How 3-D Imaging is Innovating Modern Medicine

3D-Imaging-Plastic-Surgery3-D imaging via medical diagnostic tools such as MRIs and CT scanning is completely revolutionizing modern medicine.

As these medical devices become increasingly more precise at an accelerating rate, they are providing doctors with more finely-detailed, high resolution 3-D imaging of their patients with each passing year.

At the same time as the rapid increase in the sensitivity and resolution of these modern imaging devices, the processing power of digital computation has continued its exponential growth in price-performance year over year, allowing physicians to render and analyze the data from 3-D imaging all the more effectively.


Innovations in 3-D Imaging Resolution

By contrast to the incremental improvements of medical techniques over the centuries, and even to radiography during the decades of the 20th century, in recent years the improvements to medical imaging are coming fast and making a difference by orders of magnitude.

A little over a year ago researchers at MIT announced they had developed an algorithm that exploits light polarization to boost the depth resolution of conventional 3-D imaging technology by 1,000 times.

Researchers say the technique is so promising that it could bring this technology to your pocket: “The technique could lead to high-quality 3-D cameras built into cellphones, and perhaps to the ability to snap a photo of an object and then use a 3-D printer to produce a replica.”


3-D Image Processing Speed

A high resolution imaging device has little useful application without the processing speed to match it. Processing power is essential to creating the images and manipulating the data in quality diagnostic scans made by imaging devices.

And it’s not only the rapid pace of improvement in the brute force of computer processing power that’s been essential to 3-D imaging innovation in recent years. It’s the implementation of software solutions that can use that power to effectively reconstruct volumetric data.

There’s also the configuration of hardware processing power in a way that’s effective and efficient for the kind of computation involved in 3-D imaging, such as the incorporation of GPUs (graphical processing units) like those used by gaming software to create better images faster than CPUs can.


Machine Learning and Modern 3-D Imaging

One innovator in the field, Mountain View, Calif.-based EchoPixel is helping surgeons take the guesswork out of surgical planning by allowing them to create a 3-D image from patient-imaging data and manipulate it in a virtual environment— to remove tumors, dissect tissues, or measure blood vessels. The technology is allowing physicians to get a more accurate view of their patients’ anatomy.

Furthermore, with the application of machine learning, the software records the clinician’s interactions with the 3-D imaging data, so other doctors can learn from the same steps and methodology. The software is compatible for use on different hardware devices, including wearable tech such as Google Glass, so it can be used in an operating room.


How 3-D Imaging is Saving Lives

An ounce of prevention: Along with life-saving advancements to surgery prep for critical surgeries that doctors perform on vital tissues and organs, 3-D imaging is saving lives in the critical field of medical diagnostics.

The use of modern computer 3-D images made from a composite of multiple 2-D radiographic images using tracers and contact dyes has allowed doctors to view a comprehensive image of a patient’s body and observe minor anomalies that would have otherwise gone undetected, providing vital early warning signs of potential health problems.


And Making Lives Better

With today’s level of sophistication in computer 3-D imaging technology, its use in medical practice has also found an ever-expanding role to play in helping doctors improve the quality and results of facial plastic and reconstructive surgery.

For patients seeking facial implants to improve the proportions or enhance the contours of their face, the computer era has made it possible for facial implants to be perfectly tailored to a patient’s face.

Custom implants made using 3-D imaging and computer-aided drafting look smoother, rounder, and anatomical, and allow facial reconstructive surgeons to correctly perceive the interaction of all facial features to create a balanced, well-proportioned face.

Dr. Binder was an early innovator in this field, noticing at first that facial implants of the time were not quite right, or as he would say: “non-anatomic.”


Pioneering Facial Contouring and 3-D Imaging

Before bringing the possibilities of high-resolution 3-D scanning, efficient digital rendering and imaging, and computer-aided drafting to fruition in facial reconstruction techniques, Dr. Binder did not see facial implants achieving the desired results he was striving to attain.

By innovating a system capable of fabricating custom-designed facial implants to a high degree of precision, Dr. Binder was able to pioneer a technique that allows the reconstruction of most facial contour defects with a higher degree of accuracy and better results than were ever before possible.


Surprising Healthy Skin Tips

The skin is the body’s largest barrier against infection. It is also the most abused and the most exposed to damaging irritants and free radicals. The thing is, we are always exposing our skin to factors that can cause damage. For instance, whenever we use soap or rub alcohol on our skin, small cracks and irritation can happen. These cracks can make us more prone to developing infection. It is therefore important that you observe proper skin care. Keeping the skin healthy can help improve the quality and optimal functioning of the skin.

There are many tips and tricks for proper skin care and you may have heard some of them already. But this article is different as we will share surprising tips that will help you make your skin healthy and glowing at the same time.

Eat Your Way to Healthy Skin

Eating fruits and vegetables can make your skin healthy. In a study published the PLoS One journal, researchers found that those who ate more colorful fruits and vegetables have healthier and more attractive skin. The reason for this is that colorful fruits contain carotenoid that boosts the tone of the skin. Moreover, fruits and vegetables contain more Vitamin C that can help fight free radicals that cause premature wrinkles and aging of the skin. Vitamin C also promotes the natural production of collagen in the body. For you to eat your way to healthy skin, make sure that you get 4.5 cups of fruits and vegetables daily.

Don’t Apply Too Much Sunscreen

Do you have the habit of applying too much sunscreen when you get out? If yes, then chances are you are more likely irritating your skin than protecting it from the harmful rays of the sun. Most dermatologists agree that some sunscreens may contain irritants that causes skin rashes to develop. Harmful ingredients in sunscreen include benzophenones, octocrylene and other fragrances. Although the skin rashes look like allergic reactions to sunscreen, they are more like your body’s response to sweat. Sunscreen can potentially cause heat rashes. If you do apply sunscreen, make sure that you apply an ample amount and not slather your entire body with it.

Wash Your Face Twice a Day

Most women have the habit of washing their face as many times as they can. But research shows that washing your face twice a day is actually optimal. As the more you wash your face, the more you strip it from its natural oils that protect the integrity of the skin. Another bad thing about washing your face all the time is that the exfoliant that you use may contain tiny microbeads that are bad for the environment especially the marine life. So, if you wash your skin, make sure that you use a wash cloth instead of exfoliants.

Sleep on Your Back

It may seem strange but your sleeping position can also result in the development of wrinkles on your face. Most people love to sleep on their side or stomach but this has shown to cause wrinkles on the face because your face is pressed on the pillow for long periods of time. The best position to avoid wrinkles is to sleep on your back. However, if you suffer from sleeping problems like sleep apnea and snoring, then sleeping on your back is not such a good idea. If you prefer to sleep on your side, then using a silk pillowcase can ease the pressure on your face while you are sleeping.

Exfoliate in The Morning

Most people have the habit of exfoliating at night before going to bed believing that the exfoliating serums will be better absorbed by the skin. However, this cannot be further from the truth. If you exfoliate in the morning, then you are stimulating good circulation on the skin that, in turn, stimulates collagen. In fact, exfoliating the skin after doing your exercise is better because of the improved circulation that you have after doing any physical activities.

Don’t Apply Anything on Your Nose

Did you know that the nose contains the largest pores in the face? It is where most of the natural oil in our face is secreted. So, if you suffer from blackheads or shiny nose, then don’t do your usual regimen and apply different serums over your nose. By applying serums and creams on your nose, your pores will easily get clogged up. Thus, you end up having more blackheads and, worse, breakouts. If you have to apply something on your nose, it should only be sunscreen and nothing more. Still, if you are worried about your blackheads, you can deal with it by washing your nose with warm water and mild soap. If the pores are not clogged up, your skin will naturally deal with it and it will eventually go away.

Healthy Skin Treatment in Los Angeles with Doctor Binder

If you feel like you may be a candidate for skin treatment in Los Angeles, or you’ve been recommended to have one by another medical professional, contact Doctor Binder to schedule an appointment and consultation to discuss your options in greater detail.


Skin Pigmentation Changes: What are the Causes?

Throughout our lives, everything about our bodies changes, including our skin pigmentation. Often this just means an aesthetic difference, but other times changes can be indicative of deeper health problems. Read more to find out what may be causing the change in your skin tone.


The sun is the most well known cause of changes in pigmentation and the sun’s effects are experienced by almost everyone. In the short term, the sun gives a gorgeous tan and cute freckles, but the long term effects are less satisfactory. Sun exposure can cause the development of dark spots and keratosis, which can develop into skin cancer. As 80% of instances of skin cancer appear on the face, head or neck, skin cancer has serious implications for both your health and your appearance.

Skin Damage

Skin damage is another cause of changes in pigmentation that is almost universally experienced. Scraps, cuts, infections, blisters, and burns can all cause a lack of pigmentation. This decreased pigmentation is typically temporary, but may take a long time to heal and can even be permanent, such as with scars. Taking proper care of a wound while it heals, no matter the size, can make a huge difference in minimizing and even preventing changes in pigmentation.


In addition to sun exposure and skin damage, there are a several disorders that can cause changes in the pigmentation of the skin, either permanently or temporarily. In some cases the condition causes no greater problem than the changes in the color of the skin, but in others changes in skin color could indicate a deeper health problem. Contact a doctor if you experience any unusual, unexpected, or unexplained changes in the pigmentation of your skin.

Just like some ailments can cause changes in the skin, so can some treatments, such as certain antibiotics, antiarrhythmics, and antimalarial drugs, which can all cause hyperpigmentation.


Melasma, also sometimes called chloasma, is a common cause of hyperpigmentation in pregnant women that is caused by the changes in hormone levels associated with pregnancy. Melasma is characterized by the development of brown splotches on the skin, particularly in the facial area. For some women these spots fade after pregnancy, but for other the change in pigmentation is permanent. Men can also experience Melasma, though it is much less common for men than women. The condition can be treated with prescription creams or cosmetic treatments. Sun exposure can worsen this condition, so those who experience it should exercise extra caution to protect themselves from the sun.

Addison’s Disease

Addison’s disease, a disorder characterized by underactivity of the adrenal gland, is a rare but possible cause of hyperpigmentation. This disease is a serious health condition that can lead to impaired kidney function and dangerously low blood pressure, but with treatment most people with Addison’s disease are able to live a normal life. Addison’s disease affects only 1 in 100,000 people, but can affect men or women of any age. One side effect of Addison’s disease is the development of dark splotches and freckles. These can appear anywhere on the body, including the gums, but are most common on places that get frequent sun exposure, like the face and hands.


Vitiligo is distinct from the other disorders discussed here in that it causes hypopigmentation, or the loss of pigmentation, rather than hyperpigmentation. Vitiligo causes white patches to appear across the body, including on the face, due to damage to the pigment producing cells. Vitiligo cannot be cured, but the spots can be treated with laser treatments and corticosteroid creams.

Correcting Pigmentation Changes

Changes in skin color can be frustrating and visually unappealing, even if they aren’t associated with a larger issue. Fortunately, a cosmetic surgeon skilled in cosmetic skin treatments can help to minimize or even eliminate the appearance of discoloration.

Dr. William J. Binder is located in Los Angeles, but is one of the world’s leading plastic surgeons. He has the skill and resources to not only evaluate and treat your pigmentation changes, but to make the process as easy and stress-free as possible. If you’re sick of living with skin discoloration, contact Dr. Binder’s office today to schedule your consultation.


The Main Culprits of Premature Facial Aging

Many things cause our skin to age. Some things we can’t do anything about, like the natural aging process, but others we can influence. Our environment and lifestyle choices can cause our skin to age prematurely. By taking some preventive actions, we can slow the effects that this type of aging has on our skin.

Here’s a look at the main culprits behind premature facial aging and how you can take preventive measures against them.

What Causes Skin to Age Prematurely?

Some of the main causes of premature aging to our skin include:

Sun—sun exposure causes the appearance of age spots, wrinkles, sagging skin, and reduces skin elasticity. Roughly 70% of the skin aging process depends on the amount of sunlight our skin is exposed to throughout our life.
Prevention—you can always protect your skin by seeking shade, covering up with clothing, and using sunscreen that is broad-spectrum, SPF 30 (or higher), and water-resistant. You should apply sunscreen every day to all skin that is not covered by clothing.

Smoking—smoking causes premature fine lines that typically appear on places where the skin is very thin, such as the sides of the eyes (smile lines) and above the upper lip. These typical smoking lines may appear 10-15 years before they appear on non-smokers. The reason for the premature wrinkles among smokers lies in the reduction of Vitamin C levels in their blood, which is 60% lower on average compared to the blood of non-smokers.
Prevention—Stop smoking.

Diet—a diet rich in simple sugars and sweets causes the connective tissue of the skin to become rigid and lose its elasticity.
Prevention—east a healthy, well-balance diet. Eating plenty of fruits and vegetables may help prevent damage that leads to premature skin aging. Soluble dietary antioxidants such as lycopene, lutein, beta-carotene, and other antioxidants found in fruits and vegetables reach the deeper skin layers (the dermis) and partially neutralize the oxidative damage associated with prolonged exposure to the sun. Also, fruits and vegetables rich in vitamin C are essential to the proper production of collagen. Complete protein is important to the production of protein structures that are vital to the appearance of fresh skin, such as hyaluronic acid, collagen, and elastin fibres.

Stress—prolonged emotional stress causes increased secretion of stress hormones such as cortisol and adrenaline. These stress hormones accelerate various aging processes that include suppression of normal synthesis of connective tissue, characteristic obesity of the face, along with osteoporotic processes that damage bone density and cause changes in bone structure.
Prevention—grab a weekly massage and practice calm forms of exercise like yoga. Meditation can also help improve your overall stress level, which can make you feel more focused and younger. If your stress is the result of a more serious mental disorder such as depression or chronic anxiety, you should visit your doctor to discuss mental health options such as therapy and/or medications.

Attitude—intensive use of facial muscles brings exaggerated expression lines on the face that cause us to look older than we are. Beyond wrinkles, repeated use of expression muscles causes their dominance under the skin and damages the relaxed and smooth appearance which is typical to a young looking face.
Prevention—a happier face is devoid of wrinkled eyebrows and scowl marks because the muscles have spent more time in a relaxed state.

Lack of sleep—prolonged lack of sleep is clearly evident on the face and accelerates aging, as well as causes many other pathological processes.
Prevention—continuous night sleep is actually one of the few times in the day in which the pituitary gland in the brain secretes growth hormone in adults. This hormone has a great importance in keeping various body tissues and their renewal, including the skin tissue.

Alcohol—alcohol causes damage to the skin texture and color, and has considerable influence on the eye sockets. Drinking excessive amounts of alcohol causes bulged eyes and affects the skin due to the accumulation of toxic breakdown products in the deeper skin layers. This can cause the appearance of capillaries and redness of the cheeks on the nasal bridge.
Prevention—drink less alcohol.

Rubbing your eyes—the skin around the eyes is extremely delicate and fragile, and can wrinkle very easily.
Prevention—don’t scrub the area with towels harshly, and stick to dabbing it dry after washing the face. This will help prevent pigment problems and premature aging.

Sleeping on your side—the fetal position of sleeping and snoozing on your stomach often means your face is pressed into a pillow for eight hours a night, which can cause the breakdown of skin tissue and cause wrinkles.
Prevention—get into the habit of falling asleep on your back and flip over if you wake up on your stomach or side. This decreases swelling or bloating of the face that stretches skin over time.

Sipping out of a straw—sipping out of a straw causes fine lines around your mouth, which is a clear indication of premature aging.
Prevention—avoid drinking through a straw and pour out your beverages in glasses or cups to maintain a youthful, wrinkle-free mouth.

Contact Dr. Binder

If you find that you have signs of premature facial aging, but you think that it’s too late for you to take preventive measures, then you should contact Dr. Binder to discuss the options that are available to you for getting back youthful looking skin.


The Top 7 Cosmetic Facial Treatments

Does your skin have fine lines, age spots, acne scars, or other issues that you’d like to clear up? Cosmetic facial treatments can help improve the look and feel of your skin. Since each cosmetic facial treatment is designed to work out a specific problem spot, here’s a quick look at the top seven most popular cosmetic facial treatments and what they can help you with.

1. Botox

Botox injections block certain chemical signals from nerves, mostly those that cause muscles to contract. The most common use for these injections is to temporarily relax the facial muscles that underlie and cause wrinkles, such as:

  • Frown lines between the eyebrows
  • Crow’s feet
  • Forehead furrows

During your treatment, you doctor will inject small amounts of Botox into the facial muscles (just enough to reduce the appearance of fine lines and wrinkles) using a very thin needle. You doctor will target specific muscles so the surrounding skin isn’t affected. The number of injection sites varies depending on the severity of your wrinkles, but treatment generally takes about 15 minutes and doesn’t require any recovery time. Results from Botox injections usually last several months.

2. Chemical Peel

A chemical peel is a treatment that uses a chemical solution, which is applied to the skin in order to make it blister and eventually peel off. The new skin is usually smoother and less wrinkled than the old skin. Chemical peels can help:

  • Reduce fine lines and wrinkles
  • Treat wrinkles caused by sun damage and aging
  • Improve the appearance of mild scars
  • Treat certain types of acne
  • Reduce age spots, freckles, and dark patches
  • Improve the overall look and feel of skin

Chemical peels range from mild to deep. The best type for you will depend on the severity of your skin problems. Mild peels use alpha-hydroxy acids, while medium peels use trichloroacetic acid; both of which will reduce fine lines and wrinkles. Deeper peels use phenol, which treats deeper scars and wrinkles, and can produce a much more dramatic and long-lasting effect than mild or medium peels.

3. Laser Skin Resurfacing

Laser skin resurfacing is a treatment that directs short, concentrated pulsating beams of light at irregular skin, precisely removing skin layer by layer, while also heating up deeper layers. This treatment can help reduce wrinkles and skin irregularities, such as blemishes or acne scars. Results from this treatment can last for years.

4. Dermabrasion

Dermabrasion is an exfoliating treatment that uses a rotating instrument to remove the outer layers of skin, exposing new layers of skin that appear younger and smoother. Dermabrasion can help treat:

  • Acne scars
  • Age spots
  • Fine wrinkles
  • Precancerous skin patches
  • Redness and thick skin on the nose (rhinophyma)
  • Scars from surgery or injury
  • Sun damage
  • Tattoos
  • Uneven skin tone

5. Microdermabrasion

Microdermabrasion is a mild form of dermabrasion that uses the application of tiny rough grains to buff away the surface layer of skin. The healing process brings with it newer skin cells that look and feel smoother. Microdermabrasion can help:

  • Remove sun damage
  • Remove blemishes
  • Remove age spots
  • Reduce the appearance of minor lines or scars
  • Clean out clogged pores
  • Even out discolored skin

This treatment usually takes about 30 minutes and requires no recovery time. However, most people need several treatments before they see improvement. The results of this treatment depend on the severity of the skin damage and the number of treatments.

6. Dermal Fillers

Dermal fillers are a naturally-derived or synthetic material that is directly injected into the skin in order to plump the area to the point where the wrinkle, depression, or fold is gone.

There are two primary groups of dermal fillers: synthetic and natural.

Synthetic fillers—are considered semi-permanent because they don’t really dissipate.

Naturally-derived fillers—are immediate but will only last for three to 18 months because the filler eventually breaks down, taking the results with it. Once the filler starts to dissipate, you’ll need to go back and get more filler injections to maintain results.

7. Laser Hair Removal

Laser hair removal beams a highly concentrated light into the hair follicles. Pigments in the follicles absorb the light, which destroys the hair. Laser hair removal can be done on the face, leg, arm, underarm, bikini line, and other areas. Some of the benefits of laser hair removal include:

  • Precision
  • Speed
  • Predictability

This treatment works best on light skin with dark hair because darker hair absorbs more light, and lighter skin lets more of the light into the hair follicle. Hair loss is typically permanent after three to eight sessions.

Book a Facial Treatment Consultation

No matter what you think might be the best treatment option for you, be sure to consult with Dr. Binder before booking your desired treatment.


6 Things You Can Do to Beautify Your Skin

Some people are lucky enough to enjoy near-flawless, resilient skin thanks to a genetic predisposition; but for most of us, it’s all about making the right choices and taking proper care of our skin. While it may take dedication to properly look after your skin, anybody can achieve a beautiful complexion by following some simple skincare routines. These are also valuable steps that can help maintain the results of facial cosmetic procedures – be sure to discuss these with your doctor first, however.

Here’s a look at a simple six-step skincare routine that can help you achieve the beautiful complexion you’re been dreaming about.

6 Steps for Basic Skincare

This skin care routine is all about feeding your skin. Your skin is the largest organ of your body, and for most of us it’s malnourished. Feeding, nourishing, and pampering your skin is as easy as this simple six-step routine.

Basic Care:

    1. Cleanse your face and neck every morning and night
      Always cleanse in circular motions in an upward direction. Be gentle with your skin. There is no need for heavy pressure while cleansing. You don’t need to use anything but your hands for this step, although you may choose to use a washcloth.
    2. Tone your skin every time you wash your face and neck
      This is one of the most important, but forgotten, steps in your skincare routine. When you tone your skin, you’re adjusting the pH back to normal, which is critical to keep your face balanced and healthy. Toning also removes any stubborn dirt left on your face and prepares your skin for moisturizing. For the best results, gently use a cotton ball in an upward motion.
    3. Moisturize your face and neck every morning and night
      You should always moisturize your skin after cleansing and toning. Apply your moisturizer in an upward motion. This is important for all skin types, as this is the step that feeds your skin.

For extra pampering:

    1. Exfoliate
      Exfoliate your skin no more than every three to five days. Use circular, upward, gentle motions with very gentle products. Remember that you are simply exfoliating dead skin, which takes very little pressure. Abrasive loofahs or shell powder-based exfoliants are not necessary.
    2. Eye creams
      Eye creams are designed to super-moisturize the finest skin on your face. Always use your ring finer or pinky to apply these products around the delicate area of your eyes. Your pinky or ring finger are weaker by nature and force you to apply gentle pressure.
    3. Masks
      Use masks every one or two weeks to detoxify, renew, and tighten your pores. Before you apply a mask, it is important to cleanse and tone. Be sure to leave the mask on your face and neck for five to 20 minutes, depending on the type of mask. Gently and thoroughly remove the mask with warm water, and then tone and moisturizer your face and neck.

The 6 Products You Need in Your Skincare Routine:

    1. Cleanser
      A good cleanser sets the stage for your whole routine. Ultimately, your cleanser should be gentle, water-soluble, and able to remove makeup. Avoid using anything with soap in it (soap’s pH level is too basic and will dry out your skin). When it comes to finding the best cleanser, let your unique skin be your guide and choose a product designed to target your primary skin concern (acne, dryness, oiliness, or sensitivity).
    2. Toner
      Toner often gets dismissed as overkill, but as part of a comprehensive skincare routine, toner is actually pretty crucial. Not only does it remove any oil or makeup residue, it also preps your cleansed skin to receive whatever treatments you put on next. Choose a gentle, non-alcohol based formula with skin-repairing ingredients, as well as calming and anti-inflammatory properties.
    3. Exfoliator
      The best ways to go about exfoliating your face is to either use a cleanser with chemical exfoliants in it, or a dedicated physical exfoliator. Either way, you should only use this product about two times a week. Chemical exfoliators are best for sensitive skin, and physical ones (with gritty bits) are good for occasional use if your skin is on the dry and flaky side.
    4. Serums
      Packed full of active ingredients, serums are for brightening, repairing, evening, smoothing texture, hydrating, and anti-aging. Some have multiple purposes and some are singular in the way that they work. You can layer serums or pick just one to focus on your biggest skin concern.
    5. Targeted treatments
      These are generally used for treating blemishes, dark spots, and physical symptoms of skin conditions like eczema. They usually have powerful ingredients that should be used sparingly and (usually) at night to avoid damage from sun sensitivity.
    6. Moisturizer
      Moisturizers are made for all kinds of complexions, either oil-free or loaded with skin care goodies like antioxidants and vitamins. You can use facial oil as a moisturizer too, no matter what your skin type.

In the event that none of the above alleviate the entirety of skin health-related issues or concerns you have, cosmetic options such as chemical peels or microdermabrasions may be the answer you’re looking for. In the event that you believe a professional cosmetic solution is the way to move forward, make sure you discuss this at length with the plastic surgeon you’re considering before making any impulsive decisions.

Consult with Dr. Binder

If you have any questions or concerns about how to properly look after your facial skin or the cosmetic options that are available to you, then be sure to book a consultation with Dr. Binder.

Skin Resurfacing Options


Available Skin Resurfacing Procedures

Do you often look at yourself in the mirror and see different areas of your face that you would like to see improved? Do you have wrinkles, sun damage, brown spots, or acne scars? Then skin resurfacing might be the best way to get your skin looking healthy and young again.

Before you book an appointment with your doctor, here are some things that you need to know about the different types of skin resurfacing procedures available on the market.

Chemical Peels

Chemical peels can improve the skin’s appearance by applying a chemical solution, which makes the skin blister and eventually peel off. The new skin underneath tends to be smoother and less wrinkled than the old skin. The solution in certain types of chemical peels may be neutralized after an appropriate amount of time has elapsed.

The different types of chemical peels vary depending on their ingredients and strength. Types of chemical peels include:

  • Glycolic (AHA) peel—the most superficial peels are those using alpha hydroxyl acids (AHAs) such as glycolic acid. Usually only one treatment will give your skin a fresher, healthier appearance and radiant glow. Repeated treatments can help further improve your skin’s texture.
  • TCA peel—trichloracetic acid (TCA) peel is often preferred for spot peeling of limited areas (such as around the mouth or eyes) because it has a lesser bleaching effect than solutions containing phenol. TCA can also be more effective for treating darker-skinned patients.
  • Phenol peel—this type of peel has a significant bleaching effect, although it can correct pigmentary problems (blotchiness or age-related brown spots) and may also be used in the treatment of precancerous skin conditions. Unlike TCA peels, phenol cannot be used on your neck or other particular parts of your body.

Chemical peels can help:

  • Reduce fine lines under the eyes and around the mouth
  • Treat wrinkles caused by aging and sun damage
  • Improve the appearance of mild scars
  • Treat certain types of acne
  • Reduce age spots, freckles, and dark patches
  • Improve the look and feel of skin


Dermabrasion is a technique that uses a wire brush or diamond wheel with rough edges to remove the upper layer of skin. By doing so, the procedure allows new skin to grow and replace the old damaged skin.

Like the deeper chemical peels, dermabrasion is very effective in reducing the appearance of vertical wrinkles around the mouth. It can also be used on small areas of the skin and on patients with darker skin tones. The treated area will usually blend with the surrounding skin so that there is little-to-no difference in the skin’s pigmentation.

Dermabrasion can help:

  • Remove and improve the appearance of acne scars
  • Scars (if they aren’t too deep)
  • With color changes in the skin
  • With fine lines and wrinkles around the mouth

Another form of dermabrasion is microdermabrasion. Microdermabrasion uses tiny exfoliating crystals that are sprayed onto the skin to make subtle changes, causing no skin pigment changes or scarring. It also works on all skin types and colors, although it is not effective for deeper skin problems such as scars, stretch marks, wrinkles, or deep acne scars.

Laser Resurfacing

Laser resurfacing, also known as lasabrasion, laser peel, or laser vaporization, directs short, concentrated pulsating beams of light at irregular skin to remove it layer by layer. Two types of laser resurfacing are most commonly used: carbon dioxide (CO2) and IPL.

  • Carbon dioxide resurfacing—uses very short pulsed light energy (ultrapulse) or a continuous light beam that is delivered in a scanning pattern to remove thin layers of skin with minimal heat damage. This is the most commonly used form of laser skin resurfacing.
  • IPL—the IPL (intense pulse light) laser is a more superficial laser that’s typically used on younger patients, patients with photo damaged skin, rosacea, spider veins and lighter skin pigmentary changes. These treatments usually require multiple sessions until improvements are achieved.

Laser resurfacing is effective in treating:

  • Wrinkles
  • Blotchiness or age spots
  • Scars from acne or other causes

Schedule an Appointment

If you believe your skin is in need of some rejuvenation, the above resurfacing options may be the perfect solution for you. To find out more, book a consultation with Dr. Binder so that he can help you decide on the right procedure for your needs.

Botox and the Reduction of Migraines


How Botox can Help Alleviate Chronic Migraines

Do you have terrible migraines that don’t seem to respond to over-the-counter prescriptions? Do you feel like you’ve tried everything, but the pain just won’t go away?

Then it may be time for you to consider getting Botox injections. But before you schedule an appointment with your doctor, here are some things that you need to know about how Botox injections can help get rid of your chronic migraines.

What Causes Migraines?

While it isn’t fully understood what causes migraines, genetics and environmental factors seem to play a role, as migraines often begin in childhood, adolescence, or early adulthood. Some doctors believe that migraines are caused by the changes in the brainstem and its interactions with the trigeminal nerve (a major pain pathway). Imbalances in brain chemicals (like serotonin) may also be involved.

A number of different things can trigger migraines, such as:

  • Hormonal changes in women
  • Certain foods (aged cheeses, salty foods, and processed foods)
  • Food additives (aspartame and MSG)
  • Drinks (alcohol and caffeinated beverages)
  • Stress
  • Sensory stimuli
  • Changes in sleep patterns
  • Physical factors
  • Changes in environment
  • Medications

Migraine Symptoms

Migraines can progress through four stages: prodrome, aura, attack, and post-drome.

Prodrome starts one to two days before a migraine and can present the following symptoms:

  • Constipation
  • Mood changes
  • Food cravings
  • Neck stiffness
  • Increased thirst and urination
  • Frequent yawning

Aura can occur before or during a migraine. However, most people don’t experience migraines with aura (symptoms of the nervous system). Some examples of migraine aura include:

  • Visual phenomena (seeing various shapes, bright spots, or flashes of light)
  • Vision loss
  • Pins and needles in an arm or leg
  • Weakness or numbness in the face or one side of the body
  • Difficulty speaking
  • Hearing noises or music
  • Uncontrollable jerking or other movements

Attack is the duration of the actual migraine, which can last from four to 72 hours, if untreated. During an attack, you may experience the following symptoms:

  • Pain on one or both sides of your head
  • Throbbing or pulsing pain
  • Sensitivity to light, sounds, smells, and touch
  • Nausea and vomiting
  • Blurred vision
  • Light-headedness and, possibly, fainting

Post-drome is the final phase that occurs after the migraine attack. For roughly 24 hours after a migraine, you might feel:

  • Confused
  • Moody
  • Dizzy
  • Weak
  • Sensitive to light and sound

How Botox Treats Migraines

Botox injections block the release of neuro-transmitters (chemicals that carry nerve impulses) that are linked to causing pain. In order to prevent headaches, Botox blocks the nerve signals from reaching the central nervous system, and from becoming highly sensitive. Botox treatments are for chronic migraines, which are defined as headaches that occur at least 15 days per month (eight or more of which must be migraines).

Botox is given through injection sites along seven specific head and neck muscle areas. The number of injection sites range between 31 – 39, with half the injection sites on the left side of the head and the other half on the right side. If there is a predominant pain location, further injections may be given. The recommended schedule for receiving Botox injections is every 12 weeks.

Possible Side Effects

In most cases, people experience little to no side effects from Botox injections. Some of the most common side effects can include:

  • Neck pain
  • Stiffness at the injection site
  • Headache
  • Temporary muscle weakness (neck and upper shoulders)

Rare side effects can occur when the Botox toxin spreads beyond the injection site. Some of these side effects include:

  • Muscle weakness
  • Vision changes
  • Drooping eyelids
  • Loss of strength
  • Allergic reaction

Consult with Dr. Binder

Before you decide that Botox injections could be the answer for treating your migraines, you should consult with an experienced migraine professional, such as Dr. Binder, today. As one of the world’s most experienced physicians in Botox use, and the discoverer of its effects on relieving migraines, Dr. Binder is the perfect consultant to help you make the right choice about whether or not Botox injections are the right fit for you.

Youthful Cosmetic Procedures


Cosmetic Procedures for a Younger Looking Face

Do you ever look in the mirror and long for the way your face used to look back when you were younger? The way your skin used to be smooth and near flawless? Then maybe it’s time to look into cosmetic procedures as a way of giving your face its youthful glow back.

There are many different cosmetic procedures that can help give you a younger looking face. But before you get to the consultation, here are some things that you need to know about some of the most common facial cosmetic procedures.


A facelift will help remove or reduce the appearance of wrinkles and sagging of the face by lifting the skin off the face so that the skin and tissues beneath can be tightened and the skin can be repositioned smoothly over the face. During the procedure, your doctor may remove some fat and skin.

While having a facelift can reduce the signs of aging to a great extent, it can’t reverse sun damage or remove all facial wrinkles around the eyes, below the nose, and around the lips. Facelift surgery also has some unlikely risks worth being noted, which include:

  • Reactions to the anesthesia
  • Bleeding under the skin
  • Infection
  • Nerve damage
  • Numbness
  • Hair loss
  • Tissue loss
  • Scarring
  • Blood clots

Eye Lift

Eye lift, or eyelid surgery, helps remove bagginess from lower eyelids and excess skin from the upper eyelids, which can help improve vision in older people, although it is often done for cosmetic reasons alone. During the procedure, your doctor will cut along the natural lines of your eyelids to separate the skin from the tissue beneath in order to remove excess fat, skin, and muscle. The results from upper eyelid surgery can last between five to seven years, while lower eyelid surgery rarely needs to be repeated.

Some of the possible risks involved in an eye lift are:

  • Bleeding
  • Infection
  • Dry eyes
  • Abnormal colouring of the eyelids
  • Eyelids that fold in or out abnormally
  • A pulled-down lower lid lash line
  • Possible loss of vision

Neck Lift

A neck lift is a series of procedures (including removing excess skin, removing or altering neck muscles, liposuction to remove excess fat, and Botox injections to address problems with fullness) that work to enhance the appearance of your neck.

While recovery from a neck lift might take some time, most people are able to return to work within 10 to 14 days. However, you will have to wait three weeks before resuming physical activity.


Botox injections are a cosmetic procedure that can lessen the appearance of facial wrinkles by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. Depending on the area being treated, your doctor may inject the Botox into more than one area at a time.

Some of the common side effects of Botox injections to be aware of are:

  • Trouble swallowing
  • Muscle weakness near the injection sites
  • Bruising
  • Bleeding
  • Pain
  • Redness or swelling
  • Headache
  • Tiredness and muscle stiffness
  • Dry mouth
  • Blurred vision
  • Increased sweating
  • Cold symptoms

If you experience any of the above side effects for a prolonged period of time, it’s advised to inform your doctor. It is also important to note that Botox injections are temporary and your wrinkles may return completely within three months after an injection.

Laser Resurfacing

Laser resurfacing works to reduce facial wrinkles, blemishes, and acne scars by directing short, concentrated pulsating beams of light at the problem areas to remove skin, layer by layer. The two most common types of lasers used for laser resurfacing are carbon dioxide (CO2) and erbium. Both lasers work to vaporize skin cells damaged at surface level.

Small white bumps, known as milia, may appear during the healing process, but are easily treatable by your doctor.

Make an Appointment

Before setting your heart on one of these procedures, it is important to book a consultation with an experienced doctor. Make an appointment with Dr. Binder. With years of experience in cosmetic surgery, and specializing in facial procedures, he can help you make the right decision about how to best make your face look younger.

Benefits of Outpatient Procedures


How Outpatient Surgery May Better Suit You

Are you thinking about receiving some sort of cosmetic procedure, but you’re worried about how many days you’ll have to take off from work? Perhaps you need to consider a procedure that has a shorter recovery time.

An outpatient procedure may be the best fit your busy life, but before  you book your outpatient procedure, here are some things that you need to know about outpatient surgery.

What is Outpatient Surgery?

Outpatient surgery, also known as ambulatory or same-day surgery, allows the patient to return home on the same day that the procedure is performed. This means that outpatient surgery eliminates the need for hospital stays, while reducing the amount of medication prescribed. More procedures are being performed outside the operating room, which allows for your doctor’s time to be used more efficiently. The best candidates for outpatient surgery are healthy people undergoing minor or intermediate procedures.

As the types and complexities of surgical procedures have expanded over the years, so have the number of outpatient surgeries. More than half of the surgeries performed in the United States today are outpatient procedures, and that number is only expected to increase over the next decade.

Some of the things that have helped outpatient procedures develop over the years are:

  • Improved surgical instruments
  • Less invasive surgical techniques
  • A team approach to preparing someone for surgery
  • The desire to reduce health care costs

The Benefits of Outpatient Surgery

There are many reasons why outpatient procedures may better suit your lifestyle than traditional inpatient surgery does. Some of those reasons include:

  • Convenience—you will be able to recover at home rather than in a hospital, which will make your recovery time much easier.
  • Lower cost—costs are much lower for outpatient surgery because there are no hospital-related charges. Some insurance companies will also cover certain outpatient procedures.
  • Reduced stress—outpatient surgery tends to be less stressful for patients, especially children, because most people prefer to recover at home rather than in the hospital.
  • Easier scheduling—outpatient procedures can generally stay within a set schedule since there are no emergency surgeries that can delay scheduled surgeries, and since outpatient surgeries are less complicated and more routine.

Cosmetic Outpatient Procedures

Many cosmetic procedures are considered outpatient procedures because they can be performed in a less invasive way then other types of surgery. Some common cosmetic outpatient procedures are:

  • Neck lift—a set of procedures to enhance the appearance of your neck, including removing excess skin, removing or altering neck muscles, liposuction to remove excess fat, and Botox injections to address problems with fullness.
  • Face lift—the most extensive way to remove or reduce the appearance of wrinkles and sagging skin caused by aging. Traditionally skin is lifted off the face, so that the tissue underneath can be tightened before the skin is repositioned smoothly.
  • Eyelid surgery—reduces bagginess from lower eyelids and removes excess skin from the upper eyelids. It can also help improve vision in older people.
  • Chin surgery—reshapes the chin either through enhancement with an implant or reduction surgery on the bone.
  • Liposuction—removes small deposits of fat that aren’t affected by diet and exercise, and improves the shape of your body. It is most commonly performed on the hips, abdomen, thighs, buttocks, and face.

Book a Consultation

All of the above procedures can be performed as an inpatient procedure, if necessary. Whether or not outpatient surgery is best suited for your lifestyle depends on your medical history and whether your doctor deems that an outpatient procedure is safe for you. It is important that you consult with an experienced doctor before booking your procedure. Book a consultation with Dr. Binder today to discuss whether or not outpatient surgery is the best option for you.

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