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

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.

“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.


Why Cosmetic Injections Can Actually Be Comfortable

Injections are a scary thing for many people, even those who are otherwise interested in the botox_stratcosmetic benefits they may provide. Products like Juvederm and Restylane can effectively restore facial volume and reduce wrinkles, but are these treatments comfortable?

Fortunately the answer is yes, thanks to anesthetics. Today, many non-surgical facial procedures can be done with little or no discomfort, thanks to local anesthetics that numb one or more areas of the face beforehand.

Lidocaine blocks pain signals, reduces swelling

Just as your dentist uses lidocaine as as a quick and simple way to numb the mouth prior to dental work, cosmetic surgeons use it as local anesthetic for injections of dermal filler. It blocks the pain signal sent by the nerve endings on your skin. You quickly feel the anesthetic taking effect and numbness kicks in.

Benefits of Lidocaine for Wrinkle Filler Injections

  1. Reduces or eliminates discomfort during injections into sensitive facial tissue
  2. Minimizes tissue swelling
  3. Allows your doctor to better sculpt and correct targeted areas of the face
  4. Allows you, the patient, to relax during the procedure
  5. With longer procedures â?? filling in the cheek area, for instance â?? it eliminates the need for general anesthesia

Related links about Lidocaine and Wrinkle fillers

Job Seekers May Need a Cosmetic Touch Up

istock_000008859561xsmallDespite the optimistic economic news of this week, job seekers tell us the market is still a tough environment to navigate. In Seattle, we’ve had more than one patient comment about it and share suspicions that their age, or appearance has negatively affected their job prospects. While she may have been half-joking, my neighbor told me last week that her job interviews hadn’t gone as well as she’d hoped and her explanation was, if it isn’t my qualifications, it must be the crow’s feet.

One thing is certain: when youâ??re in competition with young adults fresh out of college, who often accept a much lower wage, you need to present yourself in the best possible light. To get an advantage, many job seekers do end up calling their hair stylist for a new look, or their local surgeon for Botox.

Botox is the most popular non- invasive cosmetic procedure in America. According to the ASPS, more than 5 million treatments were performed last year. The cost of a single treatment will vary, and it pays to keep an eye out for monthly specials and events.

If you are going for treatments prior to a job interview, give yourself at least 7 days to heal and let the treatment take effect. Remember, doing well on an interview is partly about how you look, but mostly whether you exude confidence about yourself and your ability to do the job.

ASAPS Survey Studies Botox and Wrinkle Fillers

Researchers associated with the American Society for Aesthetic Plastic Surgery (ASAPS) recently gathered information on 687 patients who had received Botox and/or dermal filler treatment.

The full results (in an MS Word doc) are available here; some of the most noteworthy findings are as follows:

– Most respondents described themselves as healthy individuals; 95 percent said they incorporated exercise into their lives, and 78 percent cited healthy eating habits.

  • Nearly 70 percent of the respondents who had been treated with Botox also opted for dermal filler treatment.
  • According to the survey data, the average patient is a married, working mother between 41-55 years of age with a household income of under $100,000.
  • 66 percent of the respondents said they received Botox treatment 2-3 times per year.
  • 72 percent of the respondents chose Botox to treat glabellar lines the vertical lines that appear between your eyebrows.
  • 63 percent of the respondents chose dermal fillers to treat facial wrinkles and folds, mostly the nasolabial folds or “smile lines” that travel from the nose to each side of the mouth.
  • 87 percent reported that they discussed their treatments with others, and 70 percent said they received support from the people they told.

FDA Discussion Will Focus on Dermal Filler Safety, Efficacy

Officials from the Food and Drug Administration met in November with a group of outside experts to review complications that have been reported in association with cosmetic dermal filler injections.

Over the last six years, there have been roughly 900 reports of wrinkle filler issues. Juvederm, Restylane, Radiesse and other new offerings are products that fall under this category. The group will discuss the possibility of labeling changes and the seriousness of the reported issues. Is this a reason to be concerned about dermal filler safety? Yes and No.

It may sound alarming to those outside the surgery profession, but the complications and side effects associated with these products are still extremely rare. Demand for fillers and wrinkle reducers like Botox has risen dramatically, leading many untrained persons to believe that they can administer them in non-medical settings. The majority of industry professionals will attribute most of the reported complications to issues like these.

There are also well known problems that occur on a very infrequent basis, like minor swelling or allergic reactions, with the latter being a subject of greater FDA interest. According to a recent MSNBC news article, Allergan spokeswoman Caroline Van Hove said “no serious problems were seen in clinical trials of Juvederm, and the most common complaint since its approval was swelling in 0.4 percent of patients.”

Also, Food and Drug Administration officials noted that the “reports had several limitations such as failing to say when the problems started.”

Safety and proper training is of the utmost importance when considering any surgical or cosmetic procedure, so we recommend that all patients seek a knowledgeable cosmetic surgeon with the right qualifications.

For more information on the FDA panel discussion, the briefing is located here.

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