Fat transfer or Juvederm, which do I do…Part 1

At Genesis we offer two unique methods to fill in those sagging and hollowed places on the face and hands. Today we will talk about fillers, particularly JUVEDERM products.

For years fillers such as Juvederm, Radiesse, Sculptura, and others have been on the market with millions of patients worldwide using them.  At Genesis we are using the complete line of Juvederm products including the one introduced about 2 years ago called VOLUMA.  I like the Juvy products in that it gives me a wide range of thickness of products depending on where in the face they are used.  For instance we would use the thickest product, Voluma, under the eye and inject it against the orbit bone to build up that caved in area,  making your cheek look fuller and more youthful.  This is a very common area that we see even in younger patients.  If you or your friends think you look tired all the time, and you’re not, it may be due to the volume loss under the eye.  The mid-grade thickness of Juvederm is ideally suited for the folds against the nose and the “marionette” lines below and around the mouth.  The thicker Voluma is not designed for that area and may clump badly if injected there.  The thinnest Juvy is great for lips and also around the mouth and nose area too.  In some people, especially older, I may layer it over the Voluma that I placed under the eye to acheive an even better lift and taper effect.  I can also use it in those “pucker lines” or “smoker lines” that develop in the upper lip.  This is done by thinning the Juvy a little more and injecting each of those troublesome lines individually.  The effect is instantaneous and the compliments are too.

On my next post I will discuss the FAT  TRANSFER to the face and how it differs from the Juvederm both in volume and longevity.

Thought for the day:  There are only two ways to live your life.  One is as though nothing is a miracle.  The  other is as though everything is a miracle.  Albert Einstein

Dr. ODell

 

That saggy Chin and Neck

Aging happens.  What happens with it is skin laxity caused by sun damage, smoking, menopause, weight loss, and collagen protein weakening from aging.  Some people do it gracefully, others not so much.  What results is anywhere from just a little loose skin under the chin all the way to the “gobbler neck”.  Sometimes it’s genetic factors.  Yes, your aunt’s chin you made fun of as kid is now yours.  However, now you can do something about it.  At Genesis we offer several treatments that can help you.

Our main one is laser-lipo to the chin and neck and jaw line.  We call it our “week-end chin and neck lift” because we try to do them on Thursday or Friday so that you can return to work on Monday or even to church on Sunday.  The procedure takes only about 30-45 minutes.  Basically after some oral sedation a small skin area at the chin is numbed and a needle puncture made.  Through that puncture a numbing solution is placed under the skin of the chin and upper neck using tiny instruments.  After adequate numbing we use our laser to tighten that loose skin and desolve any fat that may be there.  Suctioning is done lightly afterward.  At the same time we can go down the jaw line to lift any jowling present and remove sagging fat that is present.  A chin strap is worn for 48 hours (excluding shower time) then only overnight for a week.  What results is a lifting and revitiliazation of the skin with a more defined angled look.  Minimal soreness is about the only discomfort.

We are now an authorized office to use the new Kybella method for fat reduction in the chin.  This  method involves two treatments about 8-12 weeks apart where a fat dissolving substance is injected into the fat under the chin.  Over the next 6-8 weeks the fat is broken down and removed by the body thereby getting rid of the sagging  double chin look.  If all you have is loose skin without fat then you would not qualify for this method as Kybella may not result in skin tightening in some cases.

Hey, don’t go around with the gobbler neck or feel you have to look up all the time to tighten your chin.  We can help.

“If you don’t go after what you want, you’ll never have it.  If you don’t ask, the answer is always no.  If you don’t step forward, you’re always in the same place.”  Nora Roberts

Dr. ODell

Never too young for BOTOX and Fillers

 

The question always comes up….When should I start using Botox or Juvederm type filler products to keep my youthful appearance. A recent article in Cosmetic Surgery Times addresses that question.  I have patients in their 20’s who are already showing the forehead wrinkles or the “11’s” (those angry looking lines between your brows) as well as patients well into their 40’s who are just beginning to show changes.  So much of when those skin changes start is determined by genetic factors, lifestyle, sun exposure, hydration, and smoking history.  The answer to the question is…You are never too young to start.  There is no minimum age beginning in young adulthood that is too young or too old.  I really admire the patients who I see with barely notable wrinkling who want to get started early as a preventative treatment to slow the process and keep that more youthful appearance into later life.  By starting early you also avoid the difficult situation where a deeply wrinkled area just doesn’t respond as well as a less wrinkled one.  Most of my patients who start early end up needing fewer Botox injections over time because the muscle tends to stay “softer” resulting in getting treated every 5-7 months instead of the usual every 3-4 months that is typical of Botox.  Likewise, the use of fillers such as Juvederm or Voluma for volume loss in the face when done earlier results a much slower progression toward the aging sunken face.  Click on the link provided for this informative article and I think you will agree.

http://dermatologytimes.modernmedicine.com/dermatology-times/news/what-age-too-old-cosmetic-procedures

It’s never too early or too late to get a new look and to get ahead of the aging process.

Call us today to get started.  Botox is on special for January.  Buy one site, get one site free.

To a more youthful you’

Dr. O

 

 

 

BOTOX ….Look ma no wrinkles….or headache

Let’s get those wrinkles under control in 2016 and Botox is a great way to do it.  Today we are going to talk about the many uses and successes of Botox.  Botox has been around now for well over 10 years.   Its use has grown from treating those wrinkles on your face and that always angry look between your eyes to multiple medical uses.  Botox works uniquely to partially paralyze the muscles in which it is injected.  Contrary to urban legend, in cosmetic doses it does not migrate elsewhere and render you paralyzed.  I promise.  Botox is manufactured under strict controls and when used as directed is extremely safe and effective.  Other products are on the market including Dysport and Xeomin but I have not found them to be as reliable or long lasting as Botox.  Therefore, I am sticking with Botox.  As I stated the cosmetic use in the forhead and around the eyes has been here for well over 10 years.  Now the FDA has approved the use of Botox to treat headaches.  I have several patients in which injection in the back of the neck, the temporal area on the side of the head, and the area above the hairline have given them marked relief from tension and migraine type headaches.  We have also treated TMJ syndrome with it injected at the bottom of the chewing muscle on the jaw.  One patient went from 20+ headaches a month to one with forhead and hairline injections.

One recent article now has shown that patients with depression have shown improvement with Botox treatments.  The mechanism of its success is being investigated but reapeat studies have confirmed this finding.

Make 2016 a year to get wrinkle free, headache free, less depressed.  We can help you.  Hoping to see you soon.

Remember an old Chinese proverb…The hardest part of a thousand mile journey is the first step.

Dr. O’Dell

Buttocks fat transfer/ Brazillian Butt Lift

I had some questions today about our fat transfer to the buttocks and how ours differs from that of other cosmetic surgeons.  A patient came by inquiring about how we do ours and stated she had been told by other surgeons she could not work or sit for about 3 weeks and she must sleep on her stomach.  Our instructions differ and this is why.  My buttocks fat transfer concentrates on placing most of the fat in the upper 2/3 of the buttocks away from where you sit.  Pay attention as to what part of your derrier bears the weight and you will find it is the top of the leg and only the lower portion of the buttocks.  I have been able to acheive an enhanced rounded look without having to place fat on the “sitting” portion of your rear end.  Also by using the Brazilian butt lift technique we very carefully place fat in the Gluteal muscle under your butt to get a nice rounded lift without having to fill in that lower 1/3 where the sitting occurs.  Now I do recommend sleeping on your stomach for 2-3 weeks but if no fat is placed on the side of the butt you can sleep on your side as long as a pillow is to your back to prevent rolling over.  I had one patient to sleep in a recliner but she had excessive padding around her buttocks.  Her results were still stunning.    Another way we differ from other centers is our usage of  PLATELET RICH PLASMA (PRP).  My nurse will draw blood before we start the transfer procedure and then separate the platelets from the other blood cells.   The platelets are then concentrated and mixed with the fat before the fat is injected.  These activated platelets then stimulate STEM CELLS which grow new blood supply and structural elements to help the fat survive and your new shape to be accomplished.

It’s time to get rid of that “pancake butt” from weight loss or aging and get your new shape.  It can also be time to enhance what you already got.

Your new look can be acheived.  The art, the technology, and the expertise is available at Genesis.

Let 2016 be YOUR year for the new you.  Keep the promises you made to yourself.

Thanks

Dr. ODell

Liposculpting and fat transfer

A new year is beginning at Genesis which is time for a new YOU.  2016 is the year to be more confident and look your best.  We can help you acheive what you want.  I have developed our unique Genesis Signature Lipo-Sculpting where we combine LASER lipo, VASER lipo and a powered suction known as TICKLE lipo to give you that sculpted look and that figure that has been hiding for so long.  The fat we get out can be used to put in places where aging and weight loss have given you a less sculpted body or face.  If your eyes look tired all the time from volume loss under the eyes and in the cheeks we can lift them again with facial FAT TRANSFER.  Same goes for the breasts and buttocks and hands. You are using your natural fat to reshape your buttocks and breasts.  In other words get thinner where you don’t need it and more shapely with the fat transfer where you do need it.  It works and works well and is all natural.  If you are tired of the round body or the beer gut or the droopy face and breasts we can help.  We can even help those sagging eye lids with an upper lid BLEPHOROPLASTY.  Genesis works.  In addition we can make those wrinkles disappear with BOTOX and fillers as well as Hydrafacials and Fraxel laser.  GENESIS means beginning.  Let’s begin a new year with a new you. We want help you fulfill your dreams.  Don’t be a wisher when you can be a doer.  The first step to getting better is a simple phone call for a free consultation with us.  At that time we can assess your wants and advise you on a gameplan for YOUR new beginning.  NEW YEAR—NEW YOU.

GENESIS  …….A NEW BEGINNING FOR YOU