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Posts Tagged ‘Botox Cosmetic’

THE SAGGING BROW: NON-SURGICAL & SURGICAL OPTIONS

Friday, March 9th, 2012

Sagging of the brow and forehead can make you appear stern or tired with a smaller appearing eye. This appearance is heightened when frown wrinkles appear between the eyes and across the forehead. Choice of a non-surgical or surgical option for your brow is based both on the extent of the sagging and your need to limit downtime.

Non-Surgical

Ultherapy®

Before Ultherapy

Before Ultherapy

1 month after Ultherapy

1 month after Ultherapy

Ultherapy® uses ultrasound energy to safely lift the brow with focused sound waves that create targeted heating of the layers deep to the skin that sag due to the onset of diminished firmness and elasticity.

The deep support layer is tightened without skin disruption because the sound waves penetrate below the surface to produce contraction of the collagen. Following Ultherapy® of the brow, some changes are visible immediately with continued improvement occurring over 3-6 months. The treatment can take as little as 20-30 minutes and last up to 2 years. It can be combined with Botox® Cosmetic to further enhance the position of the brow.

BOTOX® Cosmetic

Before BOTOX

Before BOTOX

After BOTOX

After BOTOX

BOTOX® Cosmetic produces a selective decrease in the downward pull of the muscle around the eye so that the upward pull of the forehead muscle will lift the brow. Very precise injections are utilized to balance muscle activity to produce the desired result. The treatment is simple with only minimal discomfort, requires just a few minutes, and you can resume normal activities immediately. The results will be apparent in a range of 1-3 days. The duration of effect is between 4-6 months.

Surgical

Endoscopic Browlift

Before Endoscopic Browlift

An endoscopic browlift provides a more definitive long-term solution to the sagging brow using the latest in innovative surgical technology to provide a safe and speedy recovery. When the heavy tissue is lifted out of the upper eyelid the eye looks fresher, more open, and you appear more energetic. People will stop asking you if you are tired or angry. The procedure is performed under twilight anesthesia with small incisions concealed within the hairline and a special high intensity light and imaging instrument called an endoscope. The attachments of the brow to the underlying bone are released to permit the tissues to be lifted and stretched upward, providing the necessary lift to the brows and reduction of wrinkling. Your forehead area will feel tight for 48-72 hours. This sensation will gradually resolve over the next several days as the swelling decreases. Bruising fades within 5-10 days and can be reduced with the use of techniques described in a previous blog https://drforley.com/blog/reducing-the-risk-of-bruising-following-your-procedure/.

After Endoscopic Browlift

After Endoscopic Browlift

Lateral Browlift

Before Lateral brow sagging

Lateral brow sagging

After Lateral brow sagging

After Lateral Browlift

Early sagging of the brow can be treated with a more limited browlift via a single temporal scalp incision. The procedure creates a more youthful and rested appearance that looks very natural.

The lateral browlift is usually performed under local anesthesia and may be combined with upper eyelid surgery when upper eyelid skin excess and fat prominence is also present.

Dr. Forley will evaluate your brow during your consultation and discuss with you the best options for your individual needs.

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COSMETIC PROCEDURES FOR MEN

Friday, December 30th, 2011

Men have become an increasingly common presence in the plastic surgeon’s office. Competition in the workplace and the prevailing youth culture have combined to create a desire for self-improvement that may not have seemed as important 15 or 20 years ago. The minimal downtime procedures performed today make their acceptance amongst busy professional men and women very high. The most frequent non-surgical procedures men are having done in our office are BOTOX® Cosmetic, injectable fillers, and Ultherapy®. Surgery often is performed to treat baggy eyelids, excess neck, hip, and tummy fat, and gynecomastia or male breast enlargement.

NON-SURGICAL

BOTOX® Cosmetic

Botox® Cosmetic provides a non-surgical way of reversing the crow’s feet, laugh lines, and frown lines produced by the underlying contraction of facial muscles. “Also known as Bro-tox, Botox is one of the most popular non-surgical cosmetic treatments for men” say Philadelphia dermatologist, Dr. Ringpfeil. It works by enabling a smooth skin appearance as a result of blocking the muscle contraction and overlying skin wrinkling produced by nerve impulses. The untreated muscles will allow for normal facial expression to remain unaffected. The treatment lasts from 4-6 months and is performed 2-3 times per year to maintain youthful appearing skin.

Injectable Fillers

Injectable dermal fillers composed of hyaluronic acid, such as JuvedermUltra and Ultra Plus, Restylane®, and Perlane® are indicated in the treatment of folds, wrinkles, or hollowing that results from facial aging. “By adding volume, wrinkles and folds appear smoother and facial contours appear more youthful” says Dr. Forely. The duration of effect is up to 12 months.

48 year old male before treatment

48 year old male before treatment

6 years following ongoing treatment with Restylane®

6 years following ongoing treatment with Restylane®

Another filler we offer is Sculptra® Aesthetic. This product is composed of poly-L-lactic acid (PLLA), an injectable biocompatible material that stimulates the production of the skin’s own collagen. The natural appearing restoration of youthful facial contours is made possible by the skin thickening that results from the gradual deposition of the new collagen. Generally a series of 2-3 treatments at 6-week intervals are necessary to achieve the desired effect. The youthful appearance that results from the treatment can last up to 3 years at which time maintenance treatments can be utilized.

Ultherapy®

Ultherapy® is a new type of non-surgical treatment that uses ultrasound energy to safely lift and tone the skin without any downtime. The ultrasound image on the viewing screen allows Dr. Forley to see precisely the level at which the ultrasound energy is being delivered. Ultherapy® apparatThe deep layers of the face and neck that have lost their elasticity and firmness over time are targeted by the heat-producing sound waves. Although one treatment is frequently all that is needed, more significant facial and neck sagging may require an additional treatment after 3-6 months. The duration of results can vary but you can generally expect up to 2 years of benefits from Ultherapy®.

SURGICAL

Blepharoplasty (Eyelid Surgery)

Eyelid Surgery 75 year old male before

75 year old male before surgery

Eyelid Surgery 2 years following upper and lower

2 years following upper and lower eyelid surgery

Loose, sagging, bulging tissues of the eyelids can make the eye appear smaller and lead to others asking if you are tired or stressed. Blepharoplasty or eyelid surgery removes excess loose skin and fatty tissue that produces sagging and heaviness of the upper or lower eyelids. The eye appears larger, less tired, more open, and brighter.

Liposuction (Neck, Hips, & Abdomen)

Liposuction is a contouring procedure that removes bulges to achieve a more aesthetic blending of body outlines. The type of physical appearance men desire can be counteracted by age, heredity,lack of exercise, and poor eating habits. Long lasting results are achieved when surgery is combined with a program of fitness and nutrition. Liposuction removes excess localized fat deposits through tiny incisions using small tubes or cannulas. The overlying skin contracts to fit the new profile. Areas such as the neck, hips and abdomen are the most often targeted areas for men.

Liposuction Before

Before

Liposuction 6 months after liposuction of the hips

6 months after liposuction of the hips

Gynecomastia (Chest)

Gynecomastia 36 year old male before

36 year old male with gynecomastia

Gynecomastia 8 months after gynecomastia surgery

8 months after gynecomastia surgery

Excessively large male breasts, known as gynecomastia, can produce a feeling of self-consciousness about body image that can inhibit lifestyle choices and daily activities. In most cases, the glandular and fatty tissue enlargement of the male breasts begins during puberty. It is usually a benign condition, but can be associated with hormonal abnormalities that may need additional evaluation. Gynecomastia procedures improve the large breast size by reducing the volume and prominence of the breast fatty tissue using liposuction and directly removing excess glandular tissue via an incision at the lower edge of the areola. Skin excision is rarely necessary as it will generally retract during the healing phase. In addition to the improved appearance, patients also find they are comfortable participating in social or sports activities that they were either unable or unwilling to do before surgery. During your consultation Dr. Forley will discuss and recommend those options that he feels will give you the best result.

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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.

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