This is Needling You’ll Actually Like

microneedlingAll of us have friends who are expert needlers, giving us the business about any misstep in life. While their utterances can be amusing, there is another type of needling that is actually beneficial — microneedling at Deschutes.

At Deschutes we use the Rejuvapen microneedling system for treatment of wrinkles and scars. The procedure is technically called percutaneous collagen induction therapy.

How does microneedling work?

The concept behind microneedling is to create a response in the body that is the same as when the body receives a wound. When the skin is injured the body rapidly gets to work repairing it. In addition to the platelets that close the wound off from any more blood loss, the body is also rebuilding the skin by producing new collagen and elastin for the area. Collagen is responsible for the skin’s support, keeping it firm and tight. Elastin makes the skin supple.

In Rejuvapen microneedling, 12 tiny needles are located in the tip of the microneedling pen. When used over the target area, the needles produce microscopic holes/channels down into the skin. These heal in just a few hours, but the body perceives them as injuries and elevates collagen and elastin production in the area to compensate.

This has two benefits. First, it stimulates the healing response. Second, these short-lived channels down into the skin are great for the application of topical gels and creams to penetrate below the surface of the skin.

What do we treat with microneedling?

  • Fine lines and deep wrinkles around the eyes, mouth, and forehead
  • Deep lines and crepe-like texture across the face can be firmed
  • Coarse, sun-damaged skin
  • Acne, burn, and surgical scars
  • Stretch marks
  • Overly large pores

We use a topical numbing cream prior to your treatment, so you feel no pain. And your recovery is minimal.

Interested in addressing some of those fine lines and skin issues? Call us at 541-330-0900 and let’s talk about microneedling.

Ditch the Razor, Grab the Ray Gun

When you’re shaving your underarms and legs, don’t you feel like Bill Murray in Groundhog Day? You remember that movie, where he was sent by a TV station to cover Punxsutawney Phil coming out of his burrow to denote the start of spring? Well, after the first day he kept awakening every day thereafter and had to repeat the previous day.

That’s what shaving your legs and other areas with unwanted hair is like. You do it, scraping your skin, waxing, plucking, and then a couple weeks later you have to do it all over again…forever. Ugh!

Why not simply zap those hairs away like Luke Skywalker zaps the occasional stormtrooper? We can do that with our laser hair removal at Deschutes, and you’ll be rid of that hair permanently.

How laser hair removal works

Laser hair removal focuses on the hair follicles. Our lasers are very specific and target the hair in the individual follicles. The laser energy is then absorbed by the hair and travels down the shaft into the follicle. The light energy is converted to heat energy, which destroys or thoroughly damages the follicle, preventing it from growing hair.

Laser hair removalLaser hair removal works the best on darker hair, as the laser can easily target the darker colors. Also, each hair on the body is in different phases of the growth cycle. The anagen phase, the growth phase, is the best time to zap the follicle, but not all of the hairs are in that phase of the cycle. For that reason, multiple treatments are necessary to fully eliminate the hair in an area. Although the treatment is permanent, a few hairs can rebuild the follicles and regrow hair, so periodic maintenance touchup treatments are sometimes necessary down the road.

After your treatment

You may experience redness and slight swelling on the treated areas for the first few hours after your procedure. If you want you can apply ice to the area, but this irritation quickly passes. Also, you’ll need to avoid sun exposure after treatment.

Your body will begin to push out the dead hair and the follicles. It will appear that the hair is still growing, but it will fall out in 7-10 days after treatment. During this time, you shouldn’t tweeze or wax, instead letting the follicles shed on their own.

Interested in ending your Groundhog Day of hair removal? Call us at Deschutes, 541-330-0900 and let’s start zapping those unwanted hairs!

The P is Silent, the Irritation Isn’t — Psoriasis

Like the word gingivitis in the dental word, the word psoriasis is known to most people from the world of advertising. Psoriasis is a skin condition that is known more for its potential embarrassment of the sufferer rather than pain or discomfort. Still, at Deschutes we have various ways to help lessen the impact of psoriasis.

What is it?

Psoriasis is a skin condition that shows itself as patches of red, silvery scales on the skin. When behaving normally, skin grows at a consistent, gradual rate. Old skin cells are typically shed every four weeks. But when a person has psoriasis, they have abnormal lymphocytes that cause this skin process to happen at an accelerated rate, resulting in thick patches with dry flakes. It is usually shows itself on the elbows, scalp, hands, lower back, and knees. It is not contagious.

There are varying degrees of the condition. It is very common in adults, but children can have it, too. Many people may have it but not even be aware because it is only showing up in faint dry patches. But for others, severe psoriasis can leave red, thick scaly skin across much of their body. Obviously, in these cases, sufferers avoid activities such as swimming that require exposing areas of skin.

What’s the cause of psoriasis?

newsDoctors consider psoriasis to be an incurable, chronic skin condition. Exact causes are unknown, but it is believed that an overreaction in the immune system causes the skin to react with the rapid cell turnover that leads to inflamed, flaky skin. There are possibly genetic and environmental factors involved, as well.

Cold, dry weather tends to make psoriasis reappear or worsen (sound like anywhere you know?) Also, stress, infections, and certain medications can exacerbate psoriasis.


At Deschutes, we treat psoriasis differently for each patient. Mild cases can be treated with creams, ointments, and lotions. Shampoos, oils, and sprays can be used for treatment on the scalp. Although this seems counterintuitive, exposure to sunlight can help. If your psoriasis is more extreme, we may prescribe certain skin products and medications, even injections to boost your immune system. Phototherapy using UV light can also be effective, especially for more involved cases.

If you are embarrassed by your psoriasis, call us at Deschutes, 541-330-0900, and let’s see how we can help you.

Understanding Acne

Acne. Stop right there! Your teenager just ran out of the room screaming!

Yes, that single word, clinically known as acne vulgaris, is way scarier to a teenager than Saw V. Acne can ruin a young person’s life, at least in their minds, or surely cause a crimp in their self-esteem. What causes this scourge of youth?

What’s behind those zits?

acne treatmentAcne comes down to the sebaceous glands at the base of the hair follicles. The sebaceous glands produce oil, keeping the skin and hair lubricated and moist. Acne forms when the hair follicles under your skin clog, trapping the oil beneath the skin. You know where acne is more prevalent: on the face, back, neck, shoulders, and chest. It appears as occluded pores (blackheads or whiteheads), red bumps (pimples), pustules, or cysts.

The condition isn’t serious — although don’t tell this to your 16-year-old daughter in the midst of a breakout — unless the acne is cystic in nature. Those cysts can scar the skin.

Causes of acne

Acne is still somewhat of a mystery, believe it or not. Doctors believe it’s due to a combination of factors. The rise in the male sex hormone androgen in teenagers of both sexes is thought to be the primary cause. When androgen levels increase the oil glands enlarge and produce more oil.

Genetics also play a role. Some people are simply more prone to the condition. Hormonal changes during pregnancy can trigger acne outbreaks, even if you got off easy as a teenager. Certain cosmetics and medications cause breakouts for some people, as well. Research has not proven any link between foods such as chocolate or junk food and acne.


At Deschutes, every acne case is individual, so our treatments are always varying. We employ products that contain active ingredients such as Retin-A and Resorcinol. We also put patients on skin care regimens with various products. If these options don’t work we may work with oral antibiotics or topical antimicrobials such as adapalene, tazarotene, and tretinoin.

If your teenage is suffering with acne, let’s have a look. Call us at 541-330-0900

Rip that Earlobe? We’ll Fix It.

Modern earrings can be a challenge. Big hoops. Big plugs. If they’re not getting caught on things and tearing the earlobe, they’re stretching the earlobe beyond its ability to snap back.

What do you do then?

Come to Deschutes and let us repair those earlobes.

What is earlobe repair?

Earlobe repair is a specialized field in cosmetic dermatology that addresses the correction, repair, and reshaping of earlobes that have been split, stretched, or are naturally out-sized.

Split earlobe repair

When an earring catches on something, the post can rip completely through the earlobe. This, of course, leaves the patient with an unpleasant looking earlobe, and the person can’t wear an earring again in that ear.

ear surgeryThe procedure is simple. After local anesthesia takes effect, Dr. Carter will cut away any skin that has healed on both of the split sides. This needs to be removed because this skin will no longer heal together. Next, the two incision sides are sutured together to make the lobe whole again.

Stretched earlobe repair

The bigger the plugs, the more the lobe can be stretched beyond the point where the elastin in the skin will allow it to come back to its original form when the plug is removed. And plugs keep seeming to get bigger and bigger!

When the wearer wants to repair the damage, he or she needs to first remove the plug and let the lobe settle into its shape. Once the lobe has healed as much as it can, then it’s Dr. Carter’s turn. Like in the repair of a torn earlobe, she’ll stitch the two stretched sides together to eliminate the hole. If some skin is stretched so much that suturing it together will still leave some loose skin, she may need to remove the excess.


After five days, the stitches will come out. Future piercing? Do not do it on the scar or adjacent to the scar because this skin is weaker and will tear again more easily.

Need to repair your earlobes? Let us handle it at Deschutes. Call us at 541-330-0900 for an appointment.