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    Category Archives: Cosmetic Surgery

  • How Many Years Can You Remove without Surgery?

    While your years on Earth have granted you wisdom and dignity, you’d probably prefer not to wear your age on your face. The good news is that, with advances in cosmetic procedures, you simply don’t have to, even if you’d rather avoid plastic surgery. But exactly how many years can you remove with non-invasive procedures such as lasers, fillers, and light therapy? As it turns out, quite a few.

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    The Numbers

    A paper published by the European Academy of Dermatology revealed some telling facts about how people perceive age, and the results were surprising. During the research, scientists showed participants images of faces and asked them to guess the age and health status of each. The photos were altered to remove lines, uneven pigmentation, or both.

    With the wrinkles airbrushed out, participants guessed that women’s faces were 10 years younger. With both wrinkles and discoloration literally out of the picture, they guessed 16 years younger.

    These results confirm that reducing lines and color irregularities can make you look a decade and a half younger than you really are — and your local med spa or dermatologist can tackle both of these issues beautifully; no scalpel required.

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    The Scoop on Non-Surgical Procedures

    Facial rejuvenation procedures come in several different forms, all of which restore lost youth in a different way:

    •  Photofacials use either LED or IPL light to gently encourage collagen production in the skin, resulting in a plumper, smoother complexion. IPL lights are the stronger variety, and can eliminate brown age spots, redness and even spider veins. Both of these techniques may also help reduce acne — which as many of us know, does not always go away after the teen years.

    •  Laser rejuvenation techniques offer a greater resurfacing power than photofacials and can nix fine lines, scars, dark spots and other flaws, exfoliating the outer layer of skin to reveal the supple layer beneath. At the same time, they heat the underlying skin layer, spurring collagen production and causing the skin to grow smoother than before. Non-ablative lasers require no downtime, though you may look and feel as though your skin is sunburned for a day or two. Ablative lasers give stronger results, but you may experience some redness and peeling in the following week.

    •  Injectables target individual lines on your face and can fully eliminate wrinkles from many areas. Muscle relaxers like Botox and Dysport freeze muscles that cause expression wrinkles like crow’s feet, while fillers like Radiesse and Sculptra add volume to fill in deep creases and folds. Results from muscle relaxers last up to six months. Fillers have more variation, but may last anywhere from six months to two years — some even offer permanent results.

    Taking the Plunge

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    If the thought of shaving up to 16 years off your complexion sounds appealing, it’s time for a consultation with your local skin clinic. The latest facial rejuvenation techniques offer results that used to only be possible with a facelift or other surgery, but they cost far less and don’t come with the same risks and side effects. With the right procedures, you just may trick your friends into thinking you’ve turned back the hands of time — all while keeping the wisdom and grace of your actual age.

    About The Author
    Mia Liefso is a professional medical skin therapist and the owner of Bradford Skin Clinic & Med Spa in Bradford, Ontario.  She has certifications in IPL, VPL, laser and ultrasound technologies, as well as body contouring and medical facial peels. Her professional interests include difficult skin conditions—psoriasis, eczema, and acne—premature aging, skin care for the elderly, endocrinology, and helping people love the skin they’re in. Her diverse personal interests include history, animals, roller derby, travelling  and gourmet cooking. 

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  • Don’t Want Surgery? Dermal Fillers May Be for You

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    Dermal fillers have come a long way since cosmetic collagen was first approved in 1981. While bovine (cow) collagen remained the lone injectable filler for the next decade, growing demand has sparked a surge of new products to smooth and shape all areas of the face including laugh lines, nasolabial folds, under-eye hollows and more.

    All dermal fillers work in the same way, literally filling in folds and creases in the skin to add volume. Fillers raise depressed areas to the same level as the rest of the skin, so that wrinkles instantly disappears or significantly lessen.

    You can also use fillers to build a fuller pout or hide embarrassing nasal bumps. Sometimes referred to as “liquid facelifts,” fillers often present a gentler, if shorter lasting, alternative to cosmetic surgery.

    Hyaluronic Acid

    According to Dr. Debra Luftman in an interview with the Los Angeles Times, “Hyaluronic fillers are the best option for natural-looking, long-acting dermal fillers.” Hyaluronic acid is made from sugars found naturally in the body, which retain water to add volume to the skin.

    Brand names include Juvederm. Restylane and Perlane. Typically, the first treatment only lasts about six months; however, further treatments may last up to one year.

    Calcium-Based Fillers

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    Patients seeking longer-lasting smoothness may prefer calcium fillers, which can last up to 18 months. These products contain calcium hydroxylapatite microspheres, and are ideal for deep folds like those around the mouth.

    Radiesse is a major brand of calcium-based filler, and is generally more expensive than hyaluronic acid fillers. However, the cost may even out if you need fewer injections over the years, so don’t shun these on price alone.

    Poly-L-Lactic Acid

    Poly-L-lactic acid was originally approved to treat facial wasting in AIDS patients, but is now widely used for cosmetic use. Sold under the brand name Sculptra, Poly-L-lactic acid is the same substance used in resorbable stitches.

    Results last up to two years; however, the process requires up to four separate injections, spaced several weeks apart. Sculptra is not used for smaller wrinkles, but rather plumps up larger areas.

    Collagen

    Yes, collagen is still around — and it’s safer and more effective than ever. Your skin naturally produces collagen to keep it soft and supple, but collagen production diminishes with age. When injected, it fills in facial lines and may also camouflage scars.

    Because some people are allergic to bovine collagen, your skincare professional will probably administer a test before proceeding with this treatment. Zyderm and Zyplast are two brand-name bovine collagen products.

    Other products, such as CosmoPlast and CosmoDerm, have human collagen produced in a lab. These may be less likely to cause an allergic response.

    Fat Transplants

    Nope, it’s not science fiction: Patients who undergo liposuction can opt to use their own body fat to fill in facial wrinkles. Because this procedure requires surgical incisions rather than a simple injection, the risks are higher. Patients may experience infections or excessive bleeding, and may get bruises that take weeks to heal. And although results are longer-lasting than with most injectables, there is a chance that the fat may eventually be reabsorbed into the body.

     Ultimately, only a trained dermatologist or other skincare professional can help determine whether dermal fillers are right for you, and which type is best for your needs. Each option comes with potential side effects, so be sure to do your homework and weigh the risks vs. rewards.

    About The Author
    Mia Liefso is a professional medical skin therapist and the owner of Bradford Skin Clinic & Med Spa in Bradford, Ontario.  She has certifications in IPL, VPL, laser and ultrasound technologies, as well as body contouring and medical facial peels. Her professional interests include difficult skin conditions—psoriasis, eczema, and acne—premature aging, skin care for the elderly, endocrinology, and helping people love the skin they’re in. Her diverse personal interests include history, animals, roller derby, travelling and gourmet cooking. 

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  • Breathe Easier With Rhinoplasty

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    What is the most popular type of plastic surgery among teenagers ages 13 – 19? According to the American Society for Plastic Surgeons, it is rhinoplasty or what is commonly referred to as a “nose job.” It is also the third most popular plastic surgery procedure among adults, right after breast augmentation and liposuction.
    Why is rhinoplasty so popular? First, there is the group that undergoes the surgery for cosmetic reasons. You may be displeased with the nose you were born with or dislike the changes as you age. Because your nose is a prominent feature on your face, it may cause you to be self-consciousabout your appearance. After all, who wants to be stuck with a nose they don’t like for 70+ years?
    Then there is the group that has rhinoplasty for medical reasons. Maybe your nose was broken and it is inhibiting your airways and ability to breathe. In this case, a rhinoplasty is performed for functional reasons.

    No matter the reason, rhinoplasty is a surgery that can dramatically change your appearance and make your breathing much easier.

    Rhinoplasty for Cosmetic Reasons

    Rhinoplasty is often referred to by different names – “nose job”, “nose reshaping” or “nose surgery” being the most common. While the shape of your nose is often determined by heredity, it can be enhanced for people who want to change:

    • Nose size, in terms of reduction
    • Nose width at the bridge
    • Nose tips which may be bulbous, drooping or too upturned
    • Nostrils that are wide, large or upturned
    • Nose with a deviated septum

    Here are some facts you should know about nose surgery:

    About The Surgery.You surgeon will first look at the bone and cartilage supporting your nose, making tiny incisions inside the nose that are invisible. Next, depending on what you are trying to achieve, the underlying bone and cartilage is reduced, augmented or rearranged to create a newly contoured nose. For instance, if you don’t like your profile, the surgeon may reduce the size of your bridge. If any portion of the nose seems too small, cartilage or soft tissue grafts can be placed to create better harmony.The tissues are then re-draped over the new frame and the incisions are closed.

    Risks.As with any surgery, there are risks involved. The difference between a good plastic surgeon and a great, experienced plastic surgeon is how he/she handles any complications. Risks may include: small surface vessels in the nose rupturing, nose bleeds, poor wound healing, bleeding, numbness in the nose, and pain.

    Surgery Times.Rhinoplasty can be performed under local or general anesthesia. Depending on the circumstances, it may be done as an outpatient procedure or may require an overnight stay. The procedure usually takes 1 to 2 hours.

    Recovery Times.When you wake up from surgery a splint, packingor tubes may be placed inside your nose (to reduce the swelling) and bandages or a splint will be placed outside of your nose for protection and stability. You may have slight difficulty breathing for the first few days after the surgery. This is due to intranasal swelling and once the swelling subsides, your breathing will improve. You may also experience swelling or bruising around the eyes which will go away in 3 – 5 days and can be treated with cold compresses. Keep your head elevated to minimize swelling and do not blow your nose.

    Rhinoplasty for Medical Reasons

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    Then there is another group of people for whom rhinoplasty is a medical necessity, essential for their health.

    Deviated Septum.If you have ever had your nose broken, it is not only painful, it can cause major breathing problems. According to WebMD, the septum separates your two nasal passages, supports the nose and helps to direct air flow. It has two main components: bone in the front and cartilage in the back. If the bone or cartilage is not straight, it makes it harder to breathe and easier to snore or have sleep apnea. Plastic surgery to repair a deviated septum is called Septoplasty. When a plastic surgeon is performing a septoplasty, he may also remove any nasal polyps which can obstruct breathing.

    Chronic sinusitis.If your nose drips all year long or you have year-round allergies,you may have a condition called chronic sinusitis. Their nasal airways could be blocked, causing congestion, chronic facial pain, headaches and more. If a prolonged course of antibiotics, nasal steroids, and other treatments do not work, a rhinoplasty to correct nasal obstructions is often recommended.

    Does Insurance Pay For Medical Rhinoplasty?

    When a rhinoplasty is performed for cosmetic reasons, health insurance does not pay. However, depending on your type of insurance, most health insurance companies will pay for a medically necessitated rhinoplasty, particularly if you are having breathing difficulties.

    What Should a Patient Look For In A Plastic Surgeon?

    Whether you’re having rhinoplasty for cosmetic or medical reasons, remember that not all plastic surgeons are created equal. In fact, many do not perform a rhinoplasty because of the complexity of the procedure. Dr. Jeffrey Marcus, an assistant professor of surgery and fellow of the American College of Surgeons and American Academy of Pediatrics was recently interviewed by Duke.org, about the risks and benefits of a rhinoplasty. He commented: “rhinoplasty is among one the most challenging procedures to perform. In fact, many plastic surgeons choose not to perform rhinoplasty. Therefore, relative to other procedures, a smaller number of surgeons perform a large proportion of rhinoplasties.”

    It is imperative that the surgery be performed in an accredited medical facility, whether you’re looking for cosmetic or functional rhinoplasty.It’s also essential to ask your plastic surgeon questions about your nose procedure. It’s normal to feel apprehensive, whether it’s excitement for your anticipated new look or anxiety about the surgery itself. Don’t be shy about discussing these feelings with your plastic surgeon. The more candid you are about your medical history, lifestyle and health, the better your outcome will be.

    Rhinoplasty is a permanent procedure; however, your nose’s appearance may change as you age. A nose may be one of the most important features on your face. An appropriate nose balances and harmonizes all the other features on your face. There is no doubt that a nose job can dramatically change your facial appearance and self-confidence or open up your airways. In the rare event that you do not like your nose, revisional surgery may be needed.

    About The Author
    Dr. Justin Yovino of Ideal Face and Body is a Beverly Hills plastic surgeon specializing in the most advanced surgical techniques in the field, including aesthetic, reconstructive, and hand surgery. He is board-certified by the American Board of Surgery, a fellow of the American College of Surgeons, and a Certified Diplomate of the American Board of Plastic Surgery. Dr. Yovino has been published in respected peer-reviewed plastic surgery journals, has presented his clinical work at plastic surgery meetings, and is an expert plastic surgery contributor for realself.com.

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