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Posts Tagged ‘fillers’

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!

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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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Not a week goes by that someone doesn’t seek consultation in regard to facial aging with these very words, “ I want to look fresh, younger but not pulled or plastic.” Well, times have changed in the world of facial aesthetics. Gone are the days of the cookie cutter facelifts which often times left patients looking pulled, pinched or wind blown. Newer short-scar mini-lifts, along with procedures to add facial volume and decrease the lines and wrinkles, have revolutionized the art of facial rejuvenation.

Mini Face Lift: A more natural approach to sagging facial tissue

As we age, most individuals lose elasticity in their skin and develop varying degrees of descent along the jaw line and beneath the chin. The office-based mini face lift is a surgical face lift to address the mid to lower face/neck with minimal surgical exposure as a minimally invasive office procedure. The post operative effect provides a more natural appearance with limited down time when compared to other formal face lift procedures.

Most traditional facelifts are performed with general anesthesia and involve multiple weeks of downtime with a long incision beginning at the upper temples and extending behind the hairline on either side of the face to the nape. Due to the length of the formal face lift procedure and the type of anesthesia, there is an increased risk of complications. The S-Lift minimal incision face lift has been performed since the late 1990s.

The office based mini face lift not only tightens skin, it is designed to permanently suspend the underlying muscles and fibrous structures of the lower face and upper neck. This suspension of the lower face offers men and women the benefit of a more youthful appearance without the “wind blown” look of a formal face lift.

Replacing Facial Volume

Key to a natural looking facial rejuvenation is replacement of lost volume. Facial volume can be replaced by fillers or fat transfer. Fat transplant is performed by extracting fat from one area of the body (typically thighs or abdomen) via liposuction and then injecting the filtered fat through a syringe to various areas of the face to increase volume and decrease wrinkles. The fat also has the added benefit of stem cells.

Laser Skin Resurfacing for age spots and cell regeneration

As we age, our skin thins and appears more translucent. Sun damage becomes more evident through age spots and a decrease in collagen is pronounced through folds and wrinkles. Laser skin resurfacing is an effective way to correct these issues. The fractionated CO2 laser, heats and vaporizes skin tissue one spot at a time. The heat removes superficial layers of the treated skin while the untouched, surrounding skin aides in the healing process. This healing process stimulates cell regeneration is induced with production of new skin cells.

Botox for frown lines and crow’s feet

Neuromodulators like Botox can also be injected to relax facial muscles. It is most beneficial for the treatment of lines caused by overactive muscles of the forehead, cheeks and mouth. This makes it an ideal treatment for frown lines, forehead furrows, and also “crow’s feet.” It can also be injected to reverse the downward turn of the angle of the mouth.

As with any cosmetic procedure; choose your surgical artist well. The combination of mini-lifts, volume replacement, neuromodulators and skin resurfacing yield more lasting natural facial rejuvenation without the pulled or plastic look of days gone by.

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