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These days, it’s all about bold, beautiful brows. If your brows don’t portray strong, youthful confidence, you might need more than microblading. Forehead wrinkles and brow sagging eventually happen to everyone, but when it’s time to revitalize your look, is BOTOX® Cosmetic or brow lift surgery the better choice? These two brow treatments are quite different, and ultimately the best one for you will depend on what you’re looking for.
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Botox® has long been synonymous with wrinkle reduction—and for good reason! Botox safely and effectively treats crow’s feet (the pesky lines extending from the outer corner of your eyes), frown lines (formed in between the eyebrows), and forehead furrows. A patient favorite at Mouchantat Plastic Surgery, many patients wonder: what do wrinkles have to do with Botox?
The unique properties of skin with darker pigmentation give it special requirements and risk factors when using dermal fillers, which are best handled by someone with experience in this area.The growth in this demographic has led to increased dermal filler
and Botox injections for these men and women as well, according to a recent story
in Skin & Allergy News.
More Men and Women With Darker Skin Choosing Cosmetic Procedures
According to Dr. Valerie Callender, a dermatologist at Howard University, “Your typical skin of color patient is 45 years old, has some volume loss, some infraorbital hollowing, and is definitely concerned about laugh lines.”Patients with darker skin pigmentation are at an increased risk of forming keloids, a type of scarring that may be caused by injections but is rare in those with lighter skin. Dr. Callender says that, “The No. 1 tip is to minimize the number of injections to minimize the risk of postinflammatory hyperpigmentation. If there is erythema, apply a topical corticosteroid.”One advantage for those with darker pigmentation is that an increased amount of skin pigmentation tends to have a protective benefit against UV aging, helping darker skin to look 10 or even 20 years younger than comparable lighter skin.The unique characteristics of the various types of skin have not been studied conclusively with regards to specific cosmetic treatments such as Botox
, dermal fillers and other skin treatments
. Dr. Callender noted that more trials are needed in the future to determine short and long-term effects of the many available treatments on patients with darker skin.
Photo by DioBurto on Flickr
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More young men and women are now choosing to have Botox Cosmetic injections, as recent research has shown that they may prevent wrinkles as well as treat them.Recently documented in a press release
from World News Report,
younger patients are showing increased interest in a wide range of plastic surgery procedures, including Botox
and dermal filler
injections, breast augmentations
, nose jobs and eyelid surgeries.
Younger Patients Looking for Anti-Aging and Facial Contouring Procedures
According to Dr. Stella, a cosmetic surgeon quoted in the press release, “BOTOX is not just a wrinkle reducer; it can also act as a wrinkle deterrent. Studies have shown that applying BOTOX to the fine lines that are precursors to deeper wrinkles can prevent those deeper wrinkles from occurring later, in the patient’s 30s and beyond. People in their 20s and early 30s who have begun to show facial aging can benefit in the long term from BOTOX.”In addition to the growth seen in Botox treatments for young patients, this popular procedure is skyrocketing in popularity with patients of all demographics. According to the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) statistics, Botox injections are have been the leading non-surgical cosmetic procedure for patients under 35 in recent years.In terms of surgical procedures, the most popular plastic surgery procedures for patients under 35 have been rhinoplasties, also known as nose jobs. This is a particularly popular type of procedure for patients of all ages, as nose surgeries can address a wide range of issues that are not necessarily related to aging. In many cases, a nose job can help to provide a more naturally balanced overall appearance to the face, helping to accent the natural beauty of other areas, such as the eyes, smile or hair.Photo by liber on Flickr.
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The uses for fat grafting injections are becoming more widespread and more firmly established. The recent release of a new technique for this procedure has only increased the popularity of fat transfer, with its uses in both facial and body procedures.This new system of classification was published in the journal of the American Society of Plastic Surgeons
under Plastic and Reconstructive Surgery. A press release
regarding the new technique was recently issued by PRWeb
. This will prove to be important for many types of plastic surgery involving aspects of this process, including liposuction
, breast augmentation
, buttock lifts, and other body contouring procedures.
Fat Grafting Techniques Improved for All Types of Plastic Surgery
According to Dr. Rod Rohrich, the creator of this classification system: “Not all fat grafting is the same. It is a complex procedure with definable subtypes. The new classification system is a good example of using evidence-based medicine to make efficacious decisions that benefit patients. Fat grafting is here to stay, but we are in the process of defining how to use it. The possibilities are very exciting—including the use of a person’s own stem cells within the fat cells to support the regeneration of fat.”The new classification system focuses on four key aspects of any fat transfer process that must be handled properly for a successful result. These include proper methods for harvesting the donor fat, processing the fat cells, transplanting the processed fat and managing the chosen recipient site.Fat transfer injections are often used for body contouring procedures, but can also be used as facial fillers
, to provide youthfulness and balance to the face. Part of the future of these procedures lies in harvesting the rejuvenative potential of the stem cells found naturally in fat. Research may someday lead to dramatic benefits from these cells, as their secrets are unlocked and used in a wide range of cosmetic procedures.Photo by gareth1953 Need a By Pass on Flickr.
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Wrinkles, brown spots, and veins are common signs of aging in the hands, but correcting these lines and blemishes presents significant challenges to plastic surgeons. Hands are marvellous structures with numerous bones, tendons, muscles, and joints, which all need to work together. However, as a recent article
in the New York Times
points out, it seems that new techniques for hand rejuvenation are being developed.
The Challenges of Hand Rejuvenation
“The hands are a hot new area. Now that we have the face so well treated, we’re looking at the hands, neck and décolleté.”
– Dr. Neil S. Sadick
There are several challenges that prevent hand rejuvenation surgery
from being a viable option. According to New York dermatologist
Dr. Neil S. Sadick, the removal of skin on the hands would result in significant scarring and poor healing. The hand, with its many moving parts, presents too many dangers of complications.
“You’d have to literally take a scissors and separate the tissue, and you might interfere with some of the tendons.”
– Dr. John F. Farella
is another common method of resolving wrinkles in the face, but is poorly suited for use in the hands. Since it works by inhibiting targeted muscles and allowing other muscles to stretch, it is highly effective for facial wrinkles, but would limit the function of the hand.
Non-Surgical Hand Rejuvenation Methods
Other techniques have emerged as possible approaches to the problem of hand rejuvenation. Some surgeons use fat grafting and laser treatments to increase volume and remove blemishes. Other surgeons, such as Dr. Keith Marcus, have begun advertising a “hand lift.” By using dermal fillers
, a plastic surgeon can rejuvenate the hands by adding volume and reducing the appearance of lines and wrinkles. The effects of this technique last about a year and can be renewed with further treatments.
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The FDA has approved a new hyaluronic acid dermal filler produced by Merz Aesthetics, according to empr.com
.The new hyaluronic acid dermal filler
, which is called Belotero Balance, has been approved to treat moderate to severe facial wrinkles and folds. This includes nasolabial folds, the lines that run from your nose to the edges of your mouth.Belotero Balance joins Merz Aesthetics family of non-surgical injectables, including Radiesse. Radiesse is a popular filler comprised of calcium-based microspheres in a water gel that works to restore lost volume in the face. Though its uses are similar to Belotero Balance, the new hyaluronic acid dermal filler works differently.Like similar hyaluronic acid dermal fillers
, Restylane and Juvederm, Belotero Balance works to restore lost volume to your skin by increasing its hydration. Hyaluronic acid is a naturally occurring hydrating component in your skin and these dermal fillers work to mimic it. When injected into the skin beneath the site of a wrinkle, a hyaluronic acid dermal filler provides a sort of scaffolding for depressed areas of skin, supporting them and improving the appearance of youth on the face.To test the effectiveness of Belotero Balance, it was compared in a split-face study with a collagen-based filler. Using a scale that rates wrinkle severity, Belotero Balance was shown to provide a greater reduction in the appearance of nasolabial folds over 24 weeks. In fact, at the six-month mark, Belotero Balance still showed a greater correction of the wrinkles than its counterpart.To learn more about your hyaluronic acid dermal filler
options in Denver, please email
plastic surgeon Dr. Mouchantat.
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UK plastic surgeons are worried that a new tax on plastic surgery could have a negative impact, according to WebMD
.Currently in the UK, a plastic surgery tax only exists on non-surgical treatments like Botox
and laser treatments, a fact that plastic surgeons take no issue with. (In the UK, a VAT tax or “Value Added Tax” is somewhat similar to sales tax in the US in that consumers must pay it on top of the price for a good or elective service.)Lawmakers in the UK, though, may soon examining whether a plastic surgery tax should apply to elective cosmetic surgeries, like breast augmentation
. In the US, patients already pay sales tax on elective plastic surgeries, but not medically-necessary procedures, which are often billed through insurance.Some plastic surgeons in the UK are beginning to speak out against a possible review in the application of VAT, which may cause patients to have to pay a plastic surgery tax when they previously did not need to.Current laws regarding VAT tax stipulate that procedures are tax exempt when the “protection, maintenance or restoration” of health is the main goal. A handful of plastic surgeons argue that changing any of these tax laws could put many patient’s surgical desires in a gray area.Former president of the British Association of Aesthetic Plastic Surgeons Dr. Douglas McGeorge says the common image of plastic surgery is mega-celebrities casually undergoing elective procedures. Rather, he argues, it is members of the general public who choose plastic surgery to improve small aspects of themselves for a positive result.McGeorge uses the image of an older worker undergoing facial rejuvenation
to help make themselves more competitive in the workplace. He sees the difficulty in distinguishing between what is a functional improvement and what is purely cosmetic.In response to the worry of some plastic surgeons regarding a new plastic surgery tax, the UK government says they currently have no plans to revise the VAT for cosmetic surgeries.“Medical treatment for purely aesthetic reasons has been, and continues to be, liable to VAT at the standard rate,” it said in a statement.To learn more about options for financing your plastic surgery in Denver, please contact
plastic surgeon Dr. Mouchantat.
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(229/365) Daily injection by Sarah G..., on Flickr
Wrinkle-smoothing results have been found in early research on topical Botox
, according to HealthDay News
.While patients who currently want the wrinkle smoothing effects of Botox must undergo the traditional injectable treatment, researchers are hoping to make progress in developing topical Botox
. This would be a boon for patients who are needle-averse.The injectable Botox, containing a form of botulinum toxin, works when it is injected into the muscle beneath a wrinkle. After injection, it limits contraction of the muscle and over a period of several days, the wrinkle begins to smooth out. The topical Botox in development contains many of the same components, but instead may be applied to crow’s feet, for example. After sitting on the skin for about half an hour, it is then wiped off.Early results for this simple procedure have been quite good. According to researchers, nearly 90% of patients tested experienced a “clinically meaningful” reduction in wrinkles. Another study saw 40% of patients experiencing a favorable reduction in wrinkles, illustrating how the drug is still in development.And it is just that—a drug. Rather than a cream that may be applied at home by patients, the topical Botox gel would need to be administered in a plastic surgeon’s office.Though the results of this research are strictly preliminary, they may shed a little light on future wrinkle treatments and may alleviate the apprehension of the needle-averse.To find out more about non-surgical wrinkle reduction
, we encourage you to join the mailing list of Denver plastic surgeon
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Depending on many factors, most important among them your skin type, you might age differently than a friend the same age. This aging can appear in various ways. So, the question remains, what makes people look older
?A recent New York Times
article delved into this question and distilled how people of differing skin types and colors show age in different ways.For plastic surgeons, what makes people look older can be grouped into a “holy trinity” of changes. These include wrinkles and age spots, a general loss of volume and an overall sagginess of the skin.Generally speaking, those with darker skin tones aged more slowly. As dark skin has more pigment in it, it is better protected against the aging effects of the sun. Dark skin also tends to be oilier and thicker, making it more resistant to the signs of aging. Additionally, round faces, as many people with dark skin may have, show the signs of aging more slowly that those with thinner faces as more youthful volume is preserved.Another cause of what makes people look older is how, over time, the skin has lost volume and begins to droop. This leads to bagginess around the eyes and the appearance of jowls, among other issues. To correct loose skin around the eyes, eyelid surgery
can be performed, while a facelift
can diminish jowls in the lower face.Excessive frowning and other extreme facial expressions can add to what makes people look older, as well. These actions can cause lines to form in areas of the face like the brows and nasolabial folds, but both can be easily corrected. For forehead lines, Botox
limits the movement of the muscle, causing the wrinkle to smooth out. In the case of laugh lines, injectable fillers
can diminish their appearance, restoring a more youthful smoothness.To learn more about combating the common signs of aging, we encourage you to contact Denver plastic surgeon
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