Aesthetic Medicine

Archive for the ‘Combination Treatments’ Category

A more youthful version of yourself can easily be accomplished without major surgery! We can restore a more youthful face depending on what we wish to change or restore. The facial rejuvenation is more easily accomplished if we divide the face in three parts: the upper, mid face and lower face.

The upper face can be improved by focusing on the eye brows, upper and lower eye lids and crows feet. The lateral eye brows can be elevated with a simple temporal stitch to give gentle lift and open up the eyes. The upper eye lids can be tightened using an ablative laser or a simple blepharoplasty. The puffy lower eye lids (festoons) can be easily eliminated with a percutaneous laser in 15 minutes without any incisions. The fat under the lower eyelids is addressed with a few bursts of the LipoTherme laser beam. The crow’s feet are greatly reduced or eliminated with the skin tightening LipoTherme laser or the Erbium ablative laser or both.

The middle face is not always treated with a full face lift. I use the laser to tighten the facial tissue from the inside followed by a laser to rejuvenate the skin from the outside. The laser can also remove wrinkles and uneven skin pigmentation. Here we can also use the patients own fat to fill in the larger wrinkles resistant to the laser. The mokers lines are also treated by placing the laser beam directly below the skin of the upper lip. Lip augmentation can also be performed with fat transfer or a lip implant. Silhouette sutures, used in Europe to restore the mid face, are placed in less than an hour with minimal down time. The silhouette sutures can be used in combination with the laser that tightens the skin from the inside and a very small and barely visible mini face lift incision.

The lower face can be rejuvenated with liposuction of the neck, chin jowls with the lipolaser not only to melt away the fat but also to tighten the skin. If wrinkles are very pronounced, a small and barely visible incision is made behind the ear to give a beautiful neck lift.

Some people do require a full face lift, which involves gentle restoration of the upper, mid and lower face. These procedures are performed in our surgery center under local anesthesia and, if needed, under conscious sedation. The patient has minimal down time and a quick recovery. All procedures are tailored to the individual needs of the patient.

And there’s rarely a true need for a surgical face lift! We have amazing new technologies that help us achieve remarkable results without the excessive trauma of surgery. These solutions are effective, minimally invasive and affordable. Our three laser modalities (Nd YAG, the Erbium and Lipotherm) can be used for 90% of all popular and highly effective procedures to turn back the clock and make anybody look younger for months if not years.

The non ablative 1064nm YAG laser is used to painlessly remove hair, sunspots, age spots, Rosacea, pigmented lesions, spider veins, treat active acne, and to rejuvenate, plump up and tighten the skin around the eyes, face and neck – all with little or no down time. Using this laser every 4 weeks for 3 to 4 sessions will yield outstanding results.

The Erbium laser is used for laser peels of variable depths. The laser resurfacing removes the aged and abused superficial layers of the skin while stimulating growth of new, younger and healthier skin. The smooth new skin is free of lesions, scars and wrinkles.

The two laser can be used together to provide a Bi-Modal Facial Restoration. The combination of these lasers stimulates epidermal tone and texture while improving collagen remodeling. The new skin is free of all those conditions that age the skin such as sun and age spots, wrinkles and acne scars. The treatment is simple, safe and efficacious.

The Lipotherm laser is used to model the chin, neck, jowls and cheeks by melting the excess fat and tightening the skin in the lower and mid face.

Facial wrinkles appear because as we age we lose our subcutaneous fat which in turn causes marionette lines, pronounced nasolabial folds, smoker’s lines and wrinkles around the eyes. These wrinkles can be eliminated by using injectable dermal fillers such as Radiesse, Restylane, Evolence or your own fat – the best natural filler. These fillers last from 6 months (for Restylane), 18 months (for Radiesse) and the fat transfer can last a year or longer. The beauty of fat transfer is that it is your own, natural, readily available, cheaper and limitless.

These procedures will help your body rejuvenate and repair itself and they are available at Rinnova Med-Surgical and Laser Institute.

Many of my patients coming to Rinnova ask me about rejuvenation using dermabrasion and facial peels for face, neck and décolleté’.

These “lunchtime peels” with glycolic acid, salicylic acid and Jessner solution have been used since 1980’s to reduce wrinkles and increase protein production in the skin. They are well tolerated and effective in removing superficial lesions on the skin surface. Performing repeated peels and dermabrasion produces a significant positive response for lentigines, fine wrinkles, inflammatory acne and hyperpigmentation. A topical home regiment performed by the patient is critical to optimizing the outcome of the office procedures.

We have many lasers in the office that also provide skin rejuvenation and even ablative lasers to eliminate deep wrinkles, acne scars, active acne and hyperpigmentation. These are very effective in patients that need a bit more than just dermabrasion and chemical peels. The ablative lasers are extremely effective but have a downtime of approximately 2 to 5 days. The results after using these lasers, last a very long time.

To be effective dermabrasion and mild peels usually require a series of 5-12 treatments. Treatment sessions generally last approximately 30-40 minutes for the face and 20 minutes for the neck. Initially, treatments are weekly or biweekly for several treatments, followed by monthly to biannual for maintenance, depending on the patient.

All patients regardless of skin color and type will benefit from the noninvasive procedures such dermabrasion, light chemical peels and laser rejuvenation treatments and see spectacular results.