Embarrassed By Spider Veins

Spider VeinsThe warm weather is finally here and it is time to breakout your shorts, sundresses and bathing suit, but when you look at your legs you are reluctant to show them. The embarrassment of spider veins covering your legs makes you feel less than confident with wearing summer clothes. Once again, you wish you had contacted KayaKalp Aesthetics in Beverly to schedule a consult to remove the small cluster of reddish veins that are around your knees, thighs and lower legs.

Though it is often preferred to have Sclerotherapy (Spider Vein Injection Therapy) in winter months, the procedure is minimally invasive and often you are back to work in 3-5 days after a treatment.  There is bruising and you must limit sun exposure during treatments, but this is an in-office procedure that takes only 1 to 2 hours to perform.

Spider veins can appear anywhere on your body and Sclerotherapy and Spider Vein Laser Therapy are two treatments that are available at KayaKalp. Sclerotherapy is performed by injecting a highly concentrated saline(salt) solution into the individual spider veins.  The salt solution causes an irritation on the inside walls of the spider veins causing them to potentially scar down and collapse the vein. Over time the body removes the collapsed vein. Spider Vein Laser Therapy or Intense Pulse Light Laser (IPL) uses a spectrum of light shined onto the skin to treat a variety of skin and vein issues. The light shrinks the targeted veins and makes them disappear.

To learn more about your options for Spider Vein treatments please contact our office at 978-927-6556 to schedule a consult or email our doctor at jpatel@kayakalp.com .

The Boobie Trap

I never understood breast augmentation. At the age of 16 I was a double D with a 5’4”, 100 pound frame. I envied flat chested girls and yearned to be one. Be careful what you wish for. A breast reduction, 2 nursed children, aging and some weight loss later and I got my wish. Limp, lackluster, sad little things. And yet, I know that if I had kept my double D’s, they’d be down around my belly button about now, so not a particularly appealing sight either. I came to realize that small does not mean perky and big does not mean full and voluptuous. Time takes its toll on them all and there’s really only one remedy. Breast Augmentation. It’s the only way to bring those babies back to life and back to life they will be! At KayaKalp, breast augmentation is such an art, so natural, I honestly wanted to sign up for one on the spot. They use saline as well as silicone (no more health risk or leakage with silicone and it feels exactly like real breast tissue…I’ll take the silicone please), round or anatomical, tear drop shaped implants. Incisions are made just below the breast and around the areola..nothing you will ever see 6 months down the road. And there is no interference with mammogram screening (phew). A lift might be in order as well (depending on how low the girls have fallen) but this will get determined when you see Dr. Patel. Imagine having beautiful, natural looking breasts that a 20 year old would envy. You could walk downstairs with a t-shirt on and no bra and not feel the need to cover up your sorry state of affairs with a wool sweater. Bathing suits would be fun to put on again and you wouldn’t have to buy the extra padded ones! I’m in! How about you? 
If you sign up for a consultation using the code BT15 before June 1st, 2015, your consultation will be free! (They are normally $200) Go for it.
Larissa Mills

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