How Botox Can Help Reverse Sun-Damaged Skin

Ah, summer. Sand, waves, and a good beach read. Many of us dream of having this kind of downtime, helping us to recharge and regroup.

However, those summer rays can do some damage if you’re not careful. Remember your freckles as a kid? Or that vacation where your shoulders and face burned?  Or, if you’re of a “certain age,” maybe you laid out with baby oil. On foil. Yikes.

All of these examples can cause or are signs of sun-damaged skin, which can appear as early as our teens or 20s.

According to the Skin Cancer Foundation, if you’ve received five or more sunburns over your lifetime, you have doubled your risk for melanoma. Further, 90 percent of “skin aging is caused by the sun.” Sun damage is also cumulative. Each year of too much sun exposure can increase damage to your skin. 

But all’s not lost. The damage to sun-soaked skin can be reversed if you know your options. 

Read on to learn about how Botox can help reverse your sun-damaged skin.

Signs of Sun-Damaged Skin

Signs of sun-damaged skin are numerous, depending on the pigmentation of your skin and your exposure. However, common signs include:

  • wrinkles, 
  • dark or sunspots, 
  • uneven skin tone, 
  • blotchiness or redness, or
  • dry, coarse, or leathery skin texture. 

When the sun damages our skin, it essentially breaks down the skin’s structure, weakening it.  Further, the resulting damage often does not appear until years after the exposure.  

How to Protect Yourself

The best way to protect yourself from sun exposure is to—well—stay out of the sun.  Although this is an impossibility for most of us, the theory itself can be extended to everyday life.

For example, you can wear a hat to shield the sensitive skin on your face from the sun. You can sit in the shade or under a beach umbrella, preventing the sun’s rays from wrinkling or blotching your skin. 

Further, unlike the lack of advice in the 70s and 80s, now, it’s common to hear about the benefits of sunscreen, for your face, body, and lips. According to Cleveland Clinic, most people should use sunscreen with lead at 30 sun protection factors (SPF). If you’ve had skin cancer yourself or your family has a history of skin cancer, you should wear a higher SPF.

You can also use facial moisturizers and creams containing retinoids, vitamin C, and antioxidants. These elements can reduce the appearance of sunspots as well as the size of your pores, giving you a more youthful look. 

Don’t forget to shed those dull, dead skin cells with exfoliants, helping with uneven skin tones, dry skin, and clogged pores. 

With proper guidance, you can also pursue chemical peels, laser therapy, or lightening agents, evening out your skin tone while removing sunspots and blemishes caused by sun exposure. Again, be sure you work with someone skilled in these procedures, giving your look a boost. 

How Does Botox Help to Reverse Sun Damaged Skin?

Botox Is one of the “most versatile medical tools” available today. In addition to treating migraines, bladder disorders, and TMJ, Botox is most used “to eliminate the appearance of fine lines and wrinkles on the face and neck,” including those caused by sun exposure.

The drug Botox is typically administered through an injection, weakening and paralyzing the underlying muscle. Because of this paralysis, Botox can reduce the appearance of wrinkles by smoothing the skin. With the sun potentially causing deeper lines and wrinkles, Botox injections may be an ideal treatment.

 It’s important to know that Botox doesn’t eliminate wrinkles.  However, with proper use of Botox and as advised by your dermatologist or plastic surgeon, you can reduce the appearance of sun damage for three to six months before you need another injection. Over time, you may find that you only need two injections yearly to maintain your desired appearance. 

Even if your teens or 20s are well in the past, it’s never too late to protect your skin from sun exposure. However, just like with any procedure, cutting corners is not advised. Instead, a qualified and experienced physician can analyze previous damage to your skin, informing you of the best approach forward. So, to get that youthful, smooth skin, contact us today!

eyelid surgery

Why You Could Be Causing Premature Aging

Ah, aging. You either embrace it or hate it. Unfortunately, there doesn’t seem to be much in-between.

But one thing is for sure. Plastic surgeons are frequently asked about the best way to reverse the aging process. Is it through fillers? Botox? Facial contouring?

One way to reverse or slow the aging process is to look at how you live your life. Through your daily activities, you may be causing your own premature aging.

Let’s look at some ways you could be causing premature aging and what you can do to combat it.

The Culprits of Premature Aging

Exposure to the Sun

According to the Skin Cancer Foundation, sun exposure is “the number one cause of aging.” If you’re of a certain age, this may make your skin crawl (in addition to aging). For those of us who laid out in the sun with nothing but baby oil back in the 1970s and 1980s, we may be seeing those carefree summer activities now reflected on our faces with premature wrinkling and sagging.

Ultraviolet (UV) radiation, part of the sun’s rays, “speeds the natural aging process [and ] is the primary cause of early wrinkling,” according to Mayo Clinic. UV rays exposure “breaks down your skin’s connective tissue—collagen and elastin fibers, which lie in the deeper layer of skin.” When your connective tissue breaks down and weakens, your skin loses its flexibility and strength, causing it to wrinkle and sag.

If you learned anything from those days of laying out with baby oil, it’s to wear sunscreen—anytime you’re in the sun for an extended period of time. So don’t forget protection for your skin when you’re outside gardening, at a ball game, taking a long walk, or, of course, at the beach or pool. It will do wonders for your skin.

Smoking

Smoking, another culprit, can prematurely age your skin as well.  According to the American Osteopathic College of Dermatology, smoking is directly linked to “premature aging of the skin, increased amount[s] of infections, and delayed wound healing.” And if that weren’t enough, smokers are more apt to get inflammatory skin diseases than their non-smoking counterparts.

And the Mayo Clinic says that smoking can accelerate the aging process, giving you “crow’s-feet, pronounced lines between the eyebrows, uneven skin complexion, a grayish tone on lighter skin, deep creases and puffiness below the eyes, wrinkles around the mouth, and thinner lips.”

The best course of action is to stop smoking, often easier said than done. However, if you can back down on smoking, including vaping (and eventually quit), your skin will thank you.

Lack of Sleep

Quality sleep plays an integral role in our health. It helps our bodies recover and heal, letting us wake up well-rested, ready to take on what the day brings. However, for many of us, quality sleep is as elusive as a rainbow-colored unicorn.

According to the Sleep Foundation, over one in three people sleep less than seven hours a night. In addition, close to half of all Americans “say they feel sleepy during the day between three and seven days per week.” Between 30 percent and 48 percent of older adults have insomnia.

If you’re not sleeping enough hours or not sleeping soundly, then your body’s largest organ—your skin—will show it. Without good sleep, your skin can’t renew. Taking time to figure out what helps you sleep better can help slow signs of aging. Is it your mattress? A snoring spouse?  Toddlers jumping in bed with you? Think about how you can reduce distractions, allowing you to drift off – and stay asleep – in dreamland for at least seven hours nightly.

Stress

Like smoking, stress directly impacts our physical and mental health. And our skin is not exempt. As reported by the Business Insider, “[h]igh amounts of cortisol – the stress hormone – can break down the skin’s collagen and elastin, and form wrinkles.”

Citing to two different scientific studies published in the National Institute of Health’s journal, Business Insider further reports that “chronic stress can have negative effects on skin aging and cause wrinkles to form . . . because stress causes inflammation and impairs the body’s ability to repair itself.” Further, Business Insider cites that “[r]esearch has found that skin aging is often accompanied with a two to four times increase in plasma levels of inflammation.”

Learning how to combat stress seems to be a never-ending task. However, prioritizing yourself and your mental and physical health, can do wonders for your skin – as well as the rest of your body.

Although this list of culprits is a good start, it’s not comprehensive. We didn’t get a chance to talk about pollution and toxins, poor diet choices, and making repeated facial expressions (yep, that one). All contribute to premature aging as well. If you’d like to learn more ways about combatting premature aging, call Dr. Binder, an esteemed, board-certified plastic surgeon in Beverly Hills.

Eyelid Surgery Los Angeles

Facial Implants: An Inside Look into the Ultimate Contouring Job

From “selfie-awareness” to the “Zoom effect,” people have spent more time looking at their facial features more than at any other time in history. According to the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), 83 percent of respondents in a recent survey indicated that the “Zoom effect” was a major indicator in seeking change, such as undergoing plastic surgery.

A recent study published in AAFPRS’s journal, Facial Plastic Surgery & Aesthetic Medicine, found that “ZOOM dysmorphia” had “a huge impact on the way we view ourselves.” Simply, through this hyperawareness of our images on live video (with no filters), people are turning to plastic surgery to fix imperfections and balance facial structure, creating a more pleasing look (and boosting self-confidence).

Whether on a Zoom call or not, a receding chin, undefined cheeks, a narrow jawline, or damaged facial tissue can make many of us less confident socially interacting with others. We can now achieve a more balanced, aesthetically pleasing image through facial implants.

What are Facial Implants for Contouring?

With facial implants, you can change the contouring and structure of the face by inserting implants into the cheeks, chin, or jaw, enhancing the definition and look of your facial features. Facial contouring, specifically, is “the art and science of merging plastic surgical techniques with these newer implant designs to improve the relative balance of facial features.”

Today’s implants are also very different than those used in the past. “Contemporary facial implants are contoured to imitate the natural bone structure and youthful form of the overlying soft tissues. They may extend over smaller or larger areas with different thicknesses to create varying projections, thus enhancing either a portion or the entire cheek or jawline,” according to Dr. William Binder.

Additionally, these modern implants—typically made of solid silicone elastomer or rubber–can not only fix facial imperfections and feature imbalance, but they can also reverse signs of aging. As facial tissue begins to sag as we climb the years, facial implants can increase volume and definition, making us look younger. These types of inserts have been found to stand the test of time while maintaining “both shape and flexibility and this feel[ing] perfectly natural over the facial structure.”

Types of Facial Implants

For the Chin

If your chin recedes or isn’t defined to your liking, you can get a chin implant. Not your mother’s implants, these “wrap around the entire chin and mandible, provid[ing] a more natural look from both the front and side views than the older button-like chin implants used years ago.”

Chin implants help contour the face by building up the chin, creating a better profile and improving facial symmetry. These implants can also help with sagging skin around the chin, common as we age, by eliminating the double chin or sagging skin, causing us to look older.

A relatively minor procedure, you can receive chin implants in 30-40 minutes as an outpatient procedure.

For the Cheeks

Perhaps you have drooping skin around your cheeks. In that case, cheek implants may be for you. This procedure can dramatically alter your appearance, giving you those classic high cheekbones that most desire. According to Dr. Binder, “[o]lder cheek implants which often created an artificial appearance have been eliminated as a result of the new, more anatomically-designed cheek implants. These take into account the entire area we perceived as ‘cheekbones’ and compensate for both the bone and soft tissue components that comprise the aesthetically desirable ‘high cheekbone effect.’”

You can receive cheek implants in about an hour as an outpatient procedure.

 

For the Jawline

Another area that benefits from contouring is the jawline. Facial implants can add structure, definition, and volume to the jawline, and are commonly elected among both women and men. Like chin and cheek implants, jaw implants can also balance out all facial features, giving the patient facial symmetry.

More complex than chin or cheek implants, this surgery will take one to two hours as an outpatient procedure.

Using Technology in Face Contouring

Let’s give these new implants a further look. Today, “three-dimensional computer technology is now used for the production of a new generation of more accurate, anatomic facial implants that permit more effective, long-lasting and pleasing results in facial augmentation.”

Here’s how it works

This process begins with a CAT scan taken of the anatomical area surrounding the defect. A computerized three-dimensional image is created from the scan and is available for examination through a video screen. It is then transformed into an exact life-size model of the skeletal structure. The anatomical model is then used to facilitate production of an extremely accurate implant that will exactly correct the contour deformity. The back surface of the implant is extremely precise, fitting the contour of the bony defect and interlocking with the underlying bone to provide long-term stability, preventing movement or slippage.

. . .

With the actual procedure minimized, operative time is reduced and the procedure can usually be performed on an outpatient basis with less complications and a considerable reduction in cost.

However, remember that facial implants and contouring are medical procedures, and cutting corners is not advised. Instead, a qualified and experienced physician can analyze the symmetry of your face, informing you of the best approach forward. So, to get that Zoom-ready image, contact us today!

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.

injectables

Injectables Can Boost Both Your Lips and Your Confidence

Our lips speak volumes, even when they don’t say a word. From the way a mouth pouts to the curve of a smile to the quiver of a near-cry, the lips are marvelously expressive.

Over time, however, lips lose their luster and grow thin with age. In its advanced years, the human body produces less collagen. This is the protein responsible for the maintenance and regeneration of skin, blood vessels, teeth, and bones. When collagen is depleted, it leaves the connective tissue below the surface of the lips unsupported and diminished. Lackluster lips can affect one’s confidence and cause them to retreat from social situations as the issue persists.

Dr. Binder can restore youth and vigor to your pucker. Every face is unique, so your aesthetic journey will be as individualized as you are. The following options are guidelines for your perusal, but feel free to contact our Beverly Hills office to schedule a personalized consultation.

DERMAL FILLERS

When lips get thinner, they begin to develop creases and wrinkles where the plumpness once was. Dermal fillers such as Restylane and Juvederm literally do what their name suggests: they fill in the gaps left by age. When the tissue below the surface is plumped, the lines above straighten out.

Another great benefit of fillers is their ability to stimulate collagen production. When your lips are creating their own building blocks of vitality and vibrancy, the benefits of lip enhancements extend well beyond the date of your filler treatment. Hence, you will enjoy the immediate results of wrinkle reduction as well as prolonged beauty from the newly stimulated collagen in your lips.

In addition to collagen, most dermal fillers contain Hyaluronic Acid (HA). This is another compound that the body naturally generates. HA is a marvel of biology; it can hold 1,000 times its weight in moisture! When your lips are sufficiently supplied with Hyaluronic Acid, they retain their hydration for months or even years to come. 

BOTOX FOR LIPS

Filling the lips is a great first step in providing a firm, full appearance. However, there may be deeper reasons for the crinkling dynamics you see on or around your mouth. Whenever your muscles contract, they pull the skin with them. Each of these contractions causes fine lines to appear, and these creases get more pronounced over the years and decades of our lives.

Botox disrupts the repetitive contraction of muscles by targeting them directly. When Botox is injected into a specific area, it relaxes that finite region, easing the tension that contributes to wrinkles. In the case of lip injections, Botox can help erase laugh lines, plump thin lips, and reverse the “gummy smile” phenomenon caused by strained mouth contractions. 

If you struggle with “marionette lines” or downturns around the corners of your lips, then Botox may be the perfect solution for you. 

STAR-STUDDED SUCCESS STORIES

When it comes to cosmetic enhancements, many celebrities remain tight-lipped (pun intended) about their respective procedures. There is an unfair stigma attached to getting “work done” because actors want to exude the impression that they simply inhabit their role without help from a team of stylists, artists, and yes, plastic surgeons.

But we know better.

Oscar winners like Renee Zellweger and Nicole Kidman have thrilled audiences for a generation. They stroll red carpets around the globe, facing the bright lights of acclaim and recognition. Both actors have transformed themselves on screen in movies like Bombshell and Judy, but they have clearly enjoyed the benefits of cosmetic enhancements in real life as well. Kidman and Zellweger are known for their expressive lips, and their allure has endured the test of time… most likely due to some help from dermal fillers and/or Botox.

Kylie Jenner is perhaps the most outspoken proponent of minimally invasive cosmetic procedures. On an episode of her wildly successful reality show, Keeping Up with the Kardashians, Kylie declared, “I have temporary lip fillers. It’s just an insecurity of mine, and it’s what I wanted to do.”

LIP FILLERS FOR MILLENNIALS 

Kylie serves as an empowering example of living life on your own terms and in your own style. The attitude has made Ms. Jenner a billionaire, which explains why millions of millennials are emulating her penchant for pouty lips.

The 20- and 30-something generation is the first to grow up in the age of social media. Every millennial selfie is posted, shared, liked and studied by their peer group, adding to the overall desire to look exactly how you want to look and broadcast your aesthetic to the world. 

In the past decade, the popularity of injectables has skyrocketed amongst millennials. Since 2010, Botox procedures have witnessed a 28% increase in the 20-29-year-old demographic and dermal fillers have plumped up by 32% in that same age group. Young people are not waiting until their golden years to contour their looks; they live for the moment, and they want that moment to be Insta-worthy.

FILL IN THE BLANKS

Whether you are a millennial, a celebrity, or an as yet undiscovered star, your lips should reflect who you are. When you look in the mirror, we want you to recognize the strong, smart individual that others see. If thin lips or facial creases are obscuring your self-confidence, Dr. Binder can help.

Contact our office soon and let us know how we can unleash your fuller, firmer facial profile. Your lips will thank you!

Couples Getting Plastic Surgery to Look Alike

Why are you considering cosmetic surgery? It’s a simple question, but the answers are as complex as you are. Maybe you want a boost of self-confidence? Or perhaps you want to look younger to get an extra edge in the workplace? But one of the most universal reasons for wanting plastic surgery is to look more attractive to the gender of your desire.

But the romance doesn’t end once you’ve met that special someone. You want to look good FOR them, so maybe you want to look LIKE them. After all, you share a life, so why not share a look?

Beauty Matching

As surgical trends go, “beauty matching” is a relatively rare one… but it’s starting to become less so by the day. One of the most popular surgeons in Dubai reports that he welcomes two or three couples every year seeking to emulate one another’s looks.

More common, however, is the tendency for couples to share the desire for a new look rather than the specific look itself. The aforementioned doctor explains that when a wife experiences the benefits of a successful procedure, her satisfaction helps to convince her husband to seek his own path into cosmetic surgery. This phenomenon occurs about seven times more often than the “beauty matching” approach.

The Pragmatics of It All

While beauty matching may sound like an odd goal for some couples, there are several sound reasons for coordinating your reconstructive surgery plans with a significant other.

  • Healing Time – No matter how minimal, every invasive procedure requires some amount of recuperation. If you schedule your appointment in conjunction with your spouse’s, you can plan to spend the downtime together.
  • Research, Times Two – While we encourage you to explore all of your options when it comes to finding the right procedure for you, that research process could benefit your loved one as well. Ask each other questions, narrow down your choices, and devise a plan that works best for both of you.
  • Grow Closer, Not Older – If you share a home with your significant other, then you have probably also shared some major discussions about aesthetics. How to organize your space, what color scheme to use, etc. Those commonalities of taste and a similar eye for details can also guide your quest into the realm of cosmetic surgery. You might both want an almond shaped eye or a pronounced cheekbone. Whatever your particular style may be, you can evolve together.

A Word of Caution

A healthy dose of competition is natural for a vibrant couple to share. You should challenge each other to learn, grow, and explore the world as a team. But competition should never be the motivation behind your decision to undergo plastic surgery.

In some relationships, there’s a sense of one-upmanship (or one-up-woman-ship, as the case may be). If one partner gets a facelift, the other has to get a more drastic one, and so forth. This “keeping up with the Joneses” approach is detrimental to your sense of individuality and self-worth. You should want your significant other to be the best him or her possible without allowing their successes to weigh down your esteem.

Encouragement, Not Coercion

As you prepare to embark upon your quest to be the best, it’s important to consult with your loved ones along the way. You’ll need someone to drive you to the hospital and pick you up after your procedure, but you should also ask how they might feel about seeing a new you as a result of the cosmetic change. Listen to their opinions, but follow your own truth.

For example, many husbands might love the idea of their wives getting breast augmentations, but they should make sure it’s right for a woman’s physique, health, and wellbeing. If your partner is pressuring you into enduring a transformation that doesn’t feel right for you, then it’s time to stop and ask yourself why you’re considering it in the first place… and also if you’re getting the emotional support you deserve.

It’s important to remember the key signifier of the term self-esteem: SELF. Cosmetic surgery is about you and your individual journey, not an attempt to change you into someone else. No matter how much you adore your significant other, they are another person from yourself. They will never live in your skin, so they shouldn’t dictate how it looks.

To mediate any doubts or curiosities you may have, Doctor Binder and his staff are always on hand. Schedule an appointment soon, either as a couple or as just your spectacular, sole self.

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