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Tag Archives : facial fillers

JUVÉDERM VOLBELLA® XC, The Newest Lip And Under Eye Filler

JUVÉDERM VOLBELLA® XC is the very newest member of the Juvederm family of facial fillers, and can be used to perfect your pout and help erase under eye circles for longer than previously-used fillers. It is a smooth gel formulation made up of a modified form of Hyaluronic Acid, a naturally-occurring sugar found in the human body. The role of Hyaluronic Acid in the skin is to deliver nutrients and help the skin retain its natural moisture and softness. The JUVÉDERM VOLBELLA® XC gel formulation also contains a small quantity of local anesthetic (lidocaine) that helps minimize discomfort during injection.

How Long Does It Last?

JUVÉDERM VOLBELLA® XC is exciting because it is longer-lasting than other similar fillers previously available such as BELOTERO BALANCE. It lasts for up to a year in the lips (compared with around 5-6 months with previously available fillers) and up to 2 years under the eye (compared with around 1 year for previously available under eye fillers). The longer duration is due to the patented VYCROSS® technology that blends different molecular weights of hyaluronic acid.

JUVÉDERM VOLBELLA® XC For Lips

The decision to augment the lips is usually one that is easily made by my patients. Either they want fuller lips, or poutier lips, or they don’t. It’s more difficult for people to determine on their own if their dark circles would benefit from JUVÉDERM VOLBELLA® XC injection.

JUVÉDERM VOLBELLA® XC For The Under Eye Area

When it comes to filling under the eyes, the best candidate for injection is someone who’s under eye darkness is the result of “hills and valleys” under the eye. The “valleys” are hollow, sunken spots that, when they’re beside normal, plump areas (“hills”), create shadowing—and the perception of dark circles. To help determine if your circles are shadow-related, sit down in a room with overhead lighting. Take a mirror and first look straight into it while seated and holding the mirror at eye level. Say hello to your circles. Next, lay back a bit, and let the overhead light hit you directly on the face while looking into the mirror, so that all under eye shadows are eliminated. If the darkness under your eyes disappears, it’s shadowing that’s causing the circles, and JUVÉDERM VOLBELLA® XC may be a good option for you. If the darkness remains, the problem is probably excess pigmentation in the skin, something filler will not address.

So, say goodbye to your under eye circles with your newly-plumped pout just in time for New years! Yes, please!

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Bridal Skin Boot Camp: Fresh and Flawless Wedding Day Skin

Getting married this spring or summer? Believe it or not, NOW is the time to start thinking about your skin. This will likely be the most photographed and filmed day of your life, with lots of close-ups.  If you’re wondering how to get that effortless, fresh-scrubbed look that will carry you through your honeymoon, I’m about to tell you: It takes effort!

Make a Plan

Since you’re working up to your wedding day, and you may have photo shoots or events leading up to the big day, in my opinion, it’s best to have a series of less aggressive treatments that require little or no downtime rather than harsh ones (like deep chemical or deep laser peels) that require significant healing time, and may cause pigment irregularities, or excessive dryness or redness during the healing period. The cost is comparable, and this type of “stacked” plan is less risky, allowing you to achieve the same, or superior results, gradually by stacking the right treatments at the appropriate intervals.

 Start Early

Starting your skin boot camp 3-6 months prior to your wedding also gives you plenty of time to see how your skin reacts to each treatment so that the intensity can be either ramped up or down to produce maximally effective, and perfectly predictable, results for you on your wedding day.  The three basic steps are:

 

  • Target the imperfections beneath the skin: banish brown spots and shrink capillaries with medical IPL (intense pulsed light) treatments that use special filters to erase imperfections below the surface of the skin. Adding a SkinTyte treatment at the end of each session is helpful for those prone to acne, and for shrinking pores. These sessions should be spaced about a month apart.
  • Replace dry, damaged skin cells at the skin surface: Encourage cell turnover on the surface of the skin, and allow your face to make brand new, perfect, skin on its surface with a series of treatments (options include superficial laser peels, topical ViPeel treatments, or MyBody Probiotic Youthboost treatments, depending upon your skin and your particular concerns). We can discuss which of these treatments is right for you, your schedule, and your skin, during consultation. These sessions should also be about a month apart, and staggered with the IPL treatments.
  • Maximize and maintain your results: Perfect skin care and eye care products between treatments are essential. Starting 3-6 months before your wedding means that you have some time to get the absolutely best product regimen in place for your skin, so that you will have predictably gorgeous skin from now until go time. And sunscreen is a MUST. ALWAYS.

On a side note, if you’re thinking about Botox or facial fillers, like Juvederm, Juvederm Voluma, or Belotero, before your big day, definitely do not wait until the last minute.  I recommend these treatments between 4 and 5 weeks before the wedding.

Bridal Skin Boot Camp Regimen

Here’s a sample Bridal Skin Boot camp regimen for a May 30 Wedding for someone with absolutely no downtime for healing between treatments:

  • February 21: First IPL treatment with SkinTyte
  • March 14: First Probiotic Youthboost treatment
  • April 4: 2nd IPL treatment with SkinTyte
  • April 18: 2nd Probiotic Youthboost treatment
  • May 2: Final IPL treatment with SkinTyte
  • May 16: final Probiotic Youthboost treatment
  • May 30: Wedding Day!

To schedule an appointment with Dr. Liotta, please visit: www.FacialPlasticsNYC.com or call 212-288-2222.

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Facial Plastic Surgery Trends and Predictions for 2015

Believe it or not, facial plastic surgery, like fashion, is subject to trends. What’s “hot” changes constantly, and who wants which procedure changes as well. Over the past few months, it seems that demand for liquid surgery (without the knife) has increased, and men are beginning to turn up for tweaking more frequently. There are also some exciting new products waiting for the FDA nod in 2015. Here’s what I have on my radar for the year to come.

Liquid Courage

Basically, anything non-surgical, or “liquid” is exploding in popularity in my office. The two most common, non-surgical “liquid” procedures I’ve seen a major increase in are Liquid Rhinoplasty and the Liquid Facelift. At this time last year, I was performing about 1 Liquid Rhinoplasty per month. Now, it’s more like 1 or 2 per week!

In these “liquid” non-surgical procedures, a combination of Botox and various facial fillers are injected to achieve the desired result without a scalpel. In the right candidate, a Liquid Rhinoplasty can even out irregularities along the bridge of the nose, raise the nasal bridge, or camouflage a dorsal hump on the profile view. Similarly, in a Liquid Facelift, a combination of Botox and filler is used to turn back time, rejuvenate the area around the eyes and mouth, erase fine lines and wrinkles, and replace the volume that our faces tend to lose with time. During a liquid procedure, ice is used to numb the skin, and small needles are used to inject filler and/or Botox. Not all nose concerns are amenable to Liquid, non-surgical, Rhinoplasty or Facelift, but if you are among the lucky (or unlucky, depending upon how you look at it), you can skip the pain and recovery of surgery. Results are dramatic and instant, and so is the savings!

Menaissance

Over the past few months, I’ve seen a serious increase in the number of men coming in for cosmetic pick-me-ups, and I expect the trend to continue in 2015. To what do we owe this “BRO-tox Boom?” When I ask, the main reason men report seeking out cosmetic surgery treatments is to appear younger at work. It seems that the combination of increased availability of easy outpatient treatments, wider cultural acceptance of cosmetic procedures, and an increased emphasis on the value of youth in the workforce has fueled a “menaissance” in facial plastic surgery.

The American Society of Plastic Surgeons has reported that the number of men seeking Botox has increased 310 percent since 2000, and I’ve seen a similar increase with many other facial plastic surgery procedures, including facial filler injection, laser treatments, rhinoplasty, and neck liposuction. I would guestimate that three years ago, less than 10% of my patients were men. Presently, I would say that around 30% are.

On the Horizon

Get ready for this: A needleless Botox may receive FDA approval in 2015. There is a new, investigational, formulation of botulinum toxin type A that uses a proprietary peptide technology for delivery across the skin. It’s not your mother’s wrinkle cream, it’s a Botox cream!  The topical treatment will still need to be applied by medical personnel in a doctor’s office, so it’s not a do-it-yourself home treatment. However, it may be useful for people who are afraid of needles, or for large area Botox treatments, such as treatments for excessive underarm perspiration (Yes, you can do that!).

Another cosmetic advancement on the horizon: New fat-melting injections await FDA approval in 2015. Currently in clinical trials, this treatment shrinks fat cells with targeted injections. Once injected, the drug activates receptors within fat cells and triggers the breakdown of triglycerides, causing the cells to lose volume. Translation? Bye bye flab, hello fab. Stay tuned!

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Cosmetic Surgery and the Art of “Less is More”

The best plastic surgery is plastic surgery you can’t see. I often have patients who say, “when I walk down the street I can tell when someone has had filler, or a facelift.” I say that the only plastic surgery you can see is badly-done plastic surgery. Well done Botox, filler, peels, or even surgery should leave you guessing why your neighbor looks so well-rested, or why your college friend has looked the same for the last 15 years. A good rhinoplasty makes you notice your cousin’s beautiful eyes rather than her new nose. A good facelift has you hoping you’ll inherit your aunt’s great skin.

You and Your Plastic Surgeon Should Be a Team

You should feel heard, and you should choose a surgeon whose aesthetic and philosophy of beauty you share. I like to look at my relationship with my patients as a partnership. I am the plastic surgery expert, but you are the expert with regards to your face and your lifestyle. We not only need to work together to optimize results but we also have to trust one another and agree on what is beautiful. My philosophy of beauty is that “less is more.” My goal is to optimize your natural beauty, and to achieve an effortless-appearing, simple and timeless beauty that preserves the face as a fresh, clean palate.

Timeless Beauty

It transcends trends. It’s clean and it’s fresh. So if you want to experiment, do it with your hair, clothes, make-up – even nails. But please don’t experiment with your face! Just like any other aspect of fashion and beauty, trends in facial plastic surgery come and go. Unlike other aspects of fashion and beauty, you can’t shed a surgery like last season’s stilettos. Dramatic “reduction rhinoplasties” of the late 60s and early 70s have made many a pinched ski-slope nose on Madison Avenue. Extreme blepharoplasty (eyelid surgery) in the 70s has left many otherwise gorgeous ladies with hollow-looking eyes as they’ve aged. Plucking the eyebrows down to fine lines in the 80s has left models looking for eyebrow hair transplants now that the trend is for fuller brows (Yes! You can do that!).

Desperately Seeking Surgery

People seek out cosmetic surgery for many reasons, and that motivation is important. I have found that the happiest patients after Botox, filler, peels, or surgery are patients that chose to have a treatment, or surgery for themselves. This is the right motivation. I have no problem telling patients that I don’t think a treatment or surgery is right for them. Just because I’m a plastic surgeon, doesn’t mean that everyone should have surgery. Surgery has its place, and can produce fantastic results, but there are MANY other tools and tricks as well. You can always do more; but once you do too much, you can rarely do less.

Ralph Waldo Emerson said, “Love of beauty is taste, creation of beauty is art”. The perfect partnership between patient and surgeon respects the art of less is more.

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Selfies Drive An Increase In Plastic Surgery

What is a SELFIE?

This word, first used in an Australian internet forum on September 13, 2002, is used to describe an often unflattering photograph, typically taken by the subject either with a camera held at arm’s length or in a mirror, and often shared on social media. It was the Oxford Dictionary’s word of the year in 2013, and was added to Merriam-Webster Collegiate Dictionary’s 11th edition.

Selfies Driving Increased Plastic Surgery

Believe it or not, according to a new study by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), the rise of the selfie is having a huge impact on the facial plastic surgery industry. The study showed that one in three facial plastic surgeons surveyed saw an increase in requests for procedures as a direct result of patients being more self-aware of their appearance in social media selfies. In 2013, more than half of surveyed facial plastic surgeons (58 percent) saw an increase in cosmetic surgery or injectables in those under the age of 30, and this may be due in part to social media.

Is Social Media Making Us More Self-Conscious?

Many social media platforms, including Instagram, GroupMe, Snapchat and the iPhone app Selfie.im, are image-based. Our presence on these platforms forces us to see our own image repeatedly, and to look at our image with a more self-critical eye than ever before. Gone are the days of a morning farewell to ourselves in the mirror and a quick passing glance at our reflection in the Bergdorf Goodman window during the day. We are now forced to gaze at, and compare, our self-selfies and the selfies of others on a constant basis. We are more aware than ever that our photos are often the only first impressions available to prospective friends, colleagues, romantic interests and employers, and we want to put our best selfie-face forward.

In the article “Why Selfies Sometimes Look Weird to Their Subjects”, Nolan Feeney points out how the selfie can be a set up for disappointment.

Our Mirror Image Has Turned On Us

Whether or not a selfie is reversed after being shot is a major factor in how we perceive our photo. If you’ve used multiple mobile apps to take pictures of yourself, you’ve probably noticed that some, like Snapchat, show you the view of yourself that you would see in a mirror, and that others, like GroupMe, flip the image horizontally and save your selfie the way others would see you. We are used to seeing our image in the mirror, and we’ve grown accustomed to our mirror faces, and familiarity breeds liking. When our mirror image is flipped (this is what others see), it often looks strange and less attractive to us.

Our Faces Are Not Symmetrical Works of Art

Part of that is because everyone’s face is asymmetric. As photographer Julian Wolkenstein illustrates with his portraits, which duplicate each side of a face to create strikingly different versions of the same person, everyone’s left and right side is different.

Close Proximity Breeds Distortion

The close proximity of our faces to our smartphone lenses makes matters worse. Selfies exaggerate certain features, such as the nose. The parts of your face that are closer to the camera seem larger than other features in comparison to non-selfie photographs, where the distance from the camera to your face is longer and has more of a flattening effect on your face. Some people describe this as the “fisheye effect” of smartphone lenses. Bottom line? You don’t really look like that!

Do It for You, Not Your Selfie

I often have patients ask me, “What do I need?” with reference to Botox, facial fillers or plastic surgery. As I tell all my patients, you are the judge and jury as to what you “need” (and by “need” I mean “want”) in terms of cosmetic surgery. If you do decide to take the plunge, make sure to select a board-certified surgeon who specializes in plastic surgery of the face, head and neck, and make sure you’re doing it for yourself, and not just for your selfie.

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