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Archive for the ‘Facial Aging’ Category

SHARED DECISION MAKING AND FACIAL AGING

Wednesday, January 31st, 2018

Facial aging procedures should be customized both to the changes that are visible and to the desires of the patient. In some cases, several options may be suitable to satisfy the goals of the patient. A detailed conversation between the plastic surgeon and the patient enabling shared decision making helps to maximize the likelihood of a satisfactory treatment outcome.

This case illustrates a treatment decision that involved shared decision making regarding the concerns of a 50 year old patient with facial aging. During the initial consultation, she stressed that the most worrisome aspect of her appearance was her sagging neck. Although aging changes of the face were of concern, her desire for a more limited procedure focusing on the neck was clear. We decided together that a neck lift would be performed and the outcome at 1 month is seen below. The patient was very pleased with the improvement and was gratified that she was able to achieve this result with neck surgery alone.

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THE AGING EYE

Thursday, December 21st, 2017

The aging appearance of the eye is often a combination of a progressive descent of the brow, heaviness of the upper eyelid, and a baggy appearance of the lower eyelid. The individual contributions of each of these factors varies from patient to patient and each of them can be addressed separately or in a combined procedure.

The key factor in treating the eye area is making the correct diagnosis so that the appropriate procedures are performed. If the problem is a low-lying brow, removing upper eyelid skin can make the brow appear even lower. Conversely, trying to correct upper eyelid skin redundancy with a brow lift will result in excessive brow elevation and a surprised look.

The aging lower eyelid is often a combination of prominent fat pads and a depressed lid-cheek junction or tear trough that creates a circle under the eyelid. Removing fat in the setting of a deep tear trough leaves that problem uncorrected or may even make it appear worse.

This patient example demonstrates a patient with a low-lying brow that creates a heavy appearance at the junction of the brow and the upper eyelid. The lower eyelid has a moderate amount of fat excess and depression of the lid-cheek junction that creates a tired appearance.

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Treatment of the aging eye with an endoscopic brow lift and a fat transposition lower blepharoplasty

The patient underwent an endoscopic brow lift and a fat transposition blepharoplasty of the lower eyelid. The brow lift was performed using specialized instrumentation introduced through small incisions within the scalp and enabled a correction of the heavy appearance of the upper eyelid, in this case, without any skin excision. The lower eyelid was improved by releasing the tear trough ligament and draping the excess lower eyelid fat across the lid-cheek junction to fill the depression. This procedure is distinct from more traditional fat removal procedures of the lower eyelid. The combination of surgical procedures resulted in a more youthful and rested appearance that appears natural.

 

 

 

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FACETITE FOR MEN

Thursday, November 30th, 2017

Men often complain about the appearance of their neck as they get older. The contour changes that occur in the neck are frequently the result of a combination of skin laxity and excess fat deposition. In some cases, prominent muscle bands at the midline of the neck contribute to the loss of definition. Traditionally, a surgical solution has been the approach deemed most effective to treat the aging face and neck. Although surgery remains the “gold standard”, FaceTite provides a minimally invasive alternative to surgery to tighten and contour the face and neck without scars. It utilizes radio frequency energy that is delivered below the skin with a thin needle-like applicator in combination with targeted liposuction to produce a more youthful contour. The procedure is performed under local anesthesia, noticeable swelling usually resolves within 3-5 days, and there is minimal discomfort. Results may be evident as early as 4 weeks but continue to evolve over 6-12 months and can last for years. During your consultation, Dr. Forley will examine you to determine if you are a good candidate for FaceTite.

 

44 year old male 4 months following FaceTite

44 year old male 4 months following FaceTite

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FACIAL AGE SPOTS

Saturday, September 30th, 2017

The Nordlys system of broad band light technology, known as Selective Waveband Technology (SWT), has been very effective in the treatment of age spots on the face. Precise energy pulses delivered to the face are absorbed by the pigmented spots causing a reaction that results in their gradual exfoliation. A significant improvement can be seen with a single treatment but followup treatments at 1 month intervals may be necessary to maximize the result. The treatment takes about 20 minutes and is very well tolerated by patients.

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2 WEEKS FOLLOWING A SINGLE NORDLYS SWT TREATMENT OF FACIAL AGE SPOTS

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NORDLYS Nd:YAG LASER VEIN TREATMENT

Sunday, August 20th, 2017

The Ellipse Nordlys is a state of the art device with multiple light and laser based treatment options for effectively managing various conditions. Superficial veins around the eye and temporal region are a frequent complaint that can be very visible and difficult to conceal due to the thin skin in this region. Treatment with the Nordlys Nd:YAG laser can reduce or eliminate the veins by using a specific wavelength of light to deliver energy that is absorbed by the red blood cells contained within these vessels. The energy is converted to heat which is transmitted to the inside surface of the vein. This results in eventual collapse and sealing of the veins so no further blood flow occurs. The lack of blood flow is what makes the veins gradually disappear. There are plenty of deeper veins in this area so eliminating the superficial ones that are visible is not a problem. There is minimal discomfort and the treatment only takes a few minutes. Frequently one treatment is sufficient but additional treatments may be indicated depending on the response of the veins.

38 year old female 8 months after Nd:YAG laser treatment of veins

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FRACTORA

Saturday, July 29th, 2017

Fractora is a treatment that combines microneedling with bipolar radio frequency energy to treat skin wrinkles and texture. The edges of the channels created by the needles are heated and the resulting wound healing response by the body generates new collagen deposition in the skin. Skin quality is enhanced with a more youthful appearance that has better tone and fewer wrinkles. A series of 3-6 treatments at monthly intervals is usually recommended to achieve the greatest benefit from the procedure.

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Treatment of the lower eyelid wrinkles with Fractora

 

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FACETITE PATIENT TESTIMONIALS Part 3

Saturday, May 6th, 2017

A 61 year old male discusses his experience with FaceTite, the new non-surgical lifting and tightening procedure for the face and neck.

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FACETITE PATIENT TESTIMONIALS Part 2

Monday, April 24th, 2017

A 71 year old patient discusses her experience with FaceTite, the innovative minimally invasive radiofrequency treatment to lift and tighten the face and neck without scars.

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FACETITE PATIENT TESTIMONIALS Part 1

Friday, March 31st, 2017

A 59 year old patient discusses her experience with FaceTite, the innovative minimally invasive radiofrequency treatment to lift and tighten the face and neck without scars.

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DEFENAGE

Wednesday, January 18th, 2017

DefenAge is a new skin care product line that rejuvenates the skin by  activating the stem cells found in hair follicles. Age-Repair Defensins™  are the regenerative messenger peptides contained in DefenAge. They work by triggering the production of new skin cells by the stem cells they target.

Stem Cells in the hair follicles are activated by Defenage to rejuvenate the skin.

Stem Cells in the hair follicles are activated by DefenAge to rejuvenate the skin.

 

This process leads to cell renewal that results in more youthful appearing skin. The barrier surface layer of skin cells, known as keratinocytes, are restored leading to enhanced protection from environmental skin stressors and improved skin hydration. The clinical trials that were performed showed diminished wrinkles, enhanced skin tone and texture, and reduced dryness.

Dr. Forley is using DefenAge in combination with the Fractora micro needling and radio frequency energy treatment to maximize skin improvement. Enhanced penetration of the stem cell stimulating Age-Repair Defensins™ through the channels created by the Fractora procedure may potentiate their effect on skin cell renewal.

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