Posts Tagged ‘chemical peel’

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.

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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.

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

Facial Peels versus Lasers: Which is Better?

Peels vs. LasersFacial peels and lasers fall under the category of skin resurfacing, which includes treatments that improve skin quality. The improvements range from enhancing the complexion to the elimination of deep wrinkles, and everything in between.

Skin resurfacing is recommended to improve the quality of the skin, skin discoloration, wrinkles and even to some extent to tighten the skin. These treatments are not a substitute for facial surgical procedures or even injectables and dermal fillers, but instead, are regularly recommended as an adjunct to them.

Although the final effect on the skin may be the same for facial peels and lasers, they are very different processes and there is no simple answer as to which one is best.

Both lead to the shedding of the top layer of skin and stimulation of collagen in the deeper skin layers. Facial peels do this through the application of “acid “to the skin, while lasers do it through “heat “energy released by the laser. The acid and the heat result in a “controlled burn” of the upper skin layer. The upper skin layer is then replaced by new or regenerated skin which is smoother in appearance and more even in color. The depth of this “controlled burn “is adjusted according to the condition of the skin and the depth of the wrinkles. The more marked the skin changes, the deeper the treatment and the longer the recovery.

Facial peels are compounded chemicals that are general less costly, and have changed very little if at all over time. There is a variety of peels available ranging from Glycolic acid (fruit acids) to Trichloracetic Acid (TCA) to Phenol and Croton oil peels. The type of peel, the concentration and how it is applied to the skin regulate the degree and depth of the “acid burn”.

Lasers are sophisticated and expensive machines which improve with each new model. There are a variety of lasers such as CO2, Erbium, etc., and the application can be fractioned. The energy level, degree and depth of the laser treatment can be adjusted by turning dials on the laser machine.

Both peels and lasers rely on the experience and knowledge of the practitioner applying the peel or the operator of the laser machine. Lighter peels such as Glycolic acids and lighter TCA peels, as well as some laser treatments may be undertaken in medi-spas and skin spas. However, the deeper and more invasive lasers, and higher concentrations of TCA and Croton oil peels should only be performed by a trained physician in a medical facility.

So which is better? The end results are similar and you should follow the recommendation of your doctor who will choose the modality that will, in their experience, provide you with the best results and the lowest risk. The physicians and aestheticians at the Emory Aesthetic Center are experienced in both modalities and can provide an evaluation and recommendation based on your individual skin needs.

About Dr. Nahai

Foad Nahai, MDFoad Nahai, MD, FACS is internationally recognized as an innovator in the field of plastic surgery where he has developed and refined many procedures. He has co-authored ten books and published over 190 scientific articles on all aspects of plastic surgery. The latest book he authored and edited, published in 2011, is the second edition of his three volume text entitled The Art of Aesthetic Surgery.

He has been invited to lecture and demonstrate plastic surgical procedures all over the world. In addition to numerous professional honors and awards, he is listed in the “Best Doctors in America”, the “Best Doctors in the U.S.”, Town & Country Magazine, Good Housekeeping, More Magazine and Atlanta Magazine as one of the country’s top plastic surgeons. He has been listed in W Magazine as one of the top plastic surgeons in the world. Dr. Nahai is in demand internationally to speak at plastic surgery meetings and to demonstrate surgical procedures.

Dr. Nahai served as the 2008-2010 president of the International Society of Aesthetic Plastic Surgery (ISAPS), he is a past president of the American Society of Aesthetic Plastic Surgery (ASAPS), a former director of the American Board of Plastic Surgery, and is currently Editor-in-Chief of Aesthetic Surgery Journal.

His primary area of expertise is in Face, Neck and Eyelid surgery where he has made significant contributions to the advancement of the art and science of Facial Rejuvenation.

Chemical Peels 101

Are you looking to obtain brighter, younger looking skin – diminishing those fine lines and wrinkles, skin discoloration and a dull complexion? Watch this segment on Fox 5 Good Day Atlanta featuring Emory Aesthetic Center surgeon, Dr. Erica Anderson, as she gives you the skinny on chemical peels and discusses how they work and who would be a good candidate.

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For more information about chemical peels, what they are and how they work, check out this previous blog post!

Chemical Peels – What Are They and How do They Work?

Chemical PeelThere are three components related to the aging of the face – loss of volume, descent of the tissues and changes in the skin. As we age the skin loses elasticity resulting in the loss of fullness and that youthful glow. In addition, over time the activities of facial muscles such as smiling, frowning, and puckering of the lips lead to those lines we refer to as smile/frown lines and crow’s feet. Eventually these lines become deeper and are etched in the skin. The process is only accelerated by sun exposure and smoking.

However, there are nonsurgical options to help slow down and reverse the aging process. Retinols, such as Retin A and Renova (derivatives of vitamin A) have a proven role in slowing the process, but there are also skin resurfacing treatments available, such as chemical peels and lasers that are also effective in reversing sun damage and, to a certain extent, the changes associated with aging skin.

Lasers and peels basically function in similar fashion. Both remove the top layer of skin and stimulate collagen deposition or tightening in the deeper layers. The laser relies on heat energy, while chemical peels rely on acid to achieve similar effects. The skin which regenerates appears more youthful with diminished lines and a glow. With lasers the amount of heat can be regulated, while with chemical peels, the concentration of the topical agent is adjusted to regulate the depth of penetration and effectiveness.

There are currently three categories of chemical peels – glycolic acids (fruit acid peels), trichloracetic acid (TCA) and croton oil peels. The glycolic acids are the mildest and the croton oil is the strongest. The concentrations of all are adjusted to suit the individual patient’s skin condition. The milder glycolic acid and more dilute TCA peels are often referred to as “lunch time “peels. There is little down time and the redness resulting from the peel is short lived. These lighter peels are best for individuals with slight skin changes, require no anesthesia and are commonly performed in our Emory Aesthetic Center Spa. These lighter peels may be applied to all skin types and colors.

For stronger peels, the concentration of the TCA and croton oil are adjusted according to the changes in the skin and the location. Higher concentrations are applied to areas with deeper lines and lower concentrations for the thinner skin around the eyes. These deeper peels require anesthesia as there is discomfort associated with them. Typically sedation and local or topical anesthesia is required. Peels may be performed as an isolated procedure or in combination with surgical procedures such as facelifts and eyelid lifts.

For best results we advise that our patients prepare their skin by applying retinoids and “skin bleach” creams to the face for up to three weeks before the peel. The deeper peels which can take up to an hour are usually performed as outpatient in a procedure room or, in some cases, the operating room. There is immediate swelling and some red coloration of the peel areas. Recovery varies based on the type of peel used, the concentration applied and skin type. It may take as little as five days to two weeks or more.

Peels are not a substitute for surgical procedures but are often applied in conjunction with surgery to enhance the result and improve skin texture. The Emory Aesthetic Center, and our cosmetic surgeons, have extensive experience with peels and can customize a plan that best fits your individual need.

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