Labiaplasty

As more awareness on facial and body cosmetic looks has been trending over the last several years there has also been more interest in the functionality and appearence of the labia minora/majora.  While most women don’t really give the appearence of the labia a second thought there are a lot of women who have been suffering with enlarged and mis-shapen labia. Sometimes the enlargement occurred just by going through puberty.  Sometimes it occurred  after childbirth where the labial swelling of pregnancy did not retract completely.  Most of the time these women complain that it is affecting their appearence in tight fitting garments or causing pain with activity and sexual intercourse. So many patients are embarassed by this and afraid to bring it up to their doctor.  However, many avenues of help are now available to give you a more normal appearance and to reduce enlarged labia that may be getting uncomfortably pulled when walking, running or with sex.  At Genesis we are able to reduce the labia both surgically or with our FemiLift laser.  Which one used depends on the size and irregularity of the labia.  With minor uniform enlargement and/or pigmentation, an attachment to the FemiLift can be used to shrink the tissue by using the same laser used to tighten the vagina in the FemiLift.  A tightening of the labia and fading of any pigmented tissue then occurs over the next couple of weeks.  There is no discomfort or downtime associated with this technique.  We do suggest 3 treatments a month apart to get the best result.

However, we are seeing many patients who have marked appendage like projections of the labial tissue that need surgical repair.  This is done in our GYN O.R. at Genesis using oral sedation and local numbing.  Either the wedge resection or an edge resection technique can be utilized depending on the amount and location of the tissue needing to be removed.  Most patients notice discomfort for the first day or so but are quickly back to light activity and even work in a few days.

There is no need to be embarassed by your bottom.  Labial deformity is a common problem in most women.  If it is causing a decrease in your self-esteem, embarassment with how you look in tighter pants, or pain with movement or intercourse then it’s time to do something about it.  We can help at Genesis.  Give us a call for a consultation where we can determine what would give you the best look and functionality.

Be well

Dr. ODell

 

FemiLift ..an excellent treatment for vaginal dryness, laxity, and incontinence

Well, it’s been a year since we started using Femilift for Vaginal Laxity, mild urinary incontinance, and vaginal dryness.  The results have been truly AMAZING.  I first blogged on this revolutionaary devise a little over a year ago and I am happy to say that there has been virtually 100% satisfaction to date.  We have had a mixture of patients come in with single complaints to many with multiple complaints listed above.  One patient who had dryness from menopause could not use the vaginal creams due to irritation nor take the oral treatment due to extreme side effects.  Vaginal lubricants burned so badly she could not enjoy sex.  After one treatment she noted a 40% improvement in her symptoms after about 2-3 weeks.  After the second treatment it was 90+% better to the point that she had a return of vaginal moisture and no further burning.  Multiple patients treated for the minor incontinence are reporting similar results with no leaking on running or other activities that required a pad before treatment.  All patients have experienced a tightenting of vaginal caliber and more fulfillment with sex for both her and her partner.  I know it sounds too good to be true but it has been 100 % satifaction reported by all my treated patients.  Now if you are having bulging from the vaginal opening with incomplete emptying of the bladder or a large amount of leakage then this may not be the cure as some of the more severe cases may need surgery.  That can be determined by a simple pelvic exam.

Femilift takes about 5 minutes to do and can be done over your lunch break or even after work on the way home.  No anesthesia is required although a numbing cream can be used if desired.  However, to date, no one felt that numbing was necessary as any discomfort was described as a slight pinch on one or two pulses of the laser. ( we usually do 30-70 pulses depending on the vaginal depth).  There is no down time afterward.  Yes, it takes three treatments a month apart to get the complete lift and tightening but most patients are reporting that they are very satisfied after two sessions.  The third one, I feel, will give you greater longevity of the treatment.

Femilift uses a fraxelated CO2 laser that divides the laser beam into about 16 small pin dots. These small pin dot lasers make micro damage into the collagen support layer of the vagina and also stimulate lining cell growth in the vagina.  As healing and new collagen is formed there is a thickening of the lining cells and also a thikening and lift to the collagen support of the vagina.  This results in an improvement of the vaginal looseness and a thickening and lift around the bladder stem or urethra that corrects the minor incontinence.  Because of a return of normal lining cells or epithelium an increase in vaginal lubrication is evident.

Again I am so amazed at this revolutionary treatment that is so easily performed in the office at Genesis.  If you are having any of the triad… vaginal laxity, minor leakage, vaginal dryness…then call us for more information and a consult about Femilift.  Our number is 843-669-2220.

Stay healthy

Dr. ODell

Stretch marks..New treatment options

Stretch marks…YUK.  Wheather it’s from pregnancy or weight gain and loss they are there, they are ugly, and they need to go.  Over my career I have seen all the hopes and creams come and go to get rid of the stretch marks.  Using various food creams didn’t work, Leibfraumilch cream was a bust, Accutane was tried and failed, Various external lasers and other energy sources did not work either. Then you tried hours at the gym only to find your waist line got some better but the stretch marks didn’t budge much.  Stretch marks have been an everlasting challenge in aesthetic medicne.  Stretch marks are nothing more than markedly damaged skin protein (colllagen) that has stretched beyond the normal ability to heal.

Now there is a better solution.  About 5 years ago I attended the national meeting of the American Society of Cosmetic Physicians (ASOCP) and heard an amazing lecture by a Dermatologist from Brazil.  Her before and after stretch mark pictures using her therapy were outstanding with at least a 90% reduction or disappearance of stretch marks after 3 or so treatments.  She was using CO2 injections, also known as Carboxyl therapy, under the stretch marks.  Whoa… isn’t that that greenhouse gas stuff you hear about?  Truth is CO2 has been in use for decades as a treatment for skin conditions and wound problems. It has been used for over 40 years in laproscopic surgery around the world without any problems.  Problem was the FDA had not approved it for skin usage in the USA. …..Until now.

So how does Carboxy Therapy work?  Basically when an area of the body has an excessive buildup of CO2 the brain thinks there may be tissue damage that needs to be corrected.  What happens is that there is a massive shift of Oxygen to that area with the CO2 being taken away  then exhaled by the patient.  In fact, there results an even greater O2 concentration in that area than what can be acheived by direct O2 injection. In addition, because you have fooled your body physiology into thinking there is damaged tissue, a large amount of platelets and growth factors also stream into the injected area.  What results is marked oxygenition of the stretch mark and a rebuild of the damaged collagen protein.

I know this treatment sounds far fetched but I have found in my own patient research that is not only works but works exceptionally well.  It does take about 3-5 treatments for the best result spaced about a month apart.  I have one patient with pigmented stretch marks that is showing good fading and healing of the marks.

The treatment is simple.  You come in about 45 minutes before your treatment appointment to apply a numbing cream to the area. A small injection needle is then used to direct the CO2 just under the skin of the damaged area.  It takes about 15 minutes.  No downtime.   The treatment is then repeated in a month.   It takes about 2 weeks after the treatment to start seeing the results.  It can also be used to thin raised scars on the body.

I am so excited to bring this innovative yet simple treatment to South Carolina.  If you are tired of the stretch marks or raised scars, this may be what you have been waiting for.

Stretch Marks no more.

Dr. O’Dell

 

BOTOX…..It’s not just for wrinkles anymore.

Botox has been around now for 15 years and has been a game changer in the world of wrinkle smoothing.  Basically it partially paralizes the muscles in the forehead and around the eyes giving marked relaxation to those muscles and an improvement or elimination to the wrinkles.  It has also been used in kids with cerebral palsey to relax the contractured muscles seen in that unfortunate condition to allow physical therapy to the affected muscles.  Next came a wonderful breakthrough in the treatment of migraine headaches where Botox can be injected in the “trigger” muscles in the scalp, back of the neck or other areas giving marked relief of the headaches in both severity and recurrance.  TMJ syndrome is also treated quite well with injection into the Masseter or chewing muscle which greatly reduces or eliminates the teeth grinding at night.  Tired of those pucker lines around the mouth or that bulging chin?  Botox injections properly placed can reduce those lines and also give your chin a more tapered normal look too.  Injeciton into the “neck bands” and neck wrinkles is showing promise for a more youthful neck.

Over the last several years more and more innovative uses for Botox have immerged that are proving once again to be game changers in medicine.  Many patients present with a wide face from a thickened Masseter muscle.  Injection into that muscle (the chewing muscle) tends to relax it and “thin” its profile so that the face has a slimmer profile without doing any surgery.  An amazing treatment we do at Genesis is injection of Botox to reduce excessive sweating known as HYPERHYDROSIS.  In this condition excessive sweating occurs even if you are in a cold room, giving you that ugly ring under the arm.  It also occurs in the palms of the hands and soles or the feet.  Injections of Botox into those areas relaxes the small muscles in the sweat glands so that less sweat is secreted.  Now no more embarassing sweat rings on your shirt or dripping wet hand shakes.  Best of all while most cosmetic Botox treatments wear off in 3-4 months, Botox for headaches and hyperhydrosis tends to last 5-8 months in most cases.

An article was written a couple years ago and new research this year has shown an association with Botox usage and an improvement in depression.  While not a cure for depression the newest research is promising for those with mild depression.

Botox can be combined with facial fillers such as Juvederm so the combination gives a more youthful “lifted'”face by working in synergy on the wrinkles and the volume loss in the face.

Botox…. It’s not just for facial wrinkles anymore.

Stay healthy…..and non wrinkled

Dr. ODell

New inside, Bodysculpting and self confidence

For the uninitiated and those who need little cosmetic work done it is easy to look at those who do need it and judge them that they are somehow vain and selfish.  I will repeat what a famous General in WW2 said about surrender….NUTS.  Yes, there are those who look great already but continue to want more and tweek their look into something not natural.  But what we do goes way beyond the visible.  What cosmetic transformation does for the majority of my patients is give them back not only a better look but an inner self confidence that many have not had for years.  I recently had a young woman who has been obese since her teen years and is now 30.  She was tired of being relegated to the larger, loose clothes and other than work did not want to go out in public or participate in any social activities.  We did our Genesis Signature LipoSculpting on her abdomen and flanks with attention to contouring details that would develop as her skin retracted.  Because of her size a minor touch up on the abdomen was done to further stimulate the skin to retract.  Now at 5 months out from her first procedure she is smiling and wearing form fitting clothing that was denied her for over 10 years.  She admitted that she now realizes that her size made her depressed and that drove her to eat more which made her bigger then more depressed which drove her to eat more…get the endless cycle.  Lipo has given her body back to her and in turn her diet is healthy now and her social life is exploding.  A recent picture she sent in was a wonderful “wow” moment for me and my staff.   I am not implying that all obese people lack self confidence and are ashamed.  Many live life to the fullest. But so many don’t due to self conciousness about their size.  If you are one of those consider a combination of Lipo at Genesis along with a re-focus of your diet and lifestyle.  You may be the next one for that “wow” moment.

Live healthy

Dr. ODell

Fat transfer in body Liposculpting including the lastest tech

As part of our ongoing Signature LipoSculpting program we do a lot of fat transfer/grafting to several areas of the body.  Simply put, fat is harvested gently from one area such as the abdomen or legs, processed to remove excess fluid and debris then transfered back to an area of the face or body needing enhancement or correction.  We commonly Lipo the flanks and lower back to give a beautiful curve to the back but find that the buttocks is flat and needs to be rounded out.  Strategically placed we can give the buttocks that “pop” that has been missing for so long.  Other areas can be done such as breast enhancement using your own fat and also the hands to make them look younger.  Transfer to the face is our number one area.  If you are tired of looking tired due to the baggy skin sagging under the eyes or those deep defects around the mouth then fat placement there and other areas on the face can correct it with ease.  We can even fill in hollow temples and effect a slight brow lift by placing fat in those areas.  We have used fat to correct surgical defects that sometimes occur after mastectomy reconstruction and even filled in areas on the hip and buttocks caused by frequent medication injections.

New to Genesis over the last 5 months is the introduction of O2 enhancement to the grafted area.  This has resulted in a tremendous increase in fat retention survival and further enhancement of the grafted site.  Simply done, after the area is numbed, CO2 is passed into the graft site thru a small injection needle.  Once under the skin, CO2 is then quickly replaced by Oxygen and the CO2 is removed thru the blood stream.  This results in a marked increase in the oxygenation of the grafted fat giving us tremendous survival of the fat. I am excited at how this CO2 technology is improving our fat grafting/transfer program.  Also new this year is the addition of low pressure infusion for grafting larger areas.  Fat is delicate and this system prevents high pressure injection of the fat that may rupture the fat cells and decrease survival.

I am so excited to let you know about our newest enhancements.  It is always my goal to offer the latest technology that will give you a better result and the look you desire.  In future blog posts you will see more on the CO2 therapy for other conditions.  This is technology that has been worldwide for over a decade and has recently been approved by the FDA in the U.S.  Stay tuned.  Stay healthy.

Dr. O’Dell

Newest in lip enhancement using Juvederms’ VOLBELLA

Silky Sexy Lips

Are you tired of those really thin lips or those lips that seem out of proportion?

Genesis Cosmetic Laser Center is excited to announce the addition of VOLBELLA to our Juvederm line of cosmetic fillers. This wonderful addition to our lineup is designed exclusively for lips and the results are amazing. For years we have used the regular Juvederm facial filler for lip enhancement with great success. However, in some cases swelling could be present for a couple of days or longer. Unlike the other Juvederm products designed for the face and under the eyes, this product is thinner and made in such a way that it minimizes any water retention and swelling where injected. The texture is silky smooth, making the injection easier and the results more natural and soft. It can be used in both the upper and lower lip in order to achieve an ideal proportional balance to your lips. Because of the silkiness of the product, overfilling is rare due to how it interacts with the tissue. In addition, with Volbella, it is possible to take care of some of those “pucker lines” often seen in the upper lip. A simple numbing injection is done prior to the lip enhancement so that any discomfort is eliminated or minimized.  I have also used it reduce or eliminate those awful pucker lines in the upper lip and around the mouth with great success.  Patients with those “pencil thin lips” are also a good candidate for the Volbella filler.

 

Juvederm also makes thicker filler called VOLUMA that is designed especially for the volume loss under the eye. You know that look…. hollow and tired with the bags under the eyes. Voluma addresses that very well and lasts about 2 years in most patients. Other Juvederm products are designed for mid-facial and lower facial enhancement. Best of all, these products are derived from natural sources that closely match your own collagen.

With the advent of several thicknesses of the Juvederm line a “mixing” approach to facial and hand filling can be done to use the appropriate product in the appropriate place.  In addition using Botox to address other wrinkles used simultaneously  with filler can acheive a remarkable transformation in your looks.

 

Let this year be the time you finally address those thin lips or tired eyes that make you look years older. We can help you at Genesis. Silky sexy lips and a more youthful look are only a call away.

Look and be healthy.

Dr. ODell

 

 

No Cellulite. Get Beach Body ready

Finally, March is here. Daylight Savings Time is back and spring is here in about 3 weeks. You are starting to think about shorts and bathing suits but then you look down and Yikes, CELLULITE. Now you remember why you always wore a cover-up or longer shorts last year. This year, be ready with VASER SMOOTH.

 

There are many treatments that promise to eliminate Cellulite but most are only temporary. Vaser Smooth, however, gives you a lasting permanence not found in most other treatments. With VASER SMOOTH a small amount of numbing solution is placed under the skin of the leg through a small puncture site. After adequate numbing the Vaser Smooth instrument is guided specifically to the marked cellulite bands and the bands are severed and sealed with ultrasonic pulses. Because of the permanent damage to the cellulite bands they do not grow back together so that you have lasting results. Compare that to the many external cellulite treatments that only suction the skin and “pop” the bands giving you a temporary smoothing. Unlike with Vaser Smooth the bands are not permanently damaged and will grow back in a matter of 3-6 months. The difference is that by ultrasonically cutting and sealing each band with Vaser Smooth those bands will not reform.

 

Vaser Smooth is performed in our office at Genesis Cosmetic Laser Center and only takes about an hour or so to get you on the road to smoother legs. It can be done as a stand-alone procedure or in conjunction with LipoSculpting the legs if reshaping or reducing the legs is desired. The technology is amazing and has proven itself worldwide as one of the best long-term solutions to Cellulite.

 

Don’t hide your legs this Spring and Summer. We have the solution at Genesis. Call us today at 843-669-2220 for a free consultation and learn more about Vaser Smooth and our other offerings to make you Beach Body Ready.

 

Femi-Lift, Amazing laser treatment for vaginal laxity

We have now been doing the Femi-Lift Vaginal tightening for a little over a month now with very very favorable results.  All of our patients have told me they have had improvement in urinary leakage and in vaginal tightening.  Two patients who initially reported vaginal dryness have noted correction after the second treatment.  All patients who reported some urinary leakage with a cough or activity are now dry with one telling me she had 50% improvement after the first treatment and now 80% after the second.  All patients did complain with vaginal laxity and have reported marked improvement personally and for their partner. This is in line with all the studies and patient satisfaction posts that I have found nationally.

Basically Femi-Lift uses a low power fractional laser to tighten the collagen support structure of the vaginal wall.  This results in a shrinkage of the tissue giving a tightening effect to the vaginal wall and a “lift” to the bladder stem (urethra) that will correct minor annoying urinary leakage brought on that laxity of the vaginal tissue.  An added bonus is stimulation of the vaginal lining cells which can result in improved vaginal moisture after a couple of treatments.  The visit takes only about 10 minutes and is done with a small rounded instrument that does not cause any discomfort. No anesthesia is required although we can use numbing cream if desired….usually not necessary.

If you are noticing any or all of the vaginal triad of laxity, leakage, or dryness then this is a good solution for you with a proven effectiveness.  Don’t suffer with this.  Femi-Lift is amazing.

Dr. O’Dell

Thought for the day..”Patience, persistence and perspiration make an unbeatable combination for success.”Napoleon Hill

Awake anesthesia in Lipo Sculpting

One of the most frequent questions I am asked when doing LIPO seminars is how we do this without general anesthesia.  Our minimally invasive LipoSculpting uses what is known as Tumescent Anesthesia.  Basically we mix Xylocaine (Lidocaine) into an IV bag of normal saline and add Epinephrine and Bicarbonate to the mixture.  The Xylocaine is the same numbing medicine used by just about all doctors for doing minor skin lesion removal or for sewing up a wound.  It is also used in spinal and epidural preparations.  It is very similar to what your dentist uses when numbing your mouth.  We very carefully calculate the maximum amount of Xylocaine that we can use based on your weight and medicine profile.  The epinephrine is used to make the small blood vessels in the fat “spasm” closed so that it will minimize any blood loss during the procedure.  In addition it helps to slow the absorption of the Xylocaine so that the numbing is slow to wear off.  The bicarbonate is a buffering agent to raise the pH of the solution so that it won’t sting going in.

This solution is then placed under the skin of the area you are having sculpted.  We do this through small puncture holes strategically placed in your skin.  There is NO cutting or incisions involved.  The numbing solution works rapidly to numb the area but at the same time acts to spread out the fat so it is more easily treated and suctioned.  Yes, it provides complete numbing of the area without the need for general anesthesia.  More can be added during the course of the case if needed.  We do give you oral meds pre-procedure that will relax you and sometimes let you doze off during the case.  Nice thing is that you don’t have an anesthesia hangover afterwards.  Also nice is the excellent safety profile of this type of anesthesia.

Dr. ODell