Posts Tagged ‘collogen fillers’

Does Microdermabrasion Work?

MicordermabrasionMicrodermabrasion is a procedure usually performed at a medical spa for enhancement and brightening of the overall facial appearance. Patients may present with complaints of dull skin texture, or superficial skin irregularities that just need a little freshening. It is more aggressive than a facial, but much less aggressive than dermabrasion. Although the terms are related, the “micro” in microdermabrasion arises from the fact that originally, little tiny crystals were used as an exfoliant within the hand piece to remove dead skin cells from the surface of the skin. More updated equipment relies on different methods of liquid exfoliation, but the effect is the same. Downtime is minimal if any, usually resulting in a few hours of redness or mild irritation of the skin, similar to the sensation of a mild sunburn. It’s important to reduce or eliminate sun exposure after any exfoliation procedure, but other than that, it is a relatively pain-free and uncomplicated endeavor. It may require repeated or regular appointments for maintenance of ideal skin tone. Microdermabrasion can be performed on all skin types and colors safely because the injury is very superficial.

Dermabrasion, on the other hand, is a much more involved procedure. Often performed under sedation or local anesthesia, depending on the area treated, it may even require the use of an operating room. A surgeon or dermatologist will use a special instrument that actually “sands” the top layers of the skin to reveal deeper, fresher skin. Patients in need of dermabrasion may present with deeper scars, acne scars, or traumatic tattoos from motor vehicle accidents or other trauma that require aggressive resurfacing. Recovery takes a week to 10 days depending on the depth of abrasion, and often the skin in the area treated appears lighter or redder in color for several weeks after treatment. As always, sun avoidance and sunscreen are imperative in the healing period, and some time off work is often needed to allow for postoperative wound care. Dermabrasion can be performed safely on most patients of light skin colors, but is often not recommended or very carefully performed on patients of Mediterranean, Asian, Hispanic or African American backgrounds because irregularities in skin color can arise easily if performed aggressively.

At the Emory Aesthetic Center, we request that all prospective patients meet with one of our aestheticians or board certified physicians before undergoing any procedure, allowing us to formulate a treatment plan based on your specific needs, outcomes and recovery time. Let us help you come up with a plan to achieve your desired results.
404-778-6880
emoryaesthetic.org

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.

What Are Dermal Fillers and How Do They Work?

Dermal FillersThe world of facial injectables and dermal fillers can be overwhelming with all the options seen in print and TV ads. The biggest breakdown in classes of injections are between Botox® and it’s counterparts, Dysport® and Xeomin®, (hereby referred to as “neuromodulators” because they affect muscle nerve endings) and dermal fillers such as Juvederm®, Restylane® and Radiesse®. While neuromodulators are best used to affect lines caused by repetitive muscle motion, facial fillers are best used to enhance areas of low volume or deeper folds that are present at rest. For a straightforward example, frown lines between the eyebrows, crows’ feet outside the eyelids, and lines on the forehead are ideal for neuromodulator injections because these are due to motion. Decreased volume in the lips, smile lines around the mouth, or decreased volume in the cheeks is best treated with fillers to improve volume and support soft tissue.

There are many different types of fillers available in the United States. Some are permanent, such as Artefill, but most are absorbed into your body over time. The vast majority of commonly used absorbing fillers are composed of a material called hyaluronic acid, which is part of the normal makeup of our skin. Because of this, it is easily tolerated by the body and rarely has the adverse side effects that are associated with previously used collagen fillers. The hyaluronic acid fillers that are most used include: Restylane®, Juvederm® (including Ultra and Ultra Plus), Voluma®, Prevelle Silk, Belotero® and Perlane to name a few. Some of these are available premixed with lidocaine, a local anesthetic, to minimize discomfort associated with injection.

Radiesse®, also a commonly used filler, is made of a material called calcium hydroxyapatite. It is also dissolving but tends to be thicker in composition and is only injected deeper to avoid risks of visibility or lumpiness.

Sculptra, also categorized as a filler, is best thought of as a collagen-stimulator. This is intended for patients who need larger areas of gradually increasing, more subtle volume. Because of the composition of Sculptra, it is hydrated with water for 48 hours before injecting, and then it is injected in small doses throughout the tissues under the skin. The process of volumizing takes up to six weeks for each vial injected, with the recommendation of at least 3 vials to get to full correction per area treated.

So how do you determine the ideal filler for the area you are interested in treating? The best answer is to consider carefully what areas are most bothersome to you and make an appointment for consultation with a board-certified Facial Plastic or Plastic Surgeon with experience treating the face. Depending on the area of concern, the depth of the issue and the thickness of the material, your surgeon will determine the best product for injection. Each of us has cultivated years of experience with many of the fillers available on the market, and we have individual preferences based on those experiences. Feel free to ask questions, return for a second discussion or look at photos if you deem it helpful. Ultimately, what all of us want is a happy patient, so make sure your desires are communicated effectively to ensure your best result.

The board-certified cosmetic surgeons of the Emory Aesthetic Center can evaluate and work with you to develop a plan that is tailored specifically to your desires and needs.

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.