Facial rejuvenation is a cosmetic treatment (or series of cosmetic treatments), which aims to restore a youthful appearance to the human face. Facial rejuvenation can be achieved through either surgical and/or non-surgical options. Procedures can vary in invasiveness and depth of treatment. Surgical procedures can restore facial symmetry through targeted procedures and facial restructuring and skin alterations. Non-surgical procedures can target specific depths of facial structures and treat localized facial concerns such as wrinkles, skin laxity, hyper pigmentation and scars. Surgical (invasive) facial rejuvenation procedures can include a brow lift (forehead lift), eye lift (blepharoplasty), facelift (rhytidectomy), chin lift and neck lift. Non-surgical (non-invasive) facial rejuvenation treatments can include chemical peels, neuromodulator such as dermal fillers, laser resurfacing, photo rejuvenation, radio frequency and ultrasound.
A neck lift is a set of procedures to enhance the appearance of your neck. You must be in good health to get a neck lift. You must consult with us in advance. For the meeting, have your goals in mind for what you want to change.
Here are some of the most common concerns that are addressed with a neck lift:
Turkey Wattle: We recommend surgery, which involves making cuts under your chin or behind your ears or both to access a neck muscle called the platysma. Sometimes, that may even mean removing some muscle.
In newer procedures we make smaller cuts and use an endoscope (a small camera attached to a thin tube) to complete your surgery.
We will discuss what type of anesthesia to use, depending on your level of comfort. If you want to remain asleep during the procedure, we’ll provide general anesthesia. Otherwise we can use local anesthesia with sedation. It’s up to you, however, to make that choice.
Instead of surgery or in addition to it, injections can relax parts of the platysma that are responsible for the “band” appearance or look of fullness. Those injections can be done in 15 minutes on an outpatient basis, meaning no overnight stay.
Liposuction: During liposuction we will make a small cut below your chin and remove excess fat. If you are also getting other procedures, it is very common for our cosmetic surgeons to begin with liposuction. You will be able to determine this with our doctor during your consultation.
If this is the only procedure you’re getting, you should plan on the operation lasting up to an hour. Your incisions will be stitched and bandaged. It’s important to make sure you understand and follow our doctor’s instructions on properly caring for the stitches and bandage.
Too Much Skin on Your Neck: In this method we will trim parts of the skin and lift it into place, securing it with tissue glue or stitches. This takes about two to four hours, depending on the complexity of your procedure. Again, your type of anesthesia will depend on your own personal comfort level. Our surgeon will fit you with a compression bandage that you will have to wear for at least one week unless instructed otherwise.
They say, “Years may wrinkle the skin,but to give up interest wrinkles the soul.” So not only feeling but looking young is no more the impossible, but depends on you!!
From your 40’s to 60’s dark spots, pigmentation and skin loosening tends to make your skin appear dull and lifeless. The Face rejuvenation and neck lift treatment not only leaves your skin looking healthier and younger but is even proven to be safe with minimum side effects. Over the years the delicate skin under the chin and neck area loses its elasticity , this is restored by the effects of a neck lift which provides a more toned and smoother effect.
As seen above the treatment accentuates the jaw line and results in an elegant neckline and whereas the face rejuvenation works wonders in adding vitality, vibrance and youthfulness to one’s overall looks.
This surgery was performed by Dr. Kiran Naik. A senior plastic surgeon from Mumbai.
Autologous is a procedure in which an individual’s own body fat is used to plump up sunken or emaciated areas of the face as desired. This technique is also used in removing dark circles under the eyes and is a successful techniques. The word “autologous” means the use of one’s own tissues or fat.
Fat transfer has the major advantage of allowing the surgeon to be more creative and artistic. One can sculpt the region with feathering into adjacent areas without leaving a disproportionate appearance.
Autologous- fat transfer requires three steps:-
- Fat Removal–The fat transfer procedure begins with liposuction to remove some excess fat from the donor , which could be the abdomen, buttocks, hips, thighs, etc. In order to collect as many undamaged fat cells as possible, only very low suction liposuction is used. These fat cells are removed from the donor site with a small-gauge hypodermic needle or a special cannula that designed to limit damage to the fat cells.
- Isolating Fat Cells– Once an adequate amount of fat has been collected, it is spun at a very high speed in a centrifuge to separate the fat cells from the liquid that is also removed by the liposuction. The damaged fat cells are removed. Only whole, undamaged and cleansed fat cells are used for the fat transfer.
- Re-Injection of the Fat– The fat transfer procedure is completed by injecting the fat cells into the target areas on the face. At this point, the surgeon will have already identified the area for each fat injection with the intent to correct imperfections or create new contour. Using a separate hypodermic syringe the surgeon will inject the fats at the depth needed to achieve the desire fat transfer results.
Recovery and Results of Autologous– Once your fat transfer is complete, you may have slight swelling or bruising from where the fat was removed. The swelling can be expected to go away in few days, and any discomfort you feel can be controlled with pain medications. As with all the medical procedures, one should follow all the postoperative instructions from the cosmetic surgeon.
A significant benefit of this treatment is that the results generally lasts much longer then the results of other dermal fillers.
What bothers a cystic acne sufferer more? Is it the emotional toll caused by the painful acne lesions, or the scars left in its wake that serve as a daily reminder of the days one would rather forget soon? It’s difficult to say… This type of acne, which is painfully tender while it lasts and can cause disfigurement by forming pus-filled bumps, causes pitted indents and scars in the skin that often persist for a lifetime.
Though dermatologic technology has soared with numerous treatment options, this indented scarring remains one of the most challenging and stubborn conditions to treat. But there’s one acne scar cure that can help people get rid of these lesions and that’s laser treatment.
Types of laser for acne
Basically, there are two types of lasers: the Repair and the Restore. The latter has been recently updated to the Restore Dual. Fraxel Repair laser for acne treatment is more aggressive and needs at least one week of downtime.
Fraxel Restore is a non-ablative laser, which means it causes no burning through the skin; but has the same accumulated impact of the ablative lasers. It works like the micro pixels of light, which penetrate through the pores and the deeper layers of the skin to stimulate the collagen-making bundles in those layers. The therapy usually comprises of a series of 5 to 7 sessions spaced about 4 weeks apart.
Care to be taken before and after each session
A typical pre- and post-Fraxel protocol includes avoiding exfoliating skincare products like retinol for at least two weeks before and after each session.
After care experience varies among patients depending on the strength of the laser for acne scar removal received and their skin type. Though this treatment suits all skin types, some patients may develop swelling, redness and burning sensations after the sessions. These symptoms are usually relieved after applying an ice pack. Besides this, patients will be advised to apply a healing cream, twice a day, for two weeks. They should avoid sun exposure and practice appropriate sunscreen use.
What a patient can expect?
This therapy causes no wound on the top layer of the skin! So, patients can apply makeup immediately after the sessions and continue with their schedule. After session one, the skin starts to feel softer; but there may not be any change in the scarring. By the end of the 3rd session, there can be a remarkable improvement in the visibility of the scars. They start fading faster! Once through with the sixth session, the scars will be hardly visible for anyone to notice. You will be thrilled to pieces with the progress!
Finally, there is something that actually works! Fraxel laser helps rejuvenate the top layer of the skin, improves the texture and removes fine lines. It also helps in treating other skin problems like abnormal pigmentation, besides successfully managing cystic acne scars. This acne treatment can truly put an end to the sufferings of a cystic acne patient.
The veins in the legs have to pump the blood towards the heart against the force of gravity. They act as one-way valves to prevent the blood from flowing backwards. If this one-way valve becomes weak, the blood flows back into the vein, stagnates there and becomes congested. This congestion causes the vein to become abnormally enlarged. Such enlarged veins are called spider veins / varicose veins based on their appearance and size.
Spider veins are smaller in size than varicose veins and are usually red or blue in color. They look like a spider web with their short jagged lines. Varicose veins are bluish purple in color and are slightly raised above the skin surface. They are seen as bulging veins on the back of the calves or the inside of the leg.
Sclerotherapy for spider vein and varicose vein treatment
Sclerotherapy is commonly used for both spider vein treatment and for varicose veins. In this method, a solution is injected into the vein that causes the walls of the affected vein to swell and seal shut. This helps to stop the flow of blood and turns the vein into scar tissue. Sclerotherapy does not require anesthesia and can be done in the doctor’s office.
Using laser for varicose veins and spider veins is increasingly considered an effective treatment option. Laser therapy works by sending strong bursts of light onto the vein, which makes the vein fade and disappear slowly. Lasers work directly and accurately and hence, do not cause damage to any area other than the one being treated. This therapy is safe and suitable for all skin types and colors. The therapy lasts for about 15 to 20 minutes. Generally, two to five treatment sessions are needed, depending on the severity of the problem. Laser for spider veins causes fewer side effects. In some patients, the skin may become red and swollen at the site of treatment. But, these symptoms disappear within a few days.
Types of lasers
Different types of lasers are used to treat spider veins and also varicose veins. Yellow light lasers, intense pulsed light systems and green light lasers are the commonly used lasers for these conditions.
This method of treatment involves placing a tube or a special catheter into the affected vein. The catheter sends out radiofrequency energy that causes the vein walls to shrink and shut completely. Later, the healthier veins surrounding the affected vein restore the normal flow of blood. Slight bruising may occur at the site of procedure in some cases.
Current treatments like laser for varicose veins and spider veins have a higher rate of success. Laser therapy is non invasive and helps patients avoid the discomfort of incisions and needles. Patients can return to their routine activities immediately after the treatment. The risk of side effects is also minimal. For these reasons, laser therapy is the most preferred method for treating varicose veins and spider veins.
If aging, acne, or prolonged sun exposure has led to the appearance of wrinkles, blotches, scars, or fine lines on your skin, laser skin resurfacing can help you regain younger and healthier skin. Laser resurfacing removes the top skin layer with precision and new skin cells form during the healing process, thereby making the skin firmer, tighter and younger. The procedure can be done alone or in combination with other cosmetic skin rejuvenation procedures.
Preparing for Laser Resurfacing
Start by consulting a dermatologist to find out whether you’re the right candidate for this treatment. Notify your doctor if you often get fever blisters or cold sores around your mouth. Laser resurfacing can trigger a breakout in people who are at risk. If you decide to go ahead with the procedure, your doctor will tell you to not take any medicines or supplements like ibuprofen, aspirin, or vitamin E that could affect clotting for 10 days prior to surgery.
If you smoke, you must stop for 2 weeks before and after the procedure as smoking delays healing. If you are prone to cold sores or fever blisters, the doctor may prescribe antibiotic medication in advance to prevent bacterial infections.
What are the Risks?
Potential risks of laser resurfacing include:
- Burns or injuries from the laser’s heat
- Changes in skin pigmentation, including areas of lighter or darker skin
- Bacterial infection
- Reactivation of herpes cold sores
What to Expect During and After Treatment
Laser skin resurfacing is performed by a trained dermatologist or plastic surgeon. It is an outpatient procedure, which means you’ll not have to stay overnight. The doctor may treat your entire face, or treat wrinkles around your mouth, eyes, or forehead individually. For a smaller area, the doctor will numb the area using a local anesthetic. If your whole face is being treated, you may be administered with general anesthesia. Treating just parts of the face takes around 30-45 minutes. A full-face procedure takes up to 2 hours.
After the procedure, the doctor will bandage the treatment area. After 24 hours, you will have to clean the treated area 4 to 5 times a day and apply an ointment or petroleum jelly to prevent scab formation. You might feel an itching or stinging sensation for 12 to 72 hours after the procedure. After 5 to 7 days of the procedure, your skin will turn dry and peel.
Swelling after laser resurfacing is normal. The doctor may prescribe steroids in order to manage any swelling around the eyes. Depending upon the problem that was treated, healing usually takes 10 to 21 days. Once the skin has healed, you can wear oil-free makeup to minimize any redness, which generally fades in 2 to 3 months. During the healing process after treatment, it is very important to use a “broad-spectrum” sunscreen to protect your skin against damaging ultraviolet rays. It is also important to keep the new skin well moisturized.
Cost of Laser Resurfacing
As per the American Society of Plastic Surgeons, the average cost for laser resurfacing was about $2,300 in 2011. However, the cost can widely vary, depending upon where the procedure is performed. Since laser skin resurfacing is considered as a cosmetic procedure, most insurance companies don’t cover it. There could be an exception if you undergo the procedure to remove precancerous growths or modify scars on your skin.
The search for solutions to skin related problems is almost never ending. This includes miracle creams, wonder scrubs, and a whole lot of different options. You might have even heard of a high-tech treatment for acne and wrinkles called LED (light-emitting diode) therapy. However, despite the hype, this treatment is not the first or best option for addressing skin disorders like acne and wrinkles.
LED for skin treatment should be considered as a complement for a well-formulated skin-care routine. Similar to any other skin treatment, there are pros and cons that should be considered before deciding whether LED for wrinkles or acne treatment is the best option for you. Let’s see the pros and cons of using LED for acne and wrinkles.
Blue Light Therapy for Acne
How it Works:
Here, specific wavelengths of blue light target the bacteria that play a pivotal role in causing acne. The light causes the development of oxygen radicals which kill the P. acnes bacteria, without causing damage to the surrounding healthy skin.
Why you should consider it:
- Proven effective in destroying high levels of acne-causing bacteria
- Best for mild and moderate inflammatory acne
- Reduced possibility of side effects like dryness or peeling that may occur with products containing benzoyl peroxide
- Worthwhile option for people with sensitive skin who are unable to tolerate topical disinfectants
- A pain-free procedure with no downtime
Why you should not consider it:
- Needs several treatment sessions, as many as 4 per week
- Not effective against cystic acne, whiteheads or blackheads
- Quite expensive (averaging $40 per session) as compared to results that can be achieved at home using products medicated with 5% benzoyl peroxide
- Long-term results are not known
Red Light Therapy for Wrinkles
How it Works:
Here, wavelengths of red light may help improve the skin’s barrier function by improving the ability to retain the key elements it requires to heal. It is also believed that red light LEDs stimulate healthy collagen production and target the oil glands in the skin to lower cytokines, a class of pro-inflammatory substance that’s believed to play a role in chronic acne.
Why you should consider it:
- Can help reduce signs of aging and possibly a better choice for people struggling with wrinkles and acne
- Minimal risk of side effects, particularly when used without light-activating chemicals
- No downtime required
Why you should not consider it:
- Needs multiple treatment sessions
- Not researched as well as Blue Light Therapy
- Long-term results are unknown
- Does not affect acne causing bacteria
- Per treatment, the cost can vary from $50 to $200 or more, depending upon the device and treatment protocol the dermatologist prefers
In case you’re considering an at-home LED device for anti-aging or clearing acne, it’s recommended to reconsider it. Due to concerns over lawsuits, manufacturers of such devices are forced to limit the intensity, often to a far lower strength than the LED devices used by a dermatologist.
Furthermore, LED devices require protective eye wear because the wavelengths emitted through them can damage unprotected eyes. Without protective eye wear at home, there’s a risk of damaging one’s eyesight due to the high intensity output from the device. Also, at-home lasers are “FDA approved” for what is considered as a “class 2 medical device”, meaning the FDA has approved the laser for safety and not effectiveness.
The Bottom Line
With regards to treating acne, in-office dermatologist administered LED for skin treatment is worth considering if other topical medications fail to work. Keep in mind, skin-care products with benzoyl peroxide, tretinoin, salicylic acid and other medical options are your first line of defense. Taking into account the expense, it is worth saving up for treatments which have actually shown to provide better anti-aging results. This includes laser treatment with Fraxel or Ulthera, or light-emitting treatments like IPL (Intense Pulsed Light).
What Do Chemical Peels Do?
The purpose of a chemical peel is to create even and controlled shedding of several layers of damaged cells, thereby exposing a new layer of skin with a smoother texture and more even color. In addition to this, a peel stimulates the growth of new cells, thereby tightening the skin and reducing wrinkling.
Chemical peel treatment
A chemical peel treatment also stimulates the growth of new collagen in the skin. This is similar to adding new padding under a worn out carpet. If the skin is thin, it easily wrinkles. When chemical peels are combined with other agents like Retin A, it promotes thickening of the skin layers and reduces wrinkles and creases on the skin’s surface.
Why Consider Chemical Peels?
With aging, the process of skin cells dying and getting replaced by new cells becomes slower and more haphazard. Also, years of sun exposure can lead to brown spots and premature aging of skin. The result of this is a dull and lifeless complexion.
A series of chemical peels helps rejuvenate the skin. This non-invasive treatment uses TCA or Trichloroacetic acid to restore wrinkled, freckled, blemished, scarred, sun damaged and unevenly pigmented skin. Peel treatment has been safely used for over 30 years.
What Areas Does It Treat?
Derma peeling or chemical peels can be used on the full face or specific areas like the forehead, around the mouth or eyes, hands and chest. Though one peel significantly improves the appearance of the skin, certain skin problems go deeper than others and might require a series of peels for optimal results.
How And Where Is It Performed?
Peel treatment is performed as an outpatient procedure. A solution containing Trichloroacetic acid is applied to the skin. This usually involves 2 to 3 minutes of burning and a stinging sensation. However, this sensation is brief and most patients choose not to use any anesthesia or sedation. A cool compress will then be applied, followed by ointment.
Does It Involve Any Side Effects?
The most common side effect after peel treatment is brown discoloration of the skin. Generally, this is reversible but can be permanent in rare cases. This side effect is more common in people who have sun exposure after the treatment and who don’t use a full spectrum (UVA and UVB) sunscreen with SPF 30 or higher.
What Is The Down Time?
The majority of patients take 5 to 7 days to heal from an average TCA peel. The skin looks as if it’s had severe sunburn, so most patients prefer to stay home during the healing process. If you’re not too self-conscious about your looks, you can work during part of your recovery period.
What Precautions Do I Need To Take?
Patients who’ve had TCA peels are more sensitive to sunlight for at least 6 to 8 weeks after treatment. During this time, they should use a full spectrum UVA and UVB sunscreen of at least SPF 30 at all times.
Chemical peel treatment is one of the most preferred and commonly used methods for skin rejuvenation. If you are interested in knowing more about this treatment or similar other methods for skin rejuvenation, fix up a personal consultation session with a specialist in your area.
If you wanted to get rid of wrinkly, loose & sagging skin twenty years ago, there was basically just one way to do it; go under the knife for a facelift. However, today there is a wide range of dermal fillers available that can be injected into thinning lips, unsightly crow’s feet, marionette lines, and furrows between the eyebrows. This takes years off the face and makes you look much younger.
The best part about dermal on face is that it can be done even during lunch hours, without invasive surgery and with very little recovery time. Fillers have dramatically changed the game! According to doctors, patients who regularly use dermal on face can put off a face-lift for at least a decade. ‘’ 20 years from now, I may not be going in for facelifts at all,” says a leading plastic surgeon based in New York.
What Can Fillers Do?
As compared to old techniques that tended to tighten and flatten the appearance of the face, fillers work under the skin to plump up sagging skin and replace elasticity. When done right, the look is more youthful and natural in comparison to what was previously attainable. However, when done incorrectly, the face looks out of proportion and contour problems such as lumps become noticeable.
There are a growing number of both women and men seeking newfound youthfulness and market competitiveness in a youth oriented culture; who are interested in today’s popular dermal fillers. However, with so many dermal filler types available in the market today, the big question is; which one do you choose. Well, here are the options:
Restylane, Juvederm, Prevelle Silk and Perlane dermal filler are made from hyaluronic acid, a naturally occurring substance in the body that is essential for plump and youthful looking skin. With the introduction of Restylane, non animal based hyaluronic acid filler injections came into the market in 1996.
Hyaluronic acid filler injections
Prior to Restylane, fillers were made from animal products like bovine collagen (obtained from cows), body fat (live and sometimes unpredictable substance) and silicone (sometimes toxic). Among fillers hyaluronic acid is often a better option, since the body already produces this chemical naturally. Used as a dermal filler, hyaluronic acid hardly ever causes an allergic reaction and effectively offers a smoother, younger and more natural appearance.
Doctors agree that while the optimal age for patients to begin with fillers is in the 40s and early 50s, this can differ from patient to patient and depends upon individual situations and expectations. For instance, in a place like Hollywood, celebrities constantly want to look younger, even if they are in their 20s and 30s.
Getting doctors to agree on much else is not easy. All have their own opinions on the various fillers available today, and often they differ. For instance, take Evolence, which contains porcine collagen. Some doctors say it is amazing because it does not cause bruising. However, there are other dermatologists and cosmetic surgeons who that feel Evolence is a product which has “no advantages” over what is already available on the market.
While some doctors feel perlane dermal filler lasts longer than Restylane, others disagree. Perlane is FDA approved to only last for 6 months, while Restylane is approved for lasting up to 18 months (with repeated injections). Whilst some products like Radiesse claim to promote the reproduction of collagen, some doctors say that any injection generates collagen because the body produces more collagen to fence off the foreign substance.
Everyone wants the longest lasting fillers, but the truth is likely somewhere in between. While considering patients’ age, individual skin texture, sun damage as well as genetic and metabolic factors, the filler which works best is judged on a case-by-case basis. Since fillers have a slightly different consistency, it’s best to ask the doctor why he/she recommends particular fillers and let him/her decide which filler is best for you.
In recent years, chemical peels have gained immense popularity world over. A chemical peel treatment removes the damaged outer layer of facial skin and helps improve texture, reduce scarring, and remove blemishes as well as pre-cancerous growths, thereby offering healthy, glowing and younger skin.
What are the Different Types of Peels?
There are 3 types of chemical peeling for skin which range from mild to strong. These include alphahydroxy acids (AHAs), phenol and tricholoroacetic acid (TCA). The benefits of chemical skin peel can be combined with other procedures like facelifts to achieve a younger look.
What are AHA Peels?
AHA peels are the gentlest among the 3 types of peels. They contain a group of glycolic, lactic and fruit acids which smooth and brighten the skin by treating fine wrinkles, acne, uneven pigmentation, and skin dryness. This peel is typically applied once a week, or mixed in a milder concentration with a cleanser to be used daily. The treatment takes 10 minutes or less.
What is TCA Peel?
TCA peels are used for medium-depth peeling for treating fine surface wrinkles, pigmentation and superficial blemishes. This is the preferred chemical solution for dark skinned patients and can be used on the neck as well as other areas of the body. Often, the results are less impressive and don’t last as long as phenol peels. Multiple treatments may be required, but sessions only last 10-15 minutes with recovery time being shorter.
What is Phenol Peel?
The strongest and deepest peel, Phenol, treats deeper skin problems like pre-cancerous growths, coarse facial wrinkles, and areas of damaged skin caused due to sun exposure, ageing or birth-control pills. Since phenol lightens skin where it is applied, a patient’s natural pigmentation is a factor for determining eligibility. Phenol is only used on the face and a full-facial treatment can last for 1 or 2 hours. Recovery can take a couple of months.
Is Chemical Peel Effective against Scars?
Yes. Chemical peel scar treatment is considered as one of the safest and most effective procedures to get rid of scars, irrespective of how bad they are.
Is there Pain Involved after the Procedure?
What to expect after chemical peel is the most common concern people have regarding this treatment. Well, AHA peels can cause temporary redness, stinging, irritation, flaking or crusting. TCA and Phenol peels can cause tingling or throbbing, a crust or scab, reddened skin, and significant swelling which usually lasts for about a week, depending upon the strength of the peel used.
Is it Safe to Combine Peels and Microdermabrasion?
Generally, it is not recommended to have a chemical peel after microdermabrasion on the same day, because both are designed to have the same effect. Both procedures cause skin exfoliation and combining them on the same day could result in too much skin redness and irritation. The combination of the 2 in experienced hands is quite safe, but it is generally recommended to have a peel procedure after a gap of some time, after microdermabrasion. If you do want to have both these procedures, a customized plan needs to be followed with periods of heeling time in between. They should not be done at the same time.
What are the Risks?
This procedure carries potential risks like infection and scarring. TCA peels might produce some color changes in the skin, while phenol reduces or eliminates the new skin’s ability to produce pigment evenly, thus causing a lighter or uneven skin tone.
Overall, however, a Chemical peel treatment is safe, quick and effective.
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