A New Use for Sculptra

There are many different kinds of fillers and injectables on the market that people are using to fill in wrinkles, plump up their lips, or lift areas of their face that are starting to age. The latest use for the brand Sculptra, however, might shock you. Sculptra is being used for non-surgical butt-lifts. Learn more about this new use in the article below.

Fillers are having what we like to call a mo-ment. Injectables are conquering new anatomical territory every week ? from nipples to ear lobes ? so it was only a matter of time before they hit the, er, booty. Here’s what you need to know about the non-surgical butt-lift.

Given the number of injectables filling up our social media feeds, it’s no surprise the 2016 Plastic Surgery Statistics Report from the American Society of Plastic Surgeons (ASPS) lists a steady increase in the use of syringes filled with plumping formulas. Now, plastic surgeons are noting an increase in the use of Sculptra ? a poly-L-lactic acid that plumps by stimulating your body’s own collagen production ? as an alternative to surgical butt-lifts. “There has been a huge request and demand for gluteal augmentation including fillers,” Jaime S. Schwartz, a Beverly Hills-based plastic surgeon and RealSelf contributor, tells Allure.

To get a booty boost, there are three main options. “The first is fat grafting (the classic ‘Brazilian Butt-Lift’) where you take fat from other places [via liposuction] and put it in the butt. The other surgical option is butt implants where you take actual implants and insert them,? Darren Smith, a New York City-based plastic surgeon, tells Allure.

Option three is your non-invasive route to a plumper posterior. For the non-surgical butt-lift, a plastic surgeon injects your buttocks with a filler ? specifically Sculptra. “Of all the fillers around Sculptra is the one that’s best suited to this purpose because you can get a fairly significant augmentation without actually using that much product,” explains Smith. ?What it’s doing is inducing your own collagen to grow around the product.” In other words, rather than hyaluronic acid fillers, which basically just pump more volume into your skin, Sculptra triggers an inflammatory response in your body. “As part of that, you create a combination of scar tissue and fresh collagen,” says Smith.

Courtesy of RealSelf and Kristin A. Boehm

The upside

For many, the allure of fillers is that they often give subtle results that fade naturally over time, as opposed to enhancements that are more obvious. The non-surgical butt-lift is no different ? think more of a change in contour and shape than a totally-lifted look, says Smith.

Secondly, the non-surgical butt-lift is an excellent option for patients who aren’t interested in the liposuction that a Brazilan Butt-Lift requires. “A patient who does not have any fat that can be harvested via liposuction may still have an opportunity for hips and buttocks enhancement without resorting to a buttocks implant,” John Paul Tutela, a New York and New Jersey-based plastic surgeon tells Allure.

Finally, unlike a surgical procedure, this doesn’t really have any downtime at all. “You might be a little sore but that’s it,” says Smith. With a non-surgical butt-lift, you can go back to (almost) all of your normal activities same day. “I probably wouldn’t want someone going to the gym the first day, but resuming normal activities, like going back to work same day, I’d be fine with,? he says.

The downside

Though not as risky as going under the knife, the procedure does come with its own set of risks. “The big problem with Sculptra is that you can’t dissolve it like other fillers,” Smith says. “There’s actually a fairly high incidence ? some literature suggests as much as 8 to 10 percent ? of lumps and bumps with Sculptra.” In that case, you’re either stuck with a bumpy behind for a few years until the effects of the Sculptra naturally fade or faced with the possibility of surgery to cut the affected areas out ? not ideal.

Then, of course, there is the risk of infection, which is present any time a needle is. “Injections can also damage overlying skin if the filler gets into blood vessels,” says Smith. “But these are both extremely remote possibilities.” The most common side effect is a few days of soreness near the injection site, adds Schwartz.

The fine print

Like many fillers and non-invasive procedures, the non-surgical butt-lift requires a few sessions to get the full effect, unlike a surgical butt booster. “I would plan on three or four sittings spaced every two or three months,” says Smith.

Cost can vary, but typically a vial of Sculptra runs around $1,000. Most patients end up using four to seven vials total, but other surgeons reported patients requesting 10 and up. (For comparison, the average price of a traditional butt-lift is $4,571, according to ASPS’s 2016 statistics report.

Despite the growing interest in backside injectables, some surgeons say the Brazilian butt-Lift (BBL) is still the gold standard. “More popular is the BBL, which not only provides patients with a fuller, more-lifted, and shapely buttocks but with better overall body contour as well, as it requires liposuction to harvest the fat for transfer,” Stephen T. Greenberg, a New York-based plastic surgeon tells Allure.

The bottom line? Deciding which option is the best for you ultimately comes down to the look you’re going for. “Each patient must be evaluated individually and it is important to have an honest conversation about what the patient’s ultimate cosmetic goal is,” says Greenberg.

For the best bottom results, make sure you consult with a board-certified plastic surgeon who is familiar with both butt-lifting methods.

You can see plastic surgeon Jamie Schwartz perform a non-surgical butt lift, here:


For more plastic surgery news:


Now, watch as a dermatologist explains lip fillers:

Source: https://www.allure.com/story/non-surgical-butt-lift

Laser Hair Removal for People of Color

It’s true that laser treatments are not one-size-fits-all. For years and years people of color were told that they could not receive laser hair removal treatments because of the melanin levels in dark skin. Today, however, proves different. Laser treatments are for everyone! But like we said, they are not one-size-fits-all so it is important to have a consultation with a dermatologist or your preferred laser technician to talk about what you want accomplished and to learn what to expect during and after treatment. Continue reading to learn more about this:

Laser hair removal is a godsend for those who want to eliminate fuzz permanently, but it can be complicated for people of color. A common misconception is that laser hair removal is not safe for skin with high levels of melanin. I personally never thought I could benefit from laser hair removal. I was told by two facilities that they could not accommodate my skin tone because the advancements in the industry had not been updated to serve people of color. This was in 2009. According to Christian Karavolas, the owner of Romeo and Juliette Laser Hair Removal in NYC, and Andrea Young, the founder and owner of Beam Laser Spa, the laser game has significantly changed since then.

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Karavolas reiterated that a number of his patients have assumed laser was not safe for people of color. Young added that the myth stems from a time when patients of color would be treated with the Alexandrite laser and would encounter adverse reactions and side effects?like hyperpigmentation and hypopigmentation?from being treated with the incorrect wavelength.

Here, Karavolas and Young break down what to look for, how to prepare, and the perfect lasers for all people of color, including multiracial and albino individuals.

What to look for in your laser hair removal provider:

People of color should look for a certain laser called the Nd:YAG. ?For women or men of color interested in doing laser hair removal, the most important thing is to make sure they are getting treatments with a YAG laser,? says Young. Karavolas explains that the laser operates differently to make it safe for people of color. ?Nd:YAG lasers have a long pulse wavelength and bypasses the epidermis. Since it bypasses the epidermis, it does not hurt the epidermis, meaning it does not burn the skin,? explains Karavolas. ?With that laser you are able to effectively disable the reproductive cycle of the hair within the follicle meaning you can effectively remove hair without hurting the skin.?

A good specialist will test your skin tone:

When in doubt, get tested. Because skin tones can differ from person to person, it?s important that the setting is chosen specifically for your skin tone. Karavolas at Romeo and Juliette Laser Hair Removal uses the Fitzpatrick skin typing test to determine the patient?s skin color and the appropriate laser. The patient will receive a score from one to thirty-six to determine what wavelength laser to use.

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The results of the Fitzpatrick skin test decide which laser to use, but it?s also important to notice the settings. ?Once you decide which laser to use, obviously the darker the person you have to make the settings a little gentler to not burn the skin,? says Karavolas.

Prepare your body for laser:

Just like any treatment or procedure it?s important to prep the area that?s about to get blasted. ?Make sure the area that will be lasered has not been waxed, threaded, plucked or used any other method of hair removal that pulls out the root for at least 8 weeks,? Young notes. ?Abstain from using any harsh products on the area to be lasered for at least two weeks before getting lasered and subsequently after the treatments. These include retinols, alpha, beta and glycolic acids, or topical acne medications.?

What about albino and multiracial individuals, are they candidates?

?On albinos, on somebody who has discoloration or hyperpigmentation, light therapy like an IPL treatment are recommended to bring the pigment up,? explains Karavolas. ?We do treat albino clients but we do test patches and wait a few days to make sure they react well.?

A special process also exists for multi-racial candidates. ?We have a lot of bi-racial clients who have mixed parents, Italian mother, African American father from Kenya, Uganda,? Karavolas says. ?The cooling of the skin is very important because if you don?t cool the skin, no matter what the energy is, you might give somebody a temporary burn which would resolve itself but it?s best to avoid that and take precautions like we do.?

Skip the at-home lasers and treatments:

Karavolas puts it bluntly: ?They don?t work, they?re really toys.? It?s even more important for people of color to avoid them, our experts say. ?If you?re dark-skinned and have skin type four or above, I would be very cautious with at-home lasers,? Karavolas adds.

If you really can?t resist, Young urges potential at-home laser users to proceed with caution. ?I recommend researching the specific device of interest, look for specific verbiage that it is safe on skin of color, and certainly do small test patches before using on a large area, even if the device says it?s ok to use on skin of color,? she says.

If you?ve had a bad experience with laser, help exists:

There are ways to treat yourself if you?ve already tested a laser and walked away with bad side effects. ?There are certain creams that can actually heal the area,? says Karavolas. ?Microdermabrasion may help, but again, we have ways to help clients but we would have to see them.? If something has gone wrong with a laser treatment, Karavolas urges patients to see a laser specialist who can create a personalized plan to help the area recover.

Romeo & Juliette Laser Hair Removal

Beam Laser Spa

Source: http://www.elle.com/beauty/a13149098/laser-hair-removal-people-of-color/

Botox For TMJ

A lot of people have temporomandibular joint (TMJ) disoder which affects the jaw bones and muscles around it. If left untreated, TMJ can contribute to headaches and migraines. The good news is that there are many different things people can try to find relief from TMJ, including botox. The story below is one writer’s personal account of getting botox for TMJ pain. It goes to show that botox is good for more than hiding wrinkles! Learn about this use for botox in the story below.

My crash course into the mysterious world of Temporomandibular joint disorder began one fateful fall evening, during my junior year of college. The day started off, as usual, packed with classes and followed by a seven-hour shift at one of my two part-time jobs. What began as a dull ache early in the day, suddenly turned into a searing hot pain that shot through my head as the lights from oncoming traffic flashed across my field of vision during my drive home. It was my first migraine.

At that point, I’d been experiencing jaw pain for a while but didn’t ever associate the two. Soon after the migraine hit, my jaw became so swollen and lopsided that I decided to go to a doctor who thought I had a lump that needed a biopsy. Turns out, I had a super-strong masseter muscle (the muscle that helps facilitate chewing) after years of stress-induced clenching, which was like weight-lifting my jaw muscles for eight hours every night. Many doctor’s visits, X-rays, and CAT scans later one doctor said, “You might have TMJ.” It wasn’t definitive, but at least it was something to work with. 
 
What’s TMJ? The temporomandibular joint (TMJ) is where the jaw bone (mandible) connects to the skull (temporal bone). “When people say TMJ, they are often referring to pain or discomfort anywhere along the jaw, which may also include some neck muscles,” says Jennifer P. Bassiur, doctor and director of the Center for Oral, Facial and Head Pain at Columbia University. But because the pain isn’t just located at the joint, a more accurate term for the condition may actually be “TMD,” or temporomandibular disorder. This refers to the conditions involving pain or dysfunction in the jaw point and/or surrounding tissues, she says.

The National Institute of Dental and Craniofacial Research estimates that more than 10 million Americans are affected by the disorder, reporting pain in and around the ear and jaw ? on one or both sides of the face ? as well as headache, tension, inability to open and close the mouth comfortably, and painful clicking, popping, or grinding sounds when speaking, chewing, or yawning.

Curing, well, managing, TMD first depends on identifying the underlying cause. For me, it was clenching, which only worsened when I was stressed (i.e. always). For TMD, doctors advise avoiding sticky or chewy foods (like gum), applying ice and/or heat to the jaw, medications (steroids, nonsteroidal anti-inflammatories, and muscle relaxants), a custom-fitted orthotic that fits over the upper or lower teeth, injections into the muscle or joints, physical therapy, cognitive behavioral therapy, or in severe cases, surgical intervention may be required.

And, unfortunately, TMD is often a chronic condition. There’s no cure for my pain. After attempting several treatments, I decided to get a night guard and start what I affectionately refer to as “the mush diet,” which is exactly what it sounds like ? eating without chewing. I had a bit of relief (and an excuse to eat avocados and smoothies all day), but I knew the diet would only be short-lived because eventually I wanted to, well, chew while eating. I’d lost all hope until I was working on an article with New York City-based plastic surgeon David Shafer, when our conversation turned to my horrible TMJ.

“You know, Botox is good for that,” he told me. “I’ve injected patients (and myself), and there’s relief from the pain and swelling. Shafer explained that eight years ago, he went to Japan with Allergan (the makers of Botox) to help teach the doctors U.S. techniques. During his time there, he noticed doctors were injecting Botox into the jaw to slim the lower part of the face. But a happy accident occurred after patients started reporting that they felt relief from jaw pain. By injecting directly into the muscle, Shafer says, Botox limits muscle function, and decreases TMD symptoms. Thrilled at the chance to (gently) sink my teeth into a new remedy ? without the pain, swelling, and a lopsided jaw ? I immediately booked an appointment with Shafer and began researching this new treatment.

As it turns out, the treatment isn’t that new in other countries, according to Melissa Kanchanapoomi Levin, a board-certified dermatologist and clinical professor at New York University Langone and Mount Sinai Hospital in New York City. “I grew up in Thailand and saw Botox being injected into hypertrophic masseter muscles over 15 years ago,” she tells Allure. “Asian aesthetics sometimes will favor an ovoid facial shape that can be accomplished either by surgical reduction or botulinum toxin, which offers a less invasive approach.”

Kanchanapoomi Levin injects Botox into the masseter muscle for two reasons. For those like me, who experience chronic facial muscle pain and headaches from persistent grinding/clenching, Botox can relax the muscles involved and relieve pain, and people with an enlarged muscle near the angle of the jaw for sculpting the lower face. She also notes that although there are more than 600 studies evaluating injecting botulinum toxin into the masseter muscle, this treatment is not approved by the Food and Drug Administration and is considered an off-label indication.

If it is performed by someone that doesn’t know what they are doing you can have functional impairment, pain, spasms, lockjaw, and difficulty chewing, Kanchanapoomi Levin says. It’s important to go to a board-certified dermatologist or facial plastic surgeon who understands the anatomy, is well-trained, and performs this procedure routinely.

Sitting in the chair at Shafer’s office, armed with my new arsenal of knowledge, a wave of fear hits me. The thought of injecting a toxin that will cause partial muscle paralysis in my jaw is terrifying. Shafer assures me that the procedure will be just three little injections on each side of my jaw, and swelling or bruising occurs in less than 1 percent of his patients. I hardly felt the tiny injections in my jaw and have no visible mark.

Now, following the procedure, I sometimes notice my jaw getting tired while chewing gum ? something I haven’t been able to do in years, so I’m okay with that. “One of the great things about Botox is, if for whatever reason you don’t like it, it goes away,” says Shafer. “But one of the bad things about Botox is, if you like it, it still goes away.”

Generally, Botox lasts anywhere from three to five months, depending on how each person metabolizes it. As for how quickly I can expect relief, when Botox is used for cosmetic purposes, it’s injected into smaller muscles so it works quickly. The masseter muscle is much larger, so it may take up to one to two weeks.

After one week, I notice that my headaches are not as frequent and my jaw hurts less, but it’s still swollen and lopsided. By week two, I’m sleeping better and can chew real food without wanting to rip my face off. I still have some swelling and occasional pain, which Shafer explains will get better over time. Since it took many years to create this issue, I am excited to see such a big change after only one treatment. Who would have thought that the life-changing solution to my chronic TMJ pain would be Botox? Spoiler alert: Not me.


For more Botox:

Now, watch as a dermatologist explains lip injections:

Source: https://www.allure.com/story/botox-injections-for-tmj