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Non-Surgical Butt Augmentations with Sculptra

5 Jul

How To Get A Bigger Butt

Over the past 10 years the number of legitimate  butt implants has increased over 140% according to the American Society of Plastic Surgeons.  The number of fat grafting buttock lifts (Brazilian Butt Lift) is climbing at similar rate to implants.  Again, the Kardashian's influence over society.  

On the one hand, they really have opened the medical aesthetic market and probably saved it from collapse (there's an implant joke in here somewhere).  They do offer a lot of information to the public (although they manipulate the information they give so always remember–unless you are talking to an ACTUAL expert, information about plastic surgery, injectables, or skincare has no validity or reliability!)  They are however… idiots, for lack of a better word and are grossly miseducating the public on procedures. I'm not sure if I owe them royalties or not, but hopefully people who are planning on booking appointments in my office will have a better understanding of the procedures I offer.

There are 3 legal, safe, FDA-approved options to achieve that "Brazilian Butt Lift" (I mean BESIDES squats all day long).  


Butt Implants

Personally, I don't find this route to be the most aesthetically pleasing, and only know ONE person who has had a butt implant and been extremely happy and had no complications with this procedure (and this particular person does not have the most natural looking result, but they are happy with it!).  There can be extreme complications with putting a silicone implant in an area that is either in motion or bearing large amounts of weight (or both). Recovery is extreme and painful, and should there be a complication (this surgery has a very high infection rate) you're looking at up to 6 months out of work.   Even with a smooth procedure, long term complications such as the development of infection and shifting of the implant are possible.  

Surgical Butt Implants should be performed by a Board Certified Plastic Surgeon.  Implants can be different sizes, shapes, and put in different places to achieve the aesthetic outcome the patient is looking for.  Be sure to discuss your expectations for projection, size, and proportion to other areas of your body (like hips!).  




Fat Transfer

In order to transfer fat, you must HAVE fat to transfer.  Plan on needing to be 10-20 lbs over the appropriate weight for your body prior to transfer (your Board Certified Plastic Surgeon will tell you exactly what you need to weigh for the treatment). This is a hard concept for a lot of my clients to understand. You have to actually be able to grab the fat away from the vital organs that it protects. Skin is not fat. It can be just as hard for some people to gain weight as it is for others to loose it. If you have a hard time gaining weight, a fat transfer may be a waste of money for you.  

Immediately post transfer, expect a dramatic result, but do not expect that as the final result. Remember, not all the fat will graft, and there is a signfiant amount of swelling post transfer. It is important not to overfill the buttocks when doing a transfer, even though you might think you should to get more fat to graft. The increased pressure from overfilled, stretched skin may actually cause the fat to die. Recovery time is minimal, and you should follow any post-treatment instructions given to you by your plastic surgeon.  

I do think this is a great option (I personally do not do ANY surgical procedures in my office, but have seen MANY excellent fat transfers–I especially see great results for Brazilian Butt-Lifts in Miami! If this is something that interests you, I'm happy to pass along a great board-certified MD–the experience of the Dr. matters! Do not do this procedure with a general surgeon! 

Non-Surgical Options 

This is what I have to offer to the mix. I have been injecting Sculptra for it's intended FDA-approved use for about 8 years, and over the past 2 years, I've been doing TONS of it. I've always found it to be one of the best investments anyone can make in their skin, but it the hardest treatment to explain in terms of investment value. Sculptra is not immediate, it takes multiple vials, and multiple treatments which correlate to the amount of collagen loss the patient had to start, and what their expectations are. Although it is a commitment of time and money upfront, it is much more cost effective and natural looking than fillers. My mother has had sculptra treatments, and personally I would love to be injected with sculptra (I can't inject myself). If you are a yoga person or a runner, sculptra is FOR YOU!

Anyways, back to butts…

Sculptra Aesthetic is made with biocompatible, biodegradable, synthetic material called poly-L-lactic acid, which is gradually and naturally absorbed by the body and helps to rebuild lost collagen through a series of treatments. The specialist injects treatment within the deep dermis, where strands of collagen support your skin’s structure. For significant volume increase, a session of sculptra for the buttocks is 6-10vials, and 2-3 treatments 6-8weeks apart are required. The low-end cost for one treatment is about $6,000 and can be up to $12,000 PER TREATMENT.  


This procudure is certainly not affordable to the average person, BUT this product doesn't need to be done singularly. For patients who have previously had a fat transfer, and need more defined sculpting done in certain areas, this can be a great adjunct treatment.  If there is a small area of indentation, assymetry, or concavity that bothers you, sculptra might be a cost-effective option.  

Combination Therapy For Butt Augmentation 

Sculptra should be discussed with anyone who is planning on undergoing a fat transfer prior to thier surgical appointment. Just like any other aesthetic investment, managing expectations are vital, and although the expectations of the treatment are explained and discussed during Informed Consent, the patient should also have an idea of what follow up treatments they may require and their cost.  

As of publication of this post, these are the ONLY safe, FDA-approved (but still considered off-label) procedures you should even CONSIDER undergoing. Yes, all of these options are expensive, but if you cut costs and receive something other than these 3 options, there is a high chance you will have severe complications such as necrosis (tissue death), limb loss, or even ACTUAL death.  But first you'll pay up in hospital fees, because complications of elective, non-FDA approved procedures–insurance will not be covering those costs.  PLEASE do not put anything in your body that isn't safe!  

How to Get Rid of Cellulite

Guess what!  A variation of this procedure gets rid of cellulite.  Treatments for cellulite have traditionally been disappointing for the consumer, but this treatment is awesome!  Stay tuned for more blog posts on sculptra for cellulite reduction!  

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Non-Surgical Nose Augmentation

10 Mar

Going under the knife isn’t your only option to change your nose.  Fillers and Botox can be used to change angles and light reflection to give the illusion of a smaller nose.  This is a great option for TONS of people but not many people have heard of this!

 

Hair Restoration

10 Mar

Collagen Induction Therapy with Platelet Rich Plasma

24 Oct

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Collagen Induction Therapy (CIT) with Platelet Rich Plasma (PRP) is a remarkable procedure which combines the use of microneedling and the abundant growth factors found in one’s own blood to enhance natural collagen production and stimulate blood supply to the skin, resulting in a significant improvement of fine lines, acne scars, and sun damage and leaving you with a glowing, more youthful complexion.

Video

High School Reunion: Look Better than You Ever Have!

12 Aug

or at least look like your Facebook photos!

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Ok, so I haven’t yet gone to any of my reunions… I run into people from my High School every now and again (you know… While I’m Botoxing them in my office….).  It is always great to catch up with the people who knew you when… Unless you don’t like them.  Then it’s great to look better then they do.

As as for the ex-boyfriend factor… Personally, I ran into one of my high school ex’s recently… Ehhhh what was I thinking?!?!?!!!!!!  (Dad, you were right about all my boyfriends!).  Even so, it can’t hurt to look uber attractive at a big reunion.  I just picture Romy and Michelle… Inventing post-it notes.  Ugh… And that AWEFUL football player.  Insert theme music:  time after time.  Love that song.  Sorry… I digress!

A reunion is as good a reason as any to want to look good.  Feeling good about yourself physically boosts your positive self-image and brings out an all-around better you!  And what could be more attractive then that?

So get pumped, start that diet, buy some AMahZing shoes, check out my video, and make them jealous.  Or just have fun… 🙂

VBlog Reunion

Botox Treatments for Migraine Headaches

31 Jul

Restylane Silk for Aging Lips

12 Apr

  

A New Addition to the Restylane Family

Restylane Silk is now FDA approved for submucosal implantation for lip augmentation and dermal implantation for correction of perioral rhytids (smoker’s lines) and it is currently available on the US market.   This product provides a subtle solution to aging signs around the lip and mouth area.  It’s greatest quality is subtle enhancement; your lips will not look “done” or “artificial.”  

  

Hyaluronic Acid for Lip Augmentation

Although Restylane Silk is the first product to be FDA approved for lips, we have been using other products for years.  Juvederm and Restylane are commonly used to augment the lips in an “off-label” treatment (FDA approval costs millions of dollars and takes many years.  These products are all very safe to inject in the lips by a trained professional).  

These products, along with Belotero, are all in the hyaluronic acid family.  Hyaluronic acid (HA) is a sugar your body naturally produces; these products are synthetic gels.  Because your body naturally makes this sugar, the chances of being allergic are almost zero.  This family of products IS reversible, if for any reason, you are unhappy with the results.

The molecular structure of Silk is smaller, and the product flows to where it is needed.  It doesn’t over bulk, and is a perfect finishing agent for fine lines.  

Which product is best is really dependent on who the client is, and what result they want.  If you are looking for subtle and natural lip augmentation, Restylane Silk is the product for you!  

My Experience 

At the beginning of March, I was told this product would be available and I was so excited to try it.  Lip augmentation has always been a specialty of mine, and I was told “I would love this product for the vermillion border” (where the color changes from pink to skin-toned).  

 

I was excited to try it, but my idea of an “ideal” client for this product was way off!  I first tried it on a 24 year-old patient.  She (and I for that matter) were not impressed, it looked like nothing was done.  Then I realized I was supposed to be using it for a whole different population of client.  The older patient who didn’t want to look like anything was done!   Oops… Probably should have read the email about the product FIRST. 

So then I tried it on an employee in her 50’s.  The results blew me away!  Like always, the pictures do the results no justice.   

The final result is very natural looking.  It is hard to see from the picture, but the before has a defined ridge above the lip, which is SO much improved with the Silk injections.  (The spray tan and make-up can throw you off in the after pictures.) 

The technique used to inject this product is VERY different than previous products used to treat lips.  If incorrectly injected, the product will not give you the best results, cause swelling, and has been reported as painful by patients.  This product requires the knowledge and expertise of a skilled injector.  

I had a few clients trial the product (including my awesome mom!).  They sent me their after pictures via text.  Again, not the greatest quality pictures, but every client was extremely happy with the results and gave great feedback.  (Thank you ladies!). 

    

Final Thoughts

Because the typical Silk client is older, make sure you consider timing in booking an appointment for this procedure.  Like any injectable product, swelling and bruising are always a possibility.  You want to avoid icing post-procedure to allow the product to smoothly integrate into the tissue.  If you have a big meeting at work the next day, you probably should reschedule (…the meeting OBVIOUSLY!  Who wants to wait for such amazing results!  Plus, then the meeting will go better with your new confidence!).   

How long will a bruise last?  Remember everyone is different.  Some people don’t bruise at all.  Check out my blog on bruising info.  

Other Uses

I read Silk was also a fabulous filler to use in the glabellar crease… Blog post coming soon!   

For questions or to book an appointment with me, call my office at 781-235-4957.  You can also book online at http://www.LauraKimberleyRN.com.  


When Tear Trough Fillers Go Bad…

2 Mar

Don’t worry!  You can be fixed!

There are plenty of scary things on the internet about aesthetic injectables gone wrong, and although I hate to add fuel to that fire (because majority of the time the result is amazing!), I had a client come see me over the holidays who was having one of such situations (not from me!).  She allowed her pictures to be used, so should someone else experience a similar situation, they would hopefully find her story!

Remember, no one is every perfect, and filler is meant to improve your natural beauty.

tear trough

I have had many people contact me about tear troughs.  Belotero is a game changer for this area, and I LOVE the results from it.  I am very experienced with this area and this product.  If you are seeking tear trough augmentation, make sure you seek out someone who specializes in it!

Because Photoshop doesn’t work in person… only on the internet!

alyssa

Want a good photographer?  Everyone should have one!  Check out one of my favorite fashion photographers, Alyssa Silvestri.

More info on Belotero?  Check out my previous blogs!

Video Blog: Tear Trough Augmentation.

What to Expect (with your skin) When You’re Expecting

31 Jan

Many people search my blog for information about skin care and what is safe during pregnancy.

I assume maybe half of these searches are women who are using a controversial product prior to your pregnancy confirmation.  If you have been using a product is considered “controversial” (ie Retinols) and found out you were pregnant after the fact, don’t freak out.  There are no valid studies showing it is unsafe.  My OPINION is it is a million times safer than smoking a cigarette.  Stress is much worse for babies!

Here is a little video presentation.  I’m getting much better at them!

On a side note, I had to do a million takes because I kept saying “it’s probably fine.”  I have never been pregnant, but I don’t think I’d like it if someone said “it’s probably fine!”

I promise (in the far future) when I am pregnant I will post my skin and associated dilemma on the safety of Retinol.  It is difficult to give advice on situations I have not experienced!

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Rosacea: the Basics

28 Jul

I have been seeing an increasing number of patients who have been diagnosed with a skin disorder called rosacea. These patients state they have very sensative skin, and are often nervous about treatments.

What is Rosacea?

Rosacea is a chronic skin disorder of unknown origin that begins in the 30’s and is characterized by redness on the cheeks, nose, chin or forehead (most commonly, it can occur on the body as well). There are no specific tests that can be run to determine if you have rosacea. Rosacea occurs in periods of flare-ups and remissions. While there is no cure, treatments aimed a reversing signs and symptoms are necessary. Rosacea will worsen over time if left untreated, becoming ruddier and more persistant.

Who does it effect?

Patient Profile
30-60 year old females
Family history
Fair skin and blush easily

(Ihave found it very common in patients of Irish decent, which is a large population in Boston.)

If you think you may have rosacea, schedule and appointment with a dermatologist.

Signs of Rosacea
Primary Signs
flushing
persistant redness
bumps and pimples
visable blood vessels

Sub-Types of Rosacea

Four Types of Rosacea
facial redness (erythematololantagic)
bumps and pimples (papulopustular)
skin thickening (phymatous)
eye irritation

Many patients experience more than one subtype and symptoms occur in varying degrees of severity. Treatment is based of type and severity of symptoms a patient presents with. Flare-ups are most likely to be associated with certain stressors. Remember, even with this disorder, different patients need to follow different treatment plans based of their symptoms. Many dermatologists suggest you keep a diary of flare-ups and remissions to help track your stressors.

Important Facts
Skin Care
Treatments
Have a gentle skincare routine with minimal products.
Moisturizer is key for preventing burning, stinging and irratation. A strong moisture barrier will keep out impurities and irritants that may aggrevate the skin.
Wear SPF.
Test products on the neck before using them.
Make-up can dry and irritate the skin. Use water-based make-up products. Avoid waterproof and heavy foundations. Avoid make-up removers. Look for a light foundation that contains silicone (for skin barrier protection). If it contains a broad spectrum SPF, even better!
A dermatologist may perscribe you a product called Metrogel. It can be drying, so again, use a good moisturizer.
Products with Vitamin C: Vitamin C is known to decrease free radicals, which play a major role in inflamming rosacea when patients are exposed to the sun. The formulation of the product matters! Make sure it doesn’t containt alcohol as an ingrediant, specificall propylene glycol!

Stressors
Avoid anting that causes redness or stinging like salicylic acid, AHA’s, or retinol (even if you have rosacea with pimples as your subtype!)
Avoid products containing alcohol, witch hazel, or fragrances. Avoid peppermint, eucalyptus oil, clove oil.
Avoid acetone.
Check your products for an ingrediant “propylene glycol,” which is a perservative that causes stinging.
Do not use a toner, astringent, or anything that exfoliates. These products will dry and irritate your rosacea.
Be careful with over the counter products for redness. Altough they may claim they can help, you really should talk to a dermatologist.

**Interesting note: One article suggested patients with rosacea avoid so-called “natural” skin care products. If you look at the list of ingrediants in these products, it is usually very long, and is likely to contain something that will irritate rosacea.

Lifestyle
Treatments

Avoid triggers.
Stressors
Food (here’s a few)
avocados
spinach
citrus fruits
tomatoes
bananas
spicy
cheese, yogurt, sour cream
vineagar
Temperature
hot baths
saunas
Weather
sun
wind
humidity

Medications
Treatments

Antibiotics are typically perscribed for their anti-inflammatory properties (not their bacteria fighting capabilities). They come in creams, lotions, or oral forms.
Medications containing sulfer or azelaic acid may be prescribed as an alternative to, or in conjunction with, antibiotic treatments.
Acne drugs are sometimes prescribed. Avoid these if you are pregnant or plan on becoming pregnant.
Stressors
topical steroids (speficially mentioned is prednisone).
drugs that dialate blood vessels, such as certain heart medications (NEVER discontinue a heart medication without a doctor’s approval!).

Emotional
Stressors

stress
anxiety

Laser Treatments
Lasers emit light energy that targets red blood vessels. Heat for the laser’s energy causes the red blood vessels to disintegrate.
Expect to have 3 treatments
removes visable blood vessels
decreases extensive redness

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