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Facelift

In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces: deep creases appear beside the mouth, the jaw line slackens, and folds and fat deposits appear on the neck. A facelift is designed to smooth the sagging skin on your face and neck, tighten the underlying tissues, remove excess fatty tissue, and refine your neckline. The incisions are hidden within your hair and in the natural creases of your skin.

 

A facelift can be combined with fat injection placed strategically to give a softer look. It can also be combined with a browlift, eyelid surgery or nose reshaping for more dramatic results, or it can be restricted to the neck (necklift) if the patient's problems center there.

Our goal is to refresh and rejuvenate your facial appearance, make you appear younger, but maintain a very natural appearance.

 

The side effects from the facelift include temporary discomfort, swelling, bruising and numbness. In general, the swelling and bruising will begin to resolve within the first week and you will be able to start wearing makeup. Most of our patients resume their normal activities within two weeks. Full recovery from the bruising and swelling may take up to 3 weeks.

Forehead Lift

Browlifts can revitalize drooping or lined foreheads, helping you to look less angry, sad or tired. Using either traditional or minimally invasive methods, the muscles above the eyes are altered to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty and facelifts to improve the look of the eyes and other areas of the face. The side effects from a forehead lift include temporary discomfort, swelling, bruising around the eyes and forehead numbness. In general, the swelling and bruising will begin to resolve within the first week and you will be able to start wearing makeup. Most of our patients resume their normal activities within two weeks. Full recovery from the bruising and swelling may take up to 3 weeks.

Eyelid Lift (blepharoplasty)

Your eyes are the focal point of your face. Cosmetic eyelid surgery is designed to correct puffy bags below the eyes and wrinkled, drooping upper eyelid skin that can give you a tired, sad, or angry appearance. The incisions are hidden within the natural creases of your upper and lower eyelids so they will heal inconspicuously. This surgery is designed to brighten your entire face and minimize the effects of aging.

 

The side effects of this surgery include temporary discomfort, tightness of the lids, swelling, and bruising. Most of our patients resume their normal activities within one week. Full recovery from the bruising and swelling may take 2 to 3 weeks. Patients may resume wearing contact lenses after 2 weeks.

Facial Fat Grafting

Fat injections can be an effective way to reduce wrinkles, diminish acne scarring and regain a more youthful appearance. By injecting human fat harvested from your own body, we can enhance facial fullness, fill deep creases, soften facial creases and wrinkles, plump lips and build up shallow contours.

 

Fat injection is a more extensive procedure than the use of other cosmetic injectable fillers because liposuction techniques are involved. These techniques are used to extract the fat prior to injection. Fat injection is either performed alone or in conjunction with a facelift to enhance and soften facelift results.

Facial Sculpting

Facial liposuction specifically the neck/chin, is a surgical procedure that has been used in the United States for almost 20 years to remove localized collections of fatty tissues. Many people have isolated areas of excess fatty tissue that can cause the facial form to lose definition. Facial Liposuction can be used safely and effectively to improve the contour of the face, especially the neckline. The entire procedure is performed through inconspicuous incisions.

 

Good candidates for facial sculpting are patients who have excess fatty tissue without a lot of excess of skin. The procedure is most effective in patients that have healthy, elastic skin. Patients who have both excess fatty tissue and a lot of excess skin will have the best result from a combined facial sculpting and face-lift procedure. Side effects from the surgery include temporary bruising, swelling, and numbness.

Botulinum Toxin

Botulinum Toxin is a purified natural protein that relaxes facial muscles by blocking nerve impulses. Relaxing specific muscles in the face through injections of the Botulinum Toxin formula reduces facial lines caused by frowning and creates smoother skin, fewer wrinkles, and a more relaxed appearance. Botulinum Toxin works best in the upper third of the face: frown lines between the eyebrows, horizontal bands of wrinkles across the forehead, and crow’s feet at the corners of the eye. Botulinum Toxin can also be used to soften or erase lines around the mouth, to sculpt the face by raising one or both eyebrows, as well as to smooth vertical and horizontal neck lines by relaxing the platysmal (neck) muscles.

 

Botulinum Toxin may also be useful for migraine headaches, excessive sweating, and eye and neck muscle spasms.

 

No recovery time is needed. You can return to work or your daily activities right away. Effects are usually seen within a few days and reach maximum benefit by fourteen days following injection. It is important to remember that Botulinum Toxin is not a permanent solution for troubling wrinkles because the effects are not permanent. For many patients, however, the effects have been quite dramatic. Although individual results vary, the results achieved from a single treatment usually last three to six months. You will notice a gradual fading of the effects. To maintain the effects, treatments are usually required two to three times a year. Botulinum Toxin Cosmetic treatment may be repeated indefinitely. Currently Botulinum Toxin Cosmetic has been used safely for over twenty years worldwide. Acceptable safety in long-term treatment has been well established.

Dermal Fillers

As we age, our skin begins to lose its fullness, and sagging, wrinkling and hollowing occur. These changes and other effects of aging can be improved through the use of injectable fillers. These treatments, often made from collagen, hyaluronic acid gel and other natural substances, are injected directly into the skin to restore fullness and smooth out wrinkles and other fine lines. The injected substance supports the skin and restores the volume lost over time. Many of the specific treatments have been approved by the FDA and are considered safe procedures with little to no side effects.

 

Types of fillers commonly used:

 

Hyaluronic Acid (Restylane®, Juvederm®, Emervel and Teosyal)

A naturally occurring protein found in human skin, hyaluronic acid has now replaced collagen as the current state of the art in soft tissue fillers. There is no risk of allergic reaction, and hyaluronic acid products typically last much longer than collagen before they are harmlessly reabsorbed by the body. However, it gives long-lasting results because as some of the hyaluronic acid is absorbed, the remaining amount retains its volume by binding water. This allows hyaluronic acid to give long-lasting results that remain nearly constant for the entire period.

 

Radiesse® This dermal filler is made of a synthetic substance of calcium hydroxylapatite, but there have been no allergic reactions associated with it. Most patients can return to normal activities the next day. One of the advantages of Radiesse® is that it can last up to three years.

Dermal fillers are commonly used for:

 

• Facial folds and wrinkles: Dermal fillers are an excellent complement to Botulinum Toxin injections because they correct a different type of wrinkle.

 

• Restoring facial volume: As we age, our face naturally loses volume and what fat we have is often displaced by gravity. This gives the face a wan, tired appearance. Dermal fillers can be used to fill in areas that have lost volume, restoring a youthful fullness to your face.

 

• Lip augmentation: The lips also tend to lose volume as we age, which is especially important to women. Thin lips can create an older, sterner appearance. Dermal fillers are great treatment for restoring volume to lips.

 

• Facial reshaping: Some people do not have the facial shape they desire, and in many cases this can be at least partly corrected with dermal fillers, which can give the appearance of higher cheekbones or a stronger chin. The only common side effect of injectable fillers is swelling at the injection sites which can last 1-3 days, and is not something that everyone experiences. You may be aware of the filler at first, but this will pass quickly. As soon as the swelling goes down, the results of your treatment will be apparent. Your wrinkles, folds, and hollows will be significantly reduced. They may even be erased. Your results should last for about six months or more depending on the type of filler used and its placement up- to two years.

PRP (Platelet Rich Plasma)

Platelet Rich Plasma (PRP) is a by-product of blood (plasma) that is rich in platelets. Platelet Rich Plasma (PRP) contains various growth factors that can be used to enhance healing and provide a matrix to stimulate collagen deposition for volume enhancement and potential improvement in skin quality and contour. PRP has a very high concentration of growth factors that help stimulate skin rejuvenation and restore volume due to atrophy and aging.

 

During the office procedure a small amount of your own blood is drawn out via the IV. This blood is then placed in the PRP centrifuge machine and spun down. In less than fifteen minutes, the PRP is formed and ready to use to be injected into the skin for rejuvenation after a topical anesthetic is placed on the skin. When PRP is injected into the skin, it accelerates the normal healing process by stimulating collagen formation, revascularization and repair.

 

This process brings long lasting rejuvenation without side effects. Results usually become apparent within 15 days of treatment.

 

Its advantages are that it promotes local tissue growth and repair, stimulates regeneration to eliminate wrinkles, is safe since it is made from one’s own blood and is an office procedure.

 

PRP is recommended for any age groups at different frequencies:

 

Age 30 – 40 years: In this age category the main aim is rejuvenation and prevention of collagen degradation and re- stimulation of new collagen and elastin production, thus attempting to slow down the ageing process. One treatment every 2 years is sufficient.

 

Age 40 – 50 years: In this age category the aim is rejuvenation and to attempt reversal of the ageing process which is more difficult. More re-stimulation of collagen and elastin production is necessary. The initial treatment should be followed by a second treatment 2-6 months later and a third treatment 9 months after the second treatment. Follow-up ‘maintenance’ treatments may be necessary every 12-18 months.

 

Age 30 – 40 years: In this age category the main aim is rejuvenation and prevention of collagen degradation and re- stimulation of new collagen and elastin production, thus attempting to slow down the ageing process. One treatment every 2 years is sufficient.

 

Age 50+ years: In this age category the aim is rejuvenation and to attempt more intense reversal of the ageing process. The initial treatment should be followed by a second treatment 2-6 months later and a third treatment 6 months after the second treatment. Follow-up ‘maintenance’ treatments may be necessary every 12 months

Thermage® Skin Tightening

Thermage® is a safe and effective procedure that stimulates your skin to produce more and better collagen, which makes it tighter and healthier-looking. Collagen is the major building block of the skin. This protein helps the skin to be tight and elastic, meaning that it returns to its shape after pulled or otherwise deformed. Collagen-rich skin resists wrinkling, is thicker, and appears more youthful. Thermage® uses a unique form of radio frequency (RF) energy to simultaneously tighten existing collagen and stimulate the skin to produce more collagen. The result is tightened skin producing a kind of “lift” without a single incision. With minimal treatment discomfort and no recovery, tighter, smoother skin, an overall more youthful appearance can be achieved. The energy is delivered through a hand-piece directly applied to the skin heating the deeper layers causing tightness and simultaneously cooling the skin for comfort. The addition of the new CPT hand-piece allows the heat to be more evenly distributed across the treatment area, permitting the Thermage® CPT system to heat four times more tissue to therapeutic temperatures than rival technologies and thus significantly increasing its effectiveness.

 

Thermage® is effective on:

 

The Eyes – treating upper and lower eyelids to reduce hooding and fine lines, tightening creppy skin as well as lifting of the brow line

 

The Face – smoothing and tightening sagging skin, smoothing fine lines and wrinkles and helping define the jawline and lip. Addresses loose jowls and “turkey neck”

 

The Body – helping contour loose skin and smooth bulges. Treating wrinkles, creppy or sagging skin on the tummy, knees, arms, legs, hands or buttocks example after weight loss or pregnancy. Effective on cellulite.

 

After treatment the skin may be slightly red, but most people resume regular activities immediately after treatment. There is no recovery time or special follow-up care. The results may appear immediately but usually, measurable tightening and contouring appear gradually in the 2 to 6 months post treatment. Results can last years depending on the skin's condition and ageing process.

 

While Thermage® cannot produce the same level of effects as a surgical facelift, it often produces visible results that for many people are well worth the tradeoff of a non-surgical procedure with no recovery.

Velashape III

VelaShape® is a non-invasive body contouring treatment for circumferential and cellulite reduction*. VelaShape enables you to safely achieve a toned, contoured and well shaped body in typcially 3 treatment sessions (single treatment protocol is also available); making you look and feel more youthful. VelaShape provides dramatic results without downtime or significant discomfort.

 

The elōs technology combination of infrared light, coupled radio frequency energy rollers and vacuum causes deep heating of the fat cells, their surrounding connective tissue and the underlying dermal collagen fibers. This type of efficient heating and vacuum stimulate the growth of new and better collagen and elastin which results in localized reduction in skin laxity, body volume and an overall improvement in skin structure and texture.

 

Velashape III helps to remove excess body fat and treating cellulite from problem areas such as the abdomen, thighs, arms, buttocks. Muffin top and chin.

 

Treatment is safe and effective for all skin types and colors. There are no reported short or long-term health effects.

 

Most patients find VelaShape III comfortable – like a warm deep tissue massage. The treatment is designed to accommodate your sensitivity and comfort level

 

VelaShape III is a no-downtime treatment, though it’s normal to experience a warm sensation in the treatment area or notice that it looks a little pink for a few hours after the procedure. You should be able to return to your regular activities right away.

Fractional Radio Frequency Microneedles (RFM)

The combination of microneedles and radiofrequency leads to substantial improvement in skin quality and texture. The procedure involves penetration of microneedles into the dermis to deliver high-tensioned radiofrequency pulse into the targeted tissue. This results in the body’s own production of elastin and collagen fibres, making skin firmer and healthier.

 

The microneedles are driven directly into the skin at a certain depth, and radiofrequency energy is then released inside of the skin. This gives a more uniformed deep tissue heating that will stimulate new collagen fibers production. The needle tip contains 25 very small gold needles acting as an internal conductor. In cases of acne, the RF energy kills the bacteria responsible for the lesions and shrinks the sebaceous gland.

 

Fractional Radio Frequency Microneedles Treatment is effective for:

 

• Acne and acne scars

 

• Wrinkles & Fine lines

 

• Open pores

 

• Stretch marks and skin laxity

 

• Scars of all types

 

The treatment area is numbed for 30 minutes before starting. The procedure would take approximately 20-30 minutes to do depending on the area and pain threshold. Immediately after the procedure, the treated area is warm, red and swollen. After 2 days the needle marks will disappear.

 

After a few treatments you will see a noticeable difference, it will help both improve wrinkles and appearance of the skin by tightening, rejuvenating, reducing pore size and minimizing scars.

Chemical Skin Peels

Chemical peels have long been used as skin rejuvenation procedures. In the right hands, chemical peels can safely address many common facial concerns, including wrinkles, uneven skin coloration, and a dull complexion. Depending on the severity of the problem the peel is designed to address, you can often see results immediately with little or no recovery necessary.

 

A chemical peel involves the application of medical acids to remove the damaged skin layers in order to produce more youthful appearance. A healing response to the peel can also triggers new collagen formation so the skin appears tighter and more elastic.

 

Chemical peels are most commonly used on the face, but can be used on other body areas such as the chest, back, shoulders and arms to eliminate lines, freckles, or age spots. Patients with more extensive sun damage on the legs can also be treated with chemical peels.

 

Chemical peels have been found to be a powerful complement to other skin treatments, leading to numerous innovations in what is known as combination therapy.

 

Theoretically, chemical peels can be combined with any light, laser, or skin therapy.

 

The most popular combinations include:

 

• Thermage skin tightening non-surgical radiofrequency treatment to tighten and lift sagging skin
• Topical prescriptions that are effective against wrinkles like Retin A™
• Dermal fillers like Restylane, Juvederm, Perlane, Radiesse, to smooth the deeper lines
• Botulinum Toxin to relax muscles that contribute to wrinkles

 

We offer a range of chemical peels at AlShunnar Plastic Surgery that effectively treat sun damage, age spots, uneven pigmentation, acne scars and blemishes, fine lines, and wrinkles. Our highly trained and experienced professionals will analyze your skin and choose the appropriate peel for your skin type and personal needs. These peels are performed in our office and result in exfoliation of the outer layers of your facial skin. The healing time depends on the depth of the peel. As a rule, the deeper the peel, the longer the recovery time. In all cases, avoid sun exposure immediately after a chemical peel and use sun block during the healing process since the new skin is fragile and more susceptible to injury.

 

With superficial peels, you should be able to resume your normal daily activities immediately following your procedure, including the application of makeup and sunscreen. Within minutes to days, depending on the type of peel chosen, you will notice that the treated area is more smooth with less wrinkles, having a more youthful appearance. Your newly rejuvenated skin should have a healthy glow and appear soft and supple. With deeper peels, you will go through a process of shedding and healing that should be complete seven to ten days following your peel. At this time you will notice a marked improvement in the quality of your facial skin.

Skin Care

Customized medical facials

At AlShunnar Plastic Surgery, we offer a wide range of non-surgical services to help you rejuvenate your skin and maintain a healthy, youthful appearance. A scientific approach to skin care that includes prevention and maintenance in addition to treatment of the damaging effects of sun exposure. Our highly trained and experienced professionals will analyze your skin and formulate a personalized program to rejuvenate your facial skin and restore it to its natural beauty. We also offer a range of medical grade skin products to help with a home maintenance program.

 

Microdermabrasion

To keep your skin its healthiest, it is best to get periodic deep cleanings. Deep cleanings of the skin involve removing the outer dead layers of skin to expose the fresher, living skin below. This is known as exfoliation and microdermabrasion is an excellent tool for this. Microdermabrasion is a good treatment for acne-prone individuals, those who desire a deep cleaning for healthy skin, and people with dull-looking skin. It removes skin by buffing it with a stream of fine crystals. Air pressure drives the crystals at the skin at a very high velocity, and the same pressure creates a vacuum that draws the crystals away. The process will remove a very thin layer of skin, less than a thousandth of an inch thick. This outer layer consists of dead skin that has lost the luster of living tissue and has suffered damage from the sun and other exposure. It also contains contaminants, pollutants, and dirt that clog pores and damage skin.

 

Microdermabrasion takes less than an hour, and because it is minimally invasive you can go back to work right away with your skin looking healthy and glowing, but not red or irritated. Acne and skin dullness can be reduced with microdermabrasion. Some people see a reduction in skin discoloration, fine wrinkling, and scaly skin after a regular treatment program. Some of the benefits of microdermabrasion are not visible, though. Microdermabrasion prepares your skin to receive topical nutrients, and combining the procedure with a recommended skin care regimen can deepen and lengthen the results you see from microdermabrasion.