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E-Newsletter www.icls.ca February 2011 Contact Us In this issue: Blepharoplasty Treatments for Melasma Lip Augmentations: The Skin Spa Latisse®: The Skin Spa BLEPHAROPLASTY Julie Khanna, MD, Plastic Surgeon A blepharoplasty or an eyelid lift, can improve the contour around the eyes by removing loose hanging skin caused by a loss of collagen that can often give the look of a tired, aged appearance. Dr. Julie Khanna Director of Plastic Surgery The surgery itself involves cutting and removing the excess skin around the upper and/or lower eyelids while tightening the remaining skin to create a more youthful contour. The incisions are placed along the natural folds of the eyelids and lash lines to minimize the visibility of scarring. Bruising and swelling are to be expected for up to 2 weeks after surgery. Keeping the head elevated while sleeping or resting, along with the application of cold compresses is recommended to speed up the healing process. A blepharoplasty can be performed on its own, but can also be combined with a facelift and/or brow lift surgery to give patients a complete facial rejuvenation. We typically lose about 1% of our total collagen every year, so in addition to a blepharoplasty, or perhaps in place of surgery, a patient may wish to undergo Thermage® treatments at our Skin Spa. Thermage® uses targeted energy waves to stimulate the production of collagen. For overall rejuvenation, a full-face treatment to improve jowling in the lower face and to lift the brow is performed in addition to the eye treatment, which helps to lift and improve the look of the upper and lower lids. TREATMENTS FOR MELASMA Sheetal Sapra MD, FRCPC, Dermatologist Dr. Sheetal Sapra Director of Dermatology Melasma is the development of a dark discolouration on the skin. Individual genetics and hormone levels, in combination with unprotected sun exposure can lead to an increased chance of developing Melasma. Although this condition can affect anyone, women are most often affected by Melasma. Pregnant women are particularly prone to the development of Melasma, and are often referred to as having a “pregnancy mask.” There are many options for treating Melasma, which range from chemical peels and lasers, to physician grade skin care products such as SkinTx de-pigmentation program that can help in achieving a more even skin tone. A Dermamelan peel is often recommend for patients at ICLS. Dermamelan blocks the main enzyme, which is essential in the melanin formation process called tyrosinase. By blocking this enzyme, a more even skin tone can be achieved. The first part of treatment is performed in our office with the application of a chemical peel to remove any superficial layers of skin and to ensure the deepest possible penetration for the Dermamelan mask. The mask is then applied by a nurse and left on for approximately 8-12 hours. Patients are sent home with the mask on where it can later be washed off. Patients are also directed to apply an included take home treatment. A Dermamelan peel alone is often effective in restoring an even complexion for most patients with Melasma. With continued daily use of sun protection with a minimum 30 SPF and limiting sun exposure during peak hours, this can help in keeping an even skin tone year round. Because Melasma is mainly affected by hormones, this will likely be an on-going condition that should be maintained on a continual basis. LIP AUGMENTATIONS: THE SKIN SPA Dermal fillers can be used to temporarily plump lips to provide patients with immediate non-surgical results. Juvéderm® and Restylane® are used to provide patients with an extremely natural lip augmentation. These fillers are composed of hyaluronic acid, and unlike collagen based fillers, there is no need for allergy testing with Juvéderm® and Restylane®, as hyaluronic acid is naturally found within the body. There is often little to no downtime for this procedure. Patients may experience initial swelling, primarily from the injectable freezing that is used. Bruising can also sometimes occur at the injection site, which can be minimized with a cold compress and Arnica Gel. Results for lip augmentations using hyaluronic acid based injections can last up to 4-6 months; with touch up treatments being scheduled to further prolong results. For more voluptuous lips, using a hypoallergenic mineral based make-up such as Colorescience Lip Polish and Lip Shine can give lips a sexier look with added SPF protection to compliment lip augmentation treatments. LATISSE®: THE SKIN SPA Most women desire to have long, luscious eyelashes; however, most have thin, short lashes and must therefore resort to eyeliners and mascara to temporarily accent their eyes. Recently there has been a product released by Allergan, the makers of Botox®, which can extend the length and restore volume to lashes. This product is called Latisse®. With the applicator provided, Latisse® can extend inadequate eyelashes by applying the .03% bimatroprost ophthalmic solution at the base of the upper eyelid on a nightly basis for 16 consecutive weeks. For some, noticeable results can be seen in as early as 4 weeks, and unlike fake press-on lashes, Latisse® adds length to existing eyelashes, providing gradual, natural results. It is essential to continue the nightly routine for this particular treatment, as full benefits may be compromised. Discontinuing treatment will eventually cause eyelashes to revert back to the normal length before treatment. A detailed history of health is needed and will be taken during the consultation appointment, as Latisse® does require a prescription, patients with a history of glaucoma or are on medication for eye pressure or similar conditions should not use Latisse®. For first-rate cosmetic dermatology and plastic surgery procedures, visit the Institute of Cosmetic & Laser Surgery. We offer exceptional care and customized treatments to enhance your natural beauty and achieve the desired results. 1344 Cornwall Road, Suite 100 Oakville, Ontario, L6J 7W5 [email protected] 905-842-2262 1-800-417-3877 Serving Toronto, Oakville, Mississauga, Burlington, Hamilton and the GTA Copyright © 2011 Institute of Cosmetic & Laser Surgery. All Rights Reserved. Home Legal Sitemap FAQ Contact Career