Posts Tagged ‘facial rejuvenation options’

10/3/17 Facial Rejuvenation Live Chat Transcript

If you’re considering facial rejuvenation,  Dr. Vincent Zubowicz was hand to answer questions and discuss the surgical and non-surgical solutions that are available.

The live chat had a good turnout and the transcript is now available below.

Live Chat Transcript

Oct 3, 11:57 AM
EmoryHealthcare: Welcome everyone! Thanks for joining us today for our web chat about facial rejuvenation with Dr. Vincent Zubowicz of Emory Aesthetic Center.

Oct 3, 11:58 AM
EmoryHealthcare: We’ll get going in a few minutes!

Oct 3, 12:00 PM
EmoryHealthcare: Please sign in using one of the options at the bottom of the chat and submit your questions.

Oct 3, 12:00 PM
EmoryHealthcare: Please note that all questions are moderated before appearing in the stream, so you may not see yours appear right away, but we will do our best to answer all your questions today.

Oct 3, 12:02 PM
EmoryHealthcare: We’ve got an eager group today and have a few questions already in the queue, so let’s get started.

Oct 3, 12:02 PM
Guest1551 (Guest): Do you remove skin tags and brown spots from seborrheic keratosis?

Oct 3, 12:03 PM
EmoryHealthcare: These types of lesions, usually the product of aging, can be removed during an office visit using local anesthesia.

Oct 3, 12:06 PM
Guest2581 (Guest): I’ve read that there are different ways of doing a facelift – what is the best one that hides the scars the best?

Oct 3, 12:06 PM
EmoryHealthcare: There are different types of facelifts, all are planned to hide scars – but many factors are involved and we suggest a consultation to determine the best clinical approach.

Oct 3, 12:09 PM
EmoryHealthcare: During your consultation, we walk you through a gallery of images depicting the various stages of the post-operative progression.

Oct 3, 12:09 PM
Anita Korwin: Are oral collagen supplements effective and if so, which brands?

Oct 3, 12:11 PM
EmoryHealthcare: There is no clinical evidence that oral collagen supplements work.

Oct 3, 12:13 PM
Guest9448 (Guest): Seeing celebrity plastic surgery outcomes, what kind of research do you recommend so that I don’t look end up looking puffy like Madonna?

Oct 3, 12:16 PM
EmoryHealthcare: Good aesthetic surgery should be anonymous, but when it’s done improperly it tends to be noticeable.

Oct 3, 12:17 PM
EmoryHealthcare: Get plenty of opinions and make sure you see pre-and post-operative images.

Oct 3, 12:19 PM
EmoryHealthcare: You’ve probably seen many people that have had plastic surgery, but because it’s done properly, you didn’t notice it.

Oct 3, 12:19 PM
Katness1975 (Guest): Is there a procedure to correct, or advance a receding hairline?

Oct 3, 12:21 PM
EmoryHealthcare: Yes. Depending on the hair pattern there are operations to advance or move the hairline forward.

Oct 3, 12:24 PM
Guest1551 (Guest): I heard that Botox can be watered down. How can I be sure that I’m getting the best results?

Oct 3, 12:26 PM
EmoryHealthcare: Botox has become prolific and it is necessary to establish a relationship with a reputable clinic that you trust.

Oct 3, 12:27 PM
Anita Korwin: Are there any skin care product lines that you recommend for the best anti-aging benefits?

Oct 3, 12:31 PM
EmoryHealthcare: We have several skin care product lines at Emory Aesthetic Center. Our trained skin care experts would be happy to recommend a brand and/or products, such as Revision Skin Care, ZO Skin Health, among others.

Oct 3, 12:34 PM
Guest6451 (Guest): What are the best options for tightening jowl lines?

Oct 3, 12:36 PM
EmoryHealthcare: Since there is no effective way to tighten skin, any excess skin would need to be removed by some form of facelift. However, we may be able to camouflage the jowl lines using filler.

Oct 3, 12:41 PM
Katness1975 (Guest): microdermabrasion or microneedling? Which is best?

Oct 3, 12:41 PM
EmoryHealthcare: In terms of level of complexity, microdermabrasion is less aggressive – it works only on the top layer of skin, the epidermis. Micro-needling works on the epidermis and dermis layers of your skin and may be best to treat wrinkles or more difficult issues.

Oct 3, 12:46 PM
EmoryHealthcare: Emory Aesthetic Center is currently offering 20% off of a micro-needling treatment for the month of October: http://bit.ly/2yWhgwP

Oct 3, 12:52 PM
EmoryHealthcare: These questions have been great! We have time for just one more question today. Any remaining questions will be answered by Dr. Zubowic in a post-chat Q&A blog on http://advancingyourhealth.org

Oct 3, 12:55 PM
EmoryHealthcare: Q. What is the recovery like after a facelift and when can I return to work and look presentable?

Oct 3, 12:57 PM
EmoryHealthcare: Physiologically a facelift is not a stressful procedure, there is generally little pain or discomfort. Most patients will look presentable to return to work within two weeks, however, there will be outliers.

Oct 3, 1:00 PM
EmoryHealthcare: That’s all the time we have for today. Thanks so much for joining us! If you’d like to learn more or schedule a complimentary consultation to speak with one of our physicians, please call 404-778-6880 or request an appointment online: http://bit.ly/2yWhgwP

Emory Aesthetic Center

To learn more about the Emory Aesthetic Center and the treatments and services we offer, please visit our website.

or call 404-778-6880.


About Dr. Zubowicz

Doctor ZubowiczDr. Vincent Zubowicz, Clinical Professor of Surgery at Emory University, is a renowned leader in the Atlanta medical community where he has practiced for over thirty-five years. He is triple board-certified by the National Board of Medical Examiners, the American Board of Surgery, and the American Board of Plastic Surgery.

Dr. Zubowicz is not only a leader in Plastic, Reconstructive, and Maxillofacial Surgery, but also a leader in patient communication. He is one of the Top 50 Doctors on RealSelf, the nation’s premier online communication resource for patients, where he serves on the national media committee. As an advocate for open patient communication, Dr. Zubowicz has written over 18,000 individual answers to patients seeking insights on both surgical and non-surgical procedures. Dr. Zubowicz is a prevailing voice of medical expertise for the Atlanta media, most recently appearing on CNN to discuss the selection and safety of free-standing aesthetic surgery centers.

An effective communicator, Dr. Zubowicz has presented dozens of times professionally at venues such as the American Society of Plastic and Reconstructive Surgeons and the International Congress on Cleft Palate and Related Craniofacial Deformities. He has been appointed to the Plastic Surgery Undergraduate Education committee and the Aesthetic Society and Plastic Surgery Educational Foundation-Joint Grants Research Committee; in addition, he has published numerous times on topics such as Esophageal and Maxillofacial reconstruction. In 2017 he was named Top Doctor by International Association of HealthCare Professionals.

Active in charity work, Dr. Zubowicz lends his plastic surgery expertise locally to children’s clinics and volunteers globally with patients as far as Bangladesh and Ecuador. He is the married father of three daughters: Miranda, Alexandra, and Victoria.

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.