Davis

When it comes to improving dull skin, rough texture, hyperpigmentation, and acne, chemical peels and lasers remain the gold standard. Both help to reduce the appearance of pores and soften fine lines. Both entail relatively minimal downtime (a few days of redness, swelling, and peeling). And both can be exceptionally effective—in the right situations. Here, I’ll help you pin down which treatment is right for you.

How do they work?

First, let’s take a closer look at each treatment. A chemical peel uses various acids, such as lactic, salicylic, or trichloroacetic (TCA), to resurface the skin and remove surface pigmentation.

Which treatment is right for me?

Regardless of your skin type or the issue you want to address, both peels and lasers will require multiple treatments in order to achieve the best results. The total number can be as few as two, but it’s generally between three and six. 

With that in mind, if given a choice, a chemical peel is the better option if you’re on a budget. Its price depends on the strength and concentration of the peel, but the range is typically less than that of a fractionated laser treatment.

Both types of treatments can provide you with more radiant skin, though, if you have dark skin and you opt for a lower-energy fractionated laser, like Clear + Brilliant, you’ll want to make sure the treatment is done by someone who has a lot of experience using this laser on dark skin types. It’s considered safer than a stronger laser resurfacing procedure, but the results can vary in under-experienced hands.

For the most part, however, a chemical peel is the safer means to resurface and tighten dark skin. The heat of a fractionated laser can contribute to hyperpigmentation. (For everyone else, a laser is the clear choice for skin-tightening. The heat will spur the production of natural collagen and elastin, the basic building blocks of firmer skin.)

Some plastic surgeons will start with a peel and move to a laser if the results aren’t meeting their expectations. In those instances, they’ll use a lower-energy fractionated laser at low strength over a few treatments in order to avoid post-inflammatory hyperpigmentation.

A similar approach is often used when aiming to erase persistent patches of acne. A series of salicylic acid peels exfoliate the skin and penetrate the pores to unclog them. At which point, a long-pulse laser can shut down overactive sebaceous glands. It’s safe for dark skin because it won’t burn the upper layers.

If you want to learn more about our med-spa services and chemical peels. please contact us at info@daviscps.com and our team will be happy to help you and schedule a virtual consultation.

Here at Davis Cosmetic Plastic Surgery we do not lump Injectables into one big pile, even though their qualities and uses can vary significantly. One in particular that stands out for us is Sculptra because it’s made of poly-L-lactic acid (rather than hyaluronic acid) and it works with your body to regrow collagen, which is unique among wrinkle treatments.

Sculptra is approved by the FDA for filling wrinkles and reducing hollow, sunken cheeks and temples. Because it tasks your body with making collagen, it can take longer to see results than it does with hyaluronic acid fillers, but the effects will last much longer. Which also means that, as a side benefit, Sculptra tends to be less expensive overall than hyaluronic fillers for patients who need a lot of volume replenished.

“When applied correctly, Sculptra looks positively natural,” says Dr. Steven Davis. This is why it’s imperceptible. “Since it is slowly and steadily building support for your skin, no one would ever be able to tell you’ve had it injected.”

What’s the treatment like?

Sculptra injections are similar to just about every other kind of filler injection. There may be some mild discomfort, which can be mitigated with a topical numbing agent. After the injections are completed, your plastic surgeon will massage your face for a few minutes, to ensure the Sculptra is distributed evenly among the targeted areas.

Following the procedure, some mild swelling, bruising, and soreness around the injection sites is normal. But all of that should clear up fairly quickly. In the meantime, it shouldn’t be anything significant enough to keep you from your regular activities.

When will I see the results?

Most patients of DCPS tend to look great right after injections. But, gradually, those effects will wear off. And after a couple of days, you should look much like you did before the treatment. That doesn’t mean the treatment didn’t take. All the while, your skin is using the poly-L-lactic acid to produce new, natural collagen.

You should begin to notice a difference within a week or two of your treatment. Usually, it’ll take between four to eight weeks to see the full effects of your injections. And while that may sound like an eternity, consider the bigger picture: Those results will last for two to three years. 

If you’re on the fence about a facelift, Sculptra may prove to be the perfect bridge. Please consult the team at Davis Cosmetic Plastic Surgery for a consultation, or if you have any questions.

Facial rejuvenation procedures continue to be the fastest-growing segment of cosmetic plastic surgery, and botulinum toxin type A injections are one of the biggest reasons why. Last year, close to 7.7 million of them were done in the United States, which set a new annual high, according to the American Society of Plastic Surgeons.

(Dermal fillers were second on the list of most-performed cosmetic procedures last year, at 2.7 million.)

You’re probably more familiar with the different brand names of botulinum toxin type A: Dysport, Xeomin, Jeuveau, and, of course, Botox. While there are subtle differences between them, they all work the same way, essentially. 

In order for any muscle to contract, the nerves release a chemical messenger called acetylcholine at the point where nerve endings meet muscle cells. Acetylcholine attaches to receptors on the muscle cells and causes the cells to contract, or shorten.

Botulinum toxin type A injections prevent the release of acetylcholine, which stops the muscle cells from contracting. Basically, they temporarily put the muscles to rest, which helps the muscle become less stiff. In the process, they also temporarily minimize or eliminate altogether creases and fine lines that stem from the constant contraction of those muscles, like forehead wrinkles, crow’s feet, and the dreaded “11” between the eyebrows.

Which one is right for you?

Without getting too technical, a board-certified plastic surgeon distinguishes between the brands based on subtle but significant differences, like how much it will spread after it’s injected. 

First, they’ll want to hear all about your expectations for the procedure. They’ll then be able to select the botulinum toxin type A that’s best suited for that particular area of the face and the desired outcome.

Much of the outcome, however, will come down to the injector. For example, the pressure that’s used to inject the botulinum toxin type A can have a big impact on the results. Also key is the injector’s knowledge of the muscles in the targeted area. It may seem fairly straightforward—rest the muscle, the lines disappear—but the human body is a series of intricate, interconnected networks.

In other words, for every action, expect a reaction.

Case in point: In order to lift the forehead, botulinum toxin type A should be injected into the depressor muscles around the brow, because they’re the ones working to pull the brow (and forehead) down. But simply injecting those muscles isn’t enough. The injections need to be precise because if they land in the wrong parts of the depressor muscles, the botulinum toxin could seep into the frontalis muscle, which lifts the forehead. 

The result in that scenario is an even heavier-looking brow than what the patient started with. And it’s surprisingly common.

Expertise matters most

I have extensive experience with doing botulinum toxin type A injections. Even more, I train plastic surgeons, dermatologists, and nurses across the country on behalf of all of the aforementioned brands in how to use them appropriately and accurately.

I’m convinced of their value in creating a younger, more vibrant appearance. But I also know that those results depend more on who’s doing the injecting than which brand is being injected.

If you would like to discuss your options, my team at Davis Cosmetic Plastic Surgery is available to answer questions and schedule your virtual consultation.

Davis Cosmetic Plastic Surgery finds facelifts to be quite nuanced. The countless buzzwords used to reference them do not add any clarity to the subtle differences between the procedures. Though, DCPS noticed one in particular seems to be drawing most of the attention this summer: the so-called “ponytail facelift.”

The name stems from the lift’s effects, which are meant to mimic that of pulling one’s hair back into a tight, high ponytail, drawing the skin of the scalp and, in turn, the forehead, cheeks, and brows upward in order to create a more youthful appearance.

Because all of that is accomplished without the traditional scars of a facelift, the name is also apparently a nod to the fact that the patient can wear their hair in a high ponytail without fear of exposing obvious scars.

What is it the Ponytail Facelift?

The name, obviously, is a generic-household term, not a medical one. But the ponytail facelift is not a textbook technique that all plastic surgeons learn about in residency. Nor is it new. Davis Cosmetic Plastic Surgery has been using “ponytail” as a descriptor for less-invasive facelifts for decades.

Much like the mommy makeover, there’s no one tried-and-true approach to the ponytail facelift. The nuances of the procedure is dictated by the needs and anatomy of the patient. That said, the overall aesthetic goal is basically the same in every case: elevate the midface and cheeks and, in turn, the partial jawline along the outer jowls for a more elevated look, without any visible scarring.

Keep in mind, plastic surgeons use different names for the various kinds of facelifts all the time, though the intended outcome and the methods used may be similar or almost identical. Also, determining which lift would suit a patient best is a highly-individualized process. 

Generally, however, a ponytail facelift refers to a limited endoscopic lift.

Who is a good candidate?

The procedure tends to be most appropriate for younger patients displaying early signs of aging, such as mild volume loss and fallen cheeks, but not sagging skin and drooping jowls. That’s because the ponytail facelift doesn’t correct a sagging neck and jawline to the same extent than an SMAS or deep-place facelift does.

And endoscopic incisions, while small in size and easily hidden, they don’t allow for skin excision.

The takeaway: Focus more on your goals for the outcome than the name of the procedure. And then once you find your surgeon, trust they’ll use their training and experience to make them a reality. 

If you want to see if this procedure is good for you, please contact the team at DCPS to schedule a consultation.