Aging Face Part 2: Sagging

One of the “6 uglies of the aging face”  is sagging or fat protrusion.  At mid forties patients will notice the eyebrows are lower than they used to be when they were in their early 30’s. Their eyes may appear smaller and people will often ask if they are tired. There can be excessive upper eyelid skin also making the eyes smaller as well. The lower eyelid can begin to show bulges especially when looking in a mirror with your head bowed down.

In the midface, the cheek mounts can fall making the lip-cheek groove appear deeper than it should. At the same time the cheek mount will lose volume and shrink.

In the lower face, jowls appear as the fat becomes more obvious. Usually in most females that can occur at their mid 40’s. If left, the jowls become larger and the natural jaw line of youth disappears.

However, the neck can age slower than the jowl formation. If a patient has fat under their chin; that does not really sag until menopause and, of course much much later in men. The mound of fat will act as a weight causing it sag and become more obvious. Often there is no fat under the chin, and cords start to appear around menopause. Early on, they can be helped by Botox, but eventually surgery will be needed.

When significant sagging occurs, surgery is often the best choice, but other choices can be available. Dr Ellis will make a proper diagnosis so that patients can make a proper educational choice that meets their needs in a very natural way.

Aging Face Part 1: What happens when our face ages?

Dr. Ellis states there are “6 uglies of the aging face”. They are classified under facial structure and the aging skin.

In facial structure, there is sagging, hollowing, and skin wrinkling while under aging skin; there can be worsening of skin texture with dullness, increased broken capillaries, and blotchy brown spots or hyperpigmentation.

All these occur at different times with different ethnics, and different patients. They all occur with everyone.

Evaluating which component show be treated first will depend on the surgeon and the patient.  In each classification, there can be multiple treatment options so it is very important to accurately plan a proper treatment plan.

Two Surprising (Non-Surgical) Cosmetic Procedures for the Face and Hands

botox and fillersIn the United States, there are plenty of cosmetic procedures one can choose if unsatisfied with personal appearance. In fact, a recent report from The Huffington Post and the American Society for Aesthetic Plastic Surgery pointed to the ever increasing amount of these procedures in the U.S. Between 1997 and 2013, the total number of cosmetic procedures performed jumped from just under 1.7 million to over 11 million.

That might sound all well and good for those who are interested in more dramatic procedures or visiting a rhinoplasty specialist, for instance. Yet the vast majority of those cosmetic procedures — about 9.5 million of them in 2013 — were non-surgical. Non-surgical procedures have grown in popularity by a staggering amount since 1997, when only 740,000 such treatments were performed. Today, they provide an easy way for some women and men to change their appearance without “going under the knife.”

Two of these non-surgical procedures are especially popular for young and old alike: Botox and fillers. Botox treatments come in the form of an injection that paralyzes the muscles in order to smooth the skin, and they have medical benefits for those who suffer from hyperhidrosis and migraine headaches, too. Soft tissue fillers help to add a plump, youthful look to sagging or wrinkled skin.

These treatments are especially popular on two body parts: the face and the hands.

Botox and Fillers for the Face
These days just about everyone knows about Botox. While it is most popular with patients between the ages of 40 and 59, many patients prefer to take advantage of this short, 30-minute outpatient treatment to change facial appearance. Botox under eyes can minimize crow’s feet and sagging, and Botox can also mask the appearance of frown lines and wrinkles around the mouth.

Soft tissue fillers are also a popular treatment for the face. Between 2012 and 2013, at least two million of these procedures were administered in the United States alone. These treatments can be used to plump up sagging skin, especially in the cheeks. When combined with the skin smoothing properties of Botox, fillers can also minimize the appearance of fine lines.

Botox and Fillers for the Hands
From those showing signs of aging to brides planning their wedding photography, Botox and soft tissue fillers are increasing in popularity. Soft tissue fillers are useful for hiding the appearance of varicose veins in the hands. Botox firms the skin so it has a smoother appearance.

If you have questions about getting one or both of these treatments, it is best to visit one of the Botox clinics in your area for more information. A qualified doctor will inform you of the risks and benefits associated with any cosmetic treatment. You can also leave comments below if you have additional concerns.

How old is your skin?

Have you ever wanted to know about your skin’s elasticity and how it changes with age?aofpost001

Skin elasticity is the ability of your skin to stretch and then return to its normal state afterwards. Skin elasticity varies with age, sex, ethnicity, exposure to the environment and your health status.

We can test your skin elasticity with a state of the art technology called a cutometer. This gentle instrument is placed on your cheek to measure your skin elasticity in just seconds.  Take the test FREE.  Learn how to slow the aging process and improve your skin with Dr. Ellis.  For a free assessment call 416.229.1050 or email info@artoffacialsurgery.comaofpost003


Tips on How You Can Look Younger

Multiple techniques to make you look younger

During the consultation process often my patient would tell me that they want to look 5-10 years younger and they are not sure how they would achieve.  These techniques will help you look younger and more youthful. In each category below along with a good homecare skin care regime is absolutely necessary.  ZO Skin Health is one that I recommend. It has regimes for all age groups and skin conditions from gentle to aggressive.

To look refreshed and up to 5 years younger, the combination of chemical peels, Botox Injections and Laser skin rejuvenation treatments such as Limelight IPL will help.  Chemical Peels will shed away the dead skin cells.

To look 5 years or more yonger, the combination of chemical peels, Botox, Laser Skin Rejuvenation such as limelight IPL  and injectable fillers such as Juvederm Volift, Vobella, and Voluma

To look 10 years younger, the combination of Botox and Juvederm, Laser Skin Resurfacing and/ or surgery would be necessary.

Rhinoplasty: Knowing the Difference Between Plastic Surgery and Cosmetic Procedures

wide nose rhinoplastyAlthough many people use the terms “plastic surgery” and “cosmetic surgery” interchangeably, there are a few differences between the two. Ultimately, the distinction has to do with the purpose of the surgery. Plastic surgery is focused on repairing defects and restoring functionality and appearance for a patient; cosmetic surgery, however, has to do with enhancing a patient’s appearance and improving symmetry and proportion.

One of the most popular surgeries — both for corrective and cosmetic reasons — is rhinoplasty. What is rhinoplasty? This treatment, colloquially known as a “nose job,” is used to correct and reshape the form of the nose. The treatment is probably more common than you think: in 2012 alone, an estimated 243,000 Americans underwent rhinoplasty procedures.

Why get rhinoplasty? The two main reasons to see a rhinoplasty specialist are to receive plastic surgery for corrective treatment or to enhance appearance through cosmetic surgery. Here is more information on these two types of treatment:

To Correct a Medical Issue
Given that it allows us the ability to breathe, the nose is one of the most important parts of the body. However, there are many congenital and acquired abnormalities that can show up in or on the nose. Anything from breathing problems to blunt trauma can lead to a need for this type of surgery. Even a benign melanoma can be a reason to get rhinoplasty. This procedure is also common for infants who are born with a cleft palate, as leaving the condition untreated can result in serious complications later in life.

Because this surgery is often considered elective, rhinoplasty costs may or may not be covered by an insurance company. It’s best to discuss this with a doctor or health plan provider before receiving treatment.

To Enhance Appearance
It’s no secret that more and more Americans are looking to cosmetic surgery to enhance appearance. The U.S. saw approximately 14.6 million cosmetic surgery procedures in 2012 alone. The reasons for surgery vary from person to person, but ultimately, it boils down to one thing: dissatisfaction with one’s appearance.

The decision to get a nose job can stem from many different concerns. Those who would like smaller noses may receive wide nose rhinoplasty to reshape the nostrils and tip of the nose. In addition to wide nose rhinoplasty, men and women look to rhinoplasty to smooth bumps (with nasal hump excision) and restore symmetry.

When considering your options for rhinoplasty, it’s essential to consider all stages of the procedure, from the consultations to the recovery. Unlike Botox treatments, which are non-invasive and only take around 30 minutes, surgical rhinoplasty can take hours, and the healing period can last several weeks.

If you think you might need corrective rhinoplasty for your health, or if you’re interested in wide nose rhinoplasty or another cosmetic treatment, it’s best to discuss your options with a doctor. A consultation with a surgeon is the best way to assess your needs. If you have serious questions about surgery, talk to a doctor. For general questions, leave a comment below.

Is Botox Safe? Here’s the Truth About Botox

botox treatmentsIn 2012, Americans spent around $1.8 billion on skin rejuvenation procedures — the majority of which were Botox treatments.

The number of Botox and fillers treatments in the U.S. rose 8% from 2012 to 2013, which accounts for a large percentage of the estimated 14.6 million cosmetic surgery procedures that were performed during that year. Millions of Americans are seeking this treatment because it has immediate results and few side effects.

What Botox Treatments Can Fix: Botox clinics are able to inject small amounts of the Botulinum toxin to relax the facial muscles that cause wrinkles, such as:

  • Frown lines found between your eyebrows
  • Crow’s feet, which are the wrinkle lines that form at the corners of your eyes
  • Forehead furrows, which are the horizontal lines that form

In addition to smoothing wrinkles, Botox treatments have been found to solve other health ailments:

  • Lazy Eye: This is mostly caused by an imbalance in the muscles that are responsible for eye position. If untreated, this can result in crossed eyes.
  • Cervical Dystonia: This is a very painful condition in which your neck muscles quickly contract involuntarily, causing your head to twist and turn in uncomfortable directions.
  • Hyperhidrosis: This condition involves an overreaction of the sweat glands, even when the temperature is not warm and you aren’t exercising. This normally occurs in people’s hands.
  • Chronic Migraine: Botox can help reduce the frequency of migraines in chronic migraine sufferers — those who experience 15 or more migraines per month.
  • Bladder Dysfunction: Recent research has delved into the possibility that Botox can help reduce urinary incontinence problems, by relaxing the bladder muscles.

Is Botox Safe? As with any medical procedure, there will always be some risks involved. However, Botox treatments are relatively risk-free, and any side effects patients experience will disappear within 48 hours of the injection. The most common side effects are swelling and bruising, especially if you receive Botox under the eyes. Headaches and flu-like symptoms have also been known to occur.

The average length of a Botox procedure is 30 minutes if done by a professional. If a Botox injection is not administered properly, the toxin can spread into adjacent tissues and cause other health issues such as the following:

  • Eyelid drooping
  • Crooked smile
  • Dry eye or excessive tearing
  • Cockeyed eyebrows

If the cosmetic doctor is inexperienced, they may not quite understand the dosage of Botox that is supposed to be administered, which can lead to complications. If you experience any of the following symptoms post-injection, seek medical attention right away:

  • Muscle weakness in your entire body
  • Difficulty speaking or swallowing
  • Trouble breathing
  • Vision issues
  • Loss in bladder control

To make sure these rare health complications do not occur to begin with, choose your cosmetic doctor carefully.

New Juvederm™ VOLIFT™ with Lidocaine

There is an amazing new treatment now available in North America, Juvederm™ VOLIFT™ with Lidocaine.  It is the latest addition to the line of Juvederm™ dermal fillers featuring hyaluronic acid. Juvederm™ VOLIFT™ delivers the latest technology and promise more natural and longer lasting results delivered with minimal bruising and swelling. It promises to boost, rejuvenate and refresh each face’s natural contours.

As aging occurs, elasticity is lost, as well as definition and volume. Wrinkles appear around the mouth, the eyes, and the crease, known as the nasolabial fold, between the nose and the corner of the mouth deepens.  Juvederm™ VOLIFT™ with Lidocaine is formulated to smooth deep wrinkles, refresh and rejuvenate the skin, restoring the skin’s natural, healthy look.

Juvederm™ VOLIFT™ is the newest technology in dermal fillers designed to reduce facial lines and restore the face’s natural fullness. It is most often used to decrease lines around the mouth, and works particularly well on the deep lines of the nasolabial fold. Juvederm™ VOLIFT™ is a hyaluronic acid, a protein present in the cell walls of the body, making it all natural and therefore producing minimal negative reactions. This latest Juvederm™ utilizes lidocaine to minimize bruising and swelling, making the process very comfortable for the recipient. VYCROSS™ technology makes this state of the art product longer lasting – up to fifteen months!

A typical treatment consists of one to two vials of Juvederm™ VOLIFT™.  The smooth consistency of the product makes it easily injectable and offers excellent control during facial contouring procedures. The formula delivers even distribution providing more natural look and feel.

For nearly a year, European patients have enjoyed the benefits of Allergan’s Juvederm™ VOLIFT™ with Lidocaine, and now patients in North America will find the latest offering in the Juvederm™ family available at select physicians. As with any medical treatment, patients should find a well-qualified doctor, with the appropriate expertise before undergoing any procedure.

Top Facial Cosmetic Procedures

botox clinicsCosmetic surgery can be a wonderful thing to improve your self-confidence and appearance. In 2012, there were 14.6 million cosmetic surgery procedures performed in the United States, most of them involving some sort of improvement to the face.

The goal of cosmetic surgery is to improve your appearance, and can be performed on any part of the face or body. This article will focus on Botox clinics and rhinoplasty costs, as well as other common types of cosmetic facial procedures.

Botox: Botox clinics saw an 8% increase in Botox treatments between 2012 and 2013. During this procedure, the botulinum toxin is injected in small amounts in target areas, which temporarily paralyzes your facial muscles in order to reduce wrinkles. In addition, these injections can be used to treat neck spasms and excessive sweating. Botox and fillers are generally very safe to receive and do not have many side effects.

Chemical Peel: A chemical peel is a skin-resurfacing procedure. Patients will have a chemical solution applied to their face in order to peel away the top layers of their skin. Though this sounds painful, the procedure generally goes not hurt, and the skin that grows back is smoother and younger looking. Patients can opt for either a light, medium, or deep chemical procedure, depending on what kind of results they want.

Rhinoplasty: Roughly 243,000 Americans underwent rhinoplasty surgery, which is used to reshape the nose, in 2012. People may either undergo this surgery for aesthetic reasons, such as smoothing the nasal arch, or functional purposes, such as to improve or fix a breathing problem. A rhinoplasty specialist can change the bone’s structure, cartilage structure, or even the surface of the skin.

Laser Resurfacing: This procedure can often be done at Botox clinics, and it performed by certified trained cosmetic surgeons. It is used to improve the skin’s appearance or treat minor facial flaws. Patients can choose from an ablative laser (which removes layers of skin) or nonablative lasers (which stimulate collagen growth). Both options reduce the appearance of fine lines.

Dermabrasion: Another procedure used to smooth the skin’s appearance, this involves a quickly rotating device to sand down the outer skin layers, revealing new layers of skin and have a smoother, younger looking appearance. This can often improve the look of acne scars. There were nearly 974,000 microdermabrasion procedures between 2012 and 2013.

Laser Hair Removal: This uses a laser to remove any unwanted hair on a patient’s face. During the procedure, the laser beam passes through the skin and damages each individual hair follicle, inhibiting future hair growth. This works best on patients with light skin and dark hair. Unfortunately, this procedure does not permanently rid you of hair growth.

There are many other forms of cosmetic work that you can choose from, depending on what part of your face you would like to improve. Have an initial consultation with a cosmetic surgeon about your options.

Correct Your Nose: Rhinoplasty Procedure

rhinoplasty surgeons Plastic surgery, often called cosmetic surgery, is sometimes stigmatized, due in large part to people who overdo it, and end up with results that look alarmingly different from their previous appearance. However, despite those who oppose cosmetic procedures, Americans spent an estimated $1.8 billion on skin rejuvenation procedures in 2012, with 974,000 microdermabrasion procedures conducted between 2012 and 2013 alone. Clearly, cosmetic procedures are on the rise — particularly rhinoplasty surgery.

What is Rhinoplasty? This is a cosmetic surgery to repair or reshape the nose — either for aesthetic purposes or in order to fix issues with the nose caused by previous injury or a birth defect. Cosmetic surgery is often thought of as an aesthetic fix, but many rhinoplasty surgeons treat patients who have had some injury or defect with their nose.

The Procedure A rhinoplasty specialist will inform you that the procedure can be undertaken with either local or general anesthesia, depending on how extensive or complicated the surgical process is. Rhinoplasty surgeons will either work at a specific cosmetic surgery office, a hospital, or outpatient surgery center. Generally, the procedure takes one to two hours.

To perform the surgery, such as a wide nose rhinoplasty, a cut is made inside the nostrils (sometimes outside, around the base of the nose) and the surgeon can then begin to reshape the nostrils or bride of the nose.

Why Rhinoplasty? Roughly 243,000 Americans underwent rhinoplasty procedures in 2012, and the following reasons account for the majority of these surgeries:

  1. Reduce/increase the size of the nose
  2. Change the shape of the tip or nasal bridge
  3. Narrow the nostril opening
  4. Correct a birth defect or injury
  5. Correct breathing problems

Rhinoplasty costs Top rhinoplasty surgeons will generally charge around $4,500 or more, depending on the procedure and how talented the surgeon is. It is important to note that this cost does not include anesthesia and operating room facilities costs.

However, despite the cost of this procedure and any other cosmetic surgeries, an estimated 14.6 million cosmetic surgery procedures were performed in the United States during 2012. Be sure to first find a competent rhinoplasty surgeon who will understand your wants. They should be able to give you general feedback on the costs and how your specific procedure will go. Recovery from this surgery is also generally quick and painless, with few complications and health risks.