Dermal Fillers

The Difference Between Botox® and Dermal Fillers

Have you noticed that you just don’t look quite like yourself anymore? Maybe your eyes always look tired, no matter how much rest you get. Maybe you have furrow lines between your brows that make you look unfriendly. Perhaps your once pouty lips have become thin?

Great news! There are two injectable treatments that can restore your young, vibrant look — without a big price tag or a long recovery period. Botox and dermal fillers are popular nonsurgical treatments that can be used individually or in combination to give amazing results.

Botox

Botox® is the commercial name of the most popular botulinum toxin used for cosmetic purposes. Other well-known brands include Dysport® and Xeomin®. Botox is used for the treatment of dynamic wrinkles and lines that appear when we make certain facial expressions, such as frowning and smiling. It works by partially limiting the movement of specific facial muscles to ease these wrinkles, and sometimes even eliminates them entirely.

Botox is commonly used to treat:

  • Deep creases that run parallel between the eyebrows (often called “elevens”)
  • Lines next to the eyes (called “crow’s feet” or “laugh lines”)
  • Forehead lines
  • Chin dimpling
  • Muscle (platysma) bands on the neck
  • Downward turn of the corners of the mouth
  • Lines on the side of the nose (sometimes called “bunny lines”)

What to Expect with Botox

The injection takes just a few minutes and there is absolutely no downtime. You can go back to work right away. In fact, some people get it done during their lunch break. It takes about seven days for the treatment to begin taking effect, and full results are seen at about ten days. Results last three to four months, and sometimes up to six months, depending on how strong your facial expressions are.

Dermal Fillers

Dermal fillers are injectable gel treatments that actively fill in deep wrinkles and add volume where facial fat has disappeared. There are different types of dermal fillers. The most common and safe products are made of hyaluronic acids (HAs). Popular hyaluronic acid fillers include Restylane®, Juvederm®, Voluma® and Belotero®.

As we age, our facial muscles weaken and we lose some of our facial fat. This can lead to things like deep wrinkles, thinning lips, and sunken-in eyes or cheeks. Fillers can reshape the face and “lift” the tissues to restore a youthful appearance.

Dermal fillers are commonly used to treat:

  • Dark under eye circles
  • Lack of volume under the eyes
  • Lack of volume in the upper cheek
  • Lack of volume in the jawline
  • Thin lips
  • Nasolabial folds
  • Marionette lines (running from the corners of the lips to the chin)
  • Vertical lines around the mouth

What to Expect with Dermal Fillers

Filler injections take minutes to perform and you’ll see the results right away. You can see how it looks as its being injected and actively participate in deciding your final look. There may be some swelling and occasionally some light bruising after filler injections. Typically, you’re asked to avoid intense exercise the day of treatment but can expect to get back to your normal routine the next day. The length of time results last varies depending on the type of filler used and where it is injected.

How to Choose a Qualified Botox or Dermal Filler Provider

With the popularity of cosmetic procedures skyrocketing, there’s been a surge of providers offering services. But just because Botox and dermal fillers are nonsurgical procedures doesn’t mean you don’t want a qualified and experienced provider performing your treatment.

Cosmetic surgeons have undergone intensive, specialized training and have acquired a deep understanding of the facial structure as well as the full spectrum of cosmetic procedures. They can offer invaluable insight and guidance into which procedure, or combination of procedures, is right for you. If the results you’re hoping for require surgical techniques, they can educate you about the pros and cons of those procedures as well.

Choosing the right provider will ensure the best results. Do your homework and make sure you’re choosing a qualified cosmetic surgeon to perform your procedure(s).

Emory Aesthetic Center

Emory Aesthetic Center offers Botox treatments, dermal fillers and a wide array of other cosmetic procedures. Schedule your complimentary consultation today with one of our qualified expert cosmetic physicians.

About Gabriele Miotto MD, MEd

Gabriele C. Miotto, MD is an Assistant Professor of Surgery in the Division of Plastic and Reconstructive Surgery at the Emory University School of Medicine, and the Associate Program Director of the Emory Aesthetic Center Fellowship program. She is fellowship trained in aesthetic and oculoplastic surgery and certified by the Georgia Composite Medical Board as well as the International Society of Aesthetic Plastic Surgery and Brazilian Society of Plastic Surgery. Dr. Miotto is also certified by the National Board of Medical Examiners.

 

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Low Down Time, High Impact Plastic Surgery Procedures

Plastic surgery no longer means heavily wrapped faces and weeks of recovery while you hide away in your home. Today, you can choose from a wide range of procedures to help you get the results you want—and get back to the life and activities you love quickly. If you are looking to refresh your appearance in the New Year, Emory Aesthetic Center has low downtime, high impact plastic surgery options to help you look your best.

Facial Peels

Performed in a spa setting so you can relax and enjoy the experience, mild facial peels offer an opportunity to refresh and brighten your skin with very little redness or discomfort.

Medium or deeper peels can target scarring, lighten dark spots and even tighten skin. But these peels can make your skin a little red, so be sure to talk to your doctor about your activity calendar.

In-Office Procedures

In-office procedures, such as Botox© and facial fillers, are a great way to get a more youthful appearance. These procedures may cause some bruising and swelling, so it’s best to be prepared to cover up a small bruise rather than be taken by surprise.

Botox

Botox© can smooth out those pesky lines around the eyes and between the brows. It takes at least a week to start to see results, but with a little planning, you can be bright-eyed within a few days. Botox© is FDA-approved for treatment in the forehead, between the eyes and around the crow’s feet. It can also be used to elevate the corners of a saggy mouth, treat lines around the lips and even smooth a dimply chin.

Facial Fillers

Facial fillers are usually made of hyaluronic acid, a compound that’s found in our cells. They are incredibly versatile and can deliver great results with low down time.

Facial fillers can be used to add volume to the cheeks, soften lines around the mouth, bring a little more attention to the upper and lower lips or improve hollowing under the eyes. With a skilled and talented surgeon, fillers can have a significant impact on your appearance—sometimes even before you leave the office.

Eyelid Lift

The skin at the upper lids can hang and become loose over time, making your eyes look more tired than you feel. An upper eyelid lift can have a phenomenal impact.

Before an eyelid lift, you’ll get a local anesthetic to numb the eyelid area. Then, the excess skin is removed. The procedure itself takes about an hour, and delivers immediate results. This procedure does require about one week of down time though—and you will have stitches—so it’s best to plan accordingly.

Emory Aesthetic Center

Recommit to taking care of yourself in the New Year. If you’re considering a facial peel, Botox©, eyelid lift or something else, we can help. The expert cosmetic surgeons at the Emory Aesthetic Center are here to help you with a wide range of facial procedures and spa experiences to help you put your best face forward without a lengthy recovery.

About Anita Sethna, MD

Anita Sethna, MD, is double board-certified in Head and Neck Surgery and Facial Plastic and Reconstructive Surgery since 2010. She is an Assistant Professor of Otolaryngology, Head and Neck Surgery at Emory University School of Medicine where she has taught since 2011.

Dr. Sethna is the recipient of the AOA Research Award. She is an accomplished expert in her primary areas of interest, rhinoplasty, and injectables. She has published book chapters on the topics of rhinology and rhytidectomy and reviewed manuscripts for the Aesthetic Surgery Journal and the Archives of Facial Plastic Surgery.

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or call us at 404-778-6880.

Choosing a Cosmetic Surgery Center

View of Emory Aesthetic Center Building EntranceWhy Choose Emory Aesthetic Center? If you’ve been thinking about cosmetic surgery, you probably have a lot of questions like “Why choose Emory Aesthetic Center.” “How do I find the right doctor for me?” “How do I know it will be safe?” “What kind of procedure do I need?” Then, like most people, you’ll likely turn to the internet for answers. But is the information accurate? Who and what can you believe?

Emory Healthcare: A Name You Can Trust

Emory Healthcare is the region’s most comprehensive academic healthcare system. It’s home to highly-regarded doctors who conduct innovative research and are ranked among the top for patient care. But is Emory the right place for cosmetic surgery? Absolutely. With an aesthetic center dedicated solely to surgical and nonsurgical cosmetic procedures, how could you go wrong?

Specialized Cosmetic Surgery Team

Cosmetic surgery is what we do. When you choose Emory Aesthetic Center you get a cosmetic surgery team filled with innovators in the field. Many of our expert surgeons teach nationally and internationally and have served as leaders in regional, national and international societies. Collectively, our team has also published hundreds of contributions in journals and books about how to perform cosmetic procedures — safely.

In addition to top-notch surgeons, our entire staff — including anesthesiologists, nurse anesthetists, nurses, technicians and more — works together to provide the best care in a center that meets the highest standards of credentialing.

Wide-Array of Surgical and Nonsurgical Cosmetic Procedures

How can you know if the procedure being recommended is the best choice for you? There’s a saying, “If the only tool you have is a hammer, the whole world looks like a nail.” That’s the problem with going to a center that has limited offerings. You will only be offered the choices they are able to provide.

Body contouring is an excellent example of why it’s important to go to a center that can offer a variety of procedures. Let’s say you want to improve the look of your abdominal area. There are several surgical and nonsurgical options for different situations:

  • Coolsculpting® can reduce small amounts of localized fat deposits, without surgery.
  • Liposuction may be needed if there is a higher percentage of fat to be removed.
  • Abdominoplasty (tummy tuck) is needed to remove significant excess skin from the tummy.
  • A body lift may be needed to tighten and firm the abdomen, thighs, and buttocks of a patient who has lost a significant amount of weight.
  • Or a combination of the procedures above may be required to give the best results.

At Emory Aesthetic Center, we’re continually studying, teaching and publishing about cosmetic procedures, so we’re always on top of the newest developments. We offer the entire spectrum of surgical and nonsurgical cosmetic procedures, including cosmetic surgery, skin care, facial rejuvenation and body contouring. Our familiarity with the full-variety of techniques available enables us to guide you toward the procedure that fits you best.

Luxurious Atmosphere

At Emory Aesthetic Center, you’ll get the best of both worlds — clinical excellence and a luxurious experience. You won’t feel like you’re in a hospital. Our center is quiet and elegant and stands remote from the main campus. Our entire staff is focused on ensuring you have a great experience. Whether you’re here for a skin treatment in our Spa or surgical treatment in the operating room, we’re ready to give you the experience of a lifetime.

Request an appointmentor call us at 404-778-6880.


Choose Emory Aesthetic Center

Emory Aesthetic Center is the right choice for your cosmetic procedure. But don’t take our word for it, schedule your complimentary consultation and experience the Emory difference today.

Enhancing Your Lips: Lip Fillers or Lip Augmentation

lip-augmentation-imageYour lips are as unique as your face. Lip shape and volume play an important role in overall facial aesthetics. Today, full, sensual lips are considered the aesthetic ideal, hence the popularity of lip augmentation procedures. But even if you have naturally full lips now, they will change as you age – making it a concern for most women at some point in their lives.

When we’re young, our lips are full, edges are crisp and only the tiniest lines are evident when we smile or frown. As we age, our lips tend to get thinner, the edges soften and permanent vertical lines are set.

Lip augmentation (aka, lip enhancement) procedures are very popular and are designed to highlight original lip features or to improve the shape, the volume and the hydration of the lips. The vertical lines that appear on the skin around the lips can also be erased without changing the lip volume.

Injectable dermal fillers for lip augmentation

Hyaluronic acid fillers and fat are the most commonly used products to enhance the lips and surrounding skin. These products are injected with precision and the results look very natural — providing instant volume and contour to lips that lasts for several months. Because the effects are temporary, lip fillers are often used for special occasions — such as weddings or other important life events — or for experimenting with a new look.

Specific brands of hyaluronic fillers have specific uses in lip enhancement. Some lip fillers will bring more volume to your lips, enhancing them for a sensual youthful appearance. Other lip fillers have a softer affect, improving your lips’ shape and easing dryness with less volume.

Your aesthetic surgeon must select the correct lip filler to achieve your goals and to prevent lumps and irregularities. Our surgeons offer years of experience in lip enhancement and will advise you on the specific product that best suits your goals.

If you and your surgeon decide an injectable filler is right for you, the procedure will be done in your surgeon’s office. You’ll be given local anesthesia in the form of an anesthetic cream or shot to numb your lips and the surrounding soft tissues. The lip filler will be injected just under your skin with needles or blunt cannulas, and usually, takes 30 minutes.

Swelling and minor bruising are common after lip injections. Icing the areas help speed up the recovery and help improve any further discomfort. Your results are immediate and typically last about 6 months.

Fat transfer for lip augmentation

Fat is also used as a natural filler and can be injected into the lips. Small amounts of fat can be taken from your hips, stomach or thighs in a separate procedure. Once it’s purified, it can then be used as a lip filler to improve the volume and shape of your lips, and smooth mouth lines. Several recent studies have shown that injected fat has added benefits – as it improves skin quality and texture.

During the first few months after injection, the lips will absorb some of the fat cells, so the results are somewhat unpredictable. However, the volume that remains is permanent.

In many cases, two procedures are required. The fat is first harvested from your body and purified for the implant process. Then, the fat transfer is performed in a second procedure. (Some surgeons choose to combine both steps in one appointment).

Both procedures will be in the surgeon’s office under local anesthesia. The fat harvesting takes only a few minutes. The fat transfer usually takes 45-60 minutes. As with any other lip filler, it’s common for bruising and swelling to occur.

Is it time for lip augmentation?

If your face doesn’t match the youthful energy you feel, it may be time to talk with a doctor about lip augmentation. Contact the Emory Aesthetic Center to schedule a complimentary consultation with one our expert cosmetic surgeons.

Make an appointment

To make an appointment, use the link below or call 404-778-6880 to schedule a personal consultation.

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Types of Dermal Fillers – Benefits and Risks

Dermal FillersThe world of facial injectable treatments can be overwhelming with all the options seen in print and TV ads. New injectable materials seem to come out almost weekly. Here is a run-down of the dermal fillers we most often use, where we use them, and some common side effects.

Hyaluronic Acid (HA)

The most frequently used dermal fillers are made of a material called hyaluronic acid (HA). Hyaluronic acid is a chemical structure found in our bodies — so most individuals tolerate the filler well, without side effects. The chemical structure of the molecule can be processed in different ways, giving us the ability to manipulate the thickness, the amount of volume and the longevity of the effects on your skin.

This versatility is important because, depending on your particular area of concern, you may desire one benefit of the treatment over another. For example, you may desire additional volume and want the treatment to last a long time, but not need fine lines to be treated. On the other hand, you may desire smoker’s lines around the mouth to be improved, but not want a lot of volume or swelling in the mouth area.

Hyaluronic acid fillers come packaged in a variety of forms: Juvederm, Volbella, Juvederm Ultra Plus and Voluma, Restylane, Restylane Silk, Restylane Refyne/Defyne, Lyft and Belotero. Your facial cosmetic surgeon will recommend the use of particular kinds of HA fillers based on the treatment area, as well as your desired outcome, preference, and experience.

Side Effects of HA

Hyaluronic acid is a water-loving (hydrophilic) product, which means one expected side effect is swelling. The degree of swelling experienced after HA treatment varies. You’ll most likely experience swelling on the first day after injections, with a drastic reduction after that.

Follow these tips to help reduce swelling during the first day and night after facial injections:

  • Keep your hands off the area injected
  • Keep your head elevated while resting and sleeping
  • Limit alcohol and salt intake
  • Use cold compresses on the affected area

Rarely, patients are hypersensitive to this product and can exhibit an allergic response. If you experience any significant swelling, itching or redness at the injected areas, you should contact your surgeon. The biggest benefit to HA fillers is that with another enzyme injection, they can be dissolved, making this filler reversible.

Other Types of Dermal Fillers

Although HA fillers are the most common, other fillers may be useful for specific treatment areas:

Artefill

Permanent fillers, such as Artefill, can be helpful for areas with deep folds and are unlikely to change dramatically over time, such as the lines from the nose to the mouth (called nasolabial folds). The downside to permanent fillers is that if there is a reaction or a less than desirable result, the process is not reversible.

Radiesse

Radiesse is a temporary thickener made of a material called calcium hydroxyapatite. It’s longer lasting than HA fillers, and not dissolvable.  Your plastic surgeon may recommend Radiesse for deeper injection areas such as the lines from nose to mouth (nasolabial folds), cheeks and deep temple injections. One risk of using Radiesse is possible injection into a blood vessel, which can affect blood supply to a specific area of skin, causing serious complications. In some cases, Radiesse injection made too close to the skin can cause lumpiness under the skin. When used correctly, however, this filler can be very beneficial for reducing deep folds and providing volume.

Sculptra

Sculptra is collagen-stimulator filler intended for patients who need to gradually increase volume in larger areas. Before injection, Sculptra is hydrated with water for 48 hours. It’s then injected in small doses throughout the tissues under the skin in the treatment area. You can expect it to take between three to six weeks to see full results. Benefits include a more natural-appearing result and gradual increase in volume rather than abrupt change. The downside is that results can take several months to become apparent.

Which Dermal Filler is Right for You?

A board-certified facial plastic surgeon with experience treating the face can help you determine the best derma filler treatment for your most bothersome areas. The best filler product will depend on the area of concern, the depth of the issue and the thickness of the material. The experienced cosmetic surgeons at Emory Aesthetic Center have years of experience with fillers and individual preferences based on those experiences. Feel free to ask questions, return for a second discussion or look at photos to help you make your decision. Ultimately, our goal is ensuring your best result.

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Your Age Defying Questions Answered: Secrets to Defying the Aging Process

facial-rejuvenation-emailAging is a part of life. And yes, your appearance will change as you get older. But that doesn’t have to be a bad thing. Aging gracefully is about allowing the best version of yourself to shine through, and there are countless facial rejuvenation tools and treatments to help you do just that.

During our live chat on Tuesday, July 19th, Emory Aesthetic Center plastic surgeon, Dr. Felmont Eaves, answered all of your questions about helping to defy the aging process. Dr. Eaves discussed everything from skin care products to injectable treatments to cosmetic surgical options, such as Botox®, facelifts and eyelid lifts.

Below are just a few questions we were unable to respond to due to the large number of questions we received. For a full listing of questions and answers, please read our chat transcript. It is full of useful tips and answers that may be relevant to you. You may also visit emoryaesthetic.org for a full list of services and treatments offered by the Emory Aesthetic Center.

Question: How do I minimize dark circles beyond getting more sleep?

Dr. Eaves: There are two reasons that we may develop dark circles under the eyes. The first reason is that there is a dark tone to the skin itself. That is a difficult problem to treat, as currently we don’t have a great solution to dark circles. Sometimes bleaching creams containing hydroquinone can help, but that isn’t always successful. And chemical peels typically don’t work in this situation.

The other reason for dark circles, however, is the shadowing caused by bulging fat pads of the lower lids. Either surgery to remove or reposition the lower lid fat, or an injection of filler into the depressed area underneath the prominent fat – can soften or eliminate that shadow.

Question: What’s the best way to help with my lower face sagging without injecting a bunch of fillers?

Dr. Eaves: In the right patient, fillers can be great, but when the face truly begins sagging (not just deep folds by the mouth), then surgery is required to make truly significant changes. With a lower face lift (which typically includes tightening the neck as well) the jowls can be reduced, the cheek contours can be improved, and deeper folds/wrinkles around the mouth can be softened. It can provide dramatic, long lasting results, and recovery is generally relatively quick.

Question: How can you stop sagging eyelids?

Dr. Eaves: Sagging eyelids are generally treated with a blepharoplasty (an eyelid tuck and eyelid lift). Blepharoplasty can be used to treat the upper eyelids, the lower eyelids, or both, and are often combined with other areas of facial rejuvenation, such as a facelift, neck lift, and brow lift. Sometimes a sagging upper eyelid also has a component of malposition, where it isn’t just saggy skin. In those cases the lid can be repositioned while the blepharoplasty is being done.

Botox® for Men: Looking Good Isn’t Just for Women

Get rid of crow’s feet, a furrowed brow or sunken eyes in minutes. More men are using toxin injectables and fillers to look younger.Women aren’t the only ones who want to look better. According to the American Society for Aesthetic Plastic Surgery (ASAPS), men received nearly 600,000 injectable procedures (such as Botox® and fillers) in 2015.

If you’re a man who wants to look your best, clearly you’re not alone. Maybe it’s time to look for ways you can put your best face forward.

What are Injectables?

Injectables are cosmetic treatments that are injected into your body to improve your appearance without surgery. There are two types of injectables: neurotoxins (e.g. Botox®) and dermal fillers.

Neurotoxin Injectables

Neurotoxins  (also called toxins) are used treat deep lines caused by repetitive movements, such as smiling. Botox® is one of the most powerful neurotoxins in use today. Some people refer to Botox® to describe all cosmetic injectable treatments, but it only represents one substance.

This type of injectable is often used to treat:

  • Crow’s feet
  • Forehead wrinkles
  • Furrow lines between the eyebrows

It only takes minutes and you’ll have absolutely no downtime. You can expect to see full results in two to seven days. Results typically last three to four months and sometimes up to six months.

Dermal Fillers

There are different types of dermal fillers, but the most common contain hyaluronic acids (HAs). Fillers  add volume to address common aging problems like deep wrinkles, loss of fullness and sagging skin.

Fillers are used to treat:

  • Folds between the nose and lips (nasolabial folds)
  • Lips
  • Marionette lines (from corner of the mouth to the chin)
  • Sunken temples
  • Under eyes
  • Vertical lines around the mouth

Like injectables, fillers take just minutes, and you’ll see results right away. There may be a little bit of swelling and occasionally some light bruising. Typically, you can expect to get back to work the next day. The type of filler used and the area of the body it’s used on determine how long your results will last. For example, fillers in the folds around your mouth may last six to nine months, while fillers underneath your eyes may last a year or longer.

Who Should I Trust for Injectables and Fillers?

Don’t sacrifice quality for cost. The process seems straight-forward, but performing injectable treatment properly requires a great deal of skill and in-depth knowledge of facial anatomy. Look for a qualified cosmetic surgeon.

Thinking about Getting Injectables or Fillers?

Emory Aesthetic Center offers a variety of injectable procedures and other options to keep you looking your best.

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Or call us at 404-778-6880 to schedule your personal consultation

About Dr. Eaves

eaves-iii-felmontDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

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Facial Rejuvenation- Secrets to Defying the Aging Process

Learn the secrets to defying the aging process with facial rejuvenation. Renew your face with tips from a board-certified cosmetic surgeon.Aging is a part of life. And yes, your appearance will change as you get older. But that doesn’t have to be a bad thing. Aging gracefully is about allowing the best version of yourself to shine through, and there are countless facial rejuvenation tools to help you do just that.

Facial Rejuvenation Starts with Skin Care

Skincare is the first and most important step of facial rejuvenation. You don’t need to ditch your current products and spend a fortune on complete skin care “systems” to get good results.

A licensed aesthetician can help. Find someone who’s willing to listen to your concerns and offer advice to help you get the results you want within your budget.

These products can help you look your best:

• Sunscreen. Use sunscreen every day to prevent aging sun damage, such as dark spots and fine lines.
• Vitamin C. Apply Vitamin C to your skin to reduce the effects of sun damage and significantly brighten your complexion.
• Tretinoin (Retin-A). Use a Retin-A product to penetrate the deeper layers of your skin and stimulate collagen production. It also works as a mild daily exfoliant.
• Prescription medicine. Ask a dermatologist about certain prescription medicines (such as hydroquinone), which can lighten dark brown spots, patches and hormone-induced darkening.

Chemical Peels and Micro-Needling

Minor procedures for facial rejuvenation such as mild to medium facial peels (also known as chemical peels) and micro-needling can do wonders to kick-start a healthy routine and help your skin care products to work even better. Regular peels can help keep your skin texture looking younger as you age.

Injectable Treatments

You may get great results from fillers and/or Botox© if you have these early signs of aging:

• Mild volume loss
• Fine, early creases around your forehead and/or between your eyes
• Crow’s feet

Most patients have more than one of these signs, plus others such as loose skin and fat build up. You may need a multi-step action plan for facial rejuvenation to tackle multiple concerns.

Cosmetic Surgery

If you’re trying to use fillers or Botox for something that really requires cosmetic surgery, you probably won’t be happy with the results.

For example, if you have extra skin or fat around your eyelids and use Botox to lift your eyebrows, you may end up with an unnatural, arched expression. If you use an injectable filler to add a significant amount of volume to your jawline, you may look more “puffy” than youthful.

There are many surgical procedures that can help you put your best face forward. Talk to a board certified cosmetic surgeon to learn which procedures may be right for you.

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About Dr. Sethna

anita-sethna-avatarDr. Sethna understands that facial plastic and reconstructive surgery demand a marriage of science and artistry, and she enjoys using precision, skill, and vision to make her patients’ dreams reality. Dr. Sethna’s meticulous attention to detail and her passion for maintaining a natural look ensure optimum results for her patients.

A dedicated teacher, Dr. Sethna is devoted to assisting residents in facial trauma or reconstructive cases at Grady Hospital. She relishes the opportunity to educate residents and medical students in all aspects of patient care. Dr. Sethna has a strong interest in several areas of facial plastic surgery research and has presented at national meetings on the importance of resident and fellow education in rhinoplasty techniques and adjunctive measures to decrease discomfort during cosmetic procedures.

Takeaways from the Emory Aesthetic Center’s Getting Ready for the Holidays Live Chat

eac-holiday-260x200Thank you to everyone who joined us on Tuesday, October 13th, for our live online chat on “Getting Ready for the Holidays”, hosted by Emory Aesthetic Center’s facial plastic surgeon, Dr. Anita Sethna.

Believe it or not, the holidays will be here before we know it. In this live chat, Dr. Sethna provided advice and answered questions on how to get your skin glowing for the festive season. She discussed effective non-surgical treatments that will give you a brighter, rejuvenated look. She also answered questions around cosmetic surgical options and recovery to ensure your are ready just in time for the season. Here are just a few highlights from the chat, including one question we didn’t have a chance to answer:

Question: Can you perform a nose job with injections? My friend said that he had it done and I can see a difference.

anita-sethna-avatarDr. Sethna: Non-surgical rhinoplasty is a relatively new concept in injectables, but not one that should be taken lightly. There are no FDA-approved injectables for injection into the nose. That being said, in very select cases either after a rhinoplasty has already been done, or if a small issue in the bridge needs to be corrected, injection of a hyaluronic acid filler (juvederm , restylane for example) can be injected to correct the concern. A rhinoplasty surgeon familiar with the anatomy and blood vessels of the nose should be the one performing the injection. The risks of improper placement or unintended consequences can be severe in the nasal skin if performed by an untrained individual. As always, a consultation with a rhinoplasty expert to determine whether your concerns are even amenable to non-surgical (injectable) rhinoplasty is recommended prior to any interventions.

Question: What is the simplest thing someone can do to look fresher and rejuvenated?

anita-sethna-avatarDr. Sethna: On a daily basis, skin care is probably the easiest and biggest bang for your buck. The ingredients that are most helpful are tretinoin, or some type of retinol, that is essentially a daily exfoliant that is helpful in stimulating collagen and removing surface dead skin cells.

 

 

Question: When would you recommend a chemical peel and what does it best treat? Wrinkles? Complexion? Wondering if I should have one.

anita-sethna-avatarDr. Sethna: There are many different types of chemical peels and many different concentrations that can be used to achieve a different type of cosmetic result. Very limited amount of down time can be achieved with a lower concentration of peel solution and can improve overall brightness of the complexion and possibly improve the appearance of darker spots or age spots. If deeper wrinkles are present or overall skin tightening is desired, most of the time a deeper peel will need to be performed in an operating room or under sedation, with a recovery time of closer to seven days. Most peels can be repeated to get more drastic results and can be repeated with varying intervals depending on the depth of the original peel. Ultimately, the best recommendation on whether or not it will be helpful will be to come in for a consultation to address what your overall goals are and whether a peel could accomplish those.

If you missed out on this live chat, be sure to check out the full list of questions and answers on the chat transcript. You can also visit emoryaesthetic.org for a full list of services and treatments offered by the Emory Aesthetic Center.

If you have additional questions for Dr. Sethna, please feel free to leave a comment in our comments area below.

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How to Prevent and Treat Crows Feet

happy-ladyCrow’s feet, or laugh lines around the eyes, can be a challenging area to treat from a cosmetic perspective. On one hand, expressions of joy transmitted through the eyes are beautiful in their own right, but deeper lines and creases in this area can often draw attention to the changes associated with aging and loose skin.

My personal approach is to attempt as much as possible to prevent the lines from becoming deep, or in some cases, even forming to begin with. There are two main methods to achieve this – skincare to plump and stimulate collagen (such as tretinoin or Retin-A©), and Botox® (or equivalent Xeomin® or Dysport®) to reduce the muscle movement in the area and thereby reducing crease patterns. These options can be started at any time, even in the early 30s before real creases have begun. A combination of treatments early can prevent the formation of obvious deeper creases. At this stage, Botox can be performed as little as twice a year before creases have actually formed.

Once the creases are present, the above combinations of skincare and Botox can still make a significant impact and can lessen the appearance of lines around the eyes. Often, this is all that patients are interested in so that they can still appear to have movement while improving their overall appearance. If a more drastic improvement is needed, a series of peels or even fractional laser treatments can be undertaken. The choice of intervention depends on the comfort level of the surgeon and the amount of downtime or recovery the patient is able to give.

If a week of downtime is tolerable, fractional laser resurfacing can be performed relatively aggressively to specifically treat the area around the eyes. Makeup can typically be worn to reduce the appearance of redness during the recovery period. Because we usually cannot be aggressive enough with one treatment to wipe out these lines, a repeated treatment may be needed 3-6 months later. During that period of recovery, Botox can be used to give the skin a continued break from creasing as well.

Facial peels can also be performed, often at varying depths, depending on the amount of recovery or downtime afforded. Often, a peel will have 3 days of recovery and can be repeated every 4 to 6 weeks for a total of 3 to 4 treatments to allow improvement in this area. It is a slower, but less intensive treatment plan. Continuing skincare and Botox through this period will also boost results.

All in all, a multi-pronged approach is often needed to treat the eye area. The good news is that crow’s feet respond to treatment quite well if all options are utilized. Other treatments, such as fillers, can be used as well if indicated, but are not routine as they can be fraught with unexpected complications. With judicious use of Botox and a rigorous skincare routine early, an ounce of prevention is definitely worth a pound of cure.

Come meet with one of the board-certified physicians of the Emory Aesthetic Center. We can discuss your goals and determine what combination of treatment is right for you.

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or call us at 404-778-6880 to schedule a consultation.

About Dr. Sethna

anita-sethna-avatarDr. Sethna understands that facial plastic and reconstructive surgery demand a marriage of science and artistry, and she enjoys using precision, skill, and vision to make her patients’ dreams reality. Dr. Sethna’s meticulous attention to detail and her passion for maintaining a natural look ensure optimum results for her patients.

A dedicated teacher, Dr. Sethna is devoted to assisting residents in facial trauma or reconstructive cases at Grady Hospital. She relishes the opportunity to educate residents and medical students in all aspects of patient care. Dr. Sethna has a strong interest in several areas of facial plastic surgery research and has presented at national meetings on the importance of resident and fellow education in rhinoplasty techniques and adjunctive measures to decrease discomfort during cosmetic procedures.