Tag Archives: wrinkles

Video Blogging… It Starts…

4 Nov

Here’s my first video blog!

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.

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

Everybody’s Doing It!

29 Jul

“My wife’s into that Botox Stuff” – weird guy on the cape trying to give me vodka. ????

Anyways, it seems like everybody’s into “that Botox stuff.” But no one will admit to it!!! What’s the deal people? I mean… I fully admit to being an addict. I love my Botox! I guess I’m a little on the young side (although my birthday is coming up July 31!! Yeah!). So who exactly is doing this “Botox stuff”? Here’s some excerpts from my business plan on the “consumer profile” (I wrote this in 2009, so… there is updated information… but… I haven’t updated my stuff. I HATE making graphs on the computer… but if you gave me some colored pens and a whiteboard I would be ALL over it!).

Consumers

A survey by the Aesthetic Cosmetic Surgery Education & Research Foundation (ASERF), 2009, found the typical patient “married, working mother between 41-55 years of age with a household income of under $100,000.” These women were also found to be “health-conscious,” exercising, and eating right. Nearly 7/10 of the responders regard Botox and dermal fillers as an important part of their aesthetic routine.

Smart, health-conscious women ahhhhh? That makes me happy.

Age Distribution

Number of Procedures Performed in 2009, according to the ASAPS:

Injectables:

18 and under

19-34

35-50

51-64

65+

Botulinum Toxin Type A

12,000

371,501

1,256,608

734,751

182,098

Calcium hydroxylapatite

0

9,844

55,635

41,118

11,880

Hyaluronic Acid

3,919

168,629

604,262

420,069

116,159

I’m assuming any of these 18 and under year olds are using Botox for non-cosmetic use, or for correction of facial deformities. Or… they are on “Toddler’s and Tiara’s.”

Percentage totals of Number of Procedures Performed in 2009, according to the ASAPS:

Injectables:

18 and under

19-34

35-50

51-64

65+

Botulinum Toxin Type A

0.5%

14.5%

41.1%

36.2%

7.7%

Calcium hydroxylapatite

0%

8.3%

47.0%

34.7%

10.0%

Hyaluronic Acid

0.3%

12.8%

46.0%

32.0%

8.8%

Gender

In a recent survey by RealSelf.com, of the people who would get cosmetic work, the percentage of men is climbing. Ya, it’s true! Men are vain too! And not just gays! I was sitting in a bar eating by myself (yea… I was banished from my dinner party…) and I met a couple from New York. They were so much fun! The husband and the wife did botox… and they’ve been together for 12 years. And they still liked each other. And other people (like me) had a blast talking to them. …You know me and my tangents. Anyways. Good looking people are happy and stay married longer. I’m not sure if it’s true or not… I actually made that up. But men really are doing the “botox stuff”!

Would Get Cosmetic Work:

18-34

35-44

45-54

55+

Men

64%

67%

64%

47%

Women

82%

82%

80%

71%

From 2008-2009, minimally-invasive procedures increased 2% in the male market (ASPS, 5). And I assure you, it’s not just gay men doing this! I have a pretty large percentage (ok… I have a few) straight men doing this “Botox Stuff.”

                                Source ASPS, 2010 (8, 10)

Location:

The Northeast Region charges the highest amount in fees in the minimally invasive cosmetics procedures industries.

According to 2009 Regional Distribution Data by the American Society of Plastic Surgeons, New England holds 20% of the Botox market and 31% (the largest) of the soft-tissue filler market.

Percent of Total Procedures Performed by Region

Region 1 Region 2 Region 3 Region 4 Region 5
Botulinum Toxin

20%

14% 23% 15% 28%
Calcium Hydroxylapatite 35% 16% 20% 15% 15%
Hyaluronic acid 31% 12% 18% 8% 31%

Source: ASPS 2010 (15)

The Northeast Region has the highest percentage of filler procedures performed (we are Region 1). Midwest is the yellow region 2. Region 3 is light blue. Region 4 is greenish. Five is purple. Interestingly, the Noretheast and West Coast are comparable in the procedures performed. I wonder how much L.A. and New York skew that though. And Miami probably skews region 3. Just saying. Statistics are only as good as their interpretation.

Income level

Data collected by the ASPS in “Demographic Changes among Plastic Surgery Patients” demonstrates that income no longer plays a significant role in elective procedures (1). With the adjunct on patient financing options, the numbers continue to increase.

According to an Allergan Representative, the average income level for a Botox Cosmetic patient is $50,000 nationally.

Social Class

Middle to Upper Class due to income level.

Education

Education level has not shown to be a significant factor in market; however the consumer of the Northeastern market wants to be educated on products/procedures before undergoing them.

Ethnicity:

                Source: ASPS 2009 Cosmetic and Reconstructive Demographics

Most Commonly Requested Minimally-Invasive Procedures for Ethnic Patients

African-American

Asian-American

Hispanic

Botulinum Toxin Type A

Injectable fillers

Injectable fillers

Injectable fillers

Botulinum Toxin Type A

Botulinum Toxin Type A

Source: ASPS 2010 (17)

Boston Market

And I’m not talking about chicken. Finding this information was pretty difficult, but I think I know my market pretty well. If you are under 35, you are probably not thinking about Botox or fillers… but honestly you should be. Remember, volume loss starts at 25. Being preventative is super important, and will cost less and look the most natural in the long run. At the very least, please use medical grade skin care!

If you’re over 35, it’s a good idea to start with the area that bothers you most. Have a long consult with your injector. Work out a schedule/plan with your provider, and make sure you talk about prices! That plan should ALWAYS start with good skin care!!!

I know your mom might disagree… but…

If Everybody’s Doing It, Shouldn’t You Be Too?


xoxo,

LK

Ahhhh… Big Ange is getting the “Botox Stuff.” LOVE IT! (Ok… well maybe she’s not the best ambassador of the Botox Nation. When do I get a t.v. show?)

More on Retinoic Acid (my fav!)

22 May

I LOVE RETINOL.  Every Woman Should Own A Retinol Product.  (Although the strength shouldn’t be the same for every woman!)

It is not just for acne; this cream has revolutionized nonsurgical treatments for sun-damaged skin (wrinkles!). Research shows it improves signs of both photoaging and photodamage.

Physical Change Results
Thins and compacts the top layer of the epidermis Smoother, softer skin texture
Thickens the lower layers of the epidermis Tightens the skin
Reverses keratinocyte atypia (some big acne word) Improves acne
Disperses melanin throughout epidermis (color of skin) Improves discoloration
Increases glycosaminoglycan deposition (sugars used for skin health) Increases dermal volume and tightens the skin
Increases neovasularization in dermis (blood flow) Gives a pinker, rosy hue to the skin

(Funny Story: My BFF Alexis recently read an article “Has facebook made you a narcissist?” … I told her “No, I’ve always been this way”… but really, your face is ALWAYS available to the public now.  Even if you’re not famous, you ARE!  Make sure you always looks picture perfect!  Nice skin makes life SO much easier AND more low maintenance.)

I’ve always recommended patients start on using a retinol product once a week and working their way up, but I’ve been reading that it should actually be done daily, starting at a low dose and working your way up. Retinol comes in several different formulations, the lowest being .01%. It can take two weeks for the skin to become acclimated to this product, and a little bit of redness or peeling can be expected.

If you are younger, and have less photodamage, or if you are older with sensitive skin a conservative approach to retinol therapy will give a good result (which will have little to no peeling or redness). Aggressive therapy is the only approach for thick, tough skin with severe sun damage. Peel baby peel (but don’t worry, the peeling will only be for two weeks or so, until your skin gets used to it… or physiologically… until your skin gets rid of all that dead stuff on top that’s making it look dull and yucky.)

If you are seeing an aesthetician and doing aggressive treatments like Microdermabrasion. or in-office chemical peels (‘Tis the Season for Chemical Peels! –but the summer is NOT) you should not use retinols until you are done with your treatments. AND hopefully after your treatments are finished you can use a more conservative retinol product to keep your skin looking good after treatments.

Retinol comes in 3 forms:

  1. Cream (.025%, 0.05%, 0.1%)
  2. Gel (0.01%, 0.025%)
  3. Liquid (0.05%)

But guess what. The carrier of the product can intensify the results. Creams are more moisturizing. Gels contain alcohol, and this makes it penetrate deeper. Alcohol also has a drying affect, which can irritate the skin even further. The liquid also is drying due to the effects of alcohol content.

(Yes. I really own this much retinol)

How to Use:

More is not better! Start with a pea size amount for your entire face.

(Retinol products are always yellow-ish in color).

My Skin:

I personally use a night cream that has Retinol and Glycolic. Once a week or so I add a Retinol booster (liquid retinol) to my moisturizer which sometimes makes my skin peel a little because it boosts the effect of the retinol by allowing it to penetrate. I recommend retinal products for everyone. Remember, this product makes you photosensitive; i.e. you should not be in the sun when you use it! …But you shouldn’t be in the sun anyways. SUNBLOCK cough.  It’s Sunny Out! (A Post in Honor of Sun Block).  Also, because of this photosensitivity don’t put these products on during the day.

A Client of Mine…

Came in for Botox and I couldn’t get over her skin. I asked her what she was using. She said to me, I’ve been using that cream I got from you once in the morning and once and night. The cream she was talking about was the Reconstructive Repair Crème with the retinol in it. Well…. she looked amazing, and thank god it was during the winter time and she wasn’t out in the sun! She also told me she always used the sunblock/moisturizer on top of the crème. I’m not recommending anyone do this! I’m just saying, it made SUCH a difference in her skin! I could feel the difference when I injected her. Of course, I told her not to do this in summer time. J Mistakes are how we learn!

Product
Spotlight!

Image Reconstruct Repair Crème:

A highly concentrated blend of retinol, glycolic acid and oil soluble Vitamin C to resurface, rejuvenate and repair aging skin. Leaves skin youthful, firm and radiant after just a few applications.

Reconstructive Retinol Booster:

Mix two drops with the Vital C anti-aging serum or the MAX serum as directed. Must not be applied directly onto skin without prior mixing! Use only at night.

Hydra-facials are awesome.

19 May

(after picture)

Because I’m pretty and I say so. And in case that’s not enough of a reason… read on. J

A Little Latin Lesson in Linguistics (alliteration is as awesome as hydrafacials)

In case you’re a little rusty on your Latin, “hydra” means water and facial means … well facial isn’t Latin for anything. That I know of… but I’m not a linguist. Anyways. Hydrafacials are amazing! They work by infusing serums into your pores. Hydrafacial, or hydradermabrasion, is a noninvasive, non-laser skin resurfacing treatment that combines cleansing, exfoliation, extraction, hydration and antioxidant protection simultaneously, resulting in clearer, more beautiful skin. There is no discomfort or down-time (although you might have a little redness for about an hour). The treatment is soothing, moisturizing, non-invasive and non-irritating. It also has attachments that can be used on the back, neck, and décolleté (that’s actually a French word… not Latin).

The HydraFacial treatment improves the appearance of:

  • fine lines and wrinkles
  • congested and enlarged pores
  • oily or acne-prone skin
  • hyper-pigmentation and brown spots

Before starting, I washed all of my make up off (which I don’t wear much of because my skin is usually so nice!). This is my before picture. I was in DESPERATE need of a facial.

Pass 1: Activ-4™ Skin Solution

Designed for most skin types. It helps to promote the overall health of skin; improve the appearance of hyperpigmentation, brown spots, fine lines and uneven skin tone. The tip attachment used on the hand-piece during this step has a fine sandpaper-like part works like microdermabrasion. It mechanically exfoliates the top layer of skin.

My face is RED.

The black part is the microdermabrasion tip.

Step 2: Beta-HD™ Skin Solution

This Salicylic Acid based skin solution is specifically designed for acne-prone and oily skin (like mine). It softens sebum, dislodges skin debris and aids in painless extractions of whiteheads and blackheads.

Step 3
Antiox-6™ Skin Solution:

Containing Vitamin A, Vitamin E, White Tea Extract and Hyaluronic Acid, the Antiox-6™ is designed for overall antioxdiant protection and deep hydration on most skin types.

Other Steps

  • DermaBuilder™ Peptide Complex (
    DermaBuilder™): THE new, hot age-refining solution right now! The DermaBuilder™ helps to improve the appearance of fine lines and wrinkles, skin firmness, skin tone and skin texture.
  • GlySal™ Acid Peels ( GlySal): This special Glycolic Acid & Salicylic Acid blend combines physical & chemical peeling to achieve optimal results. Unlike traditional acid peels, there is little to no downtime involved. Skin is well hydrated, smooth and radiant after the procedure.

1 hour later …

In the CAAAAAH Leaving JAHHHHR. Boston. Haaaaaa.

Representing my team. I love Rondo! #9 : My man.

Very happy my skin looks so good. Now if we could just fix my skunk hair. Just kidding. I love my Ombre (hombre? I think that’s Latin?). As you can see I’m still a little pink, but my skin looks and feels so fresh and so clean.

Recommendations

Visible skin refinement and an even, radiant skin tone may be seen after just one treatment. The smooth results and hydration may last 5 to 7 days or even longer.  A series of 6 treatments is recommended for improving the appearance of fine lines, wrinkles, hyper-pigmentation, acne and oily skin. Remember, using good skin care products at home will help these results last longest and help give you the most bang for your buck (did I just say that?) for any in office procedure. (Step 2: Spend wisely.)

I even got Alexis to love them (the Image Rep slash Skin Guru). And she is so picky about her skin. See. She’s smiling.

Botox Before and After

9 May

I started doing Botox two years ago, at age 25, when I started my business (you know… injecting Botox). Personal experience has taught me a lot about the products I use for Aesthetic Procedures, and that’s why I make it a point to use all of them. Do I need them? No… Probably not (except the duck lips… those I need…). Are they hurting me? Definitely not, they’ve been around for YEARS (especially Botox).

Remember this face? How could you forget it? I look angry! (it’s from my post on facials). I clearly have needed Botox for some time.

I get migraines when I’m in need of Botox.

I look angry when I’m in need of Botox.

I need Botox.

…hey we all have our addictions right? J

Pre Botox

My Botox Injections

I get Botox in my forehead and glabellar crease. When I started, I got Botox every two months. Here’s my medical records for y’all as an example.

2/19/10    21 units Botox

4/20/10    21 units Botox

7/1/10        21 units Botox

10/15/10    21 units Botox

2/5/11        21 units Botox

6/12/11    35 units Botox (had my 26th birthday… started noticing forehead lines!)

11/10/12    35 units Botox

5/7/12        35 units Botox

**Remember, results will vary. Everyone has a different face!

If you keep up on your Botox, as soon as you have movement back, you will get more and more out of your Botox injections. Most people go down in the amount of Botox they require as well. My doses are minimal. Plus I like that zero movement look. Especially now that I don’t have my Barbie hair… I need to keep my Barbie face (in case you’re a new reader, I recently switched teams… I’m a brunette now).

The reason for this is called muscle atrophy. This process is a natural occurrence in other parts of your body as well. Think about going to the gym a bunch. You get huge muscles. And then you stop. Your muscles die from not being used. The body naturally metabolizes the muscle tissue. Same thing basically happens if you’re not using the muscles in your face. It’s not dangerous. It’s a pretty natural process.

I didn’t take a very good before picture of my forehead, but my glabella (area between brows) is pretty good.


Before


Post Botox Day 1


Post Botox Day 2

As you can see, it takes 2 days to really see a difference from Botox. Some people it kicks in later. I tell people it takes 2 weeks to see the full difference from a Botox treatment. If in two weeks you have not experienced the results you’ve been looking for (i.e. you still have too much movement) then the dose you were injected with was not enough. I charge by the unit, so if you pay by the unit, you will pay for additional units. If you pay by an area, you may wind up paying for an additional treatment as well. Be careful what you payyyyy forrrrr. You want to pay by the unit. Trust me.

And now that my Botox has kicked in, as you can see, I really can’t make that angry face. Makes me look friendly and approachable….


Post Botox Day 3

So I’m all smiles!

It’s a lot softer look than from before huh? But… I still look like me. All Smiles Baby!

Softening the Lines

10 Apr

P. is a 50 year old woman who has seen me twice over the past two years. To start, she had deep naso-labial folds that she hated. We first filled them with Juvéderm (which was my product of choice two years ago, but now I like Radiesse better for this area). We then did a little bit of cheek augmentation with a large syringe of Radiesse.

P.’s son is getting married and she wanted a little touch-up before the wedding. This is totally common with treatments (and weddings). Remember, any procedure should be done with plenty of time for healing to occur in regards to bruising or swelling.

Before


After


Again, remember, I’m not a photographer! The goal with P. was to soften the downturn on her mouth, the depth of her chin, and the depth of the NL fold.

Gravity…

As you age gravity causes several changes to occur in your face. The fat pads on which your eyes rest slides out from the socket and begins to bulge. At the same time, fat pockets in the cheeks break down in a known consequential manor. The combination of these two things and the pull of gravity on lax skin deepen the look of the nasolabial folds and add years to the face.

So What did I do?

As I said, P. and I have done a few treatments together before. We did the folds first, to fill the depth caused by lax skin and gravity, and then I did cheek augmentation. As I have become more advanced however, I have changed my practices to moving from the top of the face down (because of gravity) and from the most advanced sign of aging backward. I have found this to be the most effective way to treat aging. In retrospect I would have done the following:

  1. Cheek Augmentation

    By reconstructing the fat in the cheek area by filling it with product, this will decrease the laxity of the skin which forms the NL fold. I know women start pulling up the sides of their cheeks at around 30, wondering what a facelift would look like. Well this isn’t a facelift. It’s a laxity lift. (I made that up). It’s an improvement which will help me use less product in the laso-labial fold area. This means a better result AND less money. J


    **Do you do this in the mirror? As you can see, I don’t have much lax skin… from multiple procedures (cheek aug and ulthera mostly). But uh…. I do have roots. No one’s perfect! 😉

  2. Marionette Lines

    This is one of the most advanced signs of aging (because it’s the precursor to jowls). The marionette line starts from gravity pulling down the corners of your mouth and gravity pulling the fat down from the cheek. It’s just a big ol’ gravity mess! Pulling the needle around the corner of the mouth pulls up the downturn of the mouth.

  3. Naso-labial folds

    While this is the LEAST bad sign of aging, this is usually what women are drawn to fixing first. Depending on your age, and your current amount of fat in your face, and the money your willing to spend to have the best result, are all deciding factors on where to start first. Aging didn’t start overnight, and… to be realistic… one treatment isn’t going to restore the youthfulness to your face. Many women’s biggest fear is looking like a Desperate Housewife (fake and expressionless) but this is not the goal of aesthetic medicine. The goal is to restore and maintain your features.

“Softening P.”: A Maintenance Session

P. still had nice volume in her cheeks, and her N.L. folds still had some nice fill (1 year later). P. just needed a little softening to look her best.

X = needle insertion point

Line = needle direction of needle





  1. Mouth Corners
  2. Marionette Lines
  3. Lip line
  4. Chin Sharpening
  5. Jaw Softening
  6. Nasolabial fold softening

Again the Afters


This round of treatment was to soften and touch up. One large Radiesse syringe was used to treat 6 areas. The result is a softer looking face. There is not a HUGE difference in what P. looks like, but there shouldn’t be. Treating six areas with one syringe will not show a HUGE difference. Six syringes in 6 areas… now that’s a different story. Personally, I will only do ONE syringe at a time. Once you fill one area, you change the skin volume, and laxity changes. If someone tries to sell you six syringes at once, RUN. They are not looking out for your best interest, and you are going to leave the office looking like a different person (or something non-human!).

LK Signature Facelift: Giving Myself a Facelift

8 Apr

You have NO idea how hard it was for me to give myself the LK Signature Facelift and take pictures of myself at 9am. Ok, I admit, it’s not that hard. But still, I look pretty silly in some of these photos! … so I hope you appreciate them! Below are pictures and the steps in my LK Signature Facelift, including what each layer is and what it does for your skin. And also… in case you didn’t know… LK is my initials. 😉

So who is the LK Signature Facelift good for and what kind of result should you expect to see? The LKSF (my new nickname for it) is recommended for anyone and everyone! It is an especially excellent resurfacing treatment for those who suffer Rosacea. The LKSF can even be performed in conjunction with Botox and dermal fillers! After the LKSF, your skin will be tighter, lighter and brighter….who doesn’t love that?!?

ß (I need to touch up my Botox and that’s my “I need Botox” face)


Step 1: Cleanse

When I do this treatment on my clients, I use the Image
Ageless Total Facial Cleanser, which contains 12% Glycolic Acid. Glycolic Acid is excellent for exfoliating the skin, leaving it fresher and brighter looking! The Ageless Total Facial Cleanser has a great tingly feeling, so you KNOW it’s working! It is excellent for keeping pores clear and occasional breakouts to a minimum

I cleansed my skin with the Ormedic Balancing Facial Cleanser, it’s a gentle cleanser (Organic Aloe Vera is the first ingredient in this cleanser!). I didn’t feel like leaving my bathroom to retrieve my Ageless Total Facial Cleanser which is literally an arm’s reach outside the bathroom door. It was 9 a.m., people!

Step 2: I-PREP Degreasing Solution (Professional Only Product…btw)

The degreasing solution is applied with gauze. The reason degreasing solutions are used in professional treatments, is because we want to remove as much of the surface oils on the skin, as possible. This will allow for the product to evenly and more effectively penetrate the different layers of skin.

Step 3: Vitamin C Enzyme Resurfacing Solution (Professional Only Product)

This first layer I apply is the Vitamin C Enzyme Resurfacing Solution and it’s used to keep the pH of your skin high. The higher the pH of a product, the less irritating it is. Vitamin C is actually an excellent resurfacing agent and will help brighten your skin. Not to mention, your skin needs Vitamin C in order to form healthy new collagen! Collagen is what gives skin its healthy, bouncy structure.


Step 4: Resurface/Exfoliate



The Ageless Total Resurfacing Mask has smooth, little micro-exfoliating beads in it that gently exfoliate the dead skin from the top layer of skin (the epidermis). By exfoliating dead skin, your body is stimulated to increase it’s cellular turnover rate (In more simple terms, it makes new healthy baby skin cells, and the still healthy young skin cells are pushed up through the layers.) Can you see how the micro-exfoliating beads in this formulation are perfectly round? They don’t tear your skin (like certain over the counter “exfoliators” will, inviting infection into your skin… and also making your body work to repair micro-tares). The Image Total Resurfacing Masque is high in glycolic acid as well. It is one of my favorite products because you can use it as a masque or a scrub! Sometimes I even like to mix a little into my Ormedic Balancing Facial Cleanser for some added exfoliation.

I’m such a ham! A Kosher one…

Step 5: Blast of Nutrition


The Vitamin C Enzyme Resurfacing Solution is applied a second time…the point here, to add even more Vitamin C to the skin! Remember, tighter, lighter and brighter!

Step 6: Hydrating Enzyme Mask


This final layer is an active masque that eats up the dead skin cells that have been removed from your face with the other layers. The Vital C Hydrating Enzyme Masque is also one of my favorites because it injects the skin with hydration and antioxidants! My skin is always left looking brighter and more supple after using this masque…sometimes I even sleep with it on so I wake up looking super-hydrated and vibrant.

Step 7: Remove Layers

Using sponges and warm water all four layers are removed, leaving me with fresh, bright skin!

At home tip: You can do your own at home mini-LKSF. Start by cleansing your face with your favorite Image Skincare Cleanser. Then mix equal parts Ageless Total Resurfacing Masque and Vital C Hydrating Enzyme Masque. You can leave this combo on for up to 30 minutes. Then remove with a clean washcloth and tepid water. Next, apply your favorite hydrating Image Skincare serum, Image’s most popular serum is the Vital C Hydrating Anti-Aging Serum. Then apply an eye crème, like The MAX Eye Crème, uses the latest in cosmeceutical technology and breaks up blood pigment (dark circles) by up to 20%! Next you would apply either your favorite Daily Defense Moisturizer or Image Repair Crème. Finish with the Ormedic Balancing Lip Enhancement Complex, for the ultimate juicy, plump lip without that irritating bee-sting effect.

Image Skincare is only sold to licensed Skin Care Professionals, like me! So, if you are interested in purchasing some of these products for your own at-home use, contact me. I also offer free shipping!

Step 8: SMILE…

…because nice skin makes you happy! I have this facial done every other week in the summer… when I shouldn’t be doing as many chemical peels. It’s a nice gentle exfoliation. And off to work I go with no make-up on (I don’t know why I still look half asleep… oh maybe I do need some make-up…Flawless Foundation from Image Skincare is my fav!!!). Can you tell I love this line? Lol, I’m not the only one though. I think at some point I’ll do a testimonial’s post!

It’s Sunny Out! (A Post in Honor of Sun Block)

20 Mar

90% of Aging is due to the sun.  NINETY.

If I was stranded on a desert island and could only have ONE beauty product, it would be sunscreen (tinted of course!).  I bet you would neverrrrr think of your sunscreen as a beauty product, but it is ESSENTIAL to anti-aging.  Only sunscreen and retinol are proven to topically prevent fine lines and wrinkles and are therefore the two most ESSENTIAL products I recommend to people.

During the summer months, I decrease my use of Retin-A, because you can’t go in the sun when you are using this product.  This is also why I would choose sunscreen over Retin-A if I was ever to be stranded in a warm place.  😉

What is SPF?

A sunscreen with an SPF of X allows you to stay out in the sun X times longer without burning then you would with no sunscreen on.  THEREFORE the difference between the protection of SPF 15 and SPF 30 isn’t really as significant as you think.

  • SPF 15 blocks 93% of UVB rays
  • SPF 30 blocks 97% of UVB rays

As you can see… a 4% increase.



SPF – Doesn’t Measure Everything!

The SPF of a sunscreen only measures the UVB rays but there are UVA rays that are emitted from the sun which are just as dangerous.  The FDA is currently working on a star rating system that will help the consumer better choose a sunscreen.  Until that happens (we all know how quick the FDA is…) look for a sun block that is a physical barrier or a chemical barrier that says: broad spectrum coverage.

Physical vs. Chemical Barriers

Physical (Sun BLOCK):

Create a reflective surface on the skin that reflects UV light or scatters it off of the skin’s surface. The active ingredients in these sunscreens are zinc oxide and/or titanium oxide. These types of sunscreens are very effective in blocking both UVB and UVA sun rays and are considered to be the safest sunscreens to use.  The best products of this type will contain all-natural ingredients.

These are the sunscreens I use. I couldn’t get a picture that was clear… so I copied the exact text (with possible spelling errors. Sorry.)




Chemical (Sun SCREEN):

Contain ingredients that absorb UV light before it can cause any skin damage. These sun screens (which include most commercial brands) have been proven to be effective in preventing sunburns, but the chemicals in them have never been tested and approved for safety.

To get “broad spectrum” protection with chemical barrier sunscreens, you need to purchase a product with more than one active chemical ingredient, which increases the likelihood of the product being potentially hazardous.

I happened to have this bottle of Sea & Ski in my bathroom, but I have never used it. It was $1.99 at Christmas Tree Shop. As you can see, UVA and UVB coverage does not make the product more expensive.



Best advice:  Use a physical barrier sun block.  Wear a hat.  And don’t use your Retin-A (for now).  Enjoy the warm weather Boston!

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