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Dr. Joseph Kepko

Reigning 2015 "Best of Bucks" Aesthetic Physician and Clinical Skin Care, Dr Joseph Kepko is board certified in Family Medicine and has completed fellowships in Aesthetic Medicine, Aesthetic Laser Technology and Anti-Aging Medicine. Earning a Bachelor of Arts in Biology from Holy Family University, he obtained a second degree at the Lower Bucks Hospital School of Medical Technology.

Dr. Joseph Kepko

Graduating with a MT (ASCP), he is registered with the American Society of Clinical Pathologists. Dr. Kepko obtained his doctoral degree from the Philadelphia College of Osteopathic Medicine. He is member of the American Osteopathic Association and the Pennsylvania Osteopathic Medical Association. He is Clinical Instructor of Family Medicine at Drexel University, Philadelphia College of Osteopathic Medicine and Lake Erie College of Osteopathic Medicine. Dr. Kepko is a Residency trainer in Family Practice and Aesthetic Medicine at Aria Health Systems. Dr Kepko is the Medical Director of Bella Body Aesthetics.

Dr. Kepko is a lifetime resident of Bucks County, Pennsylvania. He and his wife Linda have three children.

Medically Supervised Diet

Laser Hair Reduction

Treatment areas include bikini line, face, chest, abdomen, back, legs, underarms.

How does laser hair reduction work?

Laser hair removal is the use of laser energy to produce long-term hair reduction. This is accomplished by producing heat in the hair, which is transferred to the hair follicle, which in-turn produces inflammation, and this inflammation sends a signal to the hair follicle to go into the resting (telogen) phase.

How Many Treatments Does it Take?

Normally, a series of six to twelve treatments are administered at four to six week intervals depending upon the location of the hair. Following the initial series of treatments, subsequent treatments are administered, usually at longer and longer intervals. Some number of maintenance of treatments may be needed to keep all the hair away in a given area. After a single treatment, the hair in a given area is usually reduced in amount and thickness for a very long period of time. However, it may not be completely gone. To keep an area completely devoid of hair, maintenance treatments are always required. These maintenance treatments may eventually be required at only yearly intervals or even longer. This depends on the area being treated as well as the individual. As with any other traits in an individual, the frequency of maintenance treatments varies considerably from person to person. There is less discomfort as each session is completed.

Because the laser energy is absorbed in the hair follicle producing heat, there is some sensation when performing laser hair removal. Certain areas of the body hurt more than others during laser hair removal. In addition, patients with very thick, dark hair may experience more discomfort than those with thin hair. This is because the thicker, darker hair will absorb more of the laser light during any given treatment. Generally, the hair becomes thinner and less dense after each subsequent treatment. Therefore, the most discomfort is usually experienced during the first treatment. However, at our facility we use a simultaneous chiller that makes the skin cold and dramatically reduces the sensation of pain.

Pigment Reduction

Brown Spot & Redness Reduction

Freckles, "age spots", "liver spots", and various birthmarks are just a few of the commonly known marks, generally referred to as pigmented lesions.

What Makes Brown Spots

Melanin is what gives our skin its color. Dark or light complexioned, we all have varying amounts of melanin. Pigmented lesions are dark in color simply because melanin is abnormally concentrated in one area of the skin. High concentrations of melanin can be due to various factors. Some types are present at birth, but most occur with age or as a result of overexposure to the sun's damaging rays. Lightening these brown discolorations and eliminating them provides dramatic rejuvenation and even skin tone.

How many treatment sessions will it take to remove the pigmented lesion?

At least 80% of all common pigmented lesions are removed with one treatment. If a lesion covers a large area, we may want to treat the area in several stages, to avoid unnecessary discomfort.

Can the excess pigmentation come back?

Common pigmented lesions do not return. Some birthmarks may return after a period of several months to a year. However, the procedure can be repeated with similar results.

Is the process painful?

The sensation described by many is that it is similar to the snap of a thin rubber band. However, we also use a cold air chiller on the area simultaneously to reduce the sensation. After the treatment, the area will be slightly raised and the darker lesion may turn purple until your body reabsorbs the color. Think of the coloration as a bruise that your body will get rid of within about 7-10 days.

Sample List of Good Foods

Acne Treatmen

Acme treatment, minimal scarring

Spectra Peel: Acne & pore reduction. Recommended 2 session

Acne remains one of the most common dermatological problems and affects more than 85% of all teenagers and over 30% of adults. Acne is the term used for plugged pores (blackheads and whiteheads) and includes inflammatory acnes (papules, pustules, nodules or cysts) that occur on the face, neck, chest, back, shoulders and even the upper arms. Acne is a chronic dermatological disease and can be both upsetting and disfiguring. In serious cases inflammatory acne can result in prolonged discomfort and permanent scarring. There are many ways to approach the treatment of acne, including topical or oral medication, chemical peeling and laser therapy.

SpectraPeel

A unique and effective skin resurfacing treatment. Spectra Laser Peel utilizes both mechanical and thermal exfoliation to precisely remove 40 to 60 μm of tissue. Spectra Laser Peel is one of the most effective and innovative non-ablative skin resurfacing procedures available today. This two-step thermal resurfacing process shows dramatic results with acne scar, active acne lesions, large pore size reduction and fine wrinkle reduction. Incurring minimal downtime, patients can return to their normal activity immediately after treatment. Because the outermost layer of dead skin cells are gently removed, the dermal cells associated with skin regeneration (fibroblasts, mast cells and macrophage cells) are stimulated, resulting in collagen remodeling and controlled resurfacing. The skin surface is improved in tone and texture including a reduction in wrinkles and scars.

How much improvement can I expect?

You can expect visible improvements after the first treatment and continuous improvement after each subsequent treatment. Active acne will be considerably reduced. People with both acne and/or severe sun damaged skin, actinic keratoses, poor skin texture or uneven pigmentation will also see excellent results. SpectraPeel™ improves the appearance of large pores and some acne scars.

TATTOO REMOVAL

Laser removal of black and colored tattoos

In recent years, tattoos have become more prevalent and vastly more colorful than ever before. Simple two-tone tattoos have been replaced with professional, multi-hued tattoos. Conversely, while tattoos are more popular than ever, a steadily increasing number of people want to remove these embellishments. We have in our office one of few ingenious tattoo removal lasers in order to effectively remove these colorful tattoos.

How does laser tattoo removal work?

Laser energy is directed at the tattooed area for a fraction of a second, passing harmlessly through the outer layer of the skin and targeting the tattoo ink directly. The laser disrupts the ink, allowing your body to absorb it and break it down naturally.

Will I have a scar?

Most patients will not scar, however, scarring or lightening of the skin is a possibility with any laser procedure involving the skin. If you are predisposed to Keloids, or you scar easily, your chances are higher.

Does it hurt?

Pain is your personal perception and everyone experiences it differently. There is a minimal amount of discomfort involved in this procedure. Prior to your treatment, you can numb the area with a high power topical anesthetic cream mixture, which is available at our office. As we treat the area, we also cool the overlying skin with our skin cooler, resulting in additional anesthesia. The air is then directed onto the tissue area via a flexible treatment hose.

How much does it cost?

Laser Tattoo Removal is based on the size and color of your tattoo.Pricing starts at $49 square inch. session and multiple sessions are required. Discounted tattoo removal packages are required. Click here to request more information.

Weight Management with Red Rose Rejuvenation

Weight Management

Our weight management program not only helps patients lose weight, but it changes their lifestyle and the way they view food. Via a low complex carbohydrate diet combined with exercise and medication as indicated medically necessary, patients are able to lose weight and keep it off. Their vitals are closely monitored and patients are weighed bi-weekly. The constant encouragement and continuity of care makes our patients extremely successful at losing weight, keeping the weight off and changing their lives.

Calorie Counting

In order to maintain weight loss, it becomes a numbers game... calories in minus calories out equals stable weight. Increasing calorie expenditure via exercise or decreasing calorie intake will help keep your current weight if you start to gain. Remember to eat small frequent meal and exercise to help keep your metabolism going!

Carb Counting

Visit My Daily Plate for an easy way to track your carbs and calories!

Drink Water

Never underestimate the power of water. In addition to a good diet and plenty of exercise, water is a great weight loss assistant. As far as weight loss is concerned, water encourages proper kidney function and increases the efficiency of the liver's fat burning capabilities. Drinking water also reduces retention. As I said before, when you don't drink enough your body tends to hold on to more fluids. Drinking enough will release what it doesn'tneed and you'll have less bloating. So get to drinking!

Starvation and Hunger

So many people think the key to an effective weight loss plan is to skip meals. While eating smaller portions and cutting your caloric intake is usually a good idea, it's NOT a good idea, however, if you're starving yourself and only eating one or two meals per day. People don't realize that hunger actually slows your metabolism. So for all of you who think you're doing your body a service by skipping breakfast, you're actually hurting it in the long run. Eating within one hour of getting up kick starts your metabolism and helps you burn more calories through the day. When you wait until noon or 1pm to have your first meal, your metabolism is already sluggish, you have a tendency to eat more and your body may not burn it off as well. Eating smaller, frequent meals is the way to go. Digestion actually burns calories so if your body is doing this 5-6 times per day this is a good thing. Eating frequently also keeps you from getting hungry.

SKIN RESURFACING ERBIUM LASER

Below the epidermis, the dermis is a busy place. There are tiny veins called capillaries, which bring blood flow to the skin. There are sweat glands, hair bulbs and nerve endings. And of course, there are collagen and elastin fibers, which give strength and support to skin. Like the epidermis, the dermis undergoes major changes related to the aging process.

Collagen and elastin fibers begin to break down, leading to sagging of the skin. Compounding this, collagen and elastin-producing cells called fibroblasts become far less active. Your skin can't make the amount of collagen fibers necessary to maintain your skin's status quo, let alone repair damage. Sunlight also takes its toll on the dermis, damaging cellular DNA. This can lead to an increased formation of blood vessels, like spider veins on the face. The skin becomes more fragile and easily bruised due to to thinning of a cellular component, GAG's, that helps give the skin overall structure and of the extracellular cement, which holds cells together.

Some age-related lentigos are caused by melanin deposited into the dermis, similar to what is seen with some birthmarks. That is why the bleaching process can be so difficult (or even impossible) for some women.

The Muscle Layer

Below the fat lies muscle. Deeply grooved wrinkle lines on the face are caused by the buildup of facial muscles through overuse, typically smiling and frowning. Or chronic puckering from smoking, which can cause deep lines to form around the mouth.

But even a non-smoking lifetime of puckering can eventually form these deep, crevice-like lines, particularly if there has been quite a bit of additional sun damage.

Created By
Charles Borrelli
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