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Category : Cosmetic Surgery

Non-Surgical Treatments for Under Eye & Cheek Areas

injectable under eye filler and cheek augmentation

They say the eyes have it. As I’ve gotten older, I’ve realized that “it” is my age. Every single year. Perhaps it’s because I have big eyes, but I feel like one night of crummy sleep can age me five years…or more. There’s the redness, the eyelid crepiness and–probably the most universal sign of raggedness–pitch black under eye circles. What to do, what to do?

I sat down with New York City plastic surgeon and Travel Beauty expert, Dara Liotta MD, to discuss how the face–specifically the under eye/cheek area–age, and what non-surgical options exist to make this aging process a bit more graceful.

“It’s not just wrinkles that age you”

Dr. Liotta said. “If you just ‘chase the lines’, you’ll end up with that obvious, overdone filler look. What can really age the face is volume loss and gravity, leading to a hollowed-out look. If you really want to look more youthful, you have to replace that lost volume.”  I asked Dara how volume loss ages the eye area, and she handed me a mirror. She instructed me to hold the mirror above my head and look up into it. “There are different components to under eye area aging, two are shadow and pigment. When you look up at yourself in a mirror, any shadow disappears, and all you are left with is pigment. No matter what anyone says, there is nothing you can do about pigment. No lasers, fillers or anything else will get rid of it.” (I frown slightly at this because, even looking straight up into the mirror, there is still some darkness underneath my eyes.)

“What you can treat with filler, however, is shadow”

I have some shadow too, so hearing this makes me happy. And hopeful. “Hollowness here [she points to under eye area] creates shadow, and a line right to the eye that draws attention and ages you.” Dr. Liotta said.

To reduce shadow in the under eye area, filler is added to the “tear trough”. This plumps up an otherwise hollowed-out under eye area that can become dark and thus, age us. “I only use Belotero for tear trough injections. It is the thinnest hyaluronic acid filler, which is so important as the skin under the eye is itself so thin. Other, thicker fillers can cause unpredictable swelling.” Indeed, search RealSelf.com for “tear trough reviews”, and you’ll read/see several horror stories of major, unsightly swelling as a result of thicker filler being used to treat tear trough hollowness. [This expertise is why I love Dr. L.]

What about this line that’s starting to form right through my cheeks?

I ask. This line, when coupled with pronounced nasolabial folds (the lines that form from the sides of the nose to the sides of the mouth), is what Dara refers to as the “thumbprint”, because the area between the two “lines” is the exact size of a thumb. She demonstrates by placing her own thumb between the non-existent “line” in her cheek and her non-existent nasolabial folds, but I get the idea.

“Well-done injectable cheek augmentation can take years off of your appearance. Since the skin is thicker in this area, I use Voluma here.” Dr. Liotta said. For those that aren’t on top of their injectable filler game, Juvederm Voluma is another injectable hyaluronic acid gel. It is the first and only FDA-approved filler that can instantly add volume to the cheek area. AND…since Voluma is a thicker filler, the results last two years! The amount of Voluma required for cheek augmentation varies between 1-4 syringes. “As we age, we tend to lose that youthful volume in the cheek area. Then, as gravity causes the natural fat pad of the cheek to drop, the nasolabial folds become more pronounced. By using Voluma to add volume back into the cheek area, you get a subtle, natural lift in the cheek that helps restore a well-rested, youthful look. This lift also improves the appearance of the nasolabial folds.”

Looking at Dr. Liotta’s before and after pics, it was amazing to see how much Voluma injected into cheeks improved the appearance of nasolabial folds–a different area of the face. The improvement is seen in the reduction of “shadow” on the side of the nose…the same reason women spend millions of dollars every year on highlighters meant to mask/minimize/erase such shadows.

I’m not ready to take the Voluma plunge yet

Dara swore I don’t need it yet–but it just might be my 40th birthday gift to myself!

I cannot recommend Dr. Liotta highly enough. As a Board Certified ENT surgeon, as well as a Facial Plastic and Reconstructive surgeon, she is intimately acquainted with, and comfortable manipulating, the complex anatomy of the face. That’s why I won’t trust my face to anyone else. To get more information and to schedule a consultation, visit Dara’s website.

By: Claire McCormack, Twitter & Instagram

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Anti-Aging Treatment Recommendations from M.B. York

MB York Anti-Aging Treatment Recommendation Rx Skin Clinic

Having been an aesthetician and spa owner, I am well-versed in various anti-aging treatments like microdermabrasion, photo facials, etc. I have achieved great results for both myself and my clients with these treatments, but they can only take you so far. As a makeup artist, I always teach my clients tricks for smoother-looking skin: The right moisturizers, exfoliators, primers and foundations. Still, some clients remain unhappy about the signs of aging, such as sagging jowls and neck, age spots, wrinkles, enlarged pores and uneven coloration…all of which need more help than superficial concealing makeup can provide.

I have had the unique opportunity to observe a wide array of anti-aging treatment modalities offered by the many medi-spas that carry my M.B. YORK products. Even with my extensive knowledge, I am often confused by all this technology, and secretly wish someone could offer a simple explanation of what devices and treatments could achieve profound anti-aging results. As much time as I have spent in these environments, I remain frustrated, still not clear about exactly what to do to receive the results my clients and I am looking for.

One of my makeup clients has flawless skin. When I asked her secret, she told me about Robert Mazurek, owner of Rx Skin Clinic, so I decided to check it out. When I went to his office, he examined my skin with a Wood’s lamp, which reveals the extent of sun damage. He provided a full consultation, explaining how my main concerns with aging (reversing sagging, sun damage, and wrinkles) all need to be treated in different ways. He advised photofacials for my sun damage, skin tightening laser for the sagging, and Pixel laser for smoothing wrinkles and enlarged pores. He noticed the spots on my hands and offered to include two photo facial hand treatments to be added at no charge if I were to purchase the package of 6 face & neck treatments sessions. As a makeup artist, I’ve long been self-concious of my sun damaged hands, since they are always front and center, often closeup on camera to capture my makeup technique.

While I was nervous about how much this would cost, I was also excited as I looked over his compelling before and after photos. He informed me that he has performed over 30,000 laser treatments, and the way he expertly explained everything made me trust him immediately.

My first treatment consisted of a photofacial and skin tightening laser treatment for face & neck. I was worried about the pain as he didn’t numb my skin first— but it wasn’t bad. It felt like the snap of a rubber band on the skin. For sensitive clients, topical numbing cream is available. The treatments took about 20 minutes and there was zero downtime! My skin looked a little red— which was gone in an hour—yet vibrant and stimulated. I couldn’t wait for my second treatment.

A month later I went in for my second skin tightening treatment, followed by my first Pixel laser treatment. The latter required some topical numbing cream to be applied afterward to soothe the sunburn-like sensation. I felt some heat, but no pain at all. Once again, the two treatments were completed in about 20 minutes. My face looked more red than the first treatment, so I was given some topical healing ointment to apply every 4 hours for the next day. I couldn’t wear makeup for 24 hours, since all of the pores were temporarily exposed from the penetration of the laser. Though I felt self conscious, no one could tell a thing unless I pointed out how my skin was redder than usual. My skin also felt like sandpaper as it developed microscopic rough dots where the laser made “Pixel” perforations. You really couldn’t see them, though—I only felt them if I touched my face. After a week, all this “rough” skin fell away and underneath was brand new baby skin. My moisturizers worked better, delivering deeper hydration than before, and my fine lines were disappearing! I also had my first hand photofacial, the results of which Robert said are the equivalent of 2 face photo facials. Any freckles or sunspots became temporarily darker, but not scabby or different in texture. He explained that it would take longer than the face (almost three weeks rather than one) for the spots to completely fall away. I am about two thirds of the way there and my hands are looking at least 10 years younger!

Robert explained that this series of treatments can potentially take 20 years off your skin, and I am already seeing huge progress! I’m excited to see improvements with each session, and of course the final results after finishing the series. And it doesn’t stop there: The improvements continue for five months after the final session as new collagen continues to regenerate and grow. It is like real life photoshopping!

Robert and I are excited to collaborate on a special offer that combines his laser and light-based treatments with my expert makeup applications. All laser packages purchased at Rx Skin Clinic in Scottsdale, AZ will now include a complimentary makeup consultation with me ($150 value). You will look younger, yet incredibly natural. No pulled skin from a face lift—just a younger, fresher, more polished you.

I have asked Robert to offer special pricing to my clients, so if you mention M.B. YORK he is temporarily extending his holiday special exclusively to my clients. I will also include my complimentary makeup application tutorial.

2016 is your year to do something incredible for your skin. Call now and schedule your complimentary skin evaluation with Robert at Rx Skin Clinic: 480-483-8902

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Laser Tattoo Removal With Astanza Trinity Technology

safe easy laser tattoo removal

Sometimes, it’s hard to tell what the future will bring. No matter how much thought and consideration you put into choosing the perfect tattoo, it’s possible that down the road, that tattoo can become something you’re more interested in covering up than showing off. If you’ve been feeling some tattoo remorse, come out of hiding. Reveal the new you with laser tattoo removal.

Astanza Trinity Technology

I am pleased to offer safe, effective and comfortable laser tattoo removal, using the Astanza Trinity® technology. The new system is a combination of Nd:YAG Q-switch laser and Ruby laser technology, allowing it to work on all skin types to effectively–and permanently–remove all ink colors, including stubborn blues and greens! We are one of the few places in New York City that can treat all ink colors.

Rather than simply burning out the ink like some other alternatives, the Astanza Trinity Laser System breaks up the tattoo ink into tiny, sand-like particles, that are naturally flushed out of the body.

By featuring two standalone lasers, the Trinity System provides unrivaled power and reliability, leading the laser industry as the ultimate three-wavelength laser technology solution. Even dark, stubborn blue and green inks, as well as previously-treated tattoos, can be removed.

Removing Tattoos in Fewer Sessions

My office also uses the Zimmer Cryo 6 chiller to direct chilled air at the treatment area before, during, and after treatments to numb deep into the skin where the tattoo ink is located. Since the Cryo 6 System makes the laser tattoo removal procedure more comfortable, I’m able to treat tattoo ink more aggressively than other clinics – ensuring that I can remove your tattoo in fewer sessions.

Is It Safe?

Yes! The FDA-cleared Astanza Trinity Laser System is the most advanced laser treatment available for safe and effective tattoo removal, resulting in fewer treatments, faster recovery time, and great results.

How Many Treatments Will I Need?

While other lasers can require 15-20 treatments to remove a tattoo, the Astanza Trinity Laser System can in many cases produce even better results, with as little as half – or even one-third the number of sessions. The number of treatments needed will vary from person to person and our treatment providers will personalize a treatment plan during your complimentary consultation.

Skin-baring spring and summer will be here before you know it. Contact me now to set up your complimentary consultation today.

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Non-Surgical Facial Rejuvenation Before the Holidays

Facial Rejuvenation Procedures

Every holiday season, I’m asked about non-surgical options for quick, no downtime pre-party rejuvenation. Everyone knows about using Botox for forehead frown lines and Juvederm to camouflage nasolabial folds and plump the lips, but there are dozens of other, lesser known uses of these products that produce incredible results! Here are just some of those options, including how much they cost, and how long results will last.

Botox Brow Lift

A few units of Botox placed judiciously just above the natural arch of the eyebrows can help to relax the muscles that pull down the eyebrow. This allows the eyebrows to drift slightly higher, producing a Botox Brow Lift that really opens up the eyes. When your Botox kicks in at 4 – 7 days, you can expect to look more wide-eyed and fresh-faced. This treatment usually requires 6 units of Botox (3 units per side). The cost is $120 and results last up to 4 months.

Earlobe Rejuvenation

Let your lovely, festive holiday earrings sit pretty once again! A very small amount of Juvedem injected around the earring hole can rejuvenate the earlobes, so you can say goodbye to sagging, thin, pulled earlobes. An amazing result can be achieved with as little as 0.2cc of Juvederm, and results last over a year. One syringe of Juvederm contains 1cc, or 1mL, of filler and is $750. Bonus: Since this treatment uses only 0.2cc of filler, you will have plenty leftover Juvederm to use elsewhere on the face, and an excuse to use it. We can decide optimal placement together.

Non-surgical Rhinoplasty

Not all nose concerns are amenable to liquid, non-surgical Rhinoplasty using a combination of Botox and facial filler, like Juvederm, but if you are among the lucky (or unlucky, depending upon how you look at it) ones whose nose can be improved with non-surgical treatment, the results are dramatic, and so are the savings! The cost of the procedure is around $750-$1,000 and results last up to 2 years. Compare this with the total cost of surgical rhinoplasty, around $12,000 inclusive of operating room and anesthesia fees, not to mention the pain and downtime of surgery.

Cheek Augmentation

As we age, we lose volume in our lips and our cheeks. Well-done injectable cheek augmentation can take years off of your appearance. With Juvederm VOLUMA, you can now get injectable cheek augmentation that lasts 2 years! The volume required varies between 1 – 4 syringes.  Juvederm Ultra Plus lasts for one year and costs $750 per syringe. Juvederm VOLUMA lasts 2 years and costs $1000 per syringe.

Botox Neck Lift

Stop feeling bad about your neck! The Botox Neck Lift, also called the “Nefertiti Neck Lift”, uses Botox to relax the Platysma muscle, which creates the horizontal banding in the neck. Results can be dramatic – in a good way. Cost ranges from $400 – $600 and lasts 4 – 5 months.

Please feel free to contact me to book your appointment for consultation and treatment, and as always, feel free to email me with questions!

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Liquid Rhinoplasty Procedures

liquid rhinoplasty benefits

Basically, anything non-surgical, or liquid is exploding in popularity in my office right now. The most popular of the popular is the liquid rhinoplasty. Liquid rhinoplasty is a procedure that uses Botox and facial filler injections to change the shape of the nose. At this time last year, I was performing about one liquid rhinoplasty per month. Now, it’s more like two or three per week!

In this liquid, non-surgical procedure, a combination of Botox and 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, make the nose appear straighter, raise the nasal bridge, or camouflage a dorsal hump on the profile view. Although you are technically adding volume with filler, the end result is often a nose that appears smaller and more refined. The idea is to change the way light hits your nose, creating a kind of semi-permanent contour makeup on your nose. 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, but if you’re among the lucky (or unlucky, depending upon how you look at it) for whom this procedure can work, you can skip the pain and recovery of surgery. Results are dramatic and instant, and so are the savings! As compared to surgery, non-surgical rhinoplasty saves time, money, and pain. For most patients, there is essentially no downtime. The major downside is that the procedure is not permanent – depending on the filler selected, the results generally last from 1-2 years. Sounds like a good deal, no?

It is important to note, however, as we become more accepting of the idea of being poked and prodded with needles as a part of our routine beauty upkeep, that all of these injections, while effective, and amazing when done properly and subtly, are not without risk.

Vascular compromise leading to skin necrosis (actual death of skin because of decreased blood flow to the area) is the dreaded risk of non-surgical rhinoplasty. It can either occur from filler material actually getting into blood vessels, or from filler material pushing on blood vessels under the skin. While appropriate training and experience can help to minimize the risk of this occurring, the risk is never zero.

Studies have shown a rate of vascular compromise after filler injection of approximately 0.05% even in the hands of highly trained physician injectors. That equates to approximately 1 in 2000 times that facial filler injections are performed in the nose. Thankfully, vascular compromise is exceedingly rare, and when treated promptly and correctly, will resolve without long-term consequences. But that is the key – it must be attended to swiftly and expertly. If not treated appropriately, long-term consequences can be serious.

This is the reason that you should always ALWAYS be sure that your injector is properly trained, and knows how to handle vascular compromise after filler injection, whether they have personally experienced it first hand or not. All physicians who inject hyaluronic acid fillers like Juvederm, Restylane, Perlane and Belatero, should be stocking hyaluronidase in their office (this is the enzyme that breaks down the hyaluronic acid fillers used for liquid rhinoplasty).

Bottom line: While non-surgical rhinoplasty can be amazing, and is often quick, easy, and effective 1,999 out of 2,000 times, it is not without risks. Choose a plastic surgeon or dermatologist who is well trained, competent, approachable and responsive to you and your concerns.

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