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Types of Dermal Fillers – Part Two

Hyaluronic acid fillers are widely used due to their high levels of safety and reliability. Hyaluronic acid is a natural substance which can be found in every living organism. As a result, it is biocompatible and side-effects are very rare. Products which use hyaluronic acid include Perlane, Restylane, Belotero, Teosyal and Juvéderm. Hyaluronic acid fillers come in varying levels of thickness and so they are a flexible option to improve different sections of the face.

Calcium hydroxylapatite fillers are designed to stimulate collagen fibers as well as volumize depleted areas. Radiesse is a well-known form of calcium hydroxylapatite filler. This is a temporary but longer-lasting type of dermal filler which works wonders for facial sculpting. It is used mainly in deep nose to mouth lines, though it also works for reshaping of the nose. It is not applied to the lips.

Collagen fillers help restore the support structure of the face, enhancing the contours of the upper layer of skin. Collagen is the most abundant natural protein found in the body and provides structural support to skin, muscle, tendons and bone. Collagen injections replenish the skin’s natural collagen. The natural beauty of your skin is enhanced as the contour of the support structure is restored.

Dermal fillers can improve your appearance by smoothing, shaping, contouring and adding volume to your face. Dermal fillers are not a permanent treatment for wrinkles. To maintain results, repeat treatments are necessary.

As you can see, there are many types of dermal fillers that can be used for many different areas of the face. A qualified dermatologist can help you choose the best type of dermal filler for your specific concerns. To schedule a […]

January 23rd, 2018|

Types of Dermal Fillers – Part One

Sagging skin, wrinkles and fine lines create the most obvious signs of facial aging. Typically, lines first appear where the skin has a natural tendency to fold or crease as a result of a person’s most dominant facial expressions. With advancing age, the natural lines of the face eventually become deeper and more pronounced causing nearby skin to develop fine lines and wrinkles.

While anti-aging creams, serums and lotions can, in some cases, be very effective at slowing down or preventing the appearance of wrinkles, they tend to be relatively ineffective once a wrinkle has already formed, especially if that wrinkle is deep and well established.

Fortunately, dermal fillers provide an effective treatment option to combat the signs of aging. Dermal fillers are injectable treatments used to fill lines and smooth wrinkles. They can be used in various locations on the face including under the eyes, the lips, cheeks and other fine lines around the face. Dermal fillers may not be as effective on skin that has significant amounts of sagging or extremely loose skin. In such cases, a surgical procedure such as a facelift may be needed to correct wrinkles and sagging.

There are several different types of dermal fillers. Dermal fillers differ in chemical make-up, longevity and have varying degrees of softness. Softer fillers are used in the lips, for example, while sturdier fillers might be desired to enhance cheekbones.

The type of dermal filler chosen will ultimately depend on the results you wish to achieve. In Medford, Abby Coats will determine the best type and volume of filler needed for your particular areas of concern. Some popular types of dermal fillers include:

Poly-L-lactic acid fillers are biocompatible […]

January 8th, 2018|

Skin Rejuvenation Benefits

As we grow older, certain signs of aging can begin to reveal that age is more than just a number. Characteristics like wrinkles, age spots and sagging skin develop over time. Skin rejuvenation provided by Abby Coats in Medford can help you look more natural, younger and more beautiful than ever.

Skin rejuvenation procedures seek to achieve one or more of the following:

  • Reduce or remove wrinkles
  • Remove or lighten sun spots
  • Tighten loose skin
  • Improve skin tone and color
  • Eliminate damaged, visible blood vessels

The variety of procedures available today provides you with choices when it comes to your treatment. Many treatments take only a few minutes to perform and require little to no recovery time. Other options may be slightly more invasive but can deliver results that you can enjoy for months to years post-treatment.

The particular treatment you will need depends on a variety of factors, including your age, skin condition, desired recovery time and the concerns you wish to address. In some cases, a combination of treatments may be recommended to provide optimal results. This ability to customize an ideal treatment plan is another benefit of skin rejuvenation.

There are many ways in which skin rejuvenation treatments can put years back on your face. Medical Eye Center offers skin rejuvenation treatments to help you look and feel your best. Our skin rejuvenation therapy is great for combatting common signs of aging to restore a more youthful appearance.

Wrinkles: Many treatments target wrinkles. They take away the dead skin cells that crowd around the wrinkles on your skin. In addition, many of the treatments will put more collagen into your skin. Collagen is something we lose when […]

December 24th, 2017|

Cosmetic Botox Injection Sites

Cosmetic Botox is a nonsurgical treatment designed to reduce the fine lines and wrinkles that appear on the face over time. Also known as Botulinum Toxin Type A, Botox is a muscle paralyzing neurotoxin. When injected into a predetermined area, this product will temporarily relax the muscle and smooth facial creases.

The most common cosmetic Botox injection sites are between the eyebrows (to treat frown lines), at the corner of the eyes (to correct “crow’s feet”), forehead creases and wrinkles around the lips.

Administered through tiny injections directly into the targeted muscle area, Botox injections take less than 30 minutes in the office. Prior to a treatment in Medford, Abby Coats will determine if you are a suitable candidate for Botox, which areas of the face will be targeted, and how much will be needed. Virtually painless, cosmetic Botox injections do not require an anesthetic. Patients normally report a slight pinch during each injection.

No downtime is required after a cosmetic Botox treatment; patients can return to their usual activities immediately after a treatment. Minor bruising may occur at the injection site, although this will quickly resolve. The results from a Botox treatment can first be noticed in five to seven days. The full benefits from a treatment will appear in approximately two weeks. Results last between three to four months; after which time, patients will need a repeat treatment to maintain results.

Cosmetic Botox injection treatments are beneficial for men and women of any age and safe for all ethnicities and skin types. People frustrated by the early signs of aging due to facial lines and wrinkles should find that cosmetic Botox injections provide excellent results.

Cosmetic Botox injections can be performed alone or […]

December 10th, 2017|

Wrinkles by Eyes

Wrinkles by eyes, such as so-called laugh lines or crow’s feet, are the bane of many aging adults. Wrinkles are caused by a combination of factors — some you can control, others you can’t. To be able to effectively get rid of wrinkles by eyes, you need to know the causes of the wrinkles:

Natural Aging: The first and most common cause of eye wrinkles is aging. As people age it is normal to have wrinkles not just around the eyes but also on your neck, face and so on. As you get older, your skin naturally becomes less elastic and more fragile. Decreased production of natural oils dries your skin and makes it appear more wrinkled. Fat in the deeper layers of your skin diminishes. This causes loose, saggy skin and more-pronounced lines and crevices.

Smoking: Smoking can accelerate the normal aging process of your skin, contributing to wrinkles. Smoking generally increases wrinkles on the body since it generates free radicals in the body. The free radicals will reduce the amounts of elastin and collagen in the skin. This will also make the skin dry. Furthermore, as you smoke, you are likely to squint when the smoke reaches your eyes, this too will cause eye area wrinkles.

Repeated Facial Expressions: Facial movements and expressions, such as squinting or smiling, lead to fine lines and wrinkles. Each time you use a facial muscle, a groove forms beneath the surface of the skin. As skin ages, it loses its flexibility and is no longer able to spring back into place. These grooves then become permanent features on your face. As you laugh, squint or smile, your eyelid skin tends to […]

November 26th, 2017|

Kybella Aftercare

Kybella is a non-surgical, non-invasive treatment for the removal of submental fat – a double chin. Kybella is composed of a synthetically produced deoxycholic acid, a compound naturally produced by the liver to break down fat. You can now melt away your double chin without liposuction or surgical procedures, just a series of simple injections!

Kybella was approved by the Food and Drug Administration (FDA) in 2015 as a treatment for adults with moderate-to-severe fat below the chin, known as submental fat. For our Kybella patients, a series of simple injections in Medford can quickly produce a more youthful profile.

Unlike other injectable treatments, such as dermal fillers or Botox, the results from Kybella are permanent. When properly injected into submental fat, Kybella will permanently dissolve your double chin with no need for any anesthesia.

Most Kybella patients will typically require 2 to 3 treatments, with 15 to 20 injections, according to the custom plan developed for you by Abby Coats.

After your Kybella treatment, you should expect some swelling and redness. You may also experience bruising, pain, numbness and firmness in the injection site. This will normally last less than 5 days, and for some patients may last up to 14 days. You may have slight swelling of the area for up to a month.

  • You can apply ice in the first 48 hours to help with the swelling and discomfort.  It is important to not place ice directly on the skin.
  • Avoid strenuous activity for 3 days after your treatment.
  • Sleep with your head elevated for 3 nights after your treatment to help minimize swelling.
  • Do not scratch, pick at, massage or manipulate the treatment area.
  • […]

November 12th, 2017|

Microneedling for Acne Scars

Acne usually starts in the mid-teens and affects an estimated 40% of the population. Several factors can cause acne scarring including a high-sugar, high-dairy diet; gluten or soy allergies; hormonal imbalance; and exposure to environmental toxins such as chemicals and pesticides.

Microneedling has become one of the most popular treatment options for acne scars. Traditionally, acne scars have been difficult to treat. Microneedling can break up acne scar tissue and encourage the growth of new tissue. In fact, it works very well for hypertrophic scars caused by acne, burns, injury and surgery. Microneedling for acne scars can significantly improve skin appearance, texture and overall quality.

Unlike laser skin resurfacing, microneedling does not affect the epidermis layer of the skin in any way, which means the procedure can be safely repeated multiple times until the desired results are achieved. Another advantage is that the treatment doesn’t create a separation between the treated and untreated skin surfaces. So the focus can just be on the scarred area without the need to blend in at the treatment edges. Microneedling is suitable for all types of skin including thin and sensitive skin, and is also safe for dark as well as ethnic skin.

Depending on the surface area needing to be treated and the severity of the acne scars, a microneedling session can last anywhere from a few minutes to up an hour. Microneedling patients can expect to have little discomfort during the procedure and minimal downtime (1-3 days) after. Dramatic results can usually be achieved after 3-6 treatments.

If you have acne scars or other skin problems and would like to find out if microneedling is a suitable treatment option for you, […]

October 22nd, 2017|

Droopy Eyelids – Medical Condition or Cosmetic Concern?

One of the most frequently asked questions we hear from patients is whether their drooping eyelids are a medical condition or if it’s considered a cosmetic issue. This is a particular point of interest for many because when excess eyelid skin or drooping eyelid tissue is considered severe enough, some insurance plans will help cover the cost of surgery to correct the issue.

Obviously, having your insurance contribute toward a surgical procedure is helpful in reducing out of pocket expense. However, insurance criteria can be tricky and there are additional considerations that you should be aware of as you  explore whether or not to proceed with eyelid surgery.

How severe is “severe enough” for insurance companies?

Each insurance company has different medical criteria and require a series of measurements, photographs, and diagnostic testing as part of their determination process. This is all done as part of a consultation appointment with Dr. Hauck, our oculoplastic surgeon.   Dr. Hauck will listen to your specific concerns and carefully evaluate your eyelid tissue and muscle function, capturing all of the required information to submit to your insurance company for review. Here are some common signs that your eyelids might be “ready” for surgery:

  • Your eyelid skin droops and rests on your eyelashes, possibly even forcing your eyelashes downward
  • Your field of vision is limited by your drooping eyelids; patients often report bumping their heads on objects above their line of sight or don’t easily see cars approaching alongside them in traffic
  • You compensate for your heavy, drooping lids by raising your eyebrows and, as the day progresses, your brows fatigue, giving way to even greater drooping of the lids in the evening
  • Your […]
October 18th, 2017|

Fillers Under Eyes

A common complaint from patients is the appearance of dark circles under the eyes. Some dark circles can be the result of shadows from bulging under-eye fat (bags under the eye) or from under-eye hollowness. Under-eye hollowness can be caused by either a weak cheek bone and deficient orbital rim or from deficient under-eye fat.

Topical products can help, to an extent, with the appearance of this area (things like discoloration and crow’s-feet), but when volume loss is the reason for this less-than-desirable hollowed-out effect, fillers under the eyes may be the answer.

Under-eye fillers are an effective way of restoring volume to the eye area – reducing the appearance of hollow eyes, puffy eyes and dark circles. Fillers also hydrate the skin from the inside, leading to improvements in skin quality and collagen production.

Fillers can be permanent non-autologous (e.g. Sculptra, Aquamid) or permanent autologous (e.g. fat) or even temporary (e.g. Restylane, Juverderm).

Filler injections are usually painless. When treating wrinkles the filler is injected under the skin, for volume loss it can be injected on the bone or deep in soft tissue with a very thin needle or cannula. These injections give natural volume and a typical treatment takes about 10-15 minutes, with immediately visible results.

Side effects of under eye fillers vary depending on the type. Potential temporary side effects include:

  • Bruising and or redness of the skin at the site of injection
  • Lumpiness and or granuloma formation
  • Swelling and or Overfilling
  • Migration
  • Blindness
  • Skin Necrosis
  • Allergic Reaction

Fillers under the eyes are not for people who have a known allergy to the product or lidocaine, have an active infection at the injection site, are pregnant or are […]

October 8th, 2017|

Non-Surgical Brow Lift

A non-surgical brow lift is an aesthetic procedure that lifts a sagging or drooping brow line by strategically injecting an anti-wrinkle protein or dermal filler into the area. As we grow older, our skin starts to lose its elasticity and fullness of youth. These age-related changes can cause the skin to sag around the brow area, and the brow begins to drop from its youthful position.

Anti-wrinkle products injected into the brow area allow the muscles that elevate the brow to work freely. When a dermal filler is used, volume of the skin is restored and the eyebrows are lifted back to their natural, youthful position.

The effectiveness of the results depends upon the nature of the treatment. The results of a non-surgical treatment with anti-wrinkle injections may last for about four months. While the results with dermal fillers can last from between 1 to 2 years.

Benefits of having a Non-Surgical Brow Lift

  • A low or drooping brow can create a feeling of being old, tired or angry. A non-surgical brow lift elevates the drooping brow thus making you look relaxed, rejuvenated and therefore younger.
  • It is a quick painless procedure and you need not take any time off work. Whereas with a traditional brow lift you must be off work for around a week.
  • Anesthesia is not required during the procedure although the treatment area may be numbed using a topical numbing cream. Anti-wrinkle injections or dermal fillers are then injected into the treatment area using a series of tiny injections.
  • This process is ideal for people who have just started to experience sagging brows or for those who are looking for a subtle […]
September 24th, 2017|