Posts Tagged ‘anti-aging’

photo courtesy of Wikipedia.org

photo courtesy of Wikipedia.org

In recent years, statement jewelry has been quite the rage. In particular, colossal hoop and dangle earrings are a wardrobe staple. While these pieces can certainly add “bling” to your get-up, they can also age and damage your earlobes.

As we age, our skin loses elasticity and volume…becoming thinner and saggier. Earrings bearing significant weight can speed up this process causing the earlobe to droop and the actual piercing to elongate. With time, the piercing becomes more susceptible to tearing.

While simply rejuvenating the ear is a proactive and relatively low-cost procedure, actually repairing a torn earlobe is a bit more involved. Both procedures, however, are relatively straightforward and can be performed in an office setting.

Thin and aged earlobes can greatly benefit from dermal fillers such as Belotero, Perlane or Juvederm. In less than an hour, thin earlobes can be plumped. The additional volume provided by the dermal filler creates the support needed for an earring to remain in its ideal position. The cost of non-surgical earlobe rejuvenation starts around $600. No downtime is required. Keep in mind that fillers are only a temporary fix, lasting up to 2 years depending on the type of filler administered.

For patients concerned more with sagging of the lobes, a “lobe-lift” may be the best solution. With this procedure, excess skin is surgically excised allowing for a lifted effect. The incision is typically placed behind the earlobe and local anesthesia is all that is required.

For patients who have experienced a simple tear of the earlobe, a basic repair surgery is all that is needed. Local anesthesia is applied to the affected area. Then, the two halves are reconnected and approximated with fine sutures which reset the earlobe to a more natural position. Should the patient choose to wear earrings again, they must wait 6 to 12 weeks following the procedure to re-pierce the lobes.

The cost to repair torn earlobes or remove sagging lobe skin varies by surgeon and by region ranging from $350 for simple tears up to $1500 for more complex procedures.

While many options are available for those unsatisfied with the condition of their lobes, the best advice is to avoid heavy earrings altogether. If you cannot avoid oversized hoops altogether, at least wear them sparingly.

Our board certified surgeons offer ear rejuvenation and repair procedures in an accredited office surgery suite using sedation and local anesthesia. Call 423-648-4011 to schedule a complimentary consultation!

Read Full Post »


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.

Read Full Post »

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.

Read Full Post »

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.

Read Full Post »

BrowLift And Blepharoplasty Before After Chattanooga

It seems more men are seeking cosmetic surgery as a means to regain their confidence and maintain a competitive edge over their younger colleagues in the cut-throat workforce. From Botox and liposuction to hair restoration and face lifts, men are feeling an increasing amount of pressure to look youthful and fit.

Typically, one of the first places we show signs of aging is our eyes…the first feature many will notice. As many men approach their fifties, they begin to exhibit hooded upper eyelids or sagging brows. This tends to result in an angry, sad or sleepy appearance. While a brow lift can correct these conditions, eye rejuvenation needs to be tailored specifically to accommodate each sex as fundamental differences exist between the structure of a female’s eyebrow versus a male’s. Males seeking this surgery run this risk of looking feminine if they do not select their surgeon carefully. Just because a surgeon has proven himself competent at female brow lifts does not mean he is also proficient at male eye rejuvenation.

If you compare the facial features of a man against those of a woman, you will notice many subtle differences. Observing the eyebrows, there is not only a difference in shape but in positioning as well. Females have a higher brow arch while men have little to no arch. As both sexes age, their brows begin to gradually droop. For men, eyebrows that once sat directly on the brow bone descend below the brow bone. As a women ages, her brows will descend from above the brow bone down to the brow bone. This position change may only be millimeters; but what a difference in facial aesthetics.

As far as eyelids are concerned, males naturally posses heavier upper eyelids than females. This makes men more susceptible to early vision interference due to “hooded lids”. When performing eye rejuvenation on males, it is critical that the selected surgeon has the ability and attention to detail to distinguish the traits which make a brow or eyelid either masculine or feminine.

With such considerations in mind, we approach male eye rejuvenation differently from female eye rejuvenation. With male patients, we are careful to excise less skin, aiming to reposition the brow only to the brow bone, while also maintaining a masculine shape. If you have ever witnessed a bad example of a forehead lift on a man, his brows were most likely re-positioned too high. Also, the surgeon may have imposed a feminine effect on him by arching his eyebrows. This is why it is critical to review before and after photographs of work that has been completed by the surgeon you are considering. Does he/she have examples of male eye rejuvenation in his portfolio? Do you like what you see? Choose your surgical artist well. Chesk out our before and after gallery at ADVSurgical.com.

Eye rejuvenation surgery can be a very powerful tool to turn back the hands of time. If you are interested in exploring brow or eyelid lift treatment, call 423-648-4011 and schedule your complimentary consultation with our Board Certified Surgeons.

Read Full Post »

© 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.

Read Full Post »

facial rejuvenation ChattanoogaA poll of an estimated 2,000 individuals concluded that men are perceived as “old” five years later than women. Even more, men are considered attractive at an older age. This comes as no surprise to us as recent data confirms a suspicion we have had all along. According to a national poll released by Allure, the aging process is , well, sexist. Essentially, the visual effects of aging take a greater toll on females than males.

For example, the poll found 30 years of age to be the prime aesthetic age for females whereas 34 years was concerned the aesthetic prime for males. While poll participants found gray hair an attractive feature on males- making them appear more “distinguished”- the participants found gray hair on females unflattering.

“People overwhelmingly said they were concerned about the effects of aging. They were concerned about how it would affect their attractiveness to the opposite sex and particularly with women, how aging would affect their career,” explained the poll director, Kristin Perrotta . (nydailynews.com)

With the help of advances in cosmetic surgery, women no longer have to feel helplessly imprisoned to their age. Gray hair is easily changed by hair coloration. No matter what the concern, droopy eyes, jowls or fine lines, there is an effective treatment. Even better, cosmetic procedures have become more affordable. With the availability of more non-surgical (more affordable) alternatives like Botox, Dysport, Xeomin, laser resurfacing and dermal injectable fillers, and financing programs specifically for cosmetic procedures, cosmetic surgery is no longer reserved for the rich and famous. In fact, 42 percent of the female poll participants admitted they would consider cosmetic surgery. The taboo is fading.

On a more hopeful note, Perrotta expressed, “People did overwhelmingly have a much more positive view towards aging and toward themselves and their look as they grew older.” (nydailynews.com). Take home message, embrace aging-gracefully… Not!!! Fight it every step of the way. If not for the original sin and fall of Adam, we would have perfect bodies. Aging is part of our fall from Grace. It is no wonder that we want to fight the aging process.

If you would like to appear more youthful, refreshed and vibrant, call 423-648-4011 to schedule a complimentary consultation with our Board Certified Surgeons. During consultation you will be educated in regard to multiple options for rejuvenation. You will leave the office with a firm quote so that you can go home to pray about your options.

Visit http://www.advsurgical.com

Read Full Post »


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.

Read Full Post »

Mini Facelift If you are looking for a way to eliminate sagging jowls and “turkey neck” but are afraid you have passed the “prime age” for facelift surgery, think again. In fact, there is no perfect age for facelift surgery. Factors such as , medical history, physical health and medications taken prior to surgery are much more important than chronological age. Just as there are certain advantages to having a facelift later in life, certain benefits are also associated with undergoing the procedure earlier in life.

Pros for facelift surgery in one’s 40’s and 50’s
Facelift surgery in one’s 40’s and 50’s may seem a bit premature, but if a patient exhibits symptoms which cannot be resolved with non-surgical techniques, a facelift may be a viable and proactive decision. Patients who undergo facelift surgery in their 40’s and 50’s often exhibit less severe skin laxity. As a result, these patients will most likely require a smaller incision resulting in a smaller procedure and shorter recovery time. As an added benefit, these patients, often in the prime of their careers, may also gain a competitive edge by appearing more youthful and refreshed than their colleagues.

Pros for facelift surgery 60’s and older
While facelift surgery may require less invasive intervention for younger patients, life sometimes simply gets in the way. Between raising a family and working a full time job, many patients in their 40’s or 50’s will not be able to find any “downtime” required for healing after facelift surgery. When patients wait until their 60’s or 70’s to undergo facelift surgery, they may require a more extensive incision resulting in a longer procedure which requires longer recovery. However, many patients will have more time for recovery as they have already reached retirement. For many patients who have devoted their lives to their family or career, cosmetic surgery is a way to reward themselves.

Simply put, there is no perfect age for a facelift as everyone ages differently. If you would like to know if you are an ideal candidate for this procedure, call 423-648-4011 to schedule a complimentary consultation!

Read Full Post »

With less daylight and more time spent indoors lounging around, winter lends itself as an ideal opportunity for facial cosmetic surgery procedures. In this week’s Q&A , Dr. White answers some commonly asked facial rejuvenation concerns.

How can I fix the overlapping skin on my eye lid?

Blepharoplasty is a surgical procedure to remove overlapping skin of the upper eyelid. Sometimes medically necessary, it is also completed for cosmetic reasons. As with any surgery, do your homework. Look at online reviews . Ask other patients. Eyelid surgery is both art and science; but in order to achieve an aesthetically pleasing result, art is most important. Look at before and after images. Field of vision testing can determine if the procedure is cosmetic or medically necessary.

Is it true if you put human placenta on your face it gives an instant facelift?

There is a new cream, derived from stem cells of human placentas, posed to encourage faster regeneration of skin cells. Rather than using liquefied placentas, boiled to about 220 degrees (F), RNL Bio uses the active cells of natural placenta that are more efficient in stimulating the skin. The cream does not contain actual stem cells, only human proteins . However, no solid,scientific evidence exists at this point which supports human placenta as an effective rejuvenation technique.

What questions should I ask my surgeon about chin augmentation surgery?

You should ask your surgeon what type of implant will be used and if the implant will be fixed in position. Location of the incision is also crucial information. You may want to discuss possible risks like infection, nerve irritation [marginal mandibular nerve, mental nerve], bleeding, implant rejection and bone re-absorption by implant pressure.

Whats a good ,non-surgical treatment for facial wrinkles?

Your solution will ultimately depend on the location, amount and severity of wrinkles. There are various treatments for facial wrinkles. Topical retinoids can aid in the prevention of fine lines while neuromodulator treatments like Botox and Dysport can temporarily reduce the appearance of crow’s feet and frown lines. Hyaluronic acid fillers are effective in temporarily addressing smile lines or smoker’s lines by restoring volume. Chemical peels and laser skin resurfacing are also used to rejuvenate damaged skin.

Read Full Post »

Older Posts »