Question:

Profound vs Thermi Tight

Answer:

I say that relative to the  safety because of the method of delivery of the radio-frequency heating used with the Profound technology and the temperature required to get a result. As to the excellent results, yes, many people, including the company selling the devices show great results. In my experience, using Therrmi Tight for over 2 years, and following all of the updated protocols, I have never had a fabulous result, certainly nothing even near what the promotional pictures show. That is my opinion, and you are certainly entitled to yours, I was just offering my advice.I do not think the pictures post-treatment shown are typical results, they are more like best of the best. .

Question:

jowls

Answer:

I agree with you that there is a lot of hype with this product. They have cleverly used some terminology that is used in lasers to put in their marketing materials. As to your specific question of jowling, in general, these types of therapies and modalities, if they are going to do anything at all, only affect the surface of the skin. What I mean by that is just a textural improvement if at all. It will not create any firming that will tighten the skin, and that is what would be needed to lift or tighten a jowl. There are radio-frequency devices that are non-surgical, things like Ulthera, but results are variable and unpredictable. There are numerous reports of unintentional fat loss with radio-frequency technologies. I think for the most part, any skin tightening without surgery, like the use of a fractionated laser, will be mild as it treats skin quality with mild to no skin tightening once the swelling has resolved. Surgery is usually required unless the jowl can be lifted by injecting fillers into the cheek area.

Question:

I had an UltraShape treatment yesterday and today noticed a semi-circular bruise (with significant tenderness) in one inframammary crease, an area that was not treated. Is it possible to have bruising from this procedure and, if so, to have bruising “referred” to areas that were not treated? Thank you for your time. Happy Holidays!

Answer:
Question:

I had a necklift and have an ingrown beard hair right on the suture scar from a couple months ago. This area is now like a pimple shaped thick scar tissue and seems to be getting bigger. How should I proceed?

Answer:

the best option is to see your surgeon and they can unroof it under local anesthesia to take care of it once and forever

Question:
Answer:

I might suggest some Retin-A first, then move on to a ThermiSmooth non-invasive treatment and then progress to a CO2 laser if needed.

Question:

What are the risks of removing a crooked temporalis fasia graft from the radix area and what technique used? My ps seems to think it is tough to do and does not want to do it... maybe it is outside his comfort zone.

Answer:

It is just the reverse of how it was placed, either an open or closed techniques, and it is slipped or pulled out. Pretty straightforward for a wrapped fascia graft as it is not rigid

Question:

Can fat be excised from below the platysyma without making any alterations to the platysma itself? 

Answer:

the muscle is temporarily split to allow the removal of the fat and then it is sutured back together, not an issue.

Question:
Answer:

I am not  a big believer in it. I think the results are mild in the vast majority of cases and unpredictable

Question:

What non-surgical procedure do you use to remove belly fat and tighten the skin. I am 57 and am menopausal, not over weight, but have belly fat I can't get rid of and am not use to having to deal with it! Please help

Answer:

Hard to say without seeing you be we offer CoolSculpting in the office for troubles spots that need fat reduction without surgery

Question:
Answer:

it might be able to be treated with fillers to hide them, otherwise it is surgery to reposition or remove the fat that is pooching out.

Question:

I know that the FDA is approving this only for submental fat, but if it's effective there, wouldn't it be effective on other small pockets of fat -- for instance, on mild cases of upper arm fat or on small pockets of fat on the flanks? Seems so much better than all the fuss, mess and recovery of liposuction.

Answer:

It will likely be used off-label in other areas. The unknown is how many times will those other areas need to be injected to get a result, and we still do not know what the cost of the product will be.

Question:

Hi Dr., as of this moment I can not afford a blepharoplasty. I have tried a botox lift, which was great for the horizontal line between my eyes which causes that pulled down, squinting effect, but it really did nothing for the actual area between my brow and eye lid skin. Is there really anything at all that can "kind of" tighten this skin. I'm going to see an aesthetician for some chemical peels, but don't want to get talked into something else that in the end will have no effect. 

Answer:

The chemical peels will not help, but  little Botox in the crows feet can lift the lateral brow a small amount