The Wrinkle Banisher…That’s Me!

Puppy wrinkles
Just like the elastic in an old pair of sweatpants, the elasticity of the skin diminishes over time, resulting in unattractive skin folds and lines and a deflated appearance. Sun exposure, cigarette smoking, and consumption of processed foods, sugar and alcohol also contribute to fine lines, uneven skin tone, and brown discoloration. Fortunately, there have been countless advancements in aesthetic medicine which have resulted in the development of non-surgical interventions which can diminish or even completely eliminate these signs of aging.

Some individuals who are needle-shy will opt for laser treatments as a means of resurfacing and refining the skin. However, these treatments must usually be done in series and can be rather costly. Another non-invasive and cost-effective solution for aging skin is a chemical peel. There are many different types of chemical peels available, ranging from very light glycolic acid peels to an aggressive TCA (trichloroacetic acid) peel. One composite peel (phenol, TCA, salicylic acid and Retin-A) which is my personal favorite is the Vi-Peel which is painless, well tolerated by the majority of skin types, and only requires a few days of social downtime. The Vi-Peel is my peel of choice and the one which I offer to my patients. http://www.drstaceynaito.com/#!chemical-peels/comt

Before and after images from a single Vi-Peel treatment

Before and after images from a single Vi-Peel treatment

Another wonderful option for correcting loss of volume in the face is an injectable filler. There are a number of hyaluronic acid based fillers available now (Restylane, Perlane, Juvederm, Belotero) which last 6 months to a year. Radiesse is another natural filler option, which is comprised of calcium hydroxylapatite, a substance which also acts as a biostimulator, stimulating cells in the skin to produce collagen over time. Radiesse lasts 18 months or more and is a very cost-effective treatment for women in their 40’s and beyond who want to refill sunken areas which often develop as menopause looms. http://www.drstaceynaito.com/#!injectable-fillers/c1tgx

02juvederm
If you have wrinkles in the forehead and around the eyes, Botox and Dysport are excellent treatments and will last for 3 to 6 months. I tend to prefer Botox over Dysport because the effects are more robust and tend to last longer than what I have seen with Dysport over the years. Xeomin is another form of botulinum toxin which is well-suited for patients who have developed a rare resistance to Botox of Dysport over time. http://www.drstaceynaito.com/#!botox-treatments/cr7z
botox-before-and-after

For those of you in the Los Angeles area, I offer the Vi-Peel, Botox, Juvederm (including Voluma), Radiesse, Restylane, Perlane, and Belotero treatments. I also perform electrocautery treatments on benign moles and skin tags. Please visit the links in this blogpost for more information on how to schedule a consultation. Why not start the summer looking your very best?

Botox Treatments Are NOT An Urgent Issue

injectables and faceWhile I appreciate the aesthetic benefits and self-confidence boost that injectables treatments confer upon the people who undergo them, I get very annoyed by the sense of urgency which some people adopt when it’s time to get treated again. I am not kidding you when I say I have had patients contact me asking for Botox, Dysport, Xeomin, Juvederm, Restylane, Perlane, Belotero, or Radiesse with a hint of desperation in their voices, as if it was a matter of life or death in getting a treatment lined up immediately.

In a way it makes perfect sense because these non-surgical fixes are a cost-effective way to smooth lines and furrows and restore lost volume. When the clock is turned back the first time and a new patient sees the results of injectables treatments, it’s a wonderful reveal which causes the patient to see himself or herself differently. The neurotoxins (Botox, Dysport and Xeomin) yield effects which last from 3 to 6 months, with muscle function gradually returning over time, along with the corresponding lines and wrinkles. Fillers have greater longevity and dissipate from 6 months to two years after the treatment is performed. The dissipation tends to be gradual, not sudden.

So when I have patients calling the office, calling me or texting me, insisting that they MUST come in IMMEDIATELY for treatment, I almost want to ask, “Where’s the fire?” Sometimes the request is on such short notice that I cannot accommodate it, which sometimes upsets the patient greatly. The response from the patient goes something like, “But I need it NOW! You need to do this for me. I’m sure you can find time in your schedule to stay late or somehow accommodate me.”

Such treatments are NEVER an emergency, and your face isn’t going to fall if you don’t get shot up with neurotoxin or filler immediately. Trust me on this!