Everything you need to know about Botox?

What is Botox?

 

Botox, or botulinum toxin, is a medication that is injected into muscles of the face to temporarily paralyze the muscles.  By paralyzing the muscles, facial animation is reduced and wrinkles will smooth.  Botox will not paralyze all the muscles of the face. It only affects the very specific area it is injected into. A skilled injector knows where to inject very small amounts of the toxin, thereby targeting the muscles that are causing the lines and wrinkles that you want to disappear.  The most common areas to inject are the forehead, between the eyebrows, and around the eyes.  This can soften or eliminate the furrow lines of the forehead, the “elevens” between the brows, and the “crow’s feet” on the side of the eyes.  The result is a more rested appearance. The effect is temporary with most people get good results for 4 months.

 

 

How common are Botox injections?

 

Botox injections remains the most common non-surgical cosmetic procedure in the United States. According to the official statistics of the American Society of Plastic Surgery (ASPS), 7.6 million botox injections were performed in 2019. This represents a 900% increase in the number of botox injections compared to 2000.  The second most common non-surgical cosmetic procedure was fillers, and is a very distant second place at 2.7 million injections for 2019.

 

 

What is the right age to start getting Botox?

 

There really is no right answer to this question, since every person is different.  According to the American Society of Plastic Surgery, 1.4 million injections were performed on men and women between the ages of 30 and 39, compared to only 112,000 on people 20-29. This indicates that age  time to start getting Botox injections. This seems to make sense, since we know that many other non-surgical cosmetic procedures become more common at age 30, such as laser, fillers, and chemical peels. The most botox injections were performed on men and women between age 40 and 54 (4.4 million). However, since Botox is designed to reduce the activity of facial muscles, younger people with very active muscles of facial expression choose botox injections. 

 

 

 

 

How is it administered?

 

Botox is injected into the desired areas using small needles. During each needle stick, a very small amount of toxin is injected just beneath the skin. This delivers the botox to the muscle that is causing the line or wrinkle.

 

 

Does it hurt?

A very small needle is used, but since it is still injections, you will feel a small pinch and slight burn. However, this is extremely well-tolerated and most women compare it to having their eyebrows plucked.

 

 

Does it work right away?

 

Botox takes a few days to a week to work. This is because the toxin works by blocking the nerve impulse to the muscle and this process takes some time.

 

 

How long will it last?

 

Most people report that the results last about 3-4 months. The effect wears off slowly, so you may notice that the lines and wrinkles return slowly over the course of several weeks. Botox may last longer in some people and in certain areas of the body.

 

 

Can there be complications?

 

Botox is a very safe procedure with a very low risk of complications when administered by a qualified doctor such as a board certified plastic surgeon or dermatologist. Because it is administered using a needle, there can be bruising.  Also, if the toxin is injected into the wrong area, it can paralyze a muscle that was not intended to be paralyzed. The result will depend on which muscle was mistakenly treated. For example, injection to the muscle that keeps the eyelid open can cause the eyelid to droop. Injection into the muscles around the mouth may cause difficulty pursing your lips, whistling, or drinking from a straw.  The good news is that these complications are temporary and will usually improve as the toxin wears off.  More serious complications have been reported when botox from unofficial suppliers have been used. This is why it is important to select a physician who is obtaining their toxin from a reputable supplier and not cheap suppliers who may be providing counterfeit medications.

 

 

 

 

How much does it cost?

 

The price for Botox injections will vary depending on several factors: who injects it, where you are located, and how much you require.  Obviously, certain areas of the country may have higher or lower prices. A med-spa will likely charge you less than an experienced Board Certified Plastic Surgeon but as with everything, beware or prices that seem too good to be true.

 

 

Do I have to keep doing it?

 

No.  You can stop having botox injected at any time. Your wrinkles and lines will return and will not be any better or any worse. Additionally, if you have had botox injections and for whatever reason are not happy with the results, you can just let it wear off and there will be no permanent issues.

 

 

How do I know if I need Botox or Fillers?

 

You may complain of lines and wrinkles, and sometimes botox is the answer and sometimes it is not. If you have lines and wrinkles that are the result of facial animation (i.e., the lines get worse as you scrunch your face), then botox will relax the muscles and soften the lines. However, if you have deep lines that are not directly related to the muscle animation, then Botox will not help. These lines are commonly between the nose and the mouth (naso-labial lines) and also the lower mouth (marionette lines). Treating these lines requires filler. Fillers such as Restylane and Juvederm are injected into these lines to fill them and soften them. Your physician should be able to tell you if filler or botox is best for your lines. Commonly, fillers and botox are done together for full correction.

 

 

Besides lines and wrinkles, will Botox treat anything else?

 

One less common, but effective, use for botox is treating hyperhidrosis. Hyperhidrosis, or excess sweating, can occur in the underarms, palms, feet, and scalp. Botox will paralyze the tiny muscle that surround each sweat gland. This will reduce the amount of sweat. Botox is approved for this use and treating hyperhidrosis can be life-changing for those who suffer. Excess sweating can be unsightly and commonly cause low self-esteem, and social anxiety.

 

 

Are there other names for Botox?

 

“Botox” is a brand name, just like q-tip or Xerox. Since Botox brand has been around for so long, it is commonly used to describe all botulinum toxin. However, there are actually three separate brands of botulinum toxin. Botox, Dysport, and Xeomin. Each is manufactured by different companies, but are extremely similar. One may argue that each acts slightly different and some individuals find that they prefer one brand over the other. But again, most people use the term “botox” when they are really referring to the active ingredient, botulinum toxin. Even your physician may use the term Botox when really referring to the other products. In our practice, in order to avoid this confusion, we use the term “toxin” to describe all three brands and only use the term botox when specifically referring to botox brand botulinum toxin.

 

To learn more about having your botox treatments, or other non-surgical cosmetic treatments in New York City with Dr. Matthew Schulman, please contact our office today.

Cosmetic Procedures During COVID-19 Pandemic

The year 2020 has certainly been a difficult one. COVID-19 has changed the way we live and will continue to affect how we live for years to come. While some areas of the United States are seeing a recent uptick in the number of COVID cases, other areas continue to see a decline. For those areas where the number of COVID cases remains low and in a decline, there is push to restart “normal” life. For most, this means back to work, back to school, back to retail shopping, and back to seeing friends and family. For others, it also means, resuming the desire for cosmetic procedures. This may include non-surgical treatments such as Botox, fillers, facials, and lasers. It also includes surgical treatments such as liposuction, breast augmentation, mommy makeovers, tummy tucks, and Brazilian butt lifts. In fact, the demand for cosmetic procedures is very high. Let’s discuss why there is such an increased demand for surgical and non-surgical treatments, and whether or not it is something that is safe to do right now.  Please keep in mind that these thoughts are based on information that I have at this very moment, and things may change as facts change.

 

 

 

 

Demand for Cosmetic Procedures is High

 

The fact of the matter is that people have been isolated and socially distant for the past four months. This means that they have been unable to receive any of their routine beauty care.  Many have been without facials, laser treatments, chemical peels, and botox for a longer stretch than ever before. The wrinkles and irregular pigmentation has likely returned, and the body hair is growing back.  Many of these treatments require on-going sessions, and missing 4 months of treatments may set things back for them. As the social distancing restrictions lessen, people are eager to resume their regular beauty routine.

 

Additionally, during isolation, people may have become more self-critical. When we have nothing but time on our hands, sometimes it leads to us analyzing, or over-analyzing, ourselves. So, over the past four months, people may have become aware of things that they dislike about themselves and that they would like to change or improve upon. Scrolling photo-shopped pictures of Instagram “influencers” all day long certainly is not helping. After four months of isolation, sometimes something as simple as a botox injection is what people need to help them feel “normal” again.

 

The biggest reason why the demand for cosmetic procedures is at such a high level is time. Many people have more free-time than ever before. Schools are out. They may be out of work, have reduced work hours, or working from home. This means that school and work may not be a barrier for them anymore. They no longer have to worry about taking time off to heal and recover from a procedure.  Their annual summer vacation is likely cancelled due to travel restrictions, so many people have a two to three week block of time that had already been cleared on their schedule that can no be used to recover from a procedure.

 

Now, I am certainly not saying that the social distancing associated with COVID-19 has made people who would never consider having plastic surgery now have plastic surgery. But, the circumstances of the last four months have likely help people who have been thinking about having something done finally take the next step.

 

 

So, is it safe and what precautions need to be taken?

 

When we discuss whether or not a procedure is “safe” to have during a COVID-19 pandemic, we are really talking about the risk of transmission between you and the medical staff; “If I get botox injections, am I at risk for catching COVID?” Surgical and non-surgical procedures can be done safely during this COVID-19 pandemic, but there are several important steps that you and your doctor need to take. Some procedures carry higher risks than others. Procedures centered around areas of the body where the virus lives, such as your nose, mouth, throat, and lungs, carries a higher risk than procedures of the breast and body.  Also, these procedures can only be performed in geographic regions where it is allowed, based on the current number of COVID-19 cases.

 

 

You need to be COVID-free

 

This is the most fundamental thing to be concerned about. You want to be sure that you do not have COVID-19. This means that you are not actively infected.  You want to be sure that you are without the most common symptoms of COVID-19. This includes fever, sore throat, cough, loss of taste or smell, fatigue, body aches, nausea, vomiting, diarrhea, skin rashes, etc. 

 

Because not everyone infected with COVID-19 has symptoms, you are also want to be sure that you have not been in contact with anyone who has had COVID within the previous 14 days or traveled to high risk countries or states. The list of high risk regions changes almost daily, so it is important to familiarize yourself with the current list on the CDC website. You will be required to wear a mask while in your doctor’s office as well.

 

 

Your Doctor’s office should be COVID-free

 

The staff at your doctor’s office should be taking the same precautions to make sure that everyone who you will encounter during your visit is also COVID-free.  This means that the staff will be screened for COVID symptoms daily and also subjected to routine testing. The staff should also be wearing masks at all times to reduce your risk of exposure, since again, some people may be asymptomatic COVID carriers.

 

Medical offices are also taking precautions with any non-patient who enters the office. This means that entry to the office will be restricted to only patients and essential people. If someone doesn’t need to enter the office, they will be asked to stay outside. This includes delivery persons, postal workers, friends or family of patients, etc.  Anyone who needs to enter the office will be subjected to a screening process to detect any COVID symptoms BEFORE they are permitted inside.

 

 

 

 

Social Distancing will occur inside the office and operating facility

 

Inside the office and operating facility, staff and patients will be socially distanced. Patients will come to the office alone. No friends or family will be permitted, in an attempt to reduce the risk of exposure and transmission.

 

Appointments will be spaced-out in a manner so that you should be the only patient in the office and any given time. This means that instead of there being 3-4 patients scheduled per hour, there may only be 1 patient per hour. This will eliminate your exposure to other patients and it will allow for complete disinfection of the room between patients. However, this also means that appointments for your non-surgical procedure or surgical consultation will be much more limited, so expect there to be a much longer wait to get into the office.

 

The waiting room will also be modified. You will find six feet distance between chairs and couches will be for one person only. Items that can be a transmission point for the virus, have also been removed. These include magazines and skin care samples.

 

 

The Doctor will look different

 

Your doctor will be wearing full Personal Protective Equipment (PPE). These include a mask and gloves. Depending on the specific procedure you will be getting, he or she may also have on a protective gown and a face shield.

 

 

Additional Precautions will be taken in the Operating Room

 

During a surgical procedure, additional precautions will be taken.  These precautions are based on what we know today about the virus and how it can be spread.  Your anesthesiologist will be protecting him or herself with a full face shield. You will have a surgical mask that will remain on throughout the entire procedure. The number of people in the operating room will be minimized during the times most risk for transmission of the virus – going to sleep and waking up.  The air circulation in the operating room will be modified to allow for additional filtration of the air so that any airborne virus is filtered out of the room. The operating room is always thoroughly cleaned between patients, but cases will be spread out to allow more time to do so.  Essentially, every single patient will be treated as if they have the virus, and this is something we call in medicine “universal precautions”.

 

There also may be a limitation on the specific procedures that can be done in the operating facility. Procedures involving the nose remain at the highest risk, so you should check whether your surgeon is performing procedures like rhinoplasty.

 

 

Should you get tested for COVID-19?

 

This is a very difficult question since there still remains some issues surrounding testing. First of all, despite all the talk about how important testing is for controlling this virus, there is still many barriers to testing. Not everyone is able to get tested. In some regions, testing centers may not be abundant. Also, many states will only provide testing to people who are residents of that state. So, what if you are living in another state or visiting another state and you want to get tested? It is possible that you will have difficulty.

 

More fundamental is the significance of the test. Keep in mind that not everyone who is infected with COVID-19 will have a positive test. There still will be false negatives, which is why it is so important to treat everyone as if they have it. Test results take anywhere form 2-5 days to get back. So, if you get a negative result, it doesn’t mean you haven’t been exposed during the days between your test and your results. So, if you are going to be tested in preparation for your surgery or procedure, you really need to quarantine yourself from the time of the test to the time of the procedure.  This can be difficult. Until we had rapid tests that give results in under 2 hours and are 100% accurate, there will always be an issue with testing. Keep in mind that this is referring only to the RNA tests that specifically test for the virus. This is not referring to rapid antibody tests that are available.

 

Rapid antibody tests have their own shortfall. First of all, it only detects if you have antibodies to the virus, presumable indicating that you had been infected in the past. These tests are readily available and results can come in as little as a few minutes. However, the accuracy can be low. Also, there can be false positives, meaning that it can show antibodies that you have to other coronavirus, like the common cold, and not COVID-19.  Most importantly though is the significance of a positive antibody? What does it really mean if you have antibodies? All it means is that you MAY have had COVID-19.  But, we don’t know if that means you cannot get it again.  Many suspect that there is not going to be long-term immunity to COVID-19. You will likely be able to get it again in the future. So, while antibody testing is important if figuring out how many people may have had COVID-19, it probably means very little in terms of keeping you safe during your cosmetic procedure.

 

As you can see, there are some things we still do not understand about COVID-19, but medical offices are set up to protect you as best as possible. In fact, I would argue that having a procedure in a medical office, with trained medical professionals who understand infectious disease and sterile technique is exponentially less risky that going to the supermarket or the park. 

 

To learn more about having your surgical or non-surgical procedure in New York City with Dr. Matthew Schulman, please contact our New York City Plastic Surgeon office today.

Most Common Myths: Breast Implants

Breast Augmentation with breast implants is the most popular procedure performed by Board Certified Plastic Surgeons.  There were over 325,000 breast augmentations performed in the United States last year, making it the number one procedure. The number of breast augmentation procedures has been increasing about 4% each year.  The advancing implant technology, combined with improved surgical techniques that offer a more rapid recovery, are some of the reasons why this procedure continues to become more popular year after year.

Breast Augmentation surgery is a procedure to increase the size of the breasts by inserting breast implants. These implants can be made out of either silicone gel or salt water (saline).  The implants make the breast larger, rounder, and fuller. Breast Augmentation surgery is often combine with other plastic surgery procedures such as tummy tucks, liposuction, and Brazilian butt lifts.

While this procedure is extremely popular, there are many myths about the surgery. Let’s take a look at the most common myths one at a time.

 

Breast Augmentation is Only For Young People:

 

It is true that the majority of women who undergo breast augmentation surgery are between the ages of 25 and 35 years old.  These are usually women who have always had small breasts and have always wanted them to be bigger. Many of these women have been wanting the procedure since they were in their teens.  This is why this procedure is so popular among young women.

However, this procedure is still very popular among women over 35 years old.  Many women experience changes in their breasts over time. This may be from aging, weight changes, pregnancies, and breast feeding. This is why even women in their 50s, 60s, and beyond desire breast augmentation surgery.  Many moms undergo a Mommy Makeover procedure, to help reverse the changes associated with pregnancies. Breast augmentation is usually a major component of these Mommy Makeovers. So, breast augmentation is a procedure for women of all ages.

You Can’t Breast Feed if You Have Breast Implants:

Many women fear that if they get breast implants, it will interfere with their ability to breast feed a child. This is not true.  When breast augmentation surgery is properly performed, there is virtually no disruption of the normal anatomy of the breasts.  This means that the breast feeding mechanisms are completely unaffected.  The implants are either placed under the breast tissue or under the chest muscle. This means that the breast producing gland is untouched, and the milk ducts that bring milk to the nipple, are not cut. 

 

This means that if you were able to breast feed, then you still will be able to breast feed. What is important to acknowledge is that not every woman is normally able to breast feed. Some are unable to produce enough milk to sustain a baby.  Studies have shown that as many as 5% of all women (without implants) are physically unable to breast feed.  So, it is follows that at least 5% of women who undergo breast implant surgery, will be unable to breast feed. However, this has nothing to do with the breast augmentation surgery.  The presence of a breast implant will also not harm a breast feeding baby.

Procedures like breast lifts and breast reductions do carry a risk of interfering with your ability to breast feed, since these procedures involve directly cutting the breast tissue and even removing some tissue.

 

 

 

Breast Always Look Fake After Breast Augmentation Surgery:

Many women fear having breast augmentation surgery because they fear looking fake. They think that breast implants always look tight, round, and hard. It is true that some breast implants look incredibly fake, but this is usually the look the woman requested. However, it is possible to have this surgery done and still maintain a natural appearance. The key to this natural look, is selecting a breast implant that best fits your body. If an implant is too large for you body, then it will look round and tight.  A properly selected breast implant will fit nicely into the normal dimension of your native breast tissue.  Generally, the smaller the implant, the more natural it will look.  Modern silicone gel tends to look and feel most natural as well.  Implants placed under the chest muscles have more tissue covering them, and tend to look more natural.

So, if you are looking for a natural appearance after your breast augmentation surgery, you may want to consider smaller implants, silicone gel material, placed under the muscle, and performed by a skilled Board Certified Plastic Surgeon.

There Will Be a Lot of Pain:

 

Breast Augmentation surgery is not incredibly painful.  Of course, any surgical procedure will be associated with some post-operative pain. If the implant is placed under your chest muscle, then there will be pain associated with the elevation of the muscle.  There will also be some pressure in the chest from the presence of the implant. If a large implant in placed within small, tight breasts, you will experience some more pressure than if a small implant was placed. The incision itself is very small and is usually not painful at all.  Overall, most breast augmentation patients are fairly comfortable within just a few days. A Board Certified Plastic Surgeon, skilled at breast augmentation, should be able to utilize modern techniques to reduce your post-operative pain.

 

Activities will be Restricted For a Long Time:

 

There will be some activity restrictions during the recovery period, but these are not major.  You will be able to perform normal activities within about 48-72 hours.  This means that you will be able to shower, go out to dinner, walk around, visit friends, etc. You will be advised to avoid heavy lifting and heavy exercise for about 2 weeks. This will allow the surgical area to heal.  If the implants are placed under the muscle, you will need to be extra careful to allow the chest muscle to heal and reduce the risk of bleeding.  So, breast augmentation surgery is very well tolerated with most patients returning to work and school after a long weekend.

Implants will Interfere with Mammograms:

Breast cancer is unfortunately very common. In fact, women have 1 in 8 lifetime risk of developing breast cancer. This makes breast cancer screening with mammograms very important. In the United States, the current recommendation is for women to undergo screening mammograms every year, beginning at age 40. If there is a personal or family history of breast cancer, or other risk factors, they may be advised to start mammograms even before age 40.

Some think that if you have breast implants, it will make the detection of breast cancer on a mammogram more difficult. This is a valid concern, but luckily, it is not the case. There are modifications that are made during your mammogram if you have breast implants. So, make sure to tell your mammogram technician if you have had a previous breast augmentation surgery, so they can make the necessary adjustments to your test. There are also other methods such as MRI and ultrasound that can help detect any suspicious breast lesions.

 

Breast Implants Need to be Changed Every 10 Years:

Many people think that if they get breast augmentation surgery, they need to change the breast implants every ten years.  This is not an absolute. Breast implants only need to be changed if there is a problem with them (such as a leak) or if you desire to change them (for a new size, shape, or style).  If you have no problem with your implants and are happy with the size, then you do not need to change them routinely. They are not like car tires – they do not wear out and need to be changed.

However, you should be aware that breast implants are not designed to be lifetime devices. This means that if you decide to have breast augmentation surgery, you should be aware that there is a likelihood that you will need or want to have another breast surgery procedure at some point in your life. This is particularly true if you have your surgery at a young age.

To learn more about breast augmentation surgery, be sure to set up an appointment with a Dr. Schulman a Board Certified Plastic Surgeon, experienced in breast implant surgery.

Most Popular Non-Surgical Treatments

Cosmetic Surgery continues to increase in popularity and demand. Procedures such as Breast Augmentation, Liposuction, Tummy Tucks, Nose Surgery, and Brazilian Butt Lifts top the list of procedures that our patients request.  However, not everyone needs, or wants, a surgical procedure. They still want to improve their appearance, but desire to do it in a non-surgical way. Luckily, improvements in technology now allow us to make changes to the face and body without surgery.  This allows people to improve their appearance without the pain, recovery, and expense associated with surgery.

 

Let’s take a look at the most popular non-surgical treatments for the face and body.

 

 

 

 

  • Botox

Botox has a strong hold on the number one spot for non-surgical cosmetic procedures.  Botox is the most popular non-surgical treatment to reduce or eliminate fine lines and wrinkles on the face. During the treatment, Botox is injected into the desired areas using a small needle. The toxin blocks the nerve impulse to the muscle, temporarily paralyzing the muscle, and allowing wrinkles to relax. This is most commonly used between the eyebrows (“the 11’s”), in the forehead, and around the eyes (“crow’s feet”).  Botox can also be used around the mouth to help elevate the corners of the mouth or reduce those “smoker’s lines”.   Botox treatments are popular among both men and women of ages.  The effect of Botox starts to work in a few days to a week, and lasts for about 3-4 months.

 

Another less know uses of Botox include treatment of hyperhidrosis, or excess sweating of the underarms, palms, and feet.  Injections of Botox to these areas will decrease sweating and the results can last up to a year.

 

  • Injectable Fillers

The number 2 spot belongs to injectable fillers. There are a variety of fillers available, each with it’s own unique characteristics.  In fact, there may currently be about a dozen to choose from.  The most common names that you have likely heard of are Restylane, Juvederm, and Radiesse.  Each filler has slightly different qualities. Some are very thick, while others are very thin. This allows doctors to chose different options depending on what we are treating.  Fillers can be used to smooth deep lines on the face, or fill under eye hollows. Fillers can also be used to inject into the nose, performing a non-surgical nose job.  Fillers have also been injected into depressed scars, acne scars, and even to plump aging earlobes! 

 

The treatment is performed in the office with minimal discomfort. There can be some bruising or swelling depending on exactly what area is being treated. We tell patients that the filler will look best starting about 1 week after the injection. The fillers can last anywhere from a few months to a few years, depending on the area treated and the specific filler used.

 

  • Non-Invasive Fat Reduction

Liposuction, or the surgical removal of fat, still remains the best way to remove unwanted fat that is resistant to diet and exercise. As effective as liposuction is, it does come with pain, recovery, and expense associated with a surgical procedure. For those looking for non-surgical options, there are a few.  Modern technology has figure out a way to destroy fat cells without surgery. This can be done using either cold or hot temperatures.  These devices will cool, or heat, the areas of unwanted fat through the skin. This injures the fat cells, and the fat cells will ultimately die. The body will then eliminate the dead fat cells through a normal excretory function and will be passed in your urine. This process can take up to a few months and oftentimes, multiple treatment sessions are needed.  The advantage of these non-surgical fat reduction options is that the procedure is painless and since there is zero required recovery, you can return to normal activities immediately. 

 

There are some disadvantages though.  Realistically, you can only expect a 20-25% reduction in fat, so these non-surgical options are not as effective as surgical fat removal. Also, while the cost may seem much lower than surgery, keep in mind that if you are treating multiple areas, and require multiple treatment sessions, the cost can increase to more than you would have spent to treat the same areas with surgical fat removal like liposuction.

 

Some well known names for these devices are Coolsculpt, Trusculpt, and Sculptsure, but there are about a dozen similar devices and more coming.  As technology continues to improve, you can expect that the amount of fat reduction that can be achieved will increase.

 

  • Facial Chemical Peels

There are some simple treatments that can be done to improve the appearance of your face.  Chemical peels are a great way to treat active acne, reduce irregular pigmentation and sun-spots, smooth lines and wrinkles, and stimulate collagen. There are a variety of different chemical peels and each is customized to your specific needs. Peels can be superficial, meaning that they remove only the outer areas of skin. The advantage of superficial peels is that there is virtually no down time. Patients may notice some minor redness and irritation for a day or two. The disadvantage is that since it only treats the outer layers of skin, the improvement will be limited. Also, superficial peels are best when done at regular intervals, usually monthly.

 

Deeper peels will be more effective at treating lines, wrinkles, and irregular pigmentation. However, deeper peels can leave the face raw and irritated for more time. Some deep peels will require two or more weeks of downtime.  Of course, there are also intermediate peels that may provide decent improvement in the skin with an acceptable 7-10 days of downtime.

 

Chemical peels can be done on the body as well. For example, peels can treat the skin of the neck. Anti-acne peels are also very popular for the back and buttock.

 

  • Lasers

Lasers are similar to chemical peels in that they are designed to treat the skin at varying depths.  Lasers emit light energy and are very specific for what they are going to treat. Specifically, a laser designed to treat irregular pigmentation is different from a laser designed to treat wrinkles. There are also lasers designed to treat spider veins, dark spots, rosacea, and acne. The advantage that lasers have over chemical peels is that modern lasers can treat deep layers of the skin, but do it by punching small holes in the skin. This is called “fractionated” and allows for deep treatment without the long recovery. Fractionated lasers do require multiple treatments but are very well tolerated.  Like chemical peels, laser treatments can be performed anywhere on the body.

 

 

 

 

 

Combining Non-Surgical Procedures

 

Non-surgical procedures are often combined with each other. For example, if someone is looking to achieve a “non-surgical” facelift, it would require a combination of treatments. It is likely that the patient would require a laser or chemical peel to improve the overall quality of the skin and to smooth the texture. He or she would also likely require injectable fillers to smooth deep lines in the nasolabial or marionette region, or to fill those undereye hollows. 

 

Non-surgical procedures can also be combined with surgical procedures. For example, it is not uncommon to utilize the non-surgical fat reduction technologies to help during the recovery process from liposuction, or to help smooth any contour irregularities.  Additionally, botox, filler, lasers, and chemical peels are commonly utilized during a surgical facelift to improve the cosmetic outcome.

 

To learn more about whether a non-surgical procedure is right for you, make sure to contact a Board Certified Plastic Surgeon.