA scope’, originally developed to detect skin cancers, these researchers are endeavoring to figure out what the most optimal distribution of light reflection or ‘attractiveness’ is as far as human eye perceptions is concerned. (ref.2)

There are many technologies/ingredients that have a proven track record and in the market place, numerous options are available for improvement of a particular skin concern. Most consumers, however, even if they know which active they are looking for in a formulation, have little knowledge of the variables involved for different derivatives of the same active.

As time passes, more and more derivatives of that same active are appearing – all marketed as superior to others. Putting aside user compliance and the factors that have been mentioned above, for any formulation, a sufficient concentration of that active is required for a substantive and perceptible difference. These concentrations are not available to the over the counter consumer, but have rightly to be acquired through supervised prescriptive formulations from a physician.

Even then, results vary and sometimes can be so subtle they are hardly discernible to the user, so that absolute promises, even in a credentialed medical facility, should never be made and assurances of improvements should always be conveyed with caution.

Smita M Patel Skin Clinic Director
KayaKalp Aesthetics

Published SPSSCS Newsletter 2014

Ref 1: -Journal of Investigative Dermatology (2001) 117, 1452–1457; doi:10.1046/j.0022-202x.2001.01577.x
Ref 2:- Human Behavior and Evolution Society Meeting, June 7-11 2006: study by Drs. K. Grammer, B Fink

Botanicals – Hype or Hope

These days, depending on who you speak to, a subject that elicits emphatic positive or negative response, is the question, “Are Botanical Cosmetics Hope or Hype”?

It is true that Botanical extracts have been widely used for ailments for thousands of years by many Eastern and Middle Eastern medical systems as well as by the native populations of Australia and the Americas well before the arrival of European settlers. Although, in general, their actions are as soothing, antioxidative and anti-inflammatory agents, it is only in recent times that definitive scientific studies have been conducted that have validated their usefulness for treatments of various ailments and conditions.

Today, since Botanicals are considered safe by the US Food and Drug Administration (FDA), they do not have the same restrictions for marketing as do drugs, even though they form the largest category of additives that are seen in cosmetic formulations. Whether these additives are from flowers, fruits, berries, leaves, stems, twigs, bark or root, all are extractions obtained by varying methods such as steam distillation, crushing, grinding, drying, boiling or pressing.

Many plant actives are the result of their protective antioxidative mechanisms to UV exposure of the sun. These antioxidants generally fall into 3 categories, carotenoids, flavanoids and polyphenols which we largely get from the foods we consume in daily life. Their benefits are shared by the whole body. Botanicals in topical skin formulations, however, can be specific to the area of application. Further, due to their soothing and anti-inflammatory effects, they are used for corrective anti-aging solutions, as aging is in part the result of chronic inflammation.

As time passes, a growing belief increasingly insists that “natural” is better, and has deemed Botanicals not only effective, but superior to synthetic chemical duplicates which are associated with “unnatural and prone to side effects”. It should however be pointed out that Botanicals have to go through chemical processing before they can be incorporated into a formulation. Furthermore the heating processes required may well diminish or destroy some of the actives in the essential oils, distillates etc.

Thus the method by which a botanical is extracted is as important as its source. Active chemical constituents and concentrations not only vary with different family members belonging to the same species of a plant but also their geographic location. Other variables include the time of the year harvested and the specific parts of the plant that are used. Also of critical importance to the efficacy of a formulation is the correct concentration of plant extract, packaging and ingredient synergy as many botanical actives have a “prima donna” attitude – enhancing the capabilities of some and voiding those of other ingredients when present together in a formulation.

There are many foods, whose pastes etc. can be used topically, but not all are necessarily of great value primarily because the molecular size of the extract may not be small enough to pass through skin barrier. However there are new studies underway that are focusing on drug additives that will open up the skin for infusion of actives. A published break through by a physician/chemist/scientist team* at Northwestern University, demonstrated that certain spherical arrangements of nucleic acid nano particles, (normal – ‘linear’) are able to attach themselves to proteins. These structures combined with commercial moisturizers can break through the stratum corneum and have deep dermis penetration, targeting biomarkers associated not only with cancers but possibly those associated with wrinkling and the aging skin. The development of this technology, pioneered by Chad A. Markin, rather than merely affecting a general topical area, could result in therapeutics that precisely target and turn off mutant gene responsible for certain diseases and conditions.

A genuine botanical active, that is pure, attains results in low concentrations. Unfortunately there are a growing number of commercial companies making dubious claims and outright imposters in the marketplace shelves. Furthermore since a regulatory body has not set efficacy standardization for production or dose for botanicals, the buyer and user alike should “be educated and be wary”. However used correctly, botanicals can be very effective.

Smita M Patel – Skin Clinic Director
KayaKalp Aesthetics

Published – SPSSCS Newslette.2013

Mineral Makeup

Mineral makeup seems finally to have come of age. Everywhere we turn, yet another company is touting” their latest breakthrough“. However this “new” makeup discovery has been around for quite a few years. Unlike traditional products, mineral makeup, strictly speaking should contain no perfumes, talc, alcohol, dyes, mineral oil or preservatives. No wonder it receives such a high approval rating from those in skin therapy. However not all mineral makeups are created equal.
Since there are many half truths and partial fact floating around, it is natural that many questions arise in the mind. How do the various brands differ? Is one brand better for you than another and why? Are mineral make-ups different from those powders and foundations that we have used in the past?

Actually, despite different brand names and marketing strategies, most mineral makeups are almost the same. Most of the formulations include ingredients such as micronized titanium dioxide, micronized zinc oxide, iron oxide, silk mica, hydrated silica, and bismuth oxychloride. Sometimes further additions of secondary ingredients are included, such as vitamins, extra skin softeners or stronger pigments to neutralize skin tone.

You may know micronized titanium dioxide, from the sunscreen that you use for this ingredient protects the skin from sunlight because the white mineral’s crystalline structure naturally reflects and defuses the sun’s harmful rays. Micronized zinc oxide is also a protectant from the sun and combines with the micronized titanium dioxide in reflecting the sunlight’s dangerous UVA and UVB rays.

Iron oxide is found in nature. Its natural red, orange and yellow pigment hues blend well into flesh tones for mineral foundations. Silk mica and hydrated silica are added to the formulation to soften and blend the mineral compounds giving a smooth texture and making the formulation suitable for application on the skin.

Chemically resembling arsenic and antimony, Bismuth occurs very rarely in nature and of all the heavy elements, is the only one that is no- toxic. Apart from its binding quality, its molecular make up gives it a shiny white opalescence making it highly refractive and ideal for camouflaging fine wrinkles and uneven skin tone.

Mineral makeup can camouflage a host of skin concerns. Since mineral makeup contains no irritating dyes or perfumes, people prone to allergies or with sensitive skin will find it an ideal makeup for their skin.. The acne-prone will find mineral makeup is organic, hypoallergenic and oil free that does not clog pores like some conventional cosmetics as long as there are no talc, bismuth oxychloride or other harmful fillers in the formulation.

Bismuth Oxychloride containing formulations should be used with caution by those with acne prone or sensitive skins. For the acne prone oily skins, the buffing application technique required to ensure that the formulation stays on the face forces the powder into the pore thereby perhaps clogging it if it is not cleansed thoroughly. As far as sensitive skins are concerned, it has been reported that some have becomes itchy and irritated after application of bismuth oxychloride containing mineral formulations.

Unlike traditional cosmetics, mineral foundations, is able to provide sheer to full coverage. There are a number of ways to apply this make up. A light, sheer finish can be accomplished by moving the applicator brush in small circles on the face. For more opaque texture it can be applied in layers with a damp sponge, resembling liquid foundation application.

Smita M. Patel – Skin Clinic Director
KayaKalp Aesthetics