cornerLT cornerRT

Archive for April, 2011

BOTOX® COSMETIC & INJECTABLE FILLERS: WHAT, WHEN, AND WHERE

Saturday, April 30th, 2011

We often are asked to clarify the reason for choosing BOTOX® Cosmetic versus injectable fillers, where each one works best, and when is the right time to seek treatment.

Frown lines, forehead wrinkles, and laugh lines, the end result of years of repetitive contraction of our facial muscles, can be selectively modified with tiny injections of BOTOX® Cosmetic. The decrease in the intensity of muscle contraction that results from BOTOX® Cosmetic treatment allows for a progressive smoothing of the overlying wrinkled skin that lasts for 4-6 months. Early intervention at the onset of these wrinkles will not only improve your current appearance but prevent a steady deepening of the lines, which makes them more difficult to treat. “The key to maintaining consistently smooth skin is to re-treat the areas when the effect on the muscle wears off so that the wrinkles don’t recur with renewed muscle activity,” says Dr. Forley. Fine lines of the upper lip, dimpling of the chin, and prominent muscle bands in the neck can also be improved with BOTOX® Cosmetic.

BOTOX® Before treatment with

Before

BOTOX® After treatment with

After treatment with BOTOX® Cosmetic

As the cheeks start to sag, folds and jowls appear in the face, adding to the sense that we are visibly aging. In our previous blog, “Why Volume Matters”, we discussed the importance of volume in the face and the effect that decreased or displaced facial fat has on the appearance of aging. Flattening of the cheek, deepening of the nasolabial fold, and disruption of  jawline definition by the jowl are all signals that we are getting older. BOTOX® CosmeticAccording to Philadelphia’s Dr. Ringpfeil, “fillers are utilized to camouflage and conceal aging changes by the selective addition of volume via a series of injections.” The cheek is lifted when volume is restored in a manner that parallels the full contour of a youthful face. The nasolabial fold improves when a filler smooths the transition from the cheek to the lip by lessening the depth of the fold. Volume addition, in front of and behind the jowl, can restore a youthful definition to the jawline. Juvederm XCTM, Restylane®, and Perlane®, are hyaluronic acid based injectable fillers that will provide an immediate improvement when used to treat volume loss and can last up to 12 months. Natural and minimally apparent results are best achieved with injectable fillers when treatment is sought in the early stages of aging.

Before treatment with an injectable filler

Before

After treatment with an injectable filler

After treatment with an injectable filler

Early aging changes along jawline

Early aging changes along jawline

Restoration of jawline definition by adding volume

Restoration of jawline definition by adding volume

Sculptra®Aesthetic, composed of poly-L-lactic acid, is an additional injectable treatment option for aging changes in the face. Restoration of youthful facial contours will occur more gradually with Sculptra®Aesthetic because it works by stimulating the production of collagen.  Added volume emerges over a 3 month period as a result of a thickening of the collagen layer of the skin in contrast to the immediate effect produced by the hyaluronic acid fillers just described. Generally, a series of 2-4 treatments at 6-week intervals are necessary to achieve the desired outcome with results lasting up to 3 years.

Before treatment with Sculptra®Aesthetic

Before

After treatment with Sculptra®Aesthetic

After treatment with Sculptra®Aesthetic

During your consultation, Dr. Forley will carefully analyze your face and advise you in the choice of treatments that will best help you combat the signs of aging.

Contact Us | Back to Top

TEAR TROUGHS: THE REASON PEOPLE KEEP ASKING IF YOU ARE TIRED

Sunday, April 17th, 2011

The first signs of aging in the face often occur around the eyes and are typically described as baggy lower eyelids.  Multiple factors contribute to this appearance including a pattern of sun exposure, lack of sleep, alcohol use, poor diet, and stress.  Sometimes it’s simply unlucky anatomy that results in the eyes appearing hollow and prematurely aged even in your thirties.  This can lead to a weary appearance with prominent circles under the eyes known as “tear troughs”.  The tear trough disrupts the smooth transition from the lower eyelid to the cheek which we visually associate with a rested, more youthful look.   Replacing the lost volume under the eyelid masks the tear trough and produces a younger, refreshed appearance that, in many cases, can postpone the need for a more invasive surgical procedure.

Tear trough at lower eyelid/cheek junction

Tear trough at lower eyelid/cheek junction

Restylane® is an injectable dermal filler commonly used to restore volume in the tear trough.  It is composed of hyaluronic acid, which is naturally present in the skin, and has been proven to last up to 12 months in clinical studies.   During the treatment, small droplets of filler are injected deep along the tear trough and then gently massaged into place.   The most common side effects of the procedure are short term bruising and swelling.

Fat grafting is a minor surgical procedure, performed under local anesthesia that can also be used to achieve correction of the tear troughs.  Fat cells are obtained using liposuction from a donor site such as the hip or abdomen and specially processed to concentrate the cells prior to injection.  While fat grafting offers a long-lasting solution to volume loss and can last for years, there are some limitations to the procedure.  The injected fat has to develop a blood supply from the surrounding tissues for it to achieve long-term survival and may require additional treatments to achieve the desired correction.

Blending of lower eyelid/cheek junction after treatment

Blending of lower eyelid/cheek junction after treatment

These techniques and procedures apply to more than just the tear troughs.  Just as volume depletes from the under eye, it also diminishes and migrates in other areas of the face.  Dermal fillers and fat grafting can also be used to treat volume loss in the mid-face and cheeks to assist in restoring smooth contours and a youthful appearance.

Contact Us | Back to Top


cornerLB cornerRB
Before & After Photos for Blog
CLICK HERE TO VISIT OUR PHOTO GALLERY
Contact form
Name *
E-mail *
Phone
Procedures of Interests
* Required
RSS icon
RSS Feed