Understanding Your Non-Surgical Facial Rejuvenation Options

Next to facial plastic surgery, nothing makes as big a difference in my patient’s facial appearance as injectables.

What are injectables? They come in three categories: (1) Muscle Relaxers, like Botox®; (2) Wrinkle Fillers, such as Juvéderm, Volbella, Vollure and Voluma; and (3) Kybella, which melts fat to eliminate a double chin.

What are they made of, what do they do, and how long do they last? I’m glad you asked! I present to you: Injectables 101.

southwest michigan botox and face fillers

Botox®

Botox, technically known as BOTOX Cosmetic®, was originally created by scientists to treat eye spasm. Once it was discovered to relax the muscles that create wrinkles, it became a cosmetic classic.

What Is Botox® Made Of?

Botox® is made from a highly purified, cosmetic form of botulinum toxin, a neurotoxic protein produced by bacteria. Injecting it into the muscles beneath your facial wrinkles will cause those muscles to relax, creating a smoother skin surface. These two products are most frequently used around the eyes, forehead or mouth. Because they are very thin liquids, a very tiny needle can be used. Most people experience little to no discomfort from the treatment, but those who express any concern are pre-treated with numbing cream. It lasts 4-6 months.

How Long Do The Results of Botox® Last?

Although it varies from patient to patient, results last from 3-6 months, on average. Of note, however, is this: the longer you use injectable relaxants, the less frequently you need them. In other words, once the muscle becomes “used to” being relaxed, it tends to remain relaxed.

Three Times Not To Get Botox®

  1. You are pregnant or nursing. Although there have not been any documented cases of damage caused by BOTOX® Cosmetic injections during pregnancy, better safe than sorry, right?
  2. Right before a big event: you won’t look better (yet) but you may have visible injection spots or even some slight swelling. Not a good look.
  3. You have sagging skin and/or volume loss. Without fillers, you’ll still have them after the Botox® injections.

Fillers

Maximum improvement is achieved when Botox® is used in conjunction with a filler, so that the Botox can relax the muscle that created the wrinkle and the filler can soften its appearance. It’s a match made in Heaven, you might say!

Volbella, Vollure, Voluma and Juvéderm are hyaluronic acid fillers used to plump wrinkles throughout the face, including the nasolabial folds (the lines that run diagonally from the nose to the mouth), the glabellar lines (between the eyebrows) and the wrinkles around the lips and around the eyes. These fillers are composed of a laboratory-created protein called hyaluronic acid, similar to the natural hyaluronic acid in your skin that contributes to youthful skin’s volume and fullness. The lab-created hyaluronic acid in these products has been modified slightly to last longer than your own hyaluronic acid. The differences in the products have largely to do with how long they last.

Hyaluronic acid is hydrophilic, which means it’s “water loving,” and as such, it attracts many times its own weight in water. Even as the hyaluronic acid begins to disappear, each molecule attaches to more water, which means it will maintain its volume and effect for between four and six months. Numbing creams are applied to minimize pain, and fortunately, the products can also be mixed with a bit of Lidocaine to minimize discomfort during the injection.

Juvéderm is a soft gel made of hyaluronic acid, used to restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or the creases that run from the bottom of your nose to the corners of your mouth. It’s also been found extremely effective for plumping lips. It can last up to about 12 months.

Voluma is another hyaluronic filler, most often used to fill the mid-face, particularly the cheeks, giving a lovely “lifting” effect that lasts up to two years!

Vollure helps add volume and treat nasal labial folds and marionette lines and lasts up to 18 months.

Volbella treats lips and peri-oral lines (lines around the mouth) and lasts up to one year! It’s especially popular for the lines above the mouth, commonly called “smoker’s lines” even if the patient isn’t a smoker.

I know it can feel confusing with all these products to choose from. The biggest difference between the “V” injectables (Vollure, Voluma and Volbella) is the amount of hyaluronic acid included in each one. Rest assured, I’ll make the right choice to correct your facial concerns!

How It’s Done

Filler injections take only about fifteen minutes to half an hour, and the results of fillers appear immediately. The final results of BOTOX® injections generally occur after 48 hours, with the majority of the improvement found in about a week.

Recovery

After injecting, we apply a cold compress. Some redness may be present for the first few hours, and you may have slight swelling around the injection sites themselves.  However, this fades quickly, and by the time you leave the office, you will be unlikely to have any discomfort.

After receiving BOTOX®, you should not lay flat for four hours to avoid “spreading” the botulinum toxin beyond the desired area(s). You might have a slight redness around the injection site for the first two hours. The results of BOTOX® injections usually last about 4 months. It will be obvious to you when you should come in for another treatment, as the wrinkles will begin to reappear.

Because our office is very busy, we suggest that you make the appointment for your next treatment after each treatment, spacing the next appointment at the interval I recommend.

If you have concerns about wrinkles, contact one of my two plastic surgery locations for a consultation to discuss all the alternatives. You can phone us at 269-743-3290 or complete this online consultation request form.

6 Tips for a Healthier 2018

southwest michigan healthcare tips 2018Most of us approach the New Year with a list of resolutions. We want to feel better, maybe make more money, go on a better vacation this year, etc. Truth is, the bottom line to achieving any of these resolutions rests in how we feel on a day-to-day basis, right? It stands to reason that if you lack energy, feel depressed or anxious, it’s hard to make positive changes. I’m offering a list of Health Tips that might move you in the right direction. And remember, Rome wasn’t built in a day. You have 365 days to cultivate a happier, healthier 2018. Give yourself the gift of forward movement on a daily basis, just a small step each day, and you’ll find that by this time next year, you’ll feel happier and will be healthier than you are today!

1. Eat Right

Studies show that most Americans eat too many “white” foods, i.e., processed junk like bread, chips and cookies that not only offer little or no nutritional value, but also actually contribute to the development of unhealthy states such as heart disease and diabetes.

Health Tip: Eat more one-ingredient carbs, such as rice, fruits and veggies instead of multi-ingredient carbs such as pasta, bread and the like. Doing so will improve both your figure and your future!

2. Move More

You don’t need to be a triathlete to give your body the exercise it needs for optimal health. Simply walking 5000 steps a day will dramatically contribute to a better mood and a healthier body.

Health Tip: Get a pedometer and set a goal of 5000 steps a day. You’ll be surprised how easy it is to do!

3. Banish Negative Habits

Are you engaging in destructive lifestyle habits such as smoking, drinking too much alcohol and/or drug usage such as diet pills or pot? Rest assured, the toxins from these habits can wreak havoc on your health, resulting in dull skin and nail & hair breakage.

Health Tip: Make this the year you quit smoking, if you still smoke!

4. Improve Your Sleep

Regardless what others tell you, 6 hours of sleep a night isn’t enough. Your body requires 8-9 hours a night to function at its best.

Health Tip: Turn off the screens an hour before bed, as late-night technology fests can keep your brain from relaxing at bedtime. Shut off the bedroom TV before you fall asleep or—better yet—don’t have a TV in the bedroom. Lower the thermostat at night—too much heat interferes with deep sleep. And avoid exercise, stressful thoughts/discussions and alcohol before bed.

5. Drink up, Shriners

The idea that you need 6-8 glasses of water a day isn’t far from the truth! While your body may do well on less, pure water is an excellent method to clear toxins from your system, to energize the brain, and to plump up your cells with the hydrating power of H2O. Coffee and soda don’t count toward that total.

Health Tip: Fill a pitcher with 30-40 oz. of water in the morning and add a sliced lemon. Drink it throughout the day.

6. Serve Up Gratitude

Every single day, every single one of us experiences something that’s not to our liking, yet we can choose what we focus on. Studies prove that engaging in negative thinking can actually cause disease!

Health Tip: Make a plan to review all the wonderful things that are happening in your life on a daily basis. Write it down if you need to. By focusing on the good in life, we live a life of greater joy and happiness. I promise that will reflect itself in your physical and mental well-being.

Inner Thigh Liposuction

Is Inner Thigh Liposuction Effective?

Inner thigh liposuctionLiposuction to remove excess fat on the inner thighs is an excellent solution for patients who wish to have a space between the thighs, both for appearance and to eliminate rubbing of the thighs, which can be uncomfortable. My Southwest Michigan patients undergoing inner thigh liposuction often decide to also treat the inner knee area to ensure that the results are well proportioned and natural looking, although this is optional and something we’d discuss during your private consultation.

Am I a Good Candidate for Inner Thigh Liposuction?

If you are a healthy adult with concerns about excess fat between the thighs, either because you don’t like the appearance of it or because you experience painful chafing and rubbing between your thighs, this procedure may be right for you.

Having said that, there is a caveat:  When I assess whether or not inner thigh liposuction is appropriate for my patient, there are several things I evaluate:

  1. The amount of fat my patient wishes to have removed
  2. The quality of my patient’s skin. If the inner thigh skin lacks elasticity, it’s possible that liposuction will result in loose, wrinkled skin, a look that nobody wants, right?
  3. My patient’s weight history. It’s important that long-term stable weight—at least six months—has been accomplished.

Alternatives To Inner Thigh Liposuction

An inner thigh lift is an alternative to simple inner thigh liposuction in older patients or those with a great deal of loose skin between the thighs due to weight loss. This procedure accomplishes two things: it removes the excess skin in the area as well as the fat to create a more natural and satisfactory appearance.

How is Inner Thigh Liposuction Performed?

As with other procedures as my Southwest Michigan plastic surgery practice, inner thigh liposuction is performed under general anesthesia to insure my patient’s comfort. I work only with board certified anesthesiologists to assure the highest level of safety, and work with the same team that has assisted me for the past 15 years.

After marking the area to be treated with a special marking pen, tiny incisions are made in the inner thighs. A sterile solution is injected into these incisions to make fat removal easier. Using a trocar connected to a liposuction machine, fat is removed until there is a satisfactory contour. The thighs are then put into a special compression garment to aid in healing and my patient is discharged to home recovery.

What is the Recovery for Inner Thigh Liposuction?

Although you’ll experience discomfort in your thighs for a few days and will have some numbness, bruising and swelling, recovery from inner thigh liposuction is pretty uneventful. Walking is the best exercise and the least stressful while you’re recovering.

If you have concerns about the fat between your upper thighs, contact one of my two plastic surgery locations for a consultation to discuss all the alternatives. You can phone us at 269-743-3290 or complete this online consultation request form.

BREAKING NEWS: Does Santa Have Gynecomastia?

Santa Man Boobs

Sensitive medical documentation has been leaked, perhaps by Santa’s own personal physician, Dr. Nick Kringle, that the jolly old elf—Santa himself—suffers from gynecomastia—AKA moobs, manboobs, and other less-than-complimentary terms.

Perhaps it’s time to have a frank discussion about gynecomastia, as we suspect the leak is true! Santa is known to be fond of cookies and milk, leading to obesity (sorry, but it’s true), so we’re pretty certain he has gynecomastia, as most obese men have it. Although we aren’t sure Santa would be interested in eliminating his man-boobs or—the more proper description—enlarged breast tissue, we do know that lots of men in Michigan suffer the embarrassment of gynecomastia. Since there’s only one Santa, we can safely assume that the other men with enlarged breasts (A) aren’t Santa and (B) might like to know what can be done to safely and effectively treat this concern.

Gynecomastia is surprisingly common—estimates are that at any given time, more than half of all men have enlarged breasts! There are two times in a male’s life when enlarged breasts tend to occur: during puberty and during a man’s later years. Why is this the case? Because hormonal swings—common during puberty and as a man ages—can cause the breasts to enlarge. Doubtless, many of you have noted the slightly puffy breast tissue in male newborns. It’s caused by reserves of estrogen from the mother. When that estrogen reserve begins to dissipate between 4-6 weeks of age, the male baby’s breasts become more normal in size. It’s the magic of hormones!

There are other reasons for enlarged breasts in men. Certain chemicals and medications can cause gynecomastia, particularly steroids and marijuana. There are also medical problems that can cause gynecomastia. Therefore, enlarged male breasts, although usually of no particular medical concern, should be checked out by a family physician or an endocrinologist before plans are made for any intervention by a cosmetic surgeon.

Although enlarged breast tissue in men is usually not a medical concern, it can cause significant emotional distress. It’s a rare teenaged boy or adult male with gynecomastia that isn’t terribly embarrassed by it. Boys who previously enjoyed swimming and wore t-shirts and tank tops suddenly hate the beach, refuse to enjoy the pool with the family and may even become withdrawn, shying away from boy-girl interactions at exactly the age when they’re learning how to relate to the opposite sex. Worse, they can bear the brunt of teasing from other boys when changing clothes after gym or sporting events. Obviously, this embarrassment isn’t limited to teenaged boys. Grown men with gynecomastia also avoid situations in which exposure of their enlarged breasts might happen—the aforementioned beach as well as the gym.

Happily, there are several options to help men with gynecomastia. One is liposuction. Unless the skin is stretched to the point where sagging is likely to occur after removal of the excess fatty tissue, liposuction is usually the procedure of choice. However, for men with excessively large breasts and/or skin sagging, excising some of the skin surrounding the breasts may be necessary along with removal of the fatty tissue.

In general, male breast reduction is a simple outpatient procedure that takes only a couple of hours. Recovery is rapid; most patients need only a couple days from work or school following a breast reduction procedure. It’s quite the rewarding treatment once recovery is complete and the embarrassing problem has been resolved.

We don’t expect Santa to call our SW Michigan plastic surgery office for gynecomastia treatment anytime soon, but if you or someone you love is concerned about enlarged male breasts, we’re the folks to see. Schedule a consultation at our Portage or Battle Creek plastic surgery office, and we’ll show you what we can do to help you regain a masculine chest!

Love the Skin You’re In! Details About Dermaplaning

What is Dermaplaning?

Dermaplaning utilizes a sterile surgical scalpel to gently scrape off the top layer of dull, dead skin cells. Sounds scary, right? But don’t worry; I’ve been doing this for quite some time, so you’ll be in safe hands!

Dermaplaning

Who Is A Good Candidate for Dermaplaning?

Healthy individuals who want brighter, softer skin are good candidates for dermaplaning. It’s an excellent treatment for those with drier skin and those with lots of “peach fuzz” on the face. It’s not recommended for those with severe cystic acne or active and open pustules (white heads)—wait for it to clear up prior to trying out this treatment. It’s also a favorite of my pregnant and nursing clients who want facial exfoliation without the harsh chemicals that can pass the blood/skin barrier and potentially harm their babies.

How Is Dermaplaning Performed?

I first clean and dry your skin. Next, I’ll hold an area of your facial skin taut with one hand and hold the blade in the other hand. With swift, short strokes, the dead skin cells and peach fuzz are removed. It’s painless and feels a bit like shaving your legs. The whole treatment takes about 20-30 minutes. About 21 days’ worth of skin cell build-up is removed.

Dermaplaning vs. Microdermabrasion

Although both treatments will help brighten the skin and remove dead skin cells, microdermabrasion essentially “sands” and suctions away dead skin cells. It also cleans out the pores around the chin, mouth and nose. In comparison, dermaplaning “scrapes” away the dead skin cells with the top layer of skin, removing vellus hairs with it.

Both dermaplaning and microdermabrasion are excellent treatments for all skin types, so the choice of one over the other often boils down to your personal preference.

What Should I Expect After Dermaplaning?

Dermaplaning is a safe procedure with no down time. It aids in product penetration and acts as a treatment booster when combined with other services. The exfoliation helps to reduce the appearance of fine lines and helps to brighten dull and discolored skin. The removal of the vellus hairs (“peach fuzz”) rids the skin of oil and dirt-trapping hairs, and creates a silky smooth surface that allows your foundation to almost glide on.

I recommend that you wear a broad-spectrum sunscreen with an SPF of at least 35 after your treatment, as your skin may be more sensitive. Although redness after treatment is not typical, it can occur. If it does, it will subside within a couple of hours.

Only Turkeys Want a Turkey Neck!

What’s a Turkey Neck?

It’s that sagging skin in the front of the neck and under the chin that looks like a turkey wattle—hence the name.

What Causes a Turkey Neck?


Turkey Neck
Normal aging, genetics and weight loss can hasten the onset of excess skin where fat used to be. As we age, our skin becomes less elastic, contributing to this sagging. Further, bands in the neck called the platysma bands—a group of thin muscles in the neck—become more visible as we age.

Everybody’s body ages differently. Weight fluctuations, genes, lifestyle (smoking, alcohol, sun exposure, etc) all contribute to your body’s aging pattern. Even your gender affects your aging—a man’s skin is thicker than a woman’s, allowing men to look somewhat younger than a woman of the same age—again, affected by his lifestyle habits, genes and weight patterns.

Your facial structure also affects your neck. Those with a smaller jaw will notice sagging earlier than someone with a stronger jaw line, like Brad Bitt or Emily Deschanel (Bones). What’s this tell us? Beauty isn’t skin deep—it’s bone deep!

How To Fix a Turkey Neck

We have 3 options in our Portage and Battle Creek plastic surgery offices to treat turkey neck:

  1. Kybella
  2. Liposuction
  3. Neck Lift

Kybella is an injectable geared to treating double chin. Depending upon the amount of sagging, a series of these injections may be just the ticket for specific patients.

For patients with resilient skin, liposuction can often provide adequate correction. Liposuction doesn’t work well, however, in patients with a great deal of loose skin. In those cases, the skin will look even worse after the fat has been removed, and is the reason I’d recommend a neck lift for them.

A neck lift is a surgical option that can be done alone or in combination with a facelift.

What Are the Benefits of a Neck Lift?

  • Eliminate sagging skin from under the chin (the dreaded turkey-neck)
  • Connect the visible bands on the front of the neck
  • Remove fat from under the chin (double chin) and from the neck
  • Restore a smooth, youthful neckline

How is a neck lift performed?

A neck lift, performed under general anesthesia, may be done alone or with a face lift. During a neck lift, the extra skin and fat are removed and the neck muscles (the platysma) are tightened. The incisions are placed so as to be nearly invisible after healing has taken place: behind the ears and at the hairline.

My Portage and Battle Creek neck lift patients are delighted with their new, defined jaw line after a neck lift. If you have concerns about sagging in your neck, call me for a consultation today. After all, turkey necks are for turkeys!

Are You Tired of Shaving?

Southwest Michigan Laser Hair RemovalFor most women, the task of shaving on a daily or every-other-day schedule is a real hassle! Knicks, cuts, flaking, not to mention the tender skin that’s exposed to the harsh, dry winter air. Ouch!  What’s a girl to do?

Laser it!

Laser hair removal is the latest trend for both men and women who want the ultimate in luxurious skin. No more stubble, just smooth skin, and you can have it in about six treatments!

If you start treatments in February or March, by the time the summer rolls around, you’ll be nearly finished with the 5-6 hair removal treatments needed to really make you look great!

Hair is like Crab Grass!

It takes 5-6 treatments to remove hair in any given spot because only 20% of the available hair is on the surface of your skin at any given time. The remaining 80% is underneath the skin waiting for a spot in which to surface. So you see, hair is almost like crab grass! You take some off and more comes up! To eliminate this problem, if 20% is removed at any one treatment, then another 20% is removed at the next and the next, etc.

Where Can We Remove Hair?

Laser hair removal can be performed on virtually any area of the body including the face, arms, underarms, legs and bikini area.

Laser Hair Removal For Men

If you or the man in your life is bothered with excessive chest and back hair, we have a treatment for that! Men are, obviously, much harrier than the average woman. Nose hair, ear hair, back and neck hair, chest hair—some men are nearly covered in hair. It creates discomfort in warm weather, can be embarrassing at the beach, and some men suffer with ingrown hairs on a constant basis. What used to be considered manly is now often considered to be a hassle.  If the man in your life is interested in hair removal, give us a call today!

Reasons to consider laser hair removal in Southwest Michigan

Breast Cancer Awareness Month – October, 2017

Breast Cancer Awareness Month October 2017October is Breast Cancer Awareness Month. Although I don’t perform breast reconstruction surgery, it’s important to my staff and I that you are up to date on the facts about breast cancer, so that you can enjoy a long life in good health!

Check out these facts, discovered by recent studies:

Linked to higher risk of breast cancer:

  1. A family history of prostate cancer
  2. Dense breast tissue
  3. Obesity
  4. High fatty food consumptions in teens

For more, click this link

Symptoms You Shouldn’t Ignore

  1. Swelling of all or part of a breast
  2. Swelling in the lymph glands under the arms
  3. Skin irritation or dimpling in the breast
  4. Breast or nipple pain
  5. Nipple retraction
  6. Nipple discharge

Need instructions in breast self-examination?

National Breast Cancer Foundation Breast Self-Exam

To help raise funds to fight breast cancer, click below

Gilda’s Club Grand Rapids

American Cancer Society 10/21 Walk for Breast Cancer (Grand Rapids)

West Michigan Woman 10/14 Wine & Wig Event

For More Dramatic Improvement: A Facelift

surgical facelift michigan

If you have jowls, a turkey neck and/or notice that your face appears “flat,” because your cheeks have dropped with time, a surgical facelift may be just right for you. Different from the Lunchtime Facelift described elsewhere in another blog, a surgical facelift lasts longer because the facial muscles are actually lifted and tightened into a more youthful position and excess sagging skin is removed. While Botox® and dermal fillers are powerful anti-aging tools, they do not lift the muscles beneath the skin as in a surgical facelift.

What is a Facelift?

As the name suggests, a facelift “lifts” the face by tightening the facial muscles and tissues, to restore them to their more youthful positions, and removing sagging skin. Since a facelift is surgery, incisions are needed, and are usually placed around the ears so they are hidden in the hairline after healing has occurred.

How Much Time Does a Facelift Take?

Once you arrive at the Southwest Michigan outpatient surgery facility, I will “mark” your face with a special pen. After anesthesia has been given, I will make the incisions around the ears. The skin is lifted up, muscles are tightened, extra skin is removed and tiny sutures are put in place. A standard surgical facelift usually takes about 3 hours and patients go home the same day.

Keep in mind that a facelift doesn’t address aging in the eye area. Because of this, my Michigan facelift patients often add a blepharoplasty (eye lift) to their facelift for more complete rejuvenation. Furthermore, some patients benefit from a little “plumping” with a facelift, in the form of dermal fillers or fat transfer. If you add any of these additional procedures or injectables, the procedure does take a bit longer, perhaps an additional hour. In the case of fat transfer, liposuction is used to remove fat from your body where you desire less fat, such as the hips, tummy or thighs and then processed for injection.

What are the Risks of a Facelift?

The risks of a facelift are the same as those inherent in any surgical procedure: namely, the risks of anesthesia and bleeding. If you are healthy, these risks are extremely small. If you have health challenges, we can consider a Liquid or Lunchtime Facelift (see that blog post on this website). To minimize risk, my patients over the age of 50 are screened with an EKG and other tests, and I ask for a letter from their physician to confirm that my patient is healthy enough to undergo both anesthesia and the procedure itself.

What is the Recovery Time for a Facelift?

My Michigan facelift patients are always surprised at how quickly they recover from a facelift and how relatively little discomfort they experience. Applying ice packs and sleeping upright in a recliner or sofa the first few nights can reduce swelling. Of course, don’t smoke for at least 4 weeks after your procedure (good time to quit altogether!), because smoking keeps oxygen from reaching your cells, which can delay healing.

If you have concerns about facial aging, schedule an appointment to see me in either of my Southwest Michigan plastic surgery offices. Together we will evaluate your facial aging pattern and I will give you all the options that I believe will meet your goals!

Fast Fall Facial Rejuvenation: The Liquid Facelift

portage mi liquid facelift

If you’re ready for facial rejuvenation, but (A) aren’t ready for a surgical facelift; (B) aren’t medically cleared for a surgical facelift; (C) don’t have time to recover from a surgical facelift or (D) want a more budget-friendly option, come in and see me about a Liquid Facelift, also called a Lunchtime Facelift, to rejuvenate your appearance in rapid fashion with a recovery time of only a few hours!

What is a Liquid Facelift?

A liquid facelift is sometimes called a chemical facelift because it’s performed with chemicals—Botox® and fillers—rather than a scalpel. A liquid facelift uses Botox® to relax the wrinkles around the eyes, in the forehead and between the brows. Dermal fillers, such as Juvéderm and others are used to fill the wrinkles to make them less visible. The result is a refreshed, younger-looking appearance that, while not permanent, lasts anywhere from 6-18 months depending on the products used. A longer lasting option is fat transfer, which involves fat removed via liposuction before processing and injecting it. Fat Transfer is a bit more involved than the injection of commercial fillers but it’s still far shy of a surgical facelift and results last longer than dermal fillers.

How Much Time Does a Liquid Facelift Take?

After you’ve arrived at my Portage or Battle Creek plastic surgery office, my medical assistant will apply an anesthetic cream on your skin. After about 45 minutes to an hour that is removed and I will then inject the right amounts of Botox® and fillers to improve your appearance. From beginning to end, expect to spend about an hour in our office. Some patients remain in the office to apply ice packs and some take a few ice packs with them. All return to their regular schedule following treatment.

An alternative to dermal fillers is fat transfer. Excess fat removed by liposuction from your tummy, thighs, back or other parts of your body is processed and injected into your wrinkles and/or areas that require plumping, such as the lips or cheeks. Although initially more expensive than dermal fillers, fat tends to remain in the body indefinitely, compared with fillers, which generally lose effectiveness within 6-18 months after injection.

Are There Risks With a Liquid Facelift?

Other than perhaps some swelling and/or bruising, risks are extremely low. All of my Liquid Facelift patients are cautioned to stop any blood thinners at least a week prior to injection to minimize the potential for bruising (if you take them, you must speak with your doctor prior to stopping them!). These include prescription blood thinners (Coumadin, Warfarin, etc), Vitamin E and aspirin. Since no general anesthesia, sutures or surgery is done, a Liquid Facelift does not have the risks of a surgical facelift. This is especially helpful for patients who have chronic illnesses, such as diabetes, heart disease or high blood pressure, which might stop them from having a surgical facelift.

What is the Recovery Time for a Liquid Facelift?

Most patients go about their business immediately after they leave the office. Some of my patients have the procedure performed on a Friday just in case they have a little swelling, so that it goes down by Monday. Remember, there are no sutures or bandages, so there is no need for follow-up visits to remove them.

If you have concerns about facial aging, come in and see me for a consultation. Together, we’ll discuss your goals and review all the options to improve your appearance, including treatments with our aesthetician, Sarah. When you leave, you’ll have a plan for improvement including prices and dates. Can’t wait to see the new you!