Post Rhinoplasty Kenalog Injections to Reduce Scar Tissue.

Dr. Rivkin — Fri, 03 Feb 2012 19:51:16 +0000

6 months post tiplasty and today my doc injected my tip with Kenalog.

My doc said I had unwanted scar tissue and that is why he injected my tip with kenalog. When will it start working and when will I see improvement? He said he wants to see my again in 6 weeks.
Pls advise,
Thank u

Post rhinoplasty Kenalog injections are very common to reduce unwanted scar tissue. It works well, but the effect takes a few weeks. For some people one week, for others it takes four weeks to see a difference. Some people need one injection and others need two or three. Sounds like you are getting good advice.

Ablative vs Fractional CO2 Laser for Skin Resurfacing

Dr. Rivkin — Wed, 01 Feb 2012 20:02:42 +0000

i have ablative co2 laser last 12 months ago on one cheek called silk touch co2 laser, it kind of made my cheek pale, iam interested in having active fx for my acne scarring, is this treatment ablative or is it fractional,

what is the difference, i dnt want to be left with even more white skin

The Active Fx is a fractionated CO2 laser, designed specifically to avoid the kind of hypopigmentation that you describe. Instead of vaporizing an entire layer of skin, the Active Fx works by punching microscopic holes with untreated skin around the holes. Healing is faster, easier and scar tissue formation is minimized. If you are treating acne scars, however, I would recommend using the Deep Fx head as well as the Active Fx head during your procedure. Acne scars are notoriously difficult to treat, so the combination treatment is more effective.

The game of Internet reviewing – Lifestyle Lift

Dr. Rivkin — Sat, 28 Jan 2012 23:23:49 +0000

A brief summary of the story of Lifestyle Lift and what happens when you brazenly promote an ineffective procedure via fraudulent reviews and testimonials.

http://bits.blogs.nytimes.com/2012/01/27/faking-it-to-make-it-a-beautiful-try/

Non Surgical Midface Lifting – Any Options Available?

Dr. Rivkin — Fri, 13 Jan 2012 19:20:28 +0000

Actually, there are excellent options available. The midface is probably the most important area of the face that “gives away” aging. The loss and descent of facial fat volume in this area is one of the first signs of facial aging. You can’t really lift the area non surgically, but there are significant things that can be done to improve the appearance. First, the tear trough and under eye area can be re-filled with Restylane and Radiesse. This is usually the first sign of aging and filling this area usually gives a dramatic improvement. 10 years in 10 minutes is not an exaggeration. Replacing the definition and prominenece of the cheekbones is also important and can be done with Radiesse or Sculptra. Volumizing the cheekbone area changes the shape of the face back to the heart shape of youth – wider at the cheekbones and narrowing at the jawline. Refilling sunken cheeks and temples is the next important step and Sculptra is a great injectable for that. The side benefit of Sculptra is that it improves the quality of the skin where it is injected. The pores are smaller and the skin becomes thicker and firmer. Filling deepened nasolabial and marionette lines with Juvederm or Radiesse is, of course, part of the equation. Hope that helps.

JANUARY SPECIALS!

Ran — Wed, 04 Jan 2012 20:09:16 +0000

• 50% OFF 1st session of laser hair removal

• 15% OFF any laser hair removal package

• Instant $150 OFF when you receive Botox and Juvederm in the same visit*

• 20% OFF any chemical peel

Special Offers Expire 2/29/12

*20 unit minimum, does not apply to services with Dr. Rivkin.

DECEMBER SPECIALS!

Ran — Fri, 02 Dec 2011 20:21:24 +0000

• 15% OFF First Clear + Brilliant Treatment (reg. $300)

• 20% OFF Dysport (reg. $4.50 per unit)*

• Complimentary IS Clinical Youth Eye Complex with purchase of an Oxygen Facial! ($85 value)

Exp. 12/31/11

*Special based on $4.50 per unit. Special does not apply to treatments with Dr. Rivkin.

Groupon…for cosmetic surgical procedures? Really?

Dr. Rivkin — Thu, 24 Nov 2011 20:20:42 +0000

The Brits did the right thing. It is ridiculous that we allow this kind of unethical promotion in the US.

http://www.guardian.co.uk/media/2011/nov/23/groupon-cosmetic-surgery-ad-banned?newsfeed=true

Wow…poor girl

Dr. Rivkin — Mon, 21 Nov 2011 23:30:34 +0000

http://www.dailytelegraph.com.au/news/world/fake-doctor-injects-cement-in-womans-rear/story-e6frev00-1226201245867

Non Surgical Facial Volume Replacement

Dr. Rivkin — Tue, 15 Nov 2011 22:35:03 +0000

What is currently the best filler for high volume areas if you are too lean to get autologous fat injections? Is it best to avoid cheek implants? Not able to take advantage of fat transfer. Do the fillers give a lumpy apearance on someone with thin skin? Does it encapsulate in large areas such as the cheeks?

Depending on which areas you are talking about, the optimal injectable agent varies.
The most common high volume area in my practice is the front area of the cheeks, just under the lower eyelids (malar area). This is one of the first areas to lose volume as we age. Volume loss here is a big component of how old people look. I usually use Radiesse here – it is a long lasting, smooth filler that keeps its shape very well when injected deep. This is important because as I fill that area of the cheeks, I want it to have the round shape that the patient had in their youth. I do not want to use a soft filler like Juvederm because it squishes down and the final appearance is of a flat, not round cheek. If the patient is unsure of the procedure, I will offer to use Perlane, a high density hyaluronic acid filler. It doesn’t last quite as long as Radiesse, but it does give that round shape and it is, most importantly, dissolvable at any time with an enzyme.
If you are talking about large surface areas like the soft part of the cheeks or the temples, I use Sculptra. This is not a filler at all, but a collagen stimulating agent. I like to think of it as a fertilizer for the skin. It pushes your skin to make more collagen and fill the area naturally. It takes 2 to 4 monthly sessions, but the results last 2 to 3 years or more.
With all of these injectable agents, it is possible to get a perfectly smooth and natural appearance without lumps. You just have to choose an injector who is very experienced at non surgical volume enhancement. Word of mouth, looking at the injectable companies’ websites for people who use lots of the filler and asking the doctor and his staff direct questions are the ways to determine their experience.
Good luck!

NOVEMBER SPECIALS!

Ran — Mon, 07 Nov 2011 21:49:36 +0000

• Buy One Laser Hair Removal Package, Receive 20% OFF Second Package

• Free Microdermabrasion with Purchase of Fraxel or IPL Photofacial Session

Exp. 11/30/11

*Specials cannot be combined with other offers. 20% off second laser hair removal package is based on equal or lower priced package.