aesthetic plastic surgery procedures

ASAPS in Boston

Posted on May 17th, 2011
Posted by Julene

Hello Friends,
It’s spring in Kentucky…or so they tell me…Derby fever has passed, and we’re left with rain and allergy season. Post-Derby blues are common around here, so resolve to lift your spirits by getting ready for a new you for summer! A couple of news items first…

ASAPS (The American Society of Aesthetic Plastic Surgeons) convened last week in Boston. The society is composed of approximately 2800 board certified plastic surgeons who primarily perform cosmetic surgery of the face, breast and body in our specialty. The hot topics seemed to be fat transfer and stem cell technology, cosmetic laser facial rejuvenation and fillers, as well as the new non-invasive body contouring devices. As many of you now know, my office was the first to offer the Sciton Contour Profile cosmetic laser for facial rejuvenation and resurfacing, and I have posted a recent blog summarizing the benefits of becoming familiar with our laser menu of options for facial rejuvenation. I also recently blogged about facial injectables, and there are links on my website for viewing patient results with Juvederm, Botox, and Sculptra.

I have recently become very interested in non-invasive body contouring as well, and offered the first such system here in Louisville as of September 2010, Vaser Shape. I think the timing for a non-invasive device in this economy couldn’t be better, and non-invasive devices certainly add to excellent treatment options already available in a busy body contouring practice such as mine. However, discerning products that truly work versus those that represent true sales hype is an ongoing challenge for the consumer (and physician consumer too, I might add!). After extensive research regarding other competitive technologies, and after seeing some of the early clinical results presented in Boston, I remain firm in my conviction that ultrasound technology remains the clinical leader at this point…for its versatility, cost effectiveness, deep (as well as skin level) effect and safety. I have contributed to several journals regarding the use of non-focused ultrasound in this respect, as well as have agreed to author several publications which are pending regarding clinical results to date. There is ongoing clinical and animal research, but preliminary results are very promising, and these corroborate the results we are currently seeing in our patients. I am hosting a webinar next month specifically designed for our existing Vaser Shape physician users, so that we may all continue to collaborate to see that our patients are beneficiaries of the ongoing, developing fund of knowledge regarding early treatment parameters.

Additionally, I am happy to inform our patients that we are forming a new partnership with select local businesses… the first to be announced is an upcoming special evening we are hosting with Glasscock Boutique. The event will take place at Glasscock on Thursday May 26, 2011 from 4PM to 8PM, with a portion of the proceeds to benefit The Derby Museum. The evening will offer Botox and Juvederm at special savings, as well as selected skin care products from several lines, and a trunk showing from a selected designer. If you would like to be included on our guest list, just call the office and let one of my staff know.

Stay in touch, and we hope to see you this spring!

Many thanks,
Julene


Vaser Shape in Sydney, Australia

Posted on March 31st, 2011
Posted by Julene

Good da’ mate! If you have listed Australia on your bucket list of places to visit…I highly suggest you wait no longer! Thank you to all of the new friends I met during my recent visit…it was a great meeting and a wonderful way to share the US experience with Vaser Shape (Med Contour in other countries) with our Australian colleagues. Bella Media Services (thank you so much Gemma and Michelle!) did an excellent job of coordinating my visit with the Australian fashion and beauty magazine editors (Madison magazine, Cleo, Shop til You Drop, the plasticdiariesblog, thebeauty directory.com, Bella Beauty Magazine and The Plastic Surgery Magazine, Better Homes and Gardens, and Vogue magazine…did I forget anyone?). It was such an enjoyable experience, and an extra big thank you to Donna and Louis from Australian Medical Aesthetics…THE source for Med Contour in Australia. I hope that everyone enjoyed the complimentary treatments, and it was great to meet you all and share our US experience with you. We will look forward to reading the many editorials we know will follow the trip. It is the beginning of autumn in Australia, and I loved the welcoming nature of Australians…the country is absolutely lovely, and Sydney so centralized to the beautiful Blue Mountains, coast, harbor, and all the culture and cuisine offered by a large coastal city. I only wish Cynthia could have allowed me to stay longer, and that my whole family could have joined me. Next time I WILL be found touring the wine country or Gold Coast, surfing on Manley or Bondi beach, and riding horses on Cox’s River in the Blue Mountains…as weather and time did not permit those activities this time! During my trip I did find that the clinics I visited, and the results that are being achieved by Donna McNeill, the Australian trainer, are very reflective of the great results we are experiencing here in the US…Med Contour/Vaser Shape really works!!! During my visit, I was able to share our favorite US treatment settings with our Australian colleagues, and we all learned from one another. All of the fashion and beauty magazine editors were very pleased with the immediate results of their treatments, and thought Med Contour was far superior to competitive technologies. I am pleased to report also that more information will be forthcoming regarding further reports on results of the initial 3000 patient treatments from the first 11 Vaser Shape clinical sites here in the US, as I have agreed to serve as lead author on the publication of those results in an upcoming publication. So far, I can tell you this…we are on average, after 4 to 6 treatments in most patients, seeing a loss of 0.5 to 1 inch in the first and each of subsequest treatments, an average of 2 to 4 or more inches lost after 4 treatments, skin tightening in all treated areas by IR imaging, and fat cell contents in the lymphatic system. I have also used Vaser Shape now in several pre-liposuction situations (the fat seems to be more easily mobilized and removed at surgery), as well as in several post-operative patients (tummy tuck and liposuction patients), and find Vaser Shape to be a nice complement to surgery when necessary. Thanks for being a friend to the practice, and stay tuned for more updates. Join us for our next Cocktails and Consults, featuring not only Vaser Shape demonstrations, but also our favorite Sciton Laser facial combinations, and our favorite facial injectables…Juvederm and Sculptra! Join us on April 28th from 4PM to 7PM for this event…RSVP please. Best always, Julene


Part III: Winter Skin Tips…Laser Options and Vaser Shape Update

Posted on February 22nd, 2011
Posted by Julene

Hello everyone!

It’s certainly been a BUSY winter here in our practice! Seems like more than just a few people have taken Part I and Part II of my blog to heart and gotten busy skimming inches off their bellies and thighs with Vaser Shape and Vaser Lipo! (That was Part I of my last blog). Just as an update…we now make HcG injections part of our menu of options for those hoping to trim down before spring and summer. Call my office for more information on this, as we have diet and exercise advice to add to the traditional HcG diet popularized by Dr. Simeon’s in the 1950’s. For many patients, the metabolic boost provided by HcG injections makes following the diet so much easier…quite simply, I know of no other quicker or safer ways to lose unwanted poundage! (Like many of our patients, surgeons are notoriously interested in quick and immediate results!)

To update our Vaser Shape followers…we have now completed our initial series of 70 patients with at least 4 Vaser Shape treatments each, and Melanie, Rita, Terry and I continue to hone our skills in achieving at least one or two inches of lost circumferential measurement in ALL patients! Most patients are losing an average of 2 to 4 inches in a month without dietary intervention. Some of our patients are using HcG in addition, and although we do not enter their data into our research protocols, they are pleased as they can be!

There are now some exciting results coming in from animal studies which are delineating how well the Vaser Shape non-invasive ultrasound is working to create both skin tightening as well as fat reduction, and I have just submitted some of our patient data for the first publications on Vaser Shape, and will be doing some international speaking regarding results and treatment protocols being developed. I will be hosting a workshop in Sydney, Australia next month, so will hopefully be able to collaborate with other practitioners who are finding clinical success with Vaser Shape around the globe! As always, we are happy to meet with prospective patients either one on one or in group consultation for a discussion of the best Body Contouring options…Vaser Shape or traditional liposuction/tummy tuck via Vaser Lipo. Also, join us for our next Cocktails and Consults, March 3rd from 4PM to 7PM on Vaser Shape and Vaser Lipo. We will have a great local food sponsor, drinks, and our local celebrity patient, Linda Lambert from 102.3 The Max radio station! Other Vaser Shape and Vaser Lipo patients will be there as well, both devices will be on hand, and Chuck Wright, our Sound Surgical representative, will be joining us. During the evening, I will give a presentation followed by live patient Vaser Shape demo’s! Call to RSVP!

Now on to Part III of our winter skin tips

Last blog we covered our favorite skin care products, and each of our staff weighed in with their “must-have” products. This week I wanted to touch on some of our favorite laser procedures for the face, neck, chest and decollatage areas. As many of you know, we own the Sciton Contour Profile laser system which is a uniquely designed device. We designed the laser specs for a device that has the flexibility to treat many skin problems within a single laser system. Since I was the first physician to bring this technology to the Louisville area, my nurses and myself now have over 6 years of experience in skin peels, ProFractional skin tightening, Broadband light treatments for sun damage and brown spots, treatment of visible facial and leg blood vessels and rosacea, and non-invasive skin tightening of the face and neck. I employ two registered nurses to assist with and perform laser treatments every day. We are happy to meet with prospective patients in one on one consultations to design a comprehensive treatment program of laser and skin care products that work together. There is still time before spring and summer to really work on your skin.

One of my favorite no downtime procedures to do all year is a combination Skin Tyte and BBL treatment for sun damage. I am outside all year long riding horses and running and love the pigment control and tightening I receive with a single ST/BBL laser treatment. I recommend a series of 6 treatments a year for patients who want the convenience of a no recovery procedure and who are trying their hardest to either put off the facelift, or who are trying to maintain the results of a facelift. As the laser gently heats the deeper layer of skin (the dermis or collagen layer), it thickens the skin, which makes it tighter and smoother.

For patients who can afford 3 to 5 days of mild swelling and bruising, and who want more visible tightening in a single session, I recommend ProFractional. We can vary the depth of treatment to control both the amount of tightening as well as the recovery period. Since all of these treatments are performed right here in our office, there is no anesthesia or facility fee.

For patients who desire skin smoothing, we like the laser peels. We can do a light or superficial peel or we can do a deeper treatment, depending upon how much recovery time a patient can allow, or how much smoothing they desire in a single treatment. The look of the skin after a peel is either similar to a mild sunburn or, for a deeper treatment, perhaps like a sunburn when the blister has come off. Again, no anesthesia or facility fee. Recovery times are 3 to 7 days, depending upon depth of the peel. This is the treatment we recommend the most frequently for acne scar patients or patients with deeper wrinkles. We can really do a lot of smoothing in a series of 1 to 3 peels for large pores, deep wrinkles or acne scars.

Probably the laser procedure I love the most is the combination laser peel plus ProFractional. Rita and Melanie are way skilled in making patients comfortable for this combination laser treatment, in which we can combine the peel for skin smoothing, and the ProFractional for skin tightening…a winning combination for wrinkles, large pores, pigment problems, and skin that is beginning to become lax or saggy. The face and neck are done together, and again, depth is decided upon after considering what the patient needs, as well as how long they can allow for recovery, usually only slightly longer than each treatment performed alone (ie, days to a week).

Since the Sciton laser uses evaporative/ablative wavelengths of light to effect the magical changes seen in our skin smoothing treatments like the peels, there is no heat involved in a typical peel, and therefore the healing times are much quicker and more comfortable. It is really the heat incorporated in other laser resurfacing treatments which hurts, and creates the significant downtimes with respect to skin redness following the treatments. In certain patients who desire more of a deep treatment, we can provide a bit of oral sedation and do a much deeper treatment, or in select cases (deepest acne scars or wrinkles), we might elect to go to an outpatient surgical facility such as our Eastpoint Surgery Center, to do a deeper laser resurfacing peel under anesthesia. However, most patients prefer to do moderately deeper peels right here in our office, and can do a series of even 3 deep “doctor peels” with me, and still not spend as much money as one deeper operating room peel, and with less recovery time.

So you really can use these bleak winter months to make significant improvements in the quality of your skin! Look over our Blogs, find out what your “hot topics” are, and schedule an appointment to come in and let me, Rita or Melanie put together a treatment package just for you. You might also want to call us or go online and see what “Spring Break specials” Cynthia is putting together right now. Be sure you have an updated email address for us to use to stay connected with the latest our office has to offer! Join us on Facebook or our website for new postings to Blogspot, and contact me personally to suggest new topics for our blog, Sculpt. I will discuss my favorite injectable treatments in an upcoming post.

Here’s to a great-looking face for 2011!

Best to you,
Julene


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