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Posted by on in Upper Face

Facial lines have a substantial impact on your expressions.  A few facial lines give you animation and character.   But, when some people see facial lines too prominently, they feel as if they are looking old.  And, then of course, there is the look of having too much work done where a person has no perceptible facial lines.   For my patients, I try to focus them on what would be their best possible result for a natural look.  

Facial lines in the upper face can become more pronounced over time and with age.  The result can be deeper folds and wrinkles, drooping brows and sagging eyebrows.  Because this part of the face is so visible, with the eyes as a focus, brow and forehead lifts are common procedures.  Most patients for brow and facelift procedures are between 40-60 years of age.

A brow and forehead lift can be accomplished in an open procedure or with a less invasive endoscopy.   In the brow and forehead lift surgery, I remove or move skin, muscle or both appropriately smoothing the forehead.  As part of the procedure, the eyebrows are lifted and positioned for a more youthful appearance.  If it helps the patient’s overall aesthetics, the hairline can be repositioned as well.

Both men and women have brow and forehead lifts so it’s important for a surgeon to help the patient realize a completely customized outcome for the surgery.  Brow and forehead lifts are not one-size-fits all and it’s important to find an experienced cosmetic surgeon.  Do you have questions about how you might benefit from a brow and forehead lift?  Contact me today for a consultation and we can talk about it.

 

Posted by on in Upper Face

The earliest signs of aging often occur around the eyes in both men and women. Treating crows feet with Botox Cosmetic® often is one of the first cosmetic procedures a person will try. Erasing some of the small lines around the eyes can make you look five or more years younger. But, what about when skin around the eyes loses its elasticity and injectable treatments can no longer correct the signs of aging?

Blepharoplasty, or eyelid lift, is a very common first cosmetic surgery because it specifically addresses the first substantial signs of aging after wrinkles. Skin can appear to sag around the eyes due as skin loses elasticity or as small pouches of fat appear around the eye over time. These effects combine to give the eyes an aged and tired appearance that then translates to a person‘s entire expression. And, nobody wants to look tired!

An upper eyelid lift is a surgical procedure that can restore a refreshed, youthful look. The surgery removes sagging tissue to restore a smoother appearance to skin around the eyes. Depending on the patients’ needs, small deposits of fat may be moved slightly or repositioned in this surgery.

Please call if you are ready to explore the possibilities of a Blepharoplasty.

Hydrafirm by Dr Zein Obagi is a fabulous and efficacious product. This is one product from his new skin care line that offers real results. Hydrafirm is for use around the eyes. I have been personally using Hydrafirm for the past 2 months and I really like the results. It does exactly what it says. It hydrates and firms the skin around the eyes. I have been a user of Botox for my "crow's feet" area for at least 8 years. The Hydrafirm further improves upon the Botox result. While Botox will improve much of the lines around the eyes, Hydrafirm will improve the smaller fine lines and in addition make the periorbital (around the eye) skin more firm. It works quickly as well. Hydrafirm is a break through multi-function formula that quickly smooths the skin's appearance of puffiness while optical diffusers soften the appearance of dark circles. Use Hydrafirm morning and night. One tube will last 3-4 months. The cost is $140. "Like" Contours and Curves/ Mitchell Plastic Surgery for a 10% discount. ZO Skin Health is only available through Physicians offices. The whole line of ZO Skin Health is excellent! Call or schedule an appointment for additional information.

Posted by on in Skin Care

ZO Medical Therapeutic Solutions

ZO Medical therapeutic treatments, effectual products and protocols have been optimized to treat a wide range of skin disorders and chronic conditions.  One product to highlight is the RETAMAX high potency retinol lotion.  Retamax is a lightweight high potency retinol lotion that helps to reverse the signs of aging and aids in the prevention of future damage.  Retamax is not like over the counter retinol creams.  The concentration of retinol in Retamax is much higher.  The Retamax can cause an aggressive reaction, if desired, depending on its use.  The benefits of using Retamax include the stimulation of firmer skin, fewer lines and wrinkles, and more even complexion.  It helps to activate the skin to restore moisture and enhances the skin’s natural barrier function.  In addition, Retamax provides antioxidant protection and anti-irritant properties.

  Key Ingredients:

    -       High Potency Vitamin A:  Helps epidermal and dermal stimulation and renewal

-       Buddleja Stem Cell:  Potent antioxidant with anti-irritant benefits

-       Hydrolyzed Sericin:  Up regulates hyaluronic acid and collagen production

-       Brassica Oleracea Italica (Broccli) Extract and Helianthus Annuus (Sunflower) Seed Oil:  Provide anti-irritant properties

-       Beta Glucan:  DNA protection

-       Vitamins C and E:  Antioxidants

 

Directions for use:

Apply 1-2 pumps to face and other areas to be treated.  Apply 2 times weekly and increase as tolerated.  Skip days between applications.  Initial dryness, irritation and peeling are normal, which typically develops 2-3 days following the first application.  Can mix equal parts with Ommerse Renewal Crème or Restoracalm and apply once weekly if a less aggressive approach is desired. 

Directions forApply 1-2 pumps to face and other areas to be treated.  Apply 2 times weekly and increase as tolerated.  Skip days between applications.  Initial dryness, irritation and peeling are normal, which typically develops 2-3 days following the first application.  Can mix equal parts with Ommerse Renewal Crème or Restoracalm and apply once weekly if a less aggressive approach is desired.

This product is designed to be used long term, if desired, for the continued renewal of healthy skin cells.

RETAMAX

Active Vitamin A Micro Emulsion

Retail Size: 75ml/2.5 Fl. OZ.

pH: 5.5

$145

 

 

For those familar with Obagi skin care products you are well aware of the quality of the original but now outdated skin care line.  Due to Dr. Obagi's tremendous success with the original Obagi Nu-derm products, he sold his skin care line in 1997 to a group of investors.  His role in the company from there forward began to diminish.  Mega-corporation Valeant recently bought Obagi Medical Products for some $344 MILLION dollars. Unfortuanately along with these sales came a stagnation in new product development.  The products that were newly developed during that time had the Obagi name but werent developed by Dr. Obagi himself.  They bought Dr. Obagi's products, but they couldn't buy his brillant mind.  As Dr. Obagi says himself, "Skin health science, like any other science, is not static".  Dr. Obagi states that the need for improvement, expansion, and continuous adjustment is not only essential, but also necessary in obtaining optimal treatment results.  What makes ZO skin health, Inc. different is their Universal Approach to Skin Health.  Using the original principles Dr. Obagi identified 25 years ago when he started, and the newly found principles of today, such as anti-inflammatory agents, DNA repair, barrier function enhancement, and non-hydroquinone pigment control, he has developed a state-of-the art skin care line.  Today, Dr. Obagi has no relationship with Obagi Medical Products.  Instead what we have upon us is a new, exciting, efficacious line of skin health care products created to treat various skin related conditons and products designed for continued daily skin care health.

Dermal Fillers are very popular means to rejuvenate a volume-depleted face or to enhance certain facial features such as the lips or cheekbones.  In the last 10-15 years, the number of minimally invasive cosmetic procedures performed in the US has grown exponentially.  Millions of dermal filler injections are performed each year in the US alone.  Today there are many excellent dermal fillers on the market, each with unique characteristics.  As the popularity of minimally invasive procedures continues to grow, new dermal fillers are being developed and approved by the FDA relatively regularly.  While there are many factors to consider in order to determine which filler may be best for an individuals needs, most patients want to know how long a filler is going to last in their face once injected.  Fillers are commonly classified as either being temporary, semi-permanent or permanent.  The hyaluronic acid fillers such as Restylane or Juvederm are considered temporary.  Hyaluronic acid fillers are most commonly used; work beautifully for their intended purposes but last from 6 months to 2 years depending on the filler used and the location of injection.  Temporary fillers require repeated injections in order to maintain the desired result.  Radiesse (calcium hydroxylapatite) and Sculptra (Poly-L-lactic acid) are commonly considered semi permanent fillers but typically last 18-24 months and they do reabsorb with time.

Artefill (Polymethacrylate) is the only FDA approved permanent (Non-absorbable) filler on the US market today.  This gives Artefill a dramatic benefit over other fillers in that it never reabsorbs. Artefill is unique because it contains microspheres that are not absorbed by the body and create a support matrix for enduring wrinkle correction by working together with your body’s own collagen.  The microspheres are made of polymethacrylate (PMMA), which is one of the most widely used biocompatible synthetic materials.  PMMA has a proven safety record in over 60 years of clinical use.  The safety profile for Artefill is similar to temporary fillers. Artefill is FDA approved for use in the nasolabial folds (smile lines).  It is used successfully in other areas of the face (such as the cheeks) but is considered off label if not injected into the nasolabial folds.  Using Artefill allows for progressive facial enhancement.  In other words, because the initially injected Artefill will not dissipate, you can have additional Artefill injected at a later time if desired for additional correction.  With Artefill you will experience:  Immediate, visible wrinkle correction; volume restoration in deflated facial regions; a natural feel; fewer injections; filler that is simple, safe and effective.

 

I have been injecting Artefill regularly for three years.  In my hands and with my experience, I find Artefill to be an excellent dermal filler in appropriately selected patients.  Surprisingly there are few physicians injecting Artefill in the Las Vegas area.  There are two reasons for this lack of use.  First, I believe that many injectors feel they will lose business by injecting permanent filler into their regular patients when they would rather repeat temporary injections every 6-12 months.  Second, because Artefill is permanent, if the Artefill is not injected correctly or if it somehow becomes malpositioned, or the patient is not satisfied with the filler, it could and likely will be difficult to remove. 

 

To date, I have not had a single case of poorly positioned product.  I have not been asked to remove it from any of my patients (greater than 100 injections) nor have I seen any granuloma formations.  My patients and I have been quite satisfied with the results.  I had one unsatisfied patient but it was not from poorly placed Artefill but instead, she required more product.  I may have not counseled her well enough on the possibility of needing more product than we injected in order to satisfy her expectations.

 

In conclusion, I find Artefill to be an excellent dermal filler in appropriately selected patients.  The cosmetic outcome from my use of this product has been satisfactory.  Although the initial cost for Artefill is more than the majority of temporary fillers, ultimately patients will save time and money as repeated injections of temporary fillers over time would not be necessary.  If you have been using temporary fillers in the past and you are happy with the results or if you have considered facial volume rejuvenation, Artefill may be right for you.

 

Posted by on in Skin Care

In my writings, I will commonly refer to the 3 D’s of facial aging.  When considering the aging process, it helps to understand that facial aging involves three components: Deterioration of skin, Deflation of facial volume, and Descending facial tissues.  In the course of restorative facial rejuvenation, each chosen treatment will target one of the 3 D’s for repair.

This blog will focus on the treatment of Deterioration of the facial skin by utilizing an innovative, efficacious and cost-effective device called Dermapen. The cumulative effects of sun exposure, genetics and lifestyle factors cause the deterioration of skin.  Deteriorating skin manifests in fine lines, wrinkles, mottled pigmentation, large pores and dullness.

Dermapen is a device and treatment that helps to restore the skin to a healthier appearance.  Dermapen is a vertically automated, fractionated, micro-needling device that treats fine lines, wrinkles, stretch marks and scars by delivery of 11 closely grouped micro-needles, causing micro-injuries into the epidermis and dermis.  These micro-injuries to the skin encourage and harness the power of the body’s innate ability to regrow and repair the skin through normal physiological mechanisms.  Deposition of new collagen and elastin occurs through a cascade of events involving the release of growth factors.   Tissue remodeling occurs where the skins vascular matrix matures and skin tightening as well as new collagen can be seen.   The body’s ability to remodel and heal itself is at the heart of this amazing process.  The process is similar to treatments using ablative lasers where the laser beam penetrates the skin causing a “wound” and then allowing the body’s same healing process to remodel the skin with new collagen and elastin remodeling.

With proper use, Dermapen can be as effective as chemical peels or fractionated ablative lasers at treating the deterioration of facial skin.  In addition, unlike ablative lasers, Dermapen can be used on all skin types including black skin.  The treatment is performed in an office-based setting.  The treatment for an entire face takes approximately 60 minutes.   On clean skin we apply an effective topical anesthetic cream.  We begin the treatment with a biohydra infused serum that helps hydrate the skin as the Dermapen gently glides over your skin.  Following the Dermapen portion of the treatment, a case specific serum is used to address individual skin maladies. The Entire process well tolerated and it is not painful.   There is a one-day down time.  You can expect your skin to be pink for about 24 hours.  During that time we ask that no make-up be worn.

Typically, 4-6 treatments spaced 4 weeks apart are necessary for optimal results.

For more information call our office to schedule an appointment or visit Dermapen.com.

 

Dr. Mitchell of Contours and Curves, Mitchell Plastic Surgery, provides a wide range of cosmetic treatments for patients in his practice. Patients who are ready to tackle the signs of aging may speak with him about treatments such as dermal fillers and neurotoxins. Las Vegas area patients must understand that both of these work differently, though they are commonly used together for amazing results.

 

Neurotoxins such as Botox, Xeomin, and Dysport are made of botulinum toxin type A. This medication is known to relax muscles and block the nerve connections that cause muscles to tense. By injecting this medication into specific muscles of the upper portion of the face, patients can reduce muscle contractions and thus smooth the skin. This releases the appearance of fine lines, wrinkles, and folds in the area. Neurotoxins are typically used on areas around the upper portion of the face, including between the eyebrows (glabellar lines), around the eyes (for crow's feet), and along the forehead. These neurotoxins are FDA approved for safety and effectiveness for cosmetic improvement.

 

Dermal fillers, on the other hand, are used in a different manner. These fillers are designed to "fill" the lines and wrinkles on the face and add volume to areas of fat loss. They are injected directly into the area of concern to plump the skin and reduce the appearance of the signs of aging. These are used on different areas of the face, including around the mouth, the nose, and can even be used to augment the lips. Popular dermal filler brands used in our practice include Juvéderm, Voluma, Artefill, Perlane, and Belotero.

 

Patients who want facial rejuvenation without undergoing plastic cosmetic surgery may benefit from a combination of neurotoxins and dermal fillers. Patients can take years off their appearance by combining these cosmetic treatments for optimum results.

 

Contact Contours and Curves today to learn more about dermal fillers, neurotoxins, and other treatments available through our practice including Dermapen, eyelid rejuvenation, face lifting, skin resurfacing, and chemical peels.

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