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Some Common Misconceptions About Botox.

Shooting up hyaluronic acid in female's cheekBeauty Expert Donna Fay breaks down some common misconceptions about Botox.

 

Botox Is Not Safe

This is the most common myth about Botox. The fact is that the FDA approved Botox and the administration of it by a professional back in 2002. Approved for its use of wrinkles, crow’s feet, frown lines, and its use to treat medical conditions. The FDA has continued to keep a close eye on the use of Botox, and has given it a stamp of approval for many years. Botox is, indeed, safe.

 

Cosmetic procedures such as Botox are becoming increasingly popular among men

This is a fact. More and more men are seeking cosmetic surgery. According to a 2005 survey the top five most popular procedures among men are Botox, hair transplantation/restoration, laser hair removal, microdermabrasion, and liposuction, in that particular order. There is a continuing rise of men getting procedures like this, and a recent Consumer Survey conducted shows that 12% of men plan to have cosmetic surgery at some point in the future.

 

Botox is Made From Food Poisoning

This is also a myth. It’s a common misconception given the derivative of the product. Botox is made from a purified protein that’s from the toxin Botulism. This is completely purified and safe for the body.

 

Botox can cause droopy eyelids

This is a myth. If your treatment is administered properly, the risk of suffering from droopy eyelids is quite low. In fact, it’s lower than 2%. With any potential side effect, the condition is temporary and should correct itself within the first few weeks.

 

Botox will leave you expressionless by freezing your facial muscles

This is a myth. Too much Botox will cause you to lose control of the muscles in your face. That is why there needs to be a balance between the facial muscles. This balance is maintained by injecting small doses into specific muscles. This will cause a natural softening of unwanted lines and wrinkles without compromising your facial expressions.

 

A cosmetic surgeon developed Botox.

This is actually a fact. A cosmetic surgeon developed Botox, and in this case it was an ophthalmologist.

 

For more information on Botox, click here.

 

What is a Non-Surgical Facelift?

03Your face often is the first to tell your story. It shows if your life has been one of happiness or sadness, stress or relaxation. It tells how old you are, if you’ve spent your time outdoors or indoors and a slew of other stories about your life. While we all agree that telling our stories can be enjoyable, not all of us want it written all over our faces.

As you age, you may notice these changes to your face that you’d rather not have:

  • Fat loss in the face

Body fat is the substance that gives your face a youthful appearance. Adults that have lost facial volume will have a hollow appearance under the eyes, on the cheeks and through the lips. This will make you look much older than you are — or want to — look.

  • Facial sun damage

Repeated exposure to sun over the years causes less elasticity in the skin fibers. Fine wrinkles often appear as you age, and your skin is often referred to as leathery. If you’ve spent a lot of time in the sun, went tanning a lot when you were younger, or just forgot to wear your sunscreen, you may begin noticing this unsightly change to your skin’s appearance.

  • Extra hanging skin

The loss of elasticity due to less collagen production in the aging body often affects your eyebrows and neck. It can also cause the phenomenon commonly referred to as jowls along the jawline.

Although you may wish to ease these effects of aging, you may also be reluctant to go through surgery. Fortunately, there are newer technologies available which provide a facelift while eliminating the need for surgery.

Fat Injections and Fillers
Though you may have joked about it, a fat transplant really is possible! Plastic surgeons are able to inject fat from your abodomen below the facial skin and plump up the areas that have become hollowed out. However, with all the fabulous new facial fillers we now have, Dr. Pearlman is finding less and less of a need for fat transfer. Why not take something off the shelf that lasts close to a year instead of an invasive fat transfer that requires time off and healing?

A liquid facelift product called Sculptra is also used as an injection to fill in sagging areas. It helps the body create its own collagen with no scarring or negative lasting effects.

Although not technically a filler, Botox relaxes facial muscles. It is best if you have fine wrinkle lines such as those caused by sun damage.

Facial Rejuvenation
The popular product available to stimulate your own body’s collagen production is Thermage. This is a helpful procedure if you have lost elasticity in the face. It applies heat therapy, and the procedure typically only takes an hour. The results are very minor. 

Laser Skin Tightening
The use of lasers has proven successful in everything from correcting vision to removing offending gallbladders. It can also be used for general skin tightening. This is the alternative to the traditional facelift which required cutting and anesthesia and often produced scarring. Again, this is skin tightening and can work great for your skin but won’t lift jowls or saggy neck skin.

Ulthera

Ultherapy is the only non-invasive FDA approved treatment that can specifically target the deep foundation below the skin that is addressed in cosmetic surgery without cutting or disrupting the surface of the skin. It is also the only procedure to use ultrasound imaging, which allows us to actually see the layers of tissue we target during treatment and ensure the energy is deposited precisely to where it will be most effective. Generally patients see about  30% to 50% of the result of a surgical facelift for a quarter of the price.

 Improving your appearance as you age has never been easier.  Remember, in truth there is no such thing as a “non-surgical facelift.” However, marked improvements can be made in skin color, texture, wrinkles and volume loss. Plastic surgery may be just the option for you, except there might not be a need for a scalpel, should you choose to avoid that route.

 

Copyright 2013. As licensed to Pearlman Aesthetic Surgery. All rights reserved

Cosmetic Treatments and Surgery Increasing in Men and the Alternative to Facelifts.

 Cosmetic facial treatments and surgery increasing in men according to the official AAFPRS stats. I have found the same in my practice. More men are looking to look refreshed.

The face ages in five ways, there are skin changes, dynamic lines,loss of facial volume, loss of elasticity, and the effects of gravity. So when treating these signs you needed to address the specific issue. Improving dynamic lines by using Botox. We treat the skin with lasers and skincare products. We restore facial volume with a procedure we call “Wow cheeks”. However the procedure isn’t fully effective because the real issue is loss of facial volume as well as cheek volume. So fillers will help with cheek volume but it’s not going to lift the tissue. What you really need to do is restore and re-suspend the tissue.

So what do we have that can do this? A Facelift, which re-suspends the tissue by tightening the muscle and lay the skin down gently. Until recently we’ve had no other alternative for this procedure. That is until Ultherapy, the first FDA approved non-surgical face and neck tightening procedure that uses high frequency ultrasonic technology that penetrates all 4 1/2 MM of facial tissue. This restores the jaw lines, the neck, the jowls, and even the brow line.

These are the exact layers I would treat while doing a facelift, without having to preform surgery. Patients will get anywhere from 30% to 50% of the effect you would when getting a facelift. But there are no incisions  it’s a quater of the cost, minimal bruising if any, little down time, and patients can return to work the next day.

Ultherapy is an amazing alternative for either men or women who are considering plastic surgery but either cannot afford the full price or cannot afford being away from work for more than a day.

I talk more about Ultherapy in this Youtube video which you can watch by clicking here or the image above.

Do I need fillers, facelift or facial implants?

04Have you ever wished you could enhance certain parts of your face without surgery?

The good news is that you have multiple options.  If you are not quite ready for a facelift or facial implants; a less invasive procedure might be a good start.

Facial Fillers
Fullness in the cheeks is a highly desired feature for women of all ages.  Through our body’s natural aging process, we lose volume from our upper cheeks. Injectable fillers such as Juvederm, Restylane, Perlane, Belotero, Radiesse, and Sculptra are effective in immediately restoring that volume, and are becoming increasingly popular due to their minimal downtime, and immediate results.  These procedures are performed as outpatient procedures, right here in our office, to fill out any area of the face that needs a little lift, or plumping up.

Not to be confused with facial fillers; Botox,  Dysport, and Xeomin are different types of FDA-approved botulinum toxins which are used to relax the muscles responsible for ‘active’ wrinkles.  An example of a common ‘active’ wrinkle is what is known as the ’11’ between your eyebrows.  We call this an ‘active’ line because it is caused by over-activity of the underlying muscles that you use to frown.  In contrast, facial fillers are effective in treating ‘static’ lines which are not due to activity of underlying musculature.  An example of ‘static’ lines are the naso-labial folds, which run from the outsides of your nostrils, to the corners of your mouth.

When you visit our office we can show you examples of amazing results of restoring youthfulness without the need for a facelift or implants.  The combination of toxins and fillers can shave years off of your appearance both quickly, and inexpensively.

The effects of facial fillers varies by the type of filler used.  Some have a duration of just a few months, while other ‘long lasting’ fillers may last up to two years.  Some of these fillers have even been reported to stimulate new collagen growth; such as Radiesse and Sculptra.  This stimulation of collagen rebuilds the face’s natural support structure, and creates longer lasting effects. The wonderful thing about these products that carry what we call a ‘bio-stimulatory effect’ is that they recruit the help of your body’s own natural materials to rejuvenate your face.

Facial fillers are not meant to correct sagging skin along the neck, brow or jaw line. These cosmetic issues may require surgical procedures (although only a visit to see us can help you be sure).

Facial Implants
If you are seeking a more long lasting solution to your facial features, facial implants are a popular option.  In contrast to the injectables that we discussed earlier, which plump up the soft tissues of the face; facial implants go right to the source and give support to what you already have. Facial Plastic Surgeons insert these facial implants at the bone level to enhance your natural bone tissue, supporting the soft tissue above. Because of this, the results of facial implants are much more predictable.

One common method for inserting these implants used by Facial Plastic Surgeons is to make small incisions in discreet areas of the mouth, so the implants can slide into place. Although the procedure is long lasting, it is reversible if results are not optimal for you.

Conclusion
When you make the decision between injectable facial fillers and facial implants, it is important to consider the long-term effects of your choice. If you want a long lasting change, facial implants are probably your best choice. However, you may just want a temporary, or more subtle fix.  In this case, the use of facial fillers; with or without botilunum toxins, can produce amazing results.

If you’re considering a cheek or other facial enhancement, please take a look at our WOW Cheeks procedure in this video and call us for a consultation: (212) 380-1541

Teaching Facial Plastic Surgery

Teaching Facial Plastic Surgery in Las Vegas

I just returned from Las Vegas where I was lecturing at the 7th annual Multispeciality Foundation course on Facial Plastic Surgery. The first reaction from friends is, “oh, Vegas must have been a lot of partying and fun.” This course is so comprehensive that I didn’t want to miss anything, so I was inside the lecture halls from 7 AM until after 6 PM every day for 4 days straight. At night were dinner demonstrations and meetings with the various laser, filler (Juvederm, Restylane, Radiesse, Sculptra, Belotero) and neurotoxin (Botox, Dysport) vendors to see what’s the latest and greatest.

I gave four talks at this meeting. Three were on rhinoplasty:

  1. spreader grafts for primary and revision rhinoplasty
  2. What causes nasal obstruction other than a deviated septum
  3. Treatment of the complications of rhinoplasty
  4. Wow cheeksTM How to make nasolabial folds look better than just treating the lines. 

I also moderated a half day session on eyelid rejuvenation, including lectures on blepharoplasty, browlifts, Botox and fillers for the eye area.

This meeting has an amazing cadre of lecturers, equal numbers from each of the “core” disciplines of cosmetic surgery: Plastic Surgery, Facial Plastic Surgery, Oculoplastic Surgery and Dermatologic Surgery. Attendees can really see how different specialists approach facial aging and the varying ways that internationally recognized experts from each discipline treat facial aging.

This meeting was a true testament to the organizing committee and founder Dr. Randy Waldman; a long time friend and facial plastic surgeon (in that order of importance) from Lexington, KY. He ran a similar but smaller meeting in Newport Beach, CA for 17 years before this and is a true meeting genius.

Steven J. Pearlman, MD, FACS

Botox, Facial Peels, Facial Fillers and Shoeshines in NYC

Simple Pick-me-ups

This morning as I was sitting getting a shoeshine I thought about simple things that make us happy. I was introduced to shoeshines by my fellowship mentor, Dr. William Friedman. He taught me more than surgery and how to treat patients, he also taught style. Out of the blue when he wanted to take a short walk and get a quick “boost,” he would say “let’s go get a shine.” This actually works! So I continued the same tradition with my former junior partner (when I was with a big group), Dr. Eric Cohen. He still talks about it. 

Since my move to Park Avenue over 10 years ago, I now go to Jim’s on east 59th St. They have 6 chairs and yet always manage to have a short line. 

I figure this is akin to my wife going out to get a mani-pedi, a facial or a new outfit. Amazing what a little thing can do for your spirits. I find that my patients feel the same way after getting a refreshing Probiotic Peel, a little Botox or fillers (Juvederm and Restylane). The peel is performed by Christine Ross, our extraordinary cosmetic surgery nurse; a new peel that doesn’t actually peel but leaves your skin glowing.

 A number of patients come in with friends and some mother-daughter teams for quick Botox, maybe some Juvederm or Restylane for the cheeks or lips and then off to lunch in the city. Steven Pearlman, MD, FACS

So, for a quick pick-me-up try a Probiotic facial peel, Botox or even a shoeshine.

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