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Posts Tagged ‘restylane santa monica’

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New Fillers

Saturday, November 7th, 2015

Restylane Silk is a new filler which we have been using lately which has given nice results!

Everyone is confused by the names. I will decide for you, unless you have a preferred wrinkle filler. Some fillers are better for gentle enhancement of cheekbones and chins and larger areas that need filling, while some are better for finer lines and thinner skin.

Everyone is afraid of looking overdone and overfilled. No one should notice your fillers. I don’t believe people should look like they have work done!

Another common question is how long do they last? The thicker the filler, the longer it lasts. Nonetheless, results vary. I’ve had patients who maintain results for years. Indeed, we keep finding more and more patients who have had surgery around their lips, where we find microscopic filler 4-5 years out! This study has been presented at a national dermatology meeting and is awaiting publication.

Filler such as Restylane, Juvederm and Belotero can always be reversed with an enzyme. Due to my artistic vision, skill and experience, I’m proud to say I’ve NEVER had to reverse filler I’ve done on my own patients. I have, however, reversed fillers done from other doctor’s offices or medispas. Sculptra, on the other hand, cannot be reversed. It does have the advantage of lasting longer, but also has risks of nodules.

It is best to plan on having fillers at least a couple weeks before any event. Occasionally a bruise can occur. It is best to avoid alcohol and over the counter pain medicines like Aleve and Motrin prior to your procedure. That being said, bruising is not as common as one would think, and the vast majority of patients experience no bruising at all. Also, results just get better and better as the weeks go by, so even plan several months ahead of an event if you’re that organized!

Also, rest in peace, Arnold Klein, MD. He was controversial, but we dermatologists do have to thank him for making fillers popular. We are lucky that now we have fillers much longer lasting than collagen and almost never cause allergic reactions.

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Posted in Juvederm, Restylane | No Comments »

Sorry for the absence!

Monday, November 3rd, 2014

Sorry for not posting a blog for months. It started with my girls’ bday party planning, and somewhere it morphed into the elementary school search.

A lot of you have been asking when Verdure sunscreen will be available again. We are really sure it will be March/April 2015. Thanks for your patience.

I hope you will enjoy getting to know my new assistants Rosa and Tracy. Once again, I have made the USC and UCLA crowds happy.

Mistakenly, I was omitted by Pasadena Magazine as a Top Doctor in Dermatology this year when the issue was published. Their editors were notified of this error. Once again, you will see my name in Los Angeles magazine as a SuperDoctor this January. Thanks again to my colleagues who have bestowed Dr. Bennett and me with this honor.

A friendly reminder that I will be out of the office as usual Thanksgiving week and between Xmas and New Years. Cosmetic treatments and appointments are very popular around this time of year so plan accordingly. The Mohs surgery schedule is also filling up, so if you decide to postpone your surgery until after the holidays (not recommended for SCC or melanoma), please make careful note of the exact location of your biopsy site and take multiple pictures with your cell phone or ask your referring dermatologist to take a picture and consider a diagram.

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Posted in Botox, Juvederm, Laser Hair Removal, Mohs surgery, Restylane, Skin Cancer, acne scar treatment, acne scars, fractionated laser, fraxel laser, laser | No Comments »

Restylane, Juvederm really do last

Wednesday, May 7th, 2014

How do I know? Our practice has the largest series to date of incidental hyaluronic acid filler found during Mohs surgery years after placement. This study was presented at the recent Annual Meeting of the American College of Mohs Surgery in Phoenix last weekend. One of my patients had filler put in her lips five years prior!

That being said, patients are often afraid of looking crazy after filler. After the Oscars, which I usually do not watch, I kept hearing about Kim Novak. OK, don’t know who she is, but I later caught a clip of her on TV. Oy! It reminded me of the movie Mask. I can assure you that I keep patients looking like themselves. The best cosmetic doctors have patients who do not look done. Unfortunately in LA there tends to be a strangely unnatural aesthetic which I don’t subscribe to. Most patients only need 1-4 syringes of filler, the younger you are, the less you need. I allow the patient to see themselves as we go along to make sure we are on the same page.

I get it though. Mid-life crises, anti-aging procedures and relationships were the dominant topic of conversation in Phoenix (I reassure you, I also did learn a lot about cutaneous oncology, but that might bore you). The best part of going to the meeting was the traditional slumber party with my 2 good friends. No Wedding Planner movie in the background-this time the Golf Channel. I diagnosed more orthopedic injuries from Cipro, saved my friend’s husband’s vision, played marriage counselor, and got helpful golf tips. I am putting Korean LPGA women to shame, I am just learning now, but at least I can make contact with the ball most of the time and drive it about 90 feet. Mini golf, anyone? I rock at that…

Saving people from blindness? This blog spans more than dermatology. If you know anyone with high myopia (translate into “blind as a bat”) they are at high risk for a spontaneous retinal detachment and should be examined annually by a general ophthalmologist or retinal specialist. Sudden floaters or flashing of lights are an eye emergency. Otherwise you face placing your head down in a special chair for 6 weeks, no plane rides, and possible permanent vision loss. Fortunately, I had mine caught early on a routine exam. My friend’s husband was trying to play his own doctor, and was given the advice to come back in 3 months. I prodded him to see a retina specialist. Luckily, I met him a long time ago and he is more apt to listen to me than his own wife (hence the counseling).

I watched more TV than I had in months. CNN is still talking about the downed plane, Fox News is still talking about Benghazi. I guess I’m not missing anything? Just kidding. Our news channels are embarrassing at times. I was just happy to get away from watching shows about aliens on H2. Sadly, there may be more substance there!

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Posted in Juvederm, Miscellaneous possibly useless knowledge, Mohs surgery, Restylane, Skin Cancer, Uncategorized | No Comments »

Voluma Filler

Tuesday, December 17th, 2013

A new filler from Allergan, the makers of Botox and Juvederm, has come out. It has been used in Europe for a while now. It is approved for mid-face filling to lift up the cheeks. Stay tuned. We should have it in the office by next week. I have been using Juvederm in this area for years, but this product should be an improvement. It is supposed to last for at least 2 years. I have seen Juvederm last about that long as well, so this should be even better.

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Posted in Uncategorized | No Comments »

So inspired!!

Saturday, October 5th, 2013

Does it seem like I’m gone once a month? Yes, that seems to be my pattern lately. This time I am in Chicago checking in on my elderly parents and attending our annual derm surgery meeting. It has been intense and fun. I have reconnected with old friends, old colleagues, and have been excited to meet new people that I have learned so much from. On top of that, this group has a sense of humor and have shown off their musical and performing talents.

Besides learning about and reinforcing advanced filler techniques and devices, we got to hear the famous Duke Coach Mike Kryzyzewski speak to us. He’s the only basketball coach I recognize besides Phil Jackson and Pat Riley (that is a big deal) We got to hear about his own insecure crush on Beyonce, but more importantly we got to learn about what qualities he looks for in young people and how he passionately motivates all of the big egos he deals with through a culture of respect. I didn’t realize he is a nice Polish boy from Chicago on top of that!

I found out that the lasers I possess are still the gold standard, despite the continual alphabet soup of new technology. I am still eager to try some new devices on myself first and see for myself what the truth is. The truth is harder to figure out at these meetings, as the lines between industry and medicine are blurred and the truth will only be told with time. You wouldn’t believe how many of the latest “hot” lasers-no pun intended- have come and gone in my career. Nonetheless, I learned a bunch and look forward to returning to LA. I miss my patients, my dog and my girlies!

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Posted in Botox, Juvederm, Restylane, Skin Cancer, acne scar treatment, acne scars, fractionated laser, fraxel laser, laser | No Comments »

Belotero and Xeomin

Wednesday, June 12th, 2013

There are 2 new products on the block. Belotero is another hyalaronic acid filler and Xeomin is another version of Botox. If you read my previous posts, I tend to be a late adopter. However, these products are very similar to Restylane and Botox, respectively, but slightly less expensive. Therefore, I am passing the savings on to you, the patients. So far, so good. I flew through a bunch of Belotero in the pasr month, everyone is happy. Longevity remains to be seen, the jury is still out.

Hope everyone is enjoying the June gloom. I absolutely love the cooler, more overcast weather! Beating hot sun is not my idea of fun! Please note that during the first half of July, I will be out of the office quite a bit, so please plan accordingly.

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Posted in Botox, Juvederm, Restylane | No Comments »

Too much choice?

Saturday, June 16th, 2012

I am always dizzy after leaving the Pacific Design Center. So much choice, so many cool fabrics to choose from. It made me think about the dizzying array of fillers, lasers and procedures out there. Just like an interior designer can point you in a certain direction, every face and every need, budget and concern is unique to a patient. I can only try to get inside your head and balance what I consider to be a natural aesthetic.

It also made me think of all the stuff we have in this world. Where will we dump all of this? Makes me want to run to Montana to visit my friend and escape! Or to my local Goodwill store, where I find great books that can be shared!

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Posted in Juvederm, Uncategorized | No Comments »

Restylane and laser for under eye bags

Wednesday, January 25th, 2012

Many patients ask about what can be done for the bags and wrinkles underneath their eyes. Luckily these days we have procedures which are minimally invasive that can make a significant difference. Last night I had the opportunity to attend a local dermatology meeting where colleagues could discuss their experiences with lasers and fillers for this problem. It is amazing how much we can do without any cutting these days and how little needs to be done.

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Posted in Juvederm, Restylane, Uncategorized | No Comments »

Restylane-L has arrived…

Sunday, July 4th, 2010

Restylane-L (Restylane with lidocaine, a numbing agent) is here. So far, so good.  Restylane-L’s numbing effects are a bit delayed and I’m not clear still if  the lidocaine really makes a significant difference. Most patients tell me they are pretty numb after an 30 min to an hour of topical lidocaine, but still feel some of the injections particularly around the corners of the mouth and near the upper smile lines. I’m not sure if the effects of Restylane-L will last as long (which in my experience is 9 to 12 mos and beyond), but for now we’re going with it. We’ve even seen a case of microscopic retained Restylane 2 years later during Mohs surgery.

Correct placement is much more important than quantity. I once had a patient younger than I am get 3 syringes put in her face at another office. In the end, she ended up spending more money and had a complication requiring laser treatments. Juvederm XC is the equivalent of Restylane-L. In the end, both Juvederm and Restylane are great products with no discernable difference in my opinion. Both look very natural in the end.

A lot of people also ask about Sculptra and fat transfer. I do perform fat transfer, but not Sculptra. I still think hyaluronic acid is the best way to go. I don’t perform Sculptra for several reasons, that being said, it is not because it isn’t a good product. It is much more expensive than hyaluronic acid fillers. With the amount of money it would cost, one could get many syringes of hyaluronic fillers. It also has a higher risk of nodules and is not used in the lips. Fat transfer is more invasive and because a large quantity of fat must be injected in order to get reasonable results, you can look younger but fatter/chipmunky due to unpredictable resorption. It is somewhat unpredictable in its final result in comparison to hyaluronic acid.

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