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Archive for the ‘Botox And Fillers’ Category

lip injectables

Kylie Jenner image courtesy of flickr.com

If you keep up to date with pop culture, you are probably aware of the Kylie Jenner lip challenge and the media’s obsession with her facial metamorphosis. After months of denying plastic surgery rumors, Kylie recently admitted that her sultry and ever so coveted lips were indeed the product of cosmetic lip injections.

Thanks to advancing technology in the field of injectables, “duck lips” are a concern of the past. Recently approved by the FDA, a new line of Hyaluronic Acid (HA)fillers are particularly ideal for temporary lip enhancement. Unlike the original HA fillers such as Restylane and Juvederm which comprised of a larger particle size, the latest variety of injectable fillers have a smaller expanse which allows for more natural results. Unlike Juvederm which tended not to distribute through tissue as easily(resulting in a harder texture), Belotero and Restylane Silk blends much better into the dermis- feeling more natural to the touch. This is not to say that older HA fillers are no longer useful, they simply tend to be more suitable for other areas of the face like the cheeks.

Just like other injectables, Belotero and Restylane Silk can cause bruising and swelling. The best way to minimize the potential for complication is to avoid fish oil, ibuprofen or any other blood thinning agent before and 24 hours following your procedure. While there is virtually no downtime, it is recommended to avoid strenuous activity, extensive sun or heat exposure, alcoholic beverages and other blood thinning agents 24 hours post procedure. It is not ideal to have fillers right before a big event because of the potential for bruising and swelling.

The results of Belotero and Restylane Silk can last at least six months and, for some patients, even longer. Patients typically require only one syringe for lip augmentation. One syringe of Belotero and Restylane Silk costs around $300- $500 depending on where you receive treatment. The session only takes about thirty minutes to perform and results are immediate. To minimize discomfort, we apply a topical numbing agent in addition to an oral nerve block. By the time you receive your dermal injections, most patients will not even feel their lips. Be aware, however, as not all practices offer numbing.

Whether you are wanting to erase the wrinkles around your mouth, restore lost volume of the lips or simply want to enhance your pout, Belotero and Restylane Silk provide wonderful results without an “overdone” effect.

Our Board Certified Surgeons have been performing non-surgical lip augmentations for years. If you are interested lip injections, call 423-648-4011 and schedule your private consultation.

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Ask beauty-conscious women over 40 for one of their favorite anti-aging tools and many will profess their love for Botox or other neuromodulator treatments such as Xeomin and Dysport. It seems health journals are routinely reporting new benefits from Botox use such as migraine relief, depression management and Hyperhidrosis treatment. With all of these new findings, it is easy to begin to categorize Botox as some sort of panacea.

While neuromdulators are long proven to smooth “11” lines, crow’s feet , neck cords and even subtly lift eyebrows, this magnificent emulsion does have its limitations. Here are three conditions Botox cannot effectively correct.

  1. Deep Lines

Yes, neuromodulators are great for preventing and addressing fine lines but only those caused by facial expressions. Botox works by relaxing those muscles responsible for dynamic wrinkles. Dynamic wrinkles are those lines formed as a result of frowning, squinting, laughing, smiling or scowling. With time, the habitual act of these expressions etch deeper lines into the skin. By relaxing such expressions, you prevent deeper etching of the lines and wrinkles. However, if deep lines persist even when muscles are relaxed, Botox alone will not remove the lines. If the wrinkling is still present after the application of a neuromodulator, you most likely will require an injectable filler to plump the skin and provide dermal volume to push the crease out. If you are experiencing wrinkling from sun damage, a dermal filler is better suited for your condition. Botox will not address this type of wrinkling.

  1. Skin Complexion

While neuromodulators can improve the appearance of the skin by smoothing out fine creases and lines, it has no effect on skin complexion. If you are looking to restore radiance to skin, treatments such as microdermabrasion, chemical peels and laser resurfacing will be better suited to your needs. A proper diet, sufficient water consumption, routine exfoliation and daily application of sunscreen are also great ways to ensure a glowing complexion. Keep in mind that exposure to sun and wind or tobacco use can wreak havoc on your skin.

  1. Sagging Skin

Sagging skin results as elasticity of the tissue is lost through aging and skin damage(often inflicted by sun exposure or weight fluctuation). Jowls and heavy eyelids are two popular expressions of this condition. While Botox can subtly lift the eyebrows and provide a slight improvement to eyelids, Botox is not equipped to address these issues. Although dermal fillers like Perlane, Restylane or Juvederm can provide a bit of relief, the most effective and proven way to lift sagging skin is through surgical removal or lifting of excess skin. A facelift is the best way to address jowls while blepharoplasty (eyelid lift) is ideal for correcting drooping eyelids.

While Botox is valuable for a number of conditions, it is definitely not a miraculous cure all. It is important for patients to have reasonable expectations before pursuing this treatment.

Our Board Certified Surgeons have years of experience with injectable neuromodulators. To schedule your complimentary consultation, call 423-648-4011.

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Cosmetic Surgery after weight loss

Constantly reminded by health experts and physicians to get our eight hours of beauty rest, sleep is regarded as one of the biggest defenses against aging. However, sleep may be responsible for giving you wrinkles…in an inadvertent way.

While an adequate night’s rest is a legitimate way to ward off premature aging, the position in which you sleep may be responsible for fine lines and wrinkles. In fact, the American Academy of Dermatology explains that sleeping face-down or sideways may cause lines of the face, neck and chest. Crow’s feet and cleavage wrinkles are common results of repeatedly sleeping on one’s side or stomach. In fact, you can distinguish sleep lines from average wrinkles by applying pressure to the area you sleep on. Are the lines magnified? Chances are, these lines are a result of sleep positioning.

Not to worry, there are very simple, natural solutions to this sleep dilemma. The most straightforward way to prevent such wrinkling is to change your sleep position by training yourself to sleep on your back. This is the most cost-effective way to address sleep lines. If sleeping flat on your back is not an option, there are specialty pillows available for purchase.

Worn like a bra, there is a pillow intended to prevent chest wrinkling by acting as a wedge between the cleavage. To prevent lines of the face, there are memory foam type pillows claiming to prevent wrinkling. Keep in mind, not much is known regarding the actual proof of effectiveness. Many cosmetic surgeons and dermatologist believe claims by such pillow manufacturers to be dubious. While specialty pillows may provide a little aid, you should not expect a miracle. If it sounds too good to be true, it probably is.

If crow’s feet are already visible, you may want to consider a solid plan of attack with a neuromodulator like Botox, Dysport or Xeomin as they are long proven to erase these lines. Neuromodulator treatments start around $300, take only 30 minutes to complete and results last up to four months. Chemical peels and microdermabrasion are the most conservative ways to approach “cleavage wrinkles” and are generally suited for patients on the less severe end of the spectrum as they only address the most superficial layers of skin. These mild treatments start around only $100 and do not take long to complete but may cause temporary redness and peeling of the skin. If cleavage wrinkles have become permanent fixtures on your chest, laser treatment, dermabrasion or deep chemical peels are likely a viable solution.

Laser resurfacing is ideal for patients with deeper wrinkling of the chest. A variety of laser technology is available to address these conditions. Erbium, YAG and CO2 (carbon dioxide) lasers are the most common types of lasers used for skin resurfacing. Erbium works at a more superficial, less invasive level while CO2 Laser works at a deeper skin level and is one of the most invasive lasers. Another option is the fractionated YAG laser which is less invasive yet does not penetrate as deep as the CO2 laser. Laser resurfacing costs around $300-$1000 per session.

Undoubtedly, sufficient sleep is important for your health, but make sure your positioning is not wrinkling you. It is best to train yourself to sleep flat on your back, but if it is already too late, you may need cosmetic intervention.

To find out which treatment is best for you, call 423-648-4011 and schedule a complimentary consultation with our Board Certified Surgeons.

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photo courtesy of Wikipedia.org

photo courtesy of Wikipedia.org

Like most of the patients we see, you have probably been careful to pamper your hands, face and neck by applying sunscreen daily, being faithful to your regimen of anti-wrinkle creams and perhaps even receiving some aesthetic intervention with laser treatments and injectables. Yet, you may have overlooked a tell-tale sign of aging- the earlobes.

Just like everything else on planet Earth, with age, earlobes fall victim to gravity and collagen loss. This causes the earlobes to appear long, droopy and aged. If you ever went through a fashion phase consisting of large hoop or chandelier earrings, chances are, your piercing holes have also been altered as the weight of the earring pulls and stretches the piercing site.

Depending on the specific problem, a treatment plan does exist. Whether it be earlobe repair by surgical intervention or earlobe rejuvenation by means of injectable, dermal fillers, you are not doomed to droopy, misshaped, thin or torn earlobes.

Earlobe Rejuvenation with Dermal Fillers
Dermal fillers such as Juvederm and Perlane are ideal for earlobes that appear floppy, saggy, thin or stretched. Injected through a syringe, the hyaluronic acid, a substance found naturally in the human body, provides volume to the earlobes-causing them to appear more youthful, plump and smaller. This treatment takes only about 30 minutes to complete and requires no downtime although bruising and swelling may temporarily result. The earlobes do not typically require much product and can generally be treated with 1 syringe which costs about $500. Results can last up to two years.

Earlobe Repair or Reduction Surgery
While many patients respond well to dermal filler therapy, some patients with tears or earlobes stretched to the extreme require surgery for alteration and repair.
When a simple tear occurs, the patient requires only a simple procedure. Using just a local anesthetic , the surgeon can reconnect the split earlobe with small sutures and restore the tissue back to its original shape. For patients needing an earlobe reduction, often common with those who have received ear gauges, the procedure is a bit more complex but still relatively straightforward and can be completed in an office surgical suite. The reduction is performed by surgically removing the excess tissue and augmenting the earlobe to a more visually pleasing shape. All branches of the military require earlobe correction prior to induction. Military uniform code states that ear piercings can not show light when the piercing jewelry is removed.

Upon healing, a thin white scar may be present but should fade over time. At our practice, we include laser scar treatment with the surgical cost for earlobe repair. Depending on the severity and complexity of the case, earlobe surgery ranges from $400 to $1500.

If you are interested in rejuvenating your thinning earlobes, reducing the size of your lobes or repairing a torn lobe, call 423-648-4011 and schedule a complimentary consultation with our Board Certified Surgeons.

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Photo courtesy of dreamstime.com

Photo courtesy of dreamstime.com

Most of us know Botox can be useful in treating a variety of conditions such as fine lines, wrinkles, excessive perspiration and migraine headaches, but now recent studies suggest Botox may also be effective in helping to relieve depression. Botulinum toxin as an anti-depressant? According to researchers at the Hannover Medical School in Germany, yes.

A total of 30 patients who possessed chronic depression unresponsive to traditional forms of treatment participated in the study. Essentially, patients randomly received a single injection of either botulinum toxin or a placebo. Injections were placed at the “frown-line” area (between the eyebrows). At a six week post-treatment follow-up, Botox recipients reported a 47.1 percent decrease in depression related symptoms whereas placebo recipients only reported a 9.2 percent reduction in depression related indications.

Study analyst Professor Tillmann Kruger explains, “Our emotions are expressed by facial muscles, which in turn send feedback signals to the brain to reinforce those emotions. Treating facial muscles with botulinum toxin interrupts this cycle.”

Have you ever heard smiling can actually trick your brain into thinking you are happy? This is the essence of Botox therapy.

The study has since been replicated in two similar investigations, giving Botox injection therapy a promising reputation in the field of psychiatry. Where oral anti-depressants present a myriad of possible side-effects, Botox therapy for depression exhibits no evidence of side-effects other than an added bonus-a reduction in wrinkles and fine lines. Moreover, oral depression medications typically require daily use whereas a single injection of botulinum toxin lasts around three months.

Because insurance does not currently cover Botox for depression, this form of treatment can be costly- starting around $500 per treatment. But for many depression patients resistant to traditional therapy, the investment may be worth a try. Worst-case scenario, reduction in depression may not be notable, but frown-lines are erased allowing for a happier, more youthful appearance.

Botox injections only take around 30 minutes to perform and require no downtime. Patients report minimal discomfort.

If you are interested in frown-line treatment, call 423-648-4011 and schedule your complimentary consultation with our Board Certified Surgeons.

Information for this article was referenced from “More Evidence Botox Works for Depression” by Caroline Cassels found on webMD.com

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© Phil Date | Dreamstime Stock Photos

© Phil Date | Dreamstime Stock Photos

Ready or not, wedding season has commenced. Whether you are the bride, mother of the bride , bridesmaid or simply acquaintance of a bride or groom to be, chances are high that you will be attending a wedding within the next few months.

While the wedding is typically all about the bride, cosmetic wedding preparations are a great idea for anyone wanting to put their best foot forward. After all, weddings are often a time to reunite with friends and family you may not have seen in ages. Who wouldn’t want to look their best? Here are a few procedures to consider before that big day.

1. Neuromodulators-
Neuromodulators like Botox, Xeomin or Dysport are one of the most common and basic cosmetic procedures performed in the United States. Often costing anywhere from $250 to $700 per treatment, neuromodulators are injected to relax the muscles responsible for creating crow’s feet and frown lines. These injectables can also be used to provide a natural lift to the eyelids and brows. While there is essentially no downtime required for this treatment, don’t wait the day before your wedding to have the injections completed as results typically take 1 to 3 days to surface. We recommend patients schedule this treatment 6 weeks in advance of their big day. Botox injections only take about 30 minutes to complete and results last 3-4 months.

2. Fillers-
Often performed in conjunction with neuromodulators, fillers are an injectable solution to fine lines, wrinkles and volume loss caused by aging and skin damage. Fillers can be used to plump lips and sunken cheeks, rejuvenate hands and undereyes or fill in those unsightly crevices around the mouth. Ranging from $400 to $600 a syringe, patients may need anywhere from 1 to 3 syringes depending on how many areas need treatment and the severity of the problem area being treated. Although fillers do not necessarily result in downtime, swelling and bruising at the site of injection are common. This is why we recommend patients book this procedure at least 4 weeks ahead of their event. Fillers take around 30 minutes to an hour to complete and, depending on the type of filler, can last as little as 6 months or as long as 2 years depending on the filler and technique.

3. Chemical Peel or Laser Resurfacing-
Looking to erase dull, sun-damaged skin? Varying in degrees of intensity, from light to deep, chemical peel or laser resurfacing are a cost effective and non-surgical solutions for sun damaged skin. Applied as a topical gel, chemical peels are used to remove the dull, damaged surface layers of the skin to reveal the more radiant, youthful layers of the dermis. The more intense the chemical peel, the deeper the peel penetrates. According to the depth and the potency of the peel, pain is typically minimal if not non-existent all the way to intensive requiring IV sedation. Lasers can take the resurfacing to a whole new level. While chemical peels and laser resurfacing are considered non-invasive, redness and flaking often results after treatment, so we recommend booking this procedure a few weeks to months ahead of your event depending on the level of resurfacing and expected changes.

Just like high school reunions or holiday gatherings, weddings are major life events that motivate many to diet, exercise and even make a visit to their cosmetic surgeon to dress up and be the best that you can be. Even if you aren’t the bride, it is perfectly normal to want to look your best…think of all the photos that may be taken…..show your best side.

While these pre-wedding “touch ups” aren’t as dramatic as undergoing a surgical procedure such as a facelift or brow lift, they can certainly take years off of your appearance to gain the glow. If you are considering a pre-wedding touch up, call 423-648-4011 and book your private complimentary cosmetic consultation.

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While most cosmetic surgery patients widely acknowledge Botox’s effectiveness at reducing the appearancBotox Chattanoogae of wrinkles and fine lines, many are oblivious to the preventative uses of injectable neuromodulators. Yet the number of “20 somethings” receiving Botox or Dysport for preventative treatment is steadily increasing. In fact, according to a 2010 report released by the American Society for Aesthetic Plastic Surgery(ASAPS), 15.2 percent of individuals between the ages of 19 and 34 received this non-surgical alternative.

Neuromodulators like Botox and Dysport are a class of injectables that work by temporarily reducing the muscle activity responsible for the appearance of unsightly crow’s feet, forehead wrinkles and “11” lines. Basically, “preventative Botox” is based on creating a certain degree of muscle atrophy before the fine lines and wrinkles evolve into a more permanent condition. The fear of many preventative patients is, essentially, that waiting until the lines have been etched into the skin, will result in a more costly and extensive treatment plan.

Although the majority of our Botox patients are over 35 years of age, we have treated some preventative patients in their 20s who report satisfaction. It is important to note, however, that this treatment is only temporary-lasting anywhere from 3 to 4 months. For optimal results, patients must routinely maintain their treatment.

If you are troubled by the early signs of fine line or wrinkle formation, neuromodulators may be a perfectly viable option. For the rest of you “20 somethings”, preventative, anti-aging measures can include habits as simple as consuming more nutritious food sources, getting a good night’s rest, refraining from tobacco use and limiting UV exposure in addition to wearing sunscreen. While it is wise to take preventative measures while you can, don’t let the fear of aging overwhelm your life…enjoy your youth!

If you are interested in preventative Botox, call 423-648-4011 to schedule a complimentary consultation.

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Like Botox, Dysport is an injectable botulinum toxin type A protein used to treat the appearance of “11 lines”, forehead wrinkles and crow’s feet by temporarily relaxing the muscles responsible for fine lines and wrinkles. Although Botox and Dysport are essentially the same product, subtle differences have been reported.

Botox vs. Dysport

Manufactured by different companies, Botox was approved for cosmetic use by the FDA in 2002 while Dysport was introduced to the market later and FDA approved in 2009. Although Botox is the better known brand, Dysport has been reported to work within 1 to 2 days versus 3 to 5 days reported with Botox. Even more, Dysport may last a little longer than Botox.

Resistant to Botox?

Although extremely rare, some patients have exhibited a “resistance” to Botox . Dysport may be an effective alternative for patients whose wrinkles and fine lines seem unresponsive to Botox.

If you are looking for a non-surgical treatment to reduce fine lines, crow’s feet or forehead furrows and are between 18 and 65 years of age, you may be a candidate for Dysport. To schedule a complimentary consultation, call 423-648-4011. If you have never tried Dysport, we are currently offering it at 50 percent off usual price while supplies last and if booked before 12-31-2012.

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