Botox and your smile

We’ve discussed Botox for wrinkles and Botox for Hyperhydrosis (excessive sweating) but did you know that Botox can be used to soften that “gummy smile”. Many people have overactive muscles in the upper lip and beside the nose that lift the lip a little too much, exposing your entire upper gum and top of the teeth. That’s what we refer to as the “gummy smile.”

The technique is a very simple one but needs to be precise and not overly dosed with Botox. A unit or two placed just beside the nose gives enough relaxation to cause the lip not to lift as much with a big smile, thereby not exposing the entire gum. Sometimes a unit or so placed in multiple spots above the lip line can also prevent a thinning of the upper lip on the smile. In very thin lipped patients just a filler can be used in the lip to outline and/or enhance it. With the Botox for gummy smile, a combination with the filler can transform a sometimes embarrassing smile into one you can be proud of. In treating the gummy smile I do not use a great amount of Botox as we do on the Glabella and forehead as this can relax the mouth too much. As I said only a unit or two is needed and needs to be strategically placed. If a small amount works but not as well as one would like, it is easy to add a little more in increments to get the result. Over treating on the first try should be avoided. If you have a little bit of a mouth corner turndown, Botox carefully placed below the mouth corners may correct that to even out your smile and natural mouth pose. Who wants to look like they are constantly frowning, right?

Botox when used strategically can do great things to treat conditions other than wrinkles on the forehead and eye area. If you have that gummy smile or turned down mouth corners it may be a good treatment for you alone or in combo with a filler.

Dr. ODell

The beginning of a thousand mile journey starts with the first step.

LipoSculpting and overall weight loss

I am often asked about will our Signature LipoSculpting result in a large weight loss. The answer is no…..not immediately but yes…..over time and following the instructions. I tell my patients that Lipo is not a weight loss procedure but is a “waist” loss procedure in that it very quickly will reduce your size and start giving you the shape you desire that may not be evident with diet and exercise. I also tell them that we ” take off what diet and exercise won’t do.”  Understand that in weight loss, especially if you have a high BMI (body mass index), you may not shape up like you want even when the scales say you’ve lost 20 pounds. For your overall health the weight loss is wonderful and your diet and exercise routine should continue, but you may not see the shaping or the reduction of the tummy “pooch”, the thigh fat, or the love handles even with continued work and diet. That is age and size related. Many of my patients ask about getting to a goal weight before getting lipo. I tell them all can be done simultaneously.

Why?

1.After you get our LipoSculpting you will begin to shape up the area that is done over the next several weeks. The sexy hourglass curve becomes evident, the tummy begins to flatten or the legs begin to take shape. Now when you look in the mirror you are seeing that new shape which becomes a motivating factor to not return to your bad eating habits as you say “WOW, dang, I am starting to look good.” Understand that with any weight loss diet and exercise program you will loose rapidly at first and then the plateau happens. Most people get frustrated and quit the program because they aren’t loosing as fast or the shaping has not happened. With getting the lipo, the shaping happens quickly and now the motivation is visible as you continue your program.

2. With any lipo procedure you will reduce the effect of a hormone that is secreted by fat. When we take out fat, then the hormone Ghrelin is greatly reduced. Ghrelin is secreted by all fat cells so that the more fat you have the greater the Ghrelin stimulation to your brain that tells you to eat. By suctioning a large amount of fat, your appetite stimulation falls off immediately so the temptation to eat badly is gone.

3. After an abdominal or leg lipo you are wearing a garment over the abdomen that squeezes the newly lipo’d skin and also the abdominal wall. This slight pressure on the tummy will actually make you feel a little full and, thereby, make you not want to eat as much. Works every time. We ask that you wear the garment for to guide the skin against the underlying tissue so that your final shape is achieved. The side effect is a decreased appetite from the garment. A win-win.

To sum up…LipoSculpting needs to be a part of your overall weight reduction and shaping. There is synergy in both as the lipo can achieve the shaping and appetite reduction rapidly as well as some weight loss. Continuing the diet and activity plan can only enhance the terrific results you get going forward. Be healthy. Be shapely.

Live each day as if your life had just begun.” Johann Wolfgang Von Goethe

Dr. O’Dell

Three years of FemiLift-WOW

For three years Genesis Cosmetic Laser Center has been providing an innovative procedure that addresses problems with vaginal laxity, vaginal dryness, and mild urinary incontinence caused by loose vaginal tissue.  The FEMI LIFTis a revolutionary CO2 laser treatment that addresses all those issues and I have been so pleased with our results.  As we enter our forth year of  offering this treatment I am proud to report our patients have been 100% satisfied with the results.  After childbirth, with aging, and especially menopause the collagen of the vagina begins to weaken much like it does on the face.  This causes the vagina to become loose and also to lose some of the support under the urethra resulting in leakage.  Many patients complain of lessened sexual sensation and satisfaction due to the vaginal laxity.  In addition, with menopause, lack of natural lubrication can result in even further sexual discomfort that requires lubricants or hormone cream.  FEMI LIFTcan address all these. 

Medical CO2 lasers have been around for decades but this is one of the first ones to specifically address vaginal problems.  The procedure is very simple.  After a brief exam, a specially designed speculum is inserted into the vagina. Inside the speculum a small mirror deflects a modified laser toward the vaginal wall.  When the laser is fired very tiny “pin like “ punctures or pixels are sent into the vaginal wall resulting in rejuvenation of the vaginal “skin” and new collagen growth that tightens the vagina.  Along with tightening the vaginal wall and reducing the laxity there is a further tightening of the tissue around the bladder stem or urethra resulting in a noticeable lessening or elimination of annoying bladder leakage. The rejuvenation of the vaginal lining gives the woman more natural lubrication and moisture.  In addition minor labial problems can also be addressed with this laser.

No anesthesia or numbing is necessary but can be done in certain circumstances or if requested. The procedure takes about 5-10 minutes and you can go back to work or other activities immediately after.  Three treatments spaced a month apart are recommended to achieve the best long lasting result.  We do recommend refraining from sexual activity for about 3 days.  About two weeks after the first treatment patients notice about a 50% improvement in their symptoms with everyone noting a 100% improvement after the second and third treatment.  To the many women with embarrassing bladder leakage, this is a life changer.  

There is no need to be embarrassed about these conditions.  Femi-Lift may be your answer to better vaginal health and bladder control. Make a simple call to Genesis at 843-669-2220 where we can set up a no cost consultation to see if you are a candidate for this simple but life changing treatment.  

CHIN UP

Minimally invasive chin and neck lift at Genesis

It’s always fascinating to see patients come in wanting a chin and neck tightening. Most greet you practically looking up at the sky to tighten that sagging skin below the chin and going down to the neck. I always ask them…Hey, you got to be tired of looking up and looking straight with your eyes. With our minimally invasive CHIN & NECK lift you can achieve a wonderful lift on the sagging skin and get amazing tightening all the way to your collarbone. When evaluating patients I also look and pull on the skin at the base of the neck and find so many patients have almost hound dog loose skin there. Using our combination of Renuvion (J-Plasma) energy and laser energy on the jaw line we can pull that skin in and upward, getting you to a more youthful slim look. It is easy to get your neck from having that triangle look to having a beautifully deep chin that you desire. Our chin lift takes about 30-40 minutes and is simply done through 3 needle punctures that allow us to numb the chin and neck, suction the fat out, then use our combo plasma and laser energy to stimulate the skin to tighten over the next few weeks. Post procedure you wear a chin strap for a couple of days and then sleep in it for 1-2 weeks depending on the patient. Getting it done on a Thursday or Friday allows you to be out of the chin strap by Sunday and not miss work the next week. Best of all you can now look someone in the eye and not look at the sky at the same time because now you have a more youthful, non-sagging chin and neck.

Let this year be a new look, a new appearance. Be proud, be confident in your look. We can help.

Dr. O’Dell

Once we doubt ourselves, success slips beyond our grasp

Jonathan Lockwood Huie

Once we doubt ourselves, success slips beyond our grasp.

Think Combination Treatments for facial lifting

 

 

Want to look your best? Are your tired of the facial wrinkles and the sagging skin face? You don’t want a face-lift that requires some cutting but you just want to look refreshed and more youthful.

 

The most trending treatments for minimally invasive to non-invasive facial rejuvenation has been to combine several old line therapies at once to achieve a more youthful face and neck appearance. For many years we have used Botox to smooth wrinkles on the forehead and around the eyes and have used dermal fillers such as Juvederm to make the face look fuller by replacing lost facial volume. Strategically placing both Botox and fillers selectively can take years off your face. Juvederm and other filler brands now have different thicknesses of their products that can be targeted for a specific area of the face. A thinner filler is targeted for the lips but can also be used to fill in the “smoker lines” that appear in the upper lip and corners of the mouth. At the same time we can put slightly thicker filler deeper to the area around the mouth to fill in where volume loss may have given you a sunken appearance around the mouth. In cases of severe mouth corner downturn, or a permanent frown, Botox can be used to relax the selective muscles that cause the problem. What I notice on so many patients is that there may be some slight jowling along the jaw edge that gives the appearance of a sunken place between the jowl and the chin. By carefully placing thicker filler along the jaw edge in that area the line from the jaw edge to the chin can be evened out and give you a more youthful jaw curve. If your chin is too flat or misshapen it is possible to combine Botox to relax the chin muscle and a small amount of filler to shape the chin to fit your jaw contour. A little further up from the mouth edge filler can also be used to smooth and fill out the naso-labial fold that gives your face the parentheses look. It doesn’t take a lot of filler to do this but by placing it properly the area from the nose to the chin can be transformed to a younger, fuller appearance.

Similarly the eye area is another place that can be transformed using fillers and Botox. As you age, volume loss under the eyes can make you look tired all the time, even when you are not. In severe cases I use Voluma filler under the eye to replace that lost volume and trim years off your face. In less severe cases a less dense grade of Juvederm can be used. Again, it is placed to not only fill in but to lift the skin around the eye and improve the saggy sad look. Combine that with Botox on the “crows feet” and a new look can be easily accomplished. I now have several patients who are getting Botox on the neck to relax those wrinkles caused by aging and sun. While it won’t give you a completely smooth neck it can greatly flatten and improve your appearance.

After filling in the volume loss areas and flattening the most severe wrinkles with Botox, the skin can be further treated with laser resurfacing or Renuvion facial treatment to thicken the collagen support of the skin and further tighten the finer lines and surface problems. Adding Platelet Rich Plasma (PRP) to the resurfacing can promote rapid healing and a more youthful skin.  Additionally, placing a collagen solution on the face during our Hydrofacial can return a beautiful glow and plumpness to the skin. By combining all these treatments from deep to superficial you can achieve a more youthful appearance for the holidays and years to come.

 

Look younger. Feel younger. Think combination therapy for a new you.

 

Edward O’Dell M.D.

Update on Laser and Plasma skin tightening

We have now had the newest technique in skin tightening for about 10 months with dozens of cases being done.  The new Renuvion Plasma (formerly called J-Plasma) has proven to be well worth the investment as it has taken our skin tightening at lipo to a whole new level.  However, it has not completely replaced our laser tightening but has added a tool that works in synergy with each other.  To review, the laser that we have used for years and still do accomplishes skin tightening by doing micro damage to the back of the skin. As the skin heals, new collagen protein is laid down and contracts giving you a lifting and tightening of the skin during the ensuing weeks post lipo. The plasma system works on the support structures that attaches the skin to the underlying abdominal wall and in essence helps to pull the skin tighter by working on the deeper support fibers.  It also works on the skin itself but in a different fashion than the laser.  I have noticed that the plasma also can improve and slightly thicken the skin in patients with thin wrinkled skin also.  Case in point.  I have had several patients with really loose skin on the thighs that on examination was also thin and crepe like.  Previously in patients like this I noticed only a slight tightening with laser.  Now with the plasma system I am noticing a marked improvement to the quality of the skin and an actual thickening of the crepe like skin, giving a great skin lift and improved appearance. With added laser tightening in select areas on cases such as this it is giving us a better lift and tightening than we achieved with laser alone.  On the neck we are able to tighten all the way to the collar bone and out to the sides more than we could with laser.  In many patients it is helping us acheive a neck lift look without the cutting required in a formal neck lift.

I can say without a doubt that the Renuvion Plasma is a wonderful enhancement to our LipoSculpting program as it is proving to be a valuable addition to the Vaser and Laser we have overlapped for years.  We are proud to be the only provider in South Carolina to embrace this cutting edge technololgy and only one of about 800 physicians in the US and Canada that are providers of this ground breaking innovation.

Dr. ODell

Cosmetic Stuff for Men

It’s June, that first month of summer and the month for Father’s Day. That’s June 17, by the way. So guys…It’s time to take a look in the mirror and think about looking good. Your ladies know how. Getting Botox or fillers to even out the signs of facial aging, getting slimmer and shapelier isn’t just for the women. It needs to be a guy thing too. It’s so not fair that we can have wrinkles and depressions on our faces and it’s called “character lines,” but on the ladies is called old. We don’t need to let the norms of the past define us. Guys need to look smoother and younger too. Now we do have a lot of dudes who get Botox on a regular basis and get fillers when needed, but it’s a very small percentage to the ladies. Come on guys, it’s just about the smallest needle on a syringe you can get without calling it a wire. I promise it’s not that bad, you can do it. Why let her have a smooth forehead face while you have the angry “11’s” between your eyes and garden furrows on your forehead. Ouch. You just made everyone think about why your wife of 30 years is hanging with the old dude.

 

And the shape of guys. Think LipoSculpting. Your ladies do. After trying to eliminate that pooch or those baggy legs with exercise that doesn’t completely work, so many women come to Genesis to get that loose skin tightened and those difficult fatty areas reduced. Men can usually just diet for a short while and maybe increase exercise to get slim again. It works great compared to women of the same age who can’t loose it that fast. However, men of a certain age begin a slow down in metabolism and can’t drop it as readily as they used to. Enter Genesis LipoSculpting. We can get that fat off your belly and in many cases enhance the outline of the abdominal muscles. With the addition of our Renuvion Plasma tightening system we are seeing a faster and more efficient tightening in men as compared with laser alone. It won’t help a true “beer gut” but will help shape your abdomen and love handles to give you a healthier look.

Man boobs, officially called Gynecomastia is something we do a lot of at Genesis. Many men were obese as kids and did not loose that chest fat as they matured and got more muscular. Some men were ok as kids but got obese as adults and did not loose the chest fat as they lost back to a normal weight. Also we see some men who developed gynecomastia as a result of performance enhancing steroids they took for workouts. All can be treated and reduced with our Lipo technique to get you out of having to wear 3 t-shirts on a summer day to hide your chest.

And guys….aren’t you tired of the flat “no butt” look. Yeah, your neck, spine and tail are all on the same line. News flash…your rear end helps to hold up your pants when you stoop or bend over. Without a butt, yikes…didn’t want to see that. The ladies get fat transfer to the butt to look better in jeans, so why can’t you. Believe me, she may say you don’t need it but she’s thinking “oh yes please”. Nothing wrong with a sexy trunk.

So…don’t let macho get in the way of thinking that looking better and having a better shape is not manly. Believe me, she will be glad you changed your attitude about cosmetic treatments. Happy Father’s Day

Botox to stop that excessive sweating (hyperhydrosis)

Summer’s coming soon with increased temps and increased sweating.  If you have been suffering with excessive sweating during these cold months or when in a tense situation then you may be a candidate for Botox treatment to the underarms or other areas where excessive persperation occurs.  Yes, it’s the same Botox used in the face except it can be used to lessen the excessive sweating (hyperhydrosis) that so many people of all ages experience.  I recently had a young lady with marked sweating of the underarms and plams of her hands.  After injection of Botox into the arm pit and the palmer surface of her hands, the excessive underarm sweating was reduced by 85% and her palm sweating went completely away.  It can also be used in the bottom of the foot for those individuals with excessive foot sweating.

Botox works in these areas by  reducing the contraction of the very tiny muscles in the sweat gland that contract to force sweat through the pores.  By injecting every centimeter or so,

dozens of the sweat pores are affected and reduce the excessive output from the glands.  Botox does wear off over time but I have noticed a good longevity of effect on the sites treated.  It may need to be repeated every 4-6 months to get a longer lasting affect.  I do numb the arm pits or other areas with a numbing cream so that the sticks are not felt.

If you are ruining blouse after blouse or shirt after shirt due to uncontrolled sweat poring from your pits, then this treatment is for you.  It only takes about an hour including numbing time but can be well worth your effort to eleminate that embarssing sweating.

Sweating is normal and necessary to maintain normal body temperature.  Excessive sweating in a cool room or without exercise is not necessary for anything except embarassment and aggravation.  Botox could be an answer to that problem.

Sweat less.

Dr. ODell

Too many Carbs, Too much weight

 

In we ring the New Year with hopes and expectations and lots of resolutions for 2018. Some we will keep, some we won’t, and some we completely fail at doing. One resolution that needs to be on your list for 2018 is an absolute resolve to reduce carbohydrate intake for the coming year. Unless you are working out several hours a day, running, or work in a demanding physical job, YOU ARE KILLING YOURSELF WITH EXCESS CARBS.

First of all, what are carbohydrates? Carbohydrates are a necessary food group that provides fairly instant energy to the body for normal metabolism and daily activities. Therefore, it is a necessary part of your diet, but in moderation. Carbs consist of breads, cereals, sugar, everything made with sugar (including sodas and sweet tea), potatoes, rice, and pasta just to name a few. Carbs as I stated provide the energy for metabolism and the breakdown of protein in your diet. However, in most of our normal sedentary life styles very little carbs are required to drive that metabolism. As a matter of fact some studies show, as little 600 calories per day are required to run the basics of your daily function. On average as little as 1500-1800 calories is enough for a moderately active person. Now on to the problem. Look at how many calories you intake just in one day. Most everyone averages about 3000+ calories of daily food and drink intake. If you are not active, and I’m not talking about moving your chair around the office, you are going to store at least half or more of those calories. That storage is called FAT. Now repeat this intake day in and day out and you can see why fat accumulation can occur and why the obesity rates are climbing rapidly all over the US. In fact, SC is now 12th on the list of the most obese states in the US. To our credit that is a change from 8th the year before. (Mississippi is #1)

Obesity has been classified as a disease and excess carbohydrate intake has been pegged as one of the main causes. With the almost exponential increase in obesity rates over the years there has been a parallel increase in Type 2 diabetes where the size of the body and the calorie intake outstrips the ability of the pancreas to produce enough insulin to metabolize the sugars. This leads to more requirements for medicine to increase the insulin output. Ongoing elevated blood sugars can then lead to an increase in heart and vascular disease resulting in poor circulation to the extremities and eventual numbness and possible loss of a limb.

Obesity appears in some studies to have a negative effect on cancer risk, recurrence, and mortality. In a position statement by the American Society of Clinical Oncology as many as 84,000 cancer diagnoses each year are attributed to obesity with implications of 15-20% direct mortality related to obesity. There has been a direct link to an increase in breast cancer due to obesity.  As it relates to orthopedics and joint problems, THE KNEE AND THE HIP JOINT WERE NOT DESIGNED TO CARRY SEVERAL HUNDRED POUNDS and, therefore, are prone to wear out earlier in life.

What can be done? Understand that Carbs are the most addicting food group. Simple carbs have a way to drive your appetite center to want to eat more and order more food. That good smelling bread that is put on your table at the restaurant can drive your appetite to order more food.  As fat builds up, a hormone in the fat called Ghrelin can further drive the appetite center to crave more and more food. See the endless cycle? Control is not easy. When going on a weight loss diet the hardest thing to do over the first week or two is to not eat carbs. Once that time frame has past it seems most patients aren’t grabbing for the carbs.

Drinks have carbs and count in the overall calorie intake. Many patients think drinking several sodas daily doesn’t count. A 12-ounce regular soda has 135-150 calories, all from carbs. A 20-ounce soda has 250. Drink 2 or 3 a day and you are at 300 -750 calories of that total intake. Add some sweet tea (usually 120 plus calories per glass) and you may exceed any recommended total daily intake for food and drink.

It’s a New Year, a new beginning. Make determinations that an obese life does not have to happen to you. Stop the Carbohydrate poisoning that is ruining your life. Look for ways to decrease your carb intake and take advantage of every opportunity to eat smaller portions and healthier choices. If you don’t exercise, don’t commit to a gym that will only be a memory in a month. Start small by short walks where you live. Park away from the door at work. Take the stairs at work or at church instead of the elevator. Do multiple small things each day and then work toward a longer walk or workout. Most of all commit to be healthy. Get the grilled chicken without the bun, use the vinaigrette dressing instead of the Ranch and don’t get fries with anything. Water is good too especially with a little lemon squeeze. If you must get dessert, only a bite or two will do. Remember, GET LEAN IN ’18.

 

Live lean, Live happy

 

New plasma energy for skin tightening and resurfacing

Every year it seems that new technology emerges in the field of aesthetics and lipo suction.  I always listen to the sales people and read what they have but take a critical view of each new device that comes out as many of them are a re-make or a combination of older devises.  Last year in 2017 I started looking at a completely new method for skin tightening with lipo that also can be used for facial resurfacing.  I glanced at it at first then saw a presentation on it at a national meeting on lipo and fat transfer.  Wow, a new game changer was on the market.  After spending some time with one of the pioneer users I am amazed at what it can do.  Presently it is called J-Plasma but soon will be marketed as Renuvion. 

What makes it unique?  The Bovie corporation who have made coagulation units for the OR for over 50 years was able to combine Radio-frequency energy with Helium to produce a cold plasma stream that is shown to tighten skin and also resurface facial skin giving an almost “face lift ” appearance….all without any surgery.  Radio frequency energy has been used alone in several devices for years for external skin tightening.  You would come in, get a 20 minute treatment with the device and repeat in a few days.  Some skin tightening was evident but in my opinion was not great especially in larger patients.  Now Bovie has taken that energy and as I said used it in a stream of Helium gas and created a plasma beam.  This was first used for precision cutting in open surgery cases but is now being utilized under the skin during liposuction and giving an almost instant contraction of the skin that continues for several weeks. I am seeing skin laxity decrease at a much faster pace than what I was seeing with using the laser for skin tightening.

Another use of this technology is to go over the skin (after numbing) to resurface the facial skin and tighten it.  Before and after pictures are showing stunning results.  It is necessary to have about 7-10 days of down time with the facial resurface as the skin has to grow back after the resurfacing.  The doctor I trained with told me he has completely given up doing face and neck lifts since starting use of this plasma technology.  It’s that good.

Genesis is once again proud to be the first in South Carolina to incorporate this new technology into our lipo and facial program.  Staying on the cutting edge with the right devices and treatments is what we always want to bring to our patients.  We will be posting more info on our web site soon.  Again, Bovie corporation will be changing the J-Plasma name to Renuvion in the next couple of months and you should be seeing more ads and info about it as they begin to promote this platform in multiple magazines and on television.

In the meantime…..stay healthy……stay beautiful

Dr. ODell