Posts Tagged ‘fillers’

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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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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Cosmetic Surgery in your 20s, 30s, 40s and Beyond

Emory Aesthetic Center helps you determine which cosmetic surgery procedures will give you the best results  in your 20s, 30s, 40s and beyond.Twenty years ago, cosmetic surgery wasn’t generally considered unless you were in your late 40s or had a significant “problem” you wanted to correct. Today, many people — as young as their early 20s — choose to enhance their appearance and maintain their youthful look during every stage of life. We’ve stopped seeing cosmetic surgery as something that happens at a specific point in time, but more as a continuum of care. And being proactive can certainly produce benefits.

With so many aesthetic procedures to choose from, how do you know what’s appropriate at different ages or stages of life?

Cosmetic Surgery In Your 20s & 30s

Face

During your early 20s, you may get treatment for acne. As you progress through your 30s, you might start to think about non-surgical cosmetic treatments — like Botox® — to treat fine lines and fillers to reduce deeper creases.

Breasts

In your younger years, you may choose either breast augmentation or breast reduction, depending on how your breasts developed. Also, if you’re unhappy with the changes in your breasts after pregnancy and nursing, a breast lift can be an option.

Body Contouring

In your 20s and 30s, liposuction or non-invasive body contouring such as Coolsculpting® are the most commonly used techniques. However, after pregnancy or significant weight loss, you may need a more involved procedure.

Cosmetic Surgery in Your 40s and Beyond

Face

In your late 30s or 40s, you might want to address creases and fine lines using non-surgical cosmetic procedures — like fillers and injectables. Often, by your 50s or 60s, you’ve experienced enough aging changes to make cosmetic facial rejuvenation surgery the treatment of choice. Face lifts, neck lifts, eyelid tucks, brow lifts and fat grafts are commonly chosen procedures.

Breasts

Many women notice their breasts begin to droop as they age. If sagging breasts bother you, you might choose a breast lift. If you feel your breasts have gotten too large, you may want a breast reduction.

Body Contouring

Aging, pregnancy and weight fluctuations typically cause your skin to sag. At this stage, you may need a procedure, such as a tummy tuck, to reduce fat and tighten your skin. As you continue to age — or if you’ve lost a significant amount of weight — you may want to consider a body lift .

Emory Aesthetic Center

No matter where you are in life’s journey, there may be cosmetic procedures that will bring you joy and self-confidence. The highly-skilled team at Emory Aesthetic Center can help you decide which procedures, and at what time in your life, will give you the best results to meet your goals.

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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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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.

New Year Refresh: Solutions to Remove Years of Aging

Remove Years of AgingAh . . . the New Year is already upon us, and while we take time to reflect on the year that just flew by, many of us are also looking at our reflection in the mirror. Perhaps that reflection is looking a little tired . . . worn . . . older than the energy you feel inside. Now is a great time to think about what you can do to refresh and rejuvenate that reflection, and get ready for your best year. More than ever before, there are many options to help you achieve this goal.

When you want your face to glow, you can’t ignore great skin care. It is that ongoing skin care that creates a base for everything else you might do for your face. Skin care means really protecting your skin from the sun with the right kind of sun block. It means using the right kind of moisturizers to keep the skin well hydrated. It may mean using targeted cosmeceuticals like retinoids, fruit acids, and other treatments to address fine lines, pigment irregularity, or texture changes. Getting on the right skin care regimen doesn’t have to be complex and it doesn’t have to be difficult – in fact it should only take a few minutes a day – but getting on the right regimen does take expertise. Working together with our licensed aestheticians of the Emory Aesthetic Center Spa, we can help you find the right mix of products tailored for your skin type.

In addition to the base of skin care, there are exciting technologies that you can use to make significant changes in your skin appearance. Lasers, IPL (intense pulsed light), and other energy based devices can tighten skin, fade dark spots, and treat those pesky broken veins. Facial peels can also be used to the same end, but depending on your specific needs, may need to be done in a series – peels are usually milder with minimal down time but may require a building up effect over multiple treatments. Or perhaps you might be a good candidate for a surgical peel or laser that may complete the treatment in a single stage. One newer technology that we’re very excited about is micro-needling, a process that combines tiny needles to stimulate collagen formation and the penetration of growth factors to rejuvenate the skin. Micro-needling takes only a few minutes and you’ll be able to put on makeup and be out the next day.

In addition to great skin care, injectables are highly effective treatments to smooth out wrinkles, grooves, or depressions. These minimally-invasive treatments come in two main forms – those that weaken the muscles that help prevent wrinkles, and those that fill in deeper wrinkles or plump up areas of the face. The “toxins,” such at Botox®, reduce the activity of the muscles of expression. They are used primarily to treat wrinkles of the forehead, between the eyebrows, and the “crow’s feet,” which are the wrinkles from squinting that occur at the corner of the eyes. There are several types of fillers which can be chosen depending on the individual needs and areas to be treated. Typical uses of fillers are to fill out the cheeks, soften the look of bags under the eyes, or to fill in the grooves near the nose and corner of the mouth. While Botox® may take a few days to develop effect, many of the fillers demonstrate an immediate effect. Both types of injections are done during an office visit and you can resume normal activities immediately.

As wonderful as skin care and minimally-invasive treatments are, there are some aesthetic goals that only surgery can produce. Need to get rid of those jowls? Is the skin under the chin loose and saggy? Is the skin of the eyelids loose and droopy, or is the brow low? In these kinds of situations, surgery comes to the rescue. A face lift or neck lift, a brow lift, or a blepharoplasty can provide long-lasting and dramatic results, and the recovery time may be a less than you think.

Depending on your age, skin type, genetics, sun exposure, and other factors, there are many potential treatment options to help you achieve the changes you want. To get the very best results, it is important to come up with a comprehensive game plan that is tailored specifically for you and your individual needs. The game plan may include minimally-invasive treatments like Botox® or fillers, it may include surgery, or it may just require routine skin care and products. The Emory Aesthetic Center can help you pull all these pieces together to create a strategy just for you. Come in for your complimentary consultation.

404-778-6880
emoryaesthetic.org

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.

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New Uses for Facial Fillers

AestheticsSure, we’ve all seen commercials featuring fillers for those smile lines, the “parentheses” of the face, and we’ve certainly all seen photos of Hollywood starlets who have added a little more volume to their lips. But can you do anything else with fillers?

Before we get to the fun stuff, it’s important to say that much of what we discuss in the next few lines is known as “non-FDA-approved uses” for fillers. That is to say, when the FDA approved these fillers, they approved them for injection into only certain areas (lips, cheeks and smile lines for example) because those were the areas that have been tested. With time, those of us with significant experience in injectables have expanded their use to other areas that need a little volume. This experience is vital—as cosmetic surgeons, we know where the muscles and soft tissues lie, what injections would have higher risks of complications, and into what tissue plane the least likelihood of risk would be.

Drooping brows: As we age, the tail of the eyebrow can start to droop towards the eyelid. This is in part because of bone loss to the rim of the eye socket, but also because of loss of collagen and movement of the fat pads around the eye. For very significant drooping, surgery may be the only option, but for those just noticing the problem, injection of some Restylane© or Juvederm© (both hyaluronic acid injectables) into this area can give some much needed lift and open the eye area dramatically. It may take more than one injection; some injectors like to use small volumes over 2-3 times, to get a gradual result, while others may inject 1-2 syringes at one time based on their personal preferences and the patients’ degree of volume loss.

Earlobes: Many patients with elongated ear piercings and loss of volume in the earlobe feel their ears make them look older than they really are. Placing a small amount of Restylane© or Juvederm© into the earlobe can support the ear piercing, allowing the patient to make their earrings more of a feature, and sometimes even wearing earrings a little more comfortable.

Temples: Another area often overlooked is the temples. Some patients have excellent cheekbones, and excellent midface volume, but the temples are hollow and sunken. Patients who are thin in the face in general tend to lose volume in this area quite significantly. Once the temples are volumized, the results can be quite exceptional, and allow the face to become more balanced. As we indicated earlier, this is a non-FDA approved area for injection, so experience with tissue planes and injectable types is crucial to obtaining good results. Many different types of injectable agents are used in this anatomic location. The choice will depend on your surgeon’s comfort level and preference, as well as your desire for the length of the result and extent of volume loss.

Radiesse® can be used in the temples as it lasts a long time and is injected deeply, in some cases, right on the bone. Sculptra® can also be used in the temples and is long-lasting as well, but requires some homework on the part of the patient as its main goal is to stimulate the patient’s own production of collagen, not to act as a filler in and of itself. And finally, Voluma®, which can also be injected in the temples, lasts just as long as Sculptra®, but doesn’t necessarily stimulate collagen production as its main purpose.

As experience with injections increases, and trends change, as they are likely to do, more and more uses for these versatile devices is sure to arise. As with all elective procedures, it’s crucial to feel comfortable with your injector. Experience is key, and complications can occur if the best product for a particular area isn’t used, or is used incorrectly.

Here, at the Emory Aesthetic Center, our cosmetic surgeons have extensive experience and can explain the treatment and side effects. We offer a full spectrum of options and will customize a plan that best fits your 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.

Take-Aways from Dr. Sethna’s Cosmetic Injectables & Fillers Web Chat

Dr. Anita SethnaOn Tuesday, November 19th, Dr. Anita Sethna of the Emory Aesthetic Center hosted a live chat on the topic of cosmetic injectables and fillers. Injectables and fillers have revolutionized the field of facial rejuvenation by filling in areas of the face that are missing fullness and restoring volume, without the need for surgery. During the chat, Dr. Sethna answered questions about the different types of products offered, how they each work and what provides the best individualized solution. She also shared a special offer currently being offered by the Emory Aesthetic Center for a limited time discount on dermal fillers and injectables.

There were a few questions from the chat that we didn’t have time to answer, and as promised, Dr. Sethna answered them below in this post.

My friend got Sculptra injections. What is that? Is it the same as other fillers?
Sculptra is poly-L-lactic acid. It is a collagen-stimulating product that is injected in several areas around the cheeks, sometimes temples to assist your body in producing its own collagen. The product itself dissipates over weeks and in its place is the collagen your body produced. The product takes several weeks to take effect, so it is different from traditional fillers, and should last up to 2 years based on the FDA approval. Several vials usually need to be injected to obtain the ideal results, sometimes 3 or more.

Is it true that Restalyne is painful? Which procedures are the least painful? 

Any injectable can be perceived as causing some pain just because it is placed with a small needle–the injectable itself usually is not painful. There are several steps we try to take to reduce the discomfort associated with any injectable. We can use the preparation from the company that contains lidocaine (an anesthetic that is safely used as long as you are not allergic), we can allow you to sit with topical numbing cream which we do in most cases, topical ice right before the injection to numb the skin, and depending on the area to be injected, we can use a blunt needle that requires one needle prick to allow it to go into the skin, but after that, is rounded at the edge so it causes much less discomfort during the injection. These types of blunt needles can also have the benefit of less bruising and swelling in most cases. These days, injectables tend to be pretty easy to tolerate because of these measures, and if these interventions are appropriate for you based on your consultation, they can be done without spending a lot of time in the office.

How do these products affect people of color? Should you see someone who has experience on darker skin?
Most of these products are perfectly safe for use in people of color. Seeing a physician with experience treating your particular skin type is always an option but not always feasible. That being said, there are a few issues that are more common in patients with more pigment in the skin: dark spots, dry skin, melasma, etc. that may be more easily treatable by someone with this particular experience. Topical medications such as hydroquinone and tretinoin are safe in most patients as long as you are not pregnant or breastfeeding, and can have real benefit for patients with these issues. Once you begin discussing other interventions, such as laser treatments, surgery or peels, it becomes more important to seek out people with real experience with darker skin types. Topical medications rarely cause significant issues or complications that are not reversible but surgical interventions/lasers/peels can cause irreversible damage if done improperly.

Which brand of skin care products do you prefer? 
There are plenty of excellent skin care products, pharmaceutical grade, as well as some over-the-counter. There are only a few that I believe truly need to be obtained through a pharmacy or medical-grade spa–tretinoin being one of them. There are several companies that offer these products, and under several trade names: Retin-A, Refissa, Renova just to name a few. Each may be formulated slightly differently to appeal to a different skin type. SkinCeuticals and Revision make some excellent topical vitamin C products that can help with brightening the skin and are easy to tolerate. Several companies make excellent daily sunscreens as well, but for that, i am often using CeraVe or neutrogena products that are relatively inexpensive and easy to obtain at the drugstore. Regular facial moisturizers and cleansers are also fine to obtain that way, and I alternate between some cleansers at our Spa as well as CeraVe products and sometimes Cetaphil. I firmly believe the cosmetic counters that attempt to sell very expensive anti-aging products, with no medical grade ingredients, are not worth the price consumers pay for them. They have expensive additives and perfumes that have absolutely no effect on the structure of the skin and tend to be completely ineffective. I encourage my patients to spend money on the few products that are medical-grade that can effect change on the skin, and the rest they can purchase at the drugstore. I have yet to have problems with this philosophy and it has fared well for me as well!

What creams/moisturizers do you recommend for the face to prevent lines?
Importantly, the best cure is often prevention. Using sunscreen daily (at least SPF 15 or 30 and NOT just the “SPF that’s in your makeup”) can prevent the onset or worsening of lines around the eyes and on the skin. After that, using tretinoin is a fantastic way of reducing the signs of aging. Tretinoin is a vitamin A derivative (not safe in pregnancy or breastfeeding) that resurfaces the skin, stimulates collagen and reduces dark spots/sun spots. I’m a firm believer in using these products every night or every other night to prevent premature aging. Retinols (one step down from tretinoin) are easier to tolerate in most cases and in some preparations, can be safe around the eyes as well for fine lines that are difficult to treat with other OTC preparations. The best idea is to meet with a true skin expert (medical aesthetician, dermatologist, facial plastic surgeon, etc.) to obtain the best initial advice and get a few items that will truly benefit your skin, and continue to wear daily sunscreen!

What is a Life Style Lift?  It seems too good to be true.  I’m interested in having something done on my aging facial skin.  I’ll be 50 in January.  It’s time!!
Lifestyle lift is a proprietary technique that is only taught to those people who perform it under that company’s marketing and treatment guidelines. There are surgeons who “sign-up” for this participation and are taught a specific type of facelift that has been registered. This type of surgical procedure is one that has been done by many of us for many years, but no one thought to trademark it until a few years back so that it could be marketed with a particular message and brand. In most cases, it is a short-scar facelift that has benefits in the right type of patient–very little concerns in the neck, some need for tightening along the jawline but not for a patient with excessive heaviness in the neck and jowl area. At the end of the day, whether or not one of these “short-scar” facelifts, of which there are now plenty of trademarked names, is right for you depends on your anatomy, and your desires. The right surgeon will consult with you about your concerns and be able to explain what type of surgical or nonsurgical procedures you will need to address your these areas in the best possible way. The worst decision is the one made just on price and not taking into consideration what would actually make you happy.

Can you recommend any doctors in the NY area? Atlanta is a little far to go for an injection.
There are some excellent facial plastic surgeons in the NY area: Dr. Steven Pearlman, Dr. Andrew Jacono, Dr. Thomas Romo, III, Dr. Philip Miller to name a few. I have met them personally at many conferences where they have all been speakers and have had the pleasure of hosting some at our Emory facility as well. They have phenomenal professional credentials and I would trust any and all of them to take excellent care of you!

Thank you to those who joined in Tuesday’s chat. If you missed it, you can check out the chat transcript here and you can also check out our Emory Aesthetic Center website for more information.

See you next time!

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