Radiesse, an Alternative filler with natural looking results.

The exciting world of aesthetic injections is constantly growing and improving. This gives you options to be able to choose the product that you are most comfortable with and strive for the desired results.  

 

Are you feeling like your face is “falling” or maybe you’re just feeling like you need a little lift?! We have a variety of options to help you! We have several gel hyaluronic acid fillers such as the Juvederm and Restylane product lines.  These are great options to for those seeking immediate volume to the face. We also offer Sculptra which is a poly-L-lactic acid based treatment. This product works to stimulate the body’s own collagen production. Sculptra typically takes about 6-8 weeks to see results of the collagen building. This is perfect for the person looking for slower more natural improvement.   If you like the idea of a filler that promotes collagen growth but also want immediate volume we offer Radiesse.

 

How does Radiesse work? Radiesse works right away adding facial volume and diminishing the appearance of facial line and wrinkles.  Wrinkles form due to the natural loss of fat/volume and decreased levels of collagen over time. Radiesse is a smooth gel filled with tiny calcium hydroxylapatite microspheres. This gel, when it is injected, immediately lifts and adds volume to the face. Over the next few weeks these calcium hydroxylapatite microspheres stimulate the body to produce collagen. Your new collagen will surround the microspheres and eventually the microspheres and the gel are naturally metabolized by your body.  What you have left is newly formed natural collagen. Because of this, Radiesse produces a nice natural result. You will see a restored, lifted, more youthful appearance without looking overdone.

 

Typically areas of use for Radiesse are nasolabial folds, marionette lines, cheeks, down turning corners of the mouth, chin wrinkles, jowls and hands. Results have been shown to last a year or more in many patients. Radiesse is mixed with lidocaine to help make the injecting experience more comfortable. Like all fillers there is a risk of bruising, swelling, mild irritation, itching, redness or tenderness at the injection site. All of these reactions will typically resolve on their own.

 

We offer free consultations!! Call our office, located in Troy, MI, today to schedule yours! 248-524-0620 I will answer all your questions and together we will develop a treatment plan that works best for you! The world of aesthetic injections has lots of options and I would love the opportunity to work with you!

 

Clarissa Kroese, DO

Aesthetic Medicine

 

 

Want bigger lips but afraid of duck lips?

Want bigger lips but afraid of duck lips?  Don’t be! Filler in the lips can be subtle.

 

One of my favorite treatments is lip enhancement. This procedure can be done on my patients that are in their 20’s thru 60’s plus.  There isn’t a specific product that is best for every person which means there are options to help everyone achieve their desired goals. I am often confronted with concerns of looking “overdone” or having the dreaded “duck lips”.  I like to take a conservative approach keeping in mind my patient’s desired outcome. When I have a consultation with my patients about lip filler it isn’t always about size. We talk about the shape of the lips and giving them a natural, sexy appearance.

Let me address “duck lips”. Human-lips are fuller in the center, and taper off to the sides. This is not true of ducks, who have equal sized lips, top and bottom, nor do they taper to the sides. (Technically ducks have “bills” — not lips — but you know what we mean!). It is pivotal to understand the aesthetics of beautiful lip shapes and variations.  Cosmetic injections are a form of art, and it is important to discuss what will look great on your face. It’s important to make sure that you are placing your face into the care of someone who understands how to achieve natural, flattering looking results. Great injectors have both the medical knowledge to treat you safely, and the eye of an artist. Just having big lips isn’t beautiful they should be sculpted creating a cupids bow.  This creates youthful lips without a “fake” or “overdone” appearance.

 

There are several options for patients that want a very natural appearance to their lips. I offer a 1/2 or a full syringe option, we can always add more. Restylane Refyne will create a subtle augmentation to their lips.  Refyne may last up to a year giving patients a lasting result with a very soft and natural appearance.  Juvederm Ultra Plus and Restylane are my favorites for volume and structure. They have been on the market for years and my patients love them for adding volume and last approximately 6-months in the lips. Resylane Defyne and Juvederm Vollure both last approximately a year

 

Lip enhancement injections are a simple 30 minute procedure in the office.  Call today for your complimentary consultation. 248-524-0620   Let me put your worries to ease that you can have bigger lips without looking like a duck. —

 

Raquel Merlini

Registered Nurse & Aesthetician

How to achieve maximum results with a skin resurfacing treatment.

How to achieve maximum results with a skin resurfacing treatment.

 

Laser rejuvenation and resurfacing is popular for many reasons. It offers a solution to wrinkles, fine lines, post-traumatic scars, acne scars, sun spots, freckles and/or aging and damaged skin. Many lasers perform best when completed in a series.  However, if you are looking for results in a single treatment, the ActiveFX Laser by Lumenis® is the laser for you.  ActiveFX fractional laser can improve a wide range of skin conditions while refreshing the overall appearance of the skin.

 

Every patient’s skin is different, which is why a consultation is so important. It provides the opportunity to assess the patient’s condition and do a thorough evaluation of the skin. . This laser uses a high-energy beam of light that causes the skin’s upper layer to peel off and regenerate a layer of healthy new skin.  This achieves a dramatic effect; however, it does require approximately five days of downtime, as your skin will have associated redness and peeling.  You will see a reduction of wrinkles and fine lines as well as a softening of deeper lines. You will also see improved skin tone and texture and immediate contraction of the skin with reduction in pore size. Additionally it stimulates new collagen, you will see plumping of the skin up to six months after the procedure!

 

Winter months are the optimum time to receive your laser treatment. Call our office today to schedule your complimentary consultation with Dr. Clarissa Kroese or Raquel Merlini, RN and turn back the clock on your skin. 248-524-0620.

ResurFX -Skin Resurfacing wit NO downtime!

 

The ResurFX Laser is my favorite! It is a non-ablative laser so there is little to no downtime with great results.  The ResurFX uses heat to stimulate the growth of collagen which improves the appearance of fine lines, wrinkles, over all skin texture and pigmentation.  You can start to see results with just one treatment but we recommend 3-4 treatments, spaced 4-6 weeks apart, for maximum results. Once you finish the series of treatments you can maintain the results with one treatment per year.  

Myself, and many of my patients, have extremely busy lifestyles and can’t afford to take time off from work and life to have ablative laser treatments that require 5-7 days of aftercare.  With the ResurFX Laser you can expect to be back to your regular schedule the very same day. Most people have a “mild sunburn” appearance for 1-2 days following treatment. There can be some mild swelling as well but nothing major.  We recommend staying out of the sun for a few days post treatment and, as always, wear your sunscreen!

Here is a photo of me the same evening of my last ResurFX treatment, at a Tiger game!

Call our office today to schedule your complimentary consultation. 248-524-0620.  

Kristen Lotz, PA-C

 

After care matters! Learn how vitamin intake can help with hair loss.

Is your hair thinning?  Do you wish there was something that could increase the density of your hair?  Well, now there is! Platelet Rich Plasma (PRP) is now being used to promote hair growth in areas where the hair is thinning. Human blood contains stem cells and other growth factors that help in tissue healing and regeneration. Our procedure Platelet Rich Fibrin Matrix (PFRM) is an advancement in PRP and extends the activation time for maximum results.  It is a non-surgical procedure that utilizes your own blood to stimulate the hair follicle, increase hair growth and increased density.

 

After treatment/care is always an important step in aesthetic medicine.  You should always ensure you understand the post procedure process to provide for the best aesthetic outcome.  For this treatment, it has been found that taking a supplement can complement the PRFM procedure. The vitamin supplement is called Vivsiscal® Professional.  These supplements nourish hair follicles from within, strengthen and promote the growth of existing hair, and promote the growth of hair that has slowed or stopped growing.  Using these supplements will leave the hair stronger, healthier and more vibrant. The Viviscal Professional supplements contain the exclusive and clinically proven marine complex AminoMar® which is derived from key marine sources that promote hair growth and thickness.  It also contains Biotin, Vitamin C, Apple Extract and L-Cystine and L-Methionine. All these are ingredients aid in increasing hair density, diameter and growth. A study by Viviscal Professionals showed that 92% of women noticed an increase in their hair thickness by using these vitamins.

 

 

 

I like to look at all aspects of our procedures to achieve the best results for my patients. If you suffer from thinning hair then PRFM with Viviscal might be for you! Call and schedule your complimentary consultation and we can talk through all your options!  248-524-0620

 

Dr. Clarissa Kroese

 

 

 

The order in which you receive Aesthetic treatments is important

Botox before facials? Facials before lasers? In the world of aesthetics there are many types of treatments that range from noninvasive facials, aesthetic injections to comprehensive skin resurfacing lasers.  It’s important to receive these in the proper order to ensure the best aesthetic outcome.

Let’s start off with facials.  It is always best to receive your facial before any aesthetic injections. A facial involves massaging and rubbing of the face which can move the product to an area it was not intended for. Vigorous skin treatments such as microdermabrasion and microneedling could also cause the product to spread. If a neurotoxin, like Botox, disperses to a nearby muscle a side effect is droopy skin. This is commonly seen in the eyelid/brow area.  Therefore as a precautionary measure it is best to get the facial/vigorous treatment first or wait at least 2 weeks after receiving injections.

Lasers and treatments that are heat based are ideal before aesthetic injections. Most dermal fillers are made up of hyaluronic gel, which attract water and expand. Lasers that use heat may diminish the water content in the skin and the product, depending on the depth of the injection. Neurotoxin like Botox and Dysport are used to address wrinkles associated with facial animation. Heat causing treatments may cause swelling which could possibly diffuse the product to other areas. This means it is best to receive the laser treatment before any aesthetic injections.

 

The leading way to maintain a youthful face is to collaborate between non-surgical cosmetic procedures and the aesthetic treatment room. Knowledge is power and it is beneficial to know what sequence procedures are best performed in. This is something your Injector and Aesthetician can advise you on during a Skin Assessment/Skin Care Consultation. Our highly qualified team who will work with you to determine the best treatment plan for you. Call today to schedule your complimentary consultation. 248-524-0620.

Raquel Merlini, RN

 

 




Save money on Aesthetic Injections

How can I save money on Aesthetic Injections? 

Everyone likes to receive something for less and aesthetic injections are no exception.  The good news is the two major pharmaceutical companies, Allergan and Galderma recognize this and want to reward you for using their products.  Both companies have point reward programs that give you money off your next injection. I know what you are thinking, another reward system to keep track of and we sometimes forget to check if we have points. No worries, we will manage it for you and ensure that you receive your discount! We will also notify you in advance if you have points expiring.

  

Enrolling in these programs will definitely save you money. During the month of October, Galderma is donating $25 to the National Breast Cancer Foundation for every NEW consumer member who joins. Save money for yourself and help save a life. It doesn’t get any better than that!

 

Call today to schedule your next appointment and let us help get you enrolled! 248-524-0620  

 

Do you clench your teeth? A different approach for relief.

Do you clench your teeth? A different approach for relief.

On the outside someone may appear to be calm and relaxed however, an interior view of their mouth tells a very different story.  One of the exciting things about medicine is often we discover that a particular drug can offer benefits to several other aliments then its intended purpose. I suffer from unconscious clenching and grinding of my teeth both during the day and as I sleep. While attending a training workshop I heard Botulinum toxins found in products such as Botox® and Dysport® can be used to relax and relieve the masseter muscle.

After further researching bruxism (the formal name for this condition) I discovered I was not alone and this is a common and painful problem that can lead to severe dental issues. Chronic teeth clenching/grinding can cause headache, earaches, facial pain, and even migraines. Bruxism sufferers who grind and clench their teeth while sleeping frequently wake up with a sore jaw.  The good news is treatments of Botox/Dysport injected into the masseter muscle can provide tremendous relief from jaw soreness, headaches, and other unpleasant problems.  The administration technique is the same which is used for wrinkle reduction. Usually three small injections are administered into the muscle on each side. This allows the muscle to relax and ease the tension in the jaw.  It may last 3 to 5 months.

It can also be used for Aesthetic corrections.  Individuals suffering from hypertrophy of the masseter muscle, can have the appearance of a severe square jaw, giving a more masculine appearance to the face.  Injecting Botulinum into this area can soften the jawline and help to reverse this.

Call our office today to schedule your free consultation and get relief. 248-524-0620

Raquel Merlini, RN

I have clenched my teeth for years and after failed attempts to wear mouth guards, I gave up hope for any relief. After hearing about this procedure of injections into the masseter muscles I was excited to try it. I suffer from headaches and jaw soreness. The injections have worked and not only ease the stiffness in my jaw but have greatly reduced my morning headaches”. K. Stubbs

 

How Injecting in the Jawline can Give you a Youthful Look

How injecting below the ear can give you a youthful jawline.

Where is that bright eyed and bushy tailed face that used to stare back at you in the mirror? Every birthday celebrated, vacation spent without sunblock, poor food choices and nights spent not removing your makeup have left their mark on your skin. Now you see fine lines and wrinkles, sagging skin and discoloration.

The skin needs attention regardless of your age.  Luckily today’s aesthetic industry can treat the damages caused from our past mistakes.  I want to address the fine lines and wrinkles with sagging skin along our jawline. When we are young our cheeks are full of volume with round apple cheeks.  The cruel part of aging is facial volume decreases and descends. As we age our body’s stop producing collagen, loss of muscle and bone remodeling occurs.

 What can we do?

Replace the lost volume and structure. I begin by evaluating my patient’s facial structure, needs and goals. Typical signs of a tired face are a heavy jowl area, flat cheek pads and sad marionette lines. With an aging face my primary goal is to replace lost structure and re-suspend the face with durable filler. This creates lifting, plumping, filling and smoothing. 

Jaw enhancement injections are a minimally invasive way to contour the look of your jawline and jowls. During the treatment small boluses of filler are injected at several angles along the jawline. This process changes the contours of the area by plumping up the skin from the inside out. The result is a jawline that has a crisp, contoured and well defined line. This draws the eye back up to your focal point, the center your face, creating a more youthful appearance.

Who is a suitable candidate?

If you feel that your jaw line lacks definition, or is sagging due to aging or weight loss, you may want to consider this treatment. This treatment doesn’t discriminate, both men and women alike benefit. Men wanting a more chiseled look and women who want a softer rounder face. Call our office today to schedule your free consultation, you don’t have to live with your past mistakes. Let us help! 248-524-0620

Blog Written by: Raquel Long, RN

Volbella® Filler

I often times have patients come in bothered by the vertical lines around their mouth or patients who just want a subtle volume enhancement to the lips.  There is now a product made just for these issues, Volbella® by Allergan. Volbella is temporary filler made of Hyaluronic Acid. The uniqueness is that it has a smaller particle size then Juvederm allowing us to fill more fine superficial lines without getting a “filled” look.  This also makes it a great filler for someone wanting just a slight enhancement to the lips and still maintain a natural appearance.

 

Volbella is made using Allergan’s patented Vycross technology.  This technology makes for a smooth gel consistency and should last approximately a year. The side effects are similar to using any other filler and include, swelling, bruising, tenderness and redness at the injection site. These side effects are temporary and vary by patient.  It is important to work with a highly trained medical professional for safety and to ensure you achieve the desired results.

 

If you struggle with perioral lines aka smoker’s lines around the mouth or just want to add a slight amount of volume to your lips, call our Troy office today to set up a free consultation. 248-524-0620. We will work together to see if Volbella could be the right product for you.

 

Dr. Clarissa Kroese

Aesthetic Medicine and Laser Specialist