Posts Tagged ‘botox atlanta’

Ask the Doctor: How Does Botox© Work?

Botox Before and AfterBotox©, or botulinum toxin, is an injectable medication that stops muscles from moving over a short-term period, usually 3-4 months. In order for muscles to move, they must receive a signal, a chemical transmitter, which attaches to a receptor on the muscle and gives it the signal to contract. Botulinum toxin stops the release of that transmitter, so the muscle cannot move. In nature, though rare, this toxin is considered one of the most deadly toxins, because it can cause the muscles that help you breath to stop working. Over time, and after having been studied and perfected for almost 50 years now, Botox has become the number one cosmetic treatment the world over. Injected in very small doses, this medication can not only treat lines and wrinkles around the forehead, between eyes and the crows feet, but can also prevent the formation of new ones!

Botox is not only a cosmetic treatment, however. The first uses for Botox were for an eye muscle condition called strabismus. Spasms of the eye, migraines, large muscle movement disorders and voice tremors can also be treated with this effective and life-impacting drug.

The indications, both FDA-approved and not approved, for this medication are ever increasing. The key, however, is to ensure your treatment is performed in the very safest way possible. In order to save money, patients may frequent medical spas, attend “Botox” parties, sign up at dental offices, or other non-surgical specialties, thinking Botox at one place is the same as any other. In truth, the risks of having an injection into the wrong muscle group, or at too high a dose, can be far too great to engage in this type of cost cutting.

Make sure you undergo your injections with a board-certified cosmetic surgeon who performs injections on a regular basis, and has the understanding of underlying facial and neck musculature before undergoing treatment. Ask any questions that may concern you prior to your treatment as well as noting any precautions for after being injected. Botox is one of the most-studied medications we use today and has positively impacted the lives of many patients, both cosmetic and otherwise. When used safely, the vast majority is extremely pleased and loves their fresher and more youthful appearance.

If you are considering Botox©, or facial fillers, let the board certified physicians of the Emory Aesthetic Center help you decide what treatment is best for you.

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About Dr. Sethna

Anita Sethna, MDAnita Sethna, MD, 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 Dr. Nahai’s “Facial Rejuvenation” Live Chat

facial rejuvenationThank you to everyone who joined us for the Facial Rejuvenation live chat hosted by Emory Aesthetic Center surgeon, Dr. Foad Nahai. Dr. Nahai discussed both surgical and nonsurgical solutions to help rejuvenate the face, including dermal fillers, Botox®, eyelid lifts and face lifts.

We were thrilled with the number of people who registered and were able to participate in the chat. The response was so great that we had a few questions we were not able to answer so we will answer them below for your reference. You can also check out the chat transcript for a full list of questions and answers:

Is their a technique such as skin tightening that can decrease hollowness around the eyes and decrease the appearance of dark circles?

Foad Nahai, MDDr. Nahai: Sometimes, shadows resulting from contour irregularities, or hollowness, around the eyes can accentuate the dark circles. Fillers may be a solution in these situations. Also, skin care including retinols, skin bleaches, as well as surgical intervention, such as an eyelid lift, may help to improve this.

Is there a difference in the outcome or a reason to use microdermabrasion versus use of a laser on the face?

Foad Nahai, MDDr. Nahai: There is a very significant difference between the two. Microdermabrasion is a lighter therapy and is used for more superficial purposes. Laser resurfacing, however, can range from light and superficial, to heavy and deep. Both are effective for minor skin changes but only lasers can be used for more significant or deeper problems.

How can I get rid of under the eye wrinkles and is there something that can be done to whiten eye sclera?

Foad Nahai, MDDr. Nahai: There are several options for improving eye wrinkles that include creams, facial peels and surgical skin removal or lifting. After examining your skin, a specialist will be able to recommend the best treatment for you. There are eye drops available which can help to improve “blood shot” eyes, but there is not a procedure to whiten the sclera.

I fell a couple years ago, and my forehead hit a curb right above my eye. Of course I had a huge black eye as a result. It has been 2 years and I still have darkness around that eye – a shadow in the same shape as the black eye. Can anything be done to lighten this?

Foad Nahai, MDDr. Nahai: Dark circles under the eyes represent one of the most challenging areas for improvement. The eyelid skin is extremely thin, with minimal if any fat between the skin and muscle. However, there are non- surgical options, such as retinols and skin bleaches, and surgical options that can help provide some improvement.

Question: Is there anything you recommend for the treatment of rosacea?

Foad Nahai, MDDr. Nahai: A variety of topical agents are available to treat rosacea. After an evaluation of your condition by a dermatologist, he/she should be able to advise you on the best treatment options for you.

 

If you missed this informative chat with Dr. Nahai, be sure to check out the full list of questions and answers on the chat transcript. Be sure to visit the Emory Aesthetic Center website for more information on therapies and solutions to keep you looking your best.

Non-Surgical vs. Surgical Facial Rejuvenation: Which is Right for Me?

Facial Rejuvenation OptionsOver the past several years there has been an explosion of options to help your face look better and younger. Fillers, toxins (e.g. Botox®), stem cells, facelifts, fat grafts, skin tightening, and the list goes on and on. With so many options, how can you know what is right for you? Is surgery better, or will non-surgical treatments help you achieve your goals? Do the treatments even work? As you consider your options, understanding a few general principals can help simplify the decision.

First, it’s important to understand that surgery and non-surgical procedures sometimes do different things, but sometimes they do the same thing in different ways. For instance, deepening of the nasolabial folds (the creases from the side of the nose toward the corners of the mouth) can be softened by dermal fillers such as hyaluronic acid (e.g. Juviderm®, Restylane®). This type of injection is performed during an office visit and only takes a few minutes. Surgery, however, can also diminish the folds. Fat grafts can be utilized to soften the folds much like fillers, and often the most dramatic improvement to the folds is when a face lift is combined with fat grafting.

Second, while non-surgical or minimally-invasive treatments are easy to undergo and recover from, they are typically temporary and will need to be repeated to maintain the effect. Neurotoxins (e.g. Botox®, Dysport®, Xeomin®) do a great job of softening wrinkles between the brows, in the forehead, and by the side of the eyes, e.g. ‘crow’s feet’. These injections take only a few minutes to complete, but they typically last about 3 or 4 months and then need to be repeated to maintain the effect. On the other hand, surgical procedures tend to be more long lasting and may never need to be repeated. A brow lift can treat the wrinkles between the eyebrows extremely well, and this improvement is generally permanent.

Third, there are some aging changes that simply can’t be adequately corrected by non-surgical treatments, at least at this point in time. If you have developed significant jowling, only surgery can reliably address this issue. If the brow position is quite low or there is a significant amount of loose skin of the upper eyelids, only eyelid and brow surgery can reliably reposition the brow or eliminate the loose skin of the upper lid. If there is significant skin laxity in the neck, minimally-invasive treatments will not fully correct the looseness, and a neck lift will be required for full correction.

It is also very important to understand that often non-surgical and surgical treatments represent a continuum of effectiveness. Office chemical peels, mechanical treatments, or facial lasers can do a great job if the degree of skin changes and wrinkling is relatively limited. More aggressive lasers or surgical chemical peels, however, can produce more dramatic results when the skin has more established aging. Very often, minimally-invasive treatments are a great option for less severe changes, while surgical treatments are the best for more severe changes. If you are older and have more advanced aging concerns, surgery is more than likely the answer for you, but if you are in your thirties or forties, very often the non-invasive treatments such as fillers, Botox®, and good skin care is the best strategy.

Finally, and most importantly, marketing and hype doesn’t mean that something works. As much as we are always hoping for great, new options, some of the marketed treatments have little or no proven effect. For example, although the potential of stem cells to treat many conditions – including facial aging – is significant, at this time there are not sufficient studies to show that the currently marketed treatments are either safe or effective. Also, just because a treatment is approved by the FDA doesn’t mean that it is better than the older, simpler, or less expensive procedures. The old adage is upheld: If it seems too good to be true, it probably is.

As you work to figure out your best combination of options, remember that the doctors at the Emory Aesthetic Center are trained in both non-surgical and facial surgical solutions to address your aging concerns, and can help you figure out what strategy is best for you. In addition, we can help you develop a long-term, integrated plan to keep your face looking its best, incorporating good skin care along with non-invasive and surgical treatments when the time is right.

Join us for a live chat on Facial Rejuvenation –Surgical and Nonsurgical Solutions on Tuesday, November 11th at Noon to hear more about this topic. Dr. Foad Nahai, cosmetic surgeon, will be available to answer all of your questions. To register for the live chat, click here.

About Dr. Eaves

Felmont Eaves, MDDr. 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.

Dr. Foad Nahai to Host Live Chat on Facial Rejuvenation – Surgical & Nonsurgical Solutions

Facial Rejuvenation Chat Have you considered a facial cosmetic procedure to help you look as young as you feel, or thought about enhancing features you once thought were lost in years past? Join Dr. Foad Nahai of the Emory Aesthetic Center on Tuesday, November 11, 2014 from Noon – 1PM as he discusses both surgical and nonsurgical solutions to help you realize your vision of you. If you are considering dermal fillers, Botox or facial surgery such as an eyelid lift or face lift, join our live chat to ensure you are confidently ready to take the next step.

Dr. Nahai will be available to answer all of your questions such as:

  • What types of results can I expect to see from a facial surgery versus Botox or dermal fillers?
  • Do dermal fillers and Botox injections do the same thing?
  • What is a mini-face lift?
  • Is fat transfer (fat grafting) better than a facelift?
  • Can someone who has had cosmetic surgery be treated with dermal fillers?
  • How long is the recovery period after cosmetic surgery?
  • What is the benefit of having my non-surgical or surgical procedure performed at a place like Emory Aesthetic Center?

Sign Up

Chat Details:

Date: Tuesday, November, 11, 2014
Time: 12 noon – 1pm EST
Chat leaders: Dr. Foad Nahai
Chat Topic: Facial Rejuvenation – Surgical & Nonsurgical Solutions

Juvederm, Botox, Dysport, Sculptra, Restalyne: Understanding What’s What When it Comes to Injectables & Dermal Fillers

Dermal Fillers & InjectablesWhen it comes to dipping your toes in the pond of cosmetic injectables, the choices can be intimidating to say the least. Don’t worry, you’re not alone! Many patients enter into this arena with an understandable array of questions; hopefully the following explanation can help in understanding some of the available options.

The most common question asked at the Emory Aesthetic Center is often about the difference between “Botox©” and “fillers”. The simple answer is that injectables such as Botox©, Dysport© and Xeomin© (sometimes referred to as “neuromodulators”) work at the site of muscles to stop them from moving for a period of 3 – 4 months. These injectables are best used to treat areas where lines are formed due to repetitive motion: for example, the “frown lines” between the eyebrows, horizontal lines in the forehead, and “crows feet” around the sides of the eyes. Injections can be done in other places on the face, such as “lipstick lines” around the mouth, but these must be done by a surgeon well trained in the anatomy of this area as unintended (and unwanted!) consequences could result.

All three neuromodulators (Botox©, Dysport©, and Xeomin©,) work on the same principle and give similar results but are manufactured by different companies with their own proprietary methods. The choice of which injectable to use depends on the experience and comfort of your cosmetic surgeon as well as the possible subtle differences between them. Again, results last approximately 3 – 4 months in most areas, and take between 3 – 5 days for onset after injection.

It is important to understand that treatment with neuromodulators, like Botox©, does nothing to improve loss of facial volume, but is often a critical part of a well-crafted plan to enhance your overall appearance, improve and open up the eye area, and smooth the overall texture of the skin. Some studies have shown using these injections gives your brain positive feedback and improve your mood because of the inability to frown!

Dermal fillers, on the other hand, are ideally used in areas where lines or folds are seen at rest. Commonly treated areas include the cheeks, “smile lines” that run from the nose to the mouth, hollowing under the lower eyelids, sometimes the lips and even the temple area for loss of volume.

Starting in our 30s, skin has a tendency to lose collagen. Collagen contributes to the “plump” texture seen in the skin of most teens and young adults, but is damaged over time with sun exposure and naturally decreases with age. Along with other natural effects of facial bone loss, this can contribute to areas of hollowing in the eye area, folds around the cheeks and lips and possibly the early formation of jowls.

Juvederm, Restylane, Radiesse, Voluma and Sculptra are dermal fillers, and can counteract some of these changes by adding volume to these areas of loss. The decision regarding which fillers to use, and where, is often one that is guided by your facial or cosmetic surgeon. Preferences may be based on safety profiles for certain facial areas, or personal preferences based on experience and past results.

The longevity of these fillers can vary based on many factors: where the material is injected, and how deep the injections are performed. Some of these products have subtypes that have been formulated to be thinner or thicker based on the specific need. For example, an ultra thick form of a certain filler would be great to use in the cheek area, but not ideal for the subtle volume needed to fill a lipstick line. Sculptra or Radiesse would not be indicated for injection in under-eye areas or around the lips, so these are limited to cheeks, jowls, temples or cheekbones.

All of the injectables used at the Emory Aesthetic Center are FDA approved, however it is important for patients to understand that some of the facial areas listed above are non-FDA-approved areas for injection. Over time physicians have adapted these fillers for use in many areas of the face with good results. Because of this, seeking consultation and treatment with a cosmetic or facial plastic surgeon is not only preferred, but is the safest option. Practitioners who do not perform cosmetic surgery or do not understand the underlying anatomy can cause unnecessary risk, unneeded complication or adverse effects by “experimenting” in these areas.

Although the options seem endless and sometimes confusing, make sure you seek out professional advice from someone you trust, even if it requires more than one visit to feel comfortable. The best relationships will be ones maintained with cosmetic or facial surgeons who are able to address your particular concerns to your satisfaction. Here, at the Emory Aesthetic Center, our cosmetic surgeons have extensive experience and can explain the differences between all these treatments. We offer a full spectrum of options and will customize a plan that best fits your needs.

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