Archive | August, 2012

Why I Chose To Have an Eyelid Lift

28 Aug

A Note from Me:

The following is a note from a patient about their experience with blepharoplasty, or an eyelid lift. The patient has been a client and friend of mine for years, and had started doing Botox to lift her eyelids, although ultimately, she wanted surgery. I encouraged my client to talk to a plastic surgeon, just to get an idea of what the surgery was like, and when would be the best time for her to undergo this procedure. The patient decided to book surgery after her consultation.

I was able to assist in the procedure at the Newton Surgical Center location. Because the patient was also a friend of mine, we had previously arranged for me to take care of her post-op as well. The surgery itself was only about 2 hours start to finish. The patient stayed home for the next few days, but had very little pain or swelling. The best advice we can give: keep frozen peas in plastic baggies in the freezer and switch them out every 20-30 minutes. Ice decreases swelling, and the peas are light weight and mold to the shape of the eye. I knew there was some use for those things (I am not a fan of peas!).

I would like to thank this client for sharing her story!

(Do you like my shirt? I thought the eyes were appropriate for this post! Wow… I officially have started matching my outfits to my blog posts… maybe I’m becoming more like my mother (the kindergarten teacher) who has a festive turtleneck for every holiday of the year. I did match my diva weave to the Fourth of July this year…)

  • LK

Blepharoplasty (Eyelid Lift)


Blepharoplasty, or “Bleph,” is a surgical modification of the eyelid. Bleph’s are performed both for functional and cosmetic reasons. Cosmetically, the heavy, drooping eyelid gives the illusion of a tired appearance. The lower eyelid bleph is almost always done for cosmetic reasons, to improve the appearance of “bags” and puffiness. (In my experience, eyes are the most concerning feature for women in regards to aging.)

In severe cases, where vision is compromised, everyday tasks (such as driving) can be hazardous. An eyelid lift gives the patient a more awake, alert and youthful appearance and increases the field of vision.

Source: Center for Advanced Facial Plastic Surgery


Whether one is looking to treat their upper lid, lower lid, or both, this procedure is generally the same.  Blepharoplasty is usually performed under local anesthesia in an office or hospital setting.  I’ve assisted in many bleph’s (Observing Surgery: Blepharoplasty).

A crescent shaped incision is made either in the upper eyelid fold or next to the lash line on the lower lid.  Excess skin and fat are removed and small, inconspicuous sutures are left behind.

    


After surgery is complete the eye area can bruise and swell.  Cold compresses (or peas!) can be applied gently to minimize these effects. Antibiotic ointment also needs to be applied for the first couple of days to prevent infection.  Patients will return to for a follow up a week after surgery monitor the healing progress and most return to work soon after that.  The incision lines will fade after approximately two months, but are barely visible.

A Note from a Patient:

I can remember as far back as 6th grade having heavy eyelids. I am almost – and I say almost – 60 years old. For the past 10 years or so, I found myself constantly raising

my eyebrows in hopes that it would raise my eyelids. It became just so natural for me to do that – hence – wrinkles. Can’t win!!

Then I met Laura. Here I am – Miss Deathly Scared of Needles – and I had no qualms about getting shot up with Botox. Instantly there was an amazing difference. She was able to raise my brows so that it took an edge off of my drooping.

As a couple of years went by, I just got to the point where it just wasn’t enough for me. Hey, I am approaching 60, how long am I going to wait to become 40 again. Laura talked to me about seeing a doctor to get my eyes done. He was running a special time of the year sale and who doesn’t like a sale?? But seriously, I made the appointment and met the Dr. I felt so comfortable with his approach and what he had to say.

Originally, I had only wanted to get my top lids done. I had been so focused on them for so long that I didn’t even think about underneath the eyes. The doctor explained the full procedure to me (both top and bottom) and recommended I do both lids. He showed me the excess skin I had, and suggested once I did the tops, I would definitely want to do the bottoms (they were pretty saggy as well!). He said it didn’t make sense to do surgery twice. I was very happy with what he told me and made the appointment.

I was more excited than I was nervous on the day of my surgery AND lucky. I had my own private nurse. Laura picked me up and brought me in for the surgery. She actually stayed and watched the surgery for more of that unstoppable knowledge that she craves. I wasn’t totally knocked out, so I have very faint bits of hearing some things. Apparently, I wanted to get up and help. How thoughtful of me!! When I was done, Laura took me home and took care of me (as much as I can remember). Thank goodness for peas, the best home remedy in the world.

My recovery was so fast. I didn’t have any problems at all. It was amazing. I chose to stay in the house for almost a week just because I am so vain and it forced me to stay home and work. From being so healthy and constant peas on my eyes, my lids started healing over the stitches so they took them out early. Four of my friends came over to see me one day to bring lunch. I think I was in the very purple stage. No one wanted to say anything. My cousin told me later that she was scared to death looking at me. I knew how bad I looked. Now they all can’t believe how amazing my eyes look. I absolutely love them. AND the funny thing is that with all the focus on the lids, the best thing I did was underneath the eye. I would do it all over again in a heartbeat.

Other patient experiences:

Why I Chose to Have a Tummy Tuck.

Glam Girls Go Camping Too!

18 Aug

So, I’m totally in love (no sillies, with someone besides myself!) and I went camping. This girl, right here. So… if you don’t know me… I’m the stilletto’s and fake hair type. Fully manicured. My friends and clients got a KICK out of me going camping. But, I did it, because you can do anything for a weekend and because my awesome boyfriend told me I could bring as many bags as I want and he will carry them. I considered that a challenge. So here goes.

 

I’m going on a Camping Trip and I’m bringing:

A:

  • Airmattress
  • Aloe
  • Allergy medicine

B:

  • Burberry Sunglasses
  • Bells (just in case of Bears)
  • Bug Spray (4 days = 4 cans)
  • Bikini’s
  • Batteries
  • Band aids
  • Boyfriend

C:

  • Clothes (as you can see each outfit is individually packed in a ziplock bag, making getting dressed fast and easy)
  •  

  • Calamine lotion

D:

  • Dry shampoo
  • Daisy (the dog) and a Duck (just kidding he was already in Maine)

 

 

 

F:

  • Flannel Sheets

G:

  • Gloves

H:

  • Hair: Oh god, this was scary. Apparently, wearing your hair down is a bad idea, it will get dirtier faster. Also, apparently bandana’s are you friend. And braids. I like braids though.
    • Silk scarf for night
    • Headband
    • 2 hair ties
    • Bandana!!!!

  • Hat
  • Hydracortisone cream
  • Hookah

I:

  • Ipod and Idock (what, even in the woods I like to dance!)

J:

  • Jeans

L:

  • lighter

M:

  • Mirror

N:

  • Nail file

P:

  • Pillows (because one is never enough)

R:

  • Raincoat

S:

  • Sunblock (tinted)
  • Smores
  • Sleeping bag
  • Shoes:
    • Sneakers
    • Flip flops
    • Slippers

T:

  • Toilet paper
  • Tweezers for ticks
  • Tylenol (because of the hangovers)
  • Towels
  • Toothbrush
  • toothpaste

U:

  • Underwear
  • Umass Hoodies (or college sweatshirt of your choosing)

W:

  • Wool socks
  • Waterhouse’s flashlight (Waterhouse is a friend of mine whom I stole a flashlight from.)
  • Wet naps
  • Wine (in the box. It’s going to be a long weekend… ok fine it was tequila… but wine sounds so much classier…)

X:

  • Xanex (just in case)

 

It was a really fun weekend, and I can see why people enjoy camping. I did wind up in the lake with all my clothes on after a possible poison sumac encounter. It was pretty funny. I think I’ll stick to camping once a year.

Pictures courtesy of Lauren Coffey. Thanks Lauren!!

 

It’s good to be home and back in a Betsy (Johnson).

XOXO, LK

 

 

What Goes Where?

4 Aug

Prior to 2002, there was one type of facial filler: collagen. Many products have been developed over the past ten years which have caused collagen to become obsolete. There are now multiple categories of fillers, all made of different materials. The products in these subcategories have properties which make them better in treating some signs of aging than other areas or other products. Remember, fillers are different than Botox (it’s not all just Botox!). So what goes where?

Hyaluronic Acid (HA’s)

Synthetic forms of hyaluronic acid (a sugar that your body naturally produces) include products like Juvéderm, Perlene and Restylane. HA’s increase fullness and enhance the viscosity of the naturally occurring hyaluronic acid in your body. Although it may cost a little more, Juvéderm is currently the longest lasting product (in some cases lasts twice as long, and therefore is worth the extra $100 or so per syringe). I have performed over 200 Juvéderm procedures, and have personally been injected with this product many times!

*note: My face is just a model, I haven’ had all this work done I swear! I just love “Paint.”

  • Best for superficial lines (not very deep, not folds).
  • They are used in areas where “plumpness” is desired (like your lips!)
  • They can be used in cheek augmentation, vertical lip lines, and nasolabial folds, but might not be the best product. Cheeks and Nasolabial folds typically require a lot of filler, and cost-effectiveness wise, this isn’t the product. But if you just need to fix a little sagging, it can be used in the cheeks. If you want to overpay for deep nasolabial folds, then this product also can be placed in this area.
  • Vertical Lip Lines are usually superficial, which would make Juvéderm a good product, HOWEVER, if it is not placed right, the result is a monkey face.

Tips on Hyaluronic Acid

  • When I’m filling lines in the glabella, I always administer a dose of Botox to the area 2 weeks before injecting Juvéderm. This allows me to inject directly into the line; it is easier to aim at a stationary target! How do you know if you will need Botox and Fillers? If you have a line in between your brows at rest (a “1”, “11”, or “111”) and you pull that line apart with your fingers, do you still see a crease in the skin? If yes, you need both, if no, Botox is enough.
  • I always apply numbing cream 20 minutes before injections.
  • I never inject too close to the outer rim of the eye (distal orbital rim), it usually irregularities in the contour of the face.
  • Injecting into the tear trough is a very advanced procedure. I can’t tell you how many times I’ve seen this area over filled (which looks TERRIBLE). My recommendation: it is better to under-fill and book a follow-up. This area requires a minimal amount of product, and my personal policy is to allow a client to come back at no charge if they require a small amount more (within reason).

Particulated Fillers

These products, like Radiesse and ArteFill, contain synthetic beads or particles in different liquid carriers. They last longer than HA’s, because the body doesn’t break them down as fast. They are also thicker than HA’s, which means they satisfy a larger area of volume loss. These products are injected deeper in the layers of skin (never superficially like HA’s are). Why? Because they’re made out of beads in liquid… and in superficial skin that would make bumps! This means they NEVER get injected into the tear troughs or into the lips. EVER. For very, very deep glabellar crease, Radiesse can be used (but usually an HA is a better choice).

  • These products are for moderate to severe volume loss. As you age, facial skeletal changes, general tissue volume loss, and the effects of gravity flatten out your cheeks. If you look at the contour of my face on right side of my face (your left), you will see how round my cheek is. I think you can see in this picture that the apples of my cheeks are round as well. A lot of women will look in the mirror at their nasolabial folds and want to go straight for filling only those, but that doesn’t give the youthful round shape back to the face. On some people I like to do cheek augmentation with Radiesse as well as nasolabial folds. I always do cheeks before folds, because the cheek bone is the scaffolding for the lower face skin. When you change that, the depth of the NL fold will also change. Always top to bottom, never bottom to top, when it comes to your face fillers! **When you have extra weight on your face, you keep the roundness. Skinny people have really flat cheeks when they age. HA. Take that skinny people.
  • The marionette lines, prejowel, and oral commissure are usually treated as one area that needs to be fixed. They’re kind of like vector components of each other (for all you Geometry dorks out there, *brushes shoulder off*).
  • Again, skeletal changes that occur as you age cause your chin to recess and along with volume loss, change the angles of your jaw and chin. This is another area a lot of people overlook when spending that quality time in the mirror pulling at their face in the “this is what I would look like if I had a face-lift” pose. Even if you do have a traditional facelift, you aren’t doing anything about the volume loss. This contributes to the unnatural look of a face-lift.
  • Radiesse and Juvéderm can be used in conjunction to fix contour irregularities in the nose.

I hope that cleared up the two main classes of fillers. It’s a lot of information!!! The next post will be about Sculptra, which gets grouped in with fillers… but this is already too long! Lol.

xoxo SPRAY TAN – O – REXIC LK

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