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Profound is a minimally invasive treatment designed to help people who have sagging skin and loss of volume around the mouth, cheeks, and neck. A handheld device with tiny needles is placed on your skin, using radio-frequency technology, heat is released at a precise temperature and depth.

Many people notice signs of aging when skin loses its elasticity and begins to sag around the face, jawline and neck. Intrinsic aging, also known as the natural aging process, is a continuous process that normally begins in our mid-20s. Lifestyle, diet, personal habits and sun exposure often act together with the normal aging process to prematurely age our skin. Most premature aging is caused by sun exposure (photo-aging). Other external factors that prematurely age our skin are repetitive facial expressions, gravity, sleeping positions, and smoking.

WHAT IS PROFOUND USED FOR?

  • Sagging jowls
  • Loose or sagging skin under the neck
  • Double chin
  • Loose or sagging skin on the body
  • Cellulite and more!

HOW DOES PROFOUND WORK?

Profound works by helping the skin to build collagen and elastin. Profound heats the skin to an exact temperature and depth for an exact amount of time, delivering precise energy to the deeper skin layers, where it is most beneficial. No surgery, no injectables; just your body’s own collagen and elastin to help you turn back the clock on aging.

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What is Xeomin?
Xeomin is another type of neuromodulator that has the same action as Botox. It is FDA approved to treat forehead wrinkles, frown lines, and crow’s feet at the corner of the eyes.

What is the difference between Xeomin and Botox?
Xeomin and Botox are both types of botulinum toxin A, however Botox has extra carrier proteins associated with the neurotoxin. Xeomin does not contain the additives that Botox contains. As a result, Xeomin can be stored at room temperature and there is theoretically less risk of developing a resistance to Xeomin compared to Botox.

Is Xeomin the same thing as filler?
No, Xeomin is a medication that works to block muscle contraction whereas filler is more like an implant. Filler is also injectable with minimal downtime and the effects last anywhere from 6 months to 2 years. Check out our filler page to see more details.

How much does Xeomin cost?
Xeomin can cost anywhere from $10-$14/unit depending on the practitioner. The rates are higher for one of our skilled physicians injecting the Botox as they will also provide a cosmetic consult for those patients that are new to the practice. This is beneficial for patients who are just exploring cosmetic options seeking a more rejuvenated face and may be unfamiliar with all the tools available

How long does Xeomin last?
The effects of Xeomin take about 5-7 days to appear and last for about 3-6 months.

What are the risks of Xeomin?
The risks of Xeomin are relatively low. The amount needed to cause weakness in some of the facial muscles will not be high enough to cause a problem throughout the body. The risks are higher with practitioners that are not skilled in Xeomin injection or those that are unaware of the potential risks.

What is a brow lift ?

As we age, our eyebrows can start to sag which can cause our eyes to feel heavy.   This also closes off our eyes or makes our eyes more narrow, which can give us a tired look.   Finally, the descent of our eyebrows in addition to excess skin of the upper eyelid, can obstruct vision especially when looking upwards.  A brow lift helps restore the normal position of the eyebrow, which typically leads to a more refreshed look.

 

 

What are the different types of brow lift? 

The most common types of brow lift include the endoscopic brow lift, the pretrichial (in the hairline) brow lift and the direct brow lift.  The endoscopic brow lift is a more minimally invasive technique as it utilizes 5 small incisions versus one large incision.   The direct brow lift is an option for those with brow asymmetry or for those that have very deep forehead wrinkles.  The best way to learn about the options is to meet with one of our practitioners!

 

 

What is a chemical brow lift? 

A chemical brow lift is the use of Botox to achieve a small amount of brow lift.  This amount of lift is fairly minimal but is a good option for those that want a subtle change.

 

 

What should I expect with a brow lift?   

You can expect some mild to moderate pain at the incision site for a day or two with the pain quickly subsiding.  You may also have some bruising.  Most people tolerate the brow lift fairly well with minimal downtime.  You will need to refrain from any heavy lifting and strenuous exercise for at least a week.

What types of skin cancer do you treat?

The most common type of skin cancer is basal cell carcinoma and the second most common type of skin is squamous cell carcinoma.  Typically, for skin cancers of the face, we recommend having the excision done by a board-certified Mohs surgeon (who are fellowship trained dermatologists).  Then after the skin cancer has been resected, we can help reconstruct the defect.  We can even help coordinate the appointment with the Mohs surgeon along with the reconstruction to follow.

We also treat melanoma of the head and neck which is the third most common type of skin cancer.  This type of cancer can be very aggressive and is not amenable to traditional Mohs surgery.  The type of surgery required for melanoma can vary and depends on size and thickness of the tumor.   Typically, the cancer resection and the reconstruction can be done at the same time.

 

What is Mohs surgery?

Mohs surgery is a technique developed by Dr. Frederick Mohs in the 1930s to simultaneously excise tumor and also look at the excision under the microscope.  This allows the Mohs surgeon to precisely cut out the tumor (typically basal cell or squamous cell carcinoma) and leave healthy tissue behind.  This is especially helpful for reconstruction after the tumor has been removed.  The cure rate for Mohs surgery is typically greater than 97%!

 

What kind of reconstruction will I need?

Every skin cancer is a little different therefore each tumor resection is different and the resulting defect is different.  The type of reconstruction that you may “need” or may benefit from will depend on the location, the amount of tissue excised, your skin type, and also your expectations.  Each defect can usually be reconstructed utilizing a variety of techniques.   We want to have a detailed discussion with you regarding your reconstructive options and want you to feel comfortable with your reconstructive surgeon.

 

What kind of pain can I expect?

Typically the pain is mild for the first few days after surgery as a majority of the time it is only skin surgery.  However, if an ear cartilage graft is needed or a paramedian forehead flap is needed, the pain can be present for up to a week after surgery.

 

What kind of scar can I expect?

As the reconstructed area heals, the resulting scar will continue to mature.  We typically say to not judge the final result until at least 6 months after surgery as the scar will continue to become less and less noticeable.  However, there are procedures that can be done to help with the scar just as dermabrasion.

What does it mean to resurface the face? 

Resurfacing the face is the use of some device or chemical (i.e. chemical peel) to remove the top layer of skin so that when the skin heals, it heals in a more uniform manner.  The most common devices used to resurface are lasers such as the CO2 (carbon dioxide) laser and the most common chemical peels consists of trichloroacetic acid or TCA.   Both laser resurfacing and chemical peels can help with fine wrinkles especially around the eyes and mouth and both can help lessen sun spots/brown spots.

 

What kind of pain can I expect with facial resurfacing? 

Both the laser resurfacing and chemical peel are uncomfortable and will require numbing medication if these are done in the office.   Typically, laser resurfacing will be a little more painful than a chemical peel as there is some heat generated with the laser.  With the numbing medication and some light sedation, most patients tolerate these procedures well.

 

What kind of downtime can I expect? 

There is minimal pain after the procedure, however you can expect some peeling of facial skin over the first week.  There can be redness up to 2-3 weeks after the procedure.  During this healing period, it is imperative that you stay out of the sun and use sunscreen when outdoors.

 

What kind of results can I expect? 

This is dependent on your skin type and the severity of the age-related changes to the skin.  Facial resurfacing can help even out some of the skin irregularities such as fine wrinkles (especially around the eyes and mouth) but also some of the color disparities (i.e. brown spots or sun spots).  The more of these changes that your skin possesses the greater the improvement.   If your skin does not have a lot of age-related changes, then you may be better off following a good skin care regimen with regular mild chemical peels that our aesthetician can perform.  The best way to learn about the possible ways that resurfacing can improve your face is to come in for a consultation!

 

 

What kind of skin types can be resurfaced? 

Skin types can be classified into six categories where type 1 is the lightest skin type and is usually a person that is always pale, never tans, and always burns.  Type 6 is a person with dark brown skin, tans easily, and never burns.   Usually types 1 and 2 are the best for resurfacing procedures as there is less risk.   Persons with darker pigment are not ideal for traditional resurfacing procedures (laser or chemical peel) as there is a higher chance for hyperpigmentation (increasing the pigment) after the procedure.

What is facial fracture? 

Just like other bones of our body, the bones of the face can also be fractured.  Sometimes these fractures need to be repaired.

 

What are some common facial fractures? 

Some of the most common facial fractures we see in our office include nasal bone fractures and midface and orbital floor fractures.

 

How do you repair a facial fracture? 

This depends on the type of fracture.  Nasal bone fractures can typically be repaired without making any incision and just repositioning the fractured nasal bone.   For midface fractures, we sometimes have to make a little incision on the inside of the upper lip and then we can use little titanium plates to hold the fracture together.   And for orbital floor fractures, we can usually make an incision in the inside of the upper eyelid to access the floor.  Usually, all incision required to repair facial fractures are hidden.

 

What is the recovery time for fracture repair? 

The recovery time is usually short for a nasal bone fracture as there is not much pain after the procedure.  There is usually a plastic nasal splint over the top of your nose that stays in place for 1 week.  You can usually go back to work or school in a few days.  The recovery time for a midface fracture repair or orbital floor fracture repair is usually one week.  You can expect some mild pain after the procedure and some swelling and possible bruising.

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