Photo Credit: ultherapy
Yes, there are other, if not better, reasons to consider an Ultherapy under-chin lift than taking a better selfie or looking hot when FaceTiming, but these perks should not be discounted.
Ultherapy is Food and Drug Administration (FDA) cleared for treating the brow, chin, and neck. It is the only non-invasive energy-based treatment to have such a distinction, largely because it really works and the clinical studies confirm that. Really. 250,000 Ultherapies have been performed to date around the world, so they are doing something right.
At a recent media breakfast at The London NYC, uber dermatologist Tina Alster, MD, the founding director of the Washington Institute of Dermatologic Laser Surgery and a clinical professor at Georgetown University Medical Center in Washington, DC, and Leif Rogers, MD, FACS a plastic surgeon in Beverly Hills, discussed how and why Ultherapy makes a visible difference with no visible healing.
As we age, our skin’s foundation collapses (think Grecian ruins). Muscle and fat start heading South, creating jowls and turkey gobblers or waddles. This is not related to being overweight. Instead, it is a function of the decline in collagen and elastin that provide the skin with structural support. Ultherapy targets the skin’s lower layers to help stimulate new collagen using focused ultrasound or sound waves. The energy tightens and lifts (yes, lifts) sagging skin. The measurable results appear gradually, usually within three months, though, “some people walk out feeling that their skin is a little tighter,” says Rogers.
Ultherapy candidates are typically in their mid thirties or older with what skin care specialists call mild to moderate laxity (sagging). The procedure is color blind, which means it works well on skin of all colors. Results, however, may not be as pronounced among individuals with thick skin. “Men have more pilosebaceous glands, thicker skin, so they may need more treatments,” says Alster. She often has patients come back annually for maintenance to forestall a face or neck lift and keep skin firm and youthful. Ultherapy can also be combined, as needed, with BOTOX Cosmetic and resurfacing lasers that target sun spots, lines and wrinkles like Fraxel.
Many people need just one session to achieve their desired results, but others may choose to have multiple treatments to maximize the potential effects. “If we hit it again and again with the same energy, it will shrink further,” Alster says. She recommends waiting 3 to 6 months for a second session to let everything tighten up. Ultherapy costs $1,500 to $4,000 depending on the area of the face treated and often the location of the practice. The technology doesn’t necessarily replace the need for a full face lift (but it may for some younger folks with minimal sagging), but it is an ideal option to help buy time and put off the need for major cosmetic surgery. That said, the results are not as predictable as with surgery.
No Pain No Gain
The old adage is true. The one downside is that Ultherapy hurts a little. Pain medication and some Valium usually do the trick, but everyone is different and some people find it very tolerable with some Tylenol. There is no visible healing—which means no downtime (although you probably don’t want to be operating any heavy machinery, driving or making important decisions with pain killers and Valium still in your system.) So you can have your chin lift in secret.
Find a trained Ultherapist, dermatologist or cosmetic surgeon near you at ultherapy.com
New year, new skin. The dead of winter and the affront of a polar vortex signals that it’s time to do something nice for your skin. Everyone needs a little pick me up to feel good and look a bit better. With several more months of cold, snow, and ice facing many of us, the idea of a quick fix rejuvenation plan is a welcome relief.
Give Yourself a Home Peel
ZO® Medical Invisipeel™ is an at-home peel formulated for both facial and non-facial skin such as hands, arms, and legs and addresses skin concerns from acne and sun damage to flaky skin and rough texture, even keratosis pilaris (those little bumps that show up on the backs of arms and legs that are actually plugged follicles).
According to Beverly Hills Dermatologists Monika Kiripolsky, “Invisipeel targets and accelerates repair of the skin with a specialized enzyme blend of papain and bromelain, as well as glycolic acid. Diglycerin is added to restore moisture levels so it is suitable for a wide range of skin types, and is safe to use at home with no visible peeling.”
This peel is really great to use anytime of year, thanks to its special enzymatic technology, which exfoliates the skin without creating flakes. Application is a breeze: just apply after cleansing and leave Invisapeel™ on for one to three hours. Remove and apply your regular skincare regimen. The process is gentle enough that Invisipeel™ can be used two to three times a week.
Pellevé Wrinkle Reduction is a non-invasive treatment that effectively tightens skin and smooths fine lines through advanced radiofrequency technology— without the discomfort and swelling seen from other skin tightening treatments. Pellevé delivers heat into the deep layers of skin, stimulating new collagen growth, which results in tightened skin, and less wrinkles.
According to Dr. Amy Taub, a dermatologist in Lincolnshire, IL, “Pellevé gives my patients tighter and smoother skin. I also use it as a complementary treatment to other cosmetic procedures to improve skin tone. Anyone with mild to moderate sagging, wrinkles, or drooping brows or eyelids makes an ideal candidate for Pellevé, which is almost everyone between the ages of 35 to 65.” Three Pellevé treatments spaced one month apart is what Dr. Taub recommends for the best results.
Pelleve is a great alternative for people who don’t want to have surgery, or aren’t yet a candidate. Treatments take 30 to 60 minutes, and there is no downtime. Most people say it feels like a warm massage. It’s a perfect lunchtime refresher, as you can wear makeup right away and get back to your normal routine.
Go For a BOTOX Brow Lift
Droopy and furrowed brows make you look sad, tired, and older. A chemical brow lift using BOTOX®, Dysport®, or Xeomin® can help you restore a brighter, open-eyed look to your eyes and a higher brow position without surgery. The treatment takes about 20 to 30 minutes and can last for three to four months in most cases, or slightly longer.
This past September, BOTOX® was the first neurotoxin approved by the FDA to treat crow’s feet, confirming the fact that muscle relaxers do a lot more than treat wrinkles these days. They can be used to raise your eyebrows and create a shape that mimics a brow lift without surgery.
“To affect a toxin brow lift, we target the muscles that pull down the brow and inject them with the appropriate amount of toxin. The brow gains a lift and the eyes look more open giving you a refreshed, less tired appearance. You can see results within 2 – 7 days after your treatment,” says New York Plastic Surgeon Bryan G. Forley.
Smooth as a SilkPeel® Dermalinfusion™
SilkPeel® Dermalinfusion™ from Envy Medical is a non-invasive wet exfoliation system that offers customizable benefits. It gently exfoliates without irritation, inflammation, or downtime, and infuses treatment serums deep into the skin to deliver nutrients, vitamins, antioxidants, and other therapeutic ingredients.
The treatment takes only 30 minutes and starts with wet exfoliation to whisk away dead skin cells. At the same time, one of four different serums will be infused into your skin for specialized results. Serum choices include Skin Hydrating Solution with Hyaluronic Acid, Vitamin C Skin Hydrating Solution with Antioxidants, Skin Clarifying Solution with Salicylic Acid, and Lumixyl Pro-Infusion, a skin-brightening product. Unlike lotions or creams, these serums don’t merely sit on top of the skin, but penetrate deeply to show visible improvement to the skin.
A SilkPeel treatment is relaxing and soothing and will leave skin smooth, hydrated, brighter, and radiant. In addition to the face and neck, it works fabulously on feet, hands, décolleté, arms, and even the back. With one treatment, you will notice better, brighter skin in about 30 minutes.
Reverse the Brown
Sublative or eMatrix from Syneron is not a laser, though the mistake is easy to make. This aesthetic device uses the power of fractionated bi-polar radiofrequency to deeply penetrate the skin and stimulate collagen production beneath the surface while keeping the outer layer of skin intact. Sublative effectively targets common skin issues, such as pigmentation, loss of radiance, tone, and texture, without the pain, downtime and side effects of many other treatments. It is incredibly versatile and safe for virtually all skin tones, and also helps smooth out acne scars.
Sublative uses proprietary elos technology, a mechanism for delivering radiofrequency energy to the skin in a fractional manner. That means it penetrates the skin in a grid pattern, heating some portions and leaving others untouched. It completely bypasses the outer layer of skin so no redness or irritation happens. The skin’s natural healing response is what improves facial appearance. As the skin heals collagen and elastin are strengthened and brown and red spots are minimized.
Elure Advanced Brightening Lotion is a rebalancing skin lotion that contains Melanozyme™, a naturally occurring enzyme. The lotion is a key element of the elure system, which gently diminishes the appearance of stubborn discoloration while correcting uneven skin tone to reveal a brighter, more glowing complexion.
Elure targets hyperpigmentation, melasma, and brown spots with a non-hydroquinone formulation. For decades, hydroquinone has been the ingredient of choice to treat discoloration, but it can cause irritation, sensitivity, and redness. Elure is a gentle non-irritating alternative. It’s active ingredient, Melanozyme™ is derived from a tree fungus and breaks up existing melanin to reduce discoloration. Other brightening treatments work to prevent future spots and do not target existing melanin as elure does. Initial results with elure can be seen in four weeks, with optimal results appearing in eight to 12 weeks. Use once or twice daily for best results.
I have been saying for years that I didn’t believe that facial exercises or muscle toning devices really work. Think of it this way: if facial exercises worked, BOTOX® wouldn’t. And we all know that BOTOX® works by preventing facial muscles from contracting, which softens lines in the skin. Plus, facial aging is not just about sagging or lax muscles—it’s about sagging muscles, slack skin, fat loss or volume shifts, and surface damage in the form of brown spots, sun damage, red veins, and fine lines. My questions have been, “Where’s the science?,” “What are doctors saying?,” and “Has anyone published a study?”
Well, a new study published in the January 2014 issue of the prestigious Aesthetic Surgery Journal of the American Society for Aesthetic Plastic Surgery (ASAPS) showed that there is not enough solid clinical evidence to support the whole category of facial yoga or exercises for rejuvenation. Researchers from Ghent, Belgium reviewed nine published studies that were conducted in South America on the effects of facial muscle exercises on facial rejuvenation. Although the authors of these studies reported positive outcomes, the researchers found that the quality of the available evidence was insufficient for determining the efficacy of facial exercises for aesthetic rejuvenation.
“Our review shows that there is not enough evidence to conclude whether facial exercises are effective for reducing the signs of aging,” says lead author John Van Borsel, PhD, Professor of Neurolinguistics and Logopedics at Ghent University, Ghent, Belgium, and Veiga de Almeida University, Rio de Janeiro, Brazil, in a news release. “The existing published studies were not randomized or controlled. Most lacked blinding and only used subjective measures to assess the effectiveness of treatment. We need better studies before we can draw any conclusions about the usefulness of facial exercises.”
Apparently, the studies were conducted in a somewhat haphazard manner, not up to the clinical standards many physicians seek out when evaluating a technique or procedure. None of the studies were randomized or controlled. Most studies included more than one type of exercise and used subjective assessments. The researchers concluded that additional studies with superior designs and larger patient populations are needed—especially randomized, controlled, and blinded studies evaluating a single type of exercise using objective measurements. They also called for comparisons of different types of facial exercises, information on the role of intensity and duration of treatment, and the effect of patient-specific variables such as age and signs of aging when they began these exercises.
“This is the first systematic review to look at the effectiveness of facial exercises for facial rejuvenation, and shows that we are really lacking evidence when it comes to the claims that facial exercises can rejuvenate the face,” says plastic surgeon Foad Nahai, MD, editor-in-chief of Aesthetic Surgery Journal. “Randomized, controlled studies are the gold standard for determining the efficacy of any procedure. Hopefully, we will see some well-designed studies in the future that can help us determine whether these claims have merit.”
So ladies, at least for now, think twice before making those bizarre facial distortions that are characteristic of facial exercise routines. According to New York facial plastic surgeon Sam Rizk, “In theory, facial exercises may create more lines and wrinkles in the skin from years of repetitive movements, especially in thin skinned areas of the face that are most susceptible to wrinkle formation, such as around the eyes and forehead, and around the mouth. The whole concept of exercising facial muscles runs contrary to what we know to be true about how the face ages.”