John Frattellone, DMD

Juvederm

Juvederm is the one of the latest dermal fillers introduced to the U.S. market by Allergan, the company which manufactures Botox. It is a hyaluronic acid based filler similar to Restylane. However, JUVÉDERM™ injectable gel employs its unique manufacturing process to provide the highest concentration of cross-linked hyaluronic acid of any currently available hyaluronic acid dermal filler for long-lasting results. This advanced manufacturing process also creates a smooth consistency gel that flows consistently and easily into the skin and provides a smooth, natural look and feel.

Recently approved by the FDA, Juvéderm™ injectable gel is a “next-generation” dermal filler. The smooth consistency gel helps to instantly restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth).

With Juvederm, the results are immediate with minimal downtime. Most patients need one treatment to achieve optimal wrinkle smoothing, and the results last up to 6 months or more. Juvederm can be used virtually anywhere on the face, with most success in the lips, nasolabial folds (lines from the nose to the corners of the mouth), and the marionette lines (lines from the corners of the mouth downward to the jawline).

Restylane is a safe and natural cosmetic dermal filler that restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds. It is a satisfying lip filler, bringing “new life” to small, narrow lips. Restylane was the first filler of its kind in the U.S. market and has achieved much success. You will be very satisfied with this treatment experience. The results are appreciated before you even leave the office.

Restylane is made of non-animal based hyaluronic acid. Hyaluronic acid is a natural substance that already exists in the human body and is used to provide volume and fullness to the skin. Unlike rooster-derived hyaluronic acid-based products, Restylane is free from animal proteins. This quality limits any risk of animal-based disease transmission or allergic reaction.

Restylane requires no pre-testing and the effects generally last for about six months. Restylane is injected directly into the skin in tiny amounts by an ultrafine needle, resulting in minimal discomfort. The procedure is simple and convenient, and the results are practically instantaneous.

Dermabrasion is a technique that uses a wire brush or a diamond wheel with rough edges (called a burr or fraise) to remove the upper layers of the skin. The brush or burr rotates rapidly, taking off and leveling the top layers of the skin. This process injures or wounds the skin and causes it to bleed. As the wound heals, new skin grows to replace the damaged skin that was removed during dermabrasion.

The face is the most common site for treatment, but other areas of the skin can be treated this way. It is used most often to improve the appearance of acne scars and fine lines around the mouth. It also may be used to treat an enlarged nose caused by rosacea, an inflammatory skin condition.

How it is done

The areas to be treated are cleaned and marked. A local anesthetic used to numb the skin before treatment, and ice packs are applied to the skin for up to 30 minutes. A freezing (cryogenic) spray may sometimes be used to harden the skin for deeper abrasions if the anesthetic and ice packs do not make the skin firm enough. For deep abrasions, or if the entire face is going to be treated, you may need stronger anesthesia, pain killers, sedation, or general anesthesia.

One small area at a time is treated. The freezing spray (if needed) is applied for a few seconds and then the rotating burr or brush is used to take off the top layers of skin. Gauze is used to stop any bleeding, and the area is covered with a clean dressing or ointment.

Dermabrasion is almost always done in your doctor’s office or on an outpatient basis.

Dermabrasion is a technique that uses a wire brush or a diamond wheel with rough edges (called a burr or fraise) to remove the upper layers of the skin. The brush or burr rotates rapidly, taking off and leveling the top layers of the skin. This process injures or wounds the skin and causes it to bleed. As the wound heals, new skin grows to replace the damaged skin that was removed during dermabrasion.

The face is the most common site for treatment, but other areas of the skin can be treated this way. It is used most often to improve the appearance of acne scars and fine lines around the mouth. It also may be used to treat an enlarged nose caused by rosacea, an inflammatory skin condition.

How it is done

The areas to be treated are cleaned and marked. A local anesthetic used to numb the skin before treatment, and ice packs are applied to the skin for up to 30 minutes. A freezing (cryogenic) spray may sometimes be used to harden the skin for deeper abrasions if the anesthetic and ice packs do not make the skin firm enough. For deep abrasions, or if the entire face is going to be treated, you may need stronger anesthesia, pain killers, sedation, or general anesthesia.

One small area at a time is treated. The freezing spray (if needed) is applied for a few seconds and then the rotating burr or brush is used to take off the top layers of skin. Gauze is used to stop any bleeding, and the area is covered with a clean dressing or ointment.

Dermabrasion is almost always done in your doctor’s office or on an outpatient basis.

An Uplift, not a Facelift! 

Ultherapy is a new type of non-surgical, non-invasive procedure for the face that uses ultrasound and the body’s own natural healing process to lift, tone and tighten loose skin. 

The FDA – approved device used in the procedure utilizes the safe, time-tested energy of ultrasound to stimulate the deep structural support layers of the skin including those typically addressed in a surgical face lift without disturbing the surface of the skin.

DIEM procedure- is a revolutionary concept providing patients with fully functioning teeth on dental implants in one single procedure that lasts about a few hours. This technology  allows for collaboration between both the restorative doctor and the surgeon. This merging of knowledge and experience achieves not only increased safety, but also a more precise implant placement. In addition, the fabrication of a final prosthesis is completed prior to the surgery. The computer-guided implant surgery is done in an arthroscopic fashion without requiring any flap reflection. This benefits the patient in that there is less postoperative discomfort, less swelling and less bruising. Patients can often resume their normal activities the next day.  The process starts when a CAT scan is taken of the patient’s jawbone. This CAT scan allows for the generation of a three-dimensional model of the jawbone that can then be used in virtual reality software to plan the implant placement without the presence of the patient. The results are more accurate implant placement, and less chair time for the patient at the surgery office.This treatment concept replaces your missing teeth with a full dental bridge supported by only four dental implants. With less implants needed, overall treatment time and cost is reduced. The unique Bar Attachment Denture solution also ensures greater stability in the bone, reducing the need for bone graft surgery to increase bone volume.Typically, a temporary set of teeth can be placed on the same day of surgery. The temporary teeth allow you to lead a normal life immediately after surgery. After a short healing period, your dentist will replace the temporary bridge with the final bridge. Your quality of life is improved, and you can start enjoying your favorite foods again with renewed confidence.Advantages:• A cost effective solution. Your new replacement teeth require only four implants for each jaw.• Reduced need for bone grafting. The special tilting of two of the implants ensures a secure
  stable anchorage for the replaced arch.• Faster treatment and healing time.This procedure is scientifically proven, documented, and supported by good clinical outcomes from studies over a decade with favorable results.

A ridge augmentation is accomplished by placing bone graft material in the tooth socket. It is often done immediately after the tooth is removed, to avoid the need for a second procedure later. Next, the gum tissue is placed over the socket and secured with sutures. I may choose to use a space-maintaining product over the top of the graft to help restore the height and width of the space created by the tooth and bone loss, and into which new bone should grow. Once the socket has healed, the alveolar ridge can be prepared for dental implant placement.

Traumatic dental injuries often occur in accidents or sports-related injuries. Chipped Teeth account for the majority of all dental injuries. Dislodged  or  Knocked-Out teeth are examples of less frequent, but more severe injuries. Treatment depends on the type, location and severity of each injury. Any dental injury, even if apparently mild, requires examination by a dentist immediately. Sometimes, neighboring teeth suffer an additional, unnoticed injury that will only be detected by a thorough dental exam.

Traumatic dental injuries often occur in accidents or sports-related injuries. Chipped Teeth account for the majority of all dental injuries. Dislodged  or  Knocked-Out teeth are examples of less frequent, but more severe injuries. Treatment depends on the type, location and severity of each injury. Any dental injury, even if apparently mild, requires examination by a dentist immediately. Sometimes, neighboring teeth suffer an additional, unnoticed injury that will only be detected by a thorough dental exam.

An Uplift, not a Facelift! 

Ultherapy is a new type of non-surgical, non-invasive procedure for the face that uses ultrasound and the body’s own natural healing process to lift, tone and tighten loose skin. 

The FDA – approved device used in the procedure utilizes the safe, time-tested energy of ultrasound to stimulate the deep structural support layers of the skin including those typically addressed in a surgical face lift without disturbing the surface of the skin.