Tag Archives: Boston Blog

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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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.

The Internet Gives Botox A Bad Rep

29 May

I have heard some interesting things from patients over the years about Botox and Fillers and information they gathered from the internet or from friends who have read stories online. The internet is a wonderfully useful place of information… So long as you are reading it on a reputable site (.org) or from a reputable person (for example, I am an expert in Botox and Fillers, please refer to my credentials page!).

When looking at internet sites, you need to take into account the validity and reliability of the information that is being given to you.

Yes, Wikipedia is great… But it is not a reliable source of information. (Although I still use it!).

Consider who is giving you the information when it comes to product safety. When looking at prices it should be unit based. Like when you go into CVS and you compare how much shampoo is by the unit cost because the bottle size is different. Fillers are charged in number of syringes.

Use your judgement, and remember you can’t believe everything you read! If you have a question, ask someone with expertise in the area. If you aren’t sure their answer is true, or you want a second opinion, get one! But please take the stories you read online with a grain of salt.

Interpreting Botox on the internet.

Paying for Botox

11 Feb

 

Juvederm vs Restylane for Lip Augmentation

9 Feb

Trying to decide which product you want to go with for lip augmentation?  Check out this post!  

For more basic information:

Lip Augmentation: Basic Information for Patients.

Lip Augmentation: Basic Information for Patients

4 Feb

Interested in Lip Augmentation?  Check out this video and learn the basics!

I Want To Learn More About My Readers!

27 Jan

I haven’t been able to video blog for a while due to technical difficulties (i.e. I left my iPad at my friend’s house in Hartford), so I will take this time to learn about new blogging techniques, like surveys!!! Tell me more about you and what your interested in on this simple demographics survey.  I made it myself… hopefully I didn’t have any technical difficulties.

Hey, You Look Just Like Me!

25 Dec

Let’s Face it (a little pun for you!), the generic face is not attractive.  Beauty should be individualized.  It includes style and personality.  That’s what sets you apart from being just “another pretty face.” Beauty Defined.

Devan (the girl I live with on the North Shore 2 days a week), turned to me the other day and said, “we look like sisters.”  Well… we certainly did not start out that way.  I’m Boston Bred and Russian/Polish by descent.  She’s from Virginia and sports some very fair skin (more Eastern European).  Several spray tans, a couple of boxes of Juvederm, some cheek augmentation, and a splash of bleach later… and we look like sisters.  Either she’s blind… or we both have the same idea of beauty.

One thing that certainly sets us apart is our noses.  I’m of Jewish descent, and my nose isn’t small.  But it does fit my face.  And I would never change it!  I like classic beauty, and looking youthful… but generic is one thing I could NEVER be on the inside, and my idea of beauty will NEVER reflect that on the outside.

Do I love my nose? Eh.  But it’s me.  I feel like a lot of women complain about their noses.  This is usually because it throws off the balance of someone’s face if it’s not in symmetry or proportion to other features (Proportion: The Rule of Thirds and Fifths).

If it’s broke, let’s fix it, and if it’s not broke… Let’s fix it!

Aside from correcting breathing problems, I rarely recommend rhinoplasty (nnnnnoseeee jobs).  I have seen so many bad nose jobs.  A lot of surgeon’s just have this generic nose that they put on every face… and then your stuck with it.  Like tattooing your eyeliner… it’s forever.  And it’s maximally invasive!  And super expensive!

If only there were some alternatives…………

Oh, but there are!  Depending on what your issues are, there are several less invasive and cheaper options for you to change your nose to be more aesthetically fitting to your face.

Contour with Make-up (cost < $100)

Check out this site.  I think it shows a pretty good tutorial on contouring.  Also, check out YouTube!

http://makeupforlife.net/2011/07/makeup-tutorial-how-to-contour-your-nose.html

For a special event, or a night out, contouring is a cheap, easy way to make your nose appear more aesthetically pleasing.

Lip Augmentation (cost $700)

I have a few clients who have large eyes, large noses, and a wide face… with small lips.  This makes the face look unbalanced and makes the nose look bigger.  By correcting the volume/size of the mouth, the face is put more into proportion.  I have found lip augmentation to balance my facial features, and I am very happy with this option.  My nose is symmetrical, straight, and I have no trouble breathing (i.e. a deviated septum).  Remember, augmentation DOESN’T mean you will look like a duck.  Discuss with your Nurse or Doctor what you find attractive.  (I’ll have to take pics of this. Inbox me if you feel like this would be good for you!)

Liquid Nose Job ($700+)

I have been recommending this to a lot of people lately.   This minimally invasive technique is performed using Botox and Fillers to correct any parts of the nose which are a-symmetric, can raise the tip of the nose, and fix some crooked features.

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Non Surgical Nasal Augmentation

Nothing Replaces… Traditional Plastic Surgery ($$$)

If you have a deviated septum, and have difficulty breathing, or if you have a bump that really needs to be shaved… this might be the best option for you.  If you decide to go under the knife, I have a few suggestions.

Tip #1 : Ask to see LOTS of before and afters. 

It’s hard to get clients to agree to be a “before and after” example when it comes to your nose… because you really need to show the whole face.  And we all want to be “naturally” beautiful.  But your Board Certified PLASTIC Surgeon (see tip below).  A lot of surgeon’s will have a signature style.  If you see all the noses look EXACTLY the same RUN.  You don’t want to look like Michael Jackson.  A generic nose is NOT attractive.  Sometimes the signature style will be shaving too much off the bridge, or making the tip turned up (i.e. the Prince of Pop).  Look very closely at the pics, and if you do see something that resembles a personal “style” of the surgeon, think to yourself: does this fit my face?  my style?

Tip #2: Certifications

Never, ever, ever ever ever see a general surgeon for a plastic procedure.  They are NOT even remotely qualified.  Do you want someone who wears a bow-tie, can’t dress themselves, and doesn’t know the first thing about make-up to be working on your FACE?  Well… when I put it that way, I hope you say no.

What certifications do you want your doctor to have?  Dr. Russo, for example, is a Board Certified Plastic Surgeon, and a Fellow of the Academy of Cosmetic Surgeons (F.A.C.S.).  Those are the type of credentials you should be looking for.  They should be posted on the persons website in their Bio.

Look into what those letters stand for.  Anyone can throw a bunch of letters on a page and make themselves look qualified.  I’m a Latisse Lash Expert (brush my shoulder off!) – this took me twenty minutes of watching a tutorial (ok, I fast-forwarded the whole thing and just took the quiz at the end).  But it sounds cool, doesn’t it!?!

Tip #3: Don’t Cheap Out

Dr. A will do a nose job for $2,500 and Dr. B will do it for $10,000.  Financially, seems like a no-brainer.  Realistically, Dr. A is probably not a Board Certified Plastic Surgeon (or a Doctor at all for that matter) and your procedure will be done in a basement under local anesthesia smuggled in from Brazil. And please stay out of Brazil.  When you get your surgery botched (which you will) insurance will not fix it.

If you’re going to opt for surgery, let’s be real.  It’s expensive.  It lasts forever.  In this case, it’s your FACE.  Real Surgeon’s know what they’re worth and they are NOT cheap.

In the same respect, if the price is outrageous… you’re a sucker.  Which leads us to Tip 4.

Tip #4: STAY AWAY FROM NEWBURY STREET

You’ll be overcharged for a generic “masterpiece.”  Actually, stay off of Newbury for any type of beauty service.  I’ve heard more horror stories from that street than ANYWHERE.  (I will name no names).  Even for hair… I’m not impressed.  And fashion… Charles Street Hands Down!  (I digress).

Tip #5:  Have a consultation.  Ask the right questions.

Check out this post if you’re Thinking about a NoseJob/Breast Aug/Lipo/Tummy Tuck? … Butt Implants?.

There are always alternatives, and remember to always put safety first!

Happy Holidays Y’All

I think I’ve been hanging out with Devan too much!
 

Body Dysmorphic Disorder

22 Dec

As an employee in the field of plastic surgery, I meet some VERY interesting people.  The girls of JAR (slang for Joseph A. Russo, MD, F.A.C.S) always have hilarious stories that would be PERFECT for a reality t.v. show, unfortunately… HIPPA (Health Information Portability Protection Act) would make it a little difficult.  One unfortunate, and fortunately small population of beauty-goers is the woman suffering from Body Dysmorphic Disorder.  This syndrome causes a person to be excessively concerned with body image.  The affected individual has such a strong negative self-image it affects their ability to function in daily activities.

As most of us are aware, when we look good we feel better about ourselves.

People with BDD are so critical of their looks, it affects their ability to function as a normal person.  It can cause anxiety, depression and other mental health issues.

In my experiences, the clients I see that suffer from this disorder are GORGEOUS.

So why do they not see what I see?

Mental health disorders are caused by biological, psychological, and environmental factors. (I have a minor in Psychology, any of you UMASS Amherst alum will know the great Professor Halgen who taught Abnormal Pscyhology–one of the best classes I’ve ever taken).  I have observed very low self esteem with these patients.  I have found through talking to these clients they are usually in abusive relationships, and are looking for something they can physically change about themselves to make their abuser “love them.”  Usually people in abusive relationships have a history of emotional neglect and physical and/or mental abuse.

The syndrome typically manifests itself during adolescence (don’t worry, I’m not Botox’ing anyone under 18!) – a time where we all start becoming critical of appearance.  A time where most women start wearing make-up ;).

80% of people who suffer from this disorder have had suicidal thoughts.

For those of you in the beauty industry, you might run into these people from time to time (but probably not as much as I do in my office… or in JAR).  The only thing you can do with clients like this is to be supportive.  Many of us establish strong bonds with our clientele (who doesn’t LOVE their hairdresser or aesthetician!) and they value our opinions.  If you feel you have a client who might suffer from BDD you should tell them.  This behavior to be constantly critical of yourself is not normal, and professional help is the only thing that can help.

  Do I treat them?

Yes, but I handle with care.  A client with BDD will go to whomever will treat them, and (I don’t know if you know this) but there are a lot of people out there that are driven by money and not morals.  I make it very clear that they have nothing physically wrong with them, and any treatments I agree to with them are solely for preventative purposes.  Beauty treatments are therapeutic to a lot of women, and although I am not a psychologist, I think when I sit behind these people in the mirror and tell them there is nothing wrong with the way they look they are agreeable to doing less drastic changes.

I like to bring up this AMAZING underground cult classic movie that inspired me during a bout of depression (not BDD).  The movie is called “What the Bleep Do We Know: Down the Rabbit Hole” and it is a docu-drama about Quantum Physics (and I bet my last blog post gave you the impression I was less than mature!).  Please, please, please take a minute to watch some of the clip below.  I hope you will find it as inspiring as I have!

After showing my friends the clip I decided it needed a preface.  The movie is about a girl who is deaf and is having a difficult time with life and has a poor self-image (that’s the drama part).  There are clips of Physicists discussing the Theory of Quantum Physics (the documentary part).
 

Quantum mechanics is the body of scientific principles that explains the behavior of matter and its interactions with energy on the scale of atoms and atomic particles.

Basically, your internal thoughts and feelings affect external outcome of a situation.

**If you’d like to know more about String Theory, ask my brother.  He’s the smart one in the family.

Women look in the mirror on average 32 times a day.  We always direct our attention to subtle flaws we have.  But most of us can name a feature that we consider “attractive.”  Everyone has their own unique beauty, and it is healthy to maintain or enhance your natural image.  But beauty starts on the inside, and sometimes we need professional help finding it.

Xeomin. In Your Face.

20 Dec
Allergan, the company that makes Botox Cosmetic, has lost it’s patent. This means companies will come out with competing products. Ladies, be excited.

Xeomin 

First and foremost, I’d like to say… who named this product? (I would like to make a side note here… I will make a LOT of immature jokes in this post… sorry… but it’s too funny not to!)

Xeomin. Rhymes with… exactly. You can begin chuckling now. The girls at Dr. Russo’s (slang: JAR- Joseph A. Russo) and I have been in stitches over the name. However, it is a really good product! I had Xeomin injections about a month ago. And I have to say, I was very pleased with the results. It looks exactly like Botox, and perhaps worked a tiny bit faster. I love Xeomin in my face! (laughter).

As an injector, I started using this product about 3 weeks ago. It is reconstituted (or activated) exactly the same way Botox Cosmetic is. I injected Alexis Robertson of Image Skin Care with this product. Her opinion was similar to mine, it looks the same, it was slightly cheaper, and it started working maybe a day earlier than Botox.

Merz (the company that makes Radiesse- which I LOVE) is kicking off the introduction to this product with a $50 rebate as well. The nice thing about this rebate: It doesn’t require a degree in Rocket Science to get your money back (when Allergan does rebates it’s a nightmare!).

Dysport

While I personally have never injected Dysport, or had it used on myself, I’ve had a lot of feedback from other women. There has been in increase in eyelid drooping from this product. It is in my OPINION that the reason for this is because the product is diluted (reconstituted) differently than Botox and because MORE saline (salt water) is added to the product in order to inject, the saline is spreading further through the muscle. I have been told by other injectors that it requires twice as much Dysport as Botox per injection. Women who are used to Botox are not a fan of Dysport.

Cosmetic Medicine is a new and quickly growing field. In fact, the growth of Cosmetic Medicine, since introduced, has grown faster than that of the Porn Industry. That’s right. Women like to look young more than men like sex! Crazy Statistic!

With Allergan loosing it’s patent, there are many new products on the horizon. So I’m sure there will be plenty more posts to come!

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