Dr. Ghricko Blog

The two most important skin care products you can use

FaceAs we all know, Skin Care Products are everywhere, each claiming to be the best. How does one decide what to use?

Let us break it down to morning and evening routines:

I tell my patients the most important product to put on your skin during the day is a good quality sunscreen. We prefer a physical sunscreen such as zinc oxide or a combination of zinc oxide and titanium dioxide. In the last few years the user friendliness of sunscreens has improved dramatically. There are very elegant products available that suit various skin types and are a pleasure to wear. Lately many manufacturers are including anti-oxidants and vitamins in their sunscreens. The consumer can now get a treatment within their sunscreen. The tinted sunscreens can also act like a makeup or under makeup primer. The bottom line is there is really no excuse for not wearing sunscreen on a daily basis. It is one of the best anti aging products for daily use.

What to put on at night:

The gold standard for a facial rejuvenation topical product is Retin-A or Retinol, both derivativesof Vitamin A. Retinol is the non- prescription version of Retin-A and can be purchased over the counter. There are many brands and it is best to be guided by a medical professional. Success requires supervision and attention to proper use, keeping side effects to a minimum. Retin-A products exfoliate dead skin cells,increase blood supply to the face, and increase collagen activity to produce a healthier glowing complexion. Who does not want that?

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Cellulite and Body Fat: A Summer Ready Body

One of the biggest buzz words currently in the Cosmetic medicine world is Cellulite. The types of treatments range from:

  • Lotions and potions
  • Non invasive machines that use various modalities to reduce the appearance of cellulite
  • Minimally invasive procedure using an instrument with a laser attached that goes under the skin

Summer bodyI often have patients come to my office and say I am not sure if I have cellulite or fat or both-what is the best answer is for me?

Cellulite is a common term used to describe superficial pockets of trapped fat, which cause uneven dimpling or orange peel skin. It can occur in a thin person, a person of average weight, or an overweight individual.

If this rippling or dimple like appearance of the skin is what bothers the patient, and only this, then a cellulite treatment may be worth trying.

I do caution the patient that there currently is no cure for cellulite. Many of the current treatments can reduce the appearance of cellulite and individual results may vary. Maintenance is always recommended.

For those patients who are most bothered by the excess fat that is diet and exercise resistant, liposuction is usually the best answer. Liposuction will correct localized areas of fat but it will not correct cellulite.

If both fat and cellulite are your main concerns, liposuction can be done and about six weeks after the procedure a series of non invasive cellulite treatments such as Endermologie may be recommended.

For best results, communication between you and your doctor is of the utmost importance. Know what you want to achieve and what the procedure can and cannot do.

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5 Skin Care Tips For Winter

For many of us, the cold days of winter can cause uncomfortable dryness to the skin all over the body. For some, the problem is worse than just an overall tight, dry feeling. There skin gets so dry it begins to flake, crack and becomes inflamed. So what can you do to help soothe your dry skin before it gets unbearable. Here are 5 tips for helping your skin stay healthy during the cold winter months.

1. Moisturize your skin more often. Your skin moisturizing routine that works during the warmer part of the year may not be as effective during the wintertime. The air is typically colder and more dry and this can cause the skin to become dry and cracked. You can try to find a moisturizer that is oil based rather than water based because it will create a protective layer on your skin that will keep the moisture in. When choosing an oil based moisturizer for your face, be sure to find something that will not clog your pores such as avocado oil, mineral oil, or almond oil.

2. Continue with the sunscreen. You may not think that you need to continue using sunscreen during the winter, but the winter sun combined with the bright glare from the snow can still cause problems to your vulnerable skin. Be sure to apply the sunscreen to your face and other parts that are exposed to the sun before you go outside. Always reapply often if you plan on staying outside for a long time.

3. Take care of your hands. Did you know that the skin on your hands is thinner than most other parts of your body? This can make it more difficult to keep them moisturized, specifically when it’s cold and dry outside, which can lead to dry, itchy and sore hands. Try to wear gloves when you go outside to avoid the dry, cracked skin.

4. Use a humidifier. At home or work, many central air units blow hot, dry air. Any chance you have to use a humidifier, take it. Humidifiers create the much needed moisture in the air that will help prevent your skin from drying out. If you have a humidifier attached to your central air unit that’s great. If not, place a few of them around the house or your office. This will help keep your skin nice and moist.

5. Try a lukewarm bath instead of a hot one. Although it feels great to soak in a hot bath, especially during the cold months. Hot water breaks down the barriers in your skin that holds all of the moisture in. Try taking a bath in lukewarm water. You can also add baking soda or oatmeal to help dry, itchy skin.

So there you go. Give those winter skin care tips a try and you will notice your skin will stay healthy and moisturized even when the temperature drops.

We offer a great selection of skin care products that you can use during the wintertime. Please visit our online store for more information or give us a call at 800-999-1639.

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Why Get Botox Injections?

shutterstock_91048439If you are looking for a way to look younger without going under the knife, then you may want to consider getting Botox. Botox is a type of injection that is made from the botulium toxin A. It helps reduce the signs of aging. There are several benefits that you can reap from getting Botox. Below are some of those benefits:

Fast Results The full results will be seen within a few days. The amount of time that the results last can vary, but they can potentially last anywhere from two to four months depending on the severity of the lines.

Very Safe Botox is less risky than many other cosmetic procedures. The most common side effects include things such as redness, bruising and swelling in the injection site.

Virtually Painless Botox is not a painful procedure, but some patients may experience some brief discomfort. You will receive anesthesia cream or a cold pack prior to this procedure, and that will help minimize pain.

Quick To Perform Many people refer to Botox as a lunchtime procedure. It only takes about 10 minutes to perform. Therefore, you really can come in, get this procedure performed and go right back to your job. Fast Recovery Time You will be able to resume your normal activities because downtime is not necessary. However, you will need to avoid performing strenuous activities for at least 24 hours after you get Botox. You should also avoid massaging the treated area because that can cause the Botox to migrate to another area of your body.

No Special Preparation Needed Unlike many other cosmetic procedures, you do not need to do anything special to prepare for Botox. However, you will be advised to stop using certain medications and herbal supplements. Some meds and supplements can increase the risk of bleeding and bruising.

Less Expensive Than Other Cosmetic Procedures The cost of Botox can vary, but it is considered an affordable alternative to many other cosmetic treatments. The location, physician, depths of the wrinkles and number of units needed are some of the factors that affect the cost of Botox.

Dysport and Xeomin Treat your moderate to severe frown lines using Dysport or Xeomin… Dysport and Xeomin are other prescription treatment options to temporarily improve the appearance of moderate to severe frown lines. The price in our office is the same as Botox.  Contact our office today to see if Dysport or Xeomin are right for you.

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Breast Augmentation: Three popular consultation questions

shutterstock_108309083Silicone or Saline? Both types of implants are FDA approved and have been used safely for many years. I tell my patients that if you are 22 years of age then you have the option of choosing. Between ages 18 and 21 years old, saline implants are available. Both implants are comprised of a silicone outer shell. Silicone gel filled implants are pre-filled to the desired volume with a silicone gel. Saline filled implants are filled with sterile salt water after they are inserted. We have samples of the implants in our office and I recommend that patients see and feel them during the consultation. I usually place either type of implant under the chest muscle so that they can be covered by both the patient’s muscle and overlying tissue.

Implant size? Implant size is a very personal choice. Factors that should be considered are the patient’s height, weight and the size of the breasts before surgery and the patient’s desires. All of this is discussed in detail with the use of images and measurements.

Costs? Before leaving a consultation, patients want to be sure they know exactly what their procedure will cost including surgical fee, anesthesia fee, facility fee, and all office visits. Financing option and payments plans are discussed with our surgical coordinators. Consult with a board certified plastic surgeon, understand the details and complications of the procedure, and be clear on the financing options.

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The “Natural Look” in cosmetic procedures

shutterstock_91048439What are most patients trying to achieve with a cosmetic procedure?  Most want to look better or younger or both but they do not want their results to scream “I have had plastic surgery”

We often hear complaints about the celebrities looking too “done” after what the public perceives as cosmetic procedures.  They no longer look like themselves or what we have perceived as the way they always s looked in photos.

The results that most patients are looking for seem to be a better looking version of them.

When they look in the mirror they want to see themselves but improved.

In our office we often refer to “turning back the clock” or “enhancing your own look.”

Whether you are thinking about a Facelift, Eyelid Surgery, Injectable Fillers, Breast Enhancement or Body Contouring, a board certified plastic surgeon can help you to try to achieve the look that you desire.

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The Liquid Facelift – How Facial Fillers Can Help You!

shutterstock_141183598The term “liquid facelift” has become fashionable in the last few years because of the popularity and successful results obtained with facial injectable fillers. Facial injectable fillers such as Restylane, Perlane,Radiesse, Juvederm and Belotero are used to restore youthful volume and fullness that is lost as we age. Such popular areas enhanced by facial fillers include the lips, nasolabial folds (lines from nose to mouth), cheeks , under eye areas and marionette lines(lines running from end of lips to jaw line). It should be noted that in some areas it is considered an off label use of the products. Here at Advanced Cosmetic Surgery, we have all seen some very natural, refreshed results!

It is important to understand that injectables such as Botox, Dysport and Xeomin (called neuromodulators) are also used in the face but accomplish a different goal. These products help to reduce lines of expression such as the frown lines between the eyebrows. They, however, do not add fullness or volume to the face as do the facial-dermal injectable fillers. A combination of dermal injectable fillers and neuromodulators such as Botox, Dysport or Xeomin are usually what are used for the result we know as the “liquid facelift”. This is considered a non surgical procedure and can be done in the office.

There is usually some swelling and possible bruising after the procedure but this usually fades within 10 days to 2 weeks and can be covered with makeup the next day. Most activities can be resumed in 24-72 hours after the procedure. The results can last up to two years depending on the patient and the areas involved. Maintenance of the results will be required.

Because every patient is unique and every face is unique, any procedure or procedures should be customized to the individual’s goals and desired results. In certain cases, I will suggest a surgical facelift followed by facial injectable fillers about 6 weeks after the facelift for those patients who are good candidates.

There are many tools available to Plastic Surgeons for the benefit of their patients and, as always, it is important to choose a Board Certified Plastic Surgeon for your cosmetic needs.

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Aging Gracefully

shutterstock_95732242Aging gracefully may have different meanings for everyone. I can tell you what happens anatomically to the face as we age. Simply put we lose facial volume as we age:

  • Thinning of fat around the eyes
  • Loss of soft tissue around the cheek bones
  • Sagging of skin which causes folds around the mouth or the folds that we see going from the nose to the mouth
  • Thinning of the lips and flattening of the area between the lips and the nose loss of that pout of youth
  • Loss of definition in the jaw line better known as Jowls.

Before I perform a facial procedure I like to have my patients bring in a picture of them taken at least ten to twenty years ago. Usually it is an old wedding picture, graduation or family reunion. The goal is never to make a fifty year old look like twenty one again, but we can turn back the clock significantly with the right choice of procedures:

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Autumn Cosmetic Preview

woman drop autumn leaves in studioAre you thinking about refreshing your look this fall?  With summer winding down, school and work schedules in full swing, now is a great time to refresh your look.  Has summer left your skin uneven toned and blotchy? Noticing more wrinkles ? This summer, was your body looking like you had hoped for in your shorts or a bathing suit?

Now is the time to explore your options and see if a cosmetic procedure may be right for you in the coming months.

Start out slowly by giving your skin a more healthy glow. Treat wrinkles non surgically with a Laser Treatment or Injectables Fillers like Perlane , Restylane Radiesse, Juvederm or Belotero Balance.  Relax frown lines with Botox ,Dysport orXeomin.

Cellulite non surgical treatments  for your body are also available.  Unsightly spider veins on the legs can be easily treated in the office.

For some concerns, surgery may be the best option.

Find out if you are a good candidate for one of the popular facial cosmetic surgeries such as facelift or eyelid surgery.  Explore the possibilities with Breast Enhancement or Body Contouring.

Remember knowledge is power– consult with a Board Certified Plastic Surgeon to obtain accurate information to see if a cosmetic procedure may be right for you.

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Summer Sun and Brown Spots

Summer sun and heat can cause a multitude of skin problems.  A very common problem is brown/ gray patches on the face called melasma.  Most people get it on their cheeks, bridge of their nose, forehead, and chin and above the upper lip as well as other sun exposed areas.

Unfortunately, sun exposure as well as heat triggers melasma.

skin1One of the most common treatments for melasma is sun protection. This means wearing a broad spectrum sunscreen every day and reapplying sunscreen every few hours. Appropriate clothing such as a wide-brimmed hat when you are outside, is also recommended.  Sunscreen alone may not give you enough protection.

Melasma occurs more frequently in woman than men.   Hormones, as well as birth control pills, will often trigger melasma.

Our Skin Fitness Program offer ways of helping to control uneven skin tone such as melasma.  Our program can improve texture, tone and quality of the skin.    Call the office today and learn more 800-999-1639.   Please do not forget your sunscreen !

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