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Botox

When injecting Botox, you can not inject everyone the same way.  Muscles vary in location from one person to the next.  Having a trained injector who has a great deal of knowledge about the facial muscles will make your Botox come out much better.  When doing an assessment of a person’s facial muscles it is best to have them make different facial expressions to evaluate the muscles. When going to a new place, it is important to know what you want and what you don’t want.  Many places work on commission and will try and up sell you on more Botox than you may even need.  The problem is, when you have too much Botox it can cause the forehead to get very heavy and make the eyelids droopy.  If you don’t get enough injected you will still have a lot of movement and the lines will never go away.  The other problem with treating sub-therapeutically, or placing too small of an amount is that it will not last very long. Typically for the forehead I find the sweet spot to be 30 units of Botox or 60 units of Dysport.  Around the eyes can be a tricky place to inject because it is the highest rate of bruising associated with this area.  Blood vessels are very difficult to see around the eyes and it is a very tender area.  If you place too much Botox around the eyes it will effect the way you smile.

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Botox

Botox is a great way to help reduce and eliminate wrinkles and fine lines.  I typically recommend starting Botox when you start to see fine lines in the forehead or around the eyes.  When adding Botox into your routine of anti-aging the benefits will pay off greatly down the road.  Many people ask what a good age to begin Botox?  Unfortunately there is no right answer since everyone has different types of muscle strengths.  I have had clients as young as 20 begin Botox, and other women starting at the age of 45.  When getting Botox for “preventative” measures, I generally let people know they need a smaller amount and not as frequent.  The best idea is to have a consult to determine whether Botox is right for you. Dangers of Botox… When injected incorrectly, Botox can cause a “Droopy eye” or when injected inside the orbital rim it can migrate into the muscles that move the eye causing a lazy eye.  I have personally injected hundreds of thousands of Botox units and have never had any serious problems.  The good thing is that Botox is not permanent and will wear off in 3-6 months.  I always encourage people to do their research before undergoing any type of cosmetic procedure.  There are plenty of good injectors, but finding the one you like can take time, so be patient and do your homework.

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Fibroblast Skin Tightening

Fibroblast skin tightening has become a hot new trend in 2018 for achieving permanent, long lasting results.  Fibroblast has been very popular in Europe and Canada, and now made its way into the US.  Fibroblast creates small currents of plasma energy to burn off a small portion of the skin, causing a reaction that tightens the skin.  The plasma energy stimulates the small fibroblast cells to produce more collagen and tighten up the skin. During the procedure, you are first numbed with a topical numbing cream to decrease the amount of pain.   Depending on the size of the area being treated, the procedure may take 20-30 minutes.   We generally suggest to split up big areas to allow swelling to resolve.  Areas you can treat would include upper eye lid, lower eyelid, face, labia, stomach, stretch marks, jowls, and much more. The downtime is about 5-7 days where you will have small dots from the device creating small burn marks.  These spots will scab up and flake off in about a week.  We recommend not picking at them or scratching them off since this may cause scars or hyperpigmentation. This is a fantastic new procedure that offers long lasting results.

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Lip Injections

Lip injections are defiantly an art.  Before getting your lips done, always look for pictures of what you like.  By showing photos to the injector, this will help them get a better idea of what they need to do.  Before lip injections, it is good to know if you have a tendency to get cold sores.  If you are prone to getting cold sores, I would highly recommend starting on an antiviral such as Valtrex the day before and day of the procedure. Do you research as far as what type of product they like to use for lip injections.  I prefer to use Juvederm Ultra XC, because of its longevity.  Other fillers such as Restylane, Volbella, Vallure, Bellotero are a total waste of time and money.  The reason I say this is due to the fact that the molecules in these fillers are very small and break down quickly.  Many inexperienced injectors like these fillers because they are easily correctable when they make a mistake. Always research and look at their before & after photos of lip injections that they have done.  Believe it or not, some places do a very poor quality of lip injections and actually steal pictures from other medspas and take credit for the work.  I hope this blog helped inform you about the decision to get your lips filled.  We perform thousands of lip injections and create some of the best lips.

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PDO Facial Threading

PDO facial threading has become a very popular procedure recently.  This procedure has actually been around for over 10 years, but has again gained traction in aesthetics.  Many years ago the “Threads” were made of a material that did not dissolve.  The new threads are now made of a material called Polydioxanone which dissolves over a period of time.  There are many different types of threads, which all depend on what area of the body you are working on. The results all depend on the providers experience and training.  Many providers try and use 3 or 4 threads to lift sagging skin.  When I perform a “thread lift” i generally do not like to limit myself on how many threads I use.  I always explain to people that the more threads I use, the better the weight is distributed and not relying on a few threads to hold everything up.  This is one of my favorite procedures because I get such great results.

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Botox

What to know before getting your first Botox treatment.  First, it is important to know if you have any muscular issues such as myasthenia gravis or bell’s palsy.  Many times when someone is getting Botox for the first time I recommend being a bit conservative.  With Botox, you can always put more in, but you can’t take it out.  By being a little more conservative it will possibly keep you from having any complications.  The dose of Botox needs to be enough to achieve results, but too much may cause complete lack of movement or possibly a droopy eye.  Typically it is not recommended to have Botox when you are pregnant or breast feeding.  Although Botox does not have systemic effects, I always recommend to be safe, rather than sorry. Is bruising common?  The face have many blood vessels and the chances of bruising is always present.  The most common place for bruising to occur is around the eyes.  The bruising has no effect on the results of the Botox.  Above all else, I always recommend doing your research and you get what you pay for.

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Bellafill

Bellafill is a great filler that will last for 10 years!!  For many people are tired of getting juvederm injections every year, here is a new option…Bellafill.  Bellafill is used in the same manner as a traditional dermal filler to help plump up areas and get rid of deep lines.  Bellafill is also great for filling in acne scars as well.  Bellafill is a collagen based product that also has small spheres to plump up and create new collagen. Belafill is great for areas such as the nasolabial lines (laugh lines), marionette lines, and cheeks.  Bellafill should never be used under the eyes or in the lips.  This filler will end up lasting longer than anything else on the market and save you money in the long run.  Over a period of 10 years, traditional juvederm fillers will cost you $2500-5000, whereas Bellafill will cost you around $1000.

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Botox

Botox is a great medication to use to prevent wrinkles from forming or to help reverse the signs of aging.  When I see a client for the first time for Botox, I generally like to start off on the more conservative end of treatment.  I always stress that you can add more, but you can never take it out.  Botox will typically last you 3-4 months.  When doing Botox for preventative actions, I suggest having injections every 6-12 months.  For women who want to turn back time, every 3-4 months is going to be a good amount of time.  If Botox is not lasting at least 3 months, the person injecting it may be using a small amount or have poor technique.  Sometimes Botox can be over diluted (watered down) which will require more units to effectively work and will end up costing you more money.

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nonsurgical “mini face lift” with PDO facial threading

There has been going popularity for nonsurgical procedures to help people look their best.  Noninvasive procedures offer little to no downtime, less complications and little risk of complications or infections. PDO facial threading uses small surgical sutures to help lift sagging jowls and give you a younger more youthful appearance.   The threads I typically like to use are a large barbed suture, that will give maximum results and last the longest.  Threads will generally last about 1 1/2 years to 2 years when the large threads are used. The PDO thread is placed under the skin through a small hole.  The entry point in numbed with a local anesthetic as well as under the skin.  Pain during the procedure is mostly felt while the numbing agent is being injected. Areas that PDO threads can be used on are the knees, elbows, face, breast lift, butt lift and more.  As like any other procedure, the results are only as good as the person performing the procedure.  I believe our results are some of the best possible results out there.

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Laser hair removal

There are many types of different laser hair removal places out there, but which one is the best?  I can honestly tell you that corporate run medical spas will over charge you.  If you are paying $5000 for laser hair on your legs, your getting ripped off.  If you are paying for a Groupon, your probably getting ripped off.  I few tips for getting the most for your money… IPL laser hair removal is a total waste of your time and it will do nothing!  They love to market this type of hair removal as “Painless”.  It is painless because it does not work.  You need to be looking for a newer machine that is no older than 5 years old.  Technology in this industry changes so rapidly that better lasers come out every couple of years.  You also want to have the energy level turned up each time, if you can tolerate the pain since you will get better results.  If you do your laser hair at the same energy level every time it will not do anything.  Shave before your treatment, and do not wax.  When you wax the hair is removed and leave nothing for the laser to detect.  If you wax before laser treatments you will not get results and be wasting your money. I hope these tips help you get the best bang for your buck!!

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