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Tag Archives : 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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Tales Of Anti-aging Eye Treatments And Creams

The area underneath my eyes had been bothering me for a while as with the march of time, it was starting to look a bit hollow. I had done some research and knew that injecting fillers in the tear troughs could improve the look of the area, but for me, putting a syringe close to my eyes was a scary proposition! Still, I had seen good results with fillers on a friend or two and was considering the option. Then, I looked into laser treatments and in the process learned that they could also brighten the under-eye area in more ways than one.

Veins Glorious Veins!

While I was contemplating the idea of fillers, I went to see Dr. Roy Geronemus to eliminate some broken capillaries on my cheeks. He pointed out the visible blue veins underneath my eyes and said that he could remove those with a laser too. Ditto for the larger veins around my temples. I had noticed those blood vessels but they never bothered me much as I thought they were pretty common. Well, of course, after they were brought to my attention, that’s all I could see when I looked into the mirror. But still, I held off. Would removing these veins affect the blood flow to the eyes? Even though Dr. Geronemus and two other dermatologists assured me it would have no detrimental effect on circulation, it took me a few months to screw up the courage to submit to a laser.

The Treatment Was Not Entirely Painless, But It Was Quick

A pair of metal ocular shields were placed directly on my eyeballs to shield them from the Excel V laser. This was not something I expected and after they were plucked off at the end of the procedure, my eyes felt raw and sensitive. If you wear contact lenses, I highly recommend that you leave them at home and just wear your glasses for this treatment. As for pain, underneath my eyes, there was just a stinging sensation at the point of contact with the laser.

The elimination of the larger veins on my temples was more painful however. No topical anesthetic was applied as this constricts the vessels, making it more difficult to treat. All in all, the procedure lasted a brief 10 to 15 minutes. Costs range between $450 – $750 depending on the extent of the treatment. Afterwards, the under-eye area was a bit red and swollen for a couple of days, as expected. A small scab had formed which worried me somewhat as Dr. Geronemus cautioned that there is a very small risk of scarring. But, this too went away without a trace in a few days, helped by the application of Aquaphor. The blue veins had disappeared almost immediately and I was pleased with the fast results. A follow up visit may be necessary depending on the number and size of veins.

A Return Visit to Dr. Geronemus

In my case, a couple of visible blood vessels remained so a month later, I returned for a second visit. An unexpected and very pleasing side effect was that, by the time of my second treatment, the skin underneath my eyes looked smoother, thicker and thus lighter. Dr. Geronemus confirmed that this is not an uncommon side effect because when thermal energy is delivered into the dermis, as it is with lasers, you get neocollagenesis or the formation of new collagen. Should new veins pop up underneath my eyes, I will certainly have them treated with a laser if only for the collagen-boosting results!

Next Up Were Fillers

I had decided to take the plunge, pleased as I was with the results of the laser treatment. The fillers typically used in the under-eye area are hyaluronic acids such as Restylane, Juvederm and Belotero.

Made of a natural sugar that’s in your skin, hyaluronic acids give a soft correction to facial hollows.

Effects last approximately six months after the first treatment, but can last even longer after subsequent treatments. I opted for Belotero as the skin under the eyes is thin and Belotero is the thinnest of the hyaluronic fillers. Costs range between $700 – $850 depending on the product used.

The hollow grooves located on top of the orbital bone are referred to as the tear troughs because tears roll down this track. Although there are no dermal fillers that are FDA-approved for the tear trough, fillers are used off-label in this area.

Injecting The Eye Area Is Not Without Risks

Too much filler results in lumpiness. And if the filler blocks a retinal artery, it can cause blindness. Dr. David Orentreich is the experienced dermatologist I turned to for this procedure. After the area was numbed with a topical analgesic cream containing Lidocaine, he injected a small amount of Belotero in the tear trough, patting it down as he went along. I had a bit of swelling and redness (but no bruising) afterwards which lasted for a day or two. A week later, Dr. Orentreich manually smoothed out some residual unevenness. Injecting the under-eye area with filler has not only reduced the hollowness, but it has also plumped up some of the wrinkles, reducing the existing crepiness.

Anti-aging-eye-creamsThe Results

As a result of the laser treatments and fillers, the skin underneath my eyes looks lighter, brighter and smoother and I will not hesitate to repeat these procedures as the need arises. Not ready or willing to take lasers or needles to your under-eye area? The beauty experts at NYSD Beauty recommend these anti-aging eye creams and mask:

Lavido Alert Eye Cream is an all-natural under-eye cream from Israel that combines plant-based hyaluronic acid, cold pressed avocado oil, organic pomegranate seed oil and citrus extracts with the volcanic thermal springs from the sea of Galilee to brighten and moisturize the skin around the eye area. Clinically proven to increase skin’s elasticity and help diminish the appearance of fine lines and wrinkles.

If you need a real jolt, try Institut Esthederm Lift & Repair Eye Contour Lift Patches. These five-minute wonders contain caffeine and tighten and lift the skin under the eye area as well as smooth fine lines and wrinkles. This is Travel Beauty’s founder, Alyssa Weiss’, favorite eye product. She says your face will immediately brighten up and look younger. She loves the patches for travel, before important meetings and prior to attending gala events. To be used 3 x per week.

The light formula of Sapelo Restoring Eye Cream absorbs right into the skin, boosting collagen production with a blend of powerful peptides, reducing dark circles with botanical burdock and strengthening capillaries with a cocktail of antioxidants.

Expert Tip: Alyssa advises that “when it comes to eye creams, don’t be afraid to get in there and massage the cream into the under-eye area. Also remember to sweep up and around to the crow’s feet area — and get in there too!”

By: Delia von Neuschatz for New York Social Diary.

For more beauty tips and information, follow Delia on Instagram: @chasingbeautywithdvn

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Interview With Dermatologist Dr. Mitchell A. Kline

Dr. Mitchell A. Kline is a New York board-certified clinical dermatologist. His ongoing focuses include melanoma, neurophysiology and HIV/AIDS, and he has done significant research on non-invasive melanoma detection techniques, particularly reflectance confocal microscopy, which he uses at his office.

Dr. Kline specializes in melanoma treatment and staging, total body dermoscopy, and DermaSpectra total body digital imaging. While Dr. Kline is considered a go-to doctor in New York City for skin cancer concerns, his office also offers an array of cosmetic treatments including injectables, fillers, photo-facials, and chemical peels. He is one of the few doctors in New York to offer PRP facials (Vampire Facials), as well as PRP for hair regeneration.

Dr. Kline studied at the Perelman School of Medicine at the University of Pennsylvania, training in Internal Medicine at the University of Pennsylvania Graduate Hospital following his graduation. He participated in research at the Children’s Hospital of Philadelphia in Pediatric Neurosurgery and Neurophysiology, receiving a Young Investigator Award from the National Institutes of Health. Subsequent training in Dermatology was completed at Cornell, Rockefeller University and Memorial Sloan-Kettering. He was Chief Resident in Dermatology at Memorial Sloan-Kettering/Cornell University from 1989-1990. He is also on the Clinical Board of Melanoma Research Alliance and honorary of the year by Melanoma Research Foundation.

His work and research have been the subject of stories on CBS, The Wall Street Journal, The New Yorker, and featured on the HBO documentary “Cancer: Urgency to Emergency.” We recently had the pleasure of speaking with Dr. Kline about his work.

You Are Well-known For Your Expertise In The Field of Skin Cancer. Was Skin Cancer Detection and Treatment Your Original Focus?

MK: Paths are complicated. Perhaps the best way to describe it is that melanoma detection requires a melding of mathematics, physics of optics and light, an understanding of visual perception, as in art, and an appreciation for humanistic parts of caring for people.

What Is Something You Wish Every Woman Knew About Melanoma and Melanoma Prevention?

MK: That putting sunscreen on face, ears, scalp and hands as a daily habit after showering will make an enormous difference in skin quality and cancer risk. The habit will continue for beach and the great exposures of daily use.

You Are One of the Few Physicians in New York to Offer the “Vampire Facial”. What Happens During this Treatment and What Are Results?

MK: The use of Platelet Rich Plasma Therapy or PRP, on both hair growth and the effects on facial collagen are well known as variable but often superb for decades to orthopedists who treat athletes and injuries. The vampire facial utilizes the same simple technique whereby platelet-rich plasma is separated from the other components of the patient’s blood and then injected into the skin or scalp. Over 5 successive treatments and in combination with topical agents of proven value can result in collagen and hyaluronidase acid stimulation, texture improvement and reduction of wrinkles. There is typically no or little down time and minimal discomfort.

If Women Want to Start Preventative Cosmetic Treatments in Their Early 30s, or Earlier, What Are the Best Treatments to Start With?

MK: Of course, moisturize photoprotectants and retinol, retinoids and antioxidants dramatically prevent signs of aging and damage that causes skin cancer.

Depending upon the ways in which they use their muscles of facial expression to form creases, have genetic propensity for aging, brown spots or wrinkles, we would tailor such treatments. Treatments can range from specific topical antioxidant creams and gels scientifically backed with known benefits over years, light IPL (Intense Pulsed Light) to remove veins, red areas and brown spots, to delicate Botox and fillers that block progression of future lines without creating any change at in the beautiful natural contours and shapes of the face.

Underappreciated is the benefit of rest, diet and supplements that truly affect the way the skin ages and damages. The science is astounding and soon will become part of prevention rather than treating problems that develop.

Any New and Exciting Developments and Products on the Horizon for 2016-2017?

MK: A giant step is the development of a cream that will dissolve brown spots known as keratoses. It is the most common thing we see on people’s skins at every age especially later.

Huge changes are at hand with radio frequency tools, topical anti-aging agents, some that will not require any needles or invasive treatments.

By: Claire McCormack, Twitter & Instagram

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