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The battle against the signs of aging can be constant. Many people have found an ally in restoring youthfulness in the form of dermal fillers. Doctors use dermal fillers to reduce wrinkles, enhance lips, rhytides, scars, and replace <a href="/reference/health-and-wellness/soft-tissue-injections">soft tissue</a> volume loss. In some cases these problems can be eliminated. Dermal fillers can't help with excess sagging skin, but they can immediately add more volume to the face at a lower cost than surgery. In fact, people have referred to dermal fillers as "liquid facelifts" because they produce many of the same results as a surgical facelift without the same downtime. Dermal fillers can give a more natural look than surgical face lifts because these fillers return the dermis to its youthful state. However, the results aren’t permanent, in order to maintain lasting results the fillers must be injected every three months to five years, depending on the filler used.
As we grow older, so does our skin. The dermis gradually loses collagen, elastin and hyaluronic
acid. Collagen is the protein that keeps our skin firm and youthful. It is essential for a youthful
appearance. Elastin keeps our skin firm and enables the skin to resist wrinkles. Hyaluronic acid
adds plumpness to the skin. It retains water and adds volume and shape to our skin. There are a variety of dermal fillers available and each is made up of one or more of these constituents. Discuss your options with James Fernau, MD. The dermal filler that is chosen should be safe and effective for the area you want to target.
Most filler can be administered in a matter of minutes. The procedure is straightforward. James Fernau, MD uses a thin needle to inject the dermal filler into the targeted area. Patients may experience some brief, initial discomfort. This is normal and will subside quickly. If patients feel any slight discomfort, it can be managed with topical or injectable anesthetics. Most patients need little or no downtime and many are able to immediately return to their daily activities.
When deciding which dermal filler is optimal, it is important to keep in mind that good results are also based on the injection technique being used. It is important to note that even though this is not a surgical procedure, it does involve the use of fine needles under the skin. It is critical to find an experienced specialist who can provide you with the best information and care. James Fernau, MD will speak with you about your desired goals and recommend a treatment (or a combination of treatments) to achieve your desired results. Call (412) 446-0391 to make an appointment.
If you avoid showing your legs in public because of spider veins, you are not alone. Many women (and some men) struggle with the same problem. In fact at least fifty percent of women are bothered by clusters of red, blue or purple veins. These unsightly veins usually appear on the legs, but not always. Spider veins can also occur on the thighs, ankles, calves, and face.
The good news is that you don’t have to suffer any longer. There are very safe and effective methods available for eradicating spider veins. If you would like to get rid of your spider veins and better your appearance, James Fernau, MD can help.
Using lasers is a very effective way to treat varicose veins. The <a href="http://www.wellness.com/cosmetic/laserveins.asp" rel="nofollow">laser treatment</a> is appealing because it doesn’t require invasive surgery; just the insertion of a needle. Powerful bursts of light are sent into the varicose veins through a tiny laser catheter placed inside the needle. Heat from the pulsing light causes the vein to seal. The vein then withers and gets reabsorbed into the body. Varicose veins actually decrease the efficiency of blood flow (via mangled valves) so removing these problem veins can restore normal blood flow.
A hospital stay for <a href="http://www.wellness.com/cosmetic/veins.asp" rel="nofollow">vein removal</a> is largely a thing of the past. Treatment today will most likely not include a hospital stay or a lengthy and uncomfortable recovery. Local anesthesia is applied to aid with comfort. Less invasive techniques are available to patients, and in most cases, the procedure can be done in James Fernau, MD’s office. In most circumstances the procedure lasts less than an hour, but more than one treatment may be needed depending on the severity of the problem. The procedure is easily tolerable, extremely effective treatment, and shows few side effects.
Patients begin the process with a visit to James Fernau, MD for an initial consultation. Usually, this consultation will include an ultrasound of the lower extremities to determine if laser treatment is the best treatment for the patient. There are a variety of treatment options available to remove spider and varicose veins. <a href="/reference/health-and-wellness/sclerotherapy">Sclerotherapy</a>, laser treatment, surgery, natural creams and herbal remedies are also options. James Fernau, MD can help you determine which procedure is most appropriate for you depending on the type and severity of your vein condition. Please call (412) 446-0391 to make an appointment.
Your face, particularly your skin, gives people an idea of your age. As you age, your skin naturally gets thinner, drier and less elastic. Though wrinkles are a normal part of aging, individuals who have damaged their skin by spending a lot of time in the sun, at tanning salons, or smoking cigarettes will be more likely to have wrinkles than a person who has not.
Three layers make up the skin: the epidermis, dermis and the subcutaneous. All three work together to support and protect the skin. When skin is young, it easily stretches and holds in moisture. This moisture “plumps” the skin, giving it a smooth and youthful appearance. The elastic quality of the dermis is due to elastin. Elastin fibers allow the skin to keep its youthful appearance, allowing it to “bounce back” to its original position when pulled or pinched.
Collagen is a protein in the dermis that plumps the skin and prevents wrinkles. Over time, this middle layer of skin (the dermis) loses both elastin and collagen. This causes the skin to thin and as a result, less moisture gets to the layer of skin that lies on top (the epidermis). Also, fat in the deepest layer of skin (the subcutaneous layer) that gives skin a plump appearance begins to disappear. This causes the epidermis to sag and wrinkles to form.
<a href="http://www.wellness.com/cosmetic/finelines.asp" rel="nofollow">Wrinkles</a> can be categorized as either fine surface lines or deep furrows. Fine lines are small lines found on the surface of the skin. These are much easier to treat than deep furrows; the deeper, more pronounced lines that are much more visible to the eye. The use of prescription creams, chemical peels, laser therapies and dermal fillers like <a href="/reference/health-and-wellness/botox">Botox®</a> can help with these problems. <a href="/reference/health-and-wellness/soft-tissue-injections">Dermal fillers</a> and Botox treatments are quick with virtually no downturn.
Easily injectable, a short visit to James Fernau, MD can reduce the look of wrinkles for several months. The number of treatments required will vary depending on the severity of wrinkles. Laser resurfacing may require several treatments and remove a small portion of the outer layer of the skin during each procedure. Deeper furrows and creases, on the other hand, may require a more aggressive approach. James Fernau, MD can advise you of your options in treatments.
Although there are various options for resolving wrinkles, it's always wiser to prevent them if possible. Working with James Fernau, MD to maintain your skin by scheduling regular skin screenings will help you keep your skin as youthful as possible and prevent other more serious skin conditions. Please call (412) 446-0391 to schedule an appointment.
"Botox®" is the brand name for botulinum toxin. It is an FDA approved medication that has been used for over three decades to treat eye spasms, excessive muscle contractions, and central nervous system disorders. In more recent years, Botox was discovered to reduce wrinkles. Doctors have found <a href="/reference/health-and-wellness/botox">Botox®</a> to be simple and safe to administer with results lasting several months depending on the problem area. The treatments are an effective way to erase frown lines, wrinkles, and other signs of aging. Also, injections with Botox can correct facial asymmetries due to single hyperactive muscles.
A small amount of <a href="/reference/health-and-wellness/botox">Botox®</a> is injected through a micro-needle into problem areas in the face. Botox works by obstructing impulses from the nerve to relax the muscles. When these impulses are blocked, the tiny muscles in your face relax, as do the unwanted wrinkles and expression lines. The administering doctor must choose precise areas in the face to insert the small needle to have optimal results for each patient.
Another highlight of this product is that patients do not have to worry because there are no allergies associated with <a href="/reference/health-and-wellness/botox">Botox®</a>. The actual treatment takes just a few minutes with no downtime afterward. After the injection, the skin in the treated area remains unwrinkled and smooth. If administered correctly, the untreated facial muscles will still contract so facial expressions will continue to look natural. Patients see the effect in a few days and the effects usually last three to four months. Repeated treatments in the same area can produce longer-lasting results.
Botox can also be used to treat excessive sweating, also known as hyperhidrosis. This is commonly seen most often in the underarms, hands and feet. Botox is injected into the affected area to inhibit overactive sweat glands in men and women, and will last up to four months.
<a href="/reference/health-and-wellness/botox">Botox®</a> is safe and effective and provides results that were previously possible only with extensive cosmetic surgery. It can be done easily in the comfort of James Fernau, MD’s office. Thousands of patients receive Botox treatments each year, and it is becoming even more popular to reverse the visible signs of aging. To determine if Botox is right for you, contact James Fernau, MD at (412) 446-0391.
Getting rid of fat deposits on your body can be very difficult. Diet and exercise won’t always work.
People spend hours in the gym trying to target train areas that just won’t budge. And despite being in
good health, some people still struggle with localized fat deposits. These areas may be due to genetics rather than a lack of good eating or exercise habits.
This cycle of frustration not only affects people’s bodies. It also hurts their self-image and self-esteem. In cases like these liposuction, also known as lipoplasty, can be most helpful. Liposuction reshapes the body by removing stubborn fat deposits, reshaping particular areas. It improves the look of the body ultimately enhances self-image. Men and women can use liposuction to target problem areas or reduce breast size. Liposuction leaves less scarring than other kinds of plastic surgery.
James Fernau, MD will begin the procedure by local or IV sedation. The type of sedation will be determined by the type and amount of procedures being done at the same time. Procedures can be done back to back or several body parts can be treated during the same day. The surgeon will make a few small incisions near the target area. A small, tube-like instrument is then inserted through the incisions. When the tube reaches the fat deposits, it breaks them up and vacuums up the fat. When the desired amount of fat has been broken down, the tube is removed and incisions are sutured.
The biggest benefit to this surgery is that after the procedure, patients are more confident and satisfied
with the look of their body. They have more self-confidence and feel better about wearing a bathing suit or tighter fitting clothes. It also improves the way they interact with people and view themselves. These results, that people can both see and feel is why liposuction remains so popular.
There are many kinds of liposuction and each type exhibits their individual benefits and risks. Each type is specialized for a particular type of desired result. It is essential that you carefully prepare for liposuction and allow yourself sufficient recovery time. If you're interested in learning more, talk to James Fernau, MD to determine if liposuction is right for you by calling (412) 446-0391.
Everyone wants a smooth stomach. Across the country, gyms are filled with men and women doing <a href="/reference/health-and-wellness/abdominal-exercises">crunches</a> and hard cardio to lose that extra “love” around their midsection. However, the stomach area is often the most troublesome area of the body to flatten through targeted exercise and diet alone. Sometimes these conditions are inherited and as much exercise you do won’t get rid of the pouch.
When people tire at these attempts for targeted <a href="/reference/health-and-wellness/weight-loss">weight loss</a>, abdominoplasty, also called a tummy tuck, is a good option. This aesthetic plastic surgery procedure removes unwanted fat, loose skin and tightens the abdominal muscles. A tummy tuck can remove bulges in the midsection, flattening a protruding belly. These procedures are also effective in tightening muscles that have been weakened by pregnancy. Also, the procedure can reduce the appearance of <a href="/reference/health-and-wellness/stretch-marks">stretch marks</a>, particularly those found below the navel.
The procedure is simple. A horizontal incision is made on or just above the pubic area. The size of the incision will depend on how much skin will be removed. Though James Fernau, MD will try to keep the incision as discreet as possible, this may not be possible. Talk to James Fernau, MD before the surgery so you can best determine the area and contour of this incision.
If a patient has loose skin above the navel, a second incision around the navel can be made above the navel so that the loose can be pulled down. This way the excess abdominal skin can be removed while allowing the navel to remain in the same place. Sutures may also be used to tighten underlying abdominal.
The tummy tuck procedure does have potential risks, as do all surgeries. The most common side effects are swelling, bruising, and discomfort. Post-surgical complications such as blood clots and infections are also a possibility, though they are rare. These of course, could slow down healing and have other side effects. Because of improvements in technology and the fact that more people are getting tummy tucks, these <a href="/reference/health-and-wellness/plastic-surgery-complications">surgical complications</a> are uncommon. However, these risks can be significantly reduced by choosing a qualified surgeon. The tummy tuck procedure can be customized to each patient's individual goals and may be performed in conjunction with a liposuction, breast augmentation, or other lift procedure.
The decision to undergo tummy tuck should not be made casually. The first important step to making an informed decision is getting enough information from a trusted source. Discuss your particular needs and goals by scheduling a personal consultation with James Fernau, MD, a board-accredited, experienced plastic surgeon, at (412) 446-0391.
It seems like every teenager has looked in the mirror while examining a dreaded pimple. Though mostly noticed on the face, acne can appear on the back, neck, or other part of the body. <a href="/reference/conditions/acne">Acne</a> occurs most commonly during puberty and often continues into adulthood. During adolescence, acne is usually caused by an increase in testosterone, which takes place in both genders during puberty. For most people, acne diminishes over time and tends to disappear almost completely by the mid 20’s.
Though most teenagers struggle with acne, for many the struggle does not end with adulthood. The truth is that acne can persist well into the late twenties, thirties, forties, and in some cases even fifties. Dermatologists call acne that does not clear by the mid-twenties persistent acne. This type of acne often causes deep, tender, and inflamed pimples and nodules. More commonly found in women, persistent acne tends to form on the lower face, concentrated around the mouth, chin, and jawline.
There are many myths about what causes acne. Dirty faces have been blamed, but acne is caused by hair
follicles becoming plugged with oil and dead skin, not dirt. People blame salt, sugar, greasy foods and
chocolate for acne, but these also do not cause pimples. The only myth that has any relevance is that
stress causes acne. Stress does not cause acne, but it can make acne worse.
A very common myth is that popping pimples will make them less noticeable and help them heal faster. This is not true. Popping your pimples pushes germs further under your skin, which could cause more pain, and even an infection. It can also lead to permanent scarring. Just picking at pimples can do the same and cause even more redness and pain.
Some people suggest doing nothing is the best treatment, but dermatologists would advise that letting acne runs its course is not the most effective plan. If left untreated, as some acne can leave dark spots, discolorations, and permanent scars.
The good news is that effective treatments are available — and the earlier treatment is started, the lower your risk of prolonged physical and emotional damage. Treating acne problems can often help boost a person’s self-image and self-esteem. Almost every case of acne can be successfully treated. James Fernau, MD can help fight existing acne and help you be proactive in preventing new lesions from forming. Prevention will significantly reduce your chances of developing permanent discolorations and disfiguring scars. Call (412) 446-0391 for an appointment.
Orange peel syndrome, cottage cheese skin, hail damage, the mattress phenomenon - all these refer to the same condition- cellulite. <a href="http://www.wellness.com/cosmetic/cellulite.asp" rel="nofollow">Cellulite</a> is the official term used to describe the dimpled appearance in the skin caused by fat deposits. These deposits are just below the surface of the skin and give the skin an unwanted rippled look. In most women, cellulite appears after puberty particularly on the abdomen and thighs.
What causes cellulite? Many researchers believe hormones, particularly estrogen, play a role in aggravating cellulite. This is because almost all women have cellulite. Women usually store fat in their butt and thighs due to estrogen production, which is why cellulite most often appears in these areas. However, cellulite can also occur in other areas including the knees, lower abdomen and under the arms. The condition is aggravated during pregnancy, menstruation, nursing and estrogen therapy. This is the female body's natural way of storing fat to make sure enough calories are stored for pregnancy and lactation. Genetic factors such as gender, race, metabolism, and body composition can predispose someone to cellulite. Other factors including diet, smoking, sedentary lifestyle and even tight clothing may also contribute to the formation of cellulite.
It is important to remember that cellulite is not fat. Losing weight may help improve the appearance of cellulite, but it can also make cellulite appear worse by making the skin sag. Slender women who have never been overweight still have cellulite. To see how much cellulite you have, pinch the skin of your thigh between two fingers and see how much the appearance changes. The cellulite will appear as ripples or dimples in the pinched part of the skin. The dimply look of cellulite that appears without pinching is what concerns most women.
There is no known cure for cellulite, but there are several therapies that have been used to treat its appearance. These treatments can be very effective in reducing the “cottage cheese” look. There are many factors that contribute to how successful one treatment will be over another – age, background, weight, and lifestyle. Every woman is different and if one person shows improvement with a cream, another might need more advanced treatment.
A doctor’s first approach is usually prescription creams or lotions. James Fernau, MD can prescribe methylxanthine creams which result in a major improvement in some women. There are also <a href="/reference/health-and-wellness/cellulite-treatment">many other treatments</a> available including lymphatic massages, ultrasound therapy, heat therapy, radio frequency therapy, radial waves therapy, magnetic therapy, Dermasonic ultrasound and Endermologie.
Talk to James Fernau, MD to understand all the treatments that are available to you by calling (412) 446-0391 to make an appointment.
Spending too much time in the sun can make you older before your time, or look it at the least. Too much sun exposure is responsible for most of the sun damage associated with aging skin. Sun damage is the measure of how much the sun has changed the look and feel of your skin. Sun damage, also called photo damage, not only makes your skin look older, it can actually cause your skin to age. The damage is collective which means that affects gets worse with repeated, unprotected contact to the sun.
One sign of damage are flat, brown patches on the skin. These “spots” have many names including sun spots, <a href="http://www.wellness.com/cosmetic/agespots.asp" rel="nofollow">age spots</a> and liver spots. They usually show up on areas that have been exposed to the most sun–the face, hands, legs and arms. Long-term exposure to the sun’s ultraviolet rays causes the skin to age causing sun spots and other types of sun damage including rough skin and <a href="http://www.wellness.com/cosmetic/finelines.asp" rel="nofollow">wrinkles</a>.
Taking preventative measures is important when going out of the sun. Wearing protective clothing, eyewear, and using sunscreen will help prevent further damage from the sun. If you see any discolorations in your skin, go to your dermatologist. Sun spots not only make you look older than you are, in some cases, sun spots obscure the presence of <a href="/reference/conditions/skin-cancer">skin cancer</a>.
For the damage that has been done, there are many treatments available. <a href="/reference/health-and-wellness/botox">Botox®</a> is an popular treatment for combatting wrinkles. A small injection of Botox immobilizes the muscles around the unwanted wrinkles. This causes the face to appear smoother. It also keeps the muscle from contracting and forming deeper wrinkles. <a href="/reference/health-and-wellness/soft-tissue-injections">Collagen</a> is a protein in the skin that naturally depletes with aging. It can also be injected into the skin to revitalize skin and visibly erase wrinkles and deep lines caused by sun exposure.
While Botox and collagen work under the skin. Abrasive procedures such <a href="http://www.wellness.com/cosmetic/microdermabrasion.asp" rel="nofollow">microdermabrasion</a> and chemical peels work to combat sun damage on the outer layer of skin. Microdermabrasion also uses a spray of fine crystals strips to exfoliate the skin and slough away damaged skin cells. With the damaged skin removed, a new layer of youthful and healthy skin can grow. Chemical peels remove dead skin cells and outer layers of damaged skin. Stripping away the dead outer layer stimulates the growth of a new, healthy layer of skin.
Sun-damaged skin can also be treated by a laser and light treatments. With <a href="/reference/therapies/light-therapy">Light Therapy</a>, the skin is exposed to flashes of light from a xenon lamp. This light technique can be helpful for easing wrinkles, but it is more effective in treating sun spots and <a href="http://www.wellness.com/cosmetic/skindiscoloration.asp" rel="nofollow">discolorations</a>. Laser skin resurfacing is another treatment that uses a wavelength laser beam. The beam vaporizes the outer layer of skin dissolving molecular bonds in the skin leaving it with a smoother appearance.
James Fernau, MD can give you the professional direction to effectively treat sun damage. Even though you may not currently see the effects of the sun, we can work with you to create a proactive and preventive plan to minimize the effects of the sun’s rays. Please call (412) 446-0391 to make an appointment.
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