Category Archives: Injections

This New Way To Use Restylane Filler Will Be The Next Big Thing

June 23, 2019

RESTYLANE LYFT FOR MIDFACE & CHEEK INJECTION VIA CANNULA  Restylane Lyft Now Joins Restylane Silk as the Only Hyaluronic Acid Fillers Approved for Use with Cannula1, 2. 

We are massive all-time fans of all things Restylane to soften lines and restore facial volume. We age. We lose volume. It’s that simple. The old expression, we need to choose between our asses or faces. I’d like to think to keep both going at full volume.

Forget the days of over-filling faces to look like puffer fish – that aesthetic is our biggest turn off and has never been something we even want to associate with. At Groomed LA, we simply want to share the best tools to make you look as awesome as you feel on the inside. We give you the best tools for inner work and the best for outer to reflect your awesomeness inside – that simple!

I have used fillers in the most delicate ways, to soften under eye circles and add some fullness in areas where the face started to thin out.

Restylane Refyne is FDA-approved for smile lines and now, Restylane® Lyft it is the first and only hyaluronic acid (HA) dermal filler approved for use to restore age- related volume loss in the midface and cheek area with a blunt tip cannula.

I worked with The Master Injector, Bernice Cohen, RN, PHN ,BSN, CANS, at AVA MD, as she is the expert trainer in this and tops in the country. It’s always thrilling to work with Bernice as she is such a top level pro in the field, I always learn so much and leave with my mind blown (on top of looking excellent).

Bernice Cohen is a Registered Nurse, nurse injector and laser specialist, as well as a Public Health Nurse with a B.S. degree in Nursing. Having joined the Ava MD practice in March of 2010, she is now a Top Trainer in the US for Galderma Injectables, teaching other doctors and injectors how to use Sculptra, Restylane, Restylane Lyft and Dysport. Born in Berlin, Germany and raised in Burbank, California, Bernice worked as an international model doing runway, print and commercial modeling with Ford and Elite for 15 years before making her transition to dermatology.

Why a cannula?

The use of a cannula may be associated with less potential damage to blood vessels, and may help minimize patient bruising, help decrease swelling, and allow for minimized downtime.

Natural-looking results, restored volume and fullness to the cheeks.

Restylane® Lyft

  • Created with XpresHAn Technology™, to help smooth moderate lines and provide the right amount of support and flexibility through a range of facial expressions
  • Integrates with your skin and acts like your body’s own hyaluronic acid 
  • Gives the support you need while allowing a range of facial expressions

Restylane® Lyft is the first and only hyaluronic acid (HA) dermal filler approved for use to restore age- related volume loss in the midface and cheek area with a blunt tip cannula.1,2 

What is a cannula? What are the benefits of injection with a cannula? 

A cannula is a small, thin, flexible, blunt tip needle with a small opening on the side that provides an effective means for injecting HA dermal fillers into the skin.3 

The use of a cannula may be associated with less potential damage to blood vessels, and may help minimize patient bruising, help decrease swelling, and allow for minimized downtime.4 

Bernice in action….

Precise implantation of HA fillers is important for patient safety and for achieving the best aesthetic outcome and using a cannula can result in a more precise injection as compared to a needle.

When injecting with a cannula, a single-entry point is used so the cannula can be inserted through the entire midface or cheek area.6 When using a needle, the sharp tip of the needle penetrates through the skin down to the depth in each point where the filler is injected. In contrast to this, a cannula has a blunt tip, and requires only one to two insertion points on either side of the entire injection area. 

Here’s what you can expect with Restylane Lyft for midface and cheek injection via cannula: 

Bernice made sure to enhance my natural bone structure, not change it. The goal is to leave looking the same only BETTER!

 Restored volume and fullness to the cheeks 

Natural-looking results 

 May be associated with less bruising and decreased swelling compared to injection via needle4 

 Results proven to last up to 12 months1 

Restylane Lyft is the only HA filler with three FDA-approved indications – the midface/cheek area, nasolabial folds, and back of the hands.1,2 

For more information about Restylane® visit www.RestylaneUSA.com 

Important Safety Information 

The Restylane family of products includes Restylane®, Restylane-L®, Restylane® Lyft with Lidocaine, Restylane® Silk, Restylane® Refyne, and Restylane® Defyne

APPROVED USES 

Restylane® and RestylaneLyft® are for mid-to-deep injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds. Restylane® and Restylane-L® are also indicated for injection into the lips in patients over the age of 21. 

Restylane® Lyft with Lidocaine is for deep implantation into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds and for cheek augmentation and for the correction of age-related midface contour deficiencies in patients over the age of 21. Restylane® Lyft with Lidocaine is also indicated for injection into the subcutaneous plane in the dorsal hand to correct volume deficit in patients over the age of 21. 

Restylane® Silk is for lip augmentation and for correction of perioral wrinkles in patients over the age of 21. 

Restylane® Refyne is for mid-to-deep injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds, in patients over the age of 21. 

Restylane® Defyne is for mid-to-deep injection into the facial tissue for the correction of moderate to severe deep facial wrinkles and folds, such as nasolabial folds, in patients over the age of 21. 

Are there any reasons why I should not use products within the Restylane® family? (Contraindications) 

To ensure a safe procedure, your doctor will talk to you about your medical history to determine if you are an appropriate candidate for treatment. You should not use products within the Restylane family if: 

• You have severe allergies with a history of severe reactions (anaphylaxis) 

• You are allergic to lidocaine or to any of the gram-positive bacterial proteins used to make hyaluronic acid 

• You are prone to bleeding or have been diagnosed with a bleeding disorder 

Are there other precautions that I should discuss with my doctor? 

• Tell your doctor if you are breastfeeding, pregnant, or trying to become pregnant. The safety of these products for use during pregnancy, or in women who are breastfeeding, has not been studied 

Restylane, Restylane-L, Restylane® Lyft with Lidocaine, Restylane Refyne and Restylane Defyne are intended to treat facial wrinkles and folds, such as nasolabial folds. Restylane and Restylane- L are also intended for lip enhancement. Restylane® Lyft with Lidocaine is also intended for injection in the dorsal hand to correct volume loss. Treatments in other areas of the face or body have not been evaluated in clinical studies. 

• The safety and effectiveness of Restylane® Silk for areas other than the lips and perioral area have not been evaluated in clinical studies. 

• Tell your doctor if you have any history of scarring, particularly thick and stiff scars, or any pigmentation (skin color) disorders. These side effects can occur with hyaluronic acid fillers in general. 

• Tell your doctor if you are planning other laser treatments or a chemical peel, as there is a possible risk of inflammation at the treatment site if these procedures are performed after treatment 

• Patients who experience skin injury near the site of injection with these products may be at a higher risk for side effects 

• Tell your doctor if you are on any medications to decrease your body’s immune response (immunosuppressive therapy). Using these medications may increase your risk of bruising or bleeding at the gel injection site. 

• Tell your doctor if you are using any “blood thinners” such as aspirin, warfarin, or any other medications that affect bleeding. Using these medications may increase your risk of bruising or bleeding at the gel injection site. 

• The use of these products on gel injection sites with skin sores, pimples, rashes, hives, cysts, or infections should be postponed until healing is complete. Use of product in these areas could delay healing or make your skin problems worse. 

Tell your doctor if you have diseases, injuries, or disabilities of the hand. 

What are the possible side effects? 

The most commonly observed side effects are swelling, redness, pain, bruising, headache, tenderness, lump formation, itching at the injection site, and impaired hand function. These are typically mild in severity and typically resolve in less than 7 days in nasolabial folds and less than 14 days in lips. Serious but rare side effects include delayed onset infections, recurrence of herpetic eruptions, and superficial necrosis at the injection site. 

One of the risks with using this product is unintentional injection into a blood vessel. The chances of this happening are very small, but if it does happen, the complications can be serious, and may be permanent. These complications, which have been reported for facial injections, can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin. 

As with all skin injection procedures, there is a risk of infection. 

*To report a side effect with any of the Restylane products, please call Galderma Laboratories, L.P at 1- 855-425-8722. 

PDO Threads or Threadlift With Dr. Nancy Samolitis, Facile Dermatology

March 8, 2019

Facile Dermatology and Boutique has always been special to me. This elegant and fun gem, in the heart of WeHo, helmed by the fantastic Dr. Nancy Samolitis is more than just a run of the mill boutique med spa. They are on a mission:

“Welcome to the world of Facile–where achieving good skin is easy. We’re what you get when you cross a dermatology office, a spa, and a beauty boutique. We’re obsessed with skin. We personalize every service to meet your needs on any given day (because skin is moody, y’know?).
Your best skin is our priority.”

So you see what I mean.

There’s been a ton of buzz about PDO absorbable threads or “thread lift” from clients and readers wanting to know more about this minimally invasive, zero downtime or bruising (let’s call it easy peasy) treatment and its promise to add instant lift to the skin – hence, instant rejuvenation. But that’s not all. The threads act like a scaffolding of support for the tissues and delicately reposition the skin to while building collagen over time. Sounds like a win win for a lunchtime procedure. 

The lovely, wise and truly authentic Dr. Sam numbed my face and fully went over the procedure before hand. Some numbing. A tiny entry point near the temples. Some pressure as the thread goes in, lidocaine as needed, and then once the longer barbed threads are inserted and ends snipped, smaller threads around the lower third of the face. A tag team of collagen boosting scaffolding.

The whole event was less than an hour. Painless. Not uncomfortable. After I was hilariously numb (think getting one’s teeth pulled) and late on (now) I’m quite sore in my jaw, which is perfect since I can’t eat as I’m on a Prolon fasting mimicking diet this week. (More on that soon!). I used some ice packs on my cheeks throughout the day but there is zero bruising and a little swelling that is probably not even noticeable.

In terms of seeing an instant lift – I do look ‘fresh’ faced. I need to take “after” photos in a week or to really gage. I am mostly interested in the building of collagen over time – when most people are losing it at this age. I will also follow up in one month to see if we need to add some more.

I am writing this the following morning. Cheeks quite sore, but face looks really great – a little swelling will certainly plump things up and my skin feels taught in a great way. Cannot wait to see what happens over time. So far, I am sold on threads! I am still thinking about how totally cool Dr. Sam is. What a treat to meet such a down to earth and real doctor who isn’t out to sell you a ton of stuff you don’t need.

Please call Facile for pricing and details.

West Hollywood
638 1/2 North Robertson Boulevard
West Hollywood, CA 90069
Phone 310.929.2220

Pasadena 140 South Lake Avenue, Suite 104 Pasadena, CA 91101

Facile Dermatology – Vanessa Lee, RN, for a refreshed 2018 face

March 4, 2018

Nothing like a refreshed face for 2018. And hella yass, did I need it. Like so many of us, 2017 left me haggard, depressed and angry. I think I aged ten years. I needed a serious pick me up for my face (body and soul – working on SOUL with goddess meditation guide Kelly Morris of THE INFINITY CALL, more on her daily live mediation call in for women only, soon!! Can you say KELLY YOU ARE SAVING MY LIFE??!!!)

I headed over to the gorgeous little hide-away, Facile Dermatology where Vanessa, in less than 30 minutes, gave me a little overhaul. As you know, I am very natural (for someone who makes treatment plans and tries all the latest techniques). I look like your average mid-40’s working ass mother fucker. I am not fancy. I do not wear much make up. I keep it REAL AF. No fish lips. No chipmunk cheeks. No Beverly Hills housewife bullshit. 

Vanessa addressed my loss of volume and welp, falling cheeks. She added a little Voluma for the cheeks and Vollure for nasal labia folds and Botox, here and there. What a difference. Obvi. I am bat shit in love with the Voluma and Vollure. Mostly because I can’t even tell what she did. I just look….BETTER.

Vanessa finished with a microinfusion which basically is microneedling with with tiny deposits of a proprietary custom blend of botox, juverderm and super-antioxidants like glutathione that stimulates collagen to plump, tighten and brighten, shrinks pores, smooths for an instant glow with no downtime. THIS IS THE SHIT VON SHIT!!! This was the touch, I now realize, is everything. RUN AND GET THIS. STAT!

Facile Dermatology is one of my favorite spots in town.

I mean….look at it.

  
But that’s not all. Facile has you covered in so many ways…

THE PLANS LOOK SOMETHING LIKE THIS:

A TAILORED TREATMENT PLAN TO CLEAR YOUR COMPLEXION OF ACNE AND DARK SPOTS MAY INCLUDE:


  • CORTISONE INJECTIONS
    A quick prick with this powerful anti-inflammatory can dramatically reduce red, angry breakouts and hurry up healing—often immediately with cystic acne, in particular.
  • LASER THERAPY
    Think treatments like Clear + Brilliant, Fraxel or XLV.
  • FACIAL & BODY RESURFACING
    A.K.A. microneedling, it nudges skin to create new collagen and elastin fibers, which results in plumper, thicker skin and smoother scars and wrinkles.
  • CRYOFACIALS
    We add liquid nitrogen to your facial to treat what ails you: wrinkles, blemishes, pigmentation and sagging skin.
  • MICRO-INFUSIONS
    Micro-injections of botulinum toxin, filler droplets or PRP (platelet-rich plasma from your blood) will help shrink pores, improve fine lines and stimulate new collagen.
  • PEELS
    Customized chemical peels to reduce breakouts and minimize the appereance of visible scars.
  • A CUSTOM SKINCARE REGIMEN
    Each plan is individualized and includes Facile clinical and prescription-strength products.
  • TOPICAL AND/OR ORAL PRESCRIPTIONS

A CUSTOM ANTI-AGING PROGRAM TO HELP YOUR SKIN AGE IN REVERSE MAY INCLUDE:


  • WRINKLE RELAXERS
    Safe doses of botulinum toxins help unkink muscles, leading to smoother skin free from furrows.
  • INJECTABLE FILLERS
    Hyaluronic acid and collagen-stimulating fillers will give you a lift and youthful smoothness.
  • KYBELLA
    Injections of deoxycholic acid, a fat-absorbing substance, help reduce pockets of localized fat like a double chin.
  • LASER THERAPY
    Think treatments like Clear + Brilliant, Fraxel or XLV.
  • FACIAL & BODY RESURFACING
    A.K.A. microneedling, it nudges skin to create new collagen and elastin fibers, which results in plumper, thicker skin and smoother scars and lines.
  • CRYOFACIALS
    We add liquid nitrogen to your facial to treat what ails you: wrinkles, pimples, hyperpigmentations and sagging.
  • MICROINFUSIONS
    Microinjections of botulinum toxin, filler droplets, or PRP (from your own blood) shrink pores, improve fine lines, and stimulate new collagen.
  • PEELS
    Customized chemical peels help reduce signs of sun damage and visible scars.
  • A CUSTOM SKINCARE REGIMEN
    Each plan is individualized and includes Facile clinical and prescription-strength products.

AN ADJUSTABLE, ONGOING PROGRAM TO KEEP YOUR SKIN HAPPY AND HEALTHY, FROM THE INSIDE OUT, MAY INCLUDE:


  • IV INFUSION & Vitamin INJECTION THERAPY
    A custom cocktail of vitamins supports increased energy, glowing skin, anti-aging at the cellular level, improved athlecit performance, healing and recovery, enhanced immunity, hydration and stress relief.
  • VITAMINS & HEALTH SUPPLEMENTS
    A custom cocktail of take-home supplements in-office IV and vitamin therapies.
  • A NUTRITIONIST-RECOMMENDED DIET
  • A SKIN CANCER SCREENING EXAM
    The doctor checks for suspicious spots and removes anything questionable or bothersome.
  • A CUSTOM SKINCARE REGIMEN
    Each plan is individualized and includes Facile clinical and prescription-strength products.
  
FACILE

Vanessa Lee, RN
638 1/2 North Robertson Blvd.
West Hollywood, CA 90069
Email: info@facileskin.com
Phone: 310.929.2220

THE LIST: DR. GRANT STEVENS | MARINA PLASTIC SURGERY

March 3, 2018

We are excited to roll out THE LIST for 2018.  What better a way to launch the year than by featuring Grant Stevens, MD, FACS, board certified plastic surgeon and founder of Marina Plastic Surgery in Marina del Rey, CA. 

Dr. Stevens is the Chairman of the USC-Marina Aesthetic Surgery Fellowship and the Director of the USC Division of Aesthetic Surgery. He is a Clinical Professor of Surgery at the USC Keck School of Medicine, Division of Plastic Surgery. He is a board certified Diplomate of the American Board of Plastic Surgery, a Fellow of the American College of Surgeons and the International College of Surgeons. Dr. Stevens is also president-elect of the Board of Directors of the American Society of Aesthetic Plastic Surgery.

What is also exciting is that his practice is the first in the U.S. to offer Geneveve™ by Viveve®, the single-session, 30-minute, in-office treatment for women with vaginal laxity that incorporates patented radiofrequency energy to stimulate and generate collagen.

“We are excited to be the first to introduce Geneveve to our clients,” Dr. Stevens said. “Geneveve treats vaginal laxity, which results from over stretching the vaginal introital (opening) during childbirth. As a result of this tissue damage, women can experience a decrease in sexual satisfaction and physical sensation during intercourse, which can adversely impact sexual health and quality of life.” He added that just like procedures that stimulate collagen to make the face and body more youthful, Genevieve uses collagen stimulation to shrink vaginal tissue achieving previous tightness.

During vaginal childbirth or sexual activity over a period of time, these tissues can over-stretch, leaving the patient with a feeling of looseness, especially around the vaginal opening. The loss of tightness eventually leads to a diminished sexual sensation and satisfaction during intercourse.

“Geneveve is a perfect complement to our mommy makeover procedure, allowing women to experience a return to their pre-pregnancy days of vibrancy, lubrication and tightness,” said Dr. Stevens. He added that in a sexual satisfaction survey of women who had undergone the Geneveve treatment after experiencing vaginal deliveries, 67% of the women reported an increase in vaginal tightness at 30 days and 87% at six months after the treatment. While vaginal rejuvenation surgery is right for some patients, many more just need a simple non-surgical out-patient treatment that requires no anesthesia.

For more information, visit Marina Plastic Surgery; like Marina Plastic Surgery on Facebook; join his blog at BeautyByStevens; and follow on Twitter @DrGrantStevens.

 

Arque Derma: Artistic Restoration Lift at the InjectAbility Clinic, Torrance

January 29, 2017

ARQUE DERMA 

Pronounced ‘ARC DERMA,’ ArqueDerma® in Latin means ‘to inject the skin’. The name ArqueDerma® imparts a seamless mix of the artistic, ‘Arque’ (classical architecture – arches, buttresses, corbels), and medical science, ‘Derma’.

ArqueDerma® Artistic Restoration Lift® is an original, patented non-surgical face lift methodology developed by Leslie Fletcher, RN, MEP-C  to deliver FDA approved dermal fillers such as Voluma, Juvederm®, Restylane®, and Perlane® more effectively to the skin.

I recently tried this and I am totally wowed. I had no idea what to expect and thought I was just getting a little upkeep to stay lifted and fresh. But Arque Derma goes was deeper than that. It’s not about filling one little area or just plumping up your skin. The goal is deep, just like the description. One of my favorite people in the biz, Michele G. Messiah, PA-C, Board Certified Physician Assistant took excellent care of me and I was privileged to have the renown Leslie Fletcher consulting and giving me the inside scoop on this worthy procedure.

Arque Derma is something to plan for as you will most certainly bruise and not just your little freezer or filler spot here and there. You will need a good solid week to 10 days for the bruising to really subside – so make sure you follow all pre and post procedure protocol and plan for some downtime.

I can assure you it will all be worth it. The effects are incredible. I was treated in areas I never considered before or even thought of. As I get older, it seems my face in changing in subtle ways I am not even noticing, but these experts are. And yes, they are subtle – but it all adds up. So this Arque Derma, coupled with the Profound treatment I did in November (article comes out soon) with the phenom Dr. Ben Talei, are sure to hold me over for a good while.

I also fell in love with this place in general. They are full service, incredibly staffed with experts and KNOW WHAT THEY ARE DOING. It’s a little drive from your usual Bev Hills, but 100 percent worth it.

ArqueDerma provides natural, more dramatic results not achievable using conventional filler techniques offered by most clinics. Unlike conventional volume replacement techniques, the ArqueDerma technique utilizes dermal fillers as strategic relocation vectors to redistribute and direct the patient’s own tissue toward the facial hollows that have formed. Using the ArqueDerma technique, we are able to collect your descended excess facial volume and redirect it to create a more youthful look to embellish your natural beauty.

The cost for a dermal filler procedure is usually charged per syringe. Utilizing your own descended volume allows us to use less dermal filler product, making the ArqueDerma technique more economical than conventional methods.

See ArqueDerma.com for more information.