Like everything else in life, skin changes. As we age, fine lines, wrinkles and other facial issues begin to cause us to wonder how they occurred — sometimes seemingly overnight. Because of a gradual loss of skin hydration and fat loss, tissue can begin to sag. Enter dermal fillers — something I heartily believe in to keep you looking great or even improve the way you look. Dermal fillers are essentially small injections of gel (typically made up of hyaluronic acid) that fill in wrinkles, add volume to soft tissue, or stimulate your own body to rebuild collagen. In addition to plumping up lips , I use dermal fillers in the jaw line to camouflage the jowls, correct the downturned corners of the mouth, fill in hollowed eyes, and even correct acne scarring. Fillers do more than fill in lines; they also lift by volumizing and when applied artfully can restore the effects of gravity on the soft tissue as you age. Judicious amounts of filler in key areas can also recontour the [...]
Botox. For those who have had appropriately dosed injections, it can work miracles within a few days. For those just considering it, reason for concern is understandable, since I think we’ve all seen examples of overdone Botox and/or med spa procedures not being applied properly. These are the patients I must take by the hand and explain how conservative I am about using it to give natural, refreshed results. First, a bit of history. Botulinum toxin was approved by the FDA for treatment of children’s crossed eyes and twitching eyelids in 1989. Since then there have been myriad other safe and effective uses discovered for it, including the treatment of chronic migraines, overactive bladder, severe neck spasms, and excessive underarm sweating. Botox cosmetic injectables were first approved by the FDA in 2002 and have become a household word for relaxing wrinkles; a brand name virtually interchangeable with the category itself. Here in the U.S., the most common cosmetic procedure is a form of botulinum toxin type A which, injected in small doses into [...]
If watching your diet and exercising to promote good health is a given, how is beauty care so radically different? We work hard to take care of our insides as well as our bodies, but is paying attention to your looks such a narcissistic endeavor? I don’t think so. Plastic surgeons see people across the age spectrum walk through their doors. Some are trying to fix something that has bothered them, some are worried about how age is treating them, and others just want to look as good as they can. Whether it’s injectables, non-invasive skin-tightening procedures or surgery, I enjoy addressing all of it. Some patients will not breathe a word about having come to me, as if spending money on themselves is the ultimate in self-centeredness. In other words, plastic surgery tends to be a deep, dark secret except, perhaps, between BFFs. While I understand the need to keep this private, I also don’t see the need for shame. If you remodeled parts of your house it would be no big [...]
While every day stands for something, today is an especially important one for women. October 21st is Breast Reconstruction Awareness (BRA) Day. Plastic surgeons, their patients and their former patients everywhere celebrate the miracle of being able to make women feel whole again following breast cancer surgery. It wasn’t that long ago that women routinely lived with the results of a mastectomy using only a prosthetic bra after surgery. For women, losing a breast was like losing a limb, robbing them of a precious part of their body. One can only imagine what it was like to lose one or both breasts at the time, even though eradicating the cancer itself gave them a new lease on life. Over the past few decades we have made great strides in breast reconstruction, making breast cancer survivors feel both feminine as well as complete once again. Having studied and conducted research at one of the top cancer hospitals, MD Anderson Cancer Center, I learned the cutting edge techniques of breast reconstruction. Their depth of experience [...]
While we use October to display pink ribbons and highlight breast cancer awareness in the U.S., those conversations should never be reserved for a particular month of the year. The Susan B. Komen Foundation estimates that by the end of 2020, in the U.S. there will be 276,480 new cases of invasive breast cancer. Add to that approximately 50,000 new cases of non-invasive breast cancer and 42,170 breast cancer deaths and it’s a reason to pay rapt attention. It cannot be stressed enough how mammograms figure prominently in helping to lower some of these numbers via early detection, since in the big scheme of things this uncomfortable but necessary ounce of prevention enables the medical community to save lives. Although men can get breast cancer, it is most common in older women. Other factors that figure prominently are (1) if you have changes in breast cancer-related genes (BRCA1 or BRCA2) (2) having started your period before age 12 or starting menopause after age 55, (3) never having given birth or being older when [...]
When researching the in-office cosmetic services to offer in my practice, I searched for non-invasive procedures to help with anti-aging around the face, neck and upper chest areas — places many of us find change somewhat disconcerting as we age. There are a number of therapies, all with varying degrees of effectiveness and longevity. But none impressed me more than Ultherapy, a unique treatment that uses ultrasound technology to target specific layers of the skin, delivering natural-looking results that actually improve over time. Unlike other methods that freeze or zap cells, Ultherapy uses high energy-focused ultrasound to target specific layers within the tissues. This encourages the skin’s natural healing process and stimulates collagen production, in turn lifting and tightening the skin in the neck, brow, cheeks (jowls) or décolletage. Ultherapy is the only non-invasive FDA-approved treatment to tighten the skin, and offers remarkable results with virtually no downtime. Since there is nothing like a first-hand account, I recently asked a patient to describe her Ultherapy experience. “I was told in no uncertain terms [...]
RADIESSE® is a dermal the first and only filler approved by the FDA to restore volume loss in the back of hands, minimize visibility of veins & tendons and provide a smooth natural result. Pre-Treatment 1.5 Months Post Treatment
Look Younger without Surgery and Downtime Ultherapy is the only FDA-cleared non-invasive lift,that also improves lines and wrinkles on the décolleté. This safe and proven ultrasound procedure will have you looking younger and smoother without surgery or downtime. Set up an consultation with Dr. Goodman to learn how Ultherapy can help improve your skin tone today!
Turn back the clock and erase wrinkles, fine lines, age/sun spots, blemishes, freckles, moles, scars, and many other skin problems without disturbing or damaging skin tissue. Dr. Goodman uses an Erbium, BBL or profractional laser (depending on your condition) to remove the dull surface skin layers and stimulate the deeper collagen to regenerate. This means that you can regain the natural, youthful beauty with virtually no downtime. Learn about post profractional laser care here. The best way to find out if you are a good candidate for Skin Rejuvenation is to contact us and schedule a consultation with Dr. Goodman.
Facial fat loss is a normal effect of aging and can result in sunken cheeks, indentations, and hollow eyes. Sculptra® is a safe, synthetic, and biocompatible material that is injected below the surface of the skin in the area of fat loss. It provides a gradual and significant increase in skin thickness, improving the appearance of folds and sunken areas. No skin testing is required. Dr. Goodman recommends at least three treatments spaced 6 weeks apart to obtain the full benefit of Sculptra. The results from Sculptra are not immediate, but the final results can last up to two years. Package pricing is available. Sculptra® has been safely used outside the United States since 1999 in over 150,000 patients under the trade names New-FillT and Sculptra®. What to expect after your Sculptra® procedure: Treatment with Sculptra may cause redness or swelling in the treated area. This can last anywhere from a couple hours to one week. Apply ice to the treated areas for 24 hours to help with swelling and discomfort. Massage the [...]