Cosmetic & Plastic Surgery

Repairing Skin Flaws Through Microdermabrasion
Microdermabrasion is a skin-freshening method that helps repair facial skin that takes a beating from the sun and the effects of aging.
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L’Oreal Paris Collagen Filler Wrinkle Treatment, 1-Fluid Ounce $6.99 INDICATIONS: Loreal dermo expertise wrinkle decrease collagen filler targeted wrinkle reducer On certain facial areas where wrinkles are more pronounced, typical anti-wrinkle treatments are not enough….

Kendal Professional 3 in 1 Diamond Microdermabrasion Machine with Ultrasound and Skin Scrubber HB-MF03 $339.00 The HB-MF03 Diamond Microdermabrasion machine refines, rejuvenates and smoothens skin. It has 3 built-in functions — Diamond Microdermabrasion Therapy, Skin Scrubber, and Ultrasound Therapy, and definitely a must-have equipment for aestheticians, dermatologists, or other clinical professionals….

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The Ultrastructure of Collagen: Its Relation to the Healing of Wounds and to the Management of Hypertrophic Scar …

You Can Look Younger at Any Age: A Leading Dermatologist’s Guide $0.25 You Can Look Younger at Any Age: based upon the 4-R’s of anti-aging skin care and therapy, renovating, resurfacing, removing and recontouring, this authoritative, but easy to read and handy volume covers all aspects of the latest in skin beauty and anti-aging home and doctor’s office care for pushing back the hands of father time. From antioxidants to alphahydroxy acid “fruit washes,” Botox and ma…

Mepiform Self-Adherent Silicone Dressing – 2 x 3 – Box of 5 $46.45 Mepiform Self-Adherent Silicone Dressing The Mepiform Scar Pads are thin, flexible, self-adherent dressings covered with a silicone gel. The Mepiform Pads were designed for the treatment of both old and new hypertrophic and keloid scars. Suitable for use on closed wounds to help prevent the formation of hypertrophic and keloid scarring….

i just had breast augmentation i need advice?

i just had my breast augmentation redone on my right breast after it had been removed for 1 month and a half to heel from an infection it was just replaced on oct 8th with the same silicone but the sterelized it realy good. it has been 5 days and my breast is still tender hard do you know how long it usualy takes for it to get soft and i can also feel that there is air in there.

It can take several weeks for the area to fully heal but I would recommend checking with your surgeon as well to see what they say.

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The Treatment of Upper Lip Lines and Wrinkles

I read a recent article that reports that drinking directly from water bottles can cause just as many upper lip wrinkles as smoking. I wouldn’t doubt it as any activity that makes your lips pucker, which activates the orbicularis oris muscle which encircles the mouth, can cause wrinkles to appear on the upper lip. The development of such wrinkles is a function of both the activity and how often it is done. Drinking water these days for some people is about as frequent as a regular smoker who does one or two packs per day.

As a general principle, wrinkles form on the face perpendicular to the direction of action of the underlying muscle movement. For example, horizontal forehead wrinkles are the result of ther vertically-oriented and moving frontalis muscle which extends from the brows upward into the scalp. Since the mouth’s main muscle (like the eyes) is a sphincter or encircling muscle which lies parallel (horizontal) to the upper and lower lip (except at the corners), it is no surprise that the lips (particularly the upper) develops vertical wrinkles in some people. The other factor that highly contributes to lip wrinkles is the thickness of your skin and the size of your lips. (which is interrelated) The thicker your skin, the less likely you will ever develop them. You rarely see lip wrinkles in people with thicker skin such as African-Americans and people of Middle Eastern descents for example. (and they have larger lips to begin with….as their skin is thicker)

Treatment of lip wrinkles is a challenging problem. I tell patients to think of it as improvement as there is no complete cure in most cases. For small and fine lines that are mainly located at the junction of the skin and the lip, an injectable filler can make a nice improvement…if you can accept having slightly to substantially larger lips. (whichever you desire) When the lip wrinkles are deeper and run higher into the upper lip, the concept of skin resurfacing comes into play. Usually this means laser resurfacing and it is just a question of how deep to go and how much recovery does the patient want. Laser resurfacing with lip augmentation with an injectable filler is the most common method by which I treat more significant lip wrinkling issues. This is usually done under local anesthesia in the office unless the patient is having other major facial surgery, such as a facelift, where the procedure would be then performed in the operating room. Current proponents for fractional (fraxel) laser treatments feel that it offers better results than traditional laser resurfacing but that has not yet been clinically proven. In the more severe cases, a small amount of Botox to help reduce the amount of muscle movement can also be helpful when done with fillers or laser resurfacing but you must be careful to not use to much lest you make your smile have an unnatural appearance.

Alternative treatments for lip wrinkles through skin modification are currently being evaluated. One method is to combine laser resurfacing with the use of sandpaper (yes I said sandpaper), known as laserbrasion. With this technique, the laser is only used for the first pass (to remove the very top layer of skin) and the deeper layers are then taken done by fine sandpaper. The concept here is that the use of sandpaper causes less trauma (no heat) and will heal faster without the prolonged redness. And it is just as effective as the laser but safer and with less complications than if one used traditional dermabrasion. The other method is known as percutaneous collagen induction therapy. (PCIT) Known aerating your lawn, a small wheel with fine needles is run over the upper lip, cutting many fine holes into the deeper portions of the skin. As this heals it causes the skin to thicken which helps reduce the amount of visible wrinkling.

Upper lip wrinkles in some women are unavoidable and can be very troubling. Injectable lip fillers, laser resurfacing, and Botox can help but there is no permanent cure. The alternative treatments of fractional laser treatments, laserbrasion, and collagen induction therapy are interesting but it is too early to know if they will offer better results.

About the Author

Dr Barry Eppley, board-certified plastic surgeon of Indianapolis, operates his private practice through his medspa locations at Clarian Health in suburban Indianapolis. He writes a daily blog on topics and trends in plastic surgery at http://www.exploreplasticsurgery.com