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.

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

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

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

 

 

Botox and/or fillers….what’s the difference

Patients often ask me which they should get on their face… Botox or Juvederm filler.  My answer is….both if you need it.  However, they are usually mutually exclusive as Botox is used to reduce forhead, glabella, and crow’s feet wrinkles by muscle paralysis and Juvederm products are used to fill in spaces on the face where there is lost volume. A recent article in Cosmetic Surgery Times discusses that overlaping the Botox with the filler can slow down the absorption of the filler, which usually happens over about a years time period.  They found that decreasing the activity of the muscles in the face does tend to slow the metabolic absorption of the filler.  Unfortunately, fillers should be used with extreme caution in the Glabella region (the area of the forehead  between the eyes) because over usage there can potentially cause some blood vessel occlusion and tissue death.  That area is a great place for the Botox as it softens the muscle that causes those hideous”11’s” that make you  look angry all the time.  By the same token filler looks great to plump the lips but if you use Botox in the lips then your mouth may look weird due to the paralysis of the muscle around the mouth (Obicularis Oris).

Now I can inject Botox and Juvederm at the same visit in their needed places.  Where I think that using both in the same area is good is on that patient with deep crows feet that may only have a partial response to the Botox.  This indicates to me that despite paralyzing the muscle under the crows feet, the skin is loose from sun damage and volume loss.  A carefully placed small amount of Juvederm filler on top of the Botox will help tremendously to smooth and fill the area while the Botox will help slow down the absorption of the Juvederm.   Overlap of Botox and filler in very deep forehead wrinkles has also done well especially if depressed scars are present from previous injury.  Overall, we can make your face look years younger with our Botox and Juvederm filler injections.

Genesis is the leading provider of Botox and Juvederm fillers in the Pee Dee and Grand Strand area.

Thought of the day:  Live well, Love much, Laugh often.  Good advice to live by.

Dr. ODell