Dr. Ghricko Blog

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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Its time to get your Beautiful Skin Ready for Warm Weather

shutterstock_254527768The days are getting longer and warm weather is just around the corner. Has your skin taken a beating from all the cold dry air during the snowy winter months? Here are some tips to rejuvenate your skin and get that glow back just in time for summer.

Lighten up

The heavy moisturizing cream, (that most of us use during the winter) may be a bit too heavy for spring. It is recommended that you should switch to a lighter, oil free cream instead. Pay close attention to the skin around your eyes and mouth too. Don’t forget to use sunscreen every time you go outside.

Make-up colors should lighten up as well. Put away the dark shades of lipstick, eye shadows and blush, and go for a more natural look this spring. Instead of plum or wine colors, choose more pink tones. Substitute lip gloss instead of lipstick, and switch from black mascara to brown. Also, liquid foundation can feel and look heavy so switch to a tinted moisturizer or mineral based powder instead.

Exfoliate your body

Shorts weather is about here and bikini time will be here before you know it. Skin care isn’t just about your face. Taking care of your body is also important. Exfoliate from head to toe to get rid of dead skin cells and rejuvenate that dull complexion that settles in over the cold months.

Pamper your feet

Your feet and toes have been hiding all winter but it’s time to break out the sandals and flip flops. If a trip to the salon isn’t in the budget, you can do your own pedicure at home. Add 3 C. of milk and 1 C. of honey to a large basin and soak your feet for 20 minutes or so while massaging the liquid into your skin. You can also use a pumice stone to remove any rough patches. Rinse with lukewarm water and pat dry. If you have dry, cracked heels, slathering petroleum jelly on your feet before bedtime and sleeping in a pair of clean, white cotton socks will do wonders.

Drink lots of water

It’s no secret that water is great for your body and your skin. The weather is getting warmer so it’s very important to stay hydrated. It is a great habit to get into by carrying a bottle of water wherever you go, not just to the gym. Try to drink 8 glasses of water each day. Snack on berries instead of chips, cookies and other junk foods. Berries are rich in antioxidants which help fight free radicals and encourage collagen renewal.

Always wear a Broad Spectrum Sunscreen

Take a look at our online store where we have a large selection of carefully selected skin care products that will give your skin the boost it needs.  All sunscreens are 20% for the month of June.

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Raise Your Hands!

iStock_000019230314_SmallYour hands can tell a lot about your age. Sun damage, age spots , fine lines and wrinkles cannot be hidden by a great manicure.

While many people are familiar with facial treatments for these issues, many do not realize that many of these same treatments can be used on your hands.

Injectable fillers such as Perlane, Radiesse or Juvederm to bring back that youthful plumpness.

A series of light chemical peels or microdermabrasions to fade out age spots and improve skin tone and texture .

Gentle Waves (LED light treatments) can add to the overall improvement.

These treatments have little or no down time . The results of the injectable fillers will be seen immediately while the skin care regime may take six weeks or longer to see improvement.

Always remember to put a broad spectrum sunscreen on your hands to protect them from overexposure to the sun.

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Liposuction And Skin Contraction

LiposuctionThe ability for the skin to contract following liposuction is often a concern that is overlooked by the average person. However, plastic surgeons are concerned about skin contraction when evaluating technology to use for the procedure and optimal candidates for the liposuction procedure. It makes sense that when fat deposits are removed, something must occur to the skin in order for the skin to fit tightly over the reduced fat location. Let’s find out how.

The technology used in liposuction may assist in skin contraction. Whether through the thermal techniques or the tumescent technique, trauma, even minimal, to the skin which results from the use of the equipment helps to stimulate the collagen process. An enhanced collagen process assists in supporting skin firmness. Skin tone and condition is also a factor in skin contraction. The likelihood that skin will contract is affected by the quality of the skin. For example, the appearance of stretch marks may signify a risk for inadequate skin contraction.

Skin that appears loose, skin folds, skin bands and rippling may result on rare occasions following liposuction. Yet, there are solutions to assist in skin contraction for liposuction, including:

Diet: Organic and whole grain foods are vital in assisting skin quality. This includes, steamed vegetables, fruits, poultry fish, nuts, and sunflower seeds.

Exercise: Exercise has a positive impact on skin, the largest organ of the body. Exercise enhances circulation and the delivery or oxygen and other nutrients to the skin cells. Exercise also fights off toxins.

Skin Hydration: Skin hydration largely depends upon diet, exercise and water intake. Moisturizers help maintain current hydration.

Surgical Excision: People that undergo liposuction and result with skin that appears loose or has skin folds may benefit from surgical excision. This is particularly true for people that have experienced massive weight loss.

For these reasons, the skin contraction factor does not usually prevent people from being a candidate for liposuction. The benefits of reduced fat often outweigh the slight risk of poor skin contraction. In the final analysis, the risk for poor skin contraction is very low because of the advantages provided in today’s technology and techniques.

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Refresh Your Skin!

rhinoplastyYour skin has been hiding all Winter and with the warmer weather here, it’s time to refresh your skin!  At Advanced Cosmetic Surgery, we offer a unique Skin Fitness Program that will give you healthy skin to last a lifetime!

Our medically supervised skin care program that is customized to each patient’s skin type. Each program is tailored to meet the individual’s needs. The goal is to remove dead and damaged cells and promote the growth of healthy new cells. Simultaneously, the skin is protected from over exposure to the sun and pollutants. This program includes:

• A personalized consultation to examine and analyze your skin type.
• Development of an individualized home care program designed for each patient.
• Continuous monitoring of your progress by our Skin Care Specialists.
• In-Office treatments to provide additional enhancement or stimulation.
• A continued maintenance program.

Our office offers a wide array of skincare products to be used in conjunction with your specific program. We specialize in skincare products that are only available through a physician’s office including our exclusive line of products called SKIN FITNESS PROGRAM for ADVANCED SKINCARE. We have tried to make this line simple yet effective by embracing the latest technologies—antioxidants combined with exfoliating agents to improve and maintain the health of your skin.
The following is a list of all products available at our office :

Skin Fitness Program
Elta MD
• La Roche-Posay
MD Solar Sciences

See what we can do for you! Healthier skin doesn’t happen overnight, so start your program now and enjoy better-looking skin that lasts a lifetime…

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Smooth Skin For An Event – Filled Spring!

botox-dysportBotox and Dysport are medications which relax the muscles that cause frown lines. For some people, these lines may become more noticeable at an earlier age or the individual may be more conscious of them. One important factor when considering Botox or Dysport is to go to an experienced injector. Most people want natural looking results that are simply lessening the lines that bother them without changing their facial expressions. They want to still look like themselves, minus the lines. For younger female patients, as with any medication, make sure there is no possibility you are pregnant when getting treated. Most results last about three months.

Botox and Dysport are some of the ways to help smooth your skin.  Now that there are so many non surgical treatments, application of a good sunscreen, and adhering to a good Skin Care Routine should be basics. Adding other non invasive treatments such as Gentle waves LED light, or a non invasive laser such as Cool Touch Laser can help to keep a more youthful appearance. Check out the ASPS program Beauty for Life for details on the most popular procedures by age group.

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Everything You Need To Know About Sunscreen

shutterstock_142887940The sunscreen aisle of your local grocery or drug store offers a lot of choices, but which is the right sunscreen for you and your family?

Sunscreens combine different ingredients that help prevent the sun’s ultraviolet (UV) radiation from reaching the skin. There are two different kinds of UV radiation: UVA and UVB, damage the skin, age it prematurely, and increase your risk of skin cancer.

UVB rays are the main cause of a sunburn, while UVA rays penetrate the skin more deeply, cause the wrinkling, leathering, or sagging effects of aging. UVA rays are increasingly being seen as a cause of skin cancer on their own.

What is SPF?

Sun Protection Factor (SPF) is a measure of a sunscreen’s ability to prevent UVB from damaging the skin. This is how SPF works: If it takes 20 minutes for your unprotected skin to start turning red, using an SPF 15 sunscreen theoretically prevents reddening 15 times longer which would be about five hours. The majority of sunscreens with an SPF 15 or higher do great at protecting you against UVB rays.

Another way to look at it is in terms of percentages: SPF 15 filters out approximately 93 percent of all incoming UVB rays. SPF 30 keeps out 97 percent and SPF 50 keeps out 98 percent. They may seem like negligible differences, but if you are light-sensitive, or have a history of skin cancer, those extra percentages will make a difference. And as you can see, no sunscreen can block all UV rays.

But there are problems with the SPF model: 1) Regardless of strength, no sunscreen should be expected to stay effective for longer than two hours without having to be re-applied. 2) The reddening of the skin is a reaction to UVB rays, and tells you little about what UVA rays are doing to your skin. Even without having a sunburn, UVA rays can still cause damage to your skin, which is quite frightening.

Who should be using sunscreen?

Everyone six months or older should be using a sunscreen each day. Even if you work inside you can still be exposed to UV radiation for brief periods throughout the day just by walking from your house to your car, into the store or even by sitting by a window.

Children under the age of six months should not be exposed to the sun, since their skin is highly sensitive to the sun’s rays. Also, the chemicals that are used in sunscreen should not be used on an infant because it can iritate the skin. The best way to protect your little one from the sun is shade and protective clothing.

Which kind of sunscreen should I be using?

It really depends on how much sun exposure you are anticipating. In all cases it is recommended that a broad-spectrum sunscreen offering protection against both UVA and UVB rays be used.

Many after shave lotions and moisturizers have a sunscreen mixed in, and it is usually the right amount for everyday activities with a few minutes here and there in the sun. However, if you spend a lot of time outside, you need stronger, water-resistant sunscreen that will stay on your skin. The water resistant types are also good for very hot days or while playing sports because they are less likely to get in your eyes when you sweat. However, these sunscreens may not be as good for everyday wear. They are usually more sticky and don’t apply very well with makeup, and will probably need to be re-applied every two hours.

How much sunscreen should I use and how often should I apply it?

To be sure that you get the full SPF of a sunscreen, you need to apply one ounce during each application. Studies show that most people don’t apply enough sunscreen, which means the actual SPF they have on their body is lower than specified on the bottle. Sunscreens should be applied 30 minutes before sun exposure to allow the ingredients to fully bind to the skin. Reapplication of sunscreen is just as important as putting it on in the first place, so reapply the same amount every two hours. Sunscreens should also be reapplied immediately after swimming, toweling off, or sweating a great deal to ensure maximum protection from the sun’s rays.

Take a look at our online store where we have a great selection of sunscreens.

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