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

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

Platelet Rich Plasma…Magic in your blood

Many of you may not have heard of Platelet Rich Plasma (PRP) but it is one of the most phenominal natural substances known to promote healing and enhance results in cosmetic treatments.  So what is it?   Simply your blood has 3 types of cells….The red cells carry the oxygen to the tissues and take away CO2,  the white cells fight off infections and help with your immunity, and the platelets are the powerful healers in the blood.  Anytime you have an injury such as a cut, abrasion or a bruised area the platelets are rushing in to direct the clean-up and healing processes.  They direct the fibroblasts to form new skin and support tissues i and direct the stem cells to make new blood vessels and other necessary tissue.  That’s where we use them in cosmetics.

After drawing your blood we spin it down in a special tube that separates the red/white cells away from the platelets.  The platelets are then harvested and reconcentrated in your serum to give you a more potent platelet mixture.  We then activate the platelets using a Calcium solution which makes them ready to “work”.  These activated platelets can be injected into the scalp to stimulate hair growth or can be injected along with Juvederm fillers to enhance the skin and make the filler last longer.  I have even put PRP on thin non-healing leg skin  and got healing in 3 weeks.  The main thing we use it for is on fat transfers.  These activated platelets when mixed with your fat stimulate millions of stem cells that go on to make new vascular supply and structural support to the newly injected fat. This gives you a better look and more longevity with the transfer.  Injecting PRP under old acne scarring is also very successful to erase the “pot marks” that are left behind.

Best of all…it’s all natural… from you, your own healing power in your blood.

Happy February.    Stay healthy.

Shoot for the moon.  Even if you miss, you’ll land among the stars.  Norman Vincent Peale

Dr. ODell

Fat Transfer or Juvederm…What do I do….part 2

With our last post I talked about Juvederm.  Today we talk about FAT TRANSFER.

Fat transfer is just what it says.  We take fat from another area of the body, usually the abdomen or legs, and place it in the face or other body areas.  The advantage of this method is that we can get a whole lot more material to transfer and it is your natural tissue.  With Juvederm products we only have 1 cc of filler per vial and may have to use multiple vials to get the look you want.  Also the Juvederm products only stick around about 1-2 years depending on which one used.  Contrast that to fat in which we can use several cc’s of fat and it sticks around for 3-10 years.  One thing we do is to mix your fat with your platelets prior to placing in your face or hands.  Your own platelets (from your blood) will stimulate the millions of stem cells that are associated with the fat which will then help grow new blood supply and structural tissue. The platelets will also help your skin regain a more glowing appearance.  Where we may only use 1cc of Juvederm under the eye, we ususally place 1-3 cc’s of fat/platelets.  This gives you a very nice cheek lift, taking you back to a more youthful, fuller apperence.  Also, whereas we may do only a cc of Juvederm around the mouth and nasal line, we may use 2-4 cc’s of fat/platelets to restore the natural fullness around the mouth.  Fat is ideal for the back of the hands also as it gives a very natural fill between the tendons and helps hide those unsightly veins.  Again the platelets can help restore the skin on the hand to a more youthful look.

Now if you have very minimal volume loss in the face, Juvederm products as discussed in part 1 may be ideal as we will not need a lot of volume.  However, for multiple “caved in” or sagging areas or if other body areas such as the breasts, buttocks, or hands need enhancement then fat is the ideal solution.

Give us a call and come in where we can advise you of the better way to make you feel and look your best.

Thought:  The pain you feel today is the strength you feel tomorrow.  For every challenge encountered there is opportunity for growth.

Dr. O’Dell

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