Facial Plastic Surgery
Now more than ever before, people are undergoing minimally invasive cosmetic procedures. This is due to advances in technology in the field of aesthetic medicine, as well as economic factors. Products like neuortoxins (Botox, Xeomin and Dysport) and fillers (Juvederm, Voluma and Restylane, etc.) have become widely accepted as effective and predictable, and the public has become more familiar and comfortable with these products. As well, for the patient who does not have the economic means to undergo a pricey, invasive surgical procedure, minimally invasive procedures provide results with a fraction of the price tag and down time.
Minimally invasive procedures such as injections with neurotoxins and fillers and laser skin rejuvenation give the patient good results, but these procedures are limited in how large of a difference they can make in a patient with significant photo aging. At a certain point, if the patient truly wants to reverse signs of an aging face, surgery will be the best option. For example, a patient may have filler injections to help soften nasolabial folds, but when filler is no longer able to give the patient the result they desire, I recommend surgical options. For the patient who is not ready for surgery, minimally invasive cosmetic procedures present an attractive option.
When choosing a provider to perform minimally invasive cosmetic procedures, it is extremely important to find someone who has the proper training and credentials. In the state of Georgia, other professionals besides physicians can perform facial injections and invasive laser procedures. I always advise patients to do their “due diligence” when deciding on where to have procedures performed. Even though facial injections and laser treatments are less invasive than surgery, they cannot be undermined as being without complications or risks. Patients should make sure their facial injection specialist or laser technician has thorough and extensive training, as well as the degree or certification necessary to perform these procedures. If you are interested in minimally invasive cosmetic procedures, consult with the experts at Kalos Facial Plastic Surgery to learn about different cosmetic options.
Post Provided by Benjamin Stong MD
It seems like winter is finally here with cold temperatures, rain and even snow in some parts of the country. The colder climates also bring about big changes in skin that call for a winter skin care regimen. It would be nice to only have to stick to one skin care regimen during the year, but just as we have to switch our wardrobe for the colder weather, we must also change our skin care.
Winter skin care essentials will include rich moisturizers with powerful hydrating ingredients, as well as sunscreen, which of course should be worn year-round. In addition to using more moisturizer, people will notice that products containing retinol, tretinoin, or other Vitamin A derivatives, as well as exfoliating agents (AHA’s like glycolic acid and BHA’s like salicylic acid), will be more sensitizing to the skin. Some may have to cut back on the amount of active products they use during the cold months, while others may tweak their routines to be able to continue to use strong products like retinol and exfoliants. A great tip is to apply moisturizer prior to products with retinol in order to cut back on irritation. It is best to wait several minutes after applying moisturizer to apply retinol to ensure absorption.
If you are considering having skin rejuvenating cosmetic procedures such as lasers or chemical peels, make sure you have the appropriate at home products for after care. Many medical grade skin care lines offer “post procedure” products that are ideal for use following lasers or peels as they cut back on downtime, enhance results, and soothe the skin. I am an advocate of potent antioxidant serums that are designed to protect the skin from free radical damage. When patients use specific post-procedure products immediately following lasers or chemical peels and thereafter, their results are guaranteed to be better than if they used no products at all. First, after a strong procedure, products are able to penetrate much deeper as the “barrier” is lessened. This allows the products to truly work their magic on “new” skin. Skin health is increased and results are enhanced by fusing the active ingredients deep into the pores. Most post-procedure skin care also comes with soothing moisturizers that work to alleviate irritation caused by treatment. These are wonderful any time of year, but especially in the cold when skin is already sensitive and dry.
It is important to consult with an experienced skin care professional on winter skin care products and procedures to ensure the appropriate regimen is selected for unique needs. Some products claim to be safe post-procedure, but may turn out to be irritating to the skin, which can cause damage when the skin is in a sensitized state. As well, products may have interactions depending on ingredients, and some patients may have sensitivities and allergies to certain ingredients. If you need help putting together a winter skin care product or treatment protocol, consult with the experts at Kalos Facial Plastic Surgery to make sure you are fully covered this winter.
Post Provided by Bonny Domoto, L.E.
The long awaited Voluma XC facial filler is now available in the United States, and we were among the first offices in Atlanta to carry this revolutionary new product. Voluma is used to treat volume loss in the mid face, and addresses the “three dimensional” effects of aging. As we age, our skin becomes more lax, fine lines are more pronounced, and we lose significant volume, especially in the cheeks. The “S” or “ogee” curve is used to measure volume in the cheek area (if you imagine an “S” shape around the cheek bone in cheeks without volume loss). When a patient has flat or “sunken” cheeks, the “curve” is less present. Voluma is the newest facial injectable product available on the market that is indicated to restore volume loss in the mid face/cheek region.
The key to successful injections with Voluma first involves analysis of the individual patient’s face, symmetry and volume loss. Once the patient has been “assessed” for these conditions, I will then have a better vision of where I need to inject the product to restore volume and youthfulness to the patient’s face. By working from the zygomatic arch (cheek bone arch), through the cheeks, and finally down to the submalar region or lower cheek region, significant volume is created, and the patient will notice fuller cheeks and an overall ”lifted” appearance. While Voluma is not indicated to simply fill lines, patients will notice that nasolabial folds (“smile lines”) are significantly minimized following treatment with Voluma.
The ideal candidate for Voluma XC is a patient who has volume loss in the mid cheek region. I see patients in their thirties who are beginning to see volume loss in the mid face region, and desire to restore this volume to create a more youthful appearance. Conversely, I also see patients who are in their sixties with more significant volume loss in the cheeks who benefit from more product. We can treat a broad spectrum of patients with Voluma, as we assess each patient differently, and create a product protocol that will benefit each patient uniquely. One of the largest benefits to using Voluma is the longevity of this product. It lasts up to two years, which can be more than double the time frame of other filling products.
Consult with the experts at Kalos today if you believe you are a candidate for Voluma XC.
Post Provided by Benjamin Stong MD
There are several important truths about aging. Namely, that it is both universal and inevitable. While aging cannot be avoided, scientific progression in the arena of aesthetic and “anti-aging” medicine has enabled people to physically delay this natural process by (sometimes) decades through usage of products and supplements, and treatments such as surgery, lasers, and facial injectables.
Science has proven that free radical damage breaks down cells, and that antioxidants help prevent free radical damage. Thus, anti aging proponents believe that antioxidants used in skin care and taken in the form of supplements are a useful tool in combating the aging process. The molecular structure of antioxidants is such that they have a stabilizing effect when in the presence of free radical molecules. Skin care products that contain potent antioxidants (such as various forms of Vitamin A, C and E) are able to combat free radical damage that happens throughout the day when skin cells are exposed to UV, pollution and second-hand smoke.
In terms of reversing the physical signs of aging, many aesthetic options exist. Cosmetic surgery normally gives the greatest result as it has the ability to lift and tighten lax skin to make the patient appear years younger. A facelift surgery can literally take decades off in the best circumstance. Younger patients who seek to maintain youthful skin or achieve a modest “anti aging” effect may opt to have laser treatments performed, such as fractional laser resurfacing, which is geared to minimize fine lines and textural imperfections and boost collagen. Injectable facial “fillers” and neurotoxins are also widely used in anti aging medicine. Products such as Juvederm and Voluma work to “fill” deep folds (like nasolabial folds or “smile lines”) and restore volume. Neurotoxins such as Botox work to soften muscle movement, so expression lines are minimized.
Depending on the age and aging stage of the particular patient, certain anti aging aesthetic options may be more successful than others. If you are interested in learning more about products and procedures that are designed to slow or reverse aging, consult with the experts at Kalos today. While aging is universal and inevitable, treatments do exist that help to fight the physical signs of this natural process.
Post Provided by Bonny Domoto, L.E.
It’s hard to believe Thanksgiving is just two days away! For many people, traveling is a big part of their Thanksgiving plans, as they either have to drive or fly miles away to visit loved ones for the holiday. We have a few travel tips that we have provided for those traveling to help ensure your skin is in great condition following travel, and so that you are fresh faced and ready for the big upcoming holiday.
If you are flying, hydration is key. Drinking plenty of water is very important when flying at elevated altitudes. Our skin can suffer tremendously from the shift in elevation, as well. Drinking water will provide your skin cells with hydration from the inside out, but it is also important to use hydrating skin care products while flying. Products containing hyaluronic acid are wonderful. Hyaluronic acid can hold 1,000 times its own weight in water and is one of the most hydrating skin care ingredients known. It occurs naturally in our skin, and using a product with this ingredient is equivalent to giving your skin a big drink of water. I also love carrying on the mini Evian water spray bottles to spritz my face during the flight (La Roche-Posay also makes an amazing Thermal Spring Water- you’ll just want to make sure the bottle is small enough to carry on the plane).
Secondly, sun screen is always very important when traveling via plane or car. Make sure and use a sun screen that is broad spectrum, and has “physical block” ingredients like zinc or titanium. A sunscreen that is coupled with antioxidants is also wonderful as we know that antioxidants have the power to neutralize free radicals (such as UV rays, pollution, and second hand smoke). One product we love is Revision Skincare Intellishade tinted moisturizer/sunscreen. It has broad spectrum SPF 45, and contains tons of antioxidants and anti-aging ingredients. It even gives nice coverage for a tinted moisturizer, minimizing flaws without ever looking caked on or heavy.
Make sure your travel bag is stocked full of small sized skin care products. Even if you aren’t flying, it will help maximize space. You can purchase small, cheap containers to fill with your products. Also, depending on the climate of where you are going, make sure to bring appropriate skin care. For those lucky enough to make a beach vacation out of Thanksgiving, pack light weight products that won’t clog pores. For those going to snowy or cold destinations, bring thick moisturizers, some Aquaphor for your lips, and of course sun screen.
For bigger results before Thanksgiving, Botox, filler, and non invasive, anti-aging, facial laser treatments can do wonders. Laser facial treatments such as Laser Genesis has absolutely no downtime, and can be performed the day before a big event. Consult with the experts at Kalos to get holiday ready!
Post Provided by Bonny Domoto, L.E.
The rate of plastic surgery has risen significantly in the past few years. It is not just an American trend; it is happening all over the world. New research conducted by the International Society of Aesthetic Plastic Surgeons (ISAPS), the American Society of Plastic Surgeons, and analyst team from The New York Times have provided data that evaluates which plastic surgery procedures are most popular among different ethnic groups and geographical regions.
In America, the three most popular plastic surgery procedures are rhinoplasty (nose), blepharoplasty (eyelid), and breast augmentation surgeries. At Kalos, we definitely perform plenty of rhinoplasty and blepharoplasty surgeries, and believe that these surgeries can truly transform one’s face and add to one’s overall attractiveness. We would have to agree with the statistics that a large percentage of people are undergoing rhinoplasty and blepharoplasty surgeries, as well as facelift surgeries.
The team of analysts from The New York Times have reported that an overwhelmingly large number of Egyptians are having facelift surgery, while many Arab-Americans are having rhinoplasty surgeries. Analysts conclude that the choices different people are making in regard to which surgeries they undergo is directly related to cultural preferences and standards of beauty.
According to the International Society of Aesthetic Plastic Surgeons, Asia is seeing a dramatic increase in the number of blepharoplasty surgeries, especially after famous TV personality Julie Chen revealed that she had undergone eyelid surgery to make her eyes appear larger. The ISAPS reported that in 2009, Korea had 52,000 blepharoplasty surgeries performed.
No matter what the local or international cultural standard of beauty is, it is ultimately up to the individual to choose which surgery to have; surgery is an incredibly personal decision. Of course, when someone famous undergoes plastic surgery and has a great outcome that captures the public’s attention, inevitably others will notice and seek similar results.
If you are interested in undergoing cosmetic surgery of any kind, it is important to make sure the surgeon is board certified and extremely experienced in the type of surgery you wish to have. Consult with the experts at Kalos to see if you are a candidate for cosmetic surgery.
Post Provided by Benjamin Stong MD
If your social calendar is not filled to the brim this holiday season, and you actually have more time on your hands than you know what to do with, it could be great timing for plastic surgery or other large cosmetic procedures. It is hard to find time during the year to devote to resting and healing following a large surgery or procedure, but many people have a few weeks around the holidays that would provide them with all the time they need. We do find that for certain people, the holidays can be an extremely convenient time to have cosmetic surgery or strong laser procedures performed, as they have enough time in their schedules to accommodate the downtime that comes with larger, more aggressive treatments.
Depending on the individual patient’s desires and needs, any facial plastic or reconstructive surgery could be performed over their holiday break. At Kalos, we find that many patients choose to undergo larger cosmetic procedures such as face lift, rhinoplasty, and blepharoplasty surgeries. They enjoy the fact that they can relax at home during their recovery period and attend follow up visits with their physician without having to attend other social or work engagements.
As well, many patients choose to have fractional CO2 laser treatments done over the holiday break. Specifically, we are referring to the Cutera Pearl Fractional laser treatment, which is an aggressive laser procedure designed to deliver extreme anti-aging and resurfacing effects. Every patient’s recovery period can differ slightly, but most patients are fully healed in about 7-10 days. During this time, extra care is taken to ensure proper healing, and the patient plays a large role in caring for their skin over the recovery period. The results are phenomenal after this procedure, and once they are healed and return to normal activities, they will stun with their refreshed, rejuvenated complexion.
If you have time this holiday season to undergo a big cosmetic procedure that you have been wanting to do but maybe haven’t had the time for yet, consult with the experts at Kalos to find out more information. We are always dedicated to helping you put your best face forward!
Post Provided by Bonny Domoto, L.E.
Rhinoplasty is an incredibly common cosmetic surgical procedure and we do plenty in my office. I view rhinoplasty surgery as I do other cosmetic procedures: the result should be dramatic but should not look artificial or unnatural. Some of my patients come in with more complicated issues that require more advanced surgical techniques, while others come in simply wanting subtle changes to their nose. For example, a small change to the tip of the nose can make a huge impact, especially if the other structures of the nose (bridge, etc.) do not require alteration.
Many times, a dramatic result will be perceived as dramatic to the patient, but to outsiders, the change will appear more natural and the patient will simply look ‘refreshed’ or have a more balanced face. When outsiders cannot pin point what work someone has had done, it is a sign of good work. Of course, if someone had a rather large or prominent nose to begin with, the change will be noticeable, and the patient will want the change to be noticeable. Cosmetic surgery requires a financial and time commitment from the patient and these efforts should go towards an exceptional result. I like to evaluate each patient individually and I always treat each case differently, never duplicating the exact same methods and techniques. I like to have a detailed consultation with my patients to go over their goals and expectations, and then propose a plan of action that is in line with their desired objectives. We have the capability to use digital imaging to show patients what an “after” result would look like, giving patients a broad understanding of what to expect following surgery.
Many patients are pleased to know that by making subtle changes to the nose, a dramatic yet natural result can be accomplished. I pride myself on knowing that my techniques are able to achieve the patient’s desired result and potentially eliminate the need for having a revision rhinoplasty. Changes to the nose, however subtle or dramatic, can make very positive changes to the patient’s face, making the features all together more attractive. This is one reason rhinoplasty surgery is one of my favorites to perform. I love to hear patient feedback and see the increased confidence the surgery gives to patients. This is my ultimate reward as a facial plastic and reconstructive surgeon.
Post Provided by Benjamin Stong MD
It is hard to believe that the holidays are just weeks away! As we know, this season is prime time for parties and social gatherings with family, friends, and coworkers. Obviously, it would be difficult now to undergo an aggressive treatment or surgery and be fully recovered in time for holiday functions (although if someone does not have a busy holiday social calendar, they may opt to undergo larger procedures during the holidays as they have extra time off). There are still many quick and easy options to look and feel as great as possible before the holidays and any big events.
First, injectable treatments such as dermal fillers (Juvederm, Restylane, etc.) and neurotoxins (Botox, Dysport, Xeomin) can make a huge impact. Patients will want to have these treatments done at least a few weeks prior to large social engagements as bruising is a slight risk factor, and patients will want the product to be looking fresh without the side effects that can happen immediately after treatment. At Kalos, filler is injected using a specialized method that helps to minimize bruising, but because of the sheer nature of facial injections, bruising is still a normal but temporary side effect. Injectables can make skin appear smoother and more youthful by minimizing fine lines or areas of lost volume. Depending on the type of product, they can last several months and give wonderful results.
Patients can also undergo mild to moderate chemical peels and have facials prior to holiday functions. If a patient schedules a chemical peel, again it is recommended to do this a few weeks before an event so that the skin is looking its absolute best without any residual peeling. Patients can undergo facial treatments coupled with derma-blading for a lovely result as well. Derma-blading is what its name implies: the procedure utilizes a blade that lightly skims over the surface of the skin to remove dead skin buildup and fine facial hair. It is a quick way to achieve a smooth complexion prior to a big event.
Non-invasive laser facial treatments with no downtime are also a great way to get holiday ready. The Cutera Laser Genesis treatment is an anti-aging laser that is geared to help stimulate the production of collagen without causing harm to the epidermis, or outermost layer of skin. Patients can literally have this done on their lunch break, and return to normal activities with no side effects. Laser Genesis is great for treating fine lines, textural imperfections, large pores, scarring, facial redness, and even acne.
If you have a big event planned over the holidays and need to be ready for it, consult with the experts at Kalos to discuss quick and easy ways to look your best this holiday season.
Post Provided by Bonny Domoto, L.E.
One way to make the face appear more balanced and symmetrical is through chin augmentation surgery. Mentoplasty is the surgical term for the addition of an implant to the chin. This procedure utilizes the implant in order to give more projection to the face. In my practice, I prefer to use a silastic implant that is made of flexible but firm material which fits naturally over the mandible. It is incredible to see the difference a chin implant can make to the overall appearance and attractiveness of the face. The procedure is fairly uncomplicated and does not have a great amount of patient downtime.
Sometimes, patients undergoing rhinoplasty or revision rhinoplasty will elect to have mentoplasty surgery performed at the same time. The reason for this is to enhance the balance of the face in general by positioning the tip of the nose and the chin at ideal projection points. The results of both surgeries are enhanced by augmenting the nose and chin together to create better balance for the face.
Other patients may simply wish to enhance their chin without simultaneously undergoing other procedures. For patients with a “weak” or under-prominent chin or jaw line, chin augmentation surgery can be a great solution. I look at every patient individually and use the projection of the lower lip to determine the ideal placement of the chin implant. Chin augmentation surgery truly has the ability to change the entire appearance of the facial structure in a very attractive way.
If you are interested in finding out if you are a candidate for chin augmentation surgery, it is best to consult with a board certified facial plastic surgeon. It is also important to find a surgeon who is experienced in performing this type of surgery, and who will examine your unique facial features and give you a result that will ultimately add to the overall balance of your face.
Post Provided by Benjamin Stong, M.D.