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

 

 




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

Let’s talk about Fillers!

“Fill me up Doc!” Let’s talk about fillers.  Often times when patients come in to see me they know they are seeing volume loss in their faces, but are not quite sure where or how to fix it.  I am asked on a daily basis how I decide which filler to use. While there are several types of fillers out there, for this blog I’m going to discuss the Restylane group of derma fillers by Galderma.

 

 

There are five different Restylane fillers; Restylane-L, Restylane Lyft, Restylane Silk, Restylane Refyne, and Restylane Defyne.  All these fillers are made of Hyaluronic Acid (HA). All of the HA fillers products are tested for firmness and flexibility.

Restylane and Restylane Lyft are all designed for natural looking results with NASHA (Non-Animal Stabilized HA) Technology.   This technology creates a firmer gel texture for a more pronounced lifted result. Restylane is typically used for facial wrinkles and folds, tear troughs and lips.

Restylane Lyft is most often used in cheek augmentation and mid-face contouring deficiencies.  It is also the first and only HA approved to treat hands. Restylane Silk was produced to work for subtle lip enlargement and for the lines around the lips.

Restylane Refyne and Restylane Defyne were created for movement and expression.  These were designed with XpresHAn Technology, which means they are formulated to act like your body’s own naturally occurring HA.  They give just the right amount of lift and have the right amount of flexibility to allow you to show a range of facial expressions without looking unnatural.  The only difference between to two products is the amount of crosslinking of the HA. Restylane Refyne I like to use for fine lines anywhere on the face or for subtle lip enhancement. Restylane Defyne   I use this for areas on the face where more volume is needed to be restored and for deeper lines of expression.

As you can see from the video the consistency of the products in the Restylane family is quite different which is due to the science behind the development. A good injector must understand all the products ingredients, where and how they are to be administered and what you the patient’s desired outcome is.  Be sure to choose a qualified licensed medical professional for your treatment.

Call me today to schedule your free consultation. Dr. Clarissa Kroese, 248-524-0620.  I always first access the face and then together with the patient figure out the best plan of action and what filler best fits that plan.

FDA Approved Treatment for Aging Hands

New FDA Approved Treatment for Aging Hands!

 

Do you have thin, wrinkled hands with prominent knuckles? Are your veins protruding or does your face look younger than your hands? Hands can be expose our true age or even make us appear older then we are.  Our hands age like any other body part due to sun exposure, neglect and natural daily substantial volume depletion due to aging. These signs of aging can cause one to be subconscious and hide their hands.

“Skeleton hands” happen once the fat layer is depleted. Today, many people are taking great care of the skin on their face, neck and chests and neglecting their hands which can leave you looking mismatched.  The good news is there is now a FDA-approved reversible hyaluronic injectable filler that offers safe and efficacious results. Hyaluronic Acid (HA) can be found naturally in most every cell in the body, it is found in the greatest concentrations in the skin tissue. Almost 50% of the bodies HA is found here. It is found in both the deep underlying dermal areas as well as the visible epidermal top layers. Restylane Lyft is the first and only FDA-approved HA Injection solution for patients who are looking for fuller more youthful looking hands.  

 

The procedure is a simple 30 minute office visit.  Restylane Lyft is injected into the back of the hands with approximately 4 injections into each hand.   It will reduce the appearance of veins, tendons and bones by plumping the skin and reversing age related volume loss to the back of the hand.  Downtime is minimal with possible bruising and swelling for 2-3 days. The result can last up to a year.

Don’t let your hands expose you. Get younger, plumper and more youthful looking hands with Resytlane Lyft.  Call our office located in Troy, Michigan today to schedule your free consultation 248-524-0620.

Raquel Merlini, RN

 

Am I Too Young for Botox?

 

Some would say Botox®/Dysport® before wrinkles is useless but I beg to differ.  As someone who didn’t start Botox til my late 30’s, I certainly wish I could turn back time!  Botox or Dysport can and is much more frequently being used as preventative maintenance for wrinkles. If you smile a lot (crows feet) or frown a lot (Glabellar or 11’s) these products in your 20’s can prevent the wrinkles from setting in!

By watching someone’s facial expressions you can see where they are most likely to form wrinkles in the future.  Those are the areas where you would want to start these products early. It actually trains the muscle to relax. The good news is you can usually use a smaller dose when using Botox/Dysport preventatively.  You also do not need to be completely frozen for it to work! You can still have some expression while preventing deep lines from setting in! I think it’s a win win!!

Its not too early! Call me to schedule an appointment!

Kristen Lotz, PA-C

Michael J. Schenden, MD PC

201 West Big Beaver, Suite 1130

Troy, MI 48084

248-524-0620

www.drschenden.com

Men, interested in Botox?

 

It’s easier than you think & we’re here to tell you why!

Botox® for men, or as I like to call it “Brotox” has become one of the most requested aesthetic procedures requested. What makes this procedure popular is the fact that it is non-surgical and requires no downtime. It is an easy treatment with proven results.  Why are more men willing and likely to seek this treatment?

1.  Men are result oriented.

This treatment achieves softening of lines and wrinkles within 5 to 7
days post treatment.

2. Younger and less stern looking.

Our society is youth driven. Rarely is aging graceful. Whether in
business or casual men want to look youthful and rested. Deep wrinkles between the eyes can make a man look stern and unapproachable.

3. Minimally invasive.

Facelifts, brow lifts and eyelid surgery require anesthesia and downtime.
Botox is a quick 15 to 30 minute procedure administered with a series of small injections. It is affordable and will soften crow’s feet, lines between the brows and forehead creases.

4.  It can relieve other Health issues.

Botox has been shown to relieve excessive underarm and
hand sweating. Hyperhydrosis can be reduced with Botox injections relieving embarrassing underarm sweat stains. It has also been linked with managing pain for people who suffer from
migraines.

Brotox today is more mainstream then you think and chances are someone in your life has receive it and you may not know but you probably have said “wow, they really are aging well”. Schedule your free consultation with me today and we can discuss how this simple treatment can erase your stress lines and wrinkles.

Raquel Merlini, RN, Schenden’s Aesthetic Injection Practice,

Michael J. Schenden, MD PC

201 West Big Beaver, Suite 1130

Troy, MI 48084

248-524-0620

www.drschenden.com

What is the difference between aesthetic fillers and neurotoxins injections for facial aging?

Aesthetic fillers are injectables used to instantly smooth and plump the skin. Most of these are
made with hyaluronic acid. This acid is present in all living organisms. It is natural to your body
and adds volume and restores a more youthful appearance by filling wrinkle lines or areas
needing more fullness. Many of the brands we use in our office are FDA approved for
superficial, medium and deep wrinkles; vertical rhytids (smoker lines), smile lines, nasolabial
folds and marionette's lines. Proven to give beautiful and long lasting results from 6 months
and up to 18 months depending upon the filler selected.

Neurotoxin injections, most commonly referred to as “Botox™”, are injections that smooth
deep facial lines by relaxing the muscles that form facial wrinkles. Most common areas are the
vertical, angry lines between your brows, forehead wrinkles and crow’s feet. These are also FDA
approved for forehead and glabella areas. Botox, a brand of neurotoxin, has been prescribed
for decades for treatment of muscle spasms and other non-cosmetic areas. Neurotoxin results
last for 3 to 4 months.

Schedule your free consultation today at our office in Troy, Michigan to discuss goals, options,
costs, risks and benefits. We strive for natural looking results to look refreshed not overdone.
(248) 524-0620

Raquel Merlini, RN & Aesthetician

Smooth As Silk

By Dr. Clarissa Kroese

Do the vertical lines around your mouth have you down? Do you dream of softer, more luscious lips? I have a way to turn your frown upside down. The answer is in Restylane® Silk.

Restylane Silk is a FDA approved hyaluronic acid filler designed for subtle lip enhancement and smoothing of the wrinkles and lines around the mouth. This product gives your lips a soft natural look. No “duck lips” with this filler! Because the lips are a sensitive area, an ultra-fine needle is used for the injection and lidocaine is included in the product for a more comfortable experience.

The results with this product is instant and can last up to six months with possible temporary side effects such as mild swelling and bruising.

Achieve the lips you would love to have without the fear of not looking like you. We can enhance your natural beauty by getting natural looking results.

Call today to schedule your free consultation. 248-524-0620.

For additional information:
Doctor’s name: Dr. Clarissa Kroese, DO
Phone number: 248-524-0620
Practice website – drschenden.com
Address- 201 W. Big Beaver, Suite 1130, Troy, MI 48084

Bro-Tox Anyone?

By. Dr. Clarissa Kroese, DO, Aesthetic Medicine

Listen up all you men out there that think Botox® is just for Women! Statistics today are showing otherwise. Every year more and more men are getting Botox®, Dysport® or Xeomin®. There are many reasons why but some may surprise you.

Some men are nudged by the “loving” person in their lives while others are realizing the impact aging and wrinkles can have on their daily life. The deep wrinkles between your eyes, also known as the 11’s, can sometimes make you appear unapproachable or even angry. This can be a negative when it comes to business when it can pay to have a softer more approachable appearance. Also it doesn’t hurt to look a little more youthful in the dating world as well.

If you or the man in your life would like to look more youthful, call today to your free consultation 248-524-0620. We will sit down with you and answer all your questions. Our goal is to help you look more youthful and natural.