Monday, February 28, 2011

Who Can Benefit From Non-Surgical Rhinoplasty?


Non-surgical rhinoplasty, also known as a non-surgical nose job, injection rhinoplasty, or the “15-minute nose job”, can be a lower-risk, lower-cost alternative (with less pain and less downtime as an added bonus) for those who may have otherwise considered surgical rhinoplasty. For those who can’t afford the expense or downtime associated with surgery, or for those who are simply afraid to actually go under the knife, it can be quite a relief to hear that there is such an option available.
While non-surgical rhinoplasty cannot reduce the size of a large nose, the creation of symmetry or smoothing out of contour irregularities can actually make the nose appear smaller on the face. Furthermore, the non-surgical nose job can provide a non-invasive alternative for revision surgery for patients dissatisfied with the results of surgical rhinoplasty.
Non-surgical rhinoplasty can be useful to:
·         Reduce the appearance of a “bump” by filling out the surrounding tissue
·         Reduce or eliminate unsightly depressions, dents, or grooves
·         Improve symmetry
·         Create a lifting effect on a drooping nasal tip
·         Raise and define a flat bridge or de-emphasize a rounded tip (popular in Asian and African-American populations)
·         Correct a “scooped out” or “saddle-nose” profile (whether you're born with it or it is the result of previous surgical rhinoplasty)

How Non-Surgical Rhinoplasty Is Done

Tiny amounts of an injectable dermal filler (such as Radiesse, Artefill, Juvederm, or Silicone) are injected into areas that need to be filled out to achieve a smoother, more symmetrical appearance. The filler is injected in miniscule amounts using what is called a microdroplet technique.
This procedure is not exactly a quick fix, as the end result is only achieved after a series of several treatments, with at least 4-6 weeks in between sessions. This gradual approach is necessary because of the way these fillers work: After injection, your body’s defenses begin working to “wall off” each microdroplet of the filler material, forming a capsule of tissue that holds it in position. Over a period of time, the natural tissue built up around the filler creates more volume in the area, so the result cannot be accurately judged at the end of each injection session.
Only after the prescribed amount of time is it possible for the doctor and patient to judge if and where more injections are needed, as well as how much is needed. This allows to doctor and patient to judiciously decide when enough is enough.

Is It Safe?

Non-surgical rhinoplasty does not require general anesthesia or IV sedation. Only a local anesthetic is used, sometimes in conjunction with an oral sedative to relax the patient. Because of this and the fact that there is no actual cutting involved, this method carries less risk than a surgical rhinoplasty procedure. There are, however, some risks, which include:
·         Hyper-sensitivity reactions
·         Infection
·         “Lumpy”, asymmetrical, or otherwise unsatisfactory aesthetic results
·         Nasal skin damage
There are also risks associated specifically with silicone injections, such as migration (movement of the silicone to another part of the face or body), and the formation ofgranulomas. However, these problems have historically been mostly associated with the injection of larger quantities of silicone by unqualified injectors.
It is believed that the microdroplet method significantly reduces the risk of these complications. Furthermore, because the nose is a virtually static (having limited movement) area of the face, the possibility of silicone migration is much less. In fact, Beverly Hills cosmetic surgeon Robert Kotler, MD, who has been performing non-surgical rhinoplasty for over thirty years, says he has never seen a significant complication in his own practice with this use of silicone.

What Cannot Be Accomplished With Non-Surgical Rhinoplasty?

If you want a smaller nose, a thinner bridge, a large bump removed, or a more narrow tip, this procedure will not accomplish your goals. Non-surgical rhinoplasty cannot improve breathing problems or correct internal defects such as a deviated septum. Nor can it (or any other procedure) give you a “perfect”, completely symmetrical nose. As always, the goal of cosmetic surgery is improvement, not perfection.

The Downside

Injections with Juvederm, Radiesse, or most other fillers are temporary. To maintain your results, you will have to come back again and again for injections. This can be inconvenient and could become quite expensive over time.
On the other hand, injections of silicone or Artefill are forever. You can’t change your mind and have it removed, except through painful and disfiguring surgical excision. Because of this, selection of a highly-qualified surgeon is exceedingly important.
People with autoimmune disorders should not undergo injections with silicone or other permanent fillers, and those concerned about hyper-sensitivity reactions should ask their doctors to perform a skin test before going ahead with the procedure.
If you are considering surgical rhinoplasty at any point in the future, you should not have injection rhinoplasty with a permanent filler like Artefill or silicone.

Learn More About Non-Surgical Rhinoplasty Fillers

If you are considering non-surgical rhinoplasty, but are unsure which filler material might be best for you, please check out this article, which will help you to learn more about your options for non-surgical rhinoplasty fillers.
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Tuesday, February 22, 2011

WHAT IS THE STEM CELL FACELIFT?


The stem cell facelift is a complete facial rejuvenation procedure that does not involve surgery. The procedure avoids any incisions and helps in the lifting of the skin itself. The main function is to restore both the youthful contour and shape of the face. Another goal is to improve the skin quality and color irregularities caused by both the aging process and exposure to the sun and environment. Patients who have undergone this procedure frequently avoid or markedly reduce the need for other maintenance procedures like Botulinum toxin and cosmetic filler injections.


The function of the procedure is based on the regenerative capacity of a group of cells called ADULT STEM CELLS. Of the hundred trillion cells that make up the human body, stem cells are the most important category. They are among the few cells in the body that are specialized and have the potential to become a particular cell type and replace worn and damage cells.


A large number of stem cells exist in around adipose or fat tissue in the stroma. When stem cells are isolated and then transplanted either with or without fat into parts of the body, studies have shown that they grow and survive in these new areas helping to form new tissue at the transplanted site. By using the regenerative properties of stem cells either alone or along with transplanted fat, a marked improvement of survival of these tissues occurs.


What makes the stem cell facelift unique and different from other fat transplant procedures is the fact that the autologous (from self) isolated stem cells can be placed into areas that have had transplanted fat, and/or autologous Growth Factors (PRP - Platelet Rich Plasma), and/or Hyaluronic acid. This can help the stem cells and adipose tissues survive and grow into the needed tissue to restore lost fat, enhancing the volume of the face, and skin elements which would improve both the quality and texture of the Skin.




WHAT IS THE PROCEDURE AND HOW IS IT DIFFERENT FROM OTHER "STEM CELL" FACELIFTS?


The stem cell procedure is performed under local tumescent anesthesia. After injection of the tumescent solution to the desired areas (lower abdomen, inner thighs, etc.), a fat sample or lipoaspirate (liposuction) is used to gather the required cells.


During the procedure and after removing a desired amount of fat lipoaspirate (adipose), the fat is then processed like a regular stem cell procedure. Most clinics claiming a stem cell procedure do not actually separate-out the stem cells from the fat stromal compartment. This is essentially leaves the stem cells "locked-within" the surrounding collagen sheath, thus limiting or eliminating their potential to grow. We find it absolutely ludicrous to promote a "stem cell" procedure that is essentially a fat transfer with or without growth factors. Here at the Stem Cell Rejuvenation Center, we only provides the real "extracted and isolated" stem cells for the stem cell facelift procedure. The entire high-quality procedure takes at least 6 hours.


Autologous Growth factors can be used along with adipose fat cells (not the ones used to extract and isolate out the stem cells), Hyaluronic acid, and the isolated stem cells themselves.


Our artistic physicians use professional lifting and filling techniques to make an aesthetic, pleasant look without looking "overdone".  Besides using the stem cells and relying on their regenerative potential, one reason we get such good results is that our physicians are truly artistic, which is in contrast to the many physicians or nurses who perform cosmetic procedures today.


Our physicians may choose to perform a laser-assisted or chemical resurfacing of the skin to accomplish both the removal of the fine lines and skin damage present as well as to stimulate the underlying stem cells through the specific chemical or wavelength utilized.


Some patients may have fat sculpted out of specific areas of the face, particularly in the jowl area and jawline area. Therefore, depending upon the patient's specific aging features, the fat is both transplanted in certain areas and removed in others while the skin is tightened throughout the whole facial surfaces.


Over the decades, multiple procedures have been presented for rejuvenation of the face, most of them stressing the need for extensive surgery in the form of a facelift. In the last 10 years, use of soft tissue fillers has become a very popular avenue for temporary rejuvenation, or at least for creating the illusion of a younger, more rested, facial appearance.
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Tuesday, February 15, 2011

It is as Plain as the NOSE on Your Face

J. R. Berman, MD, FACS, PA
Rhinoplasty or nasal reprofiling is one of the most common of all plastic surgery procedures.  “Performing rhinoplasty is one of the most enjoyable surgeries I perform.  My patients find it most gratifying,” says Jonathan Ross Berman, MD, FACS, PA.  “Subtle or dramatic changes to the profile, tip, nostrils, and even size are possible.  The key to successful rhinoplasty is to match the nose with the patient’s face.  As each one of us is unique, so too is the rhinoplasty procedure that is tailored to the individual patient.  No nose should be a “cookie cutter” nose.”

Rhinoplasty can be performed safely in an outpatient setting.   Most rhinoplasty is performed in our modern state of the art facility certified by the American Academy of Ambulatory Facilities under the supervision of a Board CertifiedMedical Doctor of Anesthesia.  By performing the surgery in our fully equipped surgical suite we can deliver unexcelled personalized attention, safely, at a fraction of the cost of a hospital or even outpatient surgical center.  Dr. Berman’s facility has been certified since 1995.  He has been performing rhinoplasty for 20 years.

Look as good as you feel!

To allay apprehension about surgery as well to enable patients to visualize their before surgery and after surgery changes, Dr. Berman uses a computer digital imaging system to plan the individual’s surgery.    He is no newcomer to this technology; he has been using digital computer imaging in his practice of rhinoplasty since 1994.  Using this system, the patient sees what is realistic and what is not.  After all, the best candidates for surgery are people who are looking for improvement, not perfection in the way they look.  The surgery usually takes under two hours and lasts a lifetime.  Some bruising and swelling are not uncommon in the one to two-week recovery period. 

About the doctor.

Consider this:  Jonathan Ross Berman, MD, FACS, PA is a Yale graduate, double board certified by the American Board of Plastic Surgery and the American Board of Otolaryngology (Ear, Nose, and Throat).  He performs not only cosmetic but reconstructive rhinoplasty, the spectrum ranging from cleft palate to cancer patients.  Such expertise is unique and hard to find.  You can be doubly sure that you are i n good hands with Dr. Berman for your nasal surgery.

Wrap up. 
1.     Computer imaging.
2.    Accredited Operating Room Suite since 1995.
3.     Board Certified Anesthesiology Doctor.
4.    Board Certified Plastic Surgeon.
5.    Board Certified Ear, Nose, and Throat Surgeon.
6.    20 year Rhinoplasty surgical experience.

The credentials speak for themselves.  Competitive pricing.  Day in Day-out surgery.


For more information about rhinoplasty or any other cosmetic plastic surgery techniques including ULTRASONIC liposuction of the abdomen, thighs, hips, or knees, breast augmentation, breast reduction, facelift, eyelid lifts, or LASER surgery or to schedule a complimentary consultation, call 561.417.0171.  Check us out on our website at www.drberman.com. Come see us at our Boca Raton office.  You will be glad you called!
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Saturday, February 5, 2011

Botox Surgery Procedure


Botulinum toxin, widely known as BOTOX, is a purified toxin produced by bacteria that causes weakening and temporarily relaxes muscles.  It has been used for over 2 decades in the treatment of muscular problems of the eyes with great success. Just recently, the Food and Drug Administration (FDA) has granted approval to administer BOTOX for the temporary improvement of facial expression lines in adult men and women. BOTOX is one of the most popular cosmetic treatments today. This procedure can be done on a lunch break and requires no downtime or recovery time.

Small amounts of BOTOX are injected with a fine needle into the muscle that creates a wrinkle. There are three areas usually treated:  Frown lines, or the lines in between your eyebrows (elevens), crow’s feet (the fine lines or rhytids outside the eyes), and horizontal forehead lines, are the areas most commonly injected. As the muscle weakens, it relaxes, causing the wrinkles in the skin to gradually soften and often disappear. 

Side effects of Botox Surgery
Some people have reported little headaches after treatments. A small bruise at the site of injection is the most common side effect. When BOTOX is injected into the forehead, it can result in brow-muscle weakening causing a temporary lopsided appearance. This is extremely rare and usually goes away by itself.

The effects of BOTOX usually last three to five months, at which time another injection is needed. After several treatments the effects of BOTOX may begin to last longer, sometimes up to eight months.  Overall, the vast majorities of patients love this quick-fix therapy, and return for a BOTOX boost as soon as the wrinkles begin to reappear!

Recovery from Botox Treatments
After most botox treatments, the patient can instantly return to their normal activities with a few common-sense limitations. Following the post-procedure guidelines, can dramatically reduce the length and intensity of your recovery period. Naturally, you should avoid heavy physical exercise, sweating unnecessarily, applying cosmetics, or laying down flat for the first 4 hours after the injections. It is also advisable to avoid rubbing or massaging any of the areas of the face where the Botox was injected for at least 24 hours after the non-surgical cosmetic facial procedure.
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