Your 3 Level Plan to Get Rid of Acne and Reduce Acne Scarring before Fall

before and after acne treatments
A PAW patient before and after she underwent treatment for acne. We prescribed a six month regimen of Vivier skin products and oral antibiotics.

A quick Google search of “get rid of acne fast” yields articles that tell you how to get rid of acne and acne scars at home. We at PAW are not claiming that home acne remedies don’t work—some do and some don’t—but all of them involve risk, as you cannot control the quantity of active ingredients in them. At best, the effects are minimal and appear over a long period of time. At worst, you can cause severe and painful damage. If you really want to get rid of body acne, facial acne, or reduce acne scars by fall safely and quickly, you have to get aggressive with some physician-managed treatment planning.

We’ve broken down our acne and acne scarring treatments based on a very broad range of aggressiveness: Level 1, being the least aggressive (but still effective) treatment, to level 3, being the most aggressive treatment. Without hearing your history and seeing you in person, we can’t diagnose which kind of treatment you need, but we’ve given you this range so you can see how much time each type of treatment could take. The purpose of this article is to give you a loose plan for how much time you might need to get results, but you will need to consult with a professional to get a diagnosis.

Schedule your consultation to find out which acne treatment or acne scarring treatment plan is right for you!

Level 1 Acne Treatment: Pharmaceutical Grade Skin Care Products

 Time until noticeable results: 4 weeks, *but give it 3 months minimum as more sensitive skin needs time to adjust

 Time between treatments: None. Use Twice Daily

Level 1 is specific to the mild, occasional acne breakout or very superficial acne scarring. It is also useful for ongoing, preventative treatment and post-recovery after any of the other procedures listed below. A four-week treatment plan with a high-quality, pharmaceutical grade product like Vivier™, used twice a day, will yield great results.


Pharmaceutical grade products contain more active ingredients than allowed by the FDA in over-the-counter products. This shouldn’t mean that they are harsh or overly chemical, but rather that those ingredients are subject to careful standards imposed by the government to give you the right balance for optimal skin health.


We use Vivier, because it is effective, yet very gentle. At PAW, our philosophy is health from the inside/out. Some products will take care of an overlying problem, but you might pay the price of underlying damage to your skin. We’ve tried and tested Vivier™ and are always happy with the results.


To fight acne, look for ingredients like benzoyl peroxide, salicylic acid and for mild acne scarring, glycolic acid. Avoid products with harmful and unnecessary perfumes or dyes, as they will make the acne problem worse.


For oily, acne prone skin with occasional breakouts, we recommend Vivier HEXAM™. For drier skin, the Vivier Foaming Cleanser™. In combination with either of the above products we use the Vivier Vitamin C Scrub™, which contains microbeads for gentle exfoliation you can do everyday.


You can visit our office and try any of our Vivier™ products at our test sink. Mention this blog post and receive 10% off any Vivier™ product!


Level 2 Acne Treatment: Chemical Peels


Time until noticeable results: Immediately – 7 days post treatment


Time between treatments: 4-6 weeks, may need more than one treatment depending on your results.


Warning: No sun exposure 10 days before and after a chemical peel.


If your acne or your acne scars are mild to medium, a chemical peel is a good treatment option for you. Your results will depend on how deep your treatment is, which is dependent on the type of your acne or acne scarring.


On our chemical peels services page, we explain the different types of peels we have, from medium to deep. Look for spas that use pharmaceutical grade chemical peels with ingredients that include 2% salicylic acid.


If you are trying to reduce the appearance of superficial acne scars, you will want a chemical peel with a combination of acids, which studies have shown to be effective in treating scars. At PAW, we offer the Jessner Peel for mild to moderate scar treatment, as it contains lactic acid, salicylic acid and resorcinol.


We also use the Perfect Derma Peel as a more aggressive option. Among several different acids in this peel is tricholoroacetic acid (TCA). TCA has been shown in clinical studies as being very effective in reducing certain types of acne scarring.


If you’re in the area, stop by for an assessment of your skin and a recommendation on which type of peel would be best for you.


Mention this blog post and receive 10% your chemical peel treatment!

perfectderma logo

Level 3 Acne Treatment: Micro needling, Photo Rejuvenation (BBL) or Micro Laser Peel for Acne Scars



Time Until Results: Immediately –10 days

Time between treatments: 4-6 weeks

No Sun 10 days before and after treatments for BBL and 3-4 weeks for Micro Laser


If you have an acne flare up and need it gone now, with little recovery time, then a spot treatment for active breakouts with the acne blue light is the perfect tool. Our Sciton Jewel BBL Machine is safe, effective and administered by a physician in our spa.


Our micro laser peel helps with pitted acne scarring, fine lines and wrinkles. We do not recommend a patient undergo this invasive treatment during an active acne flare-up. The downtime is approximately ten days, but the results are remarkable.


If you aren’t ready to consider laser treatments, [micro needling] is a procedure that, after 3-6 treatments, shows very promising results for anti-aging and reduction of acne scars. It requires less downtime than a laser and is less costly.


None of these treatments are mutually exclusive, as studies have shown that combined acne treatments really are the most effective way to combat acne and acne scarring. Dr. Botros can also evaluate your skin to see if you need oral medication if the above products are not giving you proper results, or to use in combination with some of the above treatments.

Sciton Inc Logo clr Because Results Matter


rejuvapenHalo Logo_ColorCall us by the end of August to schedule your complimentary consultation and make a plan to get rid of your acne or reduce your acne scarring by fall, all with your beauty budget in mind.

Stop Clicking on Easy Weight Loss Ads! Read This!

Easy Weight Loss Linkbait

Do you sometimes click those ‘easy weight loss’ ads out of curiosity? That’s ok! Everyone wants to lose weight easily and quickly, but if those ads were true for everyone, we could click the links, do what they say, and put a multi-billion dollar industry out of business. The fact is, all of us are unique—not just different body types but metabolisms, lifestyles, health issues, likes and dislikes. What works for you, probably won’t work for me. The only way to lose weight is to not to do it alone. Get the medical, physical and emotional support you need with a weight loss team!

The Weight Loss Doctor

The most important person on your team is a doctor who specializes in nutrition. I’m not just saying that because I am one. Don’t disregard those disclaimers that read, “Before starting this or any other program please consult your physician.” When I meet with a patient, I take a full physical, ask questions as to lifestyle habits and likes/dislikes and then prescribe a careful, customized diet to get those pounds off. I focus on whole body health, making sure my patients stay within the limits of what their bodies are capable of, working towards their goals slowly and safely.Pro Cal 100 Vanilla Shake Product ShotFLEXPRO-LOGO



The Weight Loss Personal Trainer

Next, time to exercise, but not alone. If you’ve ever watched The Biggest Loser, then you’ve seen an extreme example of how this is done. The media is buzzing right now with the results from a published study of The Biggest Loser in the Obesity Journal, which found that six years after sixteen contestants lost weight on the show, all but one had gained back a significant portion of the weight they lost and worse, they had completely destroyed their metabolisms, making it much harder to lose weight again. The lesson: just like you should consult a doctor to prescribe a proper diet, you need an expert trainer to prescribe a safe, individualized exercise plan that you enjoy and will want to continue for a lifetime. This is about being the smartest, not the biggest, weight loser.


The Weight Loss Partner

Mark Hamade Before Weight Loss
Mark Hamade Before
Mark Hamade After Weight Loss
Mark Hamade After



My good friend and patient, Mark Hamade, finally lost the weight he had struggled with for years and has kept if off. He lost some pounds, regained some, and then lost them again, finally keeping the weight off. Mark struggled with some serious health issues, personal tragedy and job stress, too. Finally, he gathered what he calls his “world class team” to help him meet his goals. Even now that he has achieved success, he keeps in touch with his team to keep the weight off. You can read Mark Hamade’s amazing story on his website and email him for advice. Mark is passionate about helping others to achieve their goals.

While I was in medical school, I struggled with my weight, too. You can read a little about my story on the About Page of this website. I have managed to lose the weight and keep it off with the help of my own team. Weight loss isn’t easy, which is why you can’t do it alone! You need support to make lifestyle changes and keep the weight off forever.

Please call me to schedule a free consultation and we can talk more about your personal weight loss team.

The Dangerous Reality of Suntanning

Photo courtesy of
Sunburn tattoos: A dangerous new trend.          Photo courtesy of

A recent study from Ohio State University proved that sunscreen with an SPF of 30 can prevent cancer caused from UVB rays. When we at PAW read this, we rolled our eyes and said, “Duh.” Then we thought about it for a moment and said, “What took them so long?” Although it’s common knowledge that sunscreen protects us from cancer causing rays, it turns out that it was never proven in a formal study until now. At PAW, we are in the business of keeping your skin healthy. It’s our hope that this study might sway public opinion enough to the dangerous reality of suntanning and cause everyone to protect their skin with sunscreen.


Lung Cancer and Cigarettes

So many things wrong here.

How do you prove something is really deadly to humans without harming actual humans? The medical community first watches people. If a group of people is doing something and they keep getting the same results, then it’s pretty logical to connect the action with the consequence. That called observational evidence.

A good example of observational evidence is the link between lung cancer and tobacco smoking, which wasn’t discovered until about 1920. German scientists realized that lung cancer, once a rare disease, was happening to almost everyone—everyone who smoked, that is. You can read all about it here in the History of Cigarette Research. But, when they published their thoughts, the world kept smoking.

Then other researchers started experimenting with cigarettes and found out that the carcinogens, or chemicals in cigarettes was giving mice and rats cancer. The world saw their favorite movie stars light up and kept following along, as by this time smoking was glamorous.

An iconic smoking moment
An iconic smoking moment

But, when alarmed scientists started aggressively proving what they already knew by the early 1950s, the world took notice. One study grew cancer tumors out of the backs of mice slathered in nicotine tar. Time Magazine put a picture on the cover. Then the world collectively began to freak out. Over the next ten years, the whole house of cards came crashing down. Smoking went from being perceived as sexy and sophisticated to being a deadly habit.

Skin Cancer and Sun Exposure

Let’s go back to sunscreen. It’s common knowledge, based on observing skin cancer victims and noting their frequent exposure to UVB and UVA rays in sunlight, that sun exposure causes skin cancer. The American Academy of Dermatology says that skin cancer is the number one cancer in the U.S and a bunch of other scary statistics you can read on their site.

An iconic tan moment.
An iconic tan moment.

But, here we are again. Suntans are considered sexy. They convey an image of health and fitness, even though we know that tanning is dangerous and can cause cancer. Unlike people in the 1950s who could simply quit smoking, we can’t quit the sun. A little sun is good for us.

That’s why we are so excited about this Ohio experiment, which has conclusively shown us that sunscreen really can protect us from harmful UVB rays. Since we can’t quit the sun, we now have a proven-to-be-effective option to protect ourselves from it—with sunscreen. The more you remember to put on sunscreen before going out, the better chances you have in avoiding damage from harmful, cancer causing rays. This makes our job happily easier!

Happy summer and stay protected! We would love for all of our PAW customers to have a do-over. If you want to undo any sun damage to your skin in time for summer, please check out our May Get Summer-Ready Special! In the meantime, make our jobs easier by putting on your sunscreen. If you make one pre-summer purchase we recommend Vivier’s NEW sheer broad spectrum SPF 45 with transparent zinc oxide. No matter your skin type, now is the time to start protecting your skin, even if you haven’t in the past!

Call if you have more questions about sunscreen options 816-463-4440.

Mention this blog post and receive 10% off any Vivier sunscreen!

Sunscreen Buying Tips




Look Ten Years Younger in 120 to 180 minutes!



Fillers and neuromodulators are unable to improve scars, hyperpigmentation, sunspots, enlarged pores or deep-set wrinkles. In the past, to look ten years younger we had to undergo laser resurfacing that sent us into hiding for a week, hoping that the pizza guy would just leave the box and slowly back away. Most of us have opted to wait for the technology to improve rather than tell our bosses that we have to attend a relative’s funeral in Siberia. If Google can make a self-driving car then someone ought to invent a way to look ten years younger in just 120 to 180 minutes, with no downtime, right?


Laser Resurfacing Results with No Downtime


Sciton did it! The Halo® Laser from Sciton can give you drastic results, without the shredding of your face and dignity. With just two to three visits of 60 minutes each, and no downtime, you can seriously look ten years younger. Plaza Aesthetics & Wellness is one of only a few spas in the Kansas City Metro area that offers this magic wand to patients. Dr. Botros and staff have been extensively trained by Sciton to use the FDA laser safely and optimally.


Cost of Laser Resurfacing


Treatments range from $1000-$2500 each, depending on the area or areas treated (common treatment areas include face, neck, and décolleté.) This is a small price to pay for the healing that this laser can induce in your skin, without having surgery, with little risk and minor to no discomfort.


If you still have a question about the Halo® and can’t find the answer in Our Services, or the FAQ, just give us a call or send us an email! Better yet, come on in to discuss whether or not the Halo fits your goals and beauty budget. We’ll make you a cocktail or a cup of tea, you can kick your feet up and we can have a long talk.


Click here for our May “Get Summer-Ready” Special! Full-face treatment for $1000+tx retail normally $1500!

Laser Resurfacing B&A 1Laser resurfacing B&A 2Laser resurfacing B&A 3

More Information About Laser Resurfacing


We know our patients like to do all of the research before deciding upon a treatment, so below we’ve made a list of links to reputable sources explaining the different types of laser resurfacing, some more info about the Halo® and anything else you might want to know.



Types of Cosmetic Lasers (This list doesn’t include the Halo®, but we emailed them with an update.) reviews for the Halo®




Sciton (videos)


Scientific Research (You won’t have access to the full text, but can read abstracts, if you like that sort of thing. We sure do!)