Skin procedures are commonly lumped together under non-surgical umbrella as these are performed in-office under no or topical/local anesthesia. These include use of temporary muscle paralytics to diminish frown lines, decrease the crows feet or forehead creases, raise the tail of the eyebrow or soften the platysmal bands. Sometimes these products can be used for reducing a gummy smile. The other major category in skin procedures is facial fillers which are indicated for plumping up lips, cheeks, nasolabial folds, marionette lines and effacing the tear trough deformity or the pre-jowl sulci. The third category of skin procedures are the Laser and Light therapy treatments which provide an improvement in skin texture, tone and color. The fourth category encompasses surgical procedures usually performed under local anesthetic but sometimes requires a general anesthetic. These can be benign skin lesions, malignant skin lesions or scars like hypertrophic, rail-road track scars or keloid scars.
Our smiles, frowns and fears leave tell-tale signs on our faces that can become a permanent part of our looks and show our age. Products which can soften the look, wipe out the lines and hide the stigmata of aging are one of the most popular facial rejuvenating medicines in your Plastic Surgeon’s hands. The indications and dosage amounts for treatment with Xeomin are exactly the same as they are for Botox. Xeomin treats the permanent furrows and deep wrinkles in the skin, especially around the eyes and mouth, between the eyebrows, and on the forehead. These lines can make you look older, sad, angry or tired. Xeomin treatments, not only prevent you from deepening these lines during natural facial movements, they can also erase these marks of aging, leaving you looking younger and refreshed.
When you smile, laugh, frown, or look puzzled, you contract the muscles of your face. Over time, these contractions produce permanent furrows and deep wrinkles in the skin, especially around the eyes and mouth, between the eyebrows, and on the forehead. These lines can make you look older, sad, angry or tired. BOTOX® Cosmetic treatments, not only prevent you from deepening these lines during natural facial movements, they can also erase these marks of aging, leaving you looking younger and refreshed.
BOTOX® is made from a highly purified protein that is very safe when administered by a trained physician. The medication relaxes the muscles in the face that cause wrinkles. In this way, BOTOX® smoothes the lines in the skin that make you look tired or angry. BOTOX® may also be useful for migraine headaches, excessive sweating, and eye and neck muscle spasms. Talk to us about whether BOTOX® can help you.
Aging, weight changes and facial volume loss can create a deflated face that no longer represents what our faces once looked like in our youth. Fillers are medical grade products that help us obtain the fuller, more youthful appearance with minimal downtime. These products are used as soft tissue fillers that are injected under the skin to plump up lines, smoothen the wrinkles, fill up the hollow areas in the face and to augment the lips or cheeks for a younger, fuller appearance. This liquid facelift is usually the main procedure for central or mid-face lifts as well as lower face contour correction. For some patients it’s the Tear-trough, for others it’s the deep naso-labial folds, or the sunken and down-turned corners of the mouth, or the Marionette lines, or the pre-jowl sulci. All of these along with the augmentation of the cheeks and lips can create either subtle or dramatic changes as the specific need for that particular patient demands.
JUVEDERM® Injectable Gel
Touted as the “next generation” of facial fillers, JUVEDERM® injectable gels gently smooth wrinkles and folds around the mouth and nose and restore a youthful volume to the face. Made with hyaluronic acid, a natural substance found in the body that works with collagen and elastin to provide volume and support to the skin, JUVEDERM® is especially effective on smile lines and “parentheses” (nasolabial folds) that run from the bottom of the nose to the sides of the mouth. Treatment takes only 15-45 minutes with immediate results and no downtime. Results typically last about 6-9 months.
Belotero is a hyaluronic acid gel, similar to Juvederm. Hyaluronic acid is a naturally occuring product in our bodies. The indications for treatment include fine lines and wrinkles around the lips, nose, glabella, crows feet and chin crease etc. It’s also used for lip augmentation, deep fold correction, cheek augmentation, liquid rhinoplasty, temple and lateral brow augmentation. Treatment takes only 15-45 minutes with immediate results and no downtime. Results typically last about 6-9 months.
Radiesse™ is a synthetic injectable filler composed of Calcium hydroxyapatite which is present naturally in our bodies. Dr Niazi has been using Calcium hydroxyapatite products for numerous years in craniofacial reconstruction but those required surgery but with the advent of refining the product and making it fine enough to pass through a small needle, Radiesse has become a mainstay for injectable fillers. Radiesse reduces wrinkles, creases and scars by augmenting the body’s natural collagen supply. It can be used on many areas of the body, including the lips, nasolabial folds, peri-oral lines, depressed scars and oral commissures. It can also be injected as deep depot injections to augment the cheeks, correct tear-trough deformities, correct Marionette lines and pre-jowl crevices. Treatments typically take 15 minutes and require only local anesthetic. Results are visible immediately after the injection and can last for months or years.
SKIN REJUVENATION WITH LASER & LIGHT
Microlaser Peel & Contour TRL removes a layer of surface skin to improve the appearance of facial scarring due to acne, chicken pox, injury or other causes. Broad Band Light (BBL) removes uneven pigmentation, wrinkles, sun damage, age spots or freckles, unsightly red spots or veins and certain kinds of skin lesions. BBL is also used for hair removal, active acne treatment and the exciting new Skin tightening procedures called SkinTyte. BBL can also be used to treat bruising and help it disappear quicker.
The skin is anesthetized, and then treated with MicrolaserPeel, Contour TRL(Deep resurfacing), Profractional XC(Fractionated laser) for a dramatically smoother, fresher look. There is minimal downtime with the Microlaserpeels and Profractional laser treatments and if done on Thursday/Friday will be healed by Monday. The Contour TRL (deeper resurfacing) can take longer to heal depending on the depth of resurfacing. After the procedure it is normal to feel a sensation similar to sunburn for a week or so, at which time most patients are able to return to work. The newly revealed skin will likely appear pinker than usual for two to three months. Patients should be sure to adequately protect skin from sunlight.
BBL treatments don’t require anesthesia and usually have minimal redness of the area and minimal downtime.
Scar revision is performed to reduce the appearance of scars caused by injury or previous surgery. Scars are by definition permanent, but surgery can narrow, fade and otherwise reduce the appearance of severe or unattractive scarring. Some patients develop hypertrophic or Keloid scars. The latter are a difficult problem with limited success in some while other patients benefit greatly especially if surgery is combined with Radiation treatment of the scars.
There are many surgical methods of scar revision, only some of which may be appropriate for a particular type of scar or its location. These include surgical excision, skin grafts, flap surgery and Z-plasty (repositioning a scar so that it aligns with the face and is less noticeable). The effectiveness of scar reduction depends on a number of factors, including the nature of the injury, your body’s healing mechanism, the size and depth of the wound, how much blood supplies the area and the thickness and color of your skin.