The Use of PRP Fat Transfer and Stem Cells in Aesthetic Rejuvenation
An exciting new area of aesthetics today is the new science of using the body’s own tissues to heal and rejuvenate. This process involves three primary components: platelet-rich plasma (PRP), fat transfer (using the patient’s own fat cells and transferring them to another area) and the enhancement of fat grafts with stem cells, which are specialized and pluripotent cell components that are isolated from fat grafts. Read on to learn more about what these techniques can do for you, as explained by Dr. Frank Barone.
Actual evolv patient – Age: 52 – Regenerative Medicine
Platelet-Rich Plasma Therapy
There are many potential benefits and applications in aesthetics for platelet-rich plasma or PRP. PRP is a mixture of growth factors and signaling proteins called cytokines that have been shown to improve healing and rejuvenate youthfulness in the skin and tissues. “The applications of PRP are quite broad, as these are the natural growth factors harvested from the patient’s own blood and used in a variety of ways,” explained Dr. Barone.
PRP is obtained by drawing the patient’s blood and placing it into a special tube that isolates certain components. The tube is then placed in a centrifuge, which separates out the components that are not needed. Within the separated material is a layer of special growth factors and proteins along with the concentrated platelets, which is then used in skin care.
“For example, we use it with micro-needling, which is a process to stimulate the repairative functions and production of collagen in the skin,” said Dr. Barone. “And when we add PRP, we see a significant enhancement of the results of micro-needling. It can be used with the actual micro-needling process or injected into the skin after micro-needling, which has been termed the “Vampire Facelift.” PRP can also be used to reduce hair loss and stimulate new hair growth far more significantly than other non-surgical or topical medication options.
Because PRP is obtained from the patient’s own blood, it is a much more natural stimulant than other growth factors that are obtained from plants or other sources outside of the patient. PRP can be used in many ways, including being added to fat grafts to make a natural filler for an aging face, to restore loss of volume in the cheeks or sagging in the skin, and to restore the thickness of the skin and stimulate pro-growth functions. It can also be used in breast reconstruction, breast augmentation, mastectomy or fat grafts to the buttocks to enhance fat intake and healing.
Fat transfer is a process of taking the patient’s own fat cells out of an area where there is an excess, such as the abdomen, hips, flanks or legs and then using these natural living cells to repair, restore and rejuvenate. Those fat grafts are then processed, removing the unneeded components and obtaining a purified concentration of fat. “These are living fat cells and can be used as a natural filler, in the face with a facelift procedures or injections to improve volume and many other exciting applications,” explained Dr. Barone.
Fat has been shown to not only fill, but to improve the overlying skin, the production of collagen and the health of the epidermis when it’s grafted to another area. “One of the most exciting areas of fat transfer has been the enrichment of fat grafts with the patient’s own stem cells,” said Dr. Barone. “Stem cells are specialized cells obtained from the fat which have the ability to respond to many signals and actually stimulate growth, repair and rejuvenation.”
Overall, these two techniques have proved themselves as remarkable treatments within any applications. If you are interested in learning more about the exciting possibilities of regenerative medicine with PRP, fat transfer and stem cells, contact us today to schedule your consultation.
Are you unhappy with dull, uneven or sun damaged skin? If so, evolv Plastic Surgery & Medical Aesthetics offers two treatments to address these issues. Both microneedling and Infini RF treatments can help to naturally rejuvenate your skin. Read on to learn more about these options.
What is Microneedling?
Microneedling, known as collagen induction therapy or CIT, is an aesthetic treatment that utilizes very small surgical-quality fine needles to induce a healing reaction from the body, resulting in an increased production of collagen and elastin. Microneedling stimulates the body’s own natural growth factors to improve sun-damaged skin, fine lines, acne scars as well as skin texture.
At evolv, we use automated microneedling with the Eclipse MicroPen Elite. This technology will create precision controlled micro channels in the skin, allowing the increased absorption of topical products such as growth factors and other beneficial medical skin care products. The microneedling can be adjusted to different levels of penetration, depending on the amount of damage being treated. Any part of the body including the face, neck, chest, arms, legs, abdomen and even the back can be treated with microneedling.
The Microneedling Procedure
The procedure involves cleansing the skin and often using a topical anesthetic to reduce sensation. Your evolv medical skin care professional will then apply a fine layer of gel or other topical product to the skin. The pen will be gently pressed against the skin, gliding it in various directions while the treatment is being done. This may feel like fine sandpaper and is usually not significantly uncomfortable. The procedure takes approximately 20 to 30 minutes. After the treatment, there will be some redness to the skin and healing time is generally just one to two days. Makeup can be applied at 24 hours. Be sure to inquire about adding on the new CooLifting treatment to enhance results.
What is the Infini Treatment?
Infini RF, is a form of advanced microneedling that uses high-intensity focused radiofrequency energy along with microneedling in the various layers of the skin. This treatment can produce some very impressive results maximizing the effect of microneedling. The heat and energy produced by the radiofrequency energy will significantly improve the results of microneedling. It can help restore the skin’s youthfulness with a firming effect and result in significant improvement in texture and reduction of pores. This kind of technology is unique because the energy is delivered precisely at the level of the skin that is focused for maximal improvement.
The Infini Procedure
The procedure involves cleansing the skin and then applying a topical anesthetic cream for approximately one hour. Some patients will do this at home before the treatment. The settings are then determined after discussion with the physician and the topical gel is removed and the skin treated. It takes approximately 30 to 45 minutes to treat the entire face. Infini is safe for all skin types and can be done in any season of the year. The insulated needles will protect the surface of the skin from any kind of energy damage and reactive pigmentation. There is a very short recovery involved with Infini treatments, though the face of the skin can be red for one to two days. Makeup can be applied after 24 hours and most activities can be resumed after 28 to 48 hours. Infini RF can also treat the neck and other areas of skin laxity. A new and exciting application of Infini is the permanent reduction in excess seating (hyperhidrosis). Be sure to ask your evolv nurse or Dr. Barone for more information.
If you are interested in microneedling or Infini treatments in Toledo, OH, please feel free to ask your evolv licensed aesthetician or any of our nurses at our office for more information. Contact us today at 419-464-9422.
With non-surgical body contouring devices in high demand, it’s often confusing and difficult to determine which technology is truly safe and effective. Dr. Barone explains the differences between the two most popular non-surgical body contouring methods, Vanquish ME vs CoolSculpting.
The Basics of CoolSculpting
CoolSculpting is an FDA-cleared technique for reducing excess fat by cooling the tissues, a process called cryolipolysis. During the treatment, the targeted tissue is placed in contact with paddles on the CoolSculpting device and the focal area is cooled for approximately 45-minutes to one hour.
The Basics of Vanquish ME
The Vanquish ME (‘Maximum Energy’) is also an FDA-cleared technique for fat reduction but uses a unique, focused radiofrequency energy. This energy heats targeted tissue causing destruction of excess fat cells while tightening the skin by stimulating and regenerating your body’s natural collagen production.
In contrast to the CoolSculpting device, Vanquish ME does not require any direct contact with the patient’s tissue and can treat a significantly larger area of the abdomen. Since there is no contact and the settings are adjustable, the energy precisely passes through the skin and heats the underlying fat. The technology of Vanquish ME uses radiofrequency energy, the skin will be moderately warm, but the underlying fat is heated anywhere from 20 to 25 degrees higher. Additionally, keeping the skin at a lower temperature while heating the fat at a higher temperature, results in an effective destruction of the excess fat cells. The CoolSculpting device can only treat one focal area at a time, making it a longer process for optimal results in several areas of the body. Vanquish paddles allow the entire trunk of the body to be treated, including the abdomen and hips in a 45-minute session.
Although both devices are proven to reduce fat, Dr. Barone believes that Vanquish ME offers a more uniform effect because it treats a much larger area without contacting the tissues. Sometimes with CoolSculpting, there can also be a chance of fibrosis or hardening of the tissues at the edge of the treated area. Research studies have shown approximately 20 to 25% of fat reduction with CoolSculpting, and a confirmed 50 to 59% fat reduction with Vanquish ME. Dr. Barone feels Vanquish ME is more effective with quicker results versus CoolSculpting.
Additional Information about Vanquish ME
An exciting addition to Vanquish ME is the new addition of Cellutone. Cellutone produces a unique sound wave to treated tissues allowing a more effective removal of disrupted fat and better circulation. This addition has improved results, allowing more effective fat removal and faster improvement in body contouring.
As always, the training of the physician and technician is paramount in obtaining an effective and safe result. Call Dr. Barone’s office today to schedule your consultation for Vanquish ME today to experience the difference everyone’s been raving about! 419.720.2008
Buttock augmentation or enhancement is often referred to as “Brazilian Butt Lift” and involves improving the shape of the buttocks by increasing the buttock volume, projection and contour. This can be accomplished by fat grafting or transfer, taking the patient’s own fat cells from an unwanted area where there is excess, and after processing, then transferring specific amounts to areas of the buttock to improve shape and volume which can actually result in lifting the buttock.
How is Buttock Augmentation Performed?
The options of buttock augmentation with the Brazilian Butt Lift include either using fat grafting or buttock implant, which is similar to a breast implant but a little firmer. In some situations where the buttock tissues are lax or sagging, surgical lifting of the buttock skin is sometimes added to enhance the natural contour and silhouette of the buttocks. The ancillary methods of buttock augmentation may include liposuction because shaping the excess fat around the buttocks such as in the hip or love handle area, as well as in the saddlebag or lateral thigh area, and in the thighs, can help bring out buttock contour and improve shape. This is often combined with the Brazilian Butt Lift or buttock augmentation because the fat needed for grafting is then processed and placed into the buttocks.
Why is Technique Important?
Technique is very important in buttock augmentation because fat grafting must be done carefully and precisely to maintain the viability of the delicate fat cells. Blood and other fluid are removed and the fat cells are concentrated gently. In order to improve the survival of the fat graft, PRP, or platelet-rich plasma, is used and the patient’s own blood is added. PRP contains concentrated growth factors from the blood along with platelets which are very powerful in improving the healing response and the stimulation of the fat grafts, as well as reducing swelling in the donor area of the buttocks.
What is The Recovery Period?
The recovery from buttock augmentation will depend on several factors such as the technique, including fat grafting, buttock implants, or lift of the buttock skin. Buttock augmentation surgery is typically done under general anesthesia and is always on an outpatient basis without the need for hospital admission. At our practice, evolv Plastic Surgery & Medical Aesthetics, the aesthetic surgery is always done at a fully credentialed outpatient surgery center for patient safety and consistency.
How Should I Choose a Surgeon?
Finally, when looking for a physician or a surgeon for buttock augmentation, the training, credentials and experience of the physician are typically the most important factors in obtaining the most optimal and safe result. The patient should always do their research and look at the doctor’s experience and try to find a board-certified or board-eligible aesthetic plastic surgeon, or board-eligible or board-certified plastic surgeon, that has special training in doing cosmetic procedures.
What is the Cost of Buttock Augmentation?
The cost of buttock augmentation will depend on the time of the procedure and the amount of the liposuction or other procedures that are needed to complete the augmentation. Recovery period involves wearing a compression garment for several weeks and avoiding any direct pressure on the buttocks. Patients can resume most normal activities within several weeks.
When done by a properly trained, board-certified or eligible aesthetic plastic surgeons, buttock augmentation, whether with fat grafting or implant, has been an extremely gratifying and life-changing procedure for many patients to restore or enhance the silhouette of the body and the buttocks. The results can be natural-appearing, long-lasting and very gratifying.
As women go through their childbearing years with hormonal changes and aging, they can experience problems and frustrations in the inner and outer portions of the genitalia and vagina. Over time and after multiple childbirths, laxity of the outer tissues or the labia can occur, with loss of support and sometimes deflation of the normal fullness of the labia. Internal changes such as laxity, dryness, loss of sensation, and often, stress incontinence from the bladder are commonly experienced particularly as the woman ages.
New Vaginal Rejuvenation Technology
New technology and safe, beneficial outcomes have resulted in significant popularity for vaginal rejuvenation, particularly using non-invasive or non-surgical techniques. At evolv Plastic Surgery & Medical Aesthetics, we are excited to introduce the ULTRA Femme 360, which is a proven non-surgical and non-invasive technology that tightens and raises the labia, that can decrease the diameter of the vaginal opening or introitus in the vaginal canal, improve natural lubrication, improve sensation and even in selected patients reduce stress incontinence by improving pelvic floor tone.
The ULTRA Femme 360 utilizes a proprietary radiofrequency energy which gently heats the tissues improving blood flow to both the external genitalia as well as internally, in addition to remodeling and increasing collagen to reduce laxity and improve the youthfulness and thickness of the external and internal vaginal tissues. This technology has been proven in clinical trials to be safe and effective. In a recent study, 80% of subjects treated experienced improvement in the appearance of the labia or external genitalia, and over 60% reported improvement in sexual satisfaction. Most importantly, overall satisfaction for women after the Ultra Femme 360 treatment was greater than 90%! Other benefits seen were plumping of the labia, lifting and firming of the labia minora, tightening of the vaginal opening and vaginal canal, as well as the pelvic floor or perineum, increased sensitivity, and improved orgasm along with improvement in stress incontinence was also experienced in the study group.
How Does the ULTRA Femme 360 Work?
The ULTRA Femme 360 uses two attachments to treat the target areas, the external labia, and the internal vaginal canal. For treatment of the labia, the entire vulva area is gently heated using radiofrequency which results in stimulating collagen production and improving blood supply to rejuvenate the tissues and improve sensitivity. The focused energy from the ULTRA Femme 360 disrupts older collagen fibers to encourage the fibroblast cells to produce new collagen and improve blood supply externally and internally. To treat the internal vaginal canal, a different attachment is used, which basically benefits the entire canal surface as well as deeper tissues, unlike laser treatment that simply affects the surface. The vaginal mucosa is stimulated to produce new collagen with increased blood flow and restore the mucosa to a more youthful state.
What to Expect from ULTRA Femme 360 Treatments?
The ULTRA Femme 360 treatment is done in the office without the need for any type of sedation or anesthesia and without any downtime. Patients can opt to treat the vaginal canal, the external labia or both. Treatment of the labia and the vagina can be done consecutively during the same treatment. A water-based gel is initially applied to the skin, and the radiofrequency is delivered with the handpiece, moving gently across the area of treatment. For the internal vaginal therapy, a different adapter is applied, but there is no pain or irritation with the procedure, just a warming sensation. The treatment time is usually less than 20 or 30 minutes for both areas. For best outcomes, a series of four treatments are recommended approximately one to two weeks apart. Some improvement can be experienced immediately, while the full benefits are usually achieved by three or four weeks. Maintenance treatments are usually recommended annually. Costs will depend on the number of areas treated, as well as the number of treatments.
What Are the Indications for Surgical Vaginal Rejuvenation?
Sometimes called female genital plastic surgery or female genital rejuvenation surgery, surgical options will involve lifting of lax tissues of the outer vaginal tissues, including the labia majora, labia minora, or the mons, or loose tissue above the vagina. Reduction in lax or sagging tissues and restoring balance to the outer vaginal labia majora and minora is done by plastic surgery techniques to remove excess tissues and reshape these structures to their preexisting or more natural state. This surgery typically requires some sedation and is done at the outpatient surgery center on an outpatient basis so that the patient can return home after the procedure. Typically, the procedure requires less than one hour, and the recovery is rapid.
What Should I Look for in a Vaginal Rejuvenation Surgeon?
The most important consideration in vaginal rejuvenation as with any aesthetic procedure are the qualifications, training, experience and credentialing of the physician. It’s important for patients to look at all these areas in selecting a physician and be sure that all questions are answered and goals are clearly defined. Optimal patient safety requires training and credentialing, as well as doing the procedure in a certified operating room and facility. Be sure to check the training certification and credentials of your physician when considering this vaginal rejuvenation as well as any aesthetic procedure.
Effective Hair Loss Treatment Toledo & Prevention at evolv – State-of-the-Art
More than 75% of men and over 40% of women are affected by premature hair loss and thinning.
Studies confirm that this may have a significant impact on self-esteem, confidence and subsequently overall quality of life for individuals of all ages. New research and technology, as well as applications of regenerative medicine, now offer multiple clinically proven options for state of the art prevention and treatment of hair loss that evolv Plastic Surgery and Medical Aesthetics is excited to introduce to our patients.
Premature hair loss and thinning is a multifactorial and complicated process, which may involve a number of interacting factors. The most common cause of hair loss in males and females is regulated by the conversion of the hormone testosterone to dihydrotestosterone (DHT) in genetically susceptible individuals. Other causes such as stress, illness, medical conditions, and aging may also play a contributing role. Unfortunately, many unproven claims and false marketing promises are made that have no clinical basis or scientific evidence for efficacy or safety in preventing hair loss or restoring hair growth.
That is why all of us at evolv are particularly excited to introduce a scientifically proven, comprehensive program utilizing the fundamental principles of regenerative medicine to provide long term reversal of hair loss and to restore hair growth. These therapeutic programs incorporate products and techniques that have been proven in clinical studies to be safe and effective in appropriate male and female patients. Some of these concepts include:
- The new HairMedica System of topical products and treatment proven to block the hair loss effect of the hormone DHT at the follicular level as well as stimulate growth in men and women with thinning. Scientific testing of this breakthrough system confirms the reversal of hair loss and increased growth in multiple clinical trials.
- The use of a proprietary protocol of stem cells, fat grafts, micro needling, platelet rich plasma (PRP), and native growth factors harvested from the patient and placed under the skin to repair, restore and regenerate aging or atrophic hair follicles in men and women.
- A new state of the art surgical technique (Neograft) to transplant individual hair follicles to areas of complete or severe hair loss (including eyebrows) to restore the natural hair line without any visible surgical scars or prolonged downtime.
Our mission and passion at evolv are to improve the quality of life for our patients utilizing safe and proven products and services administered by a qualified and experienced professional staff. That is why all of us at evolv are looking forward to offering these options in preventing and reducing hair loss and in hair restoration. We believe in improving skin health for all patients and we feel these new options for hair restoration and regeneration will also benefit men and women of all ages.
Frank Barone, MD, FACS
At evolv Plastic Surgery and Medical Aesthetics, we have seen a growing interest by patients of all ages and in men as well as women, for non-surgical options to reduce the signs of aging and obtain safe, natural and balanced results.
One of the most popular choices for restoring youthful features in the face is the use of natural injectable fillers in Toledo to replace volume and reduce wrinkles in the skin and deeper tissues. evolv is quite excited to be one of the first medical practices in the region to introduce the recently approved fillers Juvederm Vollure and Juvederm Volbella from Allergan Medical for a longer lasting restoration of facial volume and wrinkle reduction.
Cosmetic or aesthetic enhancement with injectable fillers (Juvederm, Restylane, Radiesse, Belotero, Sculptra) and neuromodulators (Botox, Dysport, Xeomin) have experienced a dramatic recent increase and improvement in safety, technology and, most importantly, natural appearing and long lasting results. Nearly 7 million injections were given in the U.S. last year which is a 40% increase from just 5 years ago. Combining a personalized medical skin care regimen along with the optimal injectable fillers and neuromodulators can result in more natural appearing rejuvenation without the downtime, higher costs, and risks associated with some other traditional options.
Juvederm Vollure and Juvederm Volbella are the most recent additions to use ‘Vycross’ technology introduced by Allergan Medical, which is well known in aesthetics for many other popular products such as Botox and Latisse. Allergan’s Vycross technology is a proprietary linking process that allows the natural hyaluronic sugar in the injectable product to create long lasting volume replacement for wrinkle reduction and soft tissue volume replacement. Vycross technology was first introduced with Allergan’s Voluma which has found great success in providing deep volume replacement for the cheeks and has been proven in clinical studies to last up to 2 years.
What is in the Juvederm filler products?
All Juvederm injectable filler products, Juvederm Ultra, Juvederm Ultra Plus, Juvederm Voluma, Juvederm Volbella and Juvederm Vollure, are composed of a purified hyaluronic sugar which is biologically identical to the hyaluronic sugar that is naturally present in our skin. Hyaluronic is an essential component of healthy skin and has many benefits to proper skin function including moisture retention and other characteristic associated with optimal and younger skin health. There are no animal or synthetic products in the Juvederm fillers which explains why adverse or allergic reactions are extremely uncommon when the products are properly administered by a qualified and experienced physician or RN nurse injector. All injections at evolv Medical Aesthetics are performed by Dr. Barone, a Board Certified Plastic Surgeon with many years of experience in injectables and a physician instructor, or by Julie David RN, a certified nurse injector trained by Dr. Barone.
Where would I use Vollure or Volbella?
Vollure is indicated for moderate or deep depressions of the nasolabial folds, those creases and depressions of the lateral nasal area and cheek junction that tend to deepen with aging, as well as for improving deeper wrinkles and folds in other facial areas.
Volbella injections are indicated for correction of fine or superficial wrinkles around the lips and for augmentation of the lips to reduce the volume loss often seen with aging, sun exposure and smoking. One of the significant advantages of Vollure and Volbella is the Vycross technology that extends the benefits of the filler up to 12 or 18 months or more in scientific clinical studies.
How much do Vollure and Volbella cost?
Vollure and Volbella cost approximately $100 more than other Juvederm products and comparable fillers but because of their longer lasting results, they can offer excellent value for patients. The cost will also depend on the number of syringes or the volume needed for proper correction which will be reviewed with each patient after their evaluation and discussion of their aesthetic goals. Allergan also offers a patient loyalty, Brilliant Distinctions, which can reduce a portion of the costs as well as offer additional offers and incentives earned throughout the year. (Ask how we can help you to get enrolled in this program at your next visit).
The most important factor in choosing the proper and most effective injectable that will provide natural rejuvenation is the experience and training of the injector. Please be sure to do your homework and research the credentials of any professional offering aesthetic services because this is critical to safe and natural appearing outcomes. Also, remember that improving skin health with a personalized and effective professional medical skin care plan can significantly improve the results and longevity of any injectable treatment.
Frank Barone MD FACS
Premature hair loss may cause a decrease in self-esteem and self-confidence. Consequently, there is a growing interest in innovative technology and science that helps not only prevent excessive hair loss but also regenerates healthy hair follicles and restore hair growth.
Traditionally the only options for hair loss prevention have been the use of topical products, such as Rogaine or Minoxidil and use a low-level laser light shown to stimulate hair follicles. One of the most exciting options in hair loss reduction and restoration is in the arena of regenerative medicine. Regenerative medicine in Toledo is the new science of using the body’s natural products and potential to self-repair, restore and regenerate aging tissues, as well as tissue damage or chronic disease.
The Science Behind Regenerative Medicine
Growing evidence in clinical studies indicates that using fat grafts and platelet-rich plasma, or PRP, can help restore hair follicles, prevent hair loss and increase hair growth. In addition, extracting specific pluripotent cells from fat grafts called stem cells may significantly increase the regenerative potential along with PRP and fat grafting.
Stem cell therapy has expanded greatly over the past few years not only in treating many potential diseases but also to restore aging tissues. These cells are harvested from a patient’s subcutaneous fat and are rich in multiple and specific growth factors. Stem cell-enriched fat grafts and PRP have been shown to have regenerative potential when injected or applied to the area of concern in a patient.
Platelet-Rich Plasma (PRP)
PRP is another exciting possibility in the field of aesthetics. During PRP therapy, blood is drawn from the patient and placed in a specialized tube which spins in a centrifuge in order to isolate the section of rich growth factors in the non-cellular portion of the blood or the serum, as well as concentrate the platelets. Platelets produce powerful signaling products that can restore and regenerate. PRP has versatile use and used in many areas, including improving aging skin, the appearance of scars and correcting tissue atrophy in patients.
Recently, it has been shown that placement of PRP in the scalp below the skin and hair follicle can stimulate regrowth of hair from the follicle when combined with the additional growth factors in fat cells, and particularly stem cells. This is a very powerful regenerative combination, which in initial studies have provided very encouraging results for patients with hair loss.
Hair Loss Treatment in Toledo
The hair loss treatment with PRP and fat grafting is performed in the office under local anesthesia. There is no significant downtime for most patients. In some cases, if fat is harvested from underneath the skin in a patient there may be some temporary bruising and tenderness to the treatment area. This is tolerated well and has an excellent safety record when performed by a board-certified physician, experienced and trained in this procedure.
At evolv Plastic Surgery & Medical Aesthetics, a proprietary topical treatment developed by Buderer Drug Company, one of the leading compounding pharmacists in the country, has the potential to enhance the treatment for patients. This combines four products that have shown to stimulate hair growth and also block the hormones that may lead to hair loss. It also improves blood supply to the scalp in a cost-effective and safe manner.
Scheduling a Consultation
evolv Plastic Surgery & Medical Aesthetics is excited about the principles in regenerative medicine for hair loss treatment and hair restoration using the patient’s own natural growth factors and cells. It is important to keep in mind that the use of stem cell therapy is still in the early phases and should only be performed at an approved facility by a physician who is properly licensed, trained and experienced in these areas.
Compared to traditional hair loss non-surgical methods regenerative medicine and use of PRP, fat grafting and stem cells hold tremendous promise to help both men and women concerned about preventing future hair loss and in fact, actually restoring hair growth. We encourage you to contact either Dr. Frank Barone or one of our skin care professionals at evolv if you would like further information on this exciting area.
As summertime approaches, there is a lot of interest in improving body contour and the ‘summer beach body program.’ Breast augmentation for appropriate patients may be a considered option in enhancing overall body shape and balance.
What is the Goal?
The goal of aesthetic body procedures is to improve the balance and naturalness of the silhouette, perhaps reducing areas of premature aging, whether it’s sagging skin, sun spots, or excess fat accumulation. Patients have the option to naturally enhance their breast contour which has been shown to improve patients’ confidence and self-esteem when performed properly.
There has never been a better time to consider the various body contouring options at evolv with our new technology and scientific breakthroughs! At evolv Medical Aesthetics, we now can reduce fat non-surgically and tighten the skin with an in-office procedure and no associated downtime, by utilizing the Vanquish ME and Exilis Ultra technology from BTL Aesthetics.
Skin care is also important when trying to reduce the signs of aging especially in the summertime, as it can create firming and evenness to skin tone, as well as reduce the signs of aging and reduce the risk of skin cancer.
What is Breast Augmentation?
Breast augmentation is the enhancement of the female breast contour, shape and balance by using either breast implants and/or fat grafting from the patient. Breast implantation surgery has advanced significantly over the years, with more choices of implants that have a greater longevity and naturalness in function. After a professional assessment by your board-certified plastic surgeon, breast augmentation is a very popular procedure and can be done safely as an outpatient procedure, resulting in a natural balance to the body and improved patient confidence.
Breast Implant Choices & Decisions
Breast implants are now available with a unique cohesive or form stable gel that maintains its shape and has greater longevity than ever before. Cohesive gel has the consistency of Jell-O, which makes it last longer and achieve more natural results than traditional gel breast implants or saline implants.
Most importantly, the implant that is chosen should be proportional in dimension to the patient’s body in order to achieve natural results. Implant options are available and may be anatomical teardrop shaped, or a round contour. Each implant has significantly potential advantages depending on the patient’s overall aesthetic goals. When performed properly, the breast implant is placed underneath the breast gland or underneath the pectoralis muscle below the breast and does not actually contact or enter the breast gland.
Does a Breast Augmentation improve self-esteem?
Studies have proven that a patient’s confidence can be improved with an appropriate breast augmentation procedure for those patients who have less breast development or who have lost breast tissue after pregnancy or weight loss. It’s also important to understand that appropriate breast implant surgery can enhance the female silhouette without having any indication that there has been any surgical intervention when done by an experienced, board-certified plastic surgeon.
The location of the incision for breast augmentation is variable, but in our experience, the most appropriate and safe location is in the fold underneath the breast, which allows for the best visualization and safety, as well as precision in placing the implant. These options all can be discussed with your plastic surgeon depending on your body type and current shape of your breasts as well as your goals.
Importance of Certification for Breast Augmentation Procedures
It’s most important for every patient to understand that breast implant augmentation is a surgical procedure requiring training, skill and experience. Every patient should do their homework, and carefully choose a board-certified plastic surgeon with experience in breast surgery and aesthetics. ASAPS is a professional organization of board-certified plastic surgeons that have special experience with cosmetic procedures, appropriate credentialing, and proven results.
Patients should always be careful and cautious when choosing a provider for aesthetic procedures as well as where they get their information, as this is directly related to reducing the risk of complications and obtaining favorable results. When done properly by a board-certified plastic surgeon, patients can expect a naturally appearing soft breast that is balanced with their body’s shape. The goal of breast augmentation as with any appropriate aesthetic procedure is a natural and safe result that will improve self-confidence as well as quality of life for each patient.
Request your private consultation with Dr. Frank Barone for breast augmentation today!
Exilis Ultra is an FDA approved, nonsurgical method of firming and tightening skin and body tissues as well as reducing excess fat. Exilis Ultra is unique in that it uses radiofrequency, which is an energy that passes through the skin and precisely effects the underlying fat cells, treating the skin for laxity and stimulating collagen production. The primary cosmetic benefits of Exilis Ultra are firming the skin, reducing fatty excess, and creating some tightening for a more youthful appearance.
How is Exilis Ultra Different?
Exilis Ultra is a new and exciting technology that combines the benefits of ultrasonic energy with radiofrequency. By combining radiofrequency and ultrasound energy, the Exilis Ultra can achieve benefits from therapeutic sound waves, which offers a synergistic effect. The ultrasound energy allows a faster, easier and more efficient delivery of energy to the tissues. Additionally, ultrasound energy allows the patient’s tissues reach therapeutic temperatures more quickly and with less discomfort than with radiofrequency alone. The end result is a more effective and comfortable treatment, improved skin tightening and more fat reduction for a positive patient experience.
The Exilis Ultra Applicator
The applicator of Exilis Ultra is also unique. It has a cooling tip specially designed to allow precise and adjustable penetration of the radiofrequency and ultrasound energy. It can also be controlled with a process called “layering”, which treats the surface of the skin if the patient desires skin tightening or targeting the deeper tissues for fat reduction and collagen stimulation or a combination of the above. The applicator also cools the skin to protect the surface while treating the deeper tissues, increasing the temperature in the fat. Ultimately, Dr. Barone has been quite impressed with the broad versatility of this technology.
Exilis Ultra Results
The results of Exilis Ultra last far longer than comparable treatments but also are influenced by the patient’s lifestyle and skin care regimen. At Evolv, we believe in designing individualized and comprehensive treatment programs combining skin care with nonsurgical treatments to enhance and maintain more long-lasting and balanced outcomes.
Results with Exilis Ultra are seen shortly after the procedure and will continue to improve for several weeks after each treatment. Dr. Barone recommends a series of 4-5 treatments, one to two weeks apart for optimal results. It is interesting to Dr. Barone and most patients that the appearance of cellulite can also be temporarily reduced with Exilis Ultra. As stated above, this treatment can be used on virtually any body area, lifting and contouring lifting tissues around the eyes, face, upper arms, thighs, buttocks, abdomen, chest and hips.
Candidates for Exilis Ultra
Almost anyone is an ideal candidate since Exilis Ultra treats any area of the body where patients desire skin and tissue tightening, restarting your body’s natural collagen production, or excess fat reduction. It is a very versatile research-proven technology that provides safe and consistent results in appropriately selected patients. Patients should know that this is not a treatment for weight loss, but is a body contouring procedure.
Why Choose Evolv?
This is always a fundamental question for patients considering safe and effective aesthetic rejuvenation. Some aging changes can not be corrected with nonsurgical techniques, and that is when aesthetic surgery may have better and more lasting benefits. It may be replacing or restoring tissue to its original position, elevating sagging tissues, reducing excess skin, restoring volume, reshaping the nose and reducing the jowls and lower cheeks for the lax skin on the neck. Surgical options, when done properly on the appropriate patient, are most effective for naturally restoring harmony and fullness to the face. At Evolv, surgical techniques are often combined with nonsurgical treatments to increase the longevity of the surgical procedure as well as to obtain a more balanced and natural outcome.
Dr. Barone’s philosophy to cosmetic or aesthetic rejuvenation, which he has developed and evolved through more than thirty years of experience and research, involves a comprehensive and holistic program of pretreatment, procedures and a long-term maintenance program. Pretreatment is designed to prepare the patient and the skin in order to improve response, outcomes and safety. The procedures are personalized to each patient’s anatomy, goals and expectations in order to achieve a natural appearing result and to reduce downtime. The maintenance program is a yearly plan of flexible and ongoing skin care and nonsurgical options that are specifically formulated to each patient’s budget and goals in order to provide continuity and maximize the longevity and harmony of their improvement and outcomes.
Dr. Frank Barone’s Advice
If patients are looking for nonsurgical rejuvenation or cosmetic surgery, my advice is to do your research, take your time and be careful about where you are getting your information. There is an overwhelming amount of marketing and advertising in aesthetics, which can be confusing to patients. It is recommended that you seek the advice of a board certified plastic surgeon, preferably one who is a member of the American Society of Aesthetic Plastic Surgeons, (ASAPS), having extensive experience with these procedures.
Also, if you are considering any type of injections or nonsurgical treatments, be sure it is done under the supervision of a physician who has experience in this area and board certification in the specialty related to the procedure. These treatments and services can be done legally in any doctor’s office, whether there has been adequate training or not. “It is very important for patients to be careful about looking for credentials of the treating physician, experience of the office and professional staff, and training in these specialties as patient safety and reducing the risk of complications are always of paramount importance”, said Dr. Barone.