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Posts Tagged ‘Ulthera’

ULTHERAPY® FOR MEN

Saturday, February 24th, 2018

Sagging of the face and neck with loss of jawline definition is a frequent complaint of patients as the aging process progresses. Men are particularly focused on the sagging neck as an indicator of an older appearance. However, they are less likely to accept surgery to treat the problem and are more inclined to pursue non-invasive options to improve laxity .

Ultherapy® is a non-invasive treatment that involves the application of focused ultrasound energy to the deep layers below the skin. A gradual tightening and lifting effect of the face and neck over 3-6 months results from the response of the body to the heat that is delivered. It has minimal if any downtime and is usually performed awake with some oral medication to reduce the discomfort that is associated with the procedure. Patients can resume normal activities immediately after the treatment and rarely require any pain medication or have any bruising. Maintenance treatments are usually performed at 18-24 months.

55 year old male 5 months following Ultherapy® of the face and neck

55 year old male 5 months following Ultherapy® of the face and neck

 

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ULTHERAPY TREATMENT OF THE DÉCOLLETÉ

Sunday, July 27th, 2014

Ulthera visionary aesthetic ultrasound
Lines and wrinkled skin of the décolleté have always been a challenging problem with few consistently beneficial treatment options. The cumulative effect of sun exposure results in changes to the collagen and elastin fibers in the skin producing not only wrinkles but brown sun spots that together can be a source of great frustration. The many beneficial surgical and non-surgical treatment options for the face and neck now have a complementary anti-aging option for the décolleté. Ultherapy, the micro focused ultrasound therapy that has been used to successfully tighten and lift the neck, face, and brow, has been cleared by the FDA for treatment of this problematic area of the chest.

Before & After ultherapy 180days

Before & After 180days ultherapy
In a single 30 minute treatment performed by Dr. Forley, energy is delivered that stimulates the skin to naturally produce collagen and elastin fibers resulting in a smoother skin appearance over 3-6 months. There is no downtime or aftercare required.
A nice addition to complete the rejuvenation of the décolleté is treatment of the sun spots with the Fraxel® Dual laser. The Fraxel® Dual delivers light energy that helps to produce a more uniform pigmentation of the skin that enhances the smoothing achieved with Ultherapy.

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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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MY SAGGING NECK: WHAT ARE MY OPTIONS?

Wednesday, October 26th, 2011

There are several procedures, both surgical and nonsurgical, that can improve a sagging neck. The most common cause of the sagging appearance is loose skin, which is often hereditary and can be more pronounced after a rapid weight loss. Gravity also takes its toll on the formerly taut neck of youth. A history of sun exposure contributes to laxity due to its negative effect on skin elasticity. Excess fat deposits will alter the contour of the neck by producing a bulge. The edges of the platysma, a thin muscle that lines the neck, develop the appearance of thickened cords below the chin and become more prominent with age. We will discuss three options used by Dr. Forley to treat the sagging neck.

Ultherapy®

Ultherapy® is a new type of non-surgical treatment that uses ultrasound energy to selectively heat the deep layers of the neck that have lost their elasticity and firmness over time. Because the sound waves pass directly below the surface of the skin, the deep support layer responsible for sagging is tightened without affecting the outer skin layer.

Before and 1 Month After Ultherapy of Face & Neck

Before and 1 Month After Ultherapy of Face & Neck 

Following an Ultherapy® treatment, the building of new collagen occurs gradually over the following two to three months. Significant lifting results can be seen due to the combination of contraction of the tissues and new collagen formation. Ultherapy® is often recommended in the early stages of neck aging when surgery is not yet indicated.

Liposuction

Liposuction can be used to remove excess localized fat deposits in the neck and to define the jawline.

Before Liposuction of Neck

Before

After Liposuction of Neck

After Liposuction of Neck

The desired amount of unwanted fat is removed through a small incision under the chin using a cannula, a specialized tube for liposuction. Skin contraction is stimulated by the procedure so that mild laxity will usually not require any additional tightening procedures. Potential bruising and swelling can be limited by use of a compression band for 2-3 days. Many patients return to work within a few days.

Neck Lift

A neck lift restores the contour and appearance of a youthful neck by removing excess fat and tightening the loose skin and muscle that causes a loss of definition.

Before Neck Lift

Before

After Neck Lift

After Neck Lift

To reposition your neck tissues, skin and deeper layers of the face are first very carefully mobilized using incisions located behind the ear. Excess fat may be sculpted using liposuction to further improve the result. The neck bands are treated by use of a specialized row of stitches under the skin to provide better muscle support and optimal contour of the neck.  Excess skin is removed and the incisions are carefully closed to produce fine, minimally apparent scars.

In some cases, more than one factor is responsible for a sagging neck, and a combination of procedures may be necessary. Dr. Forley will discuss the best options for your individual needs during your consultation.

 

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A TRIO OF NON-SURGICAL TREATMENTS: UNLOCK THE POTENTIAL OF YOUR SKIN

Tuesday, May 31st, 2011

With the recent introduction of  Ulthera®, the first energy-based device to be cleared by the FDA with a non-invasive “lift” indication, we are now able to offer a trio of non-surgical treatments that work to lift the skin and rebuild collagen that has been damaged with aging. Ulthera® joins the Fraxel® re:store Dual Laser and Sculptra®Aesthetic to provide an innovative platform of minimally invasive treatments to restore a more youthful appearance to your face. These three anti-aging treatments can be used in a combined non-surgical strategy that unlocks the potential of your own skin to produce a natural, more youthful appearance that is long-lasting.

Ulthera®

The sound waves generated by the Ulthera® deviceresult in an innovative non-surgical treatment, Ultherapy®, that safely lifts and tones the skin without any downtime.  The sound waves produce a focused ultrasound energy that is delivered in a pattern that targets the deep layers of the face and neck with a series of thermal coagulation points. The  image on the viewing screen allows Dr. Forley to see precisely at what level the energy is being delivered. Because the sound waves pass directly below the surface of the skin, the deep support layer responsible for sagging is tightened without disrupting the skin. Contraction of the skin is immediately visible and treats the loss of elasticity and firmness that has occurred with aging.   The building of new collagen occurs gradually over the next two to three months as visible improvement progresses. Most patients require one treatment but a second session might be recommended for additional benefits when more severe skin sagging is present. Discomfort during the procedure is variable but there is no aftercare necessary and you may resume normal activities following your treatment. The combination of contraction of the tissues and new collagen formation can counter the effects of gravity on the skin and achieve significant lifting results that can persist for up to two years.

Fraxel®The Fraxel® re:store Dual Laser uses two wavelengths of laser energy to treat wrinkles and age spots in the skin. Both wavelengths work to improve collagen by stimulating the “collagen cascade” effect that results in the deposition of thickened, healthy collagen fibers to improve skin tone and firmness and to diminish pore size.  Brown spots are lightened and a more even skin complexion can be achieved. The face, neck, chest, and hands can be safely treated with this light energy-based technology in a series of four monthly treatments with short-term redness and swelling over 2-4 days. The duration of effect varies depending on the pre-existing quality of your skin with maintenance treatments recommended at 18-24 month intervals.

Sculptra®Aesthetic Sculptra®Aesthetic is composed of an injectable biocompatible material, poly-L-lactic acid, that creates a gradual and very natural appearing restoration of facial volume by stimulating the collagen producing cells of the skin. Youthful facial contours are achieved as the volume that has been lost or has shifted with aging is replaced by  skin that has been thickened by the newly formed collagen. Generally, a series of 2-3 treatments at 6-week intervals are necessary to achieve the desired effect. The results from the treatment can last up to 3 years at which time maintenance treatments will be necessary. Sculptra is quickly becoming the injectable of choice for patients looking for non-surgical facial rejuvenation. Dr. Forley and Philadelphia dermatologist, Dr. Ringpfeil report an increase of non-surgical procedures over the past few years.

A consultation with Dr. Forley will provide you with further insight into how this non-surgical trio of treatments can be used to address your concerns.  A sequence of treatment sessions that is customized for your specific needs will be discussed and the time frame necessary to achieve your goals will be determined.

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