Age spots on the hands are characterized by various shades of scattered brown pigmentation that often parallels the brown spots seen in the aging face. Yet, treatment of the hands is often overlooked. The advent of light based devices has afforded patients the opportunity to safely and effectively diminish or eliminate these unwanted spots.
63 year old female with age spots of the hands
1 month following a single Nordlys treatment
The new Nordlys system uses Selective Waveband Technology (SWT) to exclude unnecessary wavelengths of light so that only those beneficial to treatment of the brown pigmentation are delivered in precise energy pulses. These pulses result in heat that “energizes” the age spots, causing them to separate, so that they are effectively treated in 1-3 monthly sessions. The precision of the Nordlys technology has made the treatments both comfortable and fast requiring no more than 10-15 minutes. Dr. Forley has found that the hands respond remarkably well to the treatment protocol with only a single treatment needed in many cases.
Dr. Forley is pleased to announce the release of Aesthetic Rejuvenation of the Face and Neckedited by Dr. Bruce F. Connell and Dr. Michael Sundine and published by Thieme. Following his plastic surgery residency, Dr. Forley was selected by Dr. Connell for his prestigious post-graduate aesthetic surgery fellowship program in California. Dr. Forley was honored to be asked by Dr. Connell to contribute the chapter on Facial Aging that is featured in the new book.
Dry skin is a common problem that often defies effective solutions. It can be caused by genetics, systemic diseases, and hormonal conditions associated with the aging process. Environmental factors and procedures and products that we utilize in an effort to improve our appearance can result in dehydrated skin due to water loss through the outer skin layer. The consequences of a lack of skin hydration can lead to chronic irritation and discomfort as well as accelerated signs of aging from the free radicals that are produced due to an ongoing inflammatory reaction in the skin.
Hyaluronic acid (HA) is the body’s natural hydrator. It gradually decreases with age which inhibits the ability of the skin to remain hydrated. HA5 Rejuvenating Hydrator from SkinMedica provides immediate hydration and the ability to continuously hydrate the skin with a combination of 5 types of HA that includes a time release HA and a cross linked HA that works for up to 8 hours. In addition, HA5 Rejuvenating Hydrator contains an antioxidant extracted from Vitis vinifera flower stem cells that improves overall skin health by helping the skin restore its own natural hyaluronic acid. It is designed to be applied prior to a moisturizer to drive added hydration into the skin and will enhance your existing skin care regimen.
Dr. Forley has been listed as one of Castle Connolly’s Top Doctors: New York Metro Area 2016. The guide is widely recognized as an authoritative resource when searching for highly qualified physicians throughout the New York region. Doctors are selected based on nominations by their peers and reviewed by Castle Connolly’s physician-directed research team.
One of the concerns frequently expressed during the initial facelift consultation is that of the appearance of the scars following the surgery. Although Dr. Forley uses different facelift techniques that are customized to the needs of the patient, all facelifts share an incision that is located in the front part of the ear. In some cases, the incision will extend behind the ear. Key components that are used in the design of the anterior incision enable it to heal as a minimally apparent scar.
The facelift incision is designed to parallel the curves of the ear
A well healed facelift scar in a female patient at 1 year
An incision that is designed to follow the natural curves of the ear will heal in a manner that is most inconspicuous as it blends with the contour of the ear. In contrast, a straight line incision in front of the ear will be very visible to the eye as it clashes with the ear curves adjacent to it. In addition, a portion of the scar is hidden when the incision is designed to follow the edge of the tragus rather than placed in front of it. When exiting the tragus, the incision is located to preserve the intertragal notch to further enhance the natural appearing result of the surgery.
In many cases, part of the incision is located at the edge of the sideburn hairline. Dr. Forley preserves the deep hair follicles by angling his blade as he makes this incision. This technique enables the hair to grow through the scar as it heals making it virtually undetectable.
There are many factors that can affect the final appearance of a scar but it is essential to start with the proper design.
Rhinoplasty can be a very complex operation due to the multiple components that affect the aesthetics of the nose. Often, a change of 1 millimeter can be the difference between a good result and one that is less than ideal.
There are cases, though, where less can be more when a single anatomic problem presents itself as an aesthetic issue. This is most commonly seen in the bridge or nasal dorsum. If a bump is surrounded by otherwise excellent nasal aesthetics, then it is best to only address the bump and leave the remaining features of the nose untouched. Not only will this solve the problem, it will keep the inherent characteristics of the nose intact so that the result is natural and the best features of the nose that are unique to that patient are preserved. Suboptimal results arise when a surgical script is followed in which every patient gets the same operative steps regardless of their need. Dr. Forley believes in customizing the operation to the individual patient to yield the best outcome.
The goal of nose surgery, known as rhinoplasty, is to achieve a natural, unoperated appearance. In creating a precise surgical plan for each patient, Dr. Forley focuses on preserving the aspects of the nose that are beneficial to your appearance and only altering those parts that need to be improved. In this manner, your nose will appear balanced with your face and consistent with the characteristics that make you unique as an individual.
With the holiday season just around the corner, it’s not too soon to be proactive in your diet and exercise regimen. This interesting graphic discusses things you should consider when thinking about weight loss vs. weight management.
Restylane® Silk is a small particle type of hyaluronic acid filler that provides an additional option to the choices available to patients for lip enhancement. The FDA recently approved Restylane® Silk to define the appearance of the lips as well as to improve fine, etched vertical lines and wrinkles. It is notable for its subtle, natural effect and can be injected progressively until the desired lip volume is achieved. Dr. Forley uses Restylane® Silk not only to enhance the contour of the lips but also for blending of the lid-cheek junction ( the “tear trough”) to create a more rested, youthful look.
The new SilkPeel3® Diamond Dermalinfusion system is a non-invasive treatment that offers a technological advancement over traditional microdermabrasion in topical skin treatments of the face and body. A SilkPeel® treatment takes about 30 minutes and combines removal of the outer barrier layer of the skin with an infusion of serum into the deeper skin layers. The procedure begins with the gentle “vacuum-like” suction of your skin into a chamber in the tip of the handpiece. The suction pressure remains consistent across the face or body thereby controlling the level of exfoliation for a more precise depth of penetration of the abrasion process.
The removal of dry, dead cells from the surface prepares the skin for the infusion of the serum that has been chosen to address your specific concerns.
SilkPeel® Diamond Dermalinfusion can:
• rehydrate the skin
• reduce the appearance of acne scars
• improve fine lines and wrinkles
• lighten age spots and sun spots
Results will be seen after the first treatment but a series of 4-6 sessions at least 1-2 weeks apart will trigger an on-going process of improvement that produces smoother, brighter, and healthier skin.
Disclaimer: The decision to undergo cosmetic procedures is aided by viewing photographic illustrations of the outcomes of those procedures. Certain procedures can only be demonstrated by using photographs that, although clinical in nature, may feature nudity and therefore may not be suitable for all visitors to the website.
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