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

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

 

 

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

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