Sleep helps repair our skin!

Posted March 13th, 2020 by Social Media and filed in Uncategorized

March is national sleep month and beauty sleep is not just a catchy phrase! It has been shown that not getting enough sleep can increase levels of the stress hormone, cortisol. Increased levels of cortisol cause more inflammation in the body. More inflammation in the skin can cause the breakdown of collagen and hyaluronic acid which are what gives our skin its elasticity and glow! 

While we sleep our skin’s repairing process occurs and our bodies are working hard to reverse the damage caused by daily pollutants. This process makes anti-inflammatory cytokines during sleep which help heal and repair our skin.  We also release growth hormones during deep sleep. Our growth hormones are like the “Fountain of Youth” hormones; they allow damaged cells to be rejuvenated. Without this, we see early and increased signs of aging. Sleep is crucial in looking young, healthy and refreshed on a daily basis. 

A good way to make sure you get enough sleep every night is to develop a routine.  Do the same things every night around the same time and your body will naturally get used to going to sleep and staying asleep for the recommended 7-9 hours per night.  A good skincare routine is a very important part of this as well. You never want to go to bed without a clean face! Make washing your face and applying your favorite serums and moisturizers a part of this routine every day and you can help your body repair the damage caused during the day.  

As an aesthetic injector I work with my clients to not only help reverse the signs of aging but to also promote a healthy lifestyle.  Curious about what new in the aesthetic world? Call today to schedule your complimentary consultation. 248-524-0620

Kristen Lotz, PA-C 

Michael J. Schenden, MD PC

How Long Do Wrinkle Reducers and Fillers Last?

Posted January 24th, 2020 by Social Media and filed in Uncategorized

This is a common question and it’s important to understand. Wrinkle reducers or neurotoxins
such as Botox®, Dysport® and Juveau™ typically last 3-4 months. However, the human body
metabolizes these products at different rates. I have patients that tell me it lasts as long as 6
months for them and I know for some people, such as myself, who start to see movement in
about two months. . How long it lasts is a based:
 The Individual and their metabolism
 Stress level
 The amount injected
 The area injected

Fillers last longer than wrinkle reducers. The most common type of filler is the hyaluronic acid
(HA) filler, on average they can last 6-18 months. This is a broad range and varies based on
product, area injected and the individual. There are several different types of fillers designed
for specific uses, some are dense and used to add volume while others are soft and pliable for
filling fine lines and allowing free movement.
 The denser the product the longer they tend to last. Product such as Juvederm Voluma®
and Restylane Lyft®, are typically used in the cheeks for volume and may last up to 18
 Filler injected into the lips tend to dissolve the fastest and typically last around 6 months
due to less density of the product and increase movement in this area.
An alternative product is called, Sculptra®, which is a poly-l lactic acid filler that, when injected,
triggers the body’s natural response to build collagen and therefore may last up to 2 years. This
product stimulates your body to build collagen and unlike the HA fillers it produces a gradual
result. This is a nice alternative for the individual who wants to slowly enhance fine lines and
wrinkles and add volume over time.
All of these products when injected properly can produce a very natural result. It is important
to remember that all of the products are temporary and repeat treatments will be required to
maintain the desired result.
We will work with you individually to develop a treatment plan that works with your body and
desired goals. Call today to set up your complimentary consultation 248-524-0620.
Kristen Lotz, PA-C

What is Hyaluronic Acid?

Posted November 6th, 2019 by Social Media and filed in Uncategorized

Hyaluronic Acid is a clear, gel-like substance that is naturally produced in our bodies.   It acts like a sponge holding 1000 times its weight in water. Large amounts are found in our skin, connective tissue (joints) and eyes.  Its main function is to bind water and keep our tissues well hydrated, lubricated and moist. As we age, our bodies produce less HA. So along with the natural aging process and exposure to the elements such as UV rays, smoke and pollution, we have less and less HA in our bodies as we get older.  Less HA in our skin means less moisture and more lines, creases and wrinkles.  

Fortunately, we have access to many over the counter products that contain HA.  We can apply the serums and lotions topically to retain moisture in our skin. It is recommended that we use products that contain at least 1% HA in serums or lotions.  HA is also available to take orally, 100-200mg per day is the recommended dose.  

Here at the office, I have the ability to offer my patients Hyaluronic Acid injected into the dermis of the skin to smooth wrinkles, fill creases, and add overall volume to the face in the areas that we lose volume with age.  Juvederm® and Restylane® are the products that we use most frequently for this. They each have a full line of fillers that are developed for various areas of the face and can last anywhere between 9 months and 2 years. They are very effective in replacing the HA that we have lost with age.  We can use them to fill increases that have become deeper with time or we can use them to create volume in areas that we would like enhanced such as the lips, cheek bones or jawline.  

The great news is that these products are extremely safe as we already produce this molecule in our body.  Allergic reactions are extremely rare. We also have an enzyme that is safely injected to dissolve the HA filler if we do not like the result or have an adverse event.  HA fillers are eventually absorbed safely by the body which is why they only last for a certain amount of time.  

We offer complimentary consultation on all our Aesthetic fillers.  Call today to see if Hyaluronic Acid fillers are the right product you! 248-524-0620

Kristen Lotz, PA-C

Aesthetic Injector

What is direct to implant breast reconstruction surgery?

Knowing your surgery options for breast reconstruction is critical for making the right decision.  This week I want to talk about direct to implant reconstruction. In direct to implant surgery the permanent implant is placed at the time of mastectomy, avoiding the need for a tissue expander.  This surgery is also referred to as “single stage” breast reconstruction. I prefer, however, not use this term due to the fact that many women still require a revisional surgery to optimize breast shape, scars, or symmetry.

Candidates for direct to implant reconstruction include women with small to moderate size breasts that want to have the same breast size or smaller breast size post-operatively.  Large implants can cause strain on the breast skin after the mastectomy which may lead to implant failure. As the reconstructive surgeon I would closely with your breast surgeon to ensure you receive the best treatment available.  The reconstructive

 surgery usually takes 1-1.5 hours depending on whether you are having single or double mastectomies.  


During the consultation I will evaluate your specific case and present all the options that are available to you.  We are committed to helping you close the loop on breast cancer and have confidence to move forward. Call today to schedule your consultation. 248-524-0620.


Dr. Sarah Elswick, MD

Plastic, Reconstructive and Aesthetic Surgery


What’s the new trend in Lip filler? 

In recent years when it comes to Lip filler, the request has been the bigger the better. With every trend comes a bandwagon and then it tempers. Although the volume and style injected has changed, the demand for Lip filler is not slowing down anytime soon.

Patients have been requesting a more natural result and lip injections is still one of the primary filler requests I receive.  My belief is to assess the patients face shape, other features in comparison, and definition as well as a full pout is important to most patients. 

The products I use and technique administered varies for each patient.   Different hyaluronic fillers produce different results. I’ll choose Restylane® if my patient wants more structure or has “smoker lines”.  For the patient that wants a pillowy pout, Juvederm® is my product of choice. 

Lip filler can last anywhere from 9-12 months but by 4-6 months, most of my patients feel they are deflating and require a refill.  Interested in learning more? Call today to schedule your complimentary consultation. 248-524-0620


Raquel Merlini

Registered Nurse and Aesthetician

What is a tissue expander?

Intro to series, Breast reconstruction surgery has several different approaches.  Due to this and the complexities of the surgery patients typically have lots of questions and may feel overwhelmed.  Dr. Elswick would like to offer a blog series on answering several of these questions to help patients increase their knowledge and make informed decisions.  She is passionate about breast reconstruction surgery and works one on one with her patients to ensure every question is thoroughly answered before moving forward.  


We have several questions already in mind to answer but welcome additional ones from you. Our first question is: 


What is a tissue expander?


A tissue expander is one of the more commonly used devices in breast reconstruction.  A tissue expander is a temporary “spacer”, similar to a balloon, which allows the plastic surgeon to preserve the volume and shape of the breast.  It is shaped like a breast and has a “tear drop” appearance when viewed from the side. The outer shell of the tissue expander is made of silicone.  


There are different sizes of tissue expanders, so it can be individualized to fit your body and reconstructive goals.  Unlike a breast implant, a tissue expander has a port that is connected to the inside cavity. The port is identified with a magnet and accessed through your skin so the expander can be filled post-operatively with either air or fluid.  A tissue expander is used as a temporary device to help create a nice pocket to hold the final implant while also expanding or stretching the breast skin to create the desired post-operative size and shape. When the tissue expander fills are complete and the skin and incisions have healed, the tissue expander is removed and replaced with a permanent implant (three to six months after your expander surgery or radiation).


Attached is a photo of a tissue expander. During your consultation, I will have one available for you to physically see and touch to help you better understand the device.  Please call my office located in Troy, Michigan to set up your consultation. 248-524-0620. Together we can restore your body and confidence. 


Sarah M. Elswick, MD 

Reconstructive, Plastic and Aesthetic Surgery 

Jeuveau™ is here!

A new aesthetic treatment to treat aging skin. 


There is a new product on the market!  The aesthetic world is growing and developing new products every day and our practice is always excited to offer these to our patients. .  There are currently four neurotoxins on the market. You may ask what a neurotoxin is. This is a product that helps relax the muscle to soften the appearance of wrinkles and fine lines.  Botox® and Dysport® are examples neurotoxins.  

We welcome the addition of a new company to this group Jeuveau (#Newtox).   Jeuveau is a FDA approved neuromodulator whose effect is to relax the muscles in the areas of injection.  The administration technique is the same as our other products. The results will be similar with softening facial wrinkles and fine lines to provide a more youthful appearance. 

As an injector it’s exciting to have another tool to use in order to best serve my patients and their needs. Call today to schedule your complimentary consultation and let us help you restore your youthful experience. 248-524-0620

Raquel Merlini, RN


Filling the Temples

Adding Volume to the Temple area can add youth~ 


The temples are an area that most patients don’t think of correcting. Our faces naturally lose volume when we age.  The temple volume loss is not often noticed because we tend to focus more on the lines and folds around our mouth and cheek volume loss.  Although they are often overlooked, when we do address them, the results are very satisfying!


A youthful face is full and round or oval in shape.  When we lose volume in the temples we lose support to our eyebrows and they start to turn down.  The hollow in the temple also can clip the tail of the brow changing the shape of our eyes. Replacing this volume gives an instant youthful look.  It lifts and elongates the brow making the eye look more open and less tired.  


Dermal fillers provide an instant, effective reversal of temporal volume loss.  Thus restoring fullness and a more natural, youthful appearance. This area can take a fair amount of product to fully correct but the product tends to last a lot longer in this area because there is very little movement.  Everyone will notice that you look younger but no one will figure out why!


We offer complimentary consultations on all our aesthetic injections. Call today to schedule your appointment and see how changing one small area of your face can restore your youth.  248-524-0620


Kristen Lotz, PA-C

Michael J. Schenden, MD PC 

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

Suffering from Hair Loss? There is Hope!

For the last 3 years I have been experiencing thinning hair and hair loss. After purchasing several types of shampoo’s, topicals and vitamins, I did not see any change. Finally, I went to a dermatologist who performed a biopsy. I was diagnosed with age related thinning and alopecia. With this diagnosis I was left with little hope and began to look for wigs although, I refused to give up entirely.

At this same time Dr Schenden purchased a new system that specifically targets thinning hair and hair loss. The treatment is called PRFM (Platelet Rich Fibrin Matrix) is an advancement to PRP (Platelet Rich Plasma) treatment. Your blood is drawn and placed into a centrifuge that separates out the PRP.  Calcium Chloride is then added to the PRP building a fibrin matrix to increase the activation time of the PRP. The PRFM is injected into the scalp where the loss is occurring. Injecting into the scalp promotes new hair growth and stimulates your existing hair.

I was excited to try this and completed my first treatment in September 2017. Three treatments are recommended. I received my second treatment received 6 weeks later.  By December the hair loss had stopped and I am seeing small spikes of new hair growth. I went to my hair stylist in February 2018 and she couldn’t believe the change in my hair! I am so happy with my results. I just received my third treatment.

If you suffer from hair loss, call Dr. Michael J. Schenden’s office in Troy, Michigan to schedule your free consultation.

Laura C.



Michael J. Schenden, MD PC

201 West Big Beaver, Suite 1130

Troy, MI 48084