Bolitho MD

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9834 Genesee Ave Ste 311 La Jolla San Diego, California
Phone: (858) 458-5100

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25Aug, 2016

Choosing the right cosmetic injection

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Choosing the right cosmetic injection

Over the last decade, nonsurgical facial rejuvenation procedures have made their mark in plastic surgery medical practices. Those in their late twenties or branching into their fifties and above have found that cosmetic injections are indeed an excellent tool in their box of anti-aging arsenal. While these cosmetic injections aren’t a substitute for surgical facial rejuvenation, they most definitely have their niche, and consumers are seeking them now more than ever.

With so many nonsurgical treatments on the market, one may need some navigation to be matched with the right facial rejuvenation treatment plan. While many of these treatments can be done in a non-medical setting, professionals agree that for safety and best treatment outcome possible, all cosmetic injections should be performed in a medical atmosphere such as a plastic surgeon’s office.

Cosmetic injections are viewed as a minimally invasive medical procedure.

Depending on the medical practice, a plastic surgeon may perform these cosmetic injections while others have handpicked their own registered aesthetic nurse to deliver them. In either case, the important factor in this is having a medical professional who has extensive education in the facial anatomy to deliver these injections.

Likewise their adeptness and knowledge will help guide patients toward the right cosmetic injection and the appropriate amount. Those working in the plastic surgery arena agree that the best course of treatment is one that produces subtle and natural looking results. The aesthetic mission is to make a patient look renewed.

That’s the ultimate goal in cosmetic injections – a sense of renewal as if one has just returned from a tropical vacation.

While cosmetic injections have been on the market for quite some time, it bears repeating what types of injections are commonly used and their targeted area of application.

Botox continues to be the leading injection chosen and used by both medical professionals and patients. With that said, here are the areas that Botox can enhance a more youthful canvas:

  • Lines along the forehead
  • Glabellar lines
  • Crow’s feet

Botox helps suppress facial movement located on the upper portion of the face which creates these fine lines and wrinkles. When visiting a medical professional for treatment, they will actually ask a patient to contract the muscles around their eyes and forehead so they can map out the proper treatment areas.

As for fillers, such as Juvederm and Voluma, they help add volume to areas where lines and wrinkles appear to the lower and mid-portion of the facial canvas. Its main ingredient is hyaluronic acid, and it’s also utilized as an aesthetic tool to add volume to fat pads.

Areas where fillers are used include:

  • Nasolabial folds
  • Marionette lines
  • Vertical lip lines
  • Oral commissures
  • Chin wrinkles

As mentioned earlier, cheeks can also be enhanced – the product often used for this is Voluma, and it can add youthful volume to this area.

Cosmetic injections have enabled individuals to have their own tailored rejuvenation pathway.

18Dec, 2015

Rejuvenation: A Temporal Brow Lift

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 Rejuvenation: A Temporal Brow Lift

A forehead lift is a common operative facial rejuvenation procedure, but another surgery which is doing an excellent job in providing a youthful appearance above and around the eyes is a temporal brow lift. This procedure, growing more in demand, helps restore a well-rested appearance which affords patients with a more renewed and younger look.

With the hand of an experienced board certified plastic surgeon that specializes in facial surgery, redundant skin is removed and muscles which are repositioned does smooth out and redefine facial contours along the upper portion of the face.

It’s also common for one undergoing a temporal brow lift to also have an upper eyelid surgery since they do complement each other. However, each patient has their own unique aesthetic needs, and this may not hold true for everyone. A consultation with a board certified plastic surgeon will help determine this.

Different from a forehead lift, the temporal brow lift only addresses the outer portion of the brows. Majority of brow lifts, also referred to as forehead lifts, elevate this area completely. However, a temporal lift does not. Instead, it only elevates about half of the lateral portion.

The surgical incision on each side, which is up to one inch in length, is discretely placed behind the hairline so scars are camouflaged. And as the name of the surgery suggests, the incision location is directly above the temple.

The goal of this cosmetic surgery is to provide patients with a more natural and open appearance of their eyes. Many describe the surgical outcome as a more relaxed and refreshed presence.

A consultation appointment with a plastic surgeon will help determine if a temporal brow lift versus a complete brow lift is the right procedure. During this time, the surgeon will assess the natural position of a patient’s brows by their height in comparison to one’s shape and orbital rim.

The plastic surgeon will gently perform this manually and may also take measurements.

Additionally, the surgeon will determine if the central brows are not in need of any operative elevation. If the central portion is in a good position but the lateral portion reveals a descent, then a temporal brow lift will be suggested to reshape the eyebrows and eye contours.

Many patients who decide to have this surgery often express concern at their consultation appointment about how their facial expressions appear to others. This may include the following:

·       Worried
·       Tired
·       Upset

The above characteristics are not what people want to portray to the workplace, family, friends, and new people they meet. Even more so, when they are well-rested, they are often asked if they are tired because they appear that way. Of course, these surgical candidates prefer a more positive looking appearance.

While patients are thrilled with their surgical outcome, they are also delighted with the fact that the surgery is considered less invasive which also affords them with less risks and complications. Again, in order to assess whether a person is the right candidate for this surgery, please consult with a board certified plastic surgeon that has extensive experience in operative facial rejuvenation.