101 Park Pl #200,
San Ramon, CA 94583

Make an Appointment

925-837-6000

Skin Care

PERFORMED BY DR GLADSTONE

Philosophy

Our unique Skin care program is designed to meet each client’s personal needs. Anna Marte, our certified Aesthetician will perform an in depth skin analysis and customize a skin care treatment plan to address your concerns and help achieve your goals. In addition, Anna will recommend a skin care regimen to complement your treatment plan.

Anna De Dios Marte, Licensed Esthetician

anna-esthetician-san-ramonAnna is an accomplished master aesthetician having performed medical grade aesthetician services for 16 years at both cosmetic and dermatology practices in Central and Northern California. Her background not only includes training as a licensed aesthetician, but also as a regional esthetician trainer and makeup artist. Anna is passionate about skin care and helping her clients achieve superior results. By combining her extensive background in clinical procedures together with the latest technical advances, she is able to personalize a successful custom regimen for every client.

Under Dr. Gladstone’s supervision, Anna treats problematic acne, dark spots and blotchy sun damaged skin and swelling on the face, neck, chest and hands as well as performing hair removal. Anna uses extractions, medical grade dermabrasion, customized facials, tailored chemical peels, lymphatic drainage massage and waxing to achieve excellent results in her patients. She also has expertise in treating ethnic skin in a safe and effective manner.

Having completed a course at the CoolSculpt University in Pleasanton, Anna also has advanced training in CoolSculpting evaluation and application for the noninvasive treatment of excess fat.

esthetician-san-ramon-caAnna is known throughout the Bay Area for her results and warm personality. Listening to her patients’ needs and ensuring that our patients have the best possible experience and outcome is very important to her. Anna believes in a holistic and comprehensive approach, and will make you look as good as you feel. For a complimentary consultation, please contact the Gladstone Clinic at 925-837-6000.

Aesthetician Service Menu

skin care
This is a model not an
actual patient

All of Anna’s facials are customized to your specific skin type and concern. Each facial includes medical extractions, exfoliation, custom blended masks, serums and hydrator.

Anna’s Signature Facial
Anti-Aging facial designed to reduce fine lines, wrinkles and uneven skin tone. This facial utilizes peptides to stimulate collagen and elastin production for younger, firmer skin.

Vitamin C Brightening Facial
Perfect for all skin types. This customized facial targets brown spots and sun damaged skin. Vitamin C is a powerful antioxidant that evens out skin tone, brightens and helps cells repair from environmental damage.

Acne Facial MD
This facial deep cleans pores to remove dirt and oil. Customized treatments provide exfoliation, antibacterial and anti-inflammatory benefits to increase cell turnover and help with future breakouts. Medical extractions are included in this facial.

 

Microdermabrasion
Non-invasive procedure that mechanically exfoliates top layers of dead skin cells. This procedure is used in combination with customized masks to exfoliate and hydrate. Leaves skin brighter and rejuvenated.

DermaSweep Infusion
Non-invasive procedure that mechanically exfoliates top layers of dead skin cells. As the top layer of skin is swept away, the unique DermaSweep system delivers advanced infusions that help correct skin imperfections. Each infusion has been carefully formulated with the purest of ingredients. The results are visible after one treatment.

Men’s Tune-Up Facial
Customized treatment designed specifically for men. This facial will exfoliate, hydrate and clean pores. This is an anti-aging facial to address fine lines and uneven skin tone.

Teen Facial
Custom blended with the teen’s complexion in mind. This facial treats and prevents breakouts. Includes deep pore cleansing, gentle extractions and healing mask.

Back Treatment
Back facials are beneficial in cleansing those hard to reach areas. Treatment targets a variety of skin concerns such as clogged pores, back acne and sun damage. This treatment includes deep cleansing, extractions and purifying mask.

A La Carte

Hand & Foot Treatment

(coming soon)
Eyelash and brow tinting
Eyelash extensions: (coming soon)

“Waxing services available”

Medical Grade Peels
Generally, medical strength chemical peels are suitable for treating the following concerns:

  • Sun damaged, sun spots and aging skin
  • Neck and decolletage rejuvenation
  • Hand rejuvenation
  • Acne, Large pores, Oily skin

BHA Peel
Beta Hydroxy Acid (BHA) Peels is a superficial quick, no downtime procedure that renew the skin by lifting dead cells off the surface of your skin and stimulating metabolism of the cells underneath. With a series of Beta Hydroxy Peels you can quickly achieve substantial improvement in the appearance of superficial lines and uneven pigmentation, while making your skin look and feel softer, smoother, and more radiant. Acne scars and enlarged pores may become less noticeable, and acne breakouts may be reduced.

How many treatments will I need?
4-6 peels at weekly intervals are recommended for noticeable improvements.

The Procedure
The procedure takes between 10-20 minutes. You will experience a tingling, itchy sensation for a few minutes when the peel is applied.

How does my skin look after the peel?
Redness after the peel Minor flaking of the skin over the next 3-7 days. The effectiveness of the peel is not determined by the extent of visible peeling.

AHA Peel
What is Alpha Hydroxy Acid (AHA) Peel?
Glycolic and lactic acids are both AHA. Glycolic acid is found in sugar cane and lactic acid is derived from milk. Lactic acid is also a good humectant (increases hydration levels in the skin). It is applied to the skin in various strengths ranging from 30-70% for varying time frames depending on the desired result and skins response.

How does it work?
It loosens the thickened surface layers that appear as dry, rough, scaly skin and stimulates the production of collagen in the deeper layers. As the uppermost layers are sloughed away, a smoother textured and healthier skin is revealed. AHA peels are used to treat mild sun damage, pigmentation and loss of elasticity.

What can AHA peels treat?

  • Fine lines
  • Age spots
  • Pigmentation
  • Acne

Who are the best candidates for glycolic/lactic peels?
All skin types showing signs of aging or acne. It is appropriate for patients who do not need or feel ready for deeper resurfacing or stronger peels like TCA / Jessner. Lower strength peels are good for those patients who do not want any visible peeling.

How many treatments will I need?
4-6 peels at weekly intervals are recommended for noticeable improvements.

The Procedure
The procedure takes between 10-20 minutes. You will experience a tingling, itchy sensation for a few minutes when the peel is applied.

How does my skin look after the peel?
Redness after the peel. Minor flaking of the skin over the next 3-7 days. The effectiveness of the peel is not determined by the extent of visible peeling.

Home care products to use for the following 5 to 7 days:

Morning/AM: gentle cleanser / gentle moisturizer and SPF 30 or higher is best recommended – Night/PM: gentle cleanser / gentle moisturizer.

6% Kojic Acid Peel
What is it for?
AHA Kojic Acid Peel is generally safe for most skin types particularly normal to dry, hyperpigmented, sensitive/reactive, sun damaged, dull, and uneven skin. Sensitive skin should progress product potency over time. The Kojic Peel may be appropriate for those patients who have never had a chemical peel. However, there are different strengths of Kojic acid which can produce different results and downtime.

Ingredients:
Deionized Water, Glycolic Acid, Lactic Acid, Kojic Acid, Licorice Extract, Bearberry Extract, Citric Acid, Malic Acid, Sodium Lactate, Sodium Hydroxide, Xanthan Gum, Phenoxyethanol, Caprylyl Glycol, Potassium Sorbate, Hexylene Glycol.

What It Improves:
Improved skin tone, texture and clarity. Reduction of acne, clogged pores, shallow wrinkles, fine lines, melasma and hyperpigmentation. It may also increase collagen and elastin production which can make skin thicker and more supple.

What to Expect:
You will have stinging sensation after it is applied as well as an increased skin sensitivity. You should expect some peeling and redness.

Post Care:
Broad spectrum physical sun block is very important as is moisturization.

Downtime:
It varies accordingly to individual skin traits. Superficial to medium depth peels approximately require a 7 to 10 day complete recovery period.

How Many:
2-6 peels

Jessner Peel
Jessner solution contain 12% each of lactic acid, salicylic acid and resorcinol. Salicylic acid is lipophilic that is dissolves in oil and thus is great for removing congested pores in acne prone patients. Jessner solution induces superficial peeling of the skin and is used for reducing textural irregularities, fine lines and wrinkles. In the deeper dermis layer, it encourages collagen production. The Jessner peel is a mild to moderate form of peeling. Its strength and therefore its peeling effects can be increased, by layering the applications. This would be dependent on the patient’s skin type, skin condition and desired outcome.

What can Jessner peels treat?

  • Sun Damage
  • Acne and congested skins (pimples, blackheads and whiteheads)
  • Enlarged pores
  • Pigmentation (sun spots, freckles and melasma)

Patients who cannot have this peel are those with:

  • Allergies to aspirin based products (salicylates), resorcinol or lactic acid
  • Accutane use in the last 6 months
  • Dermatitis or infection in the area to be treated
  • Pregnancy
  • Abnormal wound healing
  • Tanned patients or those with darker skin types

How many sessions do I need?
We recommend a course of 2 to 6 peels, this is dependent on skin type, skin condition, peel strength and the desired outcome.

What does it feel like?
Jessner solution is at a low pH, so it will sting a little, though will not hurt. Throughout the peel application (10 to 20 mins) the patient holds a device, which gently blows out cool air onto their face – this helps to reduce the sting.

How does my skin look after the treatment?

  • Mild to moderate redness and sensitivity (similar to a sunburn) lasting 12 to 48 hours
  • Skin feels dry and tight
  • Some darkened areas of skin may occur (this is skin preparing to shed)
  • Varying amounts of flaking/peeling can occur for approximately 3-7 days after your treatment. It is very important not to pick or peel the skin prematurely as this can lead to prolonged healing or even scarring
  • Makeup is fine to use, though just keeping the skin moist often looks better and assists in faster peeling time.
  • After the skin has shed it has a healthy glow, feels softer, smoother and is more even in color
  • It is important to protect the new skin from the sun by using a broad spectrum (UVA/UVB) SPF 30+ sunscreen daily

Potential complications

  • If the peeling skin is removed prematurely, prolonged healing and or infection is possible and may lead to a scar
  • Possible herpes simplex outbreak if prone to cold sores
  • Hyperpigmentation (darker areas of pigment on the skin) lasting 1 to 12 months

Skin Preparation
Prior to having a Jessner peel, we recommend that the skin is primed with active ingredients for at least two weeks prior to the peel. This is to maximize peel outcomes, assist in speeding the healing time and reduces the risk of post peel complications. A specific skin care regime will be recommended to you at your initial consultation. Patient After-Care for Superficial Peels Now that you’ve had your first peel, there are a few simple steps for after care that you will need to follow: Avoid the use of moisturizers or lotions containing active ingredients such as retinol, glycolic acids, perfumes and colognes. Please use the moisturizer recommended to you for 3-7 days or until your skin is no longer sensitive. Thereafter, continue with your usual moisturizers unless advised otherwise. Your skin will be a little more sensitive to the sun so keep sun exposure to a minimum. Please wear a hat and sunscreen daily. This should be a regular routine for you anyway! Apply foundation as you wish. Slight crusting and/or scabbing in particular areas may develop. If so, please do not rub or pick the skin as this may lead to scarring and post inflammatory hyperpigmentation.

Expected changes over the next 7 to 14 days include:
Day 1 to 3 – Tight, dry skin with moderate redness and sensitivity Day 2 to 5 – Areas of darkened skin (this is the old skin in preparation to peel) Day 3 to 7 – Peeling or slight flaking lasting 2 to 5 days

Home care products to use for the following 5 to 7 days:

Morning/AM: gentle cleanser / gentle moisturizer and SPF 30 or higher is best recommended – Night/PM: gentle cleanser / gentle moisturizer

TCA Peels
What is a TCA peel?
TCA stands for tri-chloroacetic acid and is one of the original skin rejuvenation peels. They are recommended for men and women of all ages wanting to improve moderate to severe sun damage and or signs of aging.

What can TCA treat?

  • Premature aging from the sun
  • Pigmentation and freckles
  • Fine lines
  • Some types of acne scarring

Can I have a TCA peel?
You may not have a TCA peel if you have:

  • Accutane use in the last 6 months
  • Dermatitis or infection
  • Pregnancy
  • Abnormal wound healing
  • Darker skin type or tan

How many sessions do I need?
A course of 2 to 4 peels, 2-4 weeks apart which is dependent on skin type, skin condition, peel strength and the desired outcome.

What does it feel like?
TCA 12% peels have a burning sensation when initially applied, which subsides in a couple of minutes as it neutralizes. During this time the patient holds a device over their face, which blows out cool air, significantly helping to reduce the sting.

How does my skin look after the treatment?

  • Mild redness and sensitivity (similar to a sunburn) lasting 12 to 48 hours
  • Skin feels dry and tight
  • Some darkened areas of skin may occur (this is skin preparing to shed)
  • Varying amounts of sheet peeling (like sunburn) will occur for approximately 3-7 days after your treatment.

Potential complications

  • Prolonged healing and or infection is possible and may lead to a scar if skin incorrectly cared for
  • Possible herpes simplex outbreak if prone to cold sores
  • Hyperpigmentation (darker areas of pigment on the skin) lasting 1 to 12 months

Skin Preparation
Prior to having a TCA peel, we recommend that the skin is primed with active ingredients for at least two weeks prior. This is to maximize peel outcomes, assist in speeding the healing time and reduces the risk of post peel complications. A specific skin care regime will be recommended to you at your initial consultation.

Home care products to use for the following 5 to 7 days:

Morning/AM: gentle cleanser / gentle moisturizer and SPF 30 or higher is best recommended – Night/PM: gentle cleanser / gentle moisturizer