Posts Tagged ‘crows feet’

Chemical Peels: Restore Your Skin with a Facial or Body Peel

chemical peelYou put your best face forward every day as you meet all of life’s challenges. While you probably realize environmental factors such as air quality, makeup or sweat can affect the health of your skin, you may be surprised to learn that mental factors, like stress, can also have a significant impact.

Your skin is extremely resilient, but sometimes it’s best to start fresh. A chemical facial peel is one of the most versatile procedures to improve your skin’s health and glow.

What is a chemical peel?

A facial peel treats skin with a chemical solution that’s applied to your face. This solution exfoliates your skin, removing dead or unhealthy skin cells and revealing the new and rejuvenated skin beneath.

Chemical peels are given in the office and you may go home immediately following your procedure. Additional peeling, redness or sensitivity can sometimes happen for up to five to 10 days after the peel is applied — and will usually go away on their own.

Who is a good candidate for a chemical peel?

There are many different types of chemical peels to address your unique skin issues. Chemical peels are generally safe and have few side effects. You may want to consider a peel if you have:

  • Acne scars
  • Age spots
  • Aging skin
  • Crow’s feet
  • Hyperpigmentation
  • Melasma
  • Scars
  • Sun-damaged skin
  • Wrinkles

Of course, it’s always best to discuss treatment options with a qualified aesthetic provider before having any cosmetic procedures. He or she can help you decide which procedures are right for you.

What is my downtime with a facial peel?

Most superficial facial peels have little downtime and only minor side effects, such as redness and slight swelling. In-depth peels that remove the top tissue of skin may require several days of rest and recovery. Crusting and scabbing may occur after deep peels — it’s important to care for your skin properly and avoid touching your face.

Will I need multiple treatment sessions?

Some peels may call for a series of treatments, depending on the type of peel and desired results. When several treatments are needed, they are usually spaced several weeks apart. Many individuals use superficial peels as a way to refresh their skin and come in every few weeks or months.

Are chemical peels only for the face?

Most peels are designed for use on the face, but the Emory Aesthetic Center Spa also offers body peels. These peels are excellent for individuals with sun damage to the chest, back, arms or hands.

What type of peel does the Emory Aesthetic Center Spa typically use?

The Emory Aesthetic Center Spa favors ZO 3 Step Peel. This innovative, in-office peel is followed by an at-home treatment. Your cosmetic surgeon will explain the steps you need to follow during your consultation and treatment date. The ZO 3 Step Peel utilizes a blend of exfoliants, retinol and multi-action agents to help improve skin health and treat many signs of aging.

Do I need a consultation before I schedule an appointment for a peel?

We recommend a consultation for anyone interested in scheduling a chemical peel. This appointment gives you and one of our aesthetic providers the opportunity to discuss desired results, review your skincare routine and evaluate your needs. This allows us to better understand how many peels you may need, what areas to treat and the appropriate follow-up regimen to make your skin look and feel its best.

Watch a video featuring before and after photos of chemical peel patients.

Emory Aesthetic Center

Get your skin glowing again. Emory Aesthetic Center is experienced in the full-range of surgical and nonsurgical cosmetic procedures. We offer a wide-range of facial peels to restore your skin’s health. Schedule your complimentary consultation today.

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

 

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.

appt

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.

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.