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

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