Are you curious about exploring cosmetic injectables, but unsure if you should be seeking Botox® or dermal fillers, or BOTH? These two products may seem very similar, but in actuality they are two very different things. Understanding the different capabilities and benefits of each product can help you make more educated decisions about what route may be right for you!
“It’s still quite common for me to walk into a consultation and have a patient request Botox for fuller lips,” says Dr. Garrett Griffin, Facial Plastic Surgeon. “I take the time to explain that although oftentimes used in tandem, these two injectables actually work quite differently to rejuvenate your appearance,” he continues. “The simplest way to put it is that Botox® relaxes muscles that cause wrinkles and dermal filler replaces, or enhances the volume of your skin and features.”
What exactly IS Botox® Cosmetic and how does it work?
Botox® is a highly purified protein that can be injected into a muscle to make it temporarily relax and soften for up to 4 months (sometimes longer). This is highly beneficial for anti-aging purposes because when muscles repeatedly contract on our face, they can cause wrinkles over time.
The name Botox® Cosmetic is actually a brand name for the group, or family of products called neurotoxins. To date, it is the most tested and studied neurotoxin available. It is not only used for cosmetic purposes, but also in other areas of medicine for such applications as relaxing facial spasms, easing the discomfort of migraine headaches, improving urinary incontinence, and helping surgical scars heal better.
“When Botox® is injected into a muscle it blocks the receptors of that muscle from receiving the message from your brain to contract,” explains Dr. Griffin. “This reaction both sets in gradually and fades gradually over the course of 3 to 4 months,” he continues. “Your body is smart, you will eventually produce new muscle receptors to receive your brain’s signal, but repeated treatments can keep wrinkles at bay and even prevent them from forming in the first place!”
Are there side effects to Botox®?
When it comes to Botox (and dermal fillers), your outcome is only as good as the credentials, skills, and experience of your injector. Only physicians and registered nurses should be injecting Botox®, as it is categorized as a medical procedure. Side effects are most common when patients seek treatments from unqualified providers who incentivize them with very low costs. This product is oftentimes diluted and, in some cases, imported from other countries and not approved by our FDA.
The most common side effects are some slight redness after your treatment and small bumps at the injection sites that will dissipate within 1 to 2 hours. Bruising, especially around the eye area, can be seen as well, although this is rare. In some cases, ptosis may occur, or dropping/heaviness to the eyelid. This may be a result of the patient firmly touching the treatment area after their appointment and therefore causing the product to migrate downwards. This usually resolves within 3 months or less.
How do I know if Botox® is for me?
If your goal is to reduce fine lines and wrinkles, it is worth asking your cosmetic injector about Botox®. Botox® is highly versatile and can be used on the forehead, eyebrow area, crow’s feet, mouth area, jawline, neckline and even the nose area! In addition, it can provide subtle lift to your features. In many cases, multiple areas are treated at once to provide an enhanced result and lift. Botox® is also commonly used WITH dermal fillers for truly rejuvenating and complimentary results.
You should not seek wrinkle reduction with Botox® if you are pregnant, breast feeding, or suffer from an illness or condition which affects your nervous system. If you are unsure, a thorough consultation with your cosmetic injector will resolve if you are an appropriate patient for this treatment.
What kind of results can I expect with Botox?
“Botox® is a quick, painless treatment that yields beautiful, natural results for 3 to 4 months,” says Dr. Griffin. “When I first see a patient, we generally opt to treat conservatively at first, to assess their response to the product,” he continues. “It is very common for them to return in 3 to 4 months and request other treatment areas in addition to their original concern because they love their results so much!”
How much does Botox® cost?
Botox® is charged per unit of product and pricing will vary from provider to provider. A common area to receive a Botox® treatment is between your eyebrows to prevent furrowing. This area is generally 20-24 units of products for example.
“We help our patients save on Botox® by offering our MRewards Membership program and registering them for Allergan’s Brilliant Distinctions rewards program,” shares Dr. Griffin. “By taking advantage of these two programs, our patients save hundreds every year on their Botox® AND dermal filler treatments.”
Now that we have a better understanding of Botox® and how it can relax and soften wrinkle causing muscular contractions, let’s take a look at how dermal fillers work differently.
What exactly are dermal fillers and how do they work?
“There are many changes to our skin as we age, and they’re not just centered around wrinkles,” says Dr. Griffin. “Our collagen and elastin production, which gives our skin volume, firmness and structure, begins to decrease,” he explains, “along with our skin’s natural levels of hyaluronic acid, which keep it full and resilient. The result is skin that begins to sag and hallow and the formation of deeper wrinkles.”
Dermal fillers work by physically replacing this lost volume and restoring fullness, lift and support to the skin. Most dermal fillers on the market are comprised of hyaluronic acid (HA), something our body naturally creates, but decreases with age. HA’s are water loving molecules and will draw water in your skin to themselves once injected to generate volume.
Variation in fillers is usually seen in the size of the HA molecule used. For example, a smaller HA molecular structure will result in a finer, softer filler, whereas a large HA molecular structure will result in a firmer filler that is fantastic for providing lift to the skin. Your cosmetic injector will recommend different types of fillers depending on your area of concern.
“Our clinics predominately use Allergan’s Juvederm family of fillers,” says Dr. Griffin. “These include Juvederm®, Volbella®, Vollure® and Voluma®,” he continues. “Our injectors love the versatility of the products, the results they achieve for our patients, and that they are the safest and most reliable products on the market.”
What happens during a dermal filler treatment?
A typical treatment takes 30 to 45 minutes. Topical numbing agents, ice, and even numbing ingredients within the filler will ensure that the treatment is comfortable. Depending on which dermal filler(s) are used, your results can last anywhere from 6 months to two years.
You may notice some tenderness, swelling, and slight redness after your treatment. This is normal and will subside within one week. Bruising can also occur after your treatment and you may be advised to omit the use of fish oils, aspirin and other blood thinning medication before your treatment.
Who are dermal fillers for?
“Like Botox®, dermal fillers are very versatile,” states Dr. Griffin. “My patients range from those in their 20’s seeking filler to make their lips fuller, to patients in their 70’s seeking multiple syringe treatments to restore lost volume and lift the midface,” he adds. “These products are wonderful for providing subtle, natural looking results that leave you looking younger and refreshed.”
How much do dermal fillers cost?
The cost of dermal fillers is dependent upon which brand, or type of filler you are recommended. Prices start as low as $450/syringe and extend to $900/syringe. As with Botox®, you can save on your dermal filler treatment by registering for Allergan’s Brilliant Distinctions Rewards program and inquiring about membership programs with your injector.
As you can see, understanding the difference between Botox® and dermal fillers is imperative when seeking treatments to enhance the appearance of your skin and facial features. Both forms of treatment are incredibly effective and efficient ways to recapture and maintain a youthful and vibrant appearance!
Do you have questions about Botox® and/or dermal fillers? Schedule a consultation with Dr. Christopher Tolan, Dr. Garrett Griffin, or Maria Becker, Injection Specialist to learn more. Call (651) 632-9700 today!
Let’s face it—putting your best face forward is no simple feat anymore. In a day and age where the drugstore now has 4 aisles devoted to skincare, a typical woman’s magazine is comprised of almost 25% cosmetics ads, and everywhere you turn a celebrity is hawking a new youth serum; it has become increasingly difficult to decide which options may be right for your skin. To make matters worse, most of us really don’t even understand what condition our skin is in and end up making decisions that can potentially damage our skin! Thankfully, you have a trusted ally in your journey to healthy skin... your Licensed Aesthetician!
“One of the first things I do with new patients is a proper skin analysis to determine their true skin type and skin condition,” explains Amie, a Licensed Aesthetician with FACE Cosmetic Skincare with over ten years of experience. “Most of my patients don’t realize that these are two different things, but having this information lays the foundation for prescribing products and treatments that will really work to improve their skin,” she continues. “Your skin is like a puzzle, and many of us are using skincare products that just don’t fit!”
Your SKIN TYPE is determined by your genetics. There are four main types:
Normal: Lucky people who fall into this category have clear, smooth skin that is neither oily or dry. They tend to have a smaller pore structure and do not produce excessive oil.
Dry: This skin type has difficulty producing enough oil to keep its surface hydrated and supple. If you have dry skin, you may be prone to tightness and even cracking of the skin. You will also be more prone to fine lines and wrinkles.
Oily: Oily skin types are plagued by overactive sebaceous (oil producing) glands and are more prone to acne. Skin is often thick and shiny with enlarged pores.
Combination: This skin type is a mix of oiliness around the forehead, nose and chin and dryness on the outer portion of the face.
“You may have a certain skin type, but your Licensed Aesthetician is most concerned with your skin condition,” explains Amie. “Your skin condition is influenced by internal/external factors that we can somewhat control, or at least balance with proper skincare and treatments.”
Internal Factors that Affect Your Skin
- Your diet
- Medications you are taking
- Skin diseases & disorders like rosacea, psoriasis, acne
- Your hormones – think menstrual cycle acne, pigment changes during pregnancy, dry skin after menopause
External Factors that Affect Your Skin
- Sun Exposure
- The Climate where you live (ex: moist, damp Seattle or dry, arid Arizona)
- Your indoor climate (ex: air conditioning, heat)
- Your skincare products!
“As Licensed Aestheticians, we tend to focus on four main skin conditions; dehydrated skin, hyperpigmented skin, aging skin and acne,” instructs Amie. “Once identified, we recommend products to balance these conditions and alleviate the symptoms that sometimes arise from them.”
Dehydrated Skin: If you have flaky tight skin, you are most likely lacking water in your skin. Your Licensed Aesthetician may recommend that you increase your water intake and recommend a series of facial treatments that exfoliate away dead, flakey skin cells and rehydrate your skin’s surface with products that contain hyaluronic acid.
“I absolutely LOVE our HydraFacial treatment for dehydrated skin,” says Amie. “It not only clears away all the flakey, dead skin cell buildup; it infuses the skin with healing botanicals and hydrators,” she continues. “I make sure that all of my dehydrated patients are using a hyaluronic acid serum at home as well to bind water to their skin and keep it supple.”
Pigmented Skin: Pigmented skin is usually the result of sun damage or hormones. This condition is marked by dark spots on the skin or patches of discoloration. Your Licensed Aesthetician may recommend a series of chemical peels to gradually lift away damage cells and unveil a fresh, even skin tone.
“Sunscreen and topical Vitamin C are MUSTS for pigmented skin,” advises Amie. “We need to prevent future damage from occurring. I also recommend topical lighteners, like hydroquinone or kojic acid too suppress the activity of melanocytes, the cells that give our skin pigment. If pigment is not hormonal, I also like to do a series of Intense Pulsed Light (IPL) treatments to lift and fade dark spots.”
Aging Skin: Aging skin is identified by fine lines, wrinkles and loss of elasticity, firmness and volume. Everyone’s skin ages, so treating aging skin is very much about prevention and correction.
“The gold standard in treating aging skin is retinol,” says Amie, adamantly. “Retinols are a Vitamin A derivative and, with continued topical use, will encourage your skin to grow collagen,” she continues. “Collagen is the component of our skin that keeps it full, springy, firm and smooth. We stop producing it around 30 years of age and that’s when we start to lose elasticity and wrinkles are more likely to form. Products with retinol help rev up that production again and combat the signs of aging skin!”
Acne: Acne results from either a buildup of bad bacteria on the skin that forms pustules, and/or excess cell production and sebaceous activity that leads to congested pores and blackheads. The condition of acne can come in many forms. Sometimes it is marked by inflamed, painful skin with large pimples. Other times, by oily skin with lots of blackheads around the nose.
“Acne is tricky, there is no doubt about it,” explains Amie. “For patients who have oily skin with large pustules, I really like to recommend products with benzoyl peroxide in them, as it kills bacteria and lessens breakouts,” she shares. “For patients with lots of blackheads and congestion, I like doing a series of chemical peels to start regulating their skin cell turnover and prescribing homecare products that contain salicylic acid to keep their skin exfoliated,” she continues. “Acne skin conditions can benefit greatly from monthly clinical facials and peels. These patients really need to be on a comprehensive at home product regimen that is customized to their acne type by their Licensed Aesthetician.”
In the end, everyone has the potential to have beautiful, healthy skin. The first step is simply identifying and understating the condition your skin is in to match up the right treatments and products that will ensure you get great results!
Interested in meeting with a Licensed Aesthetician to help identify your skin type and skin condition? Set up a complimentary consultation at FACE Cosmetic Skincare by calling (651) 632-9700 today!
There is no denying the power and symbolism of a smile. A wide and beaming grin can radiate health, vitality and friendliness. Our smile reflects how we feel and is an integral way in which we express ourselves. So, imagine what it must feel like to have your ability to smile disrupted by a facial abnormality such as a cleft lip or palate. Or, the despair a parent must feel when their child is born with this condition. As one of the most common birth defects in the United States, 1 in 750 births results in a cleft lip or palate each year. Luckily, there are dedicated surgeons who devote both their skill and compassion to children with cleft lip and palette and the families who love them.
“We were devastated when an ultrasound identified that Kayley may be born with a cleft lip,” shares Susan, a 36-year-old mother of two from Woodbury, Minnesota. “As parents, we weren’t sure how to navigate a child through something like this or even where to start researching what corrective surgeries we should be considering for her,” she continues. “Luckily, our OB/GYN referred us to Dr. Tolan and said that he is one of the Midwest’s leading physicians in performing cleft lip and palate surgeries on children,” Susan says smiling.
In Susan’s daughter, Claire’s case, the diagnosis of cleft lip or palate is commonly made during an ultrasound administered during pregnancy. As a child grows within the womb, its facial features grow separately and eventually conjoin. In the case of a cleft, these bones do not grow together. A cleft lip or palate is the most common craniofacial abnormality a baby can be born with.
A Cleft Lip may range from a small, little notch in the upper lip, to a complete separation of the upper lip that extends into the nose. It may affect one side of the face, or extend to both sides of the mouth. In certain cases, the cleft may also affect the entire gum line of a child where the teeth come through.
A Cleft Palate is identified as a gap on the roof of the mouth. The back of your mouth, towards your throat, is called the soft palate. The area that extends to the front of the mouth towards your teeth is the hard palate. A cleft can affect one or both of these areas.
“The cause of isolated cleft lip and cleft palate is unknown, though there can be an inherited component,” explains Dr. Christopher Tolan, Facial Plastic Surgeon, who is also an active member of the Cleft Lip and Palate panel at St. Paul Children’s Hospital and Clinics. “I explain to parents that no, it is not their fault or because of something they did or didn’t do,” he shares, encouragingly. “At this time, researchers believe that is may be a combination of both genetic and environmental factors.”
Dr. Christopher Tolan is a Midwest leader in the treatment of cleft lip and palate congenital deformities. He has traveled with the medical missions Love Without Boundaries (LWB), Children’s Surgery International (CSI), and Operation Hope; all volunteer organizations dedicated to providing surgical management for children and adults who have cleft lip and palate congenital malformations. To date, he has performed hundreds of cleft lip and cleft palate repairs on children.
“One of the first steps of action we take with cleft surgeries, is to lay out a staged and progressive approach to when and how surgeries will happen,” shares Dr. Tolan. “As you know, children grow rapidly and we need to time the surgeries to either wait for growth, or take advantage of it,” he explains. “In the first few weeks of a child’s life, we start treating cleft lip with presurgical orthopedics, or Nasoglveolar Molding to help improve alignment of the lip, nose and palate. This is generally continued for 12 to 16 weeks. Repair of the palate, on the other hand, is usually delayed until 9 to 12 months of age. It is also not unusual for children to undergo intermediate procedures in an effort to restore a more normalized appearance.”
They say it takes a village to raise a child and it definitely takes a team of diversified medical specialists to effectively treat and repair a cleft lip or palate. A multidisciplinary cleft team is generally assembled that may be comprised of speech pathologists, audiologists, dentists, orthodontists, oral surgeons and beyond. Teams, like Dr. Tolan’s surgical staff, work directly with a child’s cleft team to ensure the best, and most comprehensive results for a child with cleft lip or palate. The end goal is never just to repair the cleft, but to also improve a child’s overall quality of life.
“Dr. Tolan’s team literally became a part of our family during Kayley’s course of surgeries to repair her cleft lip,” says Susan. “They were with us through every up and down and each small victory,” she continues. “To be able to entrust your child to such a caring team at such a stressful time is just priceless. I will never forget the day when we all got to witness Kayley truly smiling for the first time with a fully repaired upper lip. I am so thankful for the quality of care our entire family received from Midwest Facial Plastics!”
Do you have further questions about Cleft Lip or Cleft Palate Repair at Midwest Facial Plastic Surgery? Schedule a consultation with Dr. Christopher Tolan by calling (651) 632-9700
How partnering the two most popular skincare treatments today can lead to faster, more effective, and enhanced results!
Unless you’ve been living under a rock the past year, you’d be hard-pressed to not have heard of HydraFacials or Microneedling. HydraFacial MD® is currently taking their radiance boosting technology on a nationwide tour to educate the public on the benefits of their 4-in-1 treatment. SkinPen® Microneedling just gained national recognition for being the only FDA-Approved Microneedling Device on the market. With this astounding recognition and popularity, you may feel as though it’s difficult to decide which treatment to schedule - luckily, you don’t have to! Many Licensed Aestheticians are seeing first -hand, the remarkable improvements in their patient’s skin when they combine BOTH revolutionary treatments. Here’s why!
“I tell my patients that the combination therapy of HydraFacial MD® and SkinPen® Microneedling is like treating their skin from the inside out AND the outside in,” shares Sarah, a certified paramedical aesthetician with Face Cosmetic Skincare. “We set up a skin strategy that includes me seeing them every 3 to 4 weeks for either a HydraFacial® or SkinPen® over a series of months,” she explains. “HydraFacials work from the outside in by providing a deep cleanse, extractions, light peel and a moisture infusion that can be customized to treat such conditions as acne, sun damage and premature aging. The SkinPen® works from the inside out by invoking the wound healing cycle deep in the skin and encouraging the growth of fresh, healthy collagen which smooths acne scarring, lessens the appearance of enlarged pores and softens fine lines,” Sara remarks. “It’s truly a match made in skincare heaven that not only delivers incredible results, but is also easy to schedule with downtime and budget consciousness!”
To truly understand why so many patients are enjoying faster and more effective results by combing these two technologies, it’s important to know how they both work!
Treating Skin from the "Outside In" with HydraFacial MD®
What makes HydraFacial MD® so unique? It’s a quadruple threat by including 4 treatments in one service! Your treatment starts with a deep cleansing using a special wand with a patent-pending triple action tip. This simultaneously exfoliates while penetrating a deep cleansing solution into your skin. In addition, light suction whisks away dirt and debris. Next up, your skin is gently exfoliated with an abrasive wand and then bathed in a light chemical peel. This is followed by comfortable suction assisted extractions of blackheads and skin congestion. To finish, your skin is treated to a cooling infusion of antioxidants, humectants and nutrients. You’ll leave feeling plump, hydrated, firm and GLOWING!
Because the products and serums used during your HydraFacial MD® can be customized, this treatment is appropriate for every skincare goal and concern. Salicylic serums and gentle extraction make it a wonderful option for oily/congested skin, while light resurfacing and moisture infusion make it the gold standard for dry, dehydrated and malnourished skin. Your Licensed Aesthetician will adjust your treatment each time you visit to ensure that your present condition is treated and you continue to see improvement. It’s no wonder, at 30 minutes per treatment, that HydraFacial MD® is a patient favorite to maintain their skin every 4 weeks.
- Acne / Oily Skin
- Blackheads / Congested Skin
- Dry or Dehydrated Skin
- Premature Aging
- Dark spots, sun damage, pigmentation
- Fine lines
- Special Event Preparation
- Clear skin
- Decongested Pores
- Smooth, soft skin
- Even tone and texture
- Hydration and nourishment
- Special Event Makeup sets better
- Big impact with minimal time investment
Treating Skin from the Inside Out with SkinPen® Microneedling
SkinPen® is a medical-grade, state-of-the-art tool, which is available only through licensed skincare professionals working under medical supervision. The “pen” has a disposable tip that is comprised of 14 surgical-grade stainless steel needles, hence the process being called “Microneedling.” Microneedling works by gently creating hundreds of microscopic channels into the dermis as the pen safely glides over your skin. When skin is injured, it heals itself by creating new collagen and elastin. These are the very components of our skin that breakdown with scarring and aging and can lead to uneven skin texture. As a result, SkinPen® controls the rate of injury to safely and predictably encourage new collagen and elastin production, leaving your skin smoother and healthier over time!
SkinPen Microneedling is extremely versatile due to its non-ablative, non-thermal and fractionated approach. It is also one of the few resurfacing treatments that is safe for darker skin types, as the risk of hyperpigmentation is very low. In addition, the micro channels that the treatment creates increases the rate of absorption and effectiveness of any subsequent products placed on the skin.
- Uneven skin texture and/or tone
- Acne scarring
- Chickenpox scarring
- Icepick scarring
- Rough skin texture
- Fine lines and wrinkles
- Perioral fine lines (Smoker’s Lines)
- Crow’s feet
- Enlarged pores
- Post-surgical scarring
- Smooths skin scarring
- Tightens skin
- Improves skin texture and tone
- Reduces the appearance of pores
- Reduces the appearance of surgical scars
“These two treatments truly work synergistically to not only treat active skin conditions, but to also PREVENT premature aging,” says Sara excitedly. “We stop producing collagen and elastin in our skin in our late twenties-these, along with fat, are the components of our skin that give it fullness, firmness, spring and bounce,” she explains. “SkinPen® Microneedling encourages more growth, so it can be an integral treatment in your anti-aging skincare regimen to offset this collagen decline. In addition, our skin’s rate of cellular turnover and moisture retention lessens as we age, but this can also be offset with monthly HydraFacials to keep your skin healthy, hydrated and resurfaced! I absolutely love the results I get for my patients who are on this monthly regimen and feel fantastic about prescribing a strategy that truly fits their lifestyles and budgets!”
Are you ready to experience the amazing benefits of HydraFacial MD® + SkinPen® first hand? Schedule a consultation with a Face Cosmetic Licensed Aesthetician to lay out your strategy. Want to save on these treatments? Save hundreds each year by becoming an MRewards member! Call (651) 632-9700 to schedule!
“I had been dissatisfied with my recessed, weak, chin since my early teens,” confides Mark, a 34-year-old chin implant patient of Midwest Facial Plastic Surgery. “I just didn’t feel like my facial features were very masculine, strong, or attractive,” he explains. “It was like my chin got lost on my face, and over the years it really started to impact my self-esteem and confidence in both my dating life and career,” he continues, “I finally decided to take action when I hit 30. It seemed like a milestone birthday and I wanted to commemorate it with finally being happy with the appearance of my chin. I began researching the best facial plastic surgeons in Minneapolis, which led me to discovering Dr. Tolan.”
Like Mark, most of us have some aspect of our appearance that we’re dissatisfied with, whether it’s a bump on our noses or a sagging jawline. But, while many of us are now aware of solutions, such as cosmetic injectables and lasers to enhance our appearance, facial implants are not an option on many people’s radar. Insufficiencies in our facial bone structure can create noticeable facial disproportions, such as a recessed chin. Augmentation of these deficient areas can be performed using solid cheek, jaw or chin implants, restoring facial harmony. These implants can balance the appearance of the face by augmenting specific features and enhancing the contours and angles of the face.
Generally Targeted Areas of Facial Implants
- Jaw (Mandibuloplasty)
- Cheek (Malarplasty)
- Chin (Mentoplasty)
“Facial Implants are a wonderful option to enhance the underlying structure of your facial features and restore an overall balance and proportion to your face,” explains Dr. Christopher Tolan, a double-board certified Facial Plastic Surgeon with Midwest Facial Plastic Surgery. “Like Mark, many men seek out this option because a strong chin and jawline are such crucial features that denote masculinity on the male face,” he continues.
The most common sites for facial implants are usually the cheeks, jawline and chin. In some procedures, your surgeon will use a bone graft or donated tissue from the ribs or hip bone instead of synthetic implant. However, the facial implants that are typically used are made of solid silicone or Gore-Tex, a synthetic solid material similar in texture to silicone. Unlike breast implants, the silicone used in this procedure is solid, so the concerns associated with the liquid silicone used in breast augmentation are not relevant.
In cheek augmentation, or malarplasty, the implant is inserted into a pocket made by the surgeon next to the cheek bone. Depending on your preference, the implant can be placed in such a way that it creates a more narrow and angular cheek, or a softer, rounder cheek. You and your surgeon will discuss what placement will look best to enhance your existing features and appear the most natural.
Chin augmentation, or mentoplasty, can be used to make a weak chin more prominent. A small chin can make the nose seem disproportionately large, creating an imbalanced appearance. For this reason, chin augmentation is often done in conjunction with rhinoplasty, or nose reshaping. Your surgeon will discuss whether or not he believes this is a good recommendation with you.
Jaw augmentation, or mandibuloplasty, can be used to adjust the contours of the jawline. This procedure is commonly requested by men seeking a stronger and firmer jaw. A jawline augmentation is typically performed to create a squarer and more masculine jawline.
One of the many benefits of facial implants that make them so popular is that they require a relatively short recovery period. The surgery generally takes between one to two hours and patients are often able to return to their normal daily routine within one week. In some cases, your surgeon may discuss the use of dermal fillers such as Voluma® and Juvederm® to further enhance your surgery.
“I am so happy with my results,” says Mark. “The recovery was simple and, although it may sound weird, I finally feel like I look how I’m supposed to look now,” he shares. “It instantly renewed my confidence in my appearance, I only wish I had done it sooner!”
Are you a man who would like to sharpen or strengthen your jawline? Are you a woman who would like to see the apple restored to your cheeks? Schedule a consultation with Dr. Christopher Tolan or Dr. Garrett Griffin of Midwest Facial Plastic Surgery to discuss Facial Implants! Call (651) 632-9700.
Do you want a “Summer Glow” without the damage? Then, it’s time you get to know Glycolic Acid! You may remember that products with Glycolic Acid were all the rage 10 years ago, but they seemed to disappear over the past few years. Well, they’re BACK, and reformulated to be better than ever for your skin! Let’s take a look at why you may want to ask your Licensed Aesthetician about incorporating this multi-tasking, exfoliating acid into your annual skincare regimen to boost your skin’s radiance all year long!
When it comes to acids that are used for exfoliation of the skin (removing dead skin cells), Glycolic Acid is truly unique. It is one of the smallest of all the Alpha-Hydroxy Acids, or AHA’s. This allows it to be formulated to be extra gentle, yet effective. It is also naturally derived from sugar and very bio-compatible with human skin.
Unlike AHA’s, Beta-Hydroxy Acids, or BHA’s, can penetrate further into your skin. These acids LOVE oil, which makes them highly beneficial to acne patients who need exfoliation deep within their pores where oil and bacteria flourish. But, this can also make BHA’s a little irritating for those of us with sensitive skin. Glycolic Acid’s molecular structure allows it to stay on the surface of the skin and gently exfoliate and refresh the very superficial layers.
“I absolutely love recommending products with Glycolic Acid to my patients who simply want a fresher, more radiant look,” shares Kari Phippen, a Licensed Aesthetician at FACE Cosmetic Skincare. “They fall in love with the products because they SEE an immediate result,” she continues, “their skin just GLOWS and looks bright and dewy!”
How does Glycolic Acid achieve these rejuvenating results on your skin? First, the acid gently dissolves the bonds that hold dead skin cells together on the surface of your skin. Your dead cells like to bind together with sebum, or oil on the surface of your skin and can lead to a dull, ashy, or muddy appearance. Glycolic Acid separates this bond between oil and cellular build up and allows debris and dead cells to detach and rinse away. It does this without stripping the skin of crucial hydration, making it a wonderful option for BOTH dry and oily skin types!
“At FACE Cosmetic Skincare, we carry several different products with Glycolic Acid, but my all-time favorite is our Glycolic Acid Pads,” advises Kari. “They simply fit into people’s lifestyles really well and are super versatile,” she goes on, “I encourage patients to use them after cleansing their face, neck and chest. Not only does the Glycolic Acid exfoliate, continual use evens out the tone of the skin and allows your skin to maintain hydration. That’s what eventually gets you that incredible “Glycolic GLOW!”
Like Kari said, Glycolic Acid comes in several formulations from in-office peels, to creams, serums and pads. This makes it incredibly versatile and easy to fit into your skincare regimen. Regardless of which formulation you use, it’s important to apply sun protection after applying in the morning, as your freshly resurfaced skin may be more sensitive.
“Oftentimes, I’ll take the ladder approach when recommending Glycolic Acids to my patients,” explains Kari. “We’ll start at a lower percentage in the Summer and allow their skin to acclimate to that level of resurfacing. Then, in the Fall/Winter, we’ll bump it up to a higher concentration so we can keep the skin glowing, but also combat dry, Winter skin! It is simply the perfect ingredient to really keep your skin looking and feeling it’s best year-round!”
Wanna “Get Glow’in with Glycolic?” Ask your FACE Cosmetic Licensed Aesthetician about incorporating one of our Glycolic Acid products into your annual skincare regimen! Call (651) 632-9700 to schedule a complimentary consultation!
Men & Plastic Surgery
The landscape of plastic surgery is changing. As you may have guessed, the majority of both facial and body plastic surgery patients have traditionally been women in the past. But, the number of men seeking both surgical and non-invasive procedures to enhance their appearance is growing rapidly! So quickly, in fact, that it has tripled since 1997. 1.2 million cosmetic surgical procedures were performed on men in 2015, according to the American Society for Aesthetic Plastic Surgery (ASPS). That is 3 TIMES the number of men seeking surgery to enhance their appearance than just two decades earlier.
“We are seeing more and more men for surgical consults each month,” shares Dr. Garrett Griffin, a board certified facial plastic surgeon with Midwest Facial Plastic Surgery. “I think that the taboo of plastic surgery for men is dissipating, as men see that they can attain results that look incredibly natural and that few people would ever guess they’ve had anything done,” he continues, “we also see this trend extending into our non-surgical treatments like Botox®, dermal fillers and laser skin treatments. Men, just like women, want to look as young as they feel. And, they deserve to! They are beginning to appreciate that they can lose the lines they hate, while still maintaining the character of their faces!”
In June of 2017, the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) conducted a study which found that 31% of men said they were “extremely likely” to seek out a cosmetic procedure. Just shy of 50% said they would consider this treatment to increase their confidence. 25% shared that “to look younger” was a chief consideration for them to feel more competitive in their career field.
“I am seeing a substantial increase in male patients seeking cosmetic injectables like Botox®, Kybella® and dermal fillers,” says Maria Becker, Injection Specialist with Midwest Facial Plastic Surgery. “Many of them initially see me with the encouragement of their wife or partner, but I make sure to listen to what each male patient truly wants.” Maria continues, “this may be as simple as relaxing the deep furrow line between his brow with Botox®, to adding some definition back to his jawline with Kybella® treatments. Men are consistently surprised with how natural the results are, how easily they are accomplished, and how much they still look like themselves!”
When seeking a healthcare professional to perform cosmetic treatments, whether surgical or non-surgical, it is important to inquire about the special training of your provider. Surgery is very different on a male face than on a female’s face, and oftentimes, the desired outcome, or aesthetic, is different as well. This also goes for facial injectables, such as Botox.
“Many of the procedures we perform have a somewhat general overlap between the sexes,” explains Dr. Christopher Tolan, also a board certified facial plastic surgeon with Midwest Facial Plastic Surgery. “But, the intricate details of these procedures can have dramatic differences between a man and women,” he continues. “Take a rhinoplasty for example, the goal is to improve the form, function and aesthetic of the nose, but a man will want to ensure that he is maintaining a balanced and masculine appearance, while a woman wants to achieve a beautiful and feminine aesthetic,” Dr. Tolan continues, “it’s important to know that your surgeon is trained and experienced in performing procedures that are specific to a man’s anatomy and desired outcome.”
This consideration extends to cosmetic injectables as well. Because of the size and strength of their facial muscles, men generally require more units of Botox® than women to get the same outcome. Men also tend to have thicker skin, so more syringes of dermal filler may be required to fill facial wrinkles or encourage lift to their facial structure. It is, therefore, also important to seek out injection specialists with advanced training and experience with a man’s unique needs.
“Many of my male patients are in career fields in which they feel a youthful appearance gives them an advantage,” explains Maria. “Like women, they want to feel like they are putting their most fresh and youthful face forward. But, when you have a deep scowl line between your eyebrows that make you look angry or tired, you may be sending the wrong signals to clients or co-workers!” Maria goes on, “to see the confidence restored in a male patient is so rewarding to me. So many of them have felt that this field of cosmetic injectables was off-limits to them, or unapproachable. I want men to understand that they are completely justified in wanting to look as young as they feel and more attractive! So often it requires such minimal effort, for a truly impactful result!”
Are you a man who has been considering facial surgery to improve the appearance of droopy eyelids, a crooked nose, or sagging skin? Are you simply curious about what a treatment like Botox® would be like, to soften the line between your eyebrows? Call (651) 632-9700 to schedule a consultation today with Dr. Griffin, Dr. Tolan, or Maria Becker-Injection Specialist!
Shine a light on what you need to know to stay protected!
At this point in our lives, many of us know that we need to wear a sunscreen while outdoors to protect our skin from sunburn and premature aging of our skin…WRINKLES! It’s now common knowledge that the sun alone causes up to 90% of visible aging on our skin, not to mention putting us at risk for skin cancer. But, if you have walked down the aisles of any drugstore recently, you may have noticed that the sun care industry has literally exploded with options. From gels, to creams, to tints and sprays – there is no lack of options. And now, with recent bans of some sunscreens in states like Hawaii (because of damage to coral beds), a whole new controversy has come to light in the sun protection world – Chemical vs. Physical Sunscreens. Feeling confused and overwhelmed about which options are right for you and your skin? Let’s shine some light on what you need to know to make an informed choice!
While some of us dutifully apply our sunscreen everyday come rain or shine, others of us are more in the habit of slapping some on only while we are on vacation. The American Cancer Society wants you occasional users to listen up! Their research estimates that in 2018 there will be about 91,270 new cases of melanoma diagnosed and over 9,000 deaths from the disease. What does that mean for you? You need to find a sun protection option that works for you, your lifestyle, and your skin type!
So, what makes sunscreens different from one another? Besides their vehicle of delivery (gel, cream, lotion, spray, etc.), sunscreen is generally broken down into two distinct categories; Chemical or Physical. In layman’s terms – absorbent versus reflective. Let’s dig deeper!
Like the name suggests, chemical sunscreens protect our skin via chemicals and their reactions with sun. When we’re wearing a chemical sunscreen and we come into contact with sunlight, the chemicals absorb the UV rays and transfer them to heat (and infrared) that dissipates off our skin’s surface. Common ingredients you’ll find on the label of a chemical sunscreens are anything that ends in “benzone,” like Avobenzone and other chemicals like Octinoxate and Octylcrylen.
Because of the heat these sunscreens can trap against the surface of the skin, chemical sunscreens are NOT the ideal options for sensitive skin types or those of us who suffer from conditions like rosacea. The chemicals in these sunscreens can also be incredibly destructive to coral beds in the ocean. Think about it… you’re on vacation and apply your sunscreen right before you go snorkeling, right? Turns out, all of these chemicals in the water are having a large enough impact on ocean health that many states and countries are bringing forth legislation to ban them!
One of the biggest complaints that some people have about wearing sunscreen is that they get a ghostly white hue to the skin once they apply. If this is the case, they are most likely applying a physical sunscreen. Unlike their chemical sisters who absorb the sun’s rays, physical sunscreens reflect light. They most always contain a more natural array of ingredients and always contain zinc and titanium oxide, the main culprit that will give you that white hue in certain formulations.
Physical sunscreens tend to be a much better option for children and those with sensitive skin, as they reflect heat and have more natural ingredients that are skin friendly. Many formulations now come in tints that omit the concern of the dreaded white hue!
Alright…so which one is better for me?
The short answer is that it depends on you and your lifestyle! Visit any store and you’ll see that chemical sunscreens are much easier to find because the chemical ingredients are cheaper to manufacture and formulate. These sunscreens may offer more versatility in that different chemical combinations are used to filter out more UVA/UVB rays, but there is a tradeoff. More chemicals mean more of a chance for skin irritation.
Physical sunscreens, outside of straight zinc, are most often found in your physician’s office, as they are the gold standard for anyone recovering from a cosmetic procedure like laser resurfacing, after which you do NOT want heat on the skin. The formulations of these sunscreens have come a long, long way from the days of the blue zinc on surfer’s noses. Most have very sophisticated mineral makeup tints to them that have millions of consumers ditching their makeup foundation for a well formulated tinted physical sunscreen. These are great options for those with busy lifestyles who want to still be protected and look “put together” as they race out the door!
What matters most when it comes to sun care is that you’re using it, and using it regularly! Look for products that ensure broad spectrum protection from both UVA and UVB rays, are at least an SPF 30, and are approved by the Skin Cancer Foundation. Meeting with a Licensed Aesthetician who carries many options of chemical and physician sunscreens will ensure that you get a perfect match for you and your skin!
Ready to step up your protection this Summer? Schedule a sunscreen consultation with a Face Cosmetic Licensed Aesthetician to sample several options and find the perfect fit for You! Call (651) 632-9700 to schedule!
What you need to know about Otoplasty Ear Reconstruction
If you’re like most people, you take your ears for granted! In this case, we’re not talking about the function of the ear – hearing, but the actual appearance of your ears. About 5% of the American population is dissatisfied with how their ears look. This may be due to size, shape, or even how far from the head they protrude. As a result, many of these people experience a negative impact on their self-esteem and confidence, especially in their youth. Otoplasty, a surgical ear reconstruction procedure, is an incredible option for this population that is more accessible than many people think! Let’s take a closer look at what it is and how it can improve the quality of life of those who are unhappy with the appearance of their ears!
“As a child, my mother made me wear my hair long and parted down the middle to cover my ears,” shares Karissa, an Otoplasty patient of Midwest Facial Plastic Surgery. “I remember having to style my hair in a ponytail for gym class and being teased mercilessly by the other kids with names like Dumbo and Mickey Mouse,” she continues, “when I graduated from college, I wanted to address my dissatisfaction with my ears before I started my career and this new chapter in my life. So, after a lot of research, I sought out the Otoplasty procedure with Dr. Tolan!”
“Although many of my Otoplasty patients are children, I also see a large number of adults during the year, like Karissa,” says Dr. Christopher Tolan, Facial Plastic Surgeon with Midwest Facial Plastics. “In many cases, they have disliked the appearance of their ears their entire lives,” he explains. “Most are surprised to discover how safe, economical and low risk the surgery is, and wish they had pursued it as an option sooner!”
Otoplasty, sometimes referred to as “ear pinning,” is a surgical procedure designed to adjust or correct the appearance of the external part of the ear. Your ear is primarily composed of cartilage; a firm but flexible type of tissue that allows the ear to maintain its shape, but still bend. This external structure, called the pinna, is meant to help amplify what we hear by focusing sound to our eardrum. Although it has no appreciable effect on hearing, the Otoplasty procedure can adjust a variety of problems that affect its appearance, such as asymmetry between the ears, oversized ears, outwardly protruding ears, and even atypical lobe shape.
“The most common reason a patient comes to me for Otoplasty is because of protruding ears,” shares Dr. Tolan. “But, other common reasons include ear reconstruction to correct atypical shapes such as “lop ear,” when the tip seems to fold downward and forward, or “shell ear,” when the curve in the outer rim is missing.” Dr. Tolan continues, “Regardless of the procedure, an Otoplasty is never meant to improve your ability to hear.”
EAR PLASTIC SURGERY FOR PEDIATRIC PATIENTS (CHILDREN)
Otoplasty is typically performed on children between the ages of 5 and 14 years old. The young cartilage is more flexible and easier to mold in children. However, the surgery is generally not performed until the ears have fully grown, which typically occurs at 5-6 years of age. Children are often teased for abnormal appearing ears, which can create a strong, adverse psychological impact on their self-esteem. Otoplasty can correct for differences in the appearance of their ears, providing an effective option for children who are distressed by how they look.
For pediatric patients, general anesthesia is recommended since the procedure can last up to three hours. The surgery is generally done on an outpatient care basis, so patients are able to go home soon after the procedure. Children can return to most activities after seven days of rest and use of a headband, contact sports must be avoided for several weeks.
EAR PINNING OR RECONSTRUCTION FOR ADULT PATIENTS
While cartilage is more pliable in younger patients, Otoplasty is also performed regularly and effectively on adults, such as in Karissa’s case. Ear pinning, or reshaping, will be easier to perform the younger the patient is. In adults, general or local anesthesia with intravenous sedation is the typical form of anesthetic used. After the procedure, you can generally return to your daily routine after seven days.
“Otoplasty has a surprisingly short surgical time and downtime,” advises Dr. Tolan. “I find it such a satisfying procedure to perform because it immediately has such a positive impact on the self-confidence of my patients,” he continues, “in fact, it’s not uncommon to see them sporting a brand-new hairstyle when they return for their follow up appointments!”
Do you have questions about improving the appearance of your ears with Otoplasty? Are you interested in this procedure for your child? Schedule a consultation with Dr. Tolan or Dr. Griffin at Midwest Facial Plastics by calling (651) 632-9700.
Earlier last year, Oscar award winning actress, Angelina Jolie came forward with a surprising diagnosis of Bell’s Palsy, a form of temporary facial nerve paralysis. At the time, this was a condition few Americans had heard of, but soon other A-List celebrities, like George Clooney, followed suit and came forward to discuss their battles with Bell’s Palsy. What exactly is this condition? Why does it happen? As it turns out, this condition, and other forms a facial nerve paralysis are more common than you may think.
The National Institute of Neurological Disorders and Stroke defines Bell’s Palsy as damage or trauma to the facial nerve (the seventh facial nerve in the case of Bell’s Palsy), which, in turn, causes a disruption of the nerve signal at its origin at the brain stem to the muscles of the sides of the face. The result? The patients’ ability to move or express their face may be dramatically impacted.
“A patient experiencing Bell’s Palsy may have difficulty with expressions such as raising their eyebrows, blinking, and smiling,” shares Dr. Garrett Griffin, a Facial Plastic Surgeon and facial paralysis expert at Midwest Facial Plastic Surgery. “In some cases, their sense of taste may even be affected,” he adds. He continues, “Although both sides of the face may be affected, it is most common to see it only affect one side.”
The cause of Bell’s Palsy is not completely known, though it is most likely caused by reactivation of the Herpes Simplex Virus within the facial nerve. The nerve swells and gets trapped within its bony canal at the base of the skull, resulting in loss of blood supply to the nerve and reduced or absent facial movement. Most patients (85%) with Bell’s Palsy recover with no sequelae but 15% will be left with facial spasm or uncontrolled facial movement called synkinesis. Bell’s Palsy never causes permanent facial weakness…if the weakness extends beyond 6 months a different cause must be sought out.
Bell’s Palsy is the most common cause of facial weakness but there are many possible causes of facial paralysis.
- Infection or inflammation of the facial nerve
- Head trauma
- Head or neck tumor
- Stroke or blood pressure disorders
- An error in fetal development or trauma during birth
- Accidental trauma to the nerve during a car accident or fall. Sometimes this is because there is a fracture of the bone at the skull base where the nerve enters the face
- Autoimmune diseases including Wegener’s disease
- Neurologic diseases including multiple sclerosis
- Other infections including Lyme disease or shingles of the face
- Chronic ear problems like cholesteatoma
Facial paralysis can come on suddenly (in the case of Bell’s Palsy), or happen gradually over a period of months (in the case of a head or neck tumor). Depending on the cause, the paralysis might last for a short or extended period of time. In either circumstance, the condition can be devastating for patients and affect various aspects of their lives. Fortunately, there are treatments available to improve these conditions.
Are there treatments for poor recovery after Bell’s Palsy, ie. for synkinesis?
Yes! Botulinum toxin (Botox) can be injected into the spastic and overactive muscles which can help people better control their facial movements and make them more comfortable. Patients can also work with a skilled occupational or physical therapist to learn stretches and biofeedback to improve facial control
Are there treatments for complete facial paralysis?
Unlike Bell’s Palsy, some injuries to the facial nerve cannot recover. For example, if the nerve needs to be cut out for cancer, the nerve cannot spontaneously recover. In other instances, the nerve may be stretched and it can take up to 12 months to know if the nerve will be able to recover on its own or not. Fortunately, there are many reliable surgical treatments for chronic facial paralysis. The choice of treatment depends on how much time has passed since the injury and whether or not there is still a chance for spontaneous recovery.
“The surgical treatments that our clinic offers for facial nerve paralysis can basically be broken down into 5 categories,” advises Dr. Griffin.
1. Static procedures: Static procedures mean that they do not create facial movement. Likely the most common procedure performed for chronic facial paralysis is an upper lid gold or platinum weight. This is a static procedure where a small, sterile piece of gold or platinum is placed in the upper eyelid to help gravity close the eye during blink. Another common static procedure is aptly named a “static sling.” In this surgery, the paralyzed cheek is suspended in a more symmetric, elevated position.
2. Nerve grafts: When a portion of the nerve is removed by trauma or surgery, it can be replaced with a piece from a different nerve if both cut ends of the nerve can be identified.
3. Nerve substitutions (hypoglossal-facial nerve transfer or masseteric-facial nerve transfer): If the facial nerve is damaged or removed very close to the brain, a nerve graft is often not possible. However, it is possible to sew the nerve to the tongue (hypoglossal nerve) or a chewing nerve (masseteric nerve) to the stump of the facial nerve. Then, one can move the tongue or bite down in order to move the face.
4. Muscle substitutions (temporalis tendon transfer): When the muscles that move the face are paralyzed for 2 years or longer, they tend to shrink or atrophy and no longer function, even if you give them back nerve input. In these instances, you have to bring a new muscle into the face instead of a nerve. The most common and modern example of this technique is called temporalis tendon transfer. In this surgery, one of the chewing muscles (the temporalis muscle) is detached from the lower jaw and sewn to the corner of the mouth. Then, when the person bites down, it will create a smile on the paralyzed side of the face.
5. Cross-facial nerve graft and free muscle transfer: The only way to restore a completely emotional and spontaneous smile is to perform a 2-stage surgery called cross-facial nerve grafting with free muscle transfer. In the first stage, a nerve graft from the leg (sural nerve) is harvested and attached to a nerve branch that creates a smile on the normal side of the face. The nerve graft is tunneled across the upper lip and left near the corner of the mouth on the paralyzed side. After about 6 months, nerve fibers (axons) will grow across the nerve graft. At that point, the second stage is performed. A muscle from the leg (the gracilis muscle) is moved with its nerve and blood vessels to the paralyzed side of the face, and attached to blood vessels there so that the muscle will live. The nerve to the muscle is attached to the nerve graft from the first stage. Now, the brain can tell the good facial nerve, can tell the nerve graft, and can tell the muscle graft, to move when laughing or smiling. The entire gracilis flap process takes about 2-3 years and has a 20% failure rate in most large studies.
“I cannot stress enough the impact facial nerve paralysis may have on a patient,” says Dr. Griffin sadly. “Sufferers are usually incredibly self-conscious about their appearance and feel they can’t effectively communicate,” he continues, “it is so important for them to know that there are treatment options available to them and that they will be treated with the utmost respect, kindness and understanding at our clinic.”
Are you, or someone you know suffering from Facial Nerve Paralysis? If so, please do not hesitate to schedule a consultation with Dr. Garrett Griffin. Call (651) 632-9700