Aesthetic Medicine and Treatment

10 Tips Before Plastic Surgery

Having any surgery is a big deal.  Don’t take having a plastic surgery procedure lightly.

I wrote these ten tips on Twitter  so I thought I ‘d share all of them here. Follow me on Twitter and Instagram @niptuckcoach for more tips.

 

 

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Filling Eye Hollows with Dermal Fillers: What Are The Risks?

Cosmetic injection in the spa salon
Deep hollows under your eyes can make you look tired and dull.  This can be corrected with fillers.

Filling eye hollows is a delicate business and there are risks. The biggest risk is bruising, lumps and swelling. In some cases if not done properly it can actually make your lower eye area look worse.  Today there are more hyaluronic acid (HA) fillers in the aesthetic tool box and techniques for treating this delicate area have improved.

I’ve been reading many online posts from patients who have had both fillers and have experienced puffiness, lumps, and a baggy look after the injection. Others have had good results. I’ve seen good and bad results. Please choose your injector wisely. This is a very difficult area to treat.

Performing “tear trough” treatments to the hollow area under the eyes requires meticulous technique and can be a very satisfying treatment when done correctly.

Below are some guidelines to consider before you jump into filling your eye hollows (tear trough).

Parts of this post was originally written in 20o9 when I had my tear troughs treated for the first time.

A business colleague had her tear trough area filled by a local plastic surgeon in San Francisco, CA .  I was very impressed with her results and decided to fill my eye hollows, for a more youthful look.  At the time there were only two HA fillers on the market Juvederm and Restylane. Although both fillers were very similar Juvederm tends to create more puffiness in the eye area than Restylane, as it absorbs more water. My surgeon choose Juvederm which surprised me because Restylane was the preferred filler for this area. However, I trusted his judgement.

Afterwards I very bruised, swollen and lumpy. I waited patiently a couple of weeks hoping it would resolve. The bruising diminished but the puffiness persisted. I looked like I had been punched in the face and knew that I had to have a correction. Fortunately HA fillers can easily be dissolved with hyaluronidase. (more…)

Fillers: How Long Do they Really Last?

I had my first filler injection in the the late 1990’s and have tried every filler on the market except Bellafill, a permanent filler.

There are more FDA approved fillers on the market today and more are awaiting approval.  The documented  length of time a Filler lasts is based on the results from the manufacturer’s clinical trials. Millions of dollars are spent on marketing campaigns and provider training courses.

Consumers should be aware that these results are guidelines only. 

The results that you get from any filler injection and how long it will last for you may differ than the documented results seen in the clinical trials. If you think that your filler will last 9 months and it only lasts for 6 months, don’t blame your injector. It’s not the product or the injector’s fault, it is the way your body metabolizes the filler and where it has been placed in your face. Lip filler is not going to last as long as filler under your eyes.

As a plastic surgery and aesthetic coach, I hear all too often from my clients that they are disappointed with their Dermatologist or Plastic Surgeon after getting for example, Voluma because it did not last 2 years as advertised. This is an average only. As the product is on the market longer the documented results may change.

Here is a realistic guideline to keep in mind when you budget for fillers.

  • All HA fillers are temporary. They will last between 6-9 months.
  • Fine line fillers Restylane Silk and Belotero may only last 6 months. In some cases less.
  • Voluma, a deeper filler may last UP TO 2 years. However, you will probably need more filler at 9 -12 months to give it a boost
  • Juvederm may last 9 months depending on placement
  • Restylane Lyft which is the same as Perlane lasts UP to 18 months. Realistic expectation 9-12 months

Non- HA Fillers

  • Radiesse lasts 9- 12 months. Realistic expectations- 9 months. Radiesse hand injections may last 9 months with a boost
  • Sculptra can last up to 25 months after the last treatment. You may need a touch-up in 12- 18 months
  • Bellafill is a permenant filler

If you have any questions or comments, I’d love to hear from you.

Remember: You Only Have One Face and One Body, Choose Wisely!

-Michele Garber

Sublative Laser Rejuvenation : What To Expect

Laser Resurfacing – Heres’s the Scoop

After having  two Ablative laser resurfacing treatments over the past several years, I opted to try  Syneron’s Elos Sublative  Rejuvenation Treatment for fine lines, skin tone and texture. Sublative Rejuvenation is the newest, safest laser technology with less downtime than other laser procedures.

According to Syneron’s website, Sublative lasers deliver B-polar Radio Frequency energy  deep into the dermal layer to build collagen, treat mild to moderate wrinkles and textual irregularity with minimum down time. The treatment protocol  is for 3 treatments 4-6 weeks apart.

My Experience:

LA Dermatologist Dr. Jason Emer invited me to participate in his Sublative treatment study at the Menkes Clinic in Northern California.

I had been treated before by Dr. Emer, so I the utmost trust that my face was in skilled hands.

Sublative Treatment

After Treatment

With BioShield on My Face

With BioShield on My Face

Elos Sublative Tip

Elos Sublative Tip

After numbing for about 45-minute to 1 hour, my 1st Sublative treatment was tolerable. As part of the study, Dr. Emer used an aggressive setting and preformed 5 passes over my entire facial region. During the treatment, I held a cooling hose ( see above) to cool my face as Dr. Emer was preforming the treatment with the tip seen in the photo above. Some areas of my face were more sensitive than others during the first sublative treatment. On a scale of 1-10, the discomfort was about 34. Afterwards my face felt like I had a very bad sunburn. Not too bad, as I knew what to expect from previous treatments. If you are a newbie, be prepared to feel
a strong burning sensation on your face. Total treatment time from prep to post-laser about 1.5-2 hours. Don’t plan to go back to work after sublative rejuvenation treatments, unless the treatment is on a lower settings with less passes. But then what’s the point?

As I was driving home with a greasy face full of Aquafore, I iced my face in the car and then afterwards for the first 24-48 hours. The burning sensation does lessen over the next several hours.

Minimum downtime- no not really. If you have an aggressive treatment be prepared to be red, and slightly swollen for 2-3 days then pink and peely up to 7 days.  Peeling time was less than my other ablative laser treatments, Mixto and Pearl and healing time was faster. I could wear make-up by day 3 and face the world on day 4.  But I was still crusty and pink in some areas. Underneath my eyes I was slightly puffy for about 10 days.

My second treatment was a little more uncomfortable, especially on my forehead, temple and chin area.  There were a few times that it really hurt despite the numbing cream. Post treatment I was given a Skinceutical cooling mask, which I absolutely loved. It felt soothing, cool and fabulous. It made my drive home much more comfortable.  I also applied Jan Marini Skin Research, BioShield. I love, love this post laser product.  My healing time was shortened by a couple of days. It’s a little tricky to apply, but a must for any post-laser treatments. Worth the price of $130.00.

My third treatment felt the worst. I’m not sure why. I felt a couple of zingers that were extremely painful in the area of my forehead and chin. Had I felt these zingers during treatment #1, I may not have continued. Perhaps my skin was more sensitive in those areas, I’m not sure. Dr. Emer was not sure either what caused this. Afterwards, my skin looked and felt like all the other treatments. My recovery time for treatment #3 seemed shorter than the first two treatments. I was not as swollen as the first time, with the exception my of  mouth area which was treated more aggressively for fine lines, as part of the study.

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