Injectables: Summertime Rejuvenation

Dr. Jonov is proud to introduce Adela Thom to the Seattle Plastic Surgery Center team. A registered nurse, Adela will work primarily as a nurse injector. Seattle Plastic Surgery Center offers three injectable treatments: Botox, Restylane, and Juvederm. Injectable treatments are non-surgical. With treatments like Botox, Juvederm, and Restylane, you are able to build upon your natural beauty without the drastic effects that surgical procedures can have. Continue Reading

How Botox and Fillers Can Freshen Up Your Look without Surgery


 When those telltale signs of aging are making you feel self-conscious about your appearance, talk to us about Botox and fillers in Seattle that can freshen up your look with no downtime. Botox continues to be a popular injectable for targeting deep wrinkles along the forehead and fine lines around the eyes. We have a range of injectable fillers for patients that want to fill out facial lines and creases, and achieve a more youthful look without surgery. Dr. Jonov can put together a customized treatment plan to freshen up your looks without having to go under the knife. Continue Reading

A Guide to Facial Fillers

cosmetic injections dermal fillersWith the rise in popularity of facial fillers and injectable treatments, cosmetic procedures have been simplified, streamlined and made affordable for increasing numbers of men and women.

According to an article in Forbes, dermal fillers have risen in popularity by 110% over the past three years. Both men and women seem drawn to their relatively low level of commitment, expense and recovery time. Though results vary for each case, many people who have these dermal fillers experience almost no recovery period, and are able to immediately return to their normal schedules.

Different Dermal Fillers for Different Purposes

These facial fillers come in many different types and brands, which are used for different cases as a result of their unique benefits. Some provide results for a longer period of time, while others are specifically targeted to address individual forms of treatment.

One of the most common types of these dermal fillers is hyaluronic acid fillers, which include a substance that occurs naturally in the body, making it an excellent filler. These hyaluronic acid fillers include Restylane, Perlane, Juvederm and Prevelle Silk.

Other types of dermal fillers include collagen fillers, which are a natural protein substance, particularly useful for filling facial hollows. Calcium hydroxylapatite, which includes Radiesse and Radiance, is another type of popular dermal filler, and is made of microspheres in a water-based gel. Other synthetic types of facial fillers include Polylactic acid and PMMA fillers.

Muscle relaxants such as Botox or Dysport, which each have their own set of benefits and results timeline, are often used with dermal fillers. Discussing your goals and schedule during your consultation will help make sure that you receive the best filler for your situation. For more significant adjustments, a surgical procedure such as a face lift or neck lift may be the best option.

Photo by liber on Flickr.

Upper Lip Plumping Featured on The Doctors

Refining the appearance of the upper lip is a delicate business, and sometimes a single procedure just doesn’t do the trick. Recently, some plastic surgeons have been using a two-part procedure to enhance the appearance of the upper lip a Botox injection to mask fine lines, followed by injections of hyaluronic acid fillers to add volume. This technique was recently featured on an episode of ABCâ??s The Doctors.

(Please note: the video below shows a woman having her lips injected with dermal fillers. Although the procedure is painless, it might be a bit unsettling to people with a phobia of needles.)

I’ve always had thin lips, says Mary. I’ve tried different kinds of lipsticks and liners and things that might allegedly plump your lips but it’s not really worked. I don’t do enough for myself and it would be really fun to have some girly lips. The solution for Mary is what Dr. Ordon calls the upper lip overhaul. Unlike similar procedures previously performed on the show, this is a twofold procedure with one half having been performed in advance. Botox has been injected near Mary’s upper lip to resolve the fine lines that appeared there. The second step involves adding volume with dermal fillers along the border of the lip, where the lip has thinned as a result of the aging process. Typically, with the aging process, you see those lips thin, because we lose volume in the structures around the mouth, says Dr. Ordon. Botox and hyaluronic acid fillers both last roughly 3-6 months, so that patients can have the results of the dual procedure refreshed simultaneously.

There’s something else that I noticed in the video, which often goes unnoticed, but bears mentioning. You can see how subtle the results of the procedure are  Dr. Chopra deftly avoids the over-plumped look that is the hallmark of bad cosmetic surgery in Hollywood nowadays. That’s because Dr. Chopra knows exactly how far to go, and when to stop.

Back in April, the ASAPS website had an interesting post about the importance of shape, as well as size, when performing lip augmentation. Plastic surgeons need to be careful about how much volume to add, since too much volume can result in trout pout overdone lips that make you appear fishy. Your lips have a natural proportion that must be respected. According to one Detroit plastic surgeon quoted in the article, the lower lip should be one and a half times the size of the upper lip. That’s the proportion of Mary’s lips that you can see in the video.

A Botox Procedure for Poker Face?

Cosmetic procedures for men been on the rise lately, so why not a Botox procedure aimed at the traditionally male-dominated world of poker? That seems to be the reasoning behind a New York doctor offering Pokertox to help poker players retain their solemn expressions during games. However, it seems that even the poker players themselves think that Pokertox is a lousy idea.

How would it work? It’s quite simple. With this procedure, the surgeon would use Botox and facial fillers (like Juvederm) to enhance a gambler’s poker face. To succeed in poker, it is important to be able to hide facial emotions, since unconscious signals known as tells can reveal information about the player’s hand. Botox is a cosmetic treatment that works by inhibiting targeted facial muscles.

While it is normally used to allow other muscles to stretch away the appearance of wrinkles, Dr. Jack Berdy believes that Botox can also be used to reduce the appearance of unconscious tics. Unfortunately for Dr. Berdy, the response from poker players has been less than positive. Josh Hale, who competed on the World Poker Tour, told the Huffington Post that the game has moved on from bluffs, and is more analytical these days. Players might look at physical tells, but they are relying more on betting patterns and bet sizing.

Besides the changing nature of the game, says expert player Jay Melancon, you also have to think of the costs versus returns. You’d have to play in very high-stakes games to make it worth it, and if you have a tell that is that obvious, you shouldn’t be playing in those games. As well, the ubiquitous hoodies and sunglasses at poker tournaments make these subtle tics often impossible to distinguish.

As a marketing gimmick, Pokertox is certainly attention-grabbing. However, as a cosmetic procedure, I wouldn’t bet my money on it.

Photo credit: Wikimedia Commons, Pokeravond

“Voice Lift” Surgery, In Most Cases, Not Worth It

new set of nonsurgical procedures known as the “voice lift” is making waves on both sides of the Atlantic  although many doctors feel that it offers too few benefits. A recent post on RealSelf discusses the trend towards adding volume to the vocal cords to boost vocal performance, which is becoming more popular in the US and UK. Human voices naturally age as our vocal cords thin over time. This makes the voice sound crackly and reedy. Plastic surgeons are able to restore some of the natural fullness of the voice by restoring some of this volume to the vocal cords. Some of the same techniques that can be used to and volume and definition to the face are being used for the so-called “voice lift.” One of these approaches is fat grafting. During this procedure, unwanted fat is removed from elsewhere in the body, specially processed, and then grafted onto the vocal folds in the larynx. The other approach is through dermal fillers such as Juvederm. Unlike with fat grafting, injectable fillers do not require an additional surgical procedure to remove fat from elsewhere in the body. However, injectable fillers usually don’t last as long as fat grafts. They are typically absorbed by the body after a few months. Regardless of the method, the voice lift is severely limited in its effectiveness. These procedures only tend to improve the voice over the course of weeks, maybe months, but certainly not years. Some might ask whether there might be a surgical approach to the voice lift. While it is possible, no responsible surgeon would perform that kind of surgery. Unless the voice box is seriously impaired, no cosmetic voice enhancement is worth the risk of complications. Until these injectable techniques become more advanced, and provide longer lasting results, the voice lift is one procedure that is likely more trouble than it’s worth. Photo credit: Dinozauris, Wikimedia Commons

Low-Cost Skin Care Tips from Allure Magazine

Skin care tipsThe April issue of Allure magazine proves that there are plenty of free or low-cost ways to effectively reduce signs of aging on your skin.

Switch up your daily routine:

Daily habits can have a huge impact on your skin. For example, do you stay hydrated by drinking out of a water bottle all day long? This seemingly healthy habit can actually increase and intensify wrinkles around your month. Instead, purchase a reusable bottle that has a spout and squirt the water into your mouth, rather than pursing your lips around the bottle opening when you need a drink. Allure also recommends avoiding gum chewing which can create fine lines and wrinkles around the mouth. Opt for a breath mint instead!

Relax during your workouts:

Breaking a sweat on a daily basis in the gym is great for your long term health and is also a great anti-aging tool. For some women, however, daily workouts can show up on the faces. I can pinpoint women who tense the jaw and throat when exercising, because it makes the cords of the neck more prominent and pulls down the face, according a dermatologist interviewed by Allure. Keep up the workouts, but just remember to relax your facial muscles.

Wear sunscreen every day:

Even if you stay indoors all day long, a daily SPF can save your skin in the long term. UVA light is capable of traveling through windows and can not only increase your risk for skin cancer, but can also negatively impact your complexion, causing a grayish undertone. Also, avoid sitting too close to space heaters or fire places, which can increase facial redness and collagen breakdown.

Opt for dermal fillers, but don’t overdo it:

Dermal fillers such as Radiesse, Juvederm and Sculptra are great anti-aging techniques. Just make sure not to overdo it, especially around your eyes, mouth and jawline. If you want a subtle and natural boost in your appearance, Allure interviewed dermatologist suggests filling in the peripheral areas of the face first, such as the temples, the front of the ears and the chin. Filling in the periphery of the face restores softness and balance without making you look done.

Learn more about facial fillers such as Juvederm in Seattle.

Source: Surgery.org

The Best Season for Plastic Surgery May Differ for Some

best season for plastic surgeryPatients often ask plastic surgeons, “When is the best season for plastic surgery?” While this can vary based on individual needs, some guidelines may help prospective patients.

In a recent article on the Huffington Post, NYC plastic surgeon and author Dr. Robert Tornambe discusses some of the ways that you can plan your procedure around the seasons.

Winter is a great time for undergoing cosmetic surgeries. You can wear bulkier clothing to conceal scars and swelling, more easily avoid direct sunlight, and combine your recovery period with winter vacations. It’s the season for just about everything: facelifts, liposuction, and breast surgeries.

Spring is the lead-up to bikini season and has some of the same advantages of winter. Body contouring and facial surgeries are excellent options during this time of year. If you’re considering breast augmentation or liposuction, be sure that your body has lots of time to recover before you hit the beaches!

Summer is usually the best time for minor procedures, such as Botox and facial fillers. Heat and sun are usually bad for post-operative swelling and can often produce discomfort. Immature or new scars should never be exposed to direct sunlight, since they will stay tanned and be more noticeable. However, some people may still wish to pursue surgeries during this time of year, especially if they have summer vacations. They should be prepared to stay indoors for 1-2 weeks.

Autumn is the time to consider your appearance for the holidays. Surgeries targeting the face, nose, breasts, and body can improve your look in time for winter festivities and New Year’s parties.

To learn more about your options for the best season for plastic surgery in Seattle, or to find out about our specials, like deals on Botox, please email Dr. Jonov.

Best Cosmetic Surgery Procedures, as Researched by Noted Surgeon

best cosmetic surgery proceduresAfter completing a review of nearly 100 clinical trials and research studies, one doctor has shared his findings of the best cosmetic surgery procedures, according to Northwestern University.

Though the term “best cosmetic surgery procedures” may seem subjective, hundreds, if not thousands, of research studies and trials are conducted each year on procedures and non-surgical treatments. Researchers are often on the lookout for treatments that provide optimal results, with minimal side effects for the patient. The better the results of the study, the more likely the product or treatment may be included among the best cosmetic surgery procedures.

In his review of 98 studies, Dr. Murad Alam of Northwestern University Feinberg School of Medicine and surgeon at Northwestern Memorial Hospital found the best cosmetic surgery procedures, based on his research.

Botox and other botulinum toxin-based injectables:

Dr. Alam said that based on the two decades of research and findings on Botox-like treatments, they are safe and effective for patients to use.

Tumescent Liposuction:

When tumescent liposuction is performed, special fluids that are used help the surgeon to safely remove fat cells. Dr. Alam added that tumescent liposuction minimizes the chance for excessive bleeding, improving the patient’s comfort and overall health and safety.

Dr. Alam looked into additional treatments, some of which are relatively new on the market. While he found that treatments that freeze fat or shrink it with laser light, and treatments that tighten skin are safe for use, he was not able to confirm the long-term benefits of each treatment.

To find the best cosmetic surgery procedures for you, Alam suggests talking it over with your surgeon and confirming what will best meet your needs.

For more about the best cosmetic surgery procedures in Seattle, please email Dr. Jonov.

Botulinumtoxin Study Closely Examines Crow’s Feet

Botulinumtoxin StudyA new study looked at the benefits of botulinumtoxin injectables when used to treat crow’s feet, according to HealthDay.

The study, which was published in the Archives of Facial Plastic Surgery, compared two common types of botulinumtoxin abobotulinumtoxinA and onabotulinumtoxinA. Specifically, researchers at the University of California San Francisco, wanted to determine which of the formulations of the botulinumtoxin provided maximum smoothing of crowâ??s feet around near the eyes during the botulinumtoxin study.

To complete the botulinumtoxin study, researchers chose 90 participants and treated opposite sides of their faces with abobotulinumtoxinA (30 units) and onabotulinumtoxinA (10 units). Because of their different compositions, researchers were not able to use the same treatment amounts of each injectable for the botulinumtoxin study.

In intervals of two days after the treatment, both the participant and an investigator examined both treatment sites on the face and evaluated smoothing of the crow’s feet on a 5-point scale. The crow’s feet were assessed both when at rest and when the participant contracted the muscles.

Though no adverse reactions were found to either injectable used in the botulinumtoxin study and both treatments diminished the facial lines, abobotulinumtoxinA was found to have a greater effect in smoothing crow’s feet. The researchers determined that both treatments achieved a “statistically significant” improvement after two days.

To learn more about treatments for crowâ??s feet with botulinumtoxin, like Botox in Seattle, please email cosmetic surgeon Dr. Jonov.

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