Lunchtime procedures due have some restrictions 

 

Wrinkle relaxers such as Botox ™/Dysport™ and Dermal Filler injections are considered “lunchtime procedures” where you can have it done on your lunch hour and resume normal activity “go right back to work” immediately following.  For the most part, this is very true but there are some restrictions that should be considered if you would like to have the best possible result with the least amount of complications which include but are not limited to; swelling and bruising.

 

Things to avoid after Wrinkle Relaxing Injections

 

  • Avoid lying down for 4 hours after injection.
  • Avoid working out, Yoga and strenuous activity for 24 hours after injection.
  • Avoid massaging or rubbing the area of the injections for 6 hours.  
  • Avoid headbands, baseball caps or hats for 6 hours if you were injected on the forehead.  
  • Avoid excessive amounts of alcohol for one day after injections. 
  • Avoid blood thinners, NSAIDS, and supplements that thin blood for one day after injections. (Consult your Doctor before stopping prescription blood thinners).
  • Avoid excessive heat exposure (sauna, hot tub, tanning) for one day after injections.

 

Things to avoid after Dermal Filler Injections

 

  • Avoid intense physical activity for 24-48 hours after injections.
  • Avoid extensive sun or heat for 24-48 hours after injections.
  • Avoid excessive alcohol or salt for 24-48 hours after injections.
  • Try to keep head elevated for sleep for the first night.  
  • Icing and massage can help recovery for the first 24-48 hours after injections.

 

We want to ensure you always receive the best possible outcome and ensure that you understand the products.  We offer complimentary consultations on all aesthetic injections. Call today to schedule your appointment 248-524-0620. 

 

Kristen Lotz, PA-C

 

Will aesthetic filler permanently stretch the skin on my face?

 

Dermal fillers are used to correct fine lines, wrinkles and add volume that has been lost due to the aging process.  Aesthetic injections replace lost volume, hence filling an empty space.

 

When injecting for wrinkle correction the product is filling the area under the skin to lift it up to be the same level of the surrounding skin. This type of injection is not going to noticeably stretch the skin. We also will add product to increase volume. The most common area for this is the cheeks where we naturally lose collagen over the years.  This type of injection is essentially stretching the skin as the volume is added but it is in a minuscule manner. To keep this in perspective most patients are not injecting extensive amounts of product. A 1 ml syringe is about 1/5 of a teaspoon. Dermal fillers are temporary, typically lasting anywhere from 6 to 18 months, depending on the product.  As the filler slowly dissipates most skin is able to contract to its original presentation.

 

Many of the questions I receive like this are due to not fully understanding the product/procedure. Before I start any treatment I take the time to ensure my patient’s questions have been answered and they understand.    Patient education is one of our top priorities. We offer complimentary consultations on all of our aesthetic injections. Call today to schedule your appointment 248-524-0620. 

 

Raquel Merlini, RN

Aesthetician and Registered Nurse

Are aesthetic injections painful?

This is a common question “What kind of pain should I expect during injections?”

It’s important for me to put my patients at ease. Anytime that you are experiencing something that’s new or foreign it’s natural to have some angst and trepidation.  My belief is the best way to prepare is to talk with your provider before the treatment. This will ensure you know what to expect through the treatment process.

 

We are using a needle to inject therefore there can be moments of slight discomfort, probably not as much as you would expect. Certain areas of the face are more tender (lips, cheeks and near the eyes) due to the nerves and vessels that are closer to the surface. Many of the aesthetic products we use have lidocaine mixed with them which helps numb the area while the product is being injected. We also can use a topical numbing cream if necessary.

 

I tell my patients there are several things that they can do to help reduce discomfort; relax as much as you can and breathe slow and deep.  We also provide a tension stress ball for patients to squeeze. There is no need to panic or stress, injectables are very tolerable and definitely worth the visit.

 

Patient education and satisfaction is one of our top priorities.  We offer complimentary consultations on all our aesthetic injection treatments.  Call today to schedule your appointment 248-524-0260.

 

Raquel Merlini, RN

Aesthetician and Registered Nurse

Aesthetic injections can leave a bruise, learn steps to minimize

Whenever you are using a needle to inject there is a possibility of bruising. There are several vessels under the skin that can be damaged during injection. This is normal and can result in bleeding and eventually a bruise. The risk of bruising is greater with derma filler injections such as Restylane® or Juvederm®. This is due to the use of larger caliber needles because of the consistency of the product. Typically fillers are injected deeper into the tissues which also increases the likelihood of getting into a vessel that cannot be seen from the surface. Most side effects are mild to moderate and resolve in under 7 days. The most common side effects that are reported are mild pain/tenderness, bruising, redness, lumps/bumps, discoloration and itching at injections sites.

There is no way to predict whether or not you will bruise or guarantee no bruising. However, we do have some steps that can be taken to help reduce the risk of bruising.

Stop taking any over the counter medications or supplements that thin the blood 1 week before such as:
Aspirin, NSAIDS, Vitamin E, Fish Oil, Garlic, Ginger, Ginko Biloba, Ginseng and Green tea.
Check your prescription medications that thin blood such as:
Coumadin and Plavix. Never stop taking these medications without prior approval from the prescribing physician.
No alcohol consumption 24 hours prior to injections.
Icing the area immediately prior to and immediately following can constrict blood vessels to reduce pain, swelling and bruising.
Avoid exercise for 24 to 48 hours after injection. Physical activity increases your heart rate, blood pressure and blood flow. Minimal blood flow allows time for the damaged vessels to repair faster.

Patient education is one of our top priorities. We want to ensure you fully understand our services and feel confident in our quality of care. Call us today to schedule your free consultation. 248-524-0620.

Kristen Lotz, PA-C

Will aesthetic fillers make my face look fat?

 

This is a question/concern I hear from new clients.  The answer is NO, they should not if properly injected.   Injection technique is important so always schedule your appointments with a licensed, certified injector for the best result.

 

Fillers, are designed and injected to RESTORE volume to the face that has been lost through aging.  There are several areas of the face that have fat pads that give you a very healthy and youthful look.  Over time, the fat in these areas is diminished or migrates downward. Fillers are injected into the areas where you previously had fat and therefore restore that youthful appearance.  We try very hard to enhance the natural lines and curves of your face so that you look refreshed not overdone. We commonly inject the upper cheek area which helps to lift the lower part of the face. This subtle lift helps restore your youthful look. We also inject the nasal labial folds and marionette lines to again restore the lost volume and fill the wrinkle/creases that have developed over time.  

 

We will work with you and discuss all your options to ensure you are comfortable with your treatment plan. Call our office to schedule your complimentary filler consult.  Learn more how aesthetic fillers can help restore your youthful appearance. 248-524-0620

 

Kristen Lotz, PA-C

Michael J. Schenden, MD, PC & Aesthetic Injection Practice.

Are Botox Parties Safe?

Posted May 29th, 2019 by Social Media and filed in Botox, Plastic Surgeon Troy MI

Botox is a pharmacological injectable agent that is regulated by the FDA and is only allowed to be administered by a medical professional such as a Doctor, Physician Assistant or a Registered Nurse under the direction of a physician (varies by state).  In order to be certified to inject Botox, professionals must complete training that includes both clinical and hands-on courses. Aestheticians cannot be certified to inject Botox.

 

Injecting Botox for wrinkles may only be cosmetic, and it is relatively safe, however it is still a medical procedure.  Therefore is safest when performed in a medical setting. Complications can occur when the injections are not administered properly.  Your injector should review your medical history and have knowledge of any allergies. A qualified injector will thoroughly discuss the risks and possible side effects and have you sign a consent form that states you understand and accept the risks.  

 

If you are attending a “Botox Party” outside of a medical facility, ask yourself why is this person offering it in this way?  Is it purely for marketing or social reasons? You may be paying less but is it worth it? If a problem should arise, are you going to receive the proper aftercare?  Is your injector or someone in their medical practice available 24/7 for any concerns or issues?

 

In my opinion, it is always “better to be safe than sorry”, especially when it is something concerning your body, health and well-being.  It’s best to choose a reputable, experienced medical professional who has been certified to inject Botox and has a medical office in which they practice.  

 

We offer complimentary consultations to ensure you understand the treatment and determine if it is the right treatment to address your area of concern.  Call us today at 248-524-0620 and feel confident that patient education and safety is one of our top priorities.

 

Kristen Lotz, PA-C

Are Wrinkle Reducers Toxic? Learn more on how they are safe

 

Botulinum Toxins, such as Botox® and Dysport®, are FDA approved medical treatments for adults to temporarily reduce the appearance of moderate to severe wrinkles in certain areas of the face.  These wrinkle reducers are in fact derived from Botulinum Toxin but they are not harmful in the amounts that we administer to reduce wrinkles. A harmful dose administered systemically would be 2500 to 3000 units.  We normally inject less than 100 units locally to achieve the desired results. These products cause the injected muscle to relax for approximately 3 to 4 months smoothing the appearance of the wrinkle.

 

Wrinkle reducers have been FDA approved for cosmetic purposes since 2002.  They have been shown to be very safe and effective when administered by trained professionals.  It is important to do your homework and seek out a licensed and certified injector who has been fully trained in safe injection technique.

 

Still have questions? We offer complimentary consultations. Call today to schedule your appointment to learn how Botox and Dysport can reduce wrinkles. 248-524-0620.

 

Kristen Lotz, PA-C

Michael J. Schenden MD PC and Aesthetic Injection Practice

Beauty Sleep, not a myth!

We have all heard the saying “Time to get your Beauty Sleep”.  Although many think it is just an old Wives’ tale, the truth is the amount of sleep you get at night is a critical component of your body and skins health. As a board certified doctor, I like to look at the complete health of my patients to help them achieve their aesthetic goals.   Proper sleep means an increase in growth hormones which allows cells to repair. Without proper sleep the broken down cells accumulate which causes more noticeable signs of aging.

 

It has been shown that not getting enough sleep can increase levels of the stress hormone, cortisol. Increased levels of cortisol causes more inflammation in the body. More inflammation in the skin can cause the breakdown of collagen and hyaluronic acid which are what give skin its elasticity and glow!

Decreased sleep equals decreases moisture levels and lowers pH levels in the skin as well. When your pH levels drop it creates an imbalance in your skin and leaves skin looking dry, uneven, red and can even trigger breakouts. If you have dark circles your lack of sleep could be the cause. Lack of sleep is the number one reason your blood vessels dilate which leads to the appearance of dark circles under the eyes!

 

Therefore, the wives tale is actually a wise recommendation! Starting today in celebration of National Sleep Day “Get your Beauty Sleep” and you will feel and look more refreshed all day!!

 

Dr. Clarissa Kroese

Botox and Filler, learn how they are different.

Many people come into the office confused about the difference between neurotoxins like Botox® and Dysport® and fillers such as Juvederm® and Restylane®.   While these two treatments can be complementary to each other they are not the same thing.  

 

Botox/Dysport are used to reduce the activity of the muscles in the face that cause wrinkles.  They are often used for dynamic lines which are the lines/wrinkles you see when you animate your facial muscles. They are mainly, but not exclusively, used in the upper face.  Most common places are between the eyes (11’s), forehead, and crow’s feet. This treatment is quick procedure, typically 5-10 minutes, and is done by injecting a tiny needle into the muscle.  There is virtually no downtime.  You may see some temporary redness, swelling, and/or bruising at the injection site.  Results take about 4-7 days to take effect and results typically last around three months. The relaxation in the muscles smooths wrinkles and gives you a more youthful appearance.  

 

Fillers, on the other hand, are used for areas of the face that have lost volume and/or are in need of some overall plumping.  Some fillers are used to fill in an individual’s “trouble’” area with collagen or an agent that helps to stimulate collagen growth others use hyaluronic acid.  Fillers essentially plump and lift the skin.  They are used on wrinkles that can be seen on the face at rest. Some of the more common treatment areas are cheeks, nasolabial folds, marionette lines and lips, but they can also be used in other areas as well like your hands. Filler injections typically take anywhere from 15-30 minutes depending on areas being filled. Typically there is little to no downtime, however, there is a risk of redness, swelling and/or bruising at the injection site. With hyaluronic fillers results are seen immediately. They may last anywhere from 6 months to more than a year depending on product and area treated. The added volume and softened wrinkles also provide for a more youthful appearance.

 

While Botox/Dysport and filler treatments are very different, doing a combination of both can sometimes give optimal results depending on how the individual is aging.  Our goal is to give you a relaxed natural look and to not have you appear overdone. Working with a qualified injector is key. To find out which option is best for you, please schedule a free consultation with me by calling 248-524-0620 today!  I look forward to meeting you and figuring out a plan that is best for you!

 

Dr. Clarissa Kroese

Aesthetic Medicine

 

 

ALMI  the all natural alternative to aesthetic fillers.

I couldn’t be more excited to talk about our new ALMI procedure! ALMI = Autologous Lipocyte Micronized Injection.  In other words it means ALL YOU, ALL NATURAL REJUVENATION. ALMI is a simple outpatient rejuvenation procedure that takes about an hour, with minimal downtime and amazing results.  This treatment takes a few tablespoons of your own fat and blood platelets from one area and injects them into another. We can use it for facial or hand rejuvenation as well as to stimulate hair growth in men and women.

 

We start by numbing an area (usually abdomen) where we will extract the fat cells with small liposuction instruments.  The fat is then filtered according to what area we are treating and the desired outcome. The filtered consistency varies depending whether we are adding volume, improving tone and texture or simply adding a little finesse to the area.  We also extract blood platelets through a normal blood draw. The blood is also processed to separate the growth factors from the red and white cells. The separated platelets are also injected into the same area as the fat. They promote collagen growth, vascularity and improve the quality of skin texture. In the case of scalp injections they stimulate the hair follicles to promote growth.

 

This procedure is completed in our medical office. For downtime you can expect some mild to moderate bruising at the injection sites and some mild swelling for 1 to 2 weeks.  You may wear makeup the very next day to cover any bruising that may occur. The area of fat extraction may be tender for 3 to 4 days with mild swelling and bruising. Patients have reported being very comfortable during this procedure and rated a pain scale of 2-3 out of 10, which is very similar to traditional fillers.  

 

How is ALMI different from traditional hyaluronic acid derma fillers?  Traditional hyaluronic fillers do not have the ability to promote new collagen growth and blood supply, which leads to better texture, tone and glow of the skin.  Because we are using your own tissue and stem cells the results tend to last longer. Fat cells from the abdomen are programmed to remain or even increase with age unlike the fat cells of the face, which decrease with age.  These results should last for years as the collagen continues to regenerate.

 

Call to schedule your free consultation today 248-524-0620.  We will work with you to determine a treatment plan that works for you. .

 

Kristen Lotz, PA-C