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face facts Aesthetic Solutions ❚ Volume 4, Issue 1 2009 ❚ www.aesthetic–solutions.com Finally, something to bat an eyelash about! s part of our many clinical trials, Aesthetic Solutions has recently helped an innovative new product gain FDA approval. We are proud to announce the arrival of LATISSE™. Latisse is the first and only science-based product approved by the FDA to increase the growth of your eyelashes – making them longer, thicker, darker. Available only through a doctor, LATISSE™ is a once-daily prescription treatment applied to the base of the upper eyelashes with a sterile, single-use-per-eye disposable applicator. LATISSE™ users can expect to experience longer, fuller and darker eyelashes in as little as eight weeks, with full results in 16 weeks. Bimatoprost is the active ingredient in LATISSE™. The FDA first approved Bimatoprost in 2001 as Lumigan, an ophthalmic solution product, used to treat lower intraocular pressure in patients diagnosed with glaucoma. Subsequently, many of these patients also found that it increased the length, thickness, and darkness of their eyelashes. Dr. Sue Ellen Cox was recently interviewed about this revolutionary new product by local television news channel NBC-17. “We are very excited to offer our patients LATISSE™ because it is clinically proven and based entirely on scientific evidence,” says Dr. Cox. “There are some clinical trials where you’re not sure if the patient is getting the active medication or getting placebo. This clinical trial was very, very clear.” Introducing Latisse® for full lashes BEFORE AFTER 16 WEEKS Linda Smith, one of our study participants who joined Dr. Cox on NBC 17, was more than willing to share her fond memories of the experience. “After about maybe a month, or a little more, I thought that my eyelashes were touching the inside of my sunglasses,” she says. “This product is wonderful and it absolutely works.” Until now, mascara and false lashes were the only way to make eyelashes appear longer, thicker, and darker. With LATISSE™, you can now grow your lashes longer, thicker and darker and keep the desired look as long as you like. The interview on NBC-17 aired early February 2009 and can be seen in its entirety on our website home page, www.aesthetic-solutions.com. Make an appointment for a brief consultation with one of our physicians or nurse practitioner to receive the product counseling and prescription. LATISSE™ is available for purchase at our office, or you may take the prescription to a pharmacy. To maintain its effects, continued treatment with LATTISE™ is necessary. If use of LATISSE™ is discontinued, eyelashes will gradually return to their prior state over a period of weeks to months (average eyelash hair growth cycle). Aesthetic Solutions was one of the few clinical trial sites across the country to participate in the 16-week FDA study. Consultation fee: $80 LATISSE™: $120 per kit or $200 for 2 kits Aging is mandatory; Aging gracefully is optional ot everyone will age the same way nor at the same pace. Aging differences come from genetic predispositions as well as environmental aging factors such as smoking, exposure to sunlight and stressors of daily life. What you do in your 20s will reflect how you look in your 40s, 50s, and beyond. your face in your 30s In some people aging simply doesn’t affect the skin as much, where as others may have conditions where signs of aging show earlier, like hereditary bags underneath the eyes. Despite all the factors of aging there are still certain inevitable changes that are going to take place as the years go by. Frown lines and wrinkles appear, the jawline sags, skin loses its elasticity and even your bone structure will change. Creases may form in the triangular area between your nose and the corners of your mouth. By knowing what to expect you can take steps to reduce or delay the impact of facial aging and take control of how the years unfold. Whether you’re making the decision to move from topical anti-aging products to injectables, or from filler to facelift, our physicians will help you through the decision-making process by explaining all your options and offer solutions to suit your personal aging concerns and comfort level. your face in your 20s You begin to lose “baby fat” as you head into your 20s. Early signs of aging may appear, wrinkles caused by facial movement such as frown lines and “crow’s feet.” ■ COURSE OF ACTION Begin using retinol-based skin care products. Botox is a great option to help prevent the development of permanent wrinkles in your 30’s and 40’s. While you still look youthful, you may notice your skin looks dull and less radiant. Previous sun damage may exacerbate the start of small brown spots and you may develop dilated blood vessels, particularly around the sides of your nose. ■ COURSE OF ACTION Give skin an overall boost with a Vibraderm or chemical peel. If brown spots are your problem, a chemical peel, IPL (Intense Pulsed Light) or the Alex laser are great treatment options. The Vbeam laser is the the best treatment for visible blood vessels on the face. Starting Botox and fillers like Restylane and Juvederm at this age can actually decrease the progression of aging and in the long run you may need less to maintain a youthful appearance. Eyes: Under eye circles, crow’s feet, and slight drooping of the upper eyelid can all be corrected with Botox and filler. When the upper lid has enough excess skin to form a permanent hood, nothing short of blepharoplasty or brow lift will do the trick. Either of these two surgeries combined with periocular CO2 laser skin resurfacing complete the rejuvenated appearance of the delicate eye area. your face in your 40s As you enter your 40s, lines begin to appear around the upper lip — and if you smoke, they’ll come faster and deeper. Be prepared to see more wrinkles in your forehead and crow’s feet around your eyes, plus a deepening of the smile lines. BEFORE AND AFTER FACELIFT ■ COURSE OF ACTION To treat lines on the upper lip, the collaborative effects of Botox and fillers can work well. Fraxel laser treatments are great for skin repair on the face, neck, arms and hands. Lips, Cheeks and Chin: Filler can restore lost volume in the cheeks and chin and is best to help maintain a youthful fullness in the lips. But for better-defined bone structure with longer-lasting results, you may want to consider cheek or chin implant. Skin tone and texture: C02 laser resurfacing erases age spots, reduces deep set wrinkles and tightens the skin to improve overall appearance. The results are dramatic but CO2 also bears significant downtime. Less invasive procedures would include Fraxel laser, IPL Photo rejuvenation, and Alex laser. Aesthetic Solutions (919) 403-6200 • 5821 Farrington Road, Suite 101, Chapel Hill spring skin your face in your 50s and beyond The breakdown of the support structures, collagen and elastin fibers, start to show by the drooping of the face, loose skin, and loss of fat which also contribute to a loss of structure, as well as making skin thinner and more translucent. This can cause blood vessels just below the surface to look more prominent and your skin to look discolored. Brown spots that went untreated in the past will become more prominent now, while new ones continue to appear. ■ COURSE OF ACTION If you haven’t tried Botox, wrinkle filling injections, or Fraxel laser treatments in the past, this is the decade to jump into the fountain of youth. Neck: Many women spend time and money for facial treatments and procedures but neglect their neck! The neck area may reveal not just your true age but may make you look older than you actually are. A facelift is the solution for sagging jowls and unsightly “turkey neck.” Facelift is a surgical procedure designed to improve the most visible signs of aging by removing excess fat, tightening underlying facial muscles and redraping the skin of your face and neck. Facelift can be performed alone, however in many instances it is used in combination with other cosmetic procedures such as eyelid reduction, browlift and laser resurfacing. If skin elasticity is not the problem, but rather neckbands (cordlike muscles that jut out vertically from the neck to the chest), Botox is a quick and easy, but temporary, fix to relax the taut culprits. a fresh start he number one goal of spring skincare is repair and renewal. During winter, cold weather outside and increased use of central air heating inside leave dry skin flaky and irritated and can even increase breakouts in oily skin due to imbalance. Warmer weather gives us the opportunity to undo winter’s harsh effects, improve skin quality and remove winter’s buildup of dry layers to reveal fresh, healthy new skin! NEW SKIN REPAIR ONE SIZE FITS ALL The newest line of products at Aesthetic Solutions is NeoCutis. Its claim to fame is an ingredient called PSP, or Processed Skin Proteins, originally developed to treat pediatric burn victims. PSP has the cosmetic benefit of reducing the appearance of fine lines and wrinkles, improving skin texture and tone, and enhancing skin firmness. It is noncomedogenic, dermatologist tested, free of color additives and fragrance free. For this reason NeoCutis products appeal to both men and women of all age groups and skin types. Every NeoCutis product can be used daily, promoting healing after procedures such as chemical peels, vibraderm, laser and/or light treatments and cosmetic surgery. Exfoliation of the skin is the most basic maintenance to improve the look of healthy skin. Turning over skin cells to encourage new growth is essential whether you have dry, combination, or oily skin. It is recommended for all ages, not to mention those procedure newbies and junkies alike. Exfoliation sheds the build-up of dead skin cells, pure and simple. This new exposed skin is more receptive to topical treatments such as moisturizers, anti-acne and anti-aging medications. Without blockage, pores are kept clear, dry dull flaky skin is removed, evening out skin tone. Bio-Cream—a moisturizing cream with PSP that immediately smoothes skin texture without the slightest feel of greasiness. Hyalis—a refining hyaluronic acid serum that plumps and provides added moisture. Journee—a daytime treatment with PSP, anti-oxidants, and sunscreen to treat existing cell damage while simultaneously preventing over-exposure. Lumiere—an intense eye treatment with the highest concentration of PSP to firm, hydrate, and alleviate puffiness. Ophthalmologist tested for safety. At Aesthetic Solutions we use the Vibraderm machine instead of microdermabrasion to achieve this result. The Vibraderm is less messy without the abrasive crystals than the traditional Microdermabrasion treatment, and a more pleasant patient experience. Regular Vibraderm treatments are recommended to maintain a healthy glow and smooth texture. It can also improve the results of other clinical procedures such as laser treatments and chemical peels when used in combination or as an after therapy. APRIL PERFECT PAIR Vibraderm treatment with anti-aging Neocutis Journee or Biocream product for $180. Cannot be sold separately! Special good entire month of April, 2009. A $250 value: Vibraderm (reg $120) and Neocutis Journee or Biocream (reg $130) Aesthetic Solutions (919) 403-6200 • www.aesthetic-solutions.com ERICA HARPER (L) AND DEBBIE TATE KIMBERLY SCHMIDT (L) AND EMILY JAEGER WELCOME! NEW FRONT OFFICE STAFF Aesthetic Solutions welcomes Erica Harper, our new paramedical esthetician, to the practice. Erica is a native of Greensboro, NC and graduated from Stanford University with a degree in Chemistry. She currently resides in Raleigh and enjoys cooking, traveling, and ballroom dancing in her spare time. Erica is now available to see patients at The Product Bar. The new smiling face to greet you for your appointments is Emily Jaeger, our Front Office Coordinator. A newlywed, Emily and her husband live in North Raleigh. She attended UNCWilmington prior to getting married and plans to continue her education at NC State University, after her husband earns his degree from NCSU in aerospace and mechanical engineering. She is active in her community and enjoys her role as a leader in a youth organization. Emily also enjoys spending time outdoors and reading. Debbie Tate, our new nurse, joined Aesthetic Solutions in November 2008. Debbie has worked in and out of the nursing field since 1983. Debbie had experience working in a facial plastic surgery office in her native state of Florida before moving to NC with her family in 1995. She is married with a 20-year-old son and two Springer spaniels. Debbie enjoys going to the beach and gardening in her spare time. FAREWELL Sarah, our spirited little nurse, had a beautiful baby girl on January 12, 2009 weighing in at 6 lbs. 6 oz. She has decided to stay home with her daughter, Lily, and be a full-time mom. We will miss Sarah immensely and hope that she will rejoin the practice in the future. Rosina has left to open her new clothing store, Zinaz, in downtown Chapel Hill. The store is currently under construction with plans to open in 2009. We wish her all the best! 5821 Farrington Road, Suite 101 Chapel Hill, NC 27517 (919) 403-6200 Kimberly Schmidt is our new Front Office Coordinator at check out. Originally from Philadelphia, PA, she has lived in North Carolina for the past eight years and now resides in Durham. Kim is a licensed cosmetologist and has been cutting and styling hair for 3 years. She enjoys staying current in the hair industry and continues to work as a hair stylist in her spare time. Kim also likes to shop and play with her pet Chihuahua, Levi.