In My Own Skin MedSpa - Burgess Plastic Surgery

A: Hello and thank you for your question! For our patients with similar anatomy and facial volume loss we would recommend starting with Sculptra injections and then possibly adding in hyaluronic acid filler injections if needed. Sculptra Aesthetic is a poly-L-lactic acid injectable known for stimulating collagen production and providing results that can last up to two years. Sculptra addresses the underlying cause of aging—loss of collagen—instead of the symptoms. It works to stimulate the body to produce its own collagen to restore skin structure and volume. As the injection microparticles are absorbed, collagen production accelerates. This treatment is typically done as a series of treatments spaced about 2 months apart. Typically, the recommendation is a vial per decade of age so in your case it may take about 4 vials.This is an excellent treatment option to address global facial volume loss. Something else to consider would be the degree of skin laxity. Treatment options to address this issue would be Ultherapy or The Secret RF. Ultherapy uses ultrasound energy while The Secret RF uses radio frequency energy. Both produce heat energy to work by tissue contraction to help lift and tighten loose skin. They also stimualte collagen production to help maintain the support. The ideal order of treatments would be to heat first and fill after. We recommend seeing a trained registered nurse or plastic surgeon in a board-certified plastic surgery office who can assess your individual anatomy before treatment. Thank you again for your question and good luck with your journey.

A: Hello and thanks for your question! You are absolutely correct that there have been new guidelines regarding the reconstitution of Sculptra Aesthetic. The FDA has now approved Sculptra for injections immediately following reconstitution. What this means is that it is safe and effective to use Sculptra as soon as it has been mixed together. In our clinic, we use these new guidelines when treating our patients. It is important to express any concerns you may have with your provider and ask questions prior to treatment so that you have a safe and comfortable appointment. We always recommend seeing a Registered Nurse in a Board-Certified Plastic Surgeon's office for your treatments. Good luck!

A: Hello and thanks for your question. In our practice, we always recommend patients utilize multiple modalities in order to achieve optimal results with regard to anti-aging and treating fine lines/wrinkles. Using medical-grade skincare at home is imperative. We encourage all of our patients start using quality products prior to investing in in-office treatments. Our patients love the lines ZO Skin Health, Neocutis and Epionce. Using injectable neurotoxins like Botox, Dysport or Xeomin to relax the muscles causing forehead lines is typically the next step for our patients with similar concerns to yours, depending on their individual anatomy. Botox Cosmetic specifically is approved by the FDA for treating forehead lines, but other neurotoxins mentioned above are used safely and effectively "off-label" in this area as well. Lastly, we suggest our patients start collagen stimulating treatments to help with fine lines and wrinkles. In our office, our patients love SkinPen microneedling, Clear and Brilliant, and The Secret RF. As always, it is best to see a Registered Nurse in a Board-Certified Plastic Surgeon's office to get a thorough evaluation of your individual anatomy prior to receiving treatment. Good luck!