Migraines are a debilitating condition for many. They cause moderate to severe headaches that can last from 2 hours to 72 hours. Though some are able to get relief through traditional medical treatments, many don’t find them effective. Patients who suffer through 4 or more hours of migraines per day for 15 days out of every month may be candidates for the use of Botox. This application of Botox may be covered by insurance. The discovery that Botox could help migraines was serendipitous. Doctors like myself were treating women with Botox for cosmetic applications, and many came back and … [Read more...] about Medical Minute: Cosmetic Botox Treatments for Migraines
Laser skin resurfacing is a wonderful way to remove years of sun damage, skin wrinkles and early skin cancers. It works by removing selective layers of the skin and then allowing the body to regrow those layers, but this time as new skin without the previous wrinkles, sun damage and early skin cancers. When I perform an advanced form of laser skin resurfacing, I can treat eyelid Festoons and Malar Mounds and RESET a person's skin back to a healthier, younger and more attractive state. A question we often hear from our patients after my laser resurfacing RESET procedures is whether they can … [Read more...] about Medical Minute: Can I go into the Sun again after RESET Laser Skin Resurfacing?
In our current age, with cameras in everyone's phones, people take selfies all the time and post them to social media. Often, when we see ourselves in a selfie, we find that our image looks strange to us. This isn't just in our heads; there are some interesting scientific reasons for this. First, the lens in a camera is a wide-angle lens, and when held close to our face, it causes a marked distortion and warping of our facial geometry. Our brains are hardwired to appreciate certain ratios in our faces. These ratios have a basis in the timeless beauty ratios described in the Renaissance. In … [Read more...] about Medical Minute: Why Selfies Look Fake
As humans, we all cherish the connections we have with other people. But sometimes with age and sometimes through birth, we are left with faces that convey messages that are inconsistent with the way we feel inside. This can effect both the way we feel about ourselves and the way we relate with others. While women have traditionally been the ones to more readily seek help with aging changes in their bodies and faces, recently more and more men are seeking help for aging faces that no longer reflect their true selves. One reason I find men are coming into my office is because of the … [Read more...] about Medical Minute: Men and Cosmetic Surgery
A laser is a great tool to use when performing surgery. Carbon Dioxide or CO2 lasers have the ability to seal both vessels and nerves when used in surgery, and this results in less bruising and less pain for my patients afterwards. The reason CO2 lasers can seal blood vessels and nerves is because of the nature of the CO2 wavelength of 10,600 nanometers. CO2 is a slightly inefficient beam which spills over extra heat in the wound when cutting through tissue. This extra heat is helpful in sealing small blood vessels and small nerves such as those encountered during laser eyelid surgery, … [Read more...] about Medical Minute: Are Stitches Necessary After Laser Eyelid Surgery
Our eyes have a large effect on the way other people see us in the world. Sometimes through birth and sometimes with age, our bodies can start to form dark circles under the eyes. This can make us appear old, sick, tired and sometimes as if we have had too much to drink. What are the common causes for dark circles under the eyes? The first and most common cause is fat pads around the eyes pushing into the lower eyelid space. The second is much rarer but is due to a lack of fat or hollowing under the eyes. The third is dark spots or pigment in the skin under the eyes. The fourth is thin … [Read more...] about Medical Minute: What Causes Dark Circles Under the Eyes
How often have you heard other people say these words: "I’m tired of looking tired"? How often have you heard your brain saying those same words to yourself? Our faces play a large role in how the world perceives us. When our faces change with age, it can give the appearance to others that we are tired, old, sick or less vibrant, even when we feel great inside. What are the causes of looking tired? The first cause is heaviness around the eyes. Either heavy upper lids or baggy lower lids, including eyelid Festoons, can make us appear tired, sick and older. Thankfully, surgical … [Read more...] about Medical Minute: Tired of Looking Tired
Many people dislike the vertical lines that occur over time in the areas around the lips. These lines occur in great part due to years of unprotected sun exposure etching these lines into our lip region. Many people think that these only occur with smoking, and while it is true that smoking is bad for our health and our skin, many people who never smoked end up with lip lines as they age also. The reason people are disturbed by these lines is because they cause people to see us as older and less vibrant than we usually feel inside. When we see one another, our subconscious brains first … [Read more...] about Medical Minute: How to treat lines around the lips
Are people who have cosmetic treatments inherently vain or self-absorbed? Does caring about our appearance make us shallow? As humans, we are very social beings and we yearn to connect with one another. Our faces play a large role in our non-verbal communication and affect the way we connect with others. The clothes we chose to wear and our normal grooming rituals take place because we want to improve our abilities to connect with others. I don’t have vain patients who come in and are self-absorbed with how great they look in the mirror. Instead, I have patients whose faces have changed … [Read more...] about Medical Minute: The Myth About Cosmetic Surgery and Vanity
Many people are born with noses that attract attention away from the natural beauty of the face. Nose bumps and crooked noses take our attention away from the natural focal point of the face when we look at others -- the eyes and mouth -- and make the face appear less harmonious and less healthy. Many have considered having a Rhinoplasty or nose job but are scared of the surgery and long recovery. Is there a way to straighten and improve various nose irregularities without surgery? The answer to that question is "Yes." The 5-Minute Nose Job is a safe, soft tissue injection procedure in … [Read more...] about Medical Minute: What is a 5 Minute Nose Job?
Our faces are critical in how we communicate with the outside world. Often with age, our faces change in ways that effect how others treat us. Our faces can make us look mad, tired, sick or sad, even when we feel fine inside. Is there a way to evaluate how our faces age? Is there an easy key to understanding the facial aging process? When I evaluate a patient’s face, I often analyze what I call the 3 D’s of Aging: Skin Deterioration Facial Deflation Facial Descent Skin Deterioration describes the appearance of facial skin over time and is often related to past sun … [Read more...] about Medical Minute: What are the 3 D’s of aging?
When patients come in for an evaluation of heavy eyelids they often assume that the cause of their heavy eyelids is extra eyelid skin, known medically as dermatochalasis. But often the cause of upper eyelid heaviness isn't due to extra eyelid skin; rather, it's due to an eyebrow that is falling into the upper eyelid space. This happens because with age and years of sun exposure, the collagen and elastic fibers in our forehead become fractured. This leads to a relaxation of the forehead tissue into our eyelid space. In cases like this, an upper lid surgery or blepharoplasty would be a … [Read more...] about Medical Minute: What is a Botox Browlift?