Starting May 1st, there are special offers on injectable products for enhancing your facial appearance (non-surgical or non-invasive).  Perlane & Restylane are fillers that are FDA approved for softening the nasolabial grooves.  Dsyport is botulinum toxin, FDA approved to diminish over-active muscle lines between the eyebrows. 

With summer almost over and fall approaching we notice a trend among our patients' interests. Many now want facial cosmetic procedures, often thinking ahead to looking their best for holidays, social and family gatherings.

Patients who have visited our office in the past and people who review our website have seen our strong emphasis on facial cosmetic surgery. Dr. Graham is well known for beautiful, natural looking facelifts, necklifts, short-scar cheeklifts, eyelid tuck (blepharoplasty), browlifts, laser wrinkle treatments, Botox &

Wrinkle treatments, newest lasers, latest filler injections. We regularly get calls and we welcome questions about new developments. We are constantly looking at the many offerings of companies to find the best to offer our patients. Each new "Botox-alternative," "non-surgical facelift," "minilift" or "new laser wavelength" is a potential benefit, but quality studies are often lacking.

The "magic wand" analogy occurred to me recently. Potential patients need to ask the question posed by Glinda in the Wizard of Oz, "are you a good witch or a bad witch?" You don't need to know so much about the wand as the one waving it. The witch or wizard using the magic wand is

Johnson & Johnson has just obtained FDA approval to market Evolence, an injectable collagen used to treat facial wrinkles.

This will be interesting for several reasons. First, J&J is the first large pharmaceutical corporation to enter a market populated by smaller specialty companies like Allergan (Juvaderm) and Medicis (Restylane & Perlane). Their marketing will, no doubt, be superb. Second, the new product is made of porcine collagen derived from pig tendon. J&J emphasizes the source as "naturally sourced", rather than synthetic like established fillers. Finally, bovine (cow) collagen has been declining in popularity for 10-15 years. It was the first available filler, but fell out of favor because of rapid disappearance and the need for skin allergy tests.

Evolence has been used in Canada and some European countries, but there is little US experience. We will evaluate its risks and benefits over time before incorporating it into our select

One way to choose among the various options for facial rejuvenation procedures is tell your surgeon how long you have to recover. This will let him or her tailor your procedures to your desired "down-time." If you have no down-time: choose from Botox, Restylane of other fillers, Intense Pulsed Light photofacials, or non-ablative skin tightening. If you have one weekend: you may select the above and /or MicroLaser Peels or Periorbital resurfcing. When you have 1 week available: enhance you appearance with a endoscopic browlift or submental liposuction (under the chin). A 2 week recovery gives you plenty of options: you could have either eyelid blepharoplasty, short-scar facelift, or a combination of the above procedures. A three week recovery is best for: facelift, necklift, and combinations of procedures on several parts of the face. At our office we'll discuss these issues and the features you would l