Second Quarter 2010, Volume 24, Number 2

Relax, refill, refresh your look this spring… which treatment is right for you?


Personalize your solutions for optimum natural results

Relax, refill, refresh your look this spring… which treatment is right for you?

Ask the Surgeon / Health Tip / What’s New

Troubled about hair thinning and hair loss… know the facts

Spring is a great time to consider your options for rejuvenating your appearance. Whether you want to reduce fine lines or bring back a healthy glow, your facial plastic surgeon can offer a treatment that is right for you. Neurotoxins, injectable fillers, microdermabrasion, and laser resurfacing are effective, minimally invasive options to consider. Now is the time to match how you feel on the inside–youthful and invigorated–with how you look on the outside.

The most popular minimally invasive treatment is Botox; it can be used to improve wrinkles, lines, and furrows caused by excessive facial movements. Dysport is another neurotoxin approved for cosmetic use by the Federal Drug Administration (FDA).

Your facial plastic surgeon will use a small needle to inject the purified protein into the muscles. It blocks the nerve impulses and weakens the muscle; this reduces the skin creasing or wrinkling. Within days, you will see improvement; results can last up to four months. Neurotoxins are a quick and easy step toward the revitalized and more relaxedlooking you. Treatments must be continued in order to maintain results.

Fillers can be used in the forehead, cheek folds, and lips to produce volume and to efface deep facial creases. The treatment is completed via a fine gauge needle, with little discomfort.

Results may last anywhere from a few months to permanent, depending on the substance used. Fillers are derived from collagen, hyaluronic acid, or synthetic material. Collagen (bovine or human derived) typically lasts between three to six months. Hyaluronic acid (Restylane® or Juvederm®) is biodegradable with results lasting six to 12 months. A synthetic material such as Radiesse® is made from synthetic calcium composite and lasts two to five years. Sculptra® is made of synthetic polylactic acid that is contained in microspheres; it can last up to two years. A permanent filler like ArteFill® contains non-resorbable, particles and is used to improve the smile lines (nasolabial folds). The results are permanent; however, touch up injections may be necessary within the first couple of weeks to achieve the desired results. Besides the permanent filler, all other filler treatments must be repeated to sustain the desired results.

Which filler is right for you? There is no one filler that is ideal for all sections of the face. Different fillers work better in certain areas and have various durations. Your physician will recommend the filler based on what will best meet your needs.

Rejuvenate your skin’s tone and texture through microdermabrasion, fractional laser resurfacing, or intense pulsed light (IPL) therapy. These methods are particularly effective for fine lines, sun damage, rosacea, spider veins, and age spots. The treatments are minimally invasive, which means little irritation and you can resume normal activities immediately following treatment.

Microdermabrasion offers advanced exfoliation by a gentle rotary tool or by blowing crystals over the surface of the skin to remove the upper epidermal tissue and stimulate cell turnover. The treatment evens the tone and texture of the skin, smoothing fine lines and improving clarity and radiance. It may also be used in combination with a laser resurfacing technique. The treatment is appropriate for all skin types.

Fractional laser skin resurfacing uses a precision laser to target only a fraction of the skin at a time. Small wounds are created deep in the dermis, which prompt your body’s natural response system to heal those wounds. This “fractional” process allows your body to heal the skin faster than if the entire area were treated at once. It also expedites your body’s.

rebuilding of collagen and elastin, which results in tighter, more youthful-looking skin. Fractional laser skin resurfacing is a comfortable procedure with minimal downtime. Results can be seen in as few as three treatments.

Intense Pulsed Light (IPL) therapy, also referred to as photofacial, emits a broad spectrum of light with each pulse, adjusted for your skin color and type. The top layer of skin remains intact, as the heat energy penetrates the tissue and is absorbed by either the blood when treating vascular lesions or the melanin when treating pigmented lesions, thus damaging them. The body’s natural processes then remove the injured tissue giving the skin a more even and youthful appearance. IPL works well to improve conditions such as hyperpigmentation, enlarged pores, and acne scarring. There is no down time with the procedure and results can be seen in as little as a week.

Relax, refill, and refresh your look this spring. You can achieve a younger, more vibrant look without surgery. You may be an excellent candidate for one treatment or a combination of treatments that will meet your needs and your budget. Talk to your facial plastic surgeon to discuss which would work best for you.