acne scar treatment

The Four Types of Acne Scars and How to Treat Them

Skin reflects life experience. Every surface evolves with each smile, frown, and gesture. But when impurities settle into the skin, they can obscure the appearance you wish to project.

Acne is caused by blocked pores and excess sebum (oils). When breakouts are pronounced, they can leave scars that may require medical attention. Before you decide how to address your unique pattern of scarring, let’s assess the four major types of tissue that result from acne.

Hypertrophic vs. Atrophic

There are two main categories of acne scars: atrophic and hypertrophic. The depletion of collagen leads to tissue loss, which is the source of atrophic scars. Atrophic marks often appear as divots or craters in the surface of the skin.

On the other end of the spectrum, too much tissue in a given area is the hallmark of a hypertrophic scar. Raised marks and discoloration can disrupt your natural attractiveness, making hypertrophic scarring quite problematic.

Keloids are an even more severe type of scar than the regular hypertrophic variety. Hypertrophic scars rise above the skin’s surface, but keloids go one step further: they extend beyond the border of the original abrasion. Keloid scars can cause discomfort as they stretch the skin and expand the site of a wound.

Treating Hypertrophic and Keloid Scars

The key to keloid and hypertrophic scar treatment is minimization. Collagen has already accumulated to patch the skin, but it has left a bulky, unsightly blotch in its place. Your doctor can reduce this phenomenon by applying silicone gel sheets to the affected area. A gel will flatten and soften the skin, making it blend more aesthetically with its surroundings. 

In certain situations, your cosmetic care team may recommend laser treatments to ablate the raised portion of a scar and even the proverbial playing field. The exact approach to fixing a keloid or hypertrophic scar depends on the nature of the tissue, the skin tone of the patient, and the desired goal of the procedure. 

Types of Atrophic Scars

As our bodies age, we produce less and less collagen. Collagen is the most prevalent protein in the human body, and it is instrumental in the maintenance and regeneration of the skin.

When the surface of the skin is broken, collagen rushes to the area. This could result in the hypertrophic scar patterns described above, or the collagen surge may be insufficient to patch the wound properly. In the latter case, atrophic scars occur.

But not all atrophic scars are created equal. They manifest in three different ways: ice pick, rolling and boxcar. The main characteristic of ice pick scars is the wedge shape that slices its way through the epidermis and into the dermis. 

On the other hand, a rolling scar gets its name from the irregular, undefined nature of its appearance. The contours of rolling scars are nebulous, stretching beyond the parameters of the original breakout. As collagen filters to the area to heal the patchwork quilt of acne, it forms blotchy, uneven protrusions, like rolling hills.

The third type of atrophic scar pattern is the boxcar variety. When acne leaves pitted, deep punches in the skin, are known as boxcar scars. The sides of a boxcar scar are parallel, delving deep into the dermis. Unlike ice pick scars, they require more attention to adequately fill in the gaps left behind by acne breakouts.

How to Treat Atrophic Scarring

The treatment you require for a loss of tissue due to acne will depend on the type of atrophic scars you are experiencing. 

If a boxcar mark is especially severe, you may need to fill in the area. This can be achieved in various ways, but the correct procedure will depend upon your physiology and complexion. Your doctor may suggest fat grafting to patch a boxcar scar. This process begins with a gentle removal of excess fat from elsewhere on your body. Once the lipids are purified, they are ready for transfer to the area depleted by acne. Boxcar divots can be patched and raised until they are level with the surrounding skin.

Ice pick scars are easier to address since they require more minor corrections than boxcar scarring issues. Your physician can administer a simple course of Botox to ease the tension along the edges of an ice pick scar. This allows your skin to naturally relax and adhere to a more even, flattened appearance. If you need a bit more volume underneath the surface, your doctor can also inject a facial filler at the root of an atrophic scar. Fillers round out the area like you are adding air to a balloon. The surface enjoys a renewed vigor for months at a time, depending on which injectable (or combination of injectables) you use.

Rolling scars are often more difficult to correct than the ice pick or boxcar phenomena described above. Due to the irregular formation of rolling scars, a surgeon may wish to disrupt the abnormality according to its shape.

For example, if the edges of a scar are stretching in opposite or diagonal directions, a Z-plasty procedure can guide the skin into a more pleasing declination. Z-plasty acne treatment begins with a skillful, small series of incisions in the shape of a Z (hence the name). The ridges of this incision are gently sutured together, allowing the skin to heal appropriately and beautifully.

Pamper Your Skin

Just as each case of acne is different, so too are their potential treatments. To determine the right approach for your skin, you should visit a knowledgeable leader in the field of aesthetic enhancement.

Dr. Binder can analyze your acne scarring issues and advise you on the best path back to your ideal look. Contact us today and be ready to be ravishing!

millenial brow lifts

Keeping It Classic: Why Millennials Continue to Opt for Surgical Brow Lifts

Progress is rarely linear. We take several strides forward, then invariably step back. How else can we assess our trajectory and determine the best path toward our ideal outcome?

Every generation contributes to our collective betterment, but perhaps no group is more synonymous with progress than millennials. They grew up with the internet, pioneered social media, and thrive on information and innovation.

For these reasons, it is noteworthy when millennials opt for a classic approach over more recent methodologies. Since the advent and proliferation of Botox and fillers, the popularity of brow lifts plunged precipitously. Between the years 2000 and 2019, the procedure saw a 69% drop, due primarily to the convenience, safety, and effectiveness of injectables.

But now, the pendulum is starting to swing back the other way. Millennials love the results they receive from dermal fillers and neuromodulators, and now they want to put a ring on it. Brow lifts provide a more permanent solution to drooping skin and wrinkled foreheads, so the procedure is beginning to trend among the trendy.

Brow Lifts vs. Injectables

Let’s face it: we’re all sick of wearing masks. They helped slow the spread of COVID-19, but they also obscured your beautifully expressive lips and lower facial features. Masks directed our gaze upwards, emphasizing the eyes and their surroundings. Every wink and frown became amplified, and people paid close attention to every fine detail of the upper face.

The forehead is a breeding ground for wrinkles. Every time you make a facial expression, your musculature pulls at the skin, forming creases along the brow. There are many ways to address the wrinkling process. Botox halts the persistent contraction of specific muscles, allowing for a smooth serenity to encompass your expression. You can also get an added boost from facial fillers. These gentle serums bring volume to the skin, filling out gaps and smoothing creases from within. 

But some lax, redundant skin is too much for injectables to solve in a long-term manner. If you have sagging or heavy brows, a brow lift will work wonders for you. A brow lift procedure comes in two types: the endoscopic lift and the classic (coronal) lift. Although the endoscopic lift is a favorite for a number of reasons, the coronal lift has its unique advantages as well.

The Endoscopic Lift

The endoscopic lift is named after the procedure’s essential tool: the endoscope. This minimally invasive technique holds several advantages over the coronal lift, which was once the industry standard.

In any brow lift, the objective is to lift the skin surrounding the brow after it has begun to sag from muscle constriction around the eyes. With the endoscopic brow lift, small incisions about an inch long are made in the scalp above the hairline. Then, your medical team employs an endoscope (with a camera and light) to assist the surgeon in making the incisions. 

Once the doctor makes skillful, subtle incisions, he can gently separate the skin from the muscles and adjust it to create the appearance of a lift. The forehead is then secured with metal posts, which are removed ten days later.

Many patients opt for a simultaneous upper blepharoplasty procedure to complement the benefits of endoscopic brow lifts. Blepharoplasty is eyelid surgery engineered to remove subtle pockets of fat and excess skin. By performing an eye lift in conjunction with a brow lift, your doctor can achieve seamless results. After all, there is no magic border between the forehead and the eyelids; it is a holistic landscape of expression and radiance. 

The endoscopic procedure is quick, lasting about an hour and a half. Patients can expect to resume normal activities in ten days and recover completely in about three weeks. Overall, the procedure produces similar results to the classic lift, with less scarring.

The Classic Lift

The classic lift earned its title from its history of being the industry standard of brow lift surgeries. It involves a much longer incision, extending from ear to ear. This incision may also be made mid-scalp, following the skull to appear less conspicuous. This procedure removes a strip of skin, allowing the surgeon to lift and smooth the remaining skin.

A minority of coronal lift patients may experience alopecia: circular bald patches usually resolve after a few months. There is also a small chance of swelling, but recent advancements in the brow lift field have nearly eliminated this risk.

There is also postoperative pain associated with the classic lift, and the patient may experience prolonged numbness around the incision. This soon leads to itchiness, which may last for six months.

Classic Brow Lift vs. Endoscopic Brow Lift

Some surgeons express doubts regarding the longevity of endoscopic brow lifts. The method may not produce the long-lasting results associated with the classic lift approach. This is due to the fact that endoscopic lifts merely shift the skin upwards without removing redundant skin, leaving a chance that the skin may resettle over time. 

According to one extensive survey of 628 endoscopic brow lift procedures, patient satisfaction was high. In fact, 70% of respondents indicated positive results, but their surgeons still hold an affinity for the classic lift approach. Only half of the physicians surveyed were satisfied with the long-term benefits of their endoscopic lifts, expressing a desire for more enduring results after five years.

The endoscopic lift also shifts the hairline upwards, thus making the classic lift a better option for people with thin tissue or a receding hairline.
When deciding which brow lift procedure is right for you, schedule a consultation with Dr. Binder. His vast expertise ensures that he can answer any surgical questions or concerns you may have.

skin resurfacing

The Top 3 Skin Resurfacing Procedures to Consider

Beauty is a snapshot in time. The way your skin looks at a given moment is fleeting; it evolves and matures every hour of every day.

The dynamic nature of skin regeneration presents both opportunities and challenges. On the bright side, cells replenish and help your complexion maintain a healthy glow. But when the body begins to age, these regenerative properties slow down. By thoroughly understanding the ways in which skin forms and heals will guide our collective efforts to keep you looking and feeling your best.

WHAT IS SKIN RESURFACING?

Complexion is a story of two realms: superficial and subdermal. Let’s focus on the latter first. Under the skin’s surface, a complex network called the extracellular matrix (ECM) provides structure and support to a person’s features. 

One of the most prevalent compounds in the ECM is collagen. This protein generates growth, allowing new cells to flourish and replace dead and damaged skin. But as we get older, we produce less and less collagen.

In our later years, the skin reflects this shift in collagen levels. Wrinkles emerge, age spots linger, and the skin takes longer to repair itself in the event of breakage and splits. To resurface the skin as efficiently as possible, we may need to give the ECM medical boost every so often.

There are many ways in which a skilled physician can stimulate collagen production and bring vigor back to your complexion. The exact procedure(s) that works best for you will depend on several factors. Your skin tone and general health status will help determine which treatment is right for your aesthetic journey.

CHEMICAL PEEL OPTIONS

It’s time to face facts: dead cells peel away every time we wash our skin. It is a natural process, but it can be nurtured and amplified with a safe resurfacing strategy.

Chemical peels are procedures in which a licensed professional applies a carefully balanced compound to the skin for a precise length of time. Once the serum has reached a determined depth, your doctor will gently rinse off the chemical mixture, signaling your body to take over and replenish the affected skin.

The depth of your peel will depend on your cosmetic goals. If you have fine lines that you wish to tighten and smooth away, then a superficial peel may be ideal for you. On the other end of the spectrum, deep peels penetrate persistent creases and dark spots. To achieve your individual needs, your practitioner will utilize a bespoke blend of chemicals.

Glycolic peels are the lightest level of chemical resurfacing procedures. They are ideal for minimizing mild imperfections and textural inconsistencies.

Delving further below the surface, trichloroacetic acid (TCA) peels target splotches and discoloration, known as hyperpigmentation. In approximately five or six days, the outer layer of skin damage will flake away, revealing a healthy, youthful complexion.

The deepest peels available are formulated using a phenol compound. Phenol peels must only be administered seldom since they require up to two weeks of recovery time. Individuals with darker skin types may not be eligible for deep peels, so please consult with your aesthetic team to discuss the types of peel you desire.

LASER RESURFACING TREATMENTS

Technology is illuminating the way to new and innovative enhancements. One of the most brilliant techniques in our cosmetic toolkit is laser skin resurfacing.

By carefully swathing an area of dull, damaged skin with a concentrated energy beam, we can accomplish several goals simultaneously. First, the CO2 laser eradicates dead cells on the surface that may obscure one’s radiance. Meanwhile, the technology penetrates the dermis, where collagen activates and flourishes to create continued skin health.

Due to the highly delicate nature of laser resurfacing, you must only trust the procedure to a skilled, experienced professional. If you leave it in the hands of a non-licensed provider, it can lead to scarring, discomfort, and further damage.

DERMABRASION

Whether we mean to or not, we are sometimes harsh on our skin. Itching, picking, and daily abrasiveness deteriorate our glow. But perhaps the worst culprit of skin damage is sun exposure. Every time UV rays make contact with our complexions, it has an impact.

Sunburns, acne, and other wounds require healing. The skin patches itself via a process called epithelialization. Lower levels of skin create healthy new cells that rise to the surface to repair visible damage. Epithelialization takes time, however, and when it is rushed, it is noticeable. When collagen surges to fix a broken area of skin, it appears discolored or “tough” in texture. This is scar tissue.

But a medically guided epithelialization procedure can prevent scar formation and promote vibrant, gorgeous skin. Dermabrasion is one such procedure. Your doctor begins by administering a mild anesthetic to ensure comfort and safety throughout the session.

Once you are sufficiently comfortable, your skin is treated with a device that brushes away dead, discolored skin along the surface of your complexion. The depth of your dermabrasion session will depend on your goals and needs. Your doctor will meticulously work down through the layers of your skin to remove any unwanted blemishes and unearth your best attributes.

YOU DO YOU

Enhancement is not a “one size fits all” endeavor. Each of the procedures described above is customizable, so you will receive the treatment contoured appropriately to your skin. 

The recovery time associated with these techniques varies according to depth and duration. A light chemical peel, for example, requires less downtime than a comprehensive laser resurfacing session.

To prepare for your visit, chat with one of our friendly, knowledgeable staff members. We can’t wait to explore your skin resurfacing options with you! Call (310) 858-6749 to reach our Beverly Hills offices.

fat grafting

What You Need to Know About Fat Grafting for Facial Plastic Surgery

Cosmetic enhancement is the art of symmetry and balance. Sometimes, nature gives us too much bulk in some areas and not enough in other areas. A skilled surgeon can bring these two extremes into harmony through the science of fat transfer, also known as fat grafting.

Fat grafting is the process by which fat is removed from one portion of the body via liposuction, then liquefied by a process of straining and spinning, and finally surgically added to the body elsewhere. Traditionally, this process was used to fill out irregularities in the skin’s surface during procedures such as natural breast augmentation and Brazilian butt lifts. Now, however, fat grafting is becoming more and more important to facial plastic surgery.

Fat grafting is also used for facial reconstructive surgery and is now frequently used in other cosmetic facial plastic surgery techniques.

FACIAL FAT GRAFTING APPLICATIONS

Fat grafting can be used as an alternative to more traditional facial implants, with the added benefit of removing fat from less desirable locations. Using this technique, a surgeon can create a more natural facial profile, rebuild facial deformations, and repair tissue damage. Imperfections such as radiation damage from cancer treatment, birth defects, and damage resulting from prior surgery or trauma can now be treated with fat from a patient’s own body.

Facial fat grafting can also be used to augment the results of a facelift, which is becoming an increasingly popular technique used by plastic surgeons. According to a study in which 300 members of The American Society of Plastic Surgeons were polled, 85% of the surgeons polled used fat grafting during facelifts.

According to the study, these surgeons found that injecting fat from the patient’s body resulted in a more rounded and fuller appearance in the face. This result is especially beneficial when performing a facelift to improve upon cheeks that appear gaunt or sunken.

SUPPLEMENTING FACIAL RECONSTRUCTION SURGERY

In recent years, fat transfer has become a valuable tool in restoring facial structure and splendor. There are many reasons why patients may need to bring harmony back to their appearance. These causes include Parry-Romberg syndrome and other such deformities.

Traditional reconstructive surgery employs the flap technique to address the loss of tissue in a given area. Two flaps of skin are skillfully joined to cover the affected facial feature, smoothing it over for aesthetic enhancement. Some grafting techniques transplant skin from other body areas for application to the face if there is insufficient material on the face itself.

Regardless of the flap technique required to achieve facial reconstruction, fat grafting can aid the procedure. By supplementing skin with lipids, your surgeon can round out your look and bring volume to gaunt, slack areas of the face.

Fat transfer has proven wonderfully effective for patients who have undergone cancer removal from the head and neck. Healthy fat cells can be removed from one body region and placed delicately in the area where problematic lumps have been removed.

SKIN REJUVENATION

On the topic of cancer treatment, fat grafting offers a helpful set of benefits to those battling the condition. Radiation sessions can take their toll on skin health. Peeling, thinning, and darkening are pretty common in cancer survivors due to the potency of radiation treatment.

Fat grafting can alleviate some of the symptoms mentioned above. Your doctor uses purified adipose tissue from elsewhere on your body to rejuvenate and replenish your natural glow.

A LIFTING EFFECT

One of the residual benefits of fat transfer to the face is its ability to create a lifting dynamic to sagging features. Cheeks, brows, and other subtle structures can significantly boost their profile with a minimal amount of injected fat.

Grafting is an excellent supplement to surgery because the two disciplines address your various needs. Surgery removes ptotic (dropping) tissue and erases redundant skin. Meanwhile, fat transfer bolsters your natural contours, propping up your ideal lines and curves. 

The right fat transfer approach can diminish nasolabial folds, crow’s feet, perioral lines, and other unwanted creases either with or without the need for a more invasive procedure.

AN EVER-EVOLVING TECHNIQUE

One certainty when it comes to fat grafting is re-absorption. Your body will process some of the cells transferred to the desired area and eliminate them naturally and gradually. However, medical science is advancing every day to minimize the loss of transferred fat and maximize your results.

Experts are constantly finding new ways to salvage healthy cells and nurture them as they are transplanted to facial contours. The study of stem cells and platelet-rich plasma (PRP) continues to raise questions and illuminate opportunities in the field of fat grafting.

Please be advised that you should not trust fad techniques or quick fixes regarding your health. Experimental procedures are just that: experimental. More research is required regarding the effectiveness and safety of stem cell therapy and PRP treatments. You are nobody’s test subject. It would help if you only embarked on a procedural strategy after its benefits have been well proven and deemed applicable to your case.

The process of maneuvering healthcare advances can be complicated, which is why you require an innovative leader in the field of cosmetic surgery to explore your best options. Enhancement is marvelous, but safety is a must. The right fat transfer procedure can bring your appearance from the here and now to the bright future that awaits you.

AN INCREASINGLY POPULAR TECHNIQUE

Fat grafting is one of many tools that a plastic surgeon can implement. Whether used for cosmetic purposes or medical purposes, one thing is certain: fat grafting is becoming increasingly popular and essential to facial plastic surgery.

If you would like more information on facial plastic surgery techniques or considering the procedure, reach out to Dr. Binder, a leading plastic surgeon, and innovator in the field. Call (310) 858-6749 or contact us online to schedule your consultation.

scar removals

Are You a Good Candidate for a Scar Revision Procedure?

Your skin has many talents. It is a guardian, a tactician, and a doctor. Skin protects you from the elements while providing a vital sensation that helps you experience the world around you. And when you suffer a wound, the skin heals itself…to a degree.

Broken skin sends a signal to the body to seal the area. Collagen rushes to the site and rapidly forms new flesh, but this skin may not match the look and feel of its surroundings. That’s what we know as scar tissue.

But not all scars are created equal. In order to minimize the appearance of scarring, we must assess several factors, including skin tone, severity, and the nature of the scar itself.

Types of Scars

There are several scar tissue varieties, but the most common types fall into two major categories: hypertrophic and keloid. Hypertrophic scars have a red hue and tough texture but generally lay flush against the plane of the skin’s surface.

Keloids, on the other hand, extend well beyond the parameters of the original wound. They are raised approximately 4mm or more above the surface and are more persistent than hypertrophic scars. Individuals with darker skin types are more vulnerable to keloid scarring.

It is important to discuss your unique complexion, healing patterns and aesthetic goals with a skilled medical professional to determine the best course of action for scar treatment.

Surgical vs. Non-Surgical Scar Revision Techniques

As detailed above, collagen is both a virtue and a complication. When collagen forms too hastily, it has a fibrous consistency synonymous with scar tissue. To counteract this dynamic, collagen injections can supplement the skin and minimize the persistence of certain scars.

Another injectable solution is the use of dermal fillers like Restylane or Juvederm. These compounds can add fullness to divots or other inverted scars, bringing an even tone and texture to the area. Steroids may also be injected into the area to alleviate the itching and redness associated with scar tissue.

To address the scarring on a surface-level approach, your doctor may apply silicone gel sheets. Alternately, you may opt for pressure therapy, which requires several months of faithful usage to deliver noticeable results.

Laser skin resurfacing is a more comprehensive approach to scar revision. By heating the cells beneath the fibrous tissue, the CO2 beam encourages healthy new skin to form, replacing the unsightly scars that appear on your complexion.

Cosmetic surgery techniques have made incredible progress in the realm of scar revision. Your surgeon can literally excise scar tissue and suture the incisions back together with an eye for contouring and seamless functionality. For example, the elliptical, W-plasty and Z-plasty approaches are three variations on the same basic concept. The doctor works with the movement of your skin, assessing which incision shape will be the least noticeable.

For example, Z-plasty (as the name suggests) creates a zigzag incision that breaks up the stark, linear manifestation of a scar. Your skin is allowed to heal in several dimensions simultaneously, downplaying the original protrusion and dissipating the scar tissue in various directions. 

If your skin is struggling with scars that constrict your movement and expressions, your surgeon may recommend tissue expanders. These devices encourage your skin to flourish, overpowering scar tissue that pulls at your complexion.

The exact procedure that you require will depend on several factors. Before choosing between the surgical and non-surgical options outlined in this article, you must step back and take a holistic snapshot of your aesthetic landscape.

Careful Considerations

Scars affect everybody in different ways. The darkness of your skin, for example, will influence the type of scar tissue you develop (keloids vs. hypertrophic). But the proper scar revision technique must also consider the placement of a wound, the age of the patient, and the depth of the scarring.

One concept to keep in mind is that of relaxed skin tension lines (RSTL). When you look at scar revision under a microscope, you may think about your skin as it stretches, heals, and reforms. But we spend most of our time in a more calm state. When skin is relaxed, it has an entirely different vibe than when it is flexing and posing.

Take a casual look in the mirror. Does your scar stand out due to how rigid and straight it appears? That’s because it doesn’t have the same flexibility as the skin you have developed over the entire course of your life. Those relaxed skin tension lines define who you are, and scars get in the way of your resting best face.

A successful scar revision procedure will consider how you behave daily, not just how you will look in the clinic under certain lighting. We want you to be satisfied with your skin in the long term and under a bevy of scenarios.

From smiles to surprises and everything in between, your skin is a reactive gem. It demands individualized attention, and scar tissue is a facet of your complex complexion. Revision procedures are tailored to your ultimate goals, so be sure to discuss any and all medical needs with your physician before embarking on scar treatment.

Managing Expectations

Once the skin is broken, it can never magically go back in time to its perfect, unblemished status. That said, we can work with the skin to ensure it shimmers and glows at its optimum levels.

Realistic expectations are essential to cosmetic improvement. Scarring is natural because it is part of your healing process. Medical science is geared towards amplifying this process, but it can never replace your body’s own capabilities. Doctor Binder is an expert in the field of aesthetic enhancement because he respects and understands the skin. To benefit from his unparalleled expertise, contact our Beverly Hills office

botox and fillers

Botox and Fillers: Which Is the Right One for You?

Confidence is like beauty; they both originate from within and then project outward for the whole world to appreciate. It is vital to understand the dynamics of interior and exterior forces if we want to assess the best ways of maintaining your most attractive qualities.

The analysis of superficiality vs. depth is more than just a metaphor. We must treat the skin on its surface and below it simultaneously. After all, fine lines form along many planes of our complexion, so we need to eradicate them on multiple levels to fight the aging process comprehensively.

Botox and facial fillers work together (or separately) to enhance the skin and embrace your youthfulness. To learn which products are best for your brilliant skin, let’s get to the root of your aesthetic issues.

What Causes Wrinkles?

Skin is amazingly pliable. It stretches and contracts with astounding flexibility, but every complexion has its limits. After years of push-and-pull, the skin has trouble “bouncing back” like it used to in our younger years.

There are many reasons why lax skin develops creases. One of the main causes of wrinkles is the depletion of proteins like elastin and collagen in aging bodies. When we produce less of the supportive materials that prop up our skin, it slowly collapses. As skin hangs farther and farther away from its underlying muscle and soft tissue, the complexion puckers noticeably. 

Another root cause of fine lines is muscular contraction. Every time you wink, laugh or frown, your skin reacts. The repetitive motion of facial muscles creases skin, creating etched lines around the eyes, mouth, and nose. In order to halt the spread of unwanted wrinkles, we must identify the muscular activity that is exacerbating the aging process and relax them at their source.

Stop the Tug-of-War

Botox is a miraculous compound that eases muscular tension, ushering in a new age of placidity and smooth skin. The way it works is complex yet comprehensive. When your nervous system sends a signal to your facial muscles telling them to contract, your muscles follow their orders. 

By disrupting this signal, Botox allows you only to show the emotions you wish to convey rather than every involuntary twitch and cringe that persists on your face. Botox blocks the release of acetylcholine at the neural junction. This reduces the stretching and stress on your skin at the point of injection.

Even though the results of Botox are profound, they only take a short amount of time to take effect. Your skin may begin to show improvement in as little as 24 hours after an injection session, or they may take up to two weeks to integrate with your appearance. 

Enhance Your Skin from Within

Dermal fillers are similarly efficient in their activation. Restylane and Juvederm, for example, produce immediate results that only get better over the course of one to two weeks. During this time, the filler of your choice mingles with the natural substructures of your skin, bolstering their strength and preserving their youthful contours.

The active ingredient in Juvederm and Restylane is hyaluronic acid, also known as hyaluronan (HA). The human body naturally produces HA, so facial fillers formulated with this compound are safe and effective. When your doctor gently injects HA below the skin, your complexion radiates its ideal fullness and hydration. Indeed, HA molecules bind with water, cradling moisture and delivering an enduring glow to its recipients.

Hyaluronan is part of the extracellular matrix (ECM), a network of scaffolding that gives skin its signature shape. When HA is added to sagging, sallow skin, the results are transformative. 

Think of a balloon that has lost its air. The surface is withered and wrinkled. But when you inflate it, it enjoys a healthy sheen along its surface. Your skin is like that balloon, and hyaluronic acid is the air that is necessary to bring radiance and volume back to your appearance. 

Fillers and Botox: Better Together

There are significant advantages to each type of injectable. Fillers add fullness to areas like the cheeks and chin to add definition where it is most needed. On the other hand, Botox is most often administered along the upper face to reduce forehead wrinkles and glabellar lines (the “11” shaped creases that arise between your eyebrows). 

But the variability of enhancement compounds extends beyond the face. Botox, for example, can help alleviate the stringy, taut lines that appear along the neck. Most people focus their attention above the jawline, but the neck is one of the most prominent places where aging first manifests itself. By easing the tension along the lower face and neck, you can give your face the pedestal it deserves.

Fillers can also help turn back time in places other than the facial region. When the skin along the hands loses its fullness, it can appear skeletal and gaunt. A smart filler strategy rounds out hands to their proper dimensions. 

If you struggle with both persistent muscular contractions and deflated features, you can benefit from a combination of Botox and fillers. The formulas complement one another beautifully when injected by a skilled, knowledgeable professional.

Comprehensive Improvement

When you want to look and feel like your best self, you don’t merely want to plump or perk one area. It would help if you had an overall boost that lifts your profile along with your confidence. Doctor William J. Binder understands the complexities and opportunities of the injectable realm.

To schedule an appointment with the most accomplished aesthetic thinker on the west coast, contact our Beverly Hills office today. We’ve got the formula for success, and we’re eager to share our expertise with you.

chemical peel

What You Should Know Before Your First Chemical Peel

Skin is the intersection between the human body and the world at large. Environmental factors like sunlight and abrasion can damage the epidermis (outer layer of skin) while regenerative factors beneath the surface work to replenish and repair these impurities.

To properly support the vital interplay between the external and the internal, it is essential to understand the science of skin maintenance. Cells are in a constant state of renewal and migration, so we must celebrate these processes to effectively treat the skin.

Chemical peels are a safe, transformative way to address issues of aging, damage, and textural inconsistencies. If you are new to the concept of aesthetic peeling, the following information is designed to give you a broad introduction to the options at your disposal.

HOW TO PREPARE FOR A PEEL

Even before you undergo a skin resurfacing procedure, you can condition your skin with topical products that will strengthen and moisturize your complexion. After consulting with your doctor, you may be directed to apply various creams to prepare yourself.

Many of these pre-peel concoctions contain hydroquinone. The reason for using topical products is to reduce the chance of hyperpigmentation (discoloration) and/or bacterial infection. But the best way to avoid these minor risks is to choose a skilled and knowledgeable medical team to attend to your cosmetic and healthcare needs.

VERSATILITY AND VIBRANCY

Every complexion is unique, which is why each patient must be considered on an individual basis. You wouldn’t wear makeup designed for someone else’s skin tone, so why would you trust a one-peel-fits-all approach to enhancement?

The exact formulation of your peel will depend on your goals. Some people wish to strip away severe imperfections while others simply want to spruce up their glow. Chemical peels must be gauged to your level of satisfaction.

While the precise ingredients will differ greatly from case to case, peels generally fall into one of three categories.

  • Superficial peels use alpha-hydroxy acids (AHAs) to penetrate just below the epidermis. 
  • Medium depth peels go further, affecting the papillary layer of the dermis and stimulating the natural production of collagen.
  • Deep peels utilize phenol to create a true resurfacing, removing the outermost cells where damage is most prevalent and prompting the dermis to replace them with healthy, fresh skin.

Within each of the above categories, there is plenty of room for customization and empowerment. You should receive the peel that’s perfect for you, and the benefits will naturally follow. 

PORE CONTROL

If you struggle with enlarged pores, a chemical peel can restore your radiance. Your doctor will coat the surface of your skin with a powerful compound, but only for a matter of 5-10 minutes. Once the chemical solution is gently swabbed away, your skin responds by gradually tightening and toning itself. Hence, a chemical peel is like a makeover from within!

ACNE TREATMENT

On the other end of the skincare spectrum, pores may become clogged, which leads to acne issues. A chemical peel can prevent breakouts by clearing away sebum, the oil that your skin secretes.

In addition to acne prevention, peels can treat the damage from past outbreaks. Ruddy complexions, pitted areas, and other textural unevenness are no match for a well-strategized peel.

AGE SPOT REDUCTION

Call them what you will: liver spots, blotches, age spots, etc. But no matter what label you place on them, you can’t cover up the effects of photoaging. UV rays can provide a healthy sheen in small doses, but they can accelerate the deterioration of your skin as well.

To reverse the discoloration of your complexion due to sun exposure, maturation, and the combination of these processes, consider the rewards of a chemical peel.

MINIMIZING SCARS

When the skin is broken, a rush of collagen floods the wound, patching it hastily. The resulting skin looks and feels different than its surroundings. It’s like making a batch of cupcakes; if you throw in a new scoop of batter halfway through the baking cycle, it will stand out from the other, more gradually cooked cakes. 

In other words: rushing the creation of healthy skin is half-baked.

The natural process of skin repairing and replacing its outer layers is called epithelialization. The proper peel can dovetail with epithelialization to bring an even glow to the complexion. Rather than a blotch of scar tissue associated with wound repair, peels encourage a balanced, healthy new landscape of skin.

MAXIMIZING YOUTHFULNESS

One of the most popular reasons for exploring chemical peels is to turn back the hands of time. As we age, the skin accumulates fine lines and creases. There are many causes for the manifestation of crow’s feet and nasolabial folds, including facial muscular contractions and the depletion of proteins over time. 

Your doctor can address the aforementioned dynamics with injectables like Botox (to ease repetitive expressions) or hyaluronic acid (to fill the gaps beneath the surface). While fillers and neuromodulators work subdermally, peels refresh the exterior of the skin.

Reducing the persistence of rhytids (wrinkles) is one of the major benefits of a chemical peel. The compound simultaneously removes damaged, dead skin cells and helps new, tighter skin to take its place. 

FRESH FACED, PERKY PERSPECTIVE

As the name suggests, a chemical peel flakes away in a matter of 3-6 days after application. The solution peels away more than just damaged skin; it also removes insecurities and inhibitions. When you face the world on your own terms, you will enjoy a boost of confidence that everyone can notice!
To learn more about chemical peels and how they work with your unique appearance, contact our office in Beverly Hills, California. We can’t wait to celebrate your skin!

get ready for summer

Hotter Weather, Hotter You: Getting Ready for Summer

The light at the end of the tunnel has never been so inviting. As vaccination rates rise, so do the temperatures, and we can’t wait to put lockdown behind us for some summer fun!

You’ve been indoors long enough. And although you have mastered the art of looking fabulous on Zoom calls, natural sunlight is a bit more unforgiving. To be sure you’re ready for the summer stage, consider the many minimally invasive ways you can look and feel your best.

THE BOUNTIFUL BENEFITS OF BOTOX

Beach season is just around the corner, so you want a procedure that is quick, effective, and natural-looking. Botox checks all of these boxes and its applications are as varied as they are vibrant.

The active ingredients in Botox serve as neuromodulators. Simply put, the compound targets the neural junction where persistent muscles pull at the skin, causing bothersome wrinkles. Botox blocks the release of acetylcholine, allowing your muscles to relax and your complexion to smooth itself out.

During the summer months, you have a tendency to squint and frown. The lines created by such muscular contractions etch fine lines in your skin that deepen over time. One of the most popular uses of Botox is to minimize creases along the forehead. Your visor and sunscreen should be shielding your skin from UV rays, not your furrowed brow!

But Botox has numerous applications beyond the upper face. It can release the tension along the chin, thus erasing the puckered lines synonymous with persistent wincing and other facial expressions. The neuromodulator is even safe enough to smooth away lines along the neck. You can achieve the proper pedestal on which your gorgeous face can perch proudly!

KISS WINTER GOODBYE

Another wonderful way to enhance your appearance without the need for excessive downtimes and/or invasive procedures is a simple lip injection. As the human body ages, it produces fewer structural proteins like collagen and elastin. These materials form a system of scaffolding beneath the surface of the skin that props it up and maintains its shape.

When elastin and collagen are depleted, the skin hangs away from its underlying muscle and soft tissue. Certain features appear thin and saggy. Especially delicate features like the mouth illustrate the dynamics of aging early in life.

Fortunately, you can counteract the maturity process with a quick and effective contouring procedure. Lip enhancement empowers you to add volume and definition to your lower face according to your specifications. For example, autologous fat transfer is the process by which your doctor gently removes excess fat from such areas as the abdomen or “love handles” and purifies it for use elsewhere on the body. Unwanted fat cells can add plumpness and desirability to the mouth, all with material from your own biology.

If you prefer an even less invasive approach, consider the benefits of facial fillers. Compounds like Restylane and Juvederm can bring fullness back to weathered, withered lips. These popular dermal fillers are formulated with hyaluronic acid (HA), which is a naturally occurring substance in human physiology. 

One of the incredible fringe benefits of HA is its ability to bind with water molecules subdermally. By cradling moisture beneath the skin’s surface, hyaluronic acid maintains hydration where it is administered. Simply put: your lips will not only enjoy a dramatic lift from facial fillers; they will also appear dewy and lush.

VERSATILITY AND VOLUME

Hyaluronic acid has a plethora of applications beyond the borders of the lips. Various facial features experience a noticeable deflation as the years accumulate. Cheeks grow sallow, crow’s feet encroach further and further, and even the hands appear gaunt and skeletal in our golden years.

You can reverse the hands (pardon the pun) of time with a strategic filler regimen.

Juvederm and Restylane are injected precisely into the areas that most need a boost. For example, if the “laugh lines” flanking your face are causing you distress, you can prop them up and smooth them away with the proper filler. Think of it like a balloon that has lost its air. The surface appears puckered and dull until you once again fill it. That is exactly how dermal fillers work. They replenish the skin, restoring it to its youthful dimensions once more.

NOTHING IS PERMANENT 

If you are unsure about cosmetic enhancement, take it slow. Botox and hyaluronic acid are gradually absorbed, so their effects are as temporary as you want them to be. Test them out, see how you feel (and look), and decide if injectables are right for you.

The good news: you have plenty of time before summer to explore your enhancement options. The great news: if (when) you love the results of your filler and/or Botox session, you can schedule a follow-up appointment to extend the benefits throughout the summer.

You’ll notice we mention fillers and/or Botox in the sentence above; that’s because the products are perfectly paired to bring you a comprehensive glow. Fillers work below the surface of the skin to give it structure while Botox eases muscle tension to allow your expressions to shine without wrinkles.

Together, the various minimally invasive options at your disposal will create the foundation for a return to normalcy. We have been cooped up for over a year, eager to reconnect with loved ones. Engaging in social interaction can be daunting, especially when we’re out of practice.
By removing the insecurities and uncertainties of social trepidation, we may pave the way to a more enjoyable summer. Contact us to learn more about lip enhancement, wrinkle reduction, and more. We can’t wait to see you this summer!

love spells botox

L-O-V-E Spells Botox

Emotion is the ultimate gift. As we live, laugh, and love, the wonders of expression play brilliantly across our faces. But when inevitable wrinkles persist and deepen, we may be conveying emotions that we do not intend to share.

Each time your facial muscles contract, they pull at your skin. Frown lines, smile lines, and other creases become etched into your complexion over time. Botox Cosmetic can reduce these bothersome wrinkles and prevent new lines from forming. Just in time for Valentine’s Day!

Botox Applications

Your special someone is just that: special. This person may have the most attractive features you have ever seen, but there might be one nagging detail that upsets them. If that is the case, then only they can determine which area they wish to enhance. You can alleviate their distress by empowering them to customize their aesthetic journey.

Botox works by targeting repetitive muscular contractions. By disrupting acetylcholine flow at the neural junction, Botox eases tension and brings a smooth serenity to the skin.

The primary benefit of this neuromodulator is how versatile it is. One of the most popular uses of Botox is to reduce the wrinkles along the forehead. Lines above the brow make you look older or more worrisome than you are. With a strategic Botox injection, your forehead will project a calm and youthful glow.

Other facial features that respond incredibly well to Botox treatment are the chin, cheeks, lips, eyes, and ears. But now that you have transformed your face into a work of art, you need to provide it the proper pedestal. The neck is one of the first areas on the body to betray our age. By administering Botox injections into the neck, your doctor can release the lines that tarnish an otherwise elegant lower facial region.

No Sweat, No More Headaches

Let’s face it: love can be stressful, but you don’t need to succumb to its rigors. If you are looking for some help managing your relationship woes, look no further than Botox.

Excessive sweating can be a real mood killer. It is a condition known as hyperhidrosis, and it has no place at the romantic dinner table set up for Valentine’s Day. To achieve relief from unsightly and uncomfortable underarm sweat for 4-7 months, consider the benefits of Botox.

Migraine sufferers have also discovered the perks of Botox. When placed on the migraine pain site, Botox can “unravel” nerve clusters, thus providing relief from debilitating headache trauma.

Cost of Botox In Beverly Hills

The exact cost of Botox treatment depends on various factors. Each patient has a limited amount of Botox units measured out for injection. The number of Botox units required to achieve your desired results will contribute to your session’s final price. If you choose to address various facial features simultaneously, this will affect your visit’s cost.

To give you a rough pricing estimate of a signature Botox treatment, the Nefertiti Lift costs between $200 and $600. This procedure avoids the surgery’s downtime and invasive nature and effectively elevates the lower face’s contours. A Nefertiti Lift targets the platysma muscles along the neck, eliminating unwanted “bands” that crisscross the neck. By relaxing the activity at the neural junctions, Botox allows you to hold your head high. You and your partner can gaze lovingly across the candlelight table at one another without having muscle tension weigh down your Valentine’s Day conversation.

Rapid Recovery, Remarkable Results

A romantic escapade requires the proper planning. Before you plan out your ideal February calendar of love, consider the timing of your Botox journey. The great news is Botox injections themselves are associated with little to no downtime. You can get your treatment done during a lunch break and resume your day as usual. Aside from small red spots along with the injection sites, nobody will know you’ve had an enhancement (not even your significant other).

It may take between 4-7 days for the full effects of Botox to work their magic. If you want to look and feel your best before Valentine’s Day, you may want to reverse engineer your timing. But here’s a great bonus to keep in mind: the results of Botox endure for approximately six months. You can enjoy smooth, radiant dimensions for your loved one’s next birthday, anniversary, and more.

If you wish to extend the benefits of Botox, schedule a follow-up appointment and keep your attractiveness flowing.

Love Yourself, Love Your Look

Life is a joyous affair. Your partner can reap the rewards of Botox treatment according to his or her tailored specifications. But you can join your special someone in improving your outlook with a session of your own!

Studies indicate that Botox recipients reported enhanced quality of life after undergoing their safe, straightforward injections. As inhibitions get smoothed away, confidence flourishes anew. Botox can renew your zest for romance by merely lifting a weight off your proverbial shoulders.

When you enjoy a boost in self-esteem, you bring more energy to your interpersonal relationships. By ditching your uncertainty, you may experience more adventurousness in the bedroom.

This Valentine’s Day, consider the myriad marvels of Botox treatment at our Beverly Hills office. Dr. William J. Binder is one of the trailblazing pioneers in the field of Botox application and innovation. His research made migraine treatment via neuromodulators a viable reality.

If you are curious about how Botox can benefit you or your significant other, call (310) 858-6749. Your partner will be impressed that you booked with the best. Valentine’s Day is already looking rosier this year. 

mole removal

The Process of Mole Removal: How Proper Elimination Is Completed

Reliability is a great goal. Every day, you want to prove that your work is consistent, that your promises ring true, and that you are a person of your word. We also crave a sense of regularity in the way we look. When blemishes obscure your appearance, each spot and protrusion stands out and can attract attention.

The average human has approximately 10 to 40 moles on their body. The overwhelming majority of skin lesions are non-cancerous, but they may cause you discomfort and aesthetic displeasure.To address the existence and persistence of unsightly moles, let’s define our terms and explore your options.

Know the Skin You’re In

The lower depths of the dermis contain specialized cells called melanocytes. These cells are responsible for producing melanin which is the compound that gives our skin its color. But when melanocytes become overactive or cluster into unwieldy groups, moles may form.

Moles vary greatly in appearance and hue. Some are raised above the plane of the skin, while others extend above it. A mole may be red, brown, pink, or even blue, and the size is generally about the same as a pencil’s eraser. 

Many people are born with moles, so they must not be confused with spots that are caused by exposure to the sun. Actinic keratoses (AKs) are lesions formed after the skin reacts with ultraviolet rays. Some AKs manifest themselves as brownish-red patches, but others are invisible to the naked eye. A keratosis may merely present itself as a dry, rough swath of skin that may itch or even bleed.

If you are experiencing pain or disfigurement as a result of sun exposure, please contact a trusted medical professional.

Prevention is the Best Cure

Before elaborating on the many ways in which we can treat unwanted moles and keratosis, we should pause for a moment to endorse every doctor’s best friend: prevention. By adhering to the proper UV protection plan, you may be able to fend off the growth of new lesions.

If you have noticed a new or unusual blemish on your skin, the following tips can help you monitor your wellness.

The A, B, C, D, & E’s of Cancer Detection

According to the Centers for Disease Control and Prevention, keeping track of a suspicious lesion is as easy as A, B, C, D, and E. Just keep these steps in mind as you assess any mole that worries you.

  • A is for Asymmetry – If a spot appears uneven, lopsided, or amorphous, you may be experiencing the growth of a melanoma.
  • B is for Border – Similarly, the contours of your mole’s border can indicate trouble. Study the perimeter and look for jagged edges or a splotchy definition.
  • C is for Color – As we mentioned earlier, lesions can be everything from blue to pink to black. If the hue of your mole does not match any of the skin tone surrounding it, contact a medical expert for their valued advice. 
  • D is for Diameter – Larger lesions may be cause for concern. Is your mole larger than a pea? If so, it may indicate the presence of melanoma.
  • E is for Evolution – Watch for changes in your skin protrusion. If it spreads rapidly or shifts in sensation and/or appearance, please do not hesitate to ask for professional help.

Removing Moles and Lesions

The process of treating an unwanted imperfection is very straightforward. Your surgeon can perform a “shave excision” which means that he will remove all of the irregular tissue that rises above the plane of your skin. The site of the excision is then gently cauterized to close the micro-wound. Your body will produce a flourish of collagen to repair the excision, and your skin will naturally scab and heal.

Your doctor will provide you with any necessary topical products, such as hydrocortisone, to treat the area after your mole or keratosis is removed. But once a lesion is gone, that does not mean that your enhancement journey is complete. On the contrary; health care is a lifelong endeavor. The removal of irregular tissue is just the beginning in your overall quest to be your best possible version of yourself.

Continued Care

After removing the mole in question, your physician will send the excised tissue to a pathologist. Your entire medical team is all striving for the same goal: your continued health and improvement. The pathologist will analyze the former lesion and look for any signs of skin cancer in the tissue sample.

Not all moles are created equal. The size of your growth could be an indicating factor in your risk of developing melanoma at some point in your life. Other considerations to keep in mind are the dimensions and qualities of the lesion that was removed. Atypical moles are known as dysplastic nevi. When a growth varies wildly from its surrounding skin tone and texture, there is a higher prevalence of melanoma. 

Your doctor should also assess your overall risk for skin cancer by examining more than simply the discolorations that upset your appearance. If you have more than 50 moles on your body, you may present an increased risk for not only melanoma but also certain cancers – particularly breast cancer

Please be prepared to share your medical history when you consult with a dermatologist or plastic surgeon. As the old saying goes, beauty is only skin deep… but your wellbeing runs much deeper. It is important to alert your caregiver to a family pattern of skin cancer or unusual lesions so that he or she can treat more than just the mole; he or she can keep you thriving on all fronts.

Together, we can make sure that your future is as bright as your complexion. Call (310) 858-6749 to reach our Beverly Hills office and start a conversation about your best self.

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