aesthetic plastic surgery procedures

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, 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,

Winter Skin Survival Guide

Posted on December 19th, 2010
Posted by Julene

Hi friends!

By now, your skin has started to reflect the harshness of the change in climate, and once the bit of color from summer fades, we sometimes see all kinds of “badness”. Even those of us who try our best to protect our faces from summer’s rays, know that we have a bit of a glow after summer’s end that can hide some common skin problems. Plus, the naturally paler color of winter skin can expose common pigmentary problems, large pores and fine lines. Our skin is drier due to less humidity in the air and the colder air and winds of winter. Bottom line…winter is typically the perfect time to correct hyperpigmentation, provide hydration and smoothing, and to more deeply correct the signs of aging, which are all more noticeable during the winter.

I have asked my wonderful staff to list some of their favorite skin care products, and they are found below…”Staff picks”!!! Enjoy the list, and as always feel free to ask us about any skin care advice specific to your needs.


CYNTHIA…lists Dermesse Sugar Scrub among her favorite cleansers. She uses it every day, and who wouldn’t want skin like hers…porcelain, I call it! For face, she likes Dermesse Creme Cleanser, especially after laser or chemical peels.

MELANIE, JULENE AND RITA…like Dermesse Cleanser Gel for the refreshing feel it gives oily skin.


CYNTHIA…likes SkinCeutical’s Revitalizing Toner for its nice cucumber extract scent (which is a natural emollient with calming, soothing agents – maybe that’s why she is so unflappable), as well as its lavendar oil (which is anti-inflammatory, antiseptic, and anti-bacterial). She says, “it also contains horsetail, which speeds connective tissue repair…hee haw!” (never mind that’s a noise a donkey makes, not a beautiful horse, Cynthia)

MELANIE, JULENE AND RITA…seem to be in agreement again, that we like Dermesse Toner. It leaves a refreshed feel to the skin and is carefully pH-balanced with the cleanser to set the stage for easier absorption of the corrective products apllied later. It also closes pores to prevent some of the day’s damage and helps to control breakouts.


CYNTHIA, JULENE, MELANIE AND RITA…we all apparently agree, hands down, that Neocutis’ product for hyperpigmentation, Blanche, is the best. It works to fade brown spots, hyperpigmentation and melasma from a unique combination of ingredients, including 4% Hydroquinone and Melaplex. Also, as Cynthia points out…it is formulated with anti-oxidants and hydrates the skin with shea butter and jojoba oil, is steroid free, fragrance free, and non-comedogenic. If you have an intolerance to hydroquinone, like I do, then Kojic acid is a great substitute and can be found in SkinCeuticals’ Phyto Plus. OR…the alternative to a topical for hyperpigmentation is of course to use the laser (Sciton, of course)- for this we would recommend a series of treatments with BBL (broadband light).


CYNTHIA and JULENE…SkinCeuticals’ Retexturizing Activator, used morning and night, improves texture and tone by stimulating enzymes that promote desquamation while hydrating the skin via hyaluronic acid and Kombuchka (say THAT 3 times after a Cocktails and Consults evening) to promote its natural barrier functions. It basically smoothes, resurfaces and moisturizes skin, all at the same time! Cynthia says, “This product is UNBELIEVABLE, and I like to use it every day as well as right before a laser or chemical peel.”

MELANIE and JULENE…Dermesse Exfoliator, which contains a unique blend of alpha-hydroxy acids, gently smoothes skin and is available in 2 strengths.

RITA…likes Dermesse Sugar Scrub for body, and the Dermesse Exfoliator for face.


CYNTHIA…likes NIA 24’s Skin Strengthening Complex Repair Cream, because it has the Pro-Niacin to strengthen the barrier function of skin, as well as vit A to improve texture and elasticity, anti-oxidants green tea and rosemary, and ceramides, evening primrose and wheat germ oil to moisturize the skin. Phew. CYNTHIA and JULENE like SkinCeuticals’ A.G.E. Interruptor and A.G.E. Eye Cream (at night only) due to their ability to improve the creping and thinning of our “mature” skin due to an aging process in older skin called glycation, when excess glucose molecules cause collagen and elastin fibers to stick together leading to the formation of Advanced Glycation End-products (A.G.E.) ie, bad things, which cause wrinkles, ick. Also, we both like Neocutis’ product Lumiere for eyes, which contains Swiss technology growth factors and proteins specifically well-suited for smoothing the delicate eye area. It also contains hyaluronic acid, which is a natural hydrating agent.

YOUNG MELANIE…thinks her skin never looks smoother and pores smaller than when she uses a combination of Dermesse Cleanser Gel, Toner and Exfoliator!

RITA and JULENE…say “Retin A baby!!!” A longtime favorite skin smoothing agent is good old retin A. Many patients find its precursor, retinol, available in different strengths, to be easier and less drying to use, but you can’t argue either’s effects of deep penetration to the dermal layer where wrinkles begin.

***special note to self…for the fastest skin smoothing known in these parts, the Sciton laser is a quick way to smoothe skin utilizing laser peels and profractional treatments, alone or in combination! (Stay tuned for my next blog)


CYNTHIA, JULENE, MELANIE and RITA…we all seem to agree on this one, Nia 24 Sun Damage Repair is a nutrient-rich cream that delivers intense moisture while it improves the appearance of photo-damage on the decolletage, shoulders and hands. As Rita says, results are seen very quickly and within 6 weeks! This product works very well in combination with our laser packages to visibly add to results (when used between laser treatments).

***special note to self…one of the nicest things to add to a good home skin care program, is to work in a couple laser resurfacing treatments a year to slowly eliminate the sun damaged layers


CYNTHIA…likes CE Ferulic Serum in conjunction with either Dermesse or Nia 24’s Mineral Sunscreens.

JULENE…likes Dermesse Sunblock SPF 30.

MELANIE…likes SkinCeuticals’ SPF 50.

RITA…likes Nia 24 also, because it is not oily and it absorbs instantly.


CYNTHIA and JULENE…love the combination of SkinCeuticals’ Hydrating B5 Gel and masque, because they contain hyaluronic acid, the body’s natural hydrator, to bind moisture to the skin. It is often used along with vit C treatments, and is oil-free.

***note to self…if one can improve the overall health of the skin over time, it really will need less topical moisturization, so most moisturizers will only need to be used in the dead of winter when nature’s elements are most harsh!

There you have it! The experts have spoken! But, always after that ONE FAVORITE recommendation, for those of us on a budget who want just a few really good products, I asked each of my staff what single product for each area would they go back into a burning building to save (if they knew they could still get out alive, and the family and household pet were already safe!), and here is what it distilled down to…

for FACE:

CYNTHIA…Phloretin CF is her all-time favorite because it is a serum, it is both preventive as well as corrective, and as an anti-oxidant, it helps to prevent and correct the aging process by supporting elastin and collagen synthesis, while increasing cell turnover, thus giving her skin its radiance and firmness (did you know she’s really 75?) Cynthia uses it at night, and notes that it also contains vit C to help with inflammation and in prevention of skin cancer.

JULENE…realizes that although it is expensive, like Loreal says, “it’s worth it!” I absolutely LOVE Skin Medica’s TNS Essential Serum. I can tell the next morning if I’ve used it or not, because of the smooth, glowing look it gives my skin. Really. It contains the renowned growth factor formula TNS Recovery Complex in one chamber and APS Corrective Complex (a potent mixture of anti-oxidants and peptides) in the other. The combination – and it comes out together in one expensive little clump of liquid gold – has been clinically proven to improve tone, texture and elasticity, and to work on brown spots and wrinkles, as well as to tighten skin and help it regenerate and protect itself. What else is left to fix? Although this is my all-time favorite single nighttime product, I love mixing it up and using a good serum or cream several nights a week, like Neocutis Bio-Gel, Bio-Serum, or Hyalis, or SkinCeuticals’ A.G.E. Inrerrupter. And yes, my cosmetics closet looks like a pharmacy lab.

MELANIE…is a big fan of Dermesse Exfoliator, and says she has man-eating pores the night after she forgets to use it!

RITA…stands by A.G.E. She likes the A.G.E. Interrupter, A.G.E. Retexturizing Activator, and A.G.E. Eye Cream the best.

for the EYES:

CYNTHIAA.G.E. Eye Cream AM and PM. She likes the fact that it is good for menopausal skin and that it contains blueberry extract to help prevent future wrinkles in the very thin eyelid skin. (But won’t we sell less Botox Cynthia? How can that be good?)

JULENE…likes a serum under make-up for daytime use and a cream at night for extra moisturization, so I like Skin Medica’s Uplifting Eye Serum in the morning. RITA likes this too, because it is not oily, and because one tiny drop will take care of both under eye areas, so it lasts a long time. I like either Neocutis’ Lumiere at night or SkinCeuticals’ A.G.E. Eye Cream.

MELANIE…likes Skin Medica’s Eye Repair Cream the best, because it begins to work immediately, and she sees fewer fine lines as early as the next day.

for the NECK:

CYNTHIA…likes Neocutis’ Bio-restorative Hydrogel with PSP (processed skin proteins), or Bio-Gel, because it restores a refreshed appearance to aged, stressed skin.

JULENE…likes Neocutis’ Bio-restorative Skin Cream (Bio-Cream)) with PSP, for the same reasons, but I just like a cream on the neck rather than a gel, because I think it hydrates better, and lasts longer.

MELANIE…likes SkinCeuticals’ A.G.E. Interrupter, because it is not oily and feels like silk! It works very well to diminish fine lines and wrinkles.

RITA…likesItalic A.G.E. Interrupter. (She didn’t say why, so I guess you’ll just have to ask her. She is a woman of few words SOMEtimes.)

Lastly, I asked the girls to comment on any category I forgot, and Cynthia mentioned the wisdom of a good old skin peel periodically. I think this is a very good alternative for those who do not desire the downtime of a facial laser procedure, or the cost. Although the laser procedures go deeper, the 3 minute Skin Medica Peel is great. It can be modified to be either an Illuminize Peel, a Vitalize Peel, or a Rejuvenize Peel, depending upon the strength of the acid chosen and the depth of penetration. A peel can be formulated to produce varying degrees of exfoliation based on each patient’s individual needs, but works on tone, texture, acne, hyperpigmentation, melasma, large pores, fine lines and wrinkles.

Call us with questions!

Ho Ho Ho and Fa La La! Have a wonderful holiday season full of blessings everyone!

Julene, Cynthia, Melanie and Rita

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