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

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

 

 

Bellafill  -Making us smile!

 

I love my career and one of the main reasons is the consistent improvements made in the world of aesthetic injections.  There are so many options for my patients and I am confident there is a product that will work for you. I am excited to announce we are adding Bellafill® to our already comprehensive injectable product line.  Bellafill may be what you are looking for if you have deep smile lines or acne scars.

 

Bellafill is comprised of polymethyl methacrylate microspheres and bovine collagen. Sounds scientific I realize but easy to explain. These microspheres are building blocks for the skin and add volume. The spheres stimulate your natural collagen production. Which means you skin will continue to improve over time as the collagen rebuilds. Your smile lines can benefit with longer lasting results of up to five years. You will see immediate results due to PMMA (polymethyl methacrylate) microspheres.  Once injected the collagen gel immediately reduces the look of the smile lines. Over time the gel is gradually absorbed and replaced by natural collagen stimulated by the methacrylate microspheres.

 

Bellafill is also FDA approved to treat deep acne scars.  If you suffer from scars that appear pitted, Bellafill is a great treatment option. The indents or pitting of the skin is caused by a loss of collagen to the area.  Injecting Bellafill directly into the scar restarts the collagen building process and gives an immediate filled in/smooth look. The gel composition is 20% PMMA and 80% collagen gel.   As the gel is absorbed into the body the collagen is building giving you longer lasting results and a smoother skin.

 

Early risks associated with Bellafil are similar with other aesthetic injections with mild swelling and bruising at the injection site.  We offer complimentary consultations for all our injectable services. Together we will put together a treatment plan that is best for your skin and goals.  Schedule your appointment today and discover the exciting world of aesthetic injections. 248-524-0620.

 

Raquel Merlini, RN and Aesthetician

Before & After

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.

Add Volume to Your Face Without Surgery

My face is starting to sag….What can I do without surgery?

Does the loss of volume in your face have you feeling down or do you keep hearing people tell you that you have a frown?  I see patients all the time complaining that they feel like their faces are falling or that they are getting “jowly,” or look like they are constantly frowning. These complaints are usually due to us subtly or not so subtly noticing signs of aging on our face.   These signs of aging usually start with changes in the skin, fat and muscle layers as well as changes to the bone structure itself.

The perceived volume loss occurs due to fat redistribution, and the bones become thinner and flatter in places.   As we age, this fat/volume loss in the face causes the face to appear “saggy.” Many patients come in wanting to fill in the nasolabial folds and marionette lines, when often times, restoring volume to the cheek area would be much more beneficial.  Injecting filler into the lower face may not always be a good idea, depending on the patient, because it may possibly accentuate the heaviness a patient is feeling. As we age our faces lose their shape. This causes your heart, oval, or round shape to become more square and bottom heavy.  This facial shape of aging can many times be reversed to some degree by restoring volume to the mid-face. This in turn will impact the appearance of the lower face.

Derma filler such as Voluma ® or Restylane Lyft ® to the mid-face will also likely help lift the nasolabial folds and the marionette lines in the lower face as well as at times minimize or improve the appearance of jowls. Fillers can also make the skin appear smoother, plumper and help minimize fine lines in certain areas. So let me turn that frown upside down!  Call our office located in Troy, MI today to schedule a free consultation.

 

 

Dr. Clarissa Kroese, 248-524-0620.  I will work with you to develop a treatment that matches your desired look and add loss volume back to your face.

Fat Grafting

Fat Grafting

How can we use fat from one area of the body to enhance another area? Fat transfer (fat transplantation, fat injection or fat grafting) is a medical procedure that uses the patient’s own fat tissue from their thigh, lower stomach or inner knee to increase the volume of fat in the subcutaneous area of the body. Uses continue to develop but some of the most current applications include injection of fat into the breast for augmentation or after breast cancer surgery, cheek and chin augmentation, wrinkles next to the mouth (marionette lines) and the hollow areas under the eyes.

In most applications, the fat is injected down through the skin and into subcutaneous tissue and sometimes muscle to provide a better chance for the fat cells to find a nearby blood supply and survive. Some of the fat does not survive, so typically a surplus amount of fat is injected. Fat transfer provides excellent results, and it is readily available! If you don’t want to use synthetic fillers, fat grafting would be an excellent option for you.

To learn more about your options contact 248-524-0620 for a private consultation.

3D Body Simulation Vectra System Announcement

3D Body Simulator Technology

3D Body Simulator

NEWS RELEASE: 3D Photographic Simulation Brings a New Dimension to Plastic Surgery at Dr Michael J. Schenden’s Office.

New technology allows patients to preview how they will look with aesthetic procedures. Click HERE to see the 3D simulator in action!!!

Troy, Michigan– If you are one the thousands of people each year considering aesthetic plastic surgery, Dr Michael Schenden has some good news for you. Recent advances in three dimensional (3D) photography combined with revolutionary new software allow prospective patients to preview what they will look like as the result of breast augmentation, facial procedures, and more, well in advance of any surgery.

Both the VECTRA® 3D camera and Sculptor software which make this possible were developed by Canfield Imaging Systems of Fairfield, NJ, the world’s leading provider of medical photography systems. The process starts with a VECTRA 3D session which produces a three-dimensional photograph of the patient. Then, using Sculptor software, the surgeon is able to simulate the expected results of a variety of aesthetic procedures.

“My patients are going to absolutely love this,” said Dr Michael Schenden. “For the first time, they’ll be able to see a 3D picture of themselves with their new look. Because it’s in 3D, I can rotate their picture to any viewpoint and they can really examine the desired result. We can make changes here and there and agree on a final look in advance, and this truly helps them make a decision”.

Dr Schenden has more than 25 years of experience, offering professional, personalized medical care in aesthetics such as: breast augmentation, breast lift, facelifts, nose surgery, eyelid surgery, liposuction, tummy tucks and more. Dr. Schenden is a board certified plastic surgeon and is available for consultations by appointment at 248.524.0620.

 

For additional information:
Doctor’s Name: Dr Michael J. Schenden, MD
Consultation Contact: Margaret Randall
Phone number: 248.524.0620
Website: www.DrSchenden.com
Address: 201 W. Big Beaver Rd Ste 1130, Troy MI 48084

Sculptra – facial injectable for more youthful appearance

sculptra-troy-miSculptra Aesthetic can provide and restore a youthful appearance that lasts up to two years. Sculptra is the first facial injectable that gives you subtle results over time. It is a type of facial injectable made from poly-L-lactic acid, which induces your body to make new collagen. The main ingredient is a biocompatible, biodegradable synthetic material that has been used by physicians for decades.

Sculptra takes a more subtle approach and gives a more natural looking appearance. The results don’t appear over night. On average the patient would receive two to three injection sessions over a few months, which allows for a gradual facial restoration and enhanced youthfulness. The most common areas of the face that are treated are the lines between the nose and the mouth (nasolabial folds), lines framing the mouth (marionette lines) and cheeks.

The option of subtly restoring the facial fullness is an additional benefit to the fact that it lasts up to two years, especially for those men and women who want to enhance their appearance but don’t want it glaringly obvious the next day. Sculptra Asthetic, a subtle approach.

Contact 248-524-0620 to set an appointment to discuss your options.