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  

 

Liposuction for Fat Stem Cells

Liposuction has more benefits than losing a few inches…. Learn how storing your fat stem cells may help fight future disease.

For years the term “stem cell” has been used in the medical profession, seen in the news, and lately, it is showing up in our social media feeds. So what is a stem cell anyway? A stem cell is a type of cell than can become many other cell types, they support your immune system, coordinate healing and build healthy tissue. The medical possibilities they offer is vast. Currently there are over 700 clinical trials using these cells to treat age related disease and even aging itself.

But there is a problem. As you age you lose these cells and the ones that remain become damaged and less effective. At our practice, we solve this problem by storing your stem cells for you NOW in their youngest and best possible state. By storing your stem cells today, you are stopping the clock on a very important component of your biology. In fact, Dr. Schenden recently banked his own cells.

In the aesthetic world liposuction has been performed for years to contour the body and remove unwanted fat. This fat is then discarded. What many people don’t realize is that there are copious amounts of stem cells in fat. The benefits of liposuction can be more than losing a few unwanted inches. These cells can be processed and reintroduced into the body as a natural filler to plump certain areas with the Fat Grafting technique and Dr. Schenden can collect this fat and isolate the stem cells for cryopreservation. Storing these cells is simple and could be the greatest decision you make for your future health.


Dr. Schenden performs both Bone Marrow and Liposuction Fat Stem Cell Aspiration for storage. Call our office located in Troy, Michigan today to set up your consultation 248-524-0620 or contact our partner company Forever Labs at foreverlabs.com for more information on stem cell storage.

 

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.

Stop Sweating and Raise Your Arms with Confidence!

Stop Sweating and Raise Your Arms with Confidence!

Do you dread summer because you can’t raise your arms in the air without showing
wet perspiration stains? Have you tried every deodorant on the store shelves and
nothing seems to control your perspiring? If you answered yes, then I have a
suggestion for you and it’

s Botox®. I’m sure many of you are thinking Botox is for
the wrinkles on my face not my sweaty underarms. It is used for both areas. Studies
have shown that Botox treats overactive sweat glands in your armpits (medically
known as hyperhidrosis) by blocking the uptake of acetylcholine, one of the
neurotransmitters that stimulates sweat.


When Botox is used in the face it freezes the nearby muscles which smoothes
wrinkles and prevents expression lines that could cause even more wrinkles to
form. It is a similar mechanism that is at work when Botox is used to stop
perspiration. Instead of working on nerves that stimulate the muscles, it blocks the
nerves controlling sweat glands essentially “paralyzing” them and significantly
reducing the amount you sweat under your arms. Injecting Botox into this area will
not affect other areas of the body. Your body can still sweat through other areas to
regulate its internal temperature.

If you like the sound of this your next question is likely, what is this process like?
The entire process is usually scheduled as a 30 minute appointment. We will
perform a simple starch iodine test to see where the sweat glands are to better
target the most active glands. Once the area is identified it is cleaned off and the
Botox is injected in small doses. The pain level is tolerable and similar to Botox
injections into facial areas. Most common side effects are bruising and possibly a
little tenderness.

In a clinical study by Ada Regina Trindade de Almeida, MDa,*, Suelen Montagner, MDb, the average
duration of response in patients receiving a Botox treatment for hyperhidrosis was
6 months.

Summer is the perfect time to receive this treatment. If you want to be able to raise
your arms in the air with confidence and not the fear the embarrassing sweat stains
then call our office located in Troy, MI today to schedule a free consultation and
appointment with me. Dr. Clarissa Kroese, DO, 248-524-0620.

Call today to set up your free consultation and together we will develop a treatment that is specific to your goals.

Dr. Clarissa Kroese, DO, Schenden’s

Aesthetic Injection Practice. 248-524-0620

Sculptra Butt Filler

Wanted… Fuller buttocks and filled in dimples!

As an Aesthetic RN, ISSA Certified and Competitive IFBB Bikini Pro, I receive messages asking what can be done for a flat buttock, dimpling or single cellulite dimples. First I recommend muscle building exercises targeted for this area such as squats. However, if squats in the gym aren’t giving the lift you need or genetics are against you, say no more. A non-surgical solution is Sculptra injections.

What is it?

Sculptra® Aesthetic works subtly and gradually over time for a more youthful-looking appearance. Sculptra® is a poly-L-lactic-acid-based injectable dermal filler. It is comprised of polylactic acid, which has been used in the medical field for over 20 years in surgical products, which includes dissolvable stitches. Polylactic acid is a synthetic substance made to duplicate a similar product that the body’s muscles make during exercise. When injected it simulates an injury that will stimulate collagen production to the area to heal the injection site.  

How it works 

 

Sculptra’s microspheres generate a mild inflammatory reaction which stimulates your collagen.  Collagen will gradually increase, creating the volume-enhancing results & a lifted appearance which is visible from the treatment in about four to six weeks. Sculptra is FDA approved for use in shallow/deep wrinkles, nasolabial folds and contour deficiencies. Many aesthetic products are introduced to the public with FDA approval for use in a certain body area. Doctors however, will discover that the products can often work in other areas of the body as well and produce desired results.  This is referred to as “Off Label” use. One of these off label uses is injecting Sculptra into the buttock area or into dimples to increase volume by stimulating collagen production.

I typically like to start off by injecting about 4 vials each side, and can go up to 10 vials for complete treatment, with a return visit at 4-6 weeks. I have patients that are athletes who stay lean but would like more fullness or contouring. The best candidates are ones that have low body fat or no fat to harvest and don’t want the downtime of a surgical implant or fat grafting. It is important to note that depending on the fullness desired the total for the procedure can be the higher price range but is an alternative to surgery. Sculptra is often used off label as well to smooth cellulite indentations or dimples in the skin that won’t go away for a smoother appearance.

What are the most common side effects after Sculptra®? Discomfort at injection site, burning, redness, swelling, nodules and bruising. The luxury of this treatment is no recovery period vs surgery interfering with your daily life.

 

How long does it last?

Sculptra is a product that generates your own collagen. It’s different than HA (hyaluronic acids) which only only last 9-18 months. Results may vary per patient with Sculptra fillers, with a range of lasting 2-5 yrs.

 

Call our office today located in Troy, MI for your free consultation. Raquel Merlini, RN 

 

Call today to set up your free consultation and together we will develop a treatment that is specific to your goals. Raquel Merlini, RN, Schenden’s Aesthetic Injection Practice. 248-254-0620

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

Everything You need to Know About Microneedling with PRFM

Patients are looking for effective treatments that are minimally invasive, have nominal recovery periods and long lasting results. Microneedling is an amazing treatment for facial rejuvenation and can achieve these results. Microneedling, aka Collagen Induction Therapy, makes tiny puncture wounds to the skin stimulating collagen, circulation and elastin. This treatment addresses fine lines, wrinkles, enlarged pores, scarring and age spots

 

How could this treatment get any better?

By adding PRFM (Platelet Rich Fibrin Matrix), which is a highly concentrated serum that aids in your body’s natural healing process. This serum, otherwise known as liquid gold, contains platelet derived growth factors that will aid in the proliferation of new cells. PRFM is created by drawing blood from the patient and then placing it in a centrifuge. The centrifuge separates the rich plasma from the red and white cells. Up to this stage is it considered PRP (Platelet Rich Plasma) and many clinics pair this with microneedling.

PRFM takes it one step further by adding calcium chloride to the plasma which builds a fibrin matrix. This matrix lengthens the activation time of the growth factors to up to 7 days allowing your skin to achieve maximum results. The PRFM is driven into the dermis when combined with microneedling. The tiny punctures in the skin allows the plasma to enter the skin layer more efficiently increasing the healing process while stimulating collagen and elastin growth. PRP and PRFM are innovative techniques in the aesthetics world and are widely used in sports medicine through injections to help athletes heal from injuries and speed recovery times.

What to Expect

Prior to beginning the treatment, a topical numbing cream is applied. At the conclusion of treatment your skin may feel tight and will look pink, similar to a sunburn. There is a possibility of slight swelling. Typically this may last for 24-72 hours. You may have some flaking and peeling over the course of the week. The results are reduced pores, softer scars, firmer skin and a more even skin tone. It is recommended to use gentle skin care products until the skin is fully recovered. For optimum results it is suggested 3-4 treatments spaced 4-6 wks. apart. This treatment is one of the most innovative, minimally invasive treatments with proven results. As a Registered Nurse and Aesthetician I am excited to offer this to all my patients.

Call today for your free consultation. 248-524-0620.

Raquel Merlini, RN

Plastic Surgery Troy MI – Troy MI Plastic Surgeon

Cosmetic (also known as aesthetic) surgery is experiencing high popularity and it is important for you to do your homework when considering any surgery. One of the most important questions a patient should ask is “What are the surgeon’s qualifications?” It is also important that your doctor is affiliated with a hospital. Many procedures today can be performed in our private outpatient facility, however, you have the option of having your surgery at William Beaumont Hospitals where both of our surgeons are privileged to operate.

Our surgeons perform plastic, aesthetic and reconstructive surgery and have the expertise to help you with all of your plastic surgery needs. We offer industry leading Vectra 3D® imaging technology for most of our procedures. This software allows you to take the guesswork out of what your results will look like. See results the same day as your consultation. Our surgeons use the latest in surgical procedures and technology. Dr. Schenden focuses on aesthetic surgery.

Whether you wish to slow down the aging process or close the psychological loop with reconstruction, our team can help you meet your goals. In some cases, patients can achieve remarkable results without surgery. Dr. Schenden offers the latest non-surgical procedures to make your skin appear younger and healthier. Our doctors will discuss all your options at your consultation.

Call today to schedule your consultation for a more confident tomorrow. 248.524.0620