Posts Tagged ‘botox’

A New Year, A Fresh Look: Facial Rejuvenation

Facial rejuvenation gives you a fresh new look for the new year. Emory Aesthetic Center offers surgical and nonsurgical options.For many of us, a new year brings new hopes and wishes for a better life and better health. Maybe you’ve resolved to start taking better care of yourself this year but aren’t sure where to start. How about with your skin?

At-home skincare

For some, a simple skin care routine may be enough to achieve a fresh look. Medical-grade exfoliating agents, moisturizers and a broad-spectrum sunscreen can renew and protect the superficial layers of your skin and bring back your natural glow. Skin care products like these are available at the Emory Aesthetic Center Spa.

Non-invasive facial rejuvenation

Chemical peels and Intense Pulse Light (IPL) are popular noninvasive procedures to renovate the top layers of skin. Depending on your skin type, it’s possible to:

  • Soften fine wrinkles
  • Erase sun spots and blemishes
  • Improve melasma and freckles
  • Stimulate collagen production to treat and prevent facial aging

For mature skin, with more intense sun damage and wrinkling, deeper treatments like Croton oil peels or CO2 and Erbium lasers are great options. These procedures work in the deepest layers of the skin to improve stubborn lines and skin laxity. These deeper skin treatments require about a week of downtime but give longer lasting results.

Injectables and fillers

Injectables , like Botox®, and fillers , like hyaluronic acid, are incredible rejuvenating agents that help treat and prevent signs of aging. Botox is used to relax face muscles and treat wrinkles that appear with facial expressions. They also can prevent wrinkles from becoming permanent. Fillers are used to restore volume and enhance the shape of specific facial areas. They are used to treat folds and wrinkles around the mouth, improve the shape and volume of the lips, treat hollow eyelids and improve the cheek bone volume and projection.

Surgical facial rejuvenation

There’s a wide offering of noninvasive procedures that give amazing and natural looking results, but sometimes surgery is the only option. For instance:

  • Neck – Neck laxity may show up as a bulge under your chin or a change in your jawline. It’s hard to treat without surgery because extra skin needs to be removed and lax muscle needs to be tightened. Only a neck lift can treat this and produce a lasting result.
  • Eyes – Upper and lower can lose volume and build up extra skin. Although it’s possible to treat mild aging changes in these areas with noninvasive procedures, a surgical procedure like a blepharoplasty eyelids is usually needed to remove extra skin and under-eye bags.
  • Eyebrows – Eyebrows can droop beneath the brow bone. When this happens, a brow lift is needed to reposition the brows and rejuvenate the area.

Emory Aesthetic Center

If you’re considering a fresh look, come see the expert physicians at the Emory Aesthetic Center for a complimentary consultation. We’re happy to help you find the right surgical or nonsurgical procedure for your goals.

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Get Your Face Holiday Ready

Nonsurgical facial procedures to get your face holiday ready. Emory Aesthetic Center can help you glow this holiday season.With the weather getting colder and the holidays approaching, this is a great time for facial procedures that will give your skin a special glow. There are several nonsurgical treatments that can leave you radiant and require little to no downtime.

Injectables (BOTOX®, Dysport®) – Botulinum toxin

Botulinum toxin is an injectable substance that helps smooth facial lines caused by normal movements of expression, like when you lift your brows, frown or smile.

What can I expect?

The short injection session gives results that last about four months. There is no real downtime, you can usually go back to your normal routine immediately following the injections. You’ll see full results in 5-10 days.

Dermal fillers

Dermal fillers are injectable products used to fill deep wrinkles or add volume to the face, including the cheeks, eyelids, lips, nose, chin, jawline and temporal area. They are popular non-surgical options to rejuvenate and reshape the face. Hyaluronic acid fillers (including Restylane®, Juvederm®, Voluma® and Belotero®) are most commonly used.

What can I expect?

The injection session takes about 30 minutes, depending on the areas being treated. You’ll see results immediately and you can resume your activities the same day. You might have mild swelling, redness or bruising for a few days following the procedure, but it can usually be covered with makeup.

Fractional laser resurfacing

Fractional laser resurfacing uses a gentle laser that penetrates beneath the top layers of skin to promote collagen production. It’s ideal to treat minor wrinkles, large pores, uneven skin pigmentation and poor skin tone. Although you can see results with just one session, you’ll see the best results if the procedure is repeated every 4-6 weeks.

What can I expect?

Fractional laser resurfacing takes about 45 minutes and requires a numbing cream or local anesthetic to reduce discomfort. You can expect some swelling and redness for about two days. Your skin tone will be darker (like a sun tan) for about three days. Sun protection is recommended after the procedure. In 5-7 weeks you’ll notice rejuvenated skin.

Photofacials/IPL therapy

Intense pulsed light (IPL) is used to treat redness, brown spots, spider veins and rosacea. It prompts the body to produce collagen and can reverse signs of sun damage like dull skin and fine wrinkles.

What can I expect?

You should refrain from sun exposure and tanning for at least 4-6 weeks before the treatment to avoid hyperpigmentation. During the procedure, your skin will be cooled to help prevent discomfort. Depending on the areas being treated, a session lasts 30-60 minutes. There may be mild swelling or redness for a few hours. You should limit your time in the sun and use sunscreen after the procedure.

Hydrafacial

Hydrafacial involves a multi-step treatment that cleanses, exfoliates and removes impurities and dead skin cells. It then infuses nutrients in the skin including antioxidants, peptides and hyaluronic acid. This medical facial treats environmental damage, reduces fine lines, firms the skin and increases skin hydration. A light chemical peel is included to improve skin texture without any post-procedure skin flakiness.

What can I expect?

A Hydrafacial session is very relaxing and lasts about 45 minutes. There’s no downtime and your skin immediately looks cleaner and more hydrated.

Facial peels

Facial peels, also known as chemical peels, are used to remove layers of damaged skin. It treats signs of skin aging caused by sun damage and other environmental conditions. Two to three days after application, the old skin will gradually flake and “peel” off to reveal more even and fresh skin. There are several kinds of chemical peels, including glycolic acid, salicylic acid, retinoid acid, TCA and modified Jessner’s peel.

What can I expect?

A chemical peel session typically lasts 30-45 minutes. If you get a superficial peel, you may have flakey skin for 2-3 days. If you get a medium peel, you may require 5-7 days of downtime as your skin recovers and sheds the superficial layer. Crusting and scabbing may occur; you’ll be instructed how to clean and moisturize your face. Limited sun exposure and sun protection is recommended after the procedure. Within a week you’ll see bright new skin.

Emory Aesthetic Center

The expert cosmetic surgeons and licensed aestheticians at Emory Aesthetic Center can help you choose the best facial procedures to address your goals. During your consultation, you will learn about different options and choose one based on your needs, lifestyle, and budget. Let us help you get holiday ready.

cta-request-blueOr call us at 404-778-6880 to schedule your personal consultation

Injectables: When’s the Right Time Start?

Emory Aesthetic Center helps you determine the proper time to start Botox© or fillers based on your age. Prevent and treat signs of aging with injectables.How young is ‘too young’ to start injectable treatments for your face? When are you ‘too old’ to benefit from injectables? The truth is, if you’re not happy with what you see in the mirror, it never hurts to talk to an expert about your options.

As for clear-cut parameters regarding age, they rarely exist. Whether you’re 25 or 85, cosmetic injectable and filler treatments can have excellent results. The key is to use the proper treatments at the proper time.

Preventing and treating fine lines with injectables

Botox© can be very helpful, even at an early age (late 20s up to mid-30s), to prevent and treat the finer lines that come with repeated contraction of facial muscles. These lines are often found between your eyebrows, on your forehead or around your mouth and eyes. If lines are present even when your facial muscles are at rest, it may be time to consider treatment.

With consistent Botox injections, deep lines fade into finer lines, and fine lines may disappear completely! With just a few injections, you’ll notice subtle lifting that makes you look bright and refreshed. Younger patients usually need injections two to three times a year. If you’re over 40, you’ll typically need four to five treatments a year to maintain results.

Adding lip fullness

Fillers can be used to add natural-looking fullness to your lips. If you’re in your 20s or 30s, you may just want plump lips to ‘up your style.’ Or, if your lips have thinned with age, this is an excellent opportunity to restore your youthful appearance.

You don’t have to be fearful of an ‘overdone’ look similar to those you’ve seen in the tabloids — adding a very small amount of definition and a ‘bee-stung’ appearance goes a long way toward giving you a more youthful look. The procedure is simple, requiring only a topical anesthetic, and results lasts 4 months or more.

Filling in hallowed under-eyes

Loosing volume under your eyes can result in ‘sunken in’ eyes and dark circles that leave you looking tired. You can experience this at any age, but it tends to happen as you get older. Dermal fillers are used to fill in the area under your eyes creating a brighter, more youthful appearance.

Adding facial fullness

If you’re in your mid 40s or older, you may benefit from added volume and lifting to your mid-face region. Fillers, are used to lift and subtlety reposition drooping cheeks to decrease the appearance of jowls and lines around your mouth.

The process of injecting these types of fillers also stimulates collagen production. This means with time, you can be left with slightly more collagen in your tissue than before you got the injections. If you continue to get them, you may even need less product, less often — an added benefit to your wallet.

Finding the right surgeon

Injectables can bring years of youthfulness back to your face with minimal downtime and maximum reward. Schedule a consultation with a facial plastic surgeon to talk about your options. Make sure you ask how many times your surgeon has performed these procedures, what kinds of risks or side effects are common and what can be done about any complications.

Emory Aesthetic Center

The highly-skilled team at Emory Aesthetic Center offers a broad range of nonsurgical and surgical options for facial rejuvenation.

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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.

Facial Rejuvenation – 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. Join us for a live chat with Emory Aesthetic Center plastic surgeon, Dr. Felmont Eaves, on Tuesday, July 12, 2016 at 12:00 p.m. EST as he discusses solutions to help defy the aging process. From skin care to injectable treatments to cosmetic surgical options, Dr. Eaves will walk you through all of your options and answer any questions you may have. Register today.

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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.

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.

Cosmetic Surgery by the Season: When is the Best Time?

Timing is important, even for scheduling cosmetic surgery. Find tips about the best times to have different cosmetic procedures.You’ve heard it before, “timing is everything,” and this applies to plastic surgery too. If you’re considering getting a cosmetic procedure, you probably know that you need to do your homework to find the right surgeon and to choose the best procedure to get the results you want. But have you given much thought to when you should schedule it?

When Should I Have Cosmetic Surgery?

Most people choose to have their surgery based on when it fits their schedule. For example, students and teachers are likely to have surgery over their winter break, spring break or during their summer vacation. Athletes may plan their procedures during their “off season.” Accountants tend to avoid surgery any time near April 15th.

The most important thing is to give yourself enough time for recovery. Think about important upcoming events, and make sure that you don’t cut your recovery time too short to be ready to fully enjoy them.

Tips for When to Schedule Your Procedure

While noninvasive and surgical procedures can be performed safely and effectively at any time of the year, there are certain things you should consider.

Facelift
You should allow several weeks, preferably a few months, to see the full results of a facelift. So, if you have a major event like a child’s wedding or a class reunion coming up, you’ll want to plan ahead to be “picture ready.”

Breast augmentation
Breast augmentation has a fairly quick recovery period and can be fit in more easily than more invasive procedures.

Body contouring
With some body contouring  procedures, like tummy tucks, you won’t be able to perform all of your normal physical activities for a few weeks. So if you’re training for a sports event or have a ski trip coming up, you’ll want to be sure to schedule it well before or after those events.

Another thing to consider is that compression garments, that are sometimes needed after liposuction or other body contouring procedures, can be a bit warm and uncomfortable. Some people choose to have these procedures during cooler months to avoid the added discomfort of wearing compression items in the heat.

Noninvasive/minimally invasive procedures
Noninvasive procedures (like Botox, fillers or Coolsculpting) or certain minimally invasive surgeries (like upper eyelid tuck, liposuction or breast augmentation) require very little recovery time. You don’t have to worry as much about timing with these procedures.

However, if you’re thinking about a deep chemical peel to your face, you need to avoid strong sun exposure for a while. You may want to schedule it for fall or winter.

Emory Aesthetic Center Can Help

The staff and surgeons at Emory Aesthetic Center can help you think through these and other factors to determine the best timing for your cosmetic procedure.

Schedule a consultation with one of our skilled, board-certified cosmetic surgeons.

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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.

The Skinny on Non-Surgical Facelifts

happy-ladyNothing could sound better, right? Getting all the benefits of a facelift without the need to undergo cosmetic surgery? But like most things, if it sounds too good to be true, it usually isn’t. The truth is that non-surgical treatments simply can’t replace what a facelift can do. In order to get the best results in your facial rejuvenation, it is often a combination of both non-surgical and surgical options that give you the best result.

More and more, we find ourselves actually combining surgical and non-surgical techniques to give our patients the best results. For example, while a blepharoplasty (eyelid tuck) can tighten the loose skin of the upper eyelid or reduce bagging of the lower eyelid, Botox® can be used to treat the “crow’s feet” at the corner of the eyes while chemical peels, micro-needling, or lasers can help improve the appearance of the lower eyelid skin.

Although a brow lift can create a more open appearance to the eyes, it may not totally address the wrinkles of the brow. Botox® can help here as well, and in addition, dermal fillers can add attractive volume to the brow itself or fill in a temple that has lost volume. In the face, fat grafts as part of a facelift can soften the deeper nasolabial folds (the lines that run from the sides of the nose to the corners of the mouth) but will not help fill in the more superficial lines around the mouth. Chemical peels, lasers, or dermal fillers can be employed to do that.

For a sagging jawline or jowls, only a facelift can predictably help to create a smoother, more youthful jawline. A facelift is the only real tool to tighten loose and sagging skin in the neck. With that being said, it is important not to underestimate the power of non-surgical treatments in this area as well. While they cannot remove the jowls, injectable fillers can camouflage the jowls in younger patients. And while it cannot tighten the loose skin of neck, neurotoxins like Botox® can soften muscular bands in the neck.

In order to figure out what is right for you, it is important that you have a consultation with a surgeon who is an expert in providing both surgical and non-surgical treatments to the face. The options will change depending on your individual needs, your preferences, and your age. At the Emory Aesthetic Center, our board certified physicians are here to help you figure out a treatment plan that is customized just for you.

appt

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

Defying Gravity: Surgical and Non-surgical Treatments to Prevent Aging

crunchesPatients ask me all the time…”How do I fight off the effects of gravity, and do I need surgery to do that?” The good news is that we now have more tools than ever before to defy the effects of aging. In order to get the best results, it is essential to know what each tool can do, but perhaps even more importantly, what it cannot do. By picking the right tool for each area of your body – whether surgical or non-surgical – you will have a better chance to get the result you are seeking.

As we age, the loss of elasticity of our skin results in the appearance of sagging. Brows can look low, eyelids can sag, and jowls invade once beautiful jawlines. Laxity in the neck can result in drooping that is especially noticeable when looking down or in pictures taken from the side. Sagging of the breasts, technically known as breast ptosis, may result not only from aging and the effects of gravity, but from the after-effects of pregnancy and breast feeding. Pregnancy can have a profound affect on the tummy area and can lead to loose skin as well as separation of the muscles which leads to an appearance of rounding. Weight fluctuations can also have a profound effect. If you gain and loose weight frequently, and especially if you loose a large amount of weight, the laxity and sagging will be much greater, particularly contributing to laxity in the tummy and thighs.

Non-surgical treatments have a critical role in preventing aging and the effects of gravity, but when actual sagging occurs, surgery is typically the best and often only solution to get the changes you want. Currently non-surgical treatments have little capacity to tighten loose skin, particularly in the body region. But non-surgical treatments can do a wonderful job addressing wrinkles due to muscle hyperactivity (Botox®), of softening the appearance of deeper creases in the face (dermal fillers), of reducing isolated areas of fat accumulation (CoolSculpting®), and improving the texture and appearance of the skin(skin care, lasers, chemical peels).

In the face, if you really want to tighten sagging jowls, lift a droopy brow or eyelids, or to address loose skin in the neck, surgery is definitely the way to go. A brow lift can reposition the brows and help create a more open, bright look to the eyes. An eyelid lift can smooth the skin of the upper eyelid or soften the appearance of “bags” of the lower eyelid. A facelift can improve the cheek contours and reduce jowls, creating a more youthful, smooth jaw line, and a neck lift can tighten and smooth the neck. While surgery is the dominant solution for defying gravity in the facial area, there are situations where non-invasive procedures can play a role. For example, if a patient has very early jowling and isn’t yet ready for a face lift, placing fillers along the edge of the jowl and along the jawline can camouflage the appearance, although it will not “lift” it away. If a patient has lost volume of the upper cheek area, injecting the area with fillers can replace volume and give the appearance of lifting the midface.

In the facial area it is extremely common to combine surgical and non-surgical approaches to optimize your results. For instance, while a face and neck lift will help you defy the effects of gravity, the surgery will not change the overall appearance of your skin. A skin care program can work wonders to enhance the results of your surgery by smoothing rough spots, evening the color of your skin and reducing dark spots, shrinking pore size, and creating a healthy glow to your skin.

In the breast and body areas, non-surgical approaches have little to offer in terms of actual lifting of tissues in order to defy gravity. This is because current technologies do not sufficiently tighten skin to create dramatic improvements, nor can they effectively tighten the soft tissues under the skin. If you really want to tighten sagging tissue back to its youthful position, surgery is required. In the breast, this means undergoing a breast lift (mastopexy) either with or without implants. In the tummy area, this means an abdominoplasty (tummy tuck) with or without liposuction. In recent years, buttock lifts and thigh lifts have become increasingly common.

While there are plenty of non-surgical technologies being marketed that tout skin tightening, they have not been proven to work. In fact, some of our patients have said they tried these treatments, especially in the body areas, and most felt that they had either no result or that the results were so minimal that it was not worth the investment.

If you are interested in counteracting the effects of gravity, come and consult with one of the board-certified physicians at the Emory Aesthetic Center. We can go over options specific to your individual needs, and help you understand which surgical or non-surgical treatments are best for you.

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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.