Skin Procedures

Botox

Botox®

Botox, a purified chemical, is a popular non-surgical injection for facial rejuvenation that temporarily reduces or eliminates:

• Frown lines
• Forehead creases
• Crows feet near the eyes
• Thick bands in the neck

Injected into the skin, Botox relaxes facial muscles in the target area to smooth out facial lines. Botox treatments can last three to six months and may be repeated as desired.

To learn more, visit the Botox section of plasticsurgery.org.

Injectable Fillers

Restylane® and Juvederm®

Injective fillers, such as Restylane and Juvederm, are used at the Aesthetic Surgery Center. These area FDA-approved fillers that gently smooth away fine lines around the lips and mouth and on the forehead, leaving no scars at the injections sites. The gel is injected into the skin in tiny amounts with a very fine needle. The result is instantaneous and produces a long-lasting, natural enhancement, gentle and safe to your skin.

One of the advantages of this procedure is that it is long-lasting, but not permanent. Unlike permanent treatments or implants, Restylane always leaves you with the option of continuing or changing the combination of treatments.

Restylane is completely biodegradable and contains no animal proteins, so does not cause allergic reactions. Restylane treatments can be repeated as necessary, typically every six to 12 months.

Sculptra^TM

If you're looking for a way to reduce facial folds and drooping, but are not ready for a permanent surgical option, Sculptra may be the option for you.

Sculptra, a synthetic polymer compound of poly-L-lactic acid, is a re-volumizing agent that restores fullness and contours to correct the signs of facial fat loss due to aging. Sculptra is a bio-activator, not a filler.

Sculptra effectively:

• Reduces fine lines
• Reduces wrinkles and furrows
• Restores tissue loss in the face

Sculptra encourages new collagen growth and formation of fibrous tissues that make the complexion look smooth, supple, and youthful, even after the initial filling effect has worn off.

Poly-L-lactic acid is a safe, FDA-approved biodegradable compound that has been used in a wide range of medical devices, including dissovable sutures, for more than 30 years. Sculptra^TM is injected below the surface of the skin in the area of fat loss. Sculptra^TM provides a gradual increase in skin thickness by stimulating the growth of collagen. The first effects of Sculptra injection will be noticeable about one month following injection, and collagen growth will continue for about four to six months.

The volume achieved with Sculptra will last about two to three years. Most patients require two to five injection sessions, four to six weeks apart to achieve optimum results.

Peels

Chemical Peels

A chemical peel can refresh and rejuvenate wrinkled, spotted, or otherwise aged skin's youthful appearance. A special solution is applied to the skin to remove damaged outer layers and expose underlying fresh, unblemished skin. After healing, you can see visibly improved skin tone and color, diminish wrinkles and shrink blood vessels and pore size. The effects can be as strong as some lasers. The Aesthetic Surgery Center offers two options - Alpha Hydroxy Peels (AHA) and Obagi® Blue Peel.

Alpha Hydroxy Peels (AHA)

Although some alpha hydroxyl peels are offered over the counter, they do not possess the same concentration levels as those available to plastic surgeons and licensed aestheticians. AHA peels remove several of the top layers of skin over a period of several days, revealing a new layer of undamaged skin which has a smoother texture and more even color.

Obagi® Blue Peel

The Obagi Blue Peel is a more potent peel than the Alpha Hydroxy. It is a one- to four-step application of blue solution mixed with TCA (Trichloracetic Acid). The slow action of the Obagi Blue Peel solution enables your doctor or qualified technician to control the peel process and its depth. These applications will lead to the removal of thin surface layers of aged and damaged skin. Layers of dead skin cell exfoliate and are replaced by healthier ones allowing the skin's own clarity and tightness to resurface.

The Obagi Blue Peel is ideal for anyone with blemish-prone skin, wrinkles, pigmentation problems, sun damage, general poor skin quality or those who wants to reverse the appearance of the aging process, and is safe for all skin colors and skin types.

To learn more, visit the chemical peels section of plasticsurgery.org.

Dermabrasion

Dermabrasion (Skin Refinishing) and Dermaplaning

Dermabrasion (also called skin refinishing) and dermaplaning are a non-chemical approach to improving the quality and texture of your skin's top layers. The treatments soften skin surface irregularities, giving the skin a smoother appearance.

Dermabrasion is most often used to improve the look of facial skin left scarred by accidents or previous surgery, or to smooth out fine facial wrinkles, such as those around the mouth. It's also sometimes used to remove pre-cancerous growths called keratoses.

Dermaplaning is commonly used to treat deep acne scars. Both dermabrasion and dermaplaning can be performed on small areas of skin or the entire face.

To learn more, visit the dermabrasion section of plasticsurgery.org.

Sclerotherapy

Sclerotherapy - Spider Veins Have Met Their Match

As part of comprehensive medical care, the Dermatology department at Dean offers sclerotherapy to treat spider veins. In these cases, because of leg pain or blood flow problems, sclerotherapy treatments are medically necessary.

But what about the far-more-common cases where veins are simply unsightly and not a medical problem?

Combining the resources of Dean Clinic Dermatology and the Dean Aesthetic Surgery Center, patients can now receive cosmetic sclerotherapy from the same experts who perform the procedure when it’s medically necessary.

Sclerotherapy is a safe, proven, and effective nonsurgical treatment for veins of all sizes that can be performed in the office.

During the treatments, a tiny needle is used to introduce a sclerosing solution (typically a saline solution or a mild detergent) into the target vein. This solution displaces the blood in the vein, causing it to immediately fade or appear lighter in color. Second, the solution irritates the vein lining and causes the vein walls to adhere together, preventing the vein from filling with blood again. The blood is then redirected to healthier veins and circulation improves. Typically, a few weeks after treatment, the treated vein is absorbed by the body and disappears.

If you have spider veins that only require cosmetic (not medical) treatment, consider the benefits of cosmetic sclerotherapy:

• It is performed in the office during a routine office visit.
• No anesthesia is necessary.
• There is very little discomfort.
• Patients can resume normal activity soon after treatment.
• The results can be remarkably good.
• There is no pre-treatment preparation.
• There is no post-treatment scarring.
• Most patients require several treatment sessions. The greater the number of veins present, the more sessions that are required.

For more information or for an initial sclerotherapy consultation, contact the Dean Aesthetic Surgery Center through the options listed below.