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

 

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.

 

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