6 Ways to Improve the Look of Your Brow Area

Original Article by NewBeauty


Aging gracefully is easier said than done. You may not even notice that you’re doing it, but years of making expressions or furrowing your brow can lead to frown lines between your brows. As you age, your eyebrows eventually begin to droop over your eyes, which can make you look angry or tired. “Over activity of the muscles around the eyes that cause lines and wrinkles around your brow area is exacerbated by sun damage, which causes sagging skin, giving your brows a heavier and older look” says New York plastic surgeon Kaveh Alizadeh, MD. Here are six simple ways to easily treat the brow area and greatly reduce the signs of aging.

Catch More Z’s
Fatigue can contribute to your aging eyes. Lack of sleep causes your adrenal glands to overproduce stress hormones and create more inflammation in the body, which accelerates the aging process. When you don’t get enough sleep, it shows—puffy eyes, under-eye bags and crow’s feet can create the appearance of an aging face. “The recommended amount of sleep is a minimum of six hours per night with an optimal eight hours per night,” says Dr. Alizadeh. “Getting the right amount of sleep will result in more youthful-looking skin.” Your body needs to get through all the stages of sleep in order to produce more collagen and for skin tissue to repair. Getting adequate sleep can help you instantly look refreshed, rested and more youthful.

Get a Natural Look With An Injectable
Seeing lines form on your face is one of the most universal signs of aging—and frown lines between your brows are inevitable. But you don’t have to live with that tell-tale sign of getting older. “The brow area is one of the first areas that reveals aging. Smoothing the area can easily be achieved using a neurotoxin like Dysport,” recommends Dr. Alizadeh. You can temporarily improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) with Dysport, a prescription injectable treatment.* Just one 10–20 minute treatment of Dysport can help minimize the look of your own frown lines. In other words, a more natural—not frozen—look.

Look for Creams with Key Ingredients
Your skin looses elasticity and slows down its production of collagen as you age. Eye creams and serums formulated to combat sagging skin can help treat the delicate skin around your eyes and brows. Look for products that polyhydorxy acids, antioxidants, caffeine (to help tighten skin) and that have peptides or polymers to increase collagen to make the skin around your brows firmer.

Chamomile Tea Therapy
Chamomile contains anti-inflammatory properties and drinking it not only helps your eyelids relax, but you can also use the tea bags on your eyes to treat droopy brows. Store wet chamomile tea bags in the refrigerator overnight before placing them on your eyes in the morning. Keep them on your eyelids for 20 minutes at a time to relieve sagging lids.

Give Your Brows a More Youthful Shape
Brows with sparse hair or that are naturally thin at the outer edges can make your features look unbalanced and draw attention to your droopy brow area. Properly filling in and shaping your eyebrows and highlighting your brow bone can give your brows an instantly lifted look. See an eyebrow specialist to get your brows arched professionally. This will give you a good guide to fill in your brows and highlight the right areas of your brow bone.

Maintain a Healthy Diet
“A well rounded diet is likely the most healthy way to maintain skin health, coupled with sun and tobacco avoidance, adequate hydration and hormonal balance,” says Dr. Alizadeh. Vitamin C is essential for producing collagen and elastin, which helps your skin stay firm. You can get about 100 percent of your daily intake by eating oranges, broccoli, cabbage, potatoes, strawberries and cantaloupe. To combat sunlight and free radicals that damage collagen and elastin, increase your Vitamin E intake to neutralize free radicals before they harm skin cells in the skin’s barrier. Peanuts, almonds, hazelnuts, sunflower seeds, vegetable oils and wheat germ are the best dietary sources for vitamin E.

Learn more about Dysport | Atlanta. Request for a Free Consultation.

When to Lift and When to Fill

Original Article by Elise Minton


You may think that all fillers and injectables are interchangeable for one another and they all work the same exact way. But truth be told, you can’t inject anything just anywhere. Some have a specific purpose of lifting while others are used primarily to restore lost volume. And, then there are times when you need a little more than what comes in a syringe to really lift your skin back up to where it belongs.

“A number of changes happen to the face as we age. Skin loses its elasticity and begins to sag. The fat pads of the face atrophy or shrink, resulting in a loss of volume. And, the ligaments of the face loosen,” says New York plastic surgeon B. Aviva Preminger, MD. “The result of all of those changes is a loss of cheek fullness, deepening of the smile lines and the formation of jowls.” But how your doctor goes about fixing each one of these age-related issues really depends on the cause of the problem. “In many patients, there is a need for a combination of both lifting and filling,” says Dr. Preminger.

“Rarely will a patient have pure skin laxity as the only age-related problem,” says San Fransisco dermatologist Vic Narurkar, MD. “There are multimodal aspects to aging, which also include reduction in facial fat (temples, midface, marionette areas and upper cutaneous lip), in addition to laxity. Also, there are submental fat, hyperdynamic wrinkles and neck laxity. So often, injectables will complement lifting. We have shifted from ‘filling’ in the lines to rebalancing the facial compartments.”

One area of the face that almost always needs filling, according to New York facial plastic surgeon Dilip Madnani, MD, is the cheeks, which lose volume. Dr. Madnani says there are a fantastic area to fill because they act as a pillar, holding up the skin. “Once they start to lose volume, our skin starts to sag, producing the beginning of jowling. To address the area, I routinely combine facial fat transfer to volumize the midface and cheek area with a lower facelift or necklift to erase the years.” Other areas that often require filling include the tear troughs, temples, lips, nasolabial folds, marionette lines and superficial lines around the lips and mouth.

However, if there is significantly loose skin, anything that’s injected or used noninvasively may not do enough to give you the results you’re after.

“Patients who have severe jowling and laxity are better candidates for surgical lifting and then following with fillers or aurologous fat for rebalancing facial fat,” says Dr. Narurkar. “Those who are starting to show deflation but not a great deal of laxity are better for ‘lifting’ and rebalancing the face with fillers.”

It’s important to know that not all treatments will give the same longevity in terms of results. “Surgical facelifts last the longest,” says Dr. Madnani. “If surgery resets your appearance by 10 years, then you will always appear 10 years younger going forward, however you will continue to age from the point of reset. Most people come back for a touch up lift about 8–10 years after the first, and this can vary.”

Learn more about Dermal Fillers | Atlanta. Request for a Free Consultation.

5 Treatments to Do Now That Summer Is Over

Original Article By Elise Minton

Now that summer is officially over and we are settling into cooler weather, it’s the perfect time to do a handful of beauty treatments that most experts say to put off until this time of year. “There are several reasons for doing these treatments during the fall months versus summer months, like more flexibility in terms of scheduling for recovery,” says Las Vegas plastic surgeon Terry Higgins, MD.

Lasers
Laser procedures like Fraxel should almost always be performed when you know you’re not going to be in the sun. “Most patients don’t realize just how important it is to avoid direct and indirect sun exposure for at least three months after your treatment,” says Omaha, NE, dermatologist Joel Schlessinger, MD. “Sun exposure post laser can make or break your results. Sun exposure can undo all the benefits garnered from a laser. For that reason, it’s best to schedule laser treatments during the fall and winter months when you’re less likely to be outside.”

Hair Gloss
As Abby Haliti, color direction and balayage expert at the Julien Farel Salon, explains, during the summer hair gets damaged because of the heat and sun. Add chlorine and summer highlights to the mix and the combination can wreck havoc on your strands, making them dull, dry, damaged and brittle. “After the summer, I recommend clients use a gloss every four to six weeks for shine and to seal the cuticle. Glosses are gentle on the hair (there’s no ammonia) and also have the benefit of adjusting tones in the hair, too,” she says. “You can still use color safely, but just know that your hair is more sensitive so your colorist needs to be careful when applying the color because hair is more likely to absorb the color quickly, especially in the midshaft and ends.”

Chemical Peels
One reason to forgo peels in the dead of summer is that because these treatments exfoliate skin, so any sun exposure makes skin more vulnerable to sun damage. “Chemical peels can really help undo some of the damage your skin incurs during the summer months,” says Dr. Schlessinger. “You want to stay our of direct sunlight after a peel and use sunscreen (every day). With a minor peel, you need to avoid the sun for a few days; deeper peels require up to three months of being sun-free.”

Laser Hair Removal
Just because you’re not flaunting a bikini, doesn’t mean you need to wait ’til next season to start getting rid of any unwanted hair with a laser. Laser hair removal requires multiple treatments over a period of several weeks. “It’s better to schedule this procedure in the fall, winter or even early spring, rather than summer. You want to do this treatment in the fall or winter because laser hair removal cannot be done when skin is tan. The laser targets and destroys the dark hair follicle, which is easier to pinpoint when skin is lighter. So if your skin is tan, the procedure cannot be performed,” says Dr. Schlessinger.

Liposuction
Besides the fact that you’ll want to be ready for bathing suit season before it comes, one of the main reasons to have liposuction done during the fall months is because it can often take months for the swelling to fully subside and for the final result to be seen. Part of the recovery process of liposuction typically involves wearing a compression garment for an extended period of time after surgery, like one to three months. “Summer is a time where most wear less, not more, clothing,” says Dr. Higgins. And you’ll want to cover up those compression garments as much as possible.

Learn more about IPL Laser Hair Removal | Atlanta. Request for a Free Consultation.

Embrace Your Smile with Restylane Silk

Laura’s story begins in a beach town enjoying life’s habits that, at times, may not be ideal when it comes to showing signs of aging. Don’t stop sunning, smiling, kissing or laughing because of lines. Find out how Restylane® Silk can help you reclaim a more youthful look.

Learn more about Restylane | Atlanta. Request for a Free Consultation.

The Best Lip Enhancement Treatment for Every Age

Original Article by Tatiana Bido

There is an art to lip enhancement. Who you select to do your injections can mean the difference between getting a fuller, natural-looking pout or the dreaded over-filled “duck look.” The key to a natural, beautiful lip enhancement is in the injector’s approach. Patients at every age have different goals and motivations. For patients in their 20s, it can be the desire for fuller lips and better facial balance. For an older patient, an enhancement can address volume loss, a blurry lip line and wrinkles around the mouth. We reached out to New York dermatologist Marina Peredo, MD, to find out which issues patients are facing in each decade and how she approaches lip enhancement at every age.

For Patients in Their 20s:
According to Dr. Peredo, patients in their 20s most often have issues of genetic lip imperfections like asymmetry, thin lips, a gummy smile or their expression might appear sad or angry. “It’s really about enhancement,” says Dr. Peredo. “Patients this age tend to love the look of fuller lips. My job is to make sure they look proportionate to the face. I look at the whole person sitting in front of me to bring balance to the entire face. Sometimes the most important decision I make is what NOT to do. I always seek a natural look that will be barely noticeable to all but the patient.”


Treatment:
Two syringes of Restylane Silk in the upper and lower lip.


In Their 30s:

Lips are at their fullest at the ages of 16 to 18. In the 30s, a fairly noticeable thinning begins to happen. “At this age the biggest issue is the loss of collagen and elastin, which results in thinning and drying of the lips,” says Dr. Peredo. “Lip lines, which are caused by a combination of sun exposure and the natural aging process, can also appear. Increased muscle activity from daily facial expressions also contributes to upper lip wrinkles. I look to fill the lighter wrinkles so that they don’t become ingrained into the skin and inject a small bit of filler into the lip to retain its fullness.”

Treatment: One syringe of Juvéderm Ultra in the upper and lower lip.

In Their 40s:
Patients in their 40s may experience even more drying and thinning of the lips. “In the 40s, the area around the lips, such as nasolabial folds (laugh lines) and oral commissure (corners of the mouth) also change,” says Dr. Peredo. “They may become deeper and more pronounced, so that area needs to be treated as well to support the lips. The overall expression of the patient appears to change. So for patients in their 40s, it’s all about restoration. I use fillers to not only maintain lip fullness, but also to diminish wrinkles that have already begun to set in.”

Treatment:One syringe of Restylane Silk in the lips and one syringe of Juvéderm Ultra Plus in the commissures (corners of the mouth).

In Their 50s:
For patients in their 50s, Dr. Peredo’s approach is to look at the overall facial structure. “Oftentimes, a loss of collagen, fat and bone in the mid-face will greatly affect the shape of the mouth. For these patients, the distance of white between the nose and the vermilion border at the top of the upper lip gets longer, so a lot of times I need to recreate the Cupid’s bow and the philtral columns (the vertical grooves above the upper lip) to restore the youthful anatomy of the lip. Through the artful application of fillers and neurotoxins to these areas, the natural shape and volume of the lips can be restored,” says Dr. Peredo.

Treatment:One syringe of Juvéderm Ultra in the lips and one syringe of Restylane Silk in the perioral lines (vertical lip lines).

In Their 60s:
For patients in their 60s and above, Dr. Peredo addresses the same issues found in patients in their 50s. “At this age, it’s mainly about lip restoration. I focus on restoring fullness, addressing perioral lines and restoraing facial structures around the lip,” she says.

Treatment:One syringe of Juvéderm Ultra in the upper and lower lip.

Learn more about Restylane | Atlanta. Request for a Free Consultation.

The New V

Original Article By Elizabeth Siegel


We’ve all been there: sticking out our chin and pressing our tongue against the roof of our mouth in pictures. Popping the occasional collar. It’s a stubborn problem, that double chin, one that’s un-suck-in-able, un-cover-up-able, and un-Instagram-filter-able. But everyone deals with it eventually. “Your skin begins to thin in your 20s, and then you start losing bone, fat, and muscle in your jaw around age 50—and these changes to your facial structure make your jawline sag like a loose blouse on a wire hanger,” says Jeannette Graf, a dermatologist in New York City, who has no problem telling it like it is. On top of that, your jaw is one of the three areas on your body that “gravity is working against all the time,” says Amy Wechsler, a dermatologist in New York City. (The second and third: boobs.) Until recently, the only procedure that could do a damn thing for jowls was a face-lift. But now there are noninvasive ways to get rid of a paunchy chin. Give her a syringe and a doctor can reshape your jawline. Says Ranella Hirsch, a dermatologist in Boston: “It’s endlessly gratifying.”

The Filler Up
You probably think of filler as something for wrinkles. You may even have a few cc’s in your wrinkles right now. But in the jaw, dermatologists use filler very differently. Remember how we told you that the jawbone shrinks, contributing to sagging? “We use stiff fillers, like Radiesse and Restylane, to add structure back to the jaw—like using poles to stretch a tennis net taut,” says Ava Shamban, a dermatologist in Los Angeles. “First, I inject the parts of the jaw that are under the chin and ears, where the mandible bone has shrunk. If that’s not enough support to lift the entire jaw, I’ll inject all the way along the jawline.” The main side effect is a small chance of bruising. This approach isn’t for everyone, though: “If you’ve got a lot of laxity, fillers aren’t going to lift your jaw,” says Hirsch. But for the right patient (with mild to moderate sagging, between the age of 40 and the mid-70s), “it’s very effective at lifting and smoothing the jaw in a natural way,” says Ellen Marmur, a dermatologist in New York City, who is wrapping up a yearlong study on the effects of filler in the jaw.

Cost: It varies, depending on how much lifting you need, but “plan on spending a grand or two,” says Shamban. In better news, the effects can last up to two years.

The Jowl Melter
The sun, smoking, genetics—these are the main causes of aging in the jaw and, you know, everywhere else. But there’s also a more surprising source of sagging: “Just as gravity pulls down on your jaw over time, so can a pocket of fat under your chin,” says Graf. “Kybella is an injectable, synthetic form of the fat dissolver deoxycholic acid, which exists naturally in your body.” It breaks down fat cells so they can be flushed out of the body by your circulatory and lymphatic systems. It’ll get rid of a double chin, or what Shamban calls a “jeck,” and as a secondary benefit will tighten tissue, which could help prevent sagging in the long run. “Longer-term results can be excellent, but there’s a period of swelling for one to two weeks, so it’s best to get it in the winter, when you can cover up,” says Hirsch.


Cost:
$1,000 on average per session; it can take up to six sessions to deliver results.

The Muscle Relaxer
If you’re not a Bravo enthusiast—and that’s cool, you probably do other things, like read books—Google “Bethenny Frankel jawline before and after.” And click, bam, proof that you can go from having a square jaw to one that’s shaped like a V. “You can narrow the lower half of your face a couple of millimeters by relaxing the masseter muscle—the one at the edge of your jaw—with a botulinum toxin, like Botox or Dysport,” says Marmur. It’s especially useful for teeth grinders, whose jaw muscles bulk up over time; relaxing the muscles also relieves chronic headaches caused by grinding. And it’s got one more happy side effect: “When you smile, your skin should move back and naturally crease a little. But if the masseter muscle is too big, it adds resistance that makes the skin wrinkle around your jaw,” says Doris Day, a dermatologist in New York City. “Just relaxing that muscle can smooth the jaw spectacularly.”

Cost: Around $700 a pop, with effects that last for at least six months.

The Skin Tightener
Radio frequency is an expensive procedure that goes by fancier names, too, like Thermage and EndyMed. It heats up deep layers of skin, causing controlled damage that stimulates new collagen and firms the skin. Some dermatologists start patients in their 30s on it with the goal of mitigating aging down the road. Others swear by it for tightening sagging tissue along the jaw. Many who use it do so in conjunction with fillers, though. “If a face-lift is a home run for lifting the jaw, radio frequency is like getting to second base, and sometimes that’s enough for patients to stop obsessing over that area,” says Wechsler. “But it doesn’t work well for smokers, sun worshippers, or yo-yo dieters, because all those things break down new collagen in the skin.” And sometimes even nonsmoking vampires won’t create enough collagen to be happy with the results: “A concern is it doesn’t work optimally for all patients, and it can be difficult to know who’s going to respond best,” says Hirsch.

Cost:From $2,500 to $6,000, depending on the level of treatment a patient needs; the effects can last one to two years.

The New Way Fillers Are Being Used to Boost Collagen Without Any Injections

Original Article by Brittany Burhop

The world of injectables and fillers is vast—some are labeled neuromodulators (Botox, Dysport and Xeomin), some are hyaluronic acid fillers like Juvéderm and Restylane, etc. Then there are those known as collagen-stimulating fillers, such as Sculptra Aesthetic and Radiesse. These particular fillers contain microscopic particles that prompt your body to make new collagen, which results in smoother skin and volume in all the right areas.

Rather than instantly filling or smoothing lines like their counterparts, collagen-stimulating fillers are longer-lasting and add volume that actually lifts the soft tissues, ultimately diminishing lines. The boost in collagen is essentially an immune reaction to the injected material that helps plump the area from within.

Now that you’ve got the basic idea of how they work, it’s time for the wow moment. Doctors can now use Sculptra topically in conjunction with fractional CO2 laser treatments to give skin a major collagen boost without actually being injected. Yes, you read that right! No needles in your skin.

You might be thinking, how is this possible, but just hear me out. Fort Lauderdale, FL, dermatologist Shino Bay Aguilera, MD, says that this technique works because once the skin is temporarily “injured” by the laser (it creates micro channels, or tiny openings, in the skin), there is about a 2.5-minute window of opportunity when the micro channels are open and create a vacuum-like suction that pulls in the Sculptra. “The particles of Sculptra come in different sizes and the smallest particles can penetrate these channels,” he explains. “Sculptra is applied topically immediately after the second pass of the fractional CO2 treatment. It is gently rubbed onto the skin, just like the way you would put on a serum.”

Boca Raton, FL, dermatologist Robyn Siperstein, MD, explains that Sculptra is technically not a filler (although we typically categorize it as such), but rather a collagen stimulator, which is why it’s able to be used topical to stimulate collagen production. “There are no FDA-approved trials showing its efficacy on top of the skin, but it is the same principle as using it under the skin,” she says. “When we inject Sculptra in the usual manner, we are growing collagen underneath the dermis (top layer of skin) to volumize areas that become depleted during the aging process. The thought of applying it after resurfacing is that it can absorb into the dermis and build collagen higher up to produce thicker skin with less wrinkles. When we inject below the skin, it is too deep to effect the fine lines that are higher up. But using it this way allows us to treat the top portion of the skin as well, where the wrinkles are.”

Typically, this technique is used on acne scars (it has been shown to improve them greatly), perioral wrinkles (around the mouth), and the skin around the eyes to reduce the appearance of hollows, crows-feet and crepey skin. According to Dr. Aguilera, the downtime will depend on how aggressive the laser treatment was, which will be discussed with your doctor during consultation to determine what is best for your specific concerns.

“Anyone who is a candidate for fractional CO2 and wants to get a lot more collagen stimulation out of it, is a candidate for this,” he says. “We’ve named it Frax-Sculpt at our practice, but other doctors may label it differently or use a different technique entirely, such as microneedling the skin first instead of using a laser. I believe this type of treatment bridges the gap between topical bioactive agents (PRP, Sculptra, steroids, stem cells, growth factors and antioxidants) and aesthetic medical devices (lasers, etc) that are both well-known to stimulate new collagen formation from a controlled injury to the skin.”

Learn more about Dermal Fillers | Atlanta. Request for a Free Consultation.

Injectables: Fact or Fiction

Original Article By Melanie Rud Chadwick


There’s no denying that more and more people are getting cosmetic injections—botulinum toxin injections alone (Botox, Dysport) increased a whopping 759 percent between 2000 and 2015. But despite their growing popularity, there’s still a lot of contradictory information surrounding these beauty shots. “Everyone knows about injectables, but lots of people come in with preconceived notions,” says New York City dermatologist Paul Jarrod Frank. To help clear up the confusion, here’s the real deal on what’s true and what’s an urban (beauty) legend.

  1. FACT: Injectables can have a preventative, anti-aging effect.
    There is, in fact, some truth to the idea that injections work prophylactically—it’s not just marketing mumbo-jumbo. Take botulinum toxin, for example. By paralyzing the muscle, you’re preventing dynamic wrinkles (those caused by the muscle contractions), and ensuring that existing lines and wrinkles don’t become deeper, according to dermatologist Whitney Bowe, an associate clinical professor of dermatology at Mount Sinai Hospital in New York City. Hyaluronic acid fillers also have proven long-term, anti-aging benefits. A 2007 study from the University of Michigan showed that the injection of non-animal-derived, stabilized hyaluronic acid (found in in fillers such as Restylane and Juvéderm) stimulated collagen production. “None of this means that you should start getting injections at age 19. The time to start is when something starts to bother you, but it’s good to know that it’s not only therapeutic but will also prevent wrinkle development over time,” adds Frank.
  2. FICTION: Getting injected will make you look like you’ve had “work” done.
    “It’s not what’s done, it’s how it’s done,” says Frank. “You only notice the bad work.” The overly taut, terrifyingly smooth foreheads of Hollywood starlets or bizarrely large duck lips of reality housewives are examples of excess. “There are too many examples of people who accidentally or purposely look like they had too much work done,” says Frank. To maintain a natural appearance, it’s about rejuvenating your looks, not making you look different. Find an injector who is experienced and understands anatomy and the natural proportions of the face, and no one has to know that you’ve gone
  3. FICTION: There’s a set amount of time that each injectable lasts.
    ​”People believe there’s a set time limit, but that’s the biggest misconception. Articles and ads make sure to say ‘it lasts up to,’” says Frank. It’s not a hard-and-fast guarantee that the same will hold true for you. It simply means that when it was being tested, this was the longest it lasted. Many factors affect the longevity of the results, including which product is used and where it’s injected in the face. Rather than getting hung up on a set time frame, Frank suggests focusing on when you notice the effects starting to wear off and use that as a guideline. And it’s better to come in more frequently for subtle tweaks rather than book a yearly appointment where you do more. “Not only does this make for a more natural result, but it also spreads out the cost and minimizes any trauma to your face.” And when it comes to toxin injections, if you initially do them more frequently, you’ll eventually be able to use less and go longer in between, says Bowe: “If you go every three months the first year, you start to lose that muscle memory that creates the wrinkle. Over time, you’ll be able to stretch it out to every four or six months.”
  4. FACT: These products are safe.
    It’s understandable how the idea of deliberately injecting a known toxin into your body can seem dangerous. But botulinum toxin was first approved by the FDA in 1989 to treat crossed eyes and spasms of the eyelid, and it’s been used cosmetically for almost three decades. “People also worry about allergies, but you’re more likely to have a reaction to a vitamin or a tea that you buy in a natural-food store,” says Bowe, who says an allergy to neurotoxin is rare (though she adds that anyone with extensive drug allergies should be sure to mention this to their injector). And fillers like Restylane, Juvéderm, and Belotero use a stabilized form of hyaluronic acid, a sugar molecule. To further ensure your safety, however, it’s essential to only go to reputable and well-trained dermatologists and plastic surgeons who are using the actual, FDA-approved products. To that point…
  5. FACT: You get what you pay for.
    Now is not the time to bargain-shop. While many factors affect costs, at the end of the day, there’s no denying that these products are expensive, says Frank. “When you see deals and bargain prices for injectables, you’re either getting diluted product or the injector isn’t making money off of it. And if they’re not making any money off of it, they’re likely just using you as practice as they try and build a practice,” he cautions. Bottom line: Steer clear of Internet deals or steep discounts for any kind of cosmetic injection. Discuss your budget with your dermatologist or plastic surgeon and ask about the variation in pricing amongst the different brands, but be ready to pay up.

Learn more about Botox | Atlanta. Request for a Free Consultation.

Can Botox Make Your Face Look Thinner?

Original Article by Elise Minton

In the quest for perfection, the one part of the body that seems the hardest to get thin is the face. You can work out all you want, but the face is an area that needs special attention—usually from the help of a doctor.

Unbeknownst to many, Botox can work wonders on more than just lines and wrinkles. “Facial shaping, which includes facial slimming, is a very popular Botox treatment,” says San Francisco dermatologist Vic Narurkar, MD. “It was initially used primarily in patients of Asian decent, but is now very popular in all ethnicities for creating a more heart-shape face.” When injected into the masseter muscles (the muscles on the jawline) in a circular manner, Botox can “slim the face.” Oftentimes, fillers are also added to the cheeks to create a balanced look.

Different from something like liposuction or a noninvasive fat fighter, which permanently destroy fat cells in the body, when Botox (or other neuromodulators like Xeomin and Dysport) are injected into the face, they work strictly on the muscle. Botox does not interact with fat in the face whatsoever.

“When injected into the masseter muscle, Botox relaxes the muscle and over time the bulk of the muscle is reduced lending to a less square jawline,” explains New York facial plastic surgeon Lee Ann Klausner, MD.

When used for this face-slimming purpose, the onset of results and longevity is a little bit longer than when Botox is used to smooth out wrinkles on the face. “You can start to see a difference in the face in about 10 to 14 days and the results should last about four to six months, but can be longer,” says Dr. Narurkar. But, in order to maintain the results Dr. Klausner says treatments must be continued at regular intervals every 3 to 6 months.

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Why Chemical Peels Are the Secret to Perfect Skin

Original Article By Jolene Edgar


A spotless, lineless, flawless complexion is lying just beneath the surface of your skin—and doctors have found that a classic treatment is the fastest way there.

Satin slip dresses slinked down the spring runways. Celebrities are wearing chokers on the red carpet. And here’s one more ’90s revival for you: the chemical peel. After being eclipsed in the early 2000s by new skin-resurfacing lasers, these classic treatments (like, ancient-Egypt classic) are back on top in dermatologists’ offices. More people are getting them now than in 1997 (when peels were the number-one cosmetic procedure in the country), according to the American Society for Aesthetic Plastic Surgery. “Turns out good old chemical peels can actually deliver certain skin benefits—like reversing melasma and breakouts—better than high-tech devices,” says Doris Day, a clinical associate professor of dermatology at NYU Langone Medical Center. By casting off dull surface cells, they improve fine lines, acne, discoloration, and more. And they do it for all skin types and colors—usually for a fraction of the cost of flashier (literally) options. “The minute I switch on a laser, things get expensive,” says Vivian Bucay, a San Antonio dermatologist. A superficial fractional-laser treatment can run up to $1,000 a session—and you’ll probably need several. A medium-depth chemical peel may cost a third of that and “gives more impressive results in a single treatment,” says Bucay (but count on more recovery time).

As with most old-is-new-again ideas, today’s peels aren’t just total retreads (the new slip dresses are better too, FYI). “When glycolic peels got really popular in the ’90s, they hurt like a mother and left skin raw,” says Jeannette Graf, an assistant clinical professor of dermatology at Mount Sinai Hospital in New York City. But acid formulas have been refined, and so have dermatologists’ approaches to using them. “Our goal now isn’t so much to cause visible peeling as it is to infuse the skin with ingredients that diminish lines, build collagen, and improve tone,” says Jennifer Linder, an assistant clinical professor of dermatology at the University of California, San Francisco, and the chief scientific officer for the clinical line PCA Skin. Still not sold? Here are five more reasons to book a peel—and help your skin make a radical comeback.

Peels can make your skin—and skin-care products—work better. In minutes, acids lift away dead cells and trigger a lovely chain reaction: “As that topmost layer is shed, signals are sent to the living cells below to multiply and move up, to increase collagen production, to make more hyaluronic acid—to act younger,” says David Bank, an assistant clinical professor of dermatology at Columbia University/Presbyterian Hospital in New York City. A thorough sloughing also offers one very immediate upshot: smoother skin that’s both more radiant and more receptive. “Your skin-care products perform better after a peel because there are no dead cells impeding their penetration,” says New York City dermatologist Neal Schultz, who averages at least 50 peels a week in his Park Avenue office.

They’re low-risk, and you can go custom. There are chemical peels that are safe to use on every skin color without risk of hyperpigmentation (usually a worry with darker complexions). “We now know that using low percentages of multiple acids gives a better outcome with less irritation than a single acid at a higher strength,” Linder says. Doctors have plenty of premixed cocktails to choose from, like PCA Skin Sensi Peel, which mixes trichloroacetic acid (TCA) and lactic acid to rev up collagen synthesis deep down and dissolve the drab skin on top. But a lot of doctors also cook up their own recipes to address very specific concerns. For tenacious brown spots, Bucay adds a pinch of brightening vitamin C or a smidgen of bleaching hydroquinone to her acids of choice. And when treating those same spots on sensitive skin, she offsets the potent lighteners with soothing polyphenols.

The right peel can end acne and soften the scars that come with it. Salicylic acid peels and Jessner’s peels (equal parts salicylic acid, lactic acid, and resorcinol, an antiseptic exfoliant) dive deep into skin to unclog pores while also skimming the surface to erode blackheads and fade post-pimple marks. Another advantage of salicylic acid: It lingers in the pores, where it continues to keep them clear over time. To improve pitted acne scars, Harold J. Brody, a clinical professor of dermatology at Emory University in Atlanta, targets individual divots with a high percentage of TCA before applying a weaker acid to the rest of the face to even things out. “I think this method beats most resurfacing lasers, plus there’s little to no downtime and it’s safe for all skin colors,” he says. Bucay prefers treating acne scars with peels to skirt this surprising laser pitfall: “There’s roughly a 30 percent chance of an acne eruption following Fraxel,” she says. “It’s really disheartening when someone gets a flare-up of the very thing that left her with scars in the first place.”

TNothing controls melasma better. There isn’t a permanent cure for the recurring sun-triggered dark patches brought on by hormonal surges (like those caused by pregnancy and the Pill), but chemical peels (paired with at-home bleaching creams, high-SPF sunscreen, and strict sun avoidance) offer the best fighting chance. Lasers may make lofty claims, yet “they’re essentially trying to treat a light- and heat-sensitive condition with light and heat,” says Cheryl Burgess, an assistant clinical professor of dermatology at Georgetown University in Washington, D.C. Even when a laser does eviscerate splotches initially, pigment often reappears weeks later, making lasers seem like a major investment for a short-term reprieve.

TA peel will let you (maybe) toss your undereye concealer. We don’t even like opening our eyes in the pool, so we’ll be the first to admit that acid near our eyeballs sounds dicey. But doctors say Glytone’s new Enerpeel Technology Brightening Peel System works beautifully and safely on the hereditary dark circles created by piled-up pigment. They credit the form of the acid—3.75 percent TCA and 15 percent lactic acid in a nondrippy gel carefully dispensed via a pen applicator—and the delivery system, which “drives the acid in deep, bypassing the epidermis to lessen irritation,” explains Graf. A series of treatments may be needed, but some people see a profound improvement after just one.

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