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

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 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

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.