20 Jan New Year’s Skin Care Countdown – Fashion Times Part 2

New Treatments To Trim Fat & Rejuvenate Skin For 2016

Who can blame anyone for getting out of their gym routine and into a complete holiday rut? We feast so much during this time of year that fitness can quickly get put on the back-burner. But that glittery party dress for New Year’s has to fit and we have to look fresh-faced, no matter what!

So if you’re in the market for a New Year’s cheat-sheet to slim down and freshen up, consider these cosmetic treatment crib notes, courtesy of Dr. Nicholas Sieveking, a board certified plastic surgeon and director of Ageless Solutions in Nashville, Tennessee.

2 Weeks Before New Year’s – Skin Tightening & Fat Reduction

In the market to spruce up the area around the eyes, neck, jowls, abdomen, upper arms, thighs or love handles? Who isn’t? But if you’re looking for a quick fix, Dr. Sieveking suggests Exilis Elite. This is a new treatment for skin tightening and fat reduction. This FDA-approved treatment is an alternative to liposuction and plastic surgery to achieve smoother, tighter skin, or contouring in certain areas.

This is the latest technology in skin tightening and fat reduction. How does it work? “Collagen production is stimulated and as the area cools, it results in the tightening of the skin,” the physician described. “Patients equate the heat felt during an Exilis treatment to the heat similar to a hot stone massage,” he said. Dr. Sieveking recommends approximately 6 treatments per area. Each session can take 1-2 hours, depending on the size of the area to be treated.

1 Week Before New Year’s – Hydrafacial

What better way to get 2016 ready than by rejuvenating your skin? The HydraFacial is new aesthetic technology. Dr. Sieveking says this isn’t your at-home facial. “This ability to moisturize the skin separates this option from all other skin resurfacing procedures. The HydraFacial treatment removes dead skin cells and extracts impurities while simultaneously bathing the new skin with cleansing, hydrating and moisturizing solutions,” he explained. The treatment is immediately effective and has little to no downtime.

Source: New Year’s Skin Care Countdown: New Treatments To Trim Fat & Rejuvenate Skin For 2016


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15 Jul Are you a good candidate for Botox Treatment

Botox® Cosmetic (Botulinum toxin) candidates in Nashville, TN?

Smiling, frowning, squinting, and even chewing – basically any facial movement – can eventually lead to one of the most common signs of aging: wrinkles. They can make you appear tired or even angry when you are not. One of the quickest and safest remedies to remove wrinkles is an injection of botulinum toxin type A – Botox.

Botox® Cosmetic (Botulinum toxin) can be combined with other cosmetic skin procedures – such as chemical peels, dermal fillers, or microdermabrasion – to further improve your results. This combination of therapies can even help to prevent the formation of new lines and wrinkles.

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24 Jun Cosmetic Surgery is Real Surgery

Cosmetic Surgery is Real Surgery. Do it Right the First Time. Find a Surgeon You Can Trust.

We’ve seen a rise in the number of people traveling abroad to have plastic surgery. The cheaper costs may be tempting, but consider the risks. Download our free white paper on the dangers of medical tourism and get the facts from a trusted source. Plastic surgery is best performed by a qualified board-certified plastic surgeon. Use our free Find a Surgeon tool to find an ASPS Member Surgeon near you.

5 Things You Should Know About Plastic Surgery Tourism

1. Cosmetic surgery is real surgery and has some risks

Every surgery, including cosmetic surgery, has some risks involved. These risks may increase during vacation-related plastic surgery.

2. Vacation-related activities may compromise your health after having a procedure

Cosmetic surgery trips are marketed as vacations, but vacation activities should be avoided after surgery in order to ensure proper healing and reduce the risk of complications.

3. Travel + surgery significantly increases risk of complications

Did you know that long flights or surgery can increase the potential risk of developing pulmonary embolism and blood clots?

4. You may not be legally protected in the U.S.

There are no U.S. laws that protect patients or mandate the training and qualifications of physicians who perform plastic surgery outside the United States. There may be no legal recourse if surgical negligence occurs.

5. Bargain surgery may not be a bargain

Patients can incur additional costs for revision surgeries and complications that may total more than the cost of the initial operation if originally performed in the U.S.

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29 May 5 Steps to Select the Best Plastic Surgeon

Advice on how to select a great plastic surgeon.

Make sure the surgeon is board-certified

This one, say experts, is a no-brainer. For plastic surgery, you want a doctor who’s certified by the American Board of Plastic Surgery. It’s simple: The American Board of Medical Specialties’ Web site will tell you if a doctor is board-certified in plastic surgery.

Why is it so important to have a board-certified surgeon? Because legally any doctor is permitted to do any procedure — a psychiatrist could do a breast augmentation. If you use a board-certified plastic surgeon, you know he or she has completed three to five years of training in general surgery and a minimum of two to three years of training in plastic surgery, plus they have to take written and oral tests, according to Dr. Jim Stuzin, chairman-elect of the American Board of Plastic Surgery and assistant clinical professor at the University of Miami.

Board-certified plastic surgeons also have to do continuing medical education and take a written test every 10 years.

Check the surgeon’s record

Many state licensing boards, like California’s, list malpractice judgments, plus any disciplinary actions by the board.

Ask if the surgeon has hospital privileges

Even if you’re having a plastic surgery procedure at an outpatient clinic, it’s worth asking where the doctor has hospital privileges, because hospitals do background checks, says Dr. Rod Rohrich, past president of the American Society of Plastic Surgeons. “If they don’t have hospital privileges, that’s a huge red flag,” he says.

Come armed with questions for the doctor

One crucial question for your potential surgeon is how often he or she does the procedure you’re interested in. “If I’m coming to you for a facelift, you’d better do it almost weekly,” says Rohrich, who’s also chairman of the department of plastic surgery at the University of Texas Southwestern Medical Center.

The Arizona Medical Board’s Web site has a list of questions you can print out and bring with you to the doctor’s office. For example, the medical board suggests asking whether the physician will be performing the procedure in its entirety.

Be wary of multiple procedures

“When you bundle procedures, the risk goes up,” says Stuzin, the plastic surgeon in Miami.

The more procedures you have, the more money the doctor makes. Dr. Grant Carlson, a plastic surgeon at Emory University School of Medicine, says an unethical surgeon might suggest a neck lift when someone has come in looking for just for a nose job. “Unfortunately, money is a motivation in some people.”

Perhaps the most valuable advice, Trobaugh says, is to be swayed only by objective information about the surgeon, and not by how the doctor makes you feel. “[Adams] truly sounded like he was going to help me. He seemed like he would be truly concerned about me,” she says.

“And there are no stupid questions when you’re about to alter yourself in some major way.”

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02 May Fantastic Surgeon, Great Reputation, Excellent Experience. I Feel Like a Million Bucks!

I’m not usually a review writer, but after my experience with Dr. Sieveking, I felt he was worthy of the praise he truly deserves. Not only is Dr. Sieveking a fantastic (Nashville native, Vanderbilt and Stanford-trained) surgeon (which is apparent to anyone who does their research on his education), but his bedside manner was impeccable. He is kind hearted, patiently & thoroughly answered all of my questions, and seemed to truly care about my concerns. I had a facelift with Dr. Sieveking after he was referred to me by 2 different friends in Belle Meade whom had (truly) excellent results and had nothing but great things to say about he and his staff. Upon my visit, I was told that Dr. Sieveking’s nurses have been with him for over 8 years and are top-notch, and easy to talk to. My surgical process and fees were outlined clearly and considerately, and after meeting with 3 doctors before making a decision, it was clear to me that Dr. Sieveking was my surgeon. I’m so glad I made that decision (as are my 2 friends, who celebrate our finally getting our aging faces back to their more youthful state!) I feel so thankful and thrilled that I made this choice and took the advice of my friends whom, themselves, had the results to prove his expertise. Two of us recently went to a reunion and people couldn’t believe how well we’d “held up”…if they only knew it was at the hands of one of Nashville’s best. Dr. Sieveking, if you ever read this – I am so thankful!! See you at my 2-month followup! – I’d recommend you to anyone out there who wants truly quality surgery with a truly caring surgeon & staff.When Dr. Orcutt (his partner) retires, (which is rumored, I guess!) that practice will remain in the hands of one of the best out there.Thanks, Dr. Nick!



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20 Apr Board Certification Matters

When you or a family member is considering a plastic surgeon, you want a highly qualified doctor dedicated to providing outstanding care. Procedures as simple as Botox, Laser Facial Treatments and Filler to Face Lifts, Tummy Tucks, Breast Augmentations and Body lifts all require the focus and training of experts and are Board Certified.  When you choose a doctor who is Board Certified by one of the ABMS Member Boards, you can be confident he or she meets nationally recognized standards for education, knowledge, experience and skills to provide high quality care in a specific medical specialty. Board Certification goes above and beyond basic medical licensure.

A History of High Standards

Since 1933, the ABMS Member Boards have been certifying doctors to help assure patients as well as hospitals, health plans, insurers and the government that these doctors are qualified to provide expert health care in an ever-expanding number of medical specialties and subspecialties. With the guidance and support of ABMS, each of our 24 Member Boards is responsible for developing and implementing the educational and professional standards for quality practice in a particular medical specialty or subspecialty, as well as for evaluating candidates for Board Certification.

A Lifetime of Learning

ABMS is nationally recognized for the high standards our Member Boards set to certify doctors in various medical specialties. And to make sure Board Certified doctors continuously refresh and expand their knowledge, our Member Boards have also established the ABMS Maintenance of Certification® program for career-long self-assessment, learning and improvement activities.


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01 Jan Plastic Surgery Without Going Under The Knife: New Cutting Edge

Check out this article with Beauty World News Article by Kim West.

Plastic Surgery Without Going Under The Knife: New Cutting Edge

‘ThermiTight’ Treatment Combats Signs Of Aging

Always wanted to look younger, but been afraid of going under the knife? You’re not alone. Thankfully getting older is getting easier due to new thinking and technologies – it is no longer necessary to have a facelift to look younger. In fact, there has been recent back lash from Hollywood A-listers to the old “nip and tucked” look.

Droves of Hollywood’s most beautiful are coming out against surgery including Sharon Stone (age 56), Jamie Lee Curtis (age 55), Emma Thompson (age 55) and Julia Roberts (age 46), and Jennifer Aniston (age 45).

But if you want a little “touch-up” without the scaples, consider this new treatment to get over your plastic surgery fears.

ThermiTight is a non-invasive treatment that safely treats the cause of skin laxity. Instead of surgery, tiny probes are inserted under the skin to “inject” heat to the tissues which cause sagging skin.

“The procedure works uses radiofrequency energy which is applied directly to the target tissues causing immediate shrinkage,” explained New York City facial plastic surgeon Dr. Yael Halaas.

“This is the desired effect because as you age, your skin loses collagen, elastin, and skin’s supportive connective tissue, causing skin to sag. This procedure is making huge waves in the quest for younger-looking, tighter, and firmer skin.”

As of right now, Dr. Halaas says the most popular areas ThermiTight is used on are the neck and jowls.

So who is this treatment best suited for?

“Anyone struggling with loose, sagging skin or unwanted pockets of fat that simply won’t respond to traditional diet and exercise efforts is an excellent candidate for a ThermiTight procedure,” said Dr. Halaas.

And of course the price is another major point to factor into your cosmeitc procedure plans. Typically, one treatment costs between $3,500 and $5,000, but can last up to several years.

But the money might be worth it for many. Patients see results after a single, pain-free treatment and there’s little to no downtime. One treatment takes less than an hour.

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17 Dec Thermi cleared by FDA


Check out the FDA approved article regarding thermi from Happi.com.

ThermiAesthetics, creator of the ThermiRF temperature controlled radio frequency system, has received 510(k) clearance from the US Food and Drug Administration (FDA) for dermatological and general surgical applications in soft tissue and nerves. – See more at: http://www.happi.com/contents/view_breaking-news/2013-12-23/fda-approves-thermirf/#sthash.KSvxBbMc.dpuf

ThermiAesthetics, creator of the ThermiRF temperature controlled radio frequency system, has received 510(k) clearance from the US Food and Drug Administration (FDA) for dermatological and general surgical applications in soft tissue and nerves. ThermiRF is the first aesthetic technology that applies the “science of heat” using temperature as a clinical endpoint enabling plastic surgeons and aesthetic physicians to precisely heat soft tissue and nerves to achieve desired aesthetic outcomes. ThermiRF is the first aesthetic device to deploy simultaneous dual monitoring of tissue temperature (internal and external) using advanced infrared imaging for precision treatments and unparalleled safety.

“This FDA Clearance establishes ThermiRF as a safe and effective device for the treatment of nerves and soft tissue, using thermistor-regulated delivery of energy for aesthetic applications,” said Paul Herchman, CEO of ThermiAesthetics. “Our unique technology has provided surgeons with access to an important and versatile platform, including both micro-surgical and non-invasive tools. We are excited to continue our penetration into the U.S. market and begin expansion of the ThermiRF solution to physicians worldwide.”

Since its pre-commercial introduction in the United States in 2012, general plastic and facial plastic surgeons, dermatologists and cosmetic surgeons from the United States and Canada have used ThermiRF in a variety of clinical areas. ThermiRF applications are targeted towards patients seeking an “in-between” solution for various aesthetic complaints. There is growing demand from baby boomers who are seeking advanced solutions which fall “in-between” non-invasive treatments and major surgery.

Brian M. Kinney, MD, a board-certified plastic surgeon, said, “Today’s aging baby boomers are asking for minimally invasive alternatives to traditional cosmetic surgery, but understand the limitations of topical, non-invasive approaches. ThermiRF allows me to provide safe and effective ‘in-between’ solutions for patients who are asking for longer lasting treatments for frown lines, wrinkles of the face or neck, or who desire to avoid or delay getting a facelift.  Now I have a tool which allows me to readily address these needs.”

More info: www.thermi.com

See more at: http://www.happi.com/contents/view_breaking-news/2013-12-23/fda-approves-thermirf/#sthash.KSvxBbMc.dpuf

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06 Nov Going Deeper, a New Approach to Skin Tightening with Thermi

We found this fabulous article about skin tightening from Thermi.com.  Check it out:

Going Deeper, a New Approach to Skin Tightening: Integrating the Use of Skin Thermal Imaging with Subsurface RF Probe Feed Back Loop Heating Douglas Key, M.D.

Background and Objectives
The true target of skin tightening is not just the dermis, but the deeper structures of the hypodermis and fascia. Current methods of laser, ultrasound and radiofrequency (RF) skin tightening are transdermal, and as such are limited as to depth. This study evaluates the safety and efficacy of a method of structural tightening of the skin using a subcutaneous placed radiofrequency (RF) probe guided by Thermal Image Monitoring (TIM).

Study Design and Methods

  • A retrospective analysis of 35 patients was completed on patients having undergone the new procedure ThermiTight™ for submental and jowl tightening.
  • Treated sites included underchin and jowls. Neck banding and jowl laxity were pre-marked along the points of greatest severity.
  • Photographs taken at baseline and between 60 and 180 days post-procedure were assessed by three blinded reviewers. Theywere randomly asked to sort order of sequence of treatment and to rate the photographs using a 4.0 skin laxity scale*.
  • A t-test for paired samples evaluated the mean difference between baseline and post-procedure skin laxity severity scores.  Bland-Altman statistics analyzed the reported mean change in laxity severity scores between each blinded reviewer.

Of the study population, 72.4% of subjects demonstrated a clinical improvement in skin laxity based on combined reviewer laxity scores. Forty-six percent of subjects reported an improvement of one grade or more.

Blinded reviewers reported a statistically significant improvement in skin laxity severity scores. The procedure is shown to be a safe and effective strategy for comprehensive 3-dimensional skin contracture of the jowl and submentum.

The prior existing approaches to non-invasive treatment for skin laxity are transcutaneous thermogenesis – achieved using ultrasound, radiofrequency, or light. These approaches use heat to promote neocollagenesis, denaturation of collagen cross-links, activation of wound healing pathways, contraction of collagen, and increase in collagen fibril size. The clinical results of current transdermal energy delivery are attenuated by factors such as depth, and variably influenced by pigmentation and water content of the skin. These are critical limitations as the collagenous structure of the subcutaneous and underlying superficial fascial compartments are extremely important in restoring the three-dimensional quality of skin we call tightness.

A newly emerging approach that provides precise and controlled subdermal heating in a 3-dimensional approach is “smart” thermistor-controlled subsurface skin tightening.  His approach uses a percutaneous treatment probe to administer radiofrequency-induced heating to all three structural compartments of the skin – dermis, subcutaneous and fascial. Subsurface temperatures are monitored and controlled by a thermistor integrated at the distal tip of the handpiece. Concurrently, epidermal temperatures are monitored using an infrared camera system. Therefore, both dermal and subsurface collagenous tissue reaches therapeutic temperature thresholds necessary for collagen remodeling.

Treatment entry points were created on the left and right lateral sides of the neck just inferior to the jowl, and left and right paracentral in the submentum, immediately superior to the apex of the platysmal bands. Each patient was infiltrated with preheated tumescent solution (37oC) containing 0.17% lidocaine and 1:600,000 epinephrine. A blunt 10 cm long, 18 gauge, percutaneous treatment probe was inserted at an angle nearly parallel to the dermal plane. The distal end of the treatment probe administered the radiofrequency, which possessed a temperature sensor that initiated an automatic feedback loop to allowed surface heating to occur only with the range of default temperature settings. The probe was guided at a deliberate pace, treating a surface area of 3.0 cm2 every two minutes. The clinical endpoint was an epidermal temperature of 42oC, not to exceed 45oC, as measured by a FLIR infrared imaging system. Continue reading.

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