Tag Archives: Laura Kimberley
Video

Retinols. Because I love them.

4 Nov

Retinol products are the best topicals as long as you use them safely. This means under the guidance of a skin care professional.

I start with my secretary voice… I’m nervous. Video blogging is hard!

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Video

Introduction to Good Skin Care Products

4 Nov

Just because something is expensive doesn’t make it work. Add a pharmaceutical skin care product into your home care regiment. You will see a huge difference in your skin!

I’m kind of ranting… and the lighting is bad. Sorry!

Video

Patient Treatment: Botox

4 Nov

Botox is increasing in popularity amongst professional, straight, male clients, such as this patient. I have many male patients who do a variety of jobs including construction, roofing, psychology, sales, and business owners.
Finding one of these men to be on a Youtube video was easier than I thought!

Video

Botox 101

4 Nov

An introduction to Botox. What it is and what it isn’t.

Video Blogging… It Starts…

4 Nov

Here’s my first video blog!

Peanut Head: Volume Loss at the Temples

29 Jul

I’d argue the most over looked sign of aging is loss of volume in the temple. As we age, the temples lose fat and begin to narrow, shifting the balance of the face downward. Volume loss here contributes to the appearance of drooping and sagging of the cheeks and eyes (see Structural Changes in the Aging Face for other changes).  It begins as early as in your 20’s. It is most notable in athletes who have very little fat on their bodies, I’ve found especially runners.

As you can see, the area of total volume loss is pretty big when you actually look at it. In order to achieve the youthful contour of the temple, a patient will require a lot of product here. Adding filler to the temple is easy and almost painless, but deciding what filler to use can be difficult, they all have pro’s and con’s.

Juvéderm

This is usually my first choice with patients. For some reason… people tend to be nervous about filling this area! The great thing about Juvéderm is that it’s disolvable. The bad thing about Juvéderm is… you need a lot of it to fill this area, and that can be expensive. I’ve found great results by diluting the product before injection. The patient can see the result immediately. It may not last as long this way, but it is a good starting point. Most people love the result and usually step up to Sculptra when they notice they need a “refill.”


Radiesse

I personally don’t use Radiesse in the temples. It always reminds me of the scene from the Real Housewives of Beverly Hills when Adrienne Malouff’s husband injects Taylor and she has this big bump in her temple and Adrienne goes “is it supposed to look like that?” Although you get more volume with Radiesse, you also have more of a chance for lumps in this area. It’s not as smooth as Juvéderm (which is literally defined as a smooth consistency gel). It’s just not my preference, but for extreme volume lost I can see it being more cost effective.


Sculptra

I personally have had Sculptra injected into my temples. Sculptra is not a filler, but a biostimulator. Over several weeks post injection it promotes collagen production. It may take more than one treatment (usually 1-3 vials 1-3 treatments) to achieve the desired result. This is the longest lasting, and most cost effective product if you consider the longevity, but up front can be expensive. If you are the type of patient who is doing multiple fillers at a time, you should probably step up to Sculptra.


Fat Transfer

Fat injections can also be used in the temples but are only cost effective if a large amount of volume is needed for the entire face. I recommend only allowing a plastic surgeon perform this procedure (although a nurse can do it in Massachusetts). The fat is harvested from another area of the body (usually the lower back) via liposuction and transferred to areas of volume loss in the face (usually not just the temple). There is a lot of swelling and bruising with this treatment and not all the fat will graft (stay alive after transfer). It is also an expensive and invasive procedure. This being said, it can yield great results for patients who really need it.


The Procedure

Numbing cream is applied to the temple. The product selected is mixed with lidocaine and deposited on the bone until achieving desired volume. There is very little pain associated with all injectable products. Bruising isn’t typical; however, there are many vessels in this area, so it can happen. Expected cost depends on the product selected, but expect to use at least 1-2 syringes during time of treatment.

Good luck!

Trying New Products

27 May

Just like tissues come in the brand “Puffs” or “Kleenex,” there are different brands of products used in aesthetic medicine.

It is very difficult for patients to determine which product is right for them without consulting with a professional… and some professionals only use certain brands of products. I’m very lucky that the office I work with (and a lot of my patients!) let me experiment with different brands.

Right product, right place, right person!

Currently, I’ve been experimenting with different brands of Hyaluronic Acid Fillers (Juvéderm, Restylane, and Belotero). I use these products in tear troughs, temples, lips, vertical lip lines, marionette lines, nasolabial folds, and cheeks. They are not for large areas of hollowness (Radiesse and Sculptra are more cost effective choices). HA’s are great to experiment with because they can be dissolved if you don’t like the result. If you are a virgin to fillers, these are a good idea to start with.

Kiss, Kiss.

We all know I love Belotero under the eyes, and I almost always use this product for tear troughs (More Belotero!.)  The only time I use Juvéderm is for patients I think really should be getting a blepheroplasty…but aren’t ready to go under the knife (Observing Surgery: Blepharoplasty.)  But what about the Lips? ….Well it depends!

The Patient’s Concern

Bigger, Fuller Lips

Juvéderm remains my go to product for lip augmentation. It looks and feels the most natural (when injected right!), and is FDA approved to last up to a year.

I have found a place for Restylane in my heart recently, however. I had my vermillion border injected about 3 weeks ago, and I love it. This product really defines the border of the lip!

Vertical Lip Lines

For women trying to treat vertical lip lines, or “smokers lines,” I have mixed feelings on using HA’s vs. Botox. I usually tell people to try Botox first. Over treating the upper lip with a hyaluronic acid can create a “monkey lip.” It doesn’t look good! I’ve seen this happen a lot with Restylane and Juvéderm.

While Belotero is a good product to treat these lines, I’ve found the results don’t last long when I mix the product with lidocaine (local anesthetic). The lips are VERY sensitive, and require some sort of local and injected numbing agent (anyone who disagrees with this has never had their lips injected—it’s a lil pinchy).

My technique is to use both Juvéderm and Belotero. As you age, you loose collagen and the shape of the jaw and teeth changes. This causes an elongation of the upper lip. If you look really closely at an angle there is a horizontal ridge above the lip line. I fill this ridge with Belotero. The lips also begin to thin as you age. Juvéderm into the wet/dry border replaces this volume loss. I have found it can improve vertical lip lines when injected into the vermillion border and manipulated into the vertical lines. It may not completely get rid of them, but it will improve them, and it looks very natural (not like a monkey lip).

Downturned Corners

Changes in the shape of the jaw and gravity causes the corners of your lips to turn downwards as you age. By giving support to the lower lip in areas of volume loss, that from can be turned upside down before it turns into a full out marionette line (which Radiesse is the best for!).

To read more about lip augmentation check out Pucker-Up, Princess – Damn Sexy Lips.

Love Big Lips!  Lips, Lips, Lips!.

Sun Block and Photoprotection

29 Apr

Everyone should be wearing sun block. But is that enough?

Prolonged unprotected sun exposure damages cell DNA. Not only does this result in premature aging, but can also cause melanoma and other skin cancers. I am a HUGE believer in wearing sun block (and not just in your make-up… that really doesn’t count).

When Buying Sun Block

If you’re not wearing it year round (which you should be), you should replace your sun block every year. Products can break down from heat exposure and from not being stored properly. It’s worth doing. You want to make sure you’re getting the best protection you can. Check your bottle for the following:

  • “Broad Spectrum” (protects from UVA and UVB light)
  • SPF 30 or higher
  • Zinc Oxide or Titanium Dioxide (physical blocks)

For more on sun block read It’s Sunny Out! (A Post in Honor of Sun Block).

Avoiding White Residue

I know people hate the white residue you get from zinc oxide or titanium dioxide, but these ingredients really are the best for sun protection. If you don’t like the white residue on your face, consider either buying a tinted SPF or buying a product that has a micro-ionized formula (smaller particles). I’ve found people really love SkinCeuticals Sheer Physical UV Defense SPF 50. It’s really light weight, doesn’t smell, and doesn’t leave a residue. The product retails for about $34, so it isn’t super expensive either.

C E FERULIC

While on the subject of SkinCeuticals products, and sun block, I have just started using their C E Ferulic serum. C E Ferulic contains ferulic acid, an antioxidant that doubles the synergistic benefits of C E – neutralizing free radicals, building collagen, and providing improved antioxidant protection. No other antioxidant technology has been shown to deliver comparable levels of photoprotection. This product has won multiple awards including:

  • Allure Best of Beauty Three-Time Award Winner Category: Best of Skin Care – Serum
  • InStyle Editor’s Pick – 2011 Best Beauty Buy Best Antioxidant Serum
  • NewBeauty – Beauty Choice Award The Best Anti-Aging Antioxidant Product

Although retinol (Every Woman Should Own A Retinol Product.) and sun block are the only topical products proven to prevent fine lines and wrinkles, I think a good anti-oxidant is almost equally important. For those of you who prefer not to use a retinoid in the summer months, C E Ferulic is definitely a good product to add to your beauty routing; it is outstanding in conjunction with sunscreen!

**Products can break down if not stored correctly (like I said before) and pharmaceutical grade products like C E Ferulic should never be bought online. Just like it’s worth it to buy new sun block, it’s also worth the few extra dollars to know your product wasn’t exposed to extreme temperatures, tampered with, or expired. Talk to a medical aesthetician if you’re interested in learning more about C E Ferulic!

Why Is Photoprotection Important?

Photoprotection is a measure of a product’s ability to neutralize free radicals and protect against oxidative stress (which can be caused by UV rays). Oxidative stress leads to premature aging, hyperpigmentation, and loss of elasticity… my three biggest fears!


Recent Studies Reveal We May Not Be As Protected As We Think:

  • People don’t apply enough sunscreen to achieve full SPF. Real-life application of an SPF 20 sunscreen yields an SPF of only 3 to 4.
  • Even when applied properly, sunscreens only block 55% of free radicals.
  • Considering what we now know about sunscreens, photoprotection is more important than ever.

The sun is stronger than it used to be, and protecting your skin is not an option. It’s time to add an anti-oxidant to your daily skin care regiment!


XOXO, LK

Cellulite. Ew.

20 Apr

“That’s some good fat.” My least favorite plastic surgery quote.

I took some time off from working out and eating healthy (called being in a relationship and my busy season with work). I’m back to the gym and avoiding carbs (aka I’m single). If only there was a laser that could help… oh wait… we just got one called Velashape. Not only is it a great way to tone an area you just can seem to get, but it also works great for cellulite!!!!! Ew. Cellulite. Although I have never had the wonderful experience of being pregnant, this machine is supposed to be great for that post-pregnancy weight/skin you just can’t loose/tighten. (Just FYI, I’m having a celebrity birth, no husband present, just me, my plastic surgeon and a few staff, and a nice big liposuction canister. And some Botox. And that epidural pumpin’! Then I’ll tell everyone that I lost the weight naturally like Mariah Carey did- liaaaaaar- just saying.)

What is Cellulite?

Fat deposits that push and distort the connective tissues beneath skin, creating a lumpy appearance of the tissue of the thighs, hips, and buttocks.

The extent to which it is visible is influenced by:

  • Genetics
  • Skin thickness (darker skin is thicker than lighter skin)
  • Gender (affects women more than men—like EVERY sign of aging!)
  • Amount and distribution of body fat
  • Age


Treatments

Most people dislike the appearance of cellulite and prefer to have skin as smooth as they possibly can (and by most I mean all).

  1. Methylxanthines: Methylxanthines are a group of chemicals that include aminophylline, caffeine, and theophyilline. These chemicals are present in many cellulite creams and are promoted as treatments for cellulite because of their known ability to break down fat stores. However, skin creams cannot deliver the required concentration of these chemicals for the length of time required for significant fat breakdown. While studies have shown a small reduction in thigh measurements with some of these preparations, they do not promote significant loss of cellulite.
  2. Diet
    1. Dietary supplements: Dietary supplements are not monitored by the FDA and cannot be deemed safe or effective. There are no valid clinical studies to support the use of these dietary supplements for the treatment of cellulite. They can be unsafe for people with certain conditions (like thyroid problems), so please be careful. Actually, since they don’t work… just avoid them altogether.
    2. Cellulite diets: Special “cellulite diets” have been proposed that claim to be effective in treating cellulite. Arguments for these diets claim that the combination of foods in the diet can reduce inflammation and improve circulation in affected areas and diminish cellulite. However, no studies published in the medical literature have supported these claims. Experts note that eating a healthy diet can decrease fluid retention and improve the overall health and appearance of skin, but specific diets designed to target cellulite are unnecessary.
  3. Massage treatments: Machines that massage the tissue can temporary decrease the appearance of cellulite, but the technique appears to redistribute fat rather than permanently alter its configuration under the skin. Regular maintenance treatments are required after the initial effect has been achieved or the appearance of cellulite will return.
  4. Laser or light therapy: Devices that combine suction or massage with light therapy for the temporary reduction of the appearance of cellulite. Treatments require multiple treatment sessions and maintenance treatments to keep up the improved appearance.
  5. Mesotherapy: A controversial treatment for cellulite that involves injecting drugs or other substances directly into affected tissue.
  6. Wraps: Many salons offer herbal or other types of body wraps as treatments for cellulite. While wraps may decrease fluid retention and improve the overall appearance of skin, these effects are temporary. It is also not possible to “detoxify” the body by the use of herbal or other wraps.

Velashape

Velashape gradually smoothes the skin’s surface with a noticeable reduction in cellulite as well as a noticeable reduction in circumferential measurements of the treated area.


This machine combines Radiofrequency (RF) and Infrared Light Energy to heat the tissue to a precise temperature which results in the increased metabolism of stored energy, increases lymphatic drainage, and reduces or shrinks the size of the actual fat cells and fat chambers. Vacuum and specially designed rollers for the Mechanical Massage smooth out the skin to facilitate safe and efficient heat energy delivery. There is no downtime!

Is VelaShape right for you?

This system works best for patients who have a BMI of less than 30 and who fall in the Nurnberger-Muller Cellulite Classification of Stage 1 or Stage 2. Yes, there is actually a classification scale for cellulite.


My Experience with VelaShape

Like I said, I am getting back in shape. When I posted that I was starting the treatments, my friend D Facebook messaged me.

“I did 6 treatments of Velashape before going on the back of my legs and butt. It was amazing! U will love it.” (That was verbatim).

Although I vowed to follow the six treatments strictly, my schedule is way too busy right now with the new spa! I was able to get one treatment in with Larisa (she’s been doing a LOT of Vela treatments), and I liked how I looked after. Although, I don’t really have much cellulite to begin with (thanks to my good genes!)…

I feel like this would probably be the biggest issue to getting the best results… finding the time to go once a week for six weeks! Now is a good time to start with summer right around the corner!

Honestly, as I’m writing this blog and looking at patient’s before and after pictures… I’m inspired to find the time to do it over the next six weeks (along with diet and exercise!). It looks amazing on some people!

What to Expect:

During Treatment: It feels weird. The vacuum part sucks up your fat and it gets pretty hot.

Duration of Treatment: Expect about an hour depending how many areas you are treating.

After Treatment: Redness and swelling is normal and usually lasts less than 4 hours. Bruising is common.

Number of Treatments: expect 6-8 treatments at 1 week intervals. Monthly maintenance treatments are recommended for the first 3 months and then as needed.

Cost: about $250-$350 for the size of a sheet of paper

Is it Worth it?

Like with any of these non-invasive treatments, results can’t be guaranteed. “Nothing Replaces Traditional Liposuction”- another great plastic surgery quote. If you have a few extra pounds that you just can’t shed, like from post-pregnancy weight gain, then Velashape is a really good option.

Try it, what do you have to lose? (Get it! Lose weight! I’m funny!)

**VelaShape is not a permanent cure for cellulite or body reshaping. It is a temporary measure and all clients will require maintenance therapy to maintain the cosmetic benefit. Exercise and a balanced diet is important to maintain and augment the effects of VelaShape.




More Belotero!

27 Feb

Belotero: The Buzz.

Belotero has been my #1 selling injectable since it has been on the market (September). It gets into the small little lines that no other product really can with the natural result that Belotero offers.

The procedure I do the most? Under the eyes! It literally takes 10 years off your face! I might not be able to take away sleepless nights and stress, but at least I can make it look like I did by improving Under Eye Circles and Bags! I’m so thrilled with this product I did my own under eyes (called the tear trough). December was so busy and stressful, I was looking really tired. I did my under eyes about a year ago with Juvéderm, but Belotero is much better designed product for this area (read why below).

Do you see how tired I look? (I hate sharing before pictures of myself with no makeup!)



A little numbing cream is put under the eye for about 20 minutes. Then the numbing cream is removed and the face is marked for anatomical landmarks. This is just how I mark the face. Other injectors might do it differently. I am also aware I need an eyelash fill REAL bad.


Looks so much better after!!! It didn’t bruise or hurt at all!



Look at my dark circles. They are TOTALLY gone. I swear I have NO advanced computer knowledge what-so-ever. These are straight off my phone!

Belotero vs. Juvéderm vs. Restylane

Why do I like Belotero under the eyes more than other Hyaluronic Acid (HA) products? Belo doesn’t have any hydrophilic effects (hydrophilic = attracts water molecules). Plus or minus a little bit of swelling, the correction looks the same the next day, the next week, and the next month.

Juvéderm and Restylane are also in the HA family, but have a hydrophilic effect. This means the product will take on water molecules after it is injected, giving the area treated more correction over the next few days to weeks. Great for your lips and cheeks. Not great in the ultra thin skin under the eye. When this area is over treated you will see a bump or a bluish hue from the product. It’s not pretty. But it can be dissolved!  Hyaluronidase; Just In Case: injectables for beginners..

I also like Belotero because the product is thinner, which means it can be deposited in more superficial areas with a smaller needle and less pokes! Yay!

**Remember though: It’s the right product for the right place for the right person! Discuss which product is right for you and why during a consultation!  For more general information on which product is right for you What Goes Where?

More Before and After Pictures


The above patient had 0.2cc of Belotero to her tear trough area. It was two injections. The patient stated she did not even feel it (topical numbing cream was used prior to injection). The patient experienced no bruising associated with the procedure.

The above patient is a good candidate for filler in this area because the dark circles under her eyes are accentuated by a shadowing effect from volume loss. By replacing volume, the skin of the eye and cheek become more continuous as opposed to separate.


The above patient had 0.3cc of Belotero to her tear trough area. Topical numbing cream was used prior to injection, and there was no pain associated with the treatment. The patient experienced minor bruising the day after the injection which was easily covered with make-up.

The above patient would be a good candidate for a blepharoplasty. Although there is a clear demarcation of her tear trough, and filler drastically improved the area, the root cause of the delineation is not so much volume loss as it is a herniated fat pad. This fat pad is supposed to cushion the eye as it sits in the eye socket. Numerous causes contribute to the pad “bulging” out.

Interested in learning more about blephs?  Read Why I Chose To Have an Eyelid Lift.

The above patient had 1cc (1 syringe) of Belotero to her superficial marionette lines with great improvement to the texture of her skin. Topical numbing cream was used. The patient did experience some minimal bruising the day after the procedure. She is very happy with the outcome.


XOXO, LK

Above picture:

2 months after my Belotero treatment

3 days into the annual Cutera Conference in Las Vegas (so, I haven’t slept in 3 days)

1 week post break-up with my boyfriend

And still looking refreshed! Thanks Belo! Qué Bella!
(that’s Spanish I think…)

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