Tuesday, December 6, 2011

The "Ears" have it!

I was reading throught my article feed and found a very timely article in the Daily Mail.
http://www.dailymail.co.uk/femail/article-2069911/Rise-ear-job-Ears-sagging-heavy-earrings-age-say-surgeons-offering-cosmetic-fixes.html

This article discusses the changes women see in their earlobes as time marches on. Changes include stretched out piercings, saggy lobes, and really elongated lobes. There are multiple ways to fix these issues.
Lobuloplasty is usually performed to repair a stretched or torn piercing that will no longer hold an earring appropriately. In this procedure, the skin surrounding the hole is removed and the hole is sutured closed. Ears can usually be repierced 6 weeks later. Another variation of the lobuloplasty can be performed to reduce elongated earlobes. With the loss of fat in the earlobes, they can appear long and saggy. Removal of excess tissue at the ear/cheek junction makes this procedure simple and the scar almost invisible.
For many people, the loss of fat in the lobes can be overcome by simply adding volume. The use of hyaluronic acid fillers, like Restylane or Juvederm, can perk up a saggy lobe instantly! This is a simple, in-office procedure that can provide lasting results!

You would be surprised how many patients have been asking for rejuvenation of their earlobes.

Tuesday, November 29, 2011

How to keep your eyes bright through the holidays!

Well, it's that time of year again! The holidays are here and we all are busy, busy, busy! No one wants to have any downtime, but we all want to look our best. One of the biggest complaints I am hearing is about dark circles under the eyes (raccoon eyes).

Let me give you the lowdown on some easy fixes for this common condition....

Dark circles are usually hereditary and can get more prominent with time. If you think about the pathology behind dark circles, they are usually related to very thin skin overlying muscles and blood vessels under the eyes. These reddish blue structures are evident through the skin giving a bluish hue to the lower eyelid region.

Most people can cover their dark circles with concealer very effectively. The key here is to use the right type of concealer. The bluish hue is more easily covered with a contrasting color. A concealer with a peach or orange base, instead of pink, is usually more effective.

Sometimes, the skin and soft tissue around the eyes have gotten so thin that there is actually a trough or depression that shows up as dark circles. In this case, volume replacement is more effective. Hyaluronic acid fillers, like Restylane and Juvederm, are very effective in this area to plump up the skin and decrease the shadowing associated with volume loss. This is an in-office procedure with very little downtime. Most people will get no bruising and very minimal swelling. I like to have people come back 1-2 weeks after the injection for a possible touch up. I would rather put too little in the first time and add a little more at the followup visit to just perfect it. The biggest risk is over-filling the area and giving the patient a bulge in the lower eyelids.

Less commonly, a confluence of pigment in the lower eyelid region contributes to the look of dark circles. Usually, this is in a more darkly pigmented patient with some sun damage. Laser and chemical resurfacing of this area can really lighten the pigment and reduce the look of the dark circles. Many people will get a reduction of fine lines and wrinkles with these procedures as well! These resurfacing procedures are usually associated with up to a week of downtime, so they may be something to consider after the holidays.

I hope this helps, but remember, the real key to looking good is taking care of your body. An excess of alcohol, too little sleep, smoking, and salty foods can also make those dark circles look even worse. Have fun, but do so in moderation! Happy Holidays!

Tuesday, January 11, 2011

Snowy Day - quiet in the office!

Kind of nice to have a snowy day here in Cincinnati. You can really tell who the dedicated patients are on days like this! Of course, the postop patients will make it in, no one wants to keep a dressing on longer than they have to. I'm just always thrilled with the new consultations that still show up. Those are the people who are really serious!



My surgery tech told me yesterday that my lips looked really plump - No, I didn't put anything in them. But it did make me reflect on the different procedures we do use to plump up lips. I wrote a few months ago about the Permalip implant for the lips. I have done a few of them since that time and am pleasantly surprised! They look really natural - and, best of all, they are permanent! They are removable if you don't like them, but most wouldn't part with them!

I am also going to demo the new Ulthera this week. This is an ultrasound based tightening device. It is supposed to have really great results around the eyes with some moderate improvement on the neck and cheeks. Should be interesting! I will try to keep you posted.

Enjoy this snowy day - I can't wait to get home to the kids and sled!