What are age spots?

What are Age Spots?

Age spots are pigmented lesions caused by excess melanin in skin cells resulting from UV exposure. People of any age or race can develop these spots. (That was the bad news.) The good news is that there are several treatment options that can help you achieve that beautiful, even skin tone again. Topical treatments used to bleach, lighten or brighten include Hydroquinone, Lytera, or Chemical Peels.  Another popular option is IPL (Intense Pulsed Light), for skin types I-IV,  which can pull the excess pigment out of the skin for an immediate improvement. We recommend using Lytera with retinol  to protect your investment and results after your IPL treatment.  Regardless of the treatment option you choose, sunscreen should always be applied afterwards and daily.

Beautiful skin starts with an even complexion. Rx – IPL

allysonWhat is IPL?

If hyperpigmentation is your concern, you are not alone.  1.972 BILLION other people have that same concern. Say goodbye to sun damage, blotchy redness, hyperpigmentation, small facial veins, and more! Intense Pulsed Light (IPL) or PhotoFacial uses pulsed light to penetrate the skin. The result is blood vessel constriction, collagen formation, and lifting away brown spots. The procedure is quick and requires no downtime. The best candidates for IPL are people with light, untanned skin. IPL can effectively improve skin texture, eliminate discolorations, reduce pore size, and minimize wrinkles and fine lines.  To keep your results in check, we recommend protecting your investment with SkinMedica’s Lytera for your at-home treatment.  Lytera is applied morning and night and contains a combination of ingredients that effectively reduce the appearance of skin discoloration and dark spots in as little as 4 weeks.  It has similar efficacy to 4% hydroquinone but unlike hydroquinone, Lytera can be used continuously where as hydroquinone’s recommended treatment is 3 months on, 3 months off .  IPL treatment in conjunction with Lytera will give you a fantastic result of a glowing, more even complexion.

Allyson- Licensed Aesthetician at the MedicalSpa at Corbett Cosmetic

Is filler permanent?

lyzahLyzah, Registered Nurse

Myth 3: “My filler will last forever, right?”

The honest answer to this question is NO they will not last FOREVER with only ONE treatment. Dermal fillers are fillers that treat volume loss in most areas of the face including lips, nasal labial folds, chin, cheeks, tear troughs, under eyes, jaw line and  temples.  Most hyaluronic acid fillers (Restylane, Perlane, Silk, and Juvederm) will last anywhere from 6-12 months with one treatment. However; if you can tolerate minor maintenance about every 6-8+ months, you can achieve and maintain amazing results that last.   Keep in mind results also depend on which filler you choose, what area we treat, and how much product we use. The most common filler complaints I have encountered are a result of inadequate amount of product being placed.  Perhaps you needed 2 syringes and chose to place only one syringe, you may not achieve your optimal result. For this very reason I am all about consultation and catering to each patient’s needs and what will work best for your lifestyle. Another hyaluronic option is Juvederm Voluma, specifically for cheek volume. With adequate treatment you can expect to see results for up to 2 years. The last option is Sculptra Aesthetic, or poly-L-lactic acid (PLLA). This is also a filler used to add volume; however, in a few days the initial volume diminishes, and the PLLA microparticles remain to stimulate your own collagen production. With adequate treatment you can expect to see natural results for 2-5 years. I strongly recommend you consult with your practitioner and ask plenty of questions prior to having a treatment. This will help to eliminate any confusion, and also aid in the selection of type and amount of product that best fits YOU.  :)

Toxins and Fillers and the Holidays! Plan Accordingly…

It’s Holiday party season, are you ready?

This time of year we see a rush of patients refreshing their Dypsort/Botox and Filler to look their best in time for all of the Holiday parties. So, for those who are new to the game, I wanted to help you plan your treatments.

Botox/Dysport are so commonly used today that this may be unnecessary, but these are used to soften lines on the forehead, between the eyes and on the sides of the eyes (crow’s feet). The treatments themselves really only take a minute or two. Small amounts are strategically injected to soften and smooth out unwanted wrinkles and lines. But, because of the injection itself, you can get a bruise or a little swelling. Also, neither product works immediately. Dysport works more quickly but you wont see its full effect for about 4 or 5 days. So I would recommend treating about a week before your event.

The fillers, Restylane and Juvederm are the most widely used, are used to plump. They are commonly used on tear troughs, cheeks, nasolabial folds, and lips. Now, the effects of the filler are immediate, but again you can get a bruise and everyone gets some amount of swelling with fillers. So, again I would recommend you treat about 1 week before your event.

I hope this information helps you plan. Be sure to check our website at www.corbettcosemticsurgery.com for our Holiday specials!

Lee Corbett, MD

Medical Director Corbett Cosmetic Aesthetic Surgery and Med Spa

Preparing for your plastic surgery consultation…

I met a very nice patient a few days ago and we had a very different but very fun type of consultation. She was a 40ish lady and wanted to know what could be done about her face. The thing is, she couldn’t really tell me what she didn’t like, she just knew she “looked older” and didn’t like that part. She wanted me to analyze her face and help her figure it out.

Sooooo…off I went and we broke down every aspect of her face from top to bottom. We found a couple of minor issues that were easily addressed with a little Botox® and a couple of syringes of filler and she left the office happy BUT with some homework before her next visit.

Her ‘homework’, and I would recommend this to anyone before their facial aging consultation, was to sit down in front of her makeup mirror and simply make a list of what she saw that she didn’t like. I also asked her to do this with a photo in hand of her when she was in her mid 20’s so she could compare and really see what changes had occurred.

If you can give your plastic surgeon a very specific, detailed list, we can offer a list of “fixes” starting from easiest/least complicated up to surgery and that way you can decide which approach you want to take.

Lee E. Corbett, MD

Corbett Cosmetic Aesthetic Surgery and MediSpa

What are fillers and what can they do for me?

Basically, Fillers are injectable treatments that we use to help restore facial volume. If you are in your mid 30’s or above age wise, and you are at a normal weight, you are probably noticing that your face looks a bit thinner each year. A full face is associated with youth. Look at the Victoria Secret supermodels that are plastered everywhere, they are all about 6’0″ tall and 120 lbs but they all have these beautiful round, full faces. That’s because they are all in their teens and 20’s.

So, we use filler to help restore the volume to your face to help you look younger. Now, today’s fillers are an evolution from the Collagen injections of days gone by. The problem with collagen was that some people were allergic to it so you had to skin test them, then wait several days or weeks, then inject, but you had to over inject them because some was going to go away almost immediately so you never really knew what your result would be, and in the end the stuff went away in 3 months or so. And it was expensive. Bad combo.

Today’s most commonly used fillers are made of Hyaluronic Acid (HA). The two most common trade names for these fillers are Juvederm® and Restylane® which you can find in almost any plastic surgeons offices. These are FDA approved products to help fill deeper facial lines and restore facial volume. HA is what is known as a GAG, a gylcosaminoglycan and is already found throughout the body in your connective tissues. So it is already a part of your person and very safe to use. The companies that produce these products all of varying claims of their longevity but what we see is that most people seem to get about 15 to 18 months out of these fillers. The HA fillers are reversible as well so if the patient does not like the result they produce the product can be dissolved. We love them and their popularity amongst our patients and nationally increases every year.

There are more sophiticated fillers like Radiesse and Scuptra. These last much longer, are irreversible and tend to be more expensive. These products are typically used for patients who have had the HA products a couple of times, know they like the results, and want a longer lasting product.

If you have filler questions contact us and schedule a consultation via e mail at lyzah@corbettcosmeticsurgery.com or 502.721.0330.

Lee Corbett, MD

Medical Director Corbett Cosmetic Aesthetic Surgery and MediSpa.

The 3 P’s of Medi-Spa safety

The idea and a lot of the content of this blog comes directly from the ASPS website blog but it is really informative and so I thought I would copy it and add some additional thoughts. MediSpa treatments are a group of minimally invasive things that usually involve an injection. What we are talking about here are things like Dysport, Botox, Juvederm, Restylane, Perlane, Sculptra, Radiesse, chemical peels and lighter laser/IPL treatments. So what are the 3 P’s? Product, Place, and Practitioner.

Product: Know what product your MediSpa is using. If you haven’t heard of a particular product or heard of it being used in the manner being proposed ask some questions. A great example of this is the Botox and Dysport debate. Botox is used to smooth wrinkles around the eyes and forehead. It is the market leader and everyone knows it by name. Well, Dysport is effectively the same product. But, it is produced by a British company and doesn’t have the same name recognition. So here is an example of something you might not have heard of that is perfectly acceptable. The other end of the spectrum would be something like liquid silicone injections. These are bad. These are the plastic surgery horror stories that you can google. Research your products! Know what is being injected. If it isn’t FDA approved to be injected say “NO!”.

Place: I’ll be the first to admit I have injected close friends with Botox and Dysport in my kitchen. Very close friends. But if you are considering injectables, be it toxins or fillers, be safe with your choice. These are medical procedures. They need to be done in the proper environment. Injectables in hair and nail salons just isn’t a great idea. Honestly the chances of immediate problems with an injection is remote, but if, just if, something unexpected occurs, you want to be in the proper venue. Finally, let me comment on the “Botox Parties”. I know plastic surgeons and derms do these but I disagree. Injecting a group of women in someone’s home when there is alcohol involved just isn’t a great idea.

Practitioner: Who are you letting put that needle in your face?? Are they trained? Who oversees them? You need to know this. In a lot of offices the Plastic Surgeon does all of his own injections. That’s ok. A lot have a nurse or a nurse practitioner do their injections. For instance in my office, I do some toxin injections, but my RN, Lyzah, does most of them. But, before she injected anyone, she was trained by me and then 3 company approved trainers for the products. Then she injected me and all of my staff. Then she injected patients with me literally looking over her shoulder. Now she has injected 1000’s of patients and I have yet to see anyone with a problem. So a properly trained non MD injector is perfectly acceptable. But if you encounter an Aesthetician or LPN or Medical Assistant injector, I would be wary.

Lee E Corbett, MD

Board Certified Plastic Surgeon

Cosmetic Surgery Defined

What is cosmetic surgery? Well, it’s basically defined as a procedure or surgery that is intended to improve your appearance. Cosmetic procedures are divided into surgical vs non surgical. So let me break down the two categories and give examples and a brief description of the MediSpa procedures.

Botox/Dysport: These are two of the most common cosmetic treatments at this point. Both of these injectable treatments immobilize a muscle so that the skin above it can’t wrinkle. That means the frown lines between the eyes, the wrinkles on the forehead and your crows feet will disappear for 3-4 months. Repeat treatments are needed but well worth it.

Peels: Chemical peels are one of the mainstay of MediSpa skin care options. The peels utilize a light acid that exfoliates and tightens the skin.

Lasers/ IPL: Lasers and IPL use high intensity, focused light to treat a variety of skin conditions. Facial spider veins, excess skin pigment (brown spots), and hair are commonly treated. Almost everyone is a candidate for an IPL treatment. Stronger lasers also treat tattoo removal and deeper wrinkles.

Tattoo Removal: Tattoo removal is an in office laser procedure. Treatments do require local anesthesia but are well tolerated with no down time.

Fillers: Today the mainstay of fillers are Hyaluronic Acid fillers. HA is a protein that is already a part of your skin. Brand names you may have seen are Restylane, Juvederm and Perlane. As we age, the youthful fullness of our face is lost and these products are used to restore volume in the mid face, the area between the bottom of the eye and the top of the mouth. They usually last about 18 months and restore the youthful, full appearance to your face. Treatments are done in office and take about 20-30 minutes.

Cosmeceuticals: This is a term for prescription strength skin care products that are sold via Plastic Surgeons offices. These products contain prescription strength levels of fading creams for brown spots and pigment, glycolic and salicyclic/ acids to improve skin texture, Retin A for fine lines, growth factors for increased collagen production, acne treatments to prevent break outs, and improvements in redness, dullness and volume loss.

Lee Corbett, MD

Medical Director, Corbett Cosmetic Aesthetic Surgery and MediSpa.

What happened to Cheek Implants?

When I was a Plastic Surgery resident in the mid 90’s we often used silicone cheek implants to restore mid facial volume (cheek area). These were relatively short and fairly easy operations and gave nice results. The problem is the implants could migrate causing facial asymmetry and the need for more surgery. They were also a bit firm. Plus, placement meant a trip to the operating room and anesthesia. In 2014 these implants have all but been replaced by injectable fillers. These fillers are usually composed of Hyaluronic Acid which is a protein that is already found in the skin and our joint surfaces. Think of the HA’s as the 2014 version of the old collagen injections but they last much, much longer. The treatments are done in the office with just topical anesthesia and other than the chance of a bruise and some mild swelling there really is no down time and the risk of complications is very, very low.

Lee Corbett, MD

Medical Director, Corbett Cosmetic Aesthetic Surgery and MediSpa

What’s a Vampire Facelift?

The “Vampire Facelift” appeared back in 2009 as an alternative to a true surgical facelift. In fact, it is not a facelift at all. The procedure involves taking your own blood and spinning it down to separate out the red blood cells from the plasma. The plasma contains growth factors that are thought to promote new collagen formation. The orthopedic surgeons use this technology to help with joint surgery. In any case, the plasma is then re-injected back into the face to promote collagen formation and help with wrinkles. The problem is a lot of times the doctor also injects a hyaluronic acid filler at the same time (think Juvederm or Restylane) to restore facial volume. So, the true value of the plasma is unknown and there have been no studies proving it’s effectiveness. It also lacks FDA approval. Is it worth trying? Well there should be no harm in having your own plasma re-injected into your face, but I’m also not sure its any better than just using traditional fillers.

Lee E. Corbett, MD

Medical Director for Corbett Cosmetic Aesthetic Surgery and MediSpa