Over time, repetitive movements of the facial muscles cause lines and wrinkles in the face. Botox is a purified protein that has been studied for 100 years. Botox has been FDA approved for medical use since 1989 and for cosmetic use since 2001. It temporarily stops the muscles from contracting and causing the wrinkle. It works by preventing the release of a chemical from the nerve that tells the muscle to contract.

Botox is injected in very small amounts with a tiny needle into these muscles, causing them to relax. Botox does not get absorbed into your system, and it does not travel anywhere that it does not belong. The treatment is quick and virtually painless, with no downtime.

In 2006 there were more than 3 million Botox treatments given in the U.S. alone!

Fillers: Restylane, Perlane, Juvederm

As time passes, our skin loses its youthful fullness and elasticity. We notice lines and creases where there used to be none, such as the nasolabial lines that run from the nose to the corners of the mouth.

Restylane, Perlane, and Juvederm are used to restore volume and smooth away lines and wrinkles. These are sterile, colorless, biodegradable gels consisting of non-animal stabilized hyaluronic acid. Hyaluronic acid is a naturally occurring sugar found in the human body and in all mammals. It provides volume and holds onto water, thereby plumping up the skin where injected. It is injected into the skin with a very fine needle and is FDA approved for use in the United States to correct facial lines, wrinkles and folds around the nose and mouth.

Restylane, Perlane, and Juvederm are also used "off-label" to enhance the appearance and fullness of lips and the mid-face. The treatments can take as little as 15 minutes, and require little to no downtime. The effects are temporary, lasting 6 months for most patients. Because the face is dynamic and aging progresses over time, temporary fillers are preferable to permanent fillers so as to address the changing requirements as we age.

Prior to treatment you should avoid aspirin (unless medically necessary- check with the doctor), ibuprofen(Motrin, Advil), and herbal supplements such as St. John's Wort, vitamin E, ginko, and garlic.

For futher information visit the following websites: Restylane, Perlane, Juvederm

Pulsed dye laser: VBeam

This laser is used to treat vascular problems of the skin, including generalized facial redness and broken blood vessels. The pulsed dye laser delivers a beam of light of one wavelength that specifically targets the red pigment of blood. Anesthesia is not usually necessary, but some patients elect to apply an anesthetic cream in order to reduce my discomfort. A cold cryogen spray will be used during the procedure to minimize discomfort and to protect the skin. Multiple treatments may be required and complete clearance of my problem may not be possible.

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