New Juvederm With Lidocaine Gets FDA Approved

February 8th, 2010

Remember last week’s post about using lidocaine in dermal filler injections?  The FDA just granted clearance to a new injectable called Juvederm Ultra XC – a filler prepared with 0.3 % lidocaine.

FDA approval was based on a clinical trial that demonstrated a significant improvement in comfort with the new filler. Apparently over 90 percent of 72 subjects in the trial said they experienced less pain with Juvederm XC.

That data is very important, because some people have questioned the value of lidocaine contained within a dermal filler: Is it just for the sake of marketing? When Prevelle Silk (another filler with lidocaine) came out in 2008, Dr. Joe Niamtu said this to Cosmetic Surgery Times:

“The issue with a hyaluronic acid filler with lidocaine is that it doesn’t work until you actually start injecting patients, and these injections are so quick, by the time the lidocaine takes effect, you’re almost finished”

Although I wouldn’t expect cosmetic surgeons to abandon existing methods of pain management, if the Juvederm XC formula does act quickly enough to provide a more comfortable treatment, that can’t be a bad thing. We’ll know more if/when the filler comes to Tucson.

Good Nutrition is a Fundamental Part of Anti-Aging

February 1st, 2010

Does your skin love what’s in your shopping basket? Maybe, if you’ve included nutritionsalmon, blueberries, tomatoes, carrots, asparagus, broccoli and other super foods.

Why? Let’s start at the beginning.

We live in an atmosphere loaded with oxygen; it is in the air we breathe, the water we drink, and in the food we eat. Unfortunately, oxygen is corrosive and, acting with other agents, will eventually cause things to oxidate and rust. In your body, oxygen has a natural tendency to combine with other processes in the skin to produce what scientists call “free radicals,” the enemies of your skin that attack at the cellular level causing inflammation.

Such inflammation can make your pores look bigger and skin look dull, discolored, or yes — aged. Wrinkles, acne, and even eczema are also related to the damaging effects of oxidation-related inflammation.

What can you do to slow down or prevent these processes? Consider these facts and act accordingly:

  • Protein is essential for skin repair.
  • Vitamins A, C, and E are “antioxidant rich” adversaries of the free radicals and Vitamin C in particular helps the body naturally manufacture collagen.
  • Selenium is a mineral that experts agree is critical to the production of glutathione, another enemy of free radicals.
  • Thiamine is a B vitamin that helps skin cells function normally.
  • Zinc assists epidermal cell growth.
  • New research suggests that Lycopene may play a significant role in maintaining smooth skin. (read more about this on Daily Beauty)

Diet is in our control, and the more we know, the more we can influence the natural processes that make us look older. But as usual, permanent lifestyle changes and proven treatments are the way to go, not fads or gimmicks.

Fox News Phoenix: Is 10 procedures in one day safe?

January 26th, 2010

People can’t seem to get enough of Heidi Montag and her ten plastic surgery procedures. Some have suggested that it’s all for publicity – “a concentrated effort to make the ultimate self-referential celebrity statement,” says one Houston blogger.  Most people however, just want to discuss whether ten procedures in one day can be considered safe.

In this segment, Fox News Phoenix asks Scottsdale plastic surgeon Andrew Wolin about Heidi’s many procedures. “There’s nothing wrong with trying to be the best that you can be” he says.

Can Injectable Treatments Be Comfortable?

January 25th, 2010

Many people are surprised to learn that injectable treatments can be done with little orbotox_az no discomfort, thanks to local anesthetics that work to numb one or more areas of the face beforehand. Lidocaine is the one most frequently used by plastic and cosmetic surgeons; there’s no doubt it makes a big difference in terms of patient comfort and ease. Several of the latest dermal fillers are actually prepared in advance with this anesthetic

Lidocaine kicks in fast to block pain

Just as your dentist probably uses lidocaine as as a quick and simple way to numb the mouth, your cosmetic surgeon will use it for procedures involving injections. Lidocaine blocks the pain signal sent by the nerve endings on the skin in response to injections of the dermal filler solution. Patients quickly feel the anesthetic taking effect, and numbness kicks in.

For patient and surgeon, lidocaine has benefits:

1. Reduces or eliminates pain when the doctor is injecting into sensitive facial tissue
2. Minimizes tissue swelling that occurs when solutions are injected underneath the skin
3. Lessened swelling allows the doctor to sculpt areas of the face for the most attractive, natural looking result
4. Better relaxation during the procedure

5. When used during longer procedures – filling in the cheek area, for instance – it eliminates the need for general anesthesia.

Related links about Lidocaine and wrinkle fillers:

Burn Foundation Receives Generous Gift – A Fraxel Restore Laser

January 18th, 2010

The Grossman Burn Foundation recently announced that Solta Medical Inc. hasFraxel_tm donated a Fraxel re:store laser system to its Burn Center, offering immediate benefits to Burn Center patients. Headquartered in Los Angeles, the Grossman Burn Center (GBC) is the largest plastic surgery-based burn practice in the western United States. The Fraxel system will be used to reduce the appearance of scarring caused by traumatic thermal damage.

The work of the Grossman Burn Foundation, the philanthropic arm of the Burn Center, does not stop on the US border, however. The Foundation provides burn care and medical resources in developing countries all over the world, including a burn center in Kabul and a physician triage training program for doctors in underdeveloped countries.

The Foundation is also involved in the development and distribution of satellite based telemedicine equipment to doctors and first responders all over the globe. The donation of the Fraxel system, therefore, was a natural fit for Solta Medical, a world leader in the laser skin resurfacing field.

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Chemical Peel vs Microdermabrasion: Choosing Your Treatment

January 11th, 2010

Both microdermabrasion and a chemical peel are proven treatments that can get you brighter, healthier-phoenix_microdermlooking skin.  So how do you choose between the two?

When microdermabrasion is the best choice

Most aestheticians will recommend microdermabrasion if the patient is very busy or anticipating an important event. Because the exfoliation depth is so precise with microdermabrasion, you’re less likely to experience side effects like redness or swelling. The typical healing time with microdermabrasion is also very short – usually 3 days at the most.

When to choose a chemical peel

There are however, gentle chemical peels that require very little recovery time.  But with most chemical peels, healing time is slightly longer than microdermabrasion. If you can spare a week to let the skin heal, go for the peel.

Can I just get both treatments?

Sometimes an aesthetician will recommend doing both. If done carefully, a light chemical peel such as AHA or salicylic acid can work in combination with microdermabrasion. Just make sure you choose an aesthetician or surgeon that has experience combining these treatments. 

Remember: after either of these treatments, you’ll need sunscreen to protect your skin during recovery.

Answers to Your Latisse Eyelash Enhancement Questions

January 4th, 2010

Q: What is Latisse?

A: Latisse is a bimatoprost ophthalmic solution 0.03%, originally latisse-phoenix-tucsondeveloped and used as a glaucoma medication. In using the medication, many patients noticed that their eyelashes grew. Some even had to trim their lashes due to excessive length. Allergan, who owned the medication, began to market it as Latisse, for topical use in patients with “inadequate eyelashes.”

Q: How long has Latisse been on the market?

A: Although Latisse has been available for just over 6 months, its related safety record as an eye drop solution, spans over 10 years. Any medication that is used in the eye must be very safe.

Q: Why do I need a prescription for Latisse?

A: Latisse is not an over-the-counter medication. The FDA approved Latisse as a prescription medication to treat hypotrichosis, i.e. reduced amount of eyelash growth.  Using Latisse can result in eyelash improvement of 105% in thickness and over 25% in length.

Q: How does Latisse work?

A: Latisse is thought to affect the growth stage of eyelashes by increasing the duration of the growth phase while increasing the number of hairs in the growth phase.

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Happy New Year to our patients and friends!

December 30th, 2009

We hope all of our readers and patients are having a wonderful holiday season. Here at Aboutfaces Cosmetic Surgery, we are grateful for the activities and accomplishments over the past year, some highlights are:

 - a very successful open house event,

- bringing in the first and only Fraxel Repair laser to Tucson,

- Sculptra!

- an ever-growing family of patients who keep us busy with everything from aesthetician treatments to injectables to surgeries.

We hope to see you in the New Year!

Ready for 2010? Get Ready With Resolutions for Better Skin Care

December 22nd, 2009

Before 2010 gets here, make some promises to benefit your healthy skin; without skincare_resolutionsprocrastination and without excuses, let’s resolve to take the following steps:

1: Let a professional aesthetician teach you how to use the right skin care products – in the right order, at the right times. Don’t cherry pick products in the drug store, buying every trendy, nicely packaged new product.  Instead, pare down, simplify and do the right thing. One aesthetician, one set of products chosen just for your particular skin, and one place to return to for periodic facials and replenishing of products. Got that?  One. It’s called skin care monogamy.

2. Gift yourself with a series of microdermabrasion treatments to soften fine lines and acne scars, minimize or eliminate sunspots, stimulate collagen production and give your face a youthful glow. Go every 2 weeks or so for a quick microdermabrasion session and reap the full benefits of more even, younger-looking skin.

3. Safeguard your investment in microdermabrasion by scheduling touch-up sessions every 2 or 3 months. A session only takes an hour, it’s relaxing and pleasant, and your skin will look younger and more radiant all year long.

4. Get serious about using sun block to protect your investment. Obagi makes a great one that won’t block pores, make the skin feel greasy or cause unwanted breakouts. Use it regularly according the directions; you don’t want premature wrinkles, blotchy skin or an increased risk of skin cancer.

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The staff at About Faces Cosmetic Surgery chime in on Sculptra!

December 21st, 2009

Sculptra is the newest product with FDA approval for restoring lost volume in your face.  It’s different from the other fillers in a couple of ways: It stimulates your own collagen production over time, it takes 2-3 treatments (for most patients) to achieve maximum benefits, and most importantly – - it lasts 24+ months!

Some of our staff tried this new treatment, and here are our comments:

Bonnie described the treatment as painless. She saw instant results, even after one treatment!  As expected, the results from the first treatment subsided slightly, and became more subtle. Her second treatment went well and her results are already noticeable!

Bridget described the treatment as somewhat uncomfortable, with some lingering discomfort. Her first results were also noticeable but subtle. Her second treatment results are already noticeable!

Dr. Lo – Well, Dr. Lo also described the experience as relatively painless, and since he’s a guy, for him to describe any needle experience as relatively painless is saying a lot :)   Dr. Lo had one treatment so far and is going to wait approximately two more months to receive his second treatment. His results from the first treatment are subtle but noticeable.

We’re excited about this new product, and we think you will be, too! Come in to our Tucson office and see us to learn more!