Sep 30, 2015

Power Couples and Aesthetic Procedures

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By Dr Brian Biesman 

What is it about 'Power Couples' that tend to enable their perceived success?  Each member of these dynamic teams supports and enhances their partner allowing them to achieve a level of success greater than they would as an individual.  This concept of supportive partners being greater than the sum of its parts also applies to facial rejuvenation treatments.  Let’s explore some examples of facial treatments that complement one another:


Neuromodulators and fillers:  Facial wrinkles and lines sometimes only improve if neuromodulators (Botox, Dysport, or Xeomin) are used to relax the underlying muscles and soft tissue fillers (Juvederm, Restylane, Belotero) are used to enhance volume.  Some common examples of lines that often require this combination include deep furrows between the eyebrows and on the forehead and deep lines on the lips.

Neuromodulators and laser skin resurfacing:  Laser resurfacing removes sun damaged and aged skin, leading to improved skin color, smoothing of wrinkles, reduced laxity, and stimulation of fresh collagen production.  However, lines caused by squeezing of muscles are not improved by laser resurfacing.  In areas like the crow’s feet a combination, approach yields best results.

Eyelid “lifting” and laser skin resurfacing:  Surgery is used to modify or remove skin, muscle and/or fat.  While surgery plays an important role in eyelid rejuvenation, it does not treat fine lower eyelid wrinkles. Why not?  Envision a piece of tissue paper and scissors: trimming a piece of tissue paper does not leave the remaining paper firmer or more robust.  Surgery removes the excess while laser resurfacing makes the skin smoother and firmer.  Resurfacing and surgery can be performed together.

The art of achieving superior outcomes in facial aesthetics lies in understanding how and when to combine rejuvenation techniques. Mastering this art requires years of experience.

ZALEA Original Content written and edited by Dr Brian Biesman

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