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  

 

Do you clench your teeth? A different approach for relief.

Do you clench your teeth? A different approach for relief.

On the outside someone may appear to be calm and relaxed however, an interior view of their mouth tells a very different story.  One of the exciting things about medicine is often we discover that a particular drug can offer benefits to several other aliments then its intended purpose. I suffer from unconscious clenching and grinding of my teeth both during the day and as I sleep. While attending a training workshop I heard Botulinum toxins found in products such as Botox® and Dysport® can be used to relax and relieve the masseter muscle.

After further researching bruxism (the formal name for this condition) I discovered I was not alone and this is a common and painful problem that can lead to severe dental issues. Chronic teeth clenching/grinding can cause headache, earaches, facial pain, and even migraines. Bruxism sufferers who grind and clench their teeth while sleeping frequently wake up with a sore jaw.  The good news is treatments of Botox/Dysport injected into the masseter muscle can provide tremendous relief from jaw soreness, headaches, and other unpleasant problems.  The administration technique is the same which is used for wrinkle reduction. Usually three small injections are administered into the muscle on each side. This allows the muscle to relax and ease the tension in the jaw.  It may last 3 to 5 months.

It can also be used for Aesthetic corrections.  Individuals suffering from hypertrophy of the masseter muscle, can have the appearance of a severe square jaw, giving a more masculine appearance to the face.  Injecting Botulinum into this area can soften the jawline and help to reverse this.

Call our office today to schedule your free consultation and get relief. 248-524-0620

Raquel Merlini, RN

I have clenched my teeth for years and after failed attempts to wear mouth guards, I gave up hope for any relief. After hearing about this procedure of injections into the masseter muscles I was excited to try it. I suffer from headaches and jaw soreness. The injections have worked and not only ease the stiffness in my jaw but have greatly reduced my morning headaches”. K. Stubbs

 

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

5 Reasons To Think About Getting Lip Fillers

 

5 Reasons To Think About Getting Lip Fillers

The lips are one of the most important features of the face. When we are talking to someone, we not only notice their lips, but unconsciously or subconsciously evaluate them. Fullness of the lips are a sign of sensuality and youth. As we age, we begin to create less collagen, which is needed to create the plumpness in our lips we desire. Thankfully, we now have options to enhance, and obtain our youthful looking lips again!

  

There are several options to create soft, natural-appearing lips with Hyaluronic Acid Gels (a substance naturally present in our bodies) – My preferred in office product choices are RestylaneⓇ and JuvedermⓇ which produce beautiful enhanced lips.

The key point is, natural lips! There are various, non-invasive, proportioned steps that we follow to ensure the upper and lower lips look organically enhanced. You won’t have to worry about leaving our office with ‘duck’ or ‘sausage lips’.

To give you a better visual; In general, the upper lip should be ⅓ of the size while the lower lip should be ⅔ of the total size of both lips. A curve and “natural pout” can be created to lift and bring out the border of the lips within the skin.     

 

Patient age 52

 

5 Reasons Why

1. Lips Give Away Aging

We associate plump lips with that of a younger person. Think of someone you know who has very hydrated & plumps lips. It is most likely a super cute baby or a friend who has received lip fillers (let’s be honest). Now, we obviously aren’t trying to give you an infant’s pout, but would like you to feel youthful in that area again & lip fillers can easily help you achieve that.

     2. Quick To Administer

Little downtime, non-invasive, and it can all be done in around 10-15 minutes. Lip fillers are somewhat of an art, because not one set of lips are the same. Nor is the look someone is trying to achieve. Generally speaking though, it is a very quick to administer. Following treatment, swelling & possible bruising can be expected. The positive is that you can return to work, and resume your regular daily routine.

3. Fillers Are Safe

Hyaluronic Acid is in 90% of all dermal fillers that most reputable doctors & injectors use, such as our office. This can leave you feeling rest assured that this is safe material that our bodies form naturally. In other words, having an allergic reaction is something that rarely happens after the hyaluronic acid filler has been injected.

4. Improved Shape & Overall Look

You don’t have to get lip fillers just for anti-aging. Some patients feel they have uneven lips, lines & creases from smoking or don’t feel their lips are balanced well with their overall face. Sometimes thinning of the lips is caused by genetics.It’s Not

5. Permanent

  Sometimes this is the best news to patients. The filler will dissolve naturally in the body over a period of 6-8 months. This means that you can switch up your treatment when you return. You can choose to use less or more product  or discuss another injection technique with your injector, depending on the overall look you desire. Another great fact is that most Hyaluronic Acid fillers are reversible. This is done by using a substance called hyaluronidase. Even though it is a very rare occurrence that a patient wishes to reverse this procedure, it’s still reassuring to know it can be done.

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. 248-524-0620

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

Men, interested in Botox?

 

It’s easier than you think & we’re here to tell you why!

Botox® for men, or as I like to call it “Brotox” has become one of the most requested aesthetic procedures requested. What makes this procedure popular is the fact that it is non-surgical and requires no downtime. It is an easy treatment with proven results.  Why are more men willing and likely to seek this treatment?

1.  Men are result oriented.

This treatment achieves softening of lines and wrinkles within 5 to 7
days post treatment.

2. Younger and less stern looking.

Our society is youth driven. Rarely is aging graceful. Whether in
business or casual men want to look youthful and rested. Deep wrinkles between the eyes can make a man look stern and unapproachable.

3. Minimally invasive.

Facelifts, brow lifts and eyelid surgery require anesthesia and downtime.
Botox is a quick 15 to 30 minute procedure administered with a series of small injections. It is affordable and will soften crow’s feet, lines between the brows and forehead creases.

4.  It can relieve other Health issues.

Botox has been shown to relieve excessive underarm and
hand sweating. Hyperhydrosis can be reduced with Botox injections relieving embarrassing underarm sweat stains. It has also been linked with managing pain for people who suffer from
migraines.

Brotox today is more mainstream then you think and chances are someone in your life has receive it and you may not know but you probably have said “wow, they really are aging well”. Schedule your free consultation with me today and we can discuss how this simple treatment can erase your stress lines and wrinkles.

Raquel Merlini, RN, Schenden’s Aesthetic Injection Practice,

Michael J. Schenden, MD PC

201 West Big Beaver, Suite 1130

Troy, MI 48084

248-524-0620

www.drschenden.com

ARACHNOPHOPIA- Spider Veins

Maybe it’s not really spiders you’re afraid of, but possibly it’s those unsightly spider veins that look scary…..

Let’s talk about spider veins (medically know as Telangectasias) for a second. Spider veins are red and purple blood vessels that occur in patches usually on the legs but can appear other places as well. They are often genetic, but can also be hormonally induced. They may be associated with pregnancy and menstruation or develop when you spend a lot of time on your feet.

Spiders veins do not pose a serious health threat. They can, however, cause localized burning, pain, aching, and discomfort. Mostly they are a cosmetic concern to most women who develop them. If you would like to rid yourself of these tiny pest, we can help. Sclerotherapy is a medical procedure used to eliminate spider veins. It involves an injection of a safe solution directly into the vein. The tiny vessels scar and will fade from view. The procedure can be completed in our office, is minimally invasive and has almost no downtime.

Now is the perfect time to rid yourself of spider veins and be ready for vein free/ beautiful legs. Call our office today for your free consultation at 248-524-0620.

Dr Clarissa Kroese, DO, Aesthetic Medicine
248.524.0620