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

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

 

 

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

 

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  

 

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

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.

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