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When Should You See a Dermatologist vs. A Plastic Surgeon for Fillers Like Botox?

"I do believe it is important to see a doctor specifically trained in cosmetic procedures (cosmetic dermatologist, plastic surgeon, facial plastic surgeon). But, of these, who you should see is based on "what does the MD spend her time doing?" rather than on which specialty is better. You want a doctor that is trained AND EXPERIENCED in doing fillers and botox. For the most part, expert cosmetic dermatologists are going to have more hands on experience with fillers - because the plastic guys are in doing big plastic procedures. You want someone with knowledge of the anatomy of the face, surgical experience, and practice." - Dr. Jennifer Reichel, M.D.


Why Fat Transfer is the New “It” Filler

Dermal Fillers Seattle WAWe all know that our face will change over time. From adolescence to adulthood, many of us lose “baby fat” and notice more angular contours along the jawline and cheeks. As we grow older, the slimming just keeps on coming, but not in a good way. One of the significant changes that occurs with age is fat loss. While we might like this if it happened on the body, fat loss on the face isn’t quite as grand. When the fat pads that lie beneath superficial tissue deplete over time, our cheekbones flatten, and skin falls from the mid-face to the jawline. Here, it becomes jowls.

At Pacific Dermatology, men and women who are noticing the effects of aging such as sunken cheeks and a sagging jawline may benefit from learning more about the use of their own fat cells to restore volume where it belongs. For the past ten-plus years, the standard of care has been to temporarily fill in lines, wrinkles, and flattened areas with dermal fillers. Today, fat is the star of the show. Here, we point out a few reasons why.

  1. It takes fat to make fat. The fat transfer technique involves using your own fat cells. This means we have to take them from somewhere. The fat cells that are introduced into the cheek area or other part of the face may come from your stomach, thighs, back, or other area in which you’ve got a little extra to spare. The results of this harvesting may not be as dramatic as liposuction, but you may notice a nice bit of refinement in the donor site.
  2. Long lasting results. Dermal fillers are an excellent treatment for several months of facial rejuvenation. Fat, on the other hand, becomes permanently situated in the area into which it is placed. Now, some fat does get absorbed. For this reason, we harvest enough fat cells to retreat the area one to two more times. The fat cells that do integrate into their new home on the face will remain indefinitely, affected only by further aging.
  3. All-natural results. One of the aspects of fat transfer that is appealing to many people is the fact that no foreign substances are used. Because we are replacing lost volume with your own fat cells, your skin will go on looking and feeling completely natural – because it is.
  4. Cost-effectiveness. Because the results of fat transfer treatment last much longer than dermal fillers, this technique is considerably more efficient in terms of cost than the alternative.

Get Refreshed in our Renton or Seattle Office

Fat transfer is an excellent technique for refreshing the appearance of the face and hands. To learn more about the benefits of this treatment, call 206-859-5777.


The Maintenance of Beauty

Cosmetic Procedures Seattle WAThere’s no denying that humans have always had a thing for beauty. We’ve seen everything from milk and honey baths to some pretty interesting substances used on the skin over the years. Now that we’ve come into the age of sophisticated technologies, beauty is just one more thing in life for which we expect instant gratification. Got a line or wrinkle? Fill it in an instant! Want fuller lips or a shapelier nose? Precision injections can immediately achieve these goals too. The question is: then what?

When we look at women today, we see a full range of aging. Some women maintain their skin by using sunscreen 24/7/365 (we should all be doing this, by the way). Some women turn to cosmetic surgery when signs of aging like sagging tissue become troublesome. Many of the men and women we meet fall somewhere in between the two. Injectables account for millions of skin rejuvenating treatments each year. We are all for some instant gratification whenever we can get it. At the same time, we also want to point out that beauty is a matter of maintenance as well.

What does your maintenance routine include?

We can think of beauty maintenance like brushing and flossing our teeth in between dental checkups. Although the dentist will clean our teeth really well, we’ve got work to do on the daily. If we don’t hold up our end of this deal with our teeth, chances are very good that painful cavities or other problems will develop. Our skin is no different. If we don’t take care of our skin in between those wonderfully fulfilling spa visits that take years off our face in minutes, chances are we are aging prematurely and entirely by accident.

Get Intentional with Your Skin

There are several ways to be intentional with your skin. By developing a good maintenance program, you are giving yourself a leg up on the early formation of lines and wrinkles, the development of sunspots, and unnecessary sagging. In addition to using quality skincare products daily, including broad-spectrum sunscreen, all adults can benefit from professional treatments that promote healthy cell turnover. In our Seattle and Renton offices, this may be achieved with periodic chemical peels, laser treatments, or innovative procedures like Clear + Brilliant.

Learn more about maintaining your skin at every stage of the aging process. Call 206-859-5777 to schedule your visit with us.


September 2017 Specials and Events

September 2017 Specials and Events are here. Fantastic Fall Savings in September! Fall filler day with Dr. Reichel and Ashley on October 20th, get more on Mondays with Mary and Sue, plus featuring Infini and Deirdre's journey. AND, 15% OFF all Obagi products this month! Learn more by reading through our specials or contact us at 206-859-5777 or via our contact page.


Is Sculptra the Filler You’ve Been Waiting For?

Sculptra Aesthetic WAIt seems as though we hear of new and exciting filler products gaining FDA approval every year or two. One could get swept up in this sea of fillers and quickly lose their way as they attempt to determine which treatment or treatments are right for them. Sculptra is not new. It was approved by the FDA in 2009. However, we don’t often hear about what this product is and what it does. We think it’s high time to turn our attention in its direction.

What is Sculptra?

Sculptra is classified as a dermal filler. However, it does quite a bit more than fill in lines and wrinkles. This product, composed of poly-L-lactic acid, forms a scaffold amidst superficial connective tissue that supports fullness. That is the immediate effect. Over time, though, as the enzymes in the skin break down the filler substance, the increased production of collagen prompted by the presence of this solution carries on, providing ongoing support.

In a nutshell, Sculptra starts out as a filler product, but it stimulates your body to improve facial volume naturally over time. This is why the results of Sculptra are enjoyed for months longer than standard hyaluronic acid fillers. Patients may need a series of Sculptra treatments to reach their desired degree of improvement, but after that, yearly treatments are typically sufficient. Without annual touchup treatment, the initial improvements attained with Sculptra can last up to two years.

Because Sculptra works uniquely, this product is the idea for filling out the temples, cheeks, and the lower face. It is not used to restore fullness to deflated lips. For that reason, patients may also incorporate a finer soft tissue filler into their rejuvenating treatment.

Like other injectable treatments, Sculptra offers exceptional results with no down time. The inclusion of lidocaine in the solution makes injections more comfortable, as well. Side effects from Sculptra include mild redness at injection sites, swelling, and a potential for minor, temporary bruising. In most cases, patients experience such discreet effects that they can return to work without concern.

Facial aging is a concern for which we now have multiple methods of management. We may not be able to stop the progress, but we can slow it down with customized treatments. To schedule your Sculptra consultation in our Renton or Seattle office, call 206-859-5777.


How “50 is the New 40” can be Reflected in your Appearance

BOTOX® CosmeticIn recent years, we have heard 50 is the new 40 – or even the new 30 – countless times. What does this mean, and what does it mean for the woman (or man) who is managing conflicting feelings about growing older?

Don’t get us wrong. There are definitely perks to landing in middle-age with both feet squarely planted. Gone are the days and nights of anxiety over getting that job, or meeting “the one,” or any other stressor that may have become an obsession. Gone are the years of climbing the corporate ladder and trying to “find yourself.” Now, you are in a time of reflection, of accomplishment, and of many happy memories. These are benefits that should not be overshadowed by the physical signs of aging.

According to data, more and more 50-and-older patients, primarily women, are seeking treatment for the concerns that affect their self-confidence. Statistics also demonstrate that there is a particular area of focus: the eyes.

Eyelid rejuvenation has become one of the leading cosmetic treatments among aging adults. Having surgery may, in some cases, really be the best option. But what if you’re not there yet? What if you want to look younger without going under the knife? There’s hope for you, yet!

Since the development of Botox, injectable solutions have paved the way for millions of men and women to refresh the light in their eyes. The heaviness of a sagging brow, frown lines, and crow’s feet that develop with the passage of time can all be corrected in short, painless visit. We would be happy to consult with you about Botox and dermal fillers for younger-looking eyes.

Innovations in Anti-aging

Getting Botox and dermal fillers can lead to greater satisfaction and confidence, but there could be more. Why not manage the aging process rather than just chase it with wrinkle-reducing treatments? In our Seattle and Renton offices, one of the best ways to do this is with light. Our BBL Forever Young treatments have been scientifically proven to slow the aging process and, when used regularly, even reverse many of the signs of aging.

Whether or not 50 really is the new 40, you deserve to feel great about how you look at any age. Let’s develop a plan for you during a personal consultation visit. Contact us at 206-859-5777.


Botox, Fillers, and a Beautiful You

BOTOXThroughout the past decade, we have witnessed a significant transformation in the world of beauty. While we are more understanding of the process of aging, many men and women continue to mitigate the passage of time with aesthetic treatments ranging from cosmetic lifts to sophisticated non-surgical procedures to the simplest of them all: injectables. We are pleased to offer an array of services to our patients in Seattle and Renton, as well as a high level of personal care that leads to gorgeous results.

Neuromodulators and dermal fillers are solutions that millions of people have been turning to for over a decade. “Neuromodulator” is a category of treatment into which Botox and Dysport fall. Because both methods of wrinkle-reduction are so common, many people group fillers and neuromodulators into the same class. The truth is, there are differences between these products that may make each suitable for particular concerns.

Botox and Dysport

A neuromodulator is a drug used to temporarily relax muscles. These drugs have been used therapeutically for decades, reducing the symptoms of muscle dystonia and conditions such as blepharospasm. On a cosmetic level, products like Botox and Dysport have provide fast, effective relief from the appearance of dynamic wrinkles. You know them, those worry lines your teenager gave you; the frown lines that developed between your brow. Since initial FDA-approval, neuromodulators have extended their reach into the treatment of sagging brows, platysmal bands, crow’s feet, and more. What’s even more captivating than how these drugs can resolve mild to moderate wrinkles is how beneficial they can be in the prevention of facial aging.

Soft Tissue Fillers

Soft tissue fillers, or dermal fillers, are also used to reduce the appearance of lines and wrinkles. However, these products act in a different way when introduced to the superficial tissue beneath the skin. Many of the dermal fillers that have been become popular are based on hyaluronic acid. They smooth lines by enticing water molecules into the area. Another filler that we use, Sculptra, has a base of Polylactic acid. The mechanism of this product is to stimulate fibroblasts so they produce collagen for long-term gain.

If you’re unsure of which type of product you need, don’t let that stop you from addressing your aesthetic concerns. Our extensive training and clinical knowledge helps us determine the type of aging affecting your skin, and how to provide you with the beautiful results you want.

Contact Pacific Dermatology and Cosmetic Center in Seattle or Renton by calling 206-859-5777.

 


We’re in it for the Long Haul with Sculptra!

Sculptra AestheticThe aging process is not a fly-by-night, once-and-done event. We start to age in our twenties, losing the high doses of collagen that we have always had. From this decade of life, the fibroblast cells that are responsible for collage production continue to tire out. With each passing year, a few more of these cells retire. This means less collagen, and less collagen means more lines and wrinkles. By the time we reach our forties, we start to realize just how important collagen is to smooth, supple skin.

Since aging is a long-haul kind of process, we see no better way to help you feel great about your aging process than to offer solutions that meet your long-term needs. Sculptra is one of those solutions. Interestingly, it is a treatment that doesn’t tend to get quite as much attention as other common wrinkle-reducers, like Juvederm and Botox. It should, and we are about to dive in.

What is Sculptra?

Sculptra is not like all the other fillers on the market. This product does not rely on hyaluronic acid to plump areas of depression. Instead, it looks to the future, and to the origin of aging: collagen. Sculptra is a formulation of Polylactic acid or PLLA. The microparticles of this filler product are introduced deeper beneath the skin, where fibroblasts are quickly off to sleep. Within a few days of treatment, the PLLA microparticles disperse among collagen-producing cells, causing controlled irritation. Perhaps a better way to describe this is stimulation. When the fibroblasts are gently disrupted by PLLA, they wake up and get back to the important work of producing collagen.

What you Need to know

There is a significant difference between Sculptra and the standard dermal fillers used around the world on a daily basis. As you can see, this product works in a deeper layer of connective tissue. It also works through a completely different function, which is to stimulate collagen. This means that, unlike other fillers, Sculptra will improve the appearance of the face, hands, neck, or décolleté over several months. No immediate results here! However, if you feel a bit impatient, you can have your proverbial cake and eat it too by combining Sculptra with another filler.

Aging doesn’t stop, unfortunately, but Sculptra can enable you to look younger next year than you look today.

Call 206-859-5777 for more information, and for our special introductory price for Sculptra treatment.


October 2016 Events and Specials

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October 2016 Specials and Events are here. Save the Date for our Evening of Beauty on Thursday, November 3rd in Northgate and Thursday, Dec 1st in Renton. Get Botox at $10/unit, plus 15% OFF all retail products. From head to toe, get holiday ready! Read about our top 10 treatments. Learn more by reading through our specials, contact us, or RSVP for our August Events at 206-859-5777.


Plan Ahead To Look Your Best For Weddings, Reunions & The Beach

By Cheryl Wells

If you are planning a little spruce up for a Spring or Summer event like a wedding or high school reunion, NOW is the time to start planning! While many of the most modern procedures don’t have any “down time” where you’re hiding behind big sunglasses, they do take some time to take effect. For example, Botox will give you a noticeable improvement in about a week, while you’ll need 3-6 months to see the maximum effects of Ultherapy as it spurs new collagen growth to smooth wrinkles and lifts your face. To time your treatments right, follow the chart below:

Upload: March 16, 2016
When to Schedule
(Minimum-Ideal)
Name of Procedure What it does
3-6 months Ultherapy – Face/neck & chest

Liposonix – Tummy, waist, thighs

Lift, tighten, tone and smooths wrinkles

Permanent fat cell destruction

4-8 weeks Fillers – Lips, cheeks, under eyes
smile lines and around the mouth
Adds volume
Softens wrinkles
3-6 weeks Botox – Crow’s feet, 11’s, forehead and other facial wrinkles Buys you “wrinkle-free” time. Softens wrinkles and decreases muscle movement
3-4 weeks IPL/BBL – Face, neck, chest, hands Diminishes brown spots, freckles, redness, veins, rosacea, sun damage and more
2-8 weeks Clear & Brilliant — Coming soon! Face, neck, chest, arms, hands Improves skin tone and texture, and gives your skin a more radiant, youthful glow

Ultherapy is a new and effective non-invasive alternative to a face-lift, with virtually no down-time. It is the only FDA-approved device that allows the provider to see an image of the layers of the skin in order to direct the ultrasound waves at the exact precise depth needed to cause neocollagenesis. This collagen growth will lift and tighten your face, neck, or chest. It really works! The price for Ultherapy usually runs anywhere from $750 to $3500 depending on the area treated. View more

Liposonix can help get rid of those exercise resistant fatty deposits by fully destroying the fat cells! Never to return again—once the fat cells are gone—they are gone forever. Liposonix uses HIFU Ultrasound waves at a specific depth and frequency with a unique large tip to accomplish this cell destruction. The price ranges from $500 to $3500 depending on the size of the area. View more

Botox & fillers are a great way to soften wrinkles and/or add volume to help you look younger. Botox is a purified protein that decreases muscle movement, which essentially gives you wrinkle free time. Fillers are used to add volume in areas such as the cheeks or lips and to help soften creases. They are also a terrific complement to your Ultherapy treatment. Use these spot treatments any time after Ultherapy and at least one month or two (see chart) before your special occasion. The average price ranges from as little as $250 and up to $1000, or more depending on what is needed. View more

IPL/BBL uses multiple light beams and wave lengths to target the problem areas. Both devices diminish brown spots, freckles, redness, veins, rosacea, sun damage and more. They are also terrific anti-aging treatments! They work at a cellular level and physically make the skin cells healthier. If your skin is healthier at a cellular level, then it acts looks and feels younger. Look up Forever Young BBL for more info. View more

As a nurse who has worked with lasers, fillers and injections for 11 years, I have helped many people plan and get ready for their special day and I would like to help you too! There is so much more to tell you when it comes to our fabulous no-downtime treatments, but space is limited. If you are looking forward to an important event, please book a FREE consultation (with me, Cheryl the Laser Queen) and I can help create your beauty plan for your special day!


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