There are common plastic surgery procedures, such as facelifts and breast augmentation that have been performed for decades. To battle aging, people may turn to cosmetics in order to look more youthful. Recently, there has been an increase in superficial procedures that may be extremely unnecessary and dangerous. Here is a look at some new and surprising cosmetic procedures. Continue reading
Various manufacturers of skin care products have come up with a wide range of such products, from expensive doctor’s office treatments to products for use at home, most of these products are readily available on the market today. Read on to learn more about the various skin care options. Continue reading
Traditional plastic surgery which often entails a lengthy recovery characterized by the pain of extensive bruising and swelling also comes at a cost premium. Accordingly, facial fillers, such as Restylane and Radiesse, and the popular Juvéderm line of products have emerged to offer alternatives that many find more appealing and suited to their busy lifestyles. Continue reading
Cosmetic physicians perform more treatments with injectable facial fillers than any other procedure except Botox, making them the most popular choices for clients who want to smooth out fine lines. Some report they look years younger after only a few sessions. One of the most common concerns among newcomers is whether their facial features will remain the same, with or without their regular cosmetics. The answer depends on the expertise and experience of the cosmetic Dermatologist; so first-time clients are strongly advised to do their background research. Continue reading
The nation is becoming obsessed with skin care treatments and cosmetics. Today, many are trying to turn back the clock and reverse the visual signs of aging. Innovative skin care treatments have allowed patients to remove years off of their appearance.
Although no one is interested in “growing old gracefully, ” the thought of having cosmetic surgery can be slightly daunting. Those who have saggy skin, wrinkles and unwelcome laughter lines want to be able to combat the aging process without extensive or invasive procedures. Numerous plastic surgeons and the Dermatologists have developed a wide variety of skin care treatments that can improve the texture, tone, and overall health and appearance of the skin. Continue reading
There are a growing number of female celebrities that have spoken out against plastic surgery for many different reasons. Dr. Simon Ourian of Epione Medical Corporation reports on this latest trend. Continue reading
They are unbelievably gorgeous but they are not fairies. They are forever young but, of course, are not witches. Almost every one of us has the desire to be as beautiful and as stunning as Hollywood celebrities. Who doesn’t die for their perfect bodies, plump lips and wrinkle free prominent cheeks? How come they have everything so perfect? The answer of a lot of such questions is cosmetic treatment and surgery. This makes you think of plastic surgeries involving too many incisions, much cutting and bruising. However, science has come too far to go back to those methods. There are many non-invasive and quick methods available for everyone now. Continue reading
This non-surgical rhinoplasty is the latest technique used in facial plastic surgery. It allows those people who really don’t want a major procedure done on their face improve the look of their nose without anesthesia. The end result of such a procedure is less pain, a quicker time for healing and faster results for the nose job. There are doctors who do this sort of thing all the time and with great results. Continue reading
There are a lot of new and long used injectable skin fillers for use in plumping out tissue and getting rid of skin irregularities. Let’s take a look at some of them. Continue reading
Many people wish they had full and luscious lips but few people have them naturally. For this reason, doctors have invented lip augmentation or lip implants that will fill out the lips and make them look really nice. It is usually quite easy to recover from a lip enhancement or augmentation so that you can be back to work within a few days. Continue reading
LOS ANGELES, Calif. – Medicis Pharmaceutical Corporation, a leading independent specialty pharmaceutical company based in the U.S., recently invited Dr. Simon Ourian to participate in a meeting of the company’s advisory board. Ourian, medical director of Epione Medical Corporation in Beverly Hills, joins an elite group of the world’s top physicians selected based on their expertise and reputation as leading injectors.
First launched in 1988, Medicis is a leading manufacturer of branded prescription products in a number of therapeutic and aesthetic categories. The company’s products are widely used by physicians and patients and have earned a reputation for their clinical effectiveness, high quality and cosmetic elegance. Medicis’ products include Restylane, Dysport, Perlane, and Esoterica, among others.
Beverly Hills, CA — One of the downsides of dermal filler injections is the pain associated with the injection itself. For some, this discomfort or the fear of this discomfort may be enough to prevent them from receiving any treatment at all. In an effort to improve the patient experience the manufacturers of the most popular dermal fillers, Juvéderm, Radiesse and Restylane, have produced new formulations that include Lidocaine as part of their pre-filled syringe dosage units.
Originally, the only fillers that contained Lidocaine were collagen based. The bovine collagen fillers were sold under the names Zyderm I, Zyderm II, and Zyplast. The human collagen fillers were known as CosmDerm I, CosmoDerm II, and CosmoPlast. Doctors quickly realized that adding Lidocaine to the injections not only helped relieve pain, but also lessened swelling and bruising in their patients.
Dr. Simon Ourian, a newly minted member of the American Academy of Cosmetic Surgery (AACS), is the Medical Director of Epione Medical Corporation and a substantial part of his daily practice is treating fine lines and wrinkles. Dr. Ourian is a Black Diamond provider of Botox (given only to the top 1% of Allergan, Inc. Botox accounts) and one of the busiest Radiesse and Juvéderm injectors in the country. This experience gives him a unique insight to the pros and cons of the dermal fillers available on the market today.
For the uninitiated, Radiesse, Juvéderm and Restylane, known collectively as dermal fillers, are used to reduce signs of aging on the face. “Another basic explanation is necessary, ” says Dr. Ourian. “There are two types of wrinkles: static wrinkles and dynamic wrinkles. You can see a static wrinkle when your face is at rest. They are often visible in the nasolabial folds. Dermal fillers injections can be used to correct static wrinkles. Dynamic wrinkles occur when you use your facial muscles to smile or frown. Crow’s feet are a good example of dynamic wrinkles. For dynamic wrinkles Botox injections are the treatment of choice.”
As we grow older wrinkles, sags and lines begin to emerge. Many men and women want a more youthful appearance and look for ways to reduce the signs of aging that they see on their faces. Surgery is one way to address these issues. Surgery cost is generally higher than minimally invasive options, may have a long recovery time and includes the risks of general anesthesia. Dermal filler injections offer are a minimally invasive method to reduce the signs of aging.
“What is the best dermal filler?” asks Dr. Ourian. “The one that’s most suitable to meeting your aesthetic goals. Every patient needs to be examined and their needs, goals and budget discussed before I can make a recommendation. What I offer is my ten plus years of experience, it’s really a collaborative process.”
Dr. Ourian offers a variety of dermal fillers for his patients. Some of those include:
- Restylane: Manufactured by Medicis Pharmaceutical Corporation; Medicis claims that Restylane is the best selling dermal filler in the world. Is made from one of the structural components of skin, hyaluronic acid. It is considered a semi-permanent filler and will last six to twelve months. Typical Restylane side effects include temporary injections site reactions such as tenderness, swelling, lumps, swelling, itching, bruising and discoloration. Restylane before and after photos are available on www.epionebh.com. Restylane cost is a function of the number of areas treated and the extent of treatment required.
- Radiesse: Formerly known as Radiance and Manufactured by Bioform Medical Inc., Radiesse is composed of calcium based microspheres suspended in a water based gel. Bioform has published clinical data to support their claim that Radiesse may last two years or more. Radiesse is also reported to stimulate the body to produce new collagen, a process called collagenesis. Typical Radiesse side effects include temporary injections site reactions such as tenderness, swelling, lumps, swelling, itching, bruising and discoloration. Radiesse before and after photos are available on www.epionebh.com. Radiesse cost is a function of the number of areas treated and the extent of treatment required.
- Juvéderm: Manufactured by Allergan, Inc. (the makers of Botox), Juvéderm is an FDA approved hyaluronic acid filler that lasts up to a year. According to Allergan, Juvéderm is the first hyaluronic acid dermal filler that the Food and Drug Administration (FDA) has approved as being effective and safe for persons of color. Typical Juvéderm side effects include temporary injections site reactions such as tenderness, swelling, lumps, swelling, itching, bruising and discoloration. Juvéderm before and after photos are available on www.epionebh.com. Juvéderm cost is a function of the number of areas treated and the extent of treatment required.
In the words of L.B., an Epione patient that received Radiesse injections, “The Radiesse treatment was quick and painless. It appears that the results are immediate.” Adds patient G.G.: “Thank you!!! Great staff—(I) am really happy that Dr. Ourian is so experienced and reasonably conservative that he does not over-do the treatments—i.e. he adds a little Radiesse the next time he sees you to achieve the results he wants-Great work!!”
Dr. Simon Ourian is the Medical Director of Epione Beverly Hills, a practice devoted exclusively to minimally invasive cosmetic procedures. “I spend a lot of time dealing with acne and acne scars, ” says Doctor Ourian. “Acne scars of damage are typically the result of acne during a patient’s teens and 20’s. I’ve seen the ongoing emotional toll acne scarring can cause for patients many, many years after they thought they were acne free.”
Many people consider themselves do-it-yourselfers. They bake their own bread, make their own wine, sew their own clothes or repair their own equipment. But one thing that should never be done is do-it-yourself (DIY) plastic surgery.
According to the British newspaper the Metro, the rise in DIY plastic surgery has been apparent since 2007. Images of celebrities are everywhere, and their perfect faces and physiques have led to a rise in body dysmorphic disorder (BDD). BDD patients have a distorted view or his or her appearance, usually thinking of themselves as less attractive than they actually are.
DIY plastic surgery is not just a problem in the UK. It happens all over the world. In Korea, a beautiful young woman by the name of Hang Mioku got her first cosmetic procedure done at the tender age of 28. She developed an addiction that was so strong she was driven to find a doctor who could provide her with a syringe and silicone to do her own injections. To make matters worse, when she could no longer afford the silicone, she began using cooking oil instead. In order to fix the damage, doctors had to remove half a pound of foreign matter from her face and neck.
In the United States, we have the same problem. “Botox parties” became popular in the early millennium. Botox kits and even instructional videos can be found on the internet. What many people may not remember is that Botox is made from botulinum toxin, the same bacteria that causes food poisoning. In the hands of a professional physician, Botox can smooth out wrinkles, eliminate muscle spasms, and even ease migraine headaches by temporarily paralyzing muscles. In the wrong hands, however, improper use can lead to infection and in some cases, death.
Dr. Simon Ourian of Epione in Beverly Hills warns about the dangers of DIY surgery and Botox injections. “Many people try to cut costs by doing things themselves, but I see bad work done by even good doctors, ” he says. “The new trend I am seeing now is horrible, in some cases irreversible, work by patients performed on themselves.”
Here are Dr. Ourian’s five steps to make sure you get good results:
- Go to a reputable doctor; do your homework; ask your friends in the know and find out who is the most experienced doctor in your area.
- Insist on seeing the packaging of the Botox or dermal filler that is injected into you and confirm that it is made in the United States.
- Check the expiration date on the package.
- Make sure the person who is injecting you is the licensed to do so.
- If you are OK with an RN injecting you, make sure at the very least you meet the doctor first. (In most states doctors MUST physically examine you before they prescribe a medication…and yes, Botox and Restylane are medications.)
In the quest to save money, plastic surgery candidates will often turn to online pharmacies and other websites. But not all of these sources are what they seem. Here’s how you can identify an illegal pharmacy or website:
- They are not licensed by any federal or state regulatory agencies or have no certification from the National Association Boards of Pharmacy’s Verified Internet Pharmacy Practice Site.
- They constantly spam their customers and promote the more illegal aspects of their business via search engines.
- They do not require a doctor’s visit for a prescription—and advertise this heavily on the site. Beware also of “free online doctor consultations.”
- Legitimate pharmacies will have a full inventory of medications, while disreputable ones will only carry the most popular ones. Examples are weight loss medications and painkillers.
- Last but not least, no physical address is listed. The site could be based anywhere, even if it claims to be in Canada.
The recession has made it difficult for people to have cosmetic surgery the way they used to. But as the economy recovers, so has the number of procedures performed. The recession has had a notable impact on every business, including cosmetic surgery. However, recent improvements have led to an upswing in the physical enhancement department. Many women 50 and below have not forsaken their beauty treatments, regardless of their financial situation.
Out of 1, 000 women polled, 63 percent (ages 18–34) and 73 percent (ages 35–49) had a positive impression on procedures that fought the aging process. And according to E-Poll Market Research, out of the 18 to 34 year olds, 44 percent stated that Botox would be a routine procedure. Botox is given by injection to remove wrinkles, crows feet, laugh and frown lines. 70 percent of these women also stated that while the bulk of cosmetic surgery patients are women, it is perfectly acceptable for a man to have work done as well.
Dr. Simon Ourian, Medical Director of Epione Beverly Hills, states that “Interest in cosmetic procedures is getting very strong again.” He goes on to say, “This may be a sign that our economy is on an upswing.”
The procedures that have drawn the most attention have been the ones that are inexpensive, require minimal surgery, and have a very short recovery time. Age often determines the popularity of a particular treatment, but the most common ones are as follows.
Botox: This noninvasive treatment is the most popular choice for patients over the age of 30. It is composed of very small amounts of the toxin Chlostridium botulinum, which freezes nerve impulses. This paralyzes the muscles in the area, which gives the face a much smoother look. Botox is used in the face and neck to eliminate wrinkles, lines and creases.
Chemical peels: The skin’s outer layer can be damaged by sun, wind or ordinary aging. And as time passes, skin can develop scars, wrinkles and uneven pigment. Chemical peels take care of this problem by using phenol, trichloroacetic acid or alpha hydroxy acids to remove the layer of injured skin. The chemical is applied to the skin then removed after a specified amount of time. Side effects may include redness and irritation, but these typically last for a short period of time. Aftercare instructions are provided by the doctor. If the instructions are followed properly, the patient is left with a smoother, more even appearance.
Laser skin resurfacing and Coolaser treatment: This procedure uses a laser to treat damaged skin in order to allow healthy skin to grow in its place. A numbing solution is applied to the face first. With the Coolaser treatment, the skin is cooled before the procedure takes place. Only one millionth of an inch of skin is treated at a time, which allows the doctor to control how much treatment is needed and how deeply the skin is treated. The heat from the laser stimulates the skin to produce collagen, which results in smoother, tighter skin. Side effects from this treatment can include redness and irritation as well patient’s skin is improved in appearance, and has had one of the greatest increases in use since 2005 among both sexes.
Hyaluronic acid: This injectable filler is the base chemical in Restylane and Juvederm. It gets rid of wrinkles, certain types of skin folds, and other lines on the face. It can also be used to plump up thin lips and hollows under the eyes and in the cheeks. Side effects can include soreness and swelling at the site. Depending on the product chosen, the results can last from six to eighteen months.
Liposuction: Liposuction is an invasive procedure, but it is the number one cosmetic surgery treatment chosen for people between 20 and 59. Liposuction removes fat deposits from the body, slimming and reshaping it in the process. The procedure has a much longer recovery time than any of the others listed here, and the side effects are more prominent (temporary numbness and bruising, among others) but the results can be quite impressive.
As people age, they develop wrinkles. Fortunately, we now have dermal fillers to help combat the signs of aging. These are popular because they can get rid of wrinkles in various places, such as around the outside of the eyes and between the eyebrows. They can also fill out lips and make the patient look younger without investing a great deal of time or needing extensive healing. There are potential side effects to this treatment, as with all cosmetic treatments. Swelling can take place, as can allergic reactions to the filler itself. The recipient may also need booster treatments over time, as the fillers tend to be absorbed into the skin. The choices include:
Restylane: Restylane is a dermal filler that is made from hyaluronic acid. This acid occurs naturally in the skin. Once scientists were able to synthesize it, it became the first non-animal hyaluronic acid on the market. It can be used for laugh lines (wrinkles around the nose and mouth), shadows under the eyes, and to fill out lips. Before Restylane, dermal fillers were made from collagen obtained from cows or created from silicone or human fat. Since hyaluronic acid occurs naturally in the body, the chances of the patient having an allergic reaction to the substance is very low. Restylane can last for up to 18 months. Currently, it is the most popular dermal filler on the market.
Perlane: Perlane is very similar to Restylane in that it is made from the same ingredient and produced by the same company. The difference is in how long it lasts. Perlane will last for up to 6 months, as opposed to Restylane’s 18. Perlane was approved in 2007, so it is one of the newest products available.
Radiesse: This product is made up of microspheres which are made up of calcium. The manufacturer states that it promotes collagen growth, which helps fill out wrinkles and other signs of aging. When the body is confronted with a foreign substance, it automatically begins to produce collagen.
Evolence: Evolence was approved in 2008. It is made from collagen obtained from pigs; pig systems are remarkably similar to human systems, which would account for the collagen use here.
How does the patient determine which filler is best? The truth is, there is no one best filler; there is only the best filler for the patient’s needs. By communicating with their doctor and outlining their expectations, it is possible to find the right filler for their situation.
Gordon Ramsay, 43 year old host of the television shows “Ramsay’s Kitchen Nightmares” and “Hell’s Kitchen”, has confessed to using occasional Botox injections on his chin. He says, however, that his use initially stemmed from “American Idol” judge and A&R executive Simon Cowell’s comment about his chin. After that incident, he noted that “…more and more people were commenting on my chin.” He began getting Botox shots soon after and was certain that no one had noticed them.
In fact, he pointed out that when talking to his mother, “… she said, ‘Keep your chin up’. I said, ‘Yeah, well at least I’ve got a new one of those’, but it went over her head.” Of course, Ramsay may not have known that Botox injections are usually used to freeze muscles that cause wrinkles, not to fill wrinkles out. As a result, it is not surprising that few people noticed his treatments. Ideally, his choice would have been a dermal filler. Restylane, Juvederm or the newest filler on the market, Hydrelle, would have been effective for the kind of treatment he was looking for. Hopefully, someone will soon fill Ramsay in (pun intended) on the proper treatment for his problem.
For individuals who do not wish to endure invasive surgery in the form of a facelift, dermal fillers and Coolaser can take years off your face.
Medical help to look better physically can be either invasive or non-invasive. Invasive surgery involves incisions into a patient’s body and therefore, carries more risk than non-invasive methods. Continue reading