Monday, December 7, 2015

Video: Smart Lift Facial Rejuvenation

Video: Smart Lift Facial Rejuvenation

How many time have we all sat in front of our mirrors pulling up on the corners of  our jaw line— to simulate a facelift?
If you haven’t, you are under 40!
But for those of us over 40, the subtle pull of gravity is relentless, and we can see it. And the good news is we have options to help us look our best.
The answer is lifting the tissues back up again, with either a full or mini facelift. You should consult with yourASPS board-certified member surgeon to find out your options.
Still interested?
 Watch me actually perform this surgery on one of my fabulous and gracious patients. I need to warn you, though, I believe in complete transparency, which is reflected in the video – so content is graphic.

Friday, November 6, 2015

Thursday, October 29, 2015

Managing Filler Complications

By: Steven H. Dayan, MD, FACS
Posted: September 1, 2010, from the September 2010 issue of
Filled syringe
Abstract: With the popularity of facial fillers increasing exponentially in the United States, the incidence of filler complications also is on the rise. This has led to the necessity for medical aesthetic physicians to have tried-and-true protocols they can turn to for the treatment of filler complications, including impending necrosis and hypersensitivity reactions.
Filler treatments are the second most commonly performed nonsurgical cosmetic procedure in the United States. Since the U.S. Food and Drug Administration approval of hyaluronic acid for cosmetic use in 2003, its popularity has skyrocketed with more than 1.3 million treatments performed last year in the United States alone.1
The ability to quickly, safely and efficiently volumize and shape an aged or disproportionate face has revolutionized the way cosmetic medicine is perceived and delivered, and it likely will continue to positively influence the way physicians think about and practice cosmetic medicine. However, along with its rise in popularity, there has been an increase in the amount of physician and non-physician providers with varying backgrounds and experience performing the treatments.

Wednesday, October 28, 2015

Lip Augmentation

Lip Augmentation

Lip augmentation is a type of cosmetic surgery or non-surgical procedure that aims to improve the appearance of the lips by increasing their fullness through enlargement by injection of lip and wrinkle fillers containing hyaluronic acid.

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Tuesday, October 13, 2015

The Difference Between Botox® And Dysport®

Injectable toxins are among the most popular wrinkle-reducing strategies in your arsenal. And since there are different types, there's plenty of room for confusion. Not to be confused with fillers, toxins temporarily erase wrinkles by paralyzing facial muscles but they also prevent the formation of etched-in lines in the long run with regular use. Can we get a 'hoorah'?
Some people will argue that injection technique is more critical than the actual kind of injectable you choose, but products can vary slightly from brand to brand, which is why it’s wise to do your homework before deciding on the chosen one. It’s a lot like comparing apples to apples... and if you’re an apple-loving Snow White you'll know the importance of recognizing the difference between a Fuji and a Gala. 
By now you’ve heard of the original toxin, Botox®, the most widely-known injectable used to treat rogue wrinkles, mostly because it was the first to arrive on the scene and be used by a number of Hollywood actresses. It’s obviously been around the longest and has been the most publicized.
Lesser known but equally as effective, Dysport® (formerly used only in Europe) works very much in the same way, with a few key differences. Using a slightly different formulation of the same substance, botulinum toxin A, Dysport® blocks nerve impulses and paralyzes the muscles just like Botox. This, of course, eliminates your ability to make repeated expressions that cause wrinkles, particularly in areas such as the forehead, around the eyes and between the brows. Both Botox and Dysport® involve needles and the treatments take about 20 minutes to perform. Both are safe for all skin types and skin colors. And each can be used to treat everything from wrinkles and migrane headaches to unsavory underarm sweating.
Where Dysport® has the edge, however, is that offers a more even distribution, making it the best option for correcting lots of fine lines around the eyes and mouth. More diffusion equals a wider spread so you can treat broader areas with fewer needle sticks. Dysport® has fewer and smaller proteins than Botox, so its unit measurements are different and it works quicker with faster results up to 24 to 48 hours earlier than Botox (perfect for a last-minute party or reunion). Dysport® also results in the formation of fewer of the body’s natural antibodies against it, so clinical effects may last longer.
Lastly, those who have become Botox-resistant after repeated treatments may respond better to a shot of skin-enhancing Dysport®…
To recap:
  • Both injectables are a type of botulinum type A
  • Both prevent muscle contractions that cause frown lines, crow's feet and other facial wrinkles caused by making repeated facial expressions
  • Both are safe and effective with a low rate of side effects
  • Both treatments take 15-20 minutes and last approximately three to six months

Tuesday, September 29, 2015

Lip Injections May Ease Challenges of Facial Paralysis

 People with facial paralysis may benefit from cosmetic lip surgery, a preliminary study finds.
Facial paralysis is "a very large problem that can occur because of stroke, Bell's palsy, muscular dystrophy, trauma and birth defects," Dr. Kofi Boahene, a facial plastic and reconstructive surgeon at Johns Hopkins University School of Medicine in Baltimore, said in a university news release.
Poor lip control caused by facial paralysis can cause drooling, spillage of food and drink, and difficulty making sounds that require fully closing the lips, such as the letters "b" and "p."
Many of these people are also self-conscious about their appearance, Boahene said.
Read more:
Lip Injections May Ease Challenges of Facial Paralysis

Monday, September 28, 2015

Doctors are using a 3D imaging technique commonly used in the car industry to see the impact Botox has on people.
The procedure, called three-dimensional speckle tracking photogrammetry, uses photography to measure distances between black dots.

The dots are then followed by a digital camera, and the change in their position is measured to find out if wrinkles have disappeared or been reduced. 

Using the technique, researchers at the University of Pennsylvania were able to create a colour-coded heat map showing the results of Botox.

Red indicates the areas of greatest muscle strain and blue shows areas of lesser strain.
'There is a growing body of evidence that injectable fillers for both cosmetic and reconstructive purposes can have significant psychological benefits,' said senior author Ivona Percec.
'With more people turning to this procedure, it is important to have evidence-based ways of improving cosmetic and reconstructive surgical results.'

Injectable fillers reduce or eliminate wrinkles by relaxing the muscles responsible for their development.
After treatment, the muscles gradually become less active, allowing the overlying skin to appear smoother.
In the new study, the Penn team studied fourteen subjects using a dual camera system and three-dimensional optical analysis.
The 3D imaging technique - more commonly used by mechanical engineers to measure strain on various materials - has recently been applied to measuring the properties of human tissue.

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Wednesday, September 23, 2015

Travelling for treatments....

As the cost of cosmetic surgery in the U.S. rises, more and more Americans are looking abroad. In 2015, the most popular countries Americans traveled to for plastic surgery were Canada, the U.K., Israel, Singapore, and Costa Rica, according to The New York Times.

Monday, September 21, 2015

Restylane Lip Refresh and Restylane Lip Volume

Lip enhancement is an extremely popular treatment, appealing to both women and men of all ages, who are seeking natural-looking yet full lips.

New Restylane Lip Refresh and Lip Volume give Aesthetic Medicine Physicians new specialist lip filler products tools with which to enhance and treat their patients’ lips. Dr Barbara Kubicka explains the features and benefits of the new products and how they are used in treatment.

What are Restylane Lip Refresh and Restylane Lip Volume treatments? How do they differ and how do they compare to general-use fillers

Thursday, July 2, 2015

What You Should Know About Wrinkle Fillers

What You Should Know About Wrinkle Fillers

Injectable wrinkle fillers can give you a more youthful look for a fraction of what a traditional facelift costs. Most will fill lines and wrinkles in less than 30 minutes with results that can last from 4 months to more than a year.
Injectable wrinkle fillers, unlike Botox injections that relax the muscle under a wrinkle, fill the line, crease, or area with one of several different substances. As a result, trouble spots nearly disappear.

Friday, June 26, 2015



  1. Wrinkle injections can very effectively relax muscles to remove wrinkles and lines and is the most popular cosmetic procedure performed world wide.
  2. Wrinkle injections are most commonly used between the eyes (frown lines) around the eyes (crows feet) and across the forehead (worry lines) to give a less tired, worried and stressed appearance.
  3. Wrinkle injections can also be used to produce a brow lift, to reduce bulky square jaws, reduce teeth grinding and to control excessive sweating.
  4. Wrinkle injections are Schedule 4 medications and legally must be prescribed by a medical practitioner.
  5. Wrinkle injections are a safe and effective non surgical method of facial rejuvenation that takes only a few minutes and lasts for many months.