EVOLV Medical Aesthetics

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Category: Face and Neck

evolv Forever Young BBL

What is Forever Young BBL?

Forever Young BBL is a patented technology by Sciton Laser that uses light energy to reduce the signs of aging in the skin and improve areas of pigmentation, vascular lesions, and redness. It has been shown by clinical studies at Stanford University Medical Center that this particular wavelength of light, broadband light or BBL, can actually stimulate skin cells and genes associated with youthfulness and turn back the clock. This technology is an especially exciting finding for patients committed to improving skin health and reducing skin aging.

What does Broadband Light (BBL) do?

Broadband Light treats and reduces brown spots or age spots as well as skin redness and blood vessels. With precise wavelength and power, the light energy is absorbed by pigmentation, spotty areas of sun damage, and melasma. Red areas of the skin also absorb the light energy, including small blood vessels, veins, or rosacea (a chronic inflammation of skin with persistent redness) and are permanently reduced.

In our experience, pulsed light or BBL is the only effective technology that permanently reduces rosacea, redness and pigmentation in the skin. Additionally, BBL can stimulate receptors on the skin cells, improving collagen production, which is critical to create more firmness and maintain youthful skin health.

What to Expect with evolv Forever Young BBL

The Forever Young BBL treatment is very well-tolerated. Most patients do not require topical numbing cream or anesthetic. Once the patient comes into the office and after the skin is cleansed, goggles are applied and the light treatment lasts approximately 15 minutes or less for the face. During treatment, patients will notice a warm sensation, or a warm rubber band snapping sensation in the skin which is usually quite tolerable. Topical numbing cream can be used if needed.

Typically there are no blisters or bruises associated with this treatment. Afterward, the skin may feel slightly red or swollen, but this is often negligible and subsides quickly. Patients may notice a slight amount of redness which generally fades within a few hours.

Evolv Forever Young BBL & Skin Care

In our experience at evolv Plastic Surgery and Medical Aesthetics, incorporating a personalized medical skin care program with light therapy treatments significantly improves results and reduces complications. We feel it is very important to have a balanced, long-term program to maximize the response of the skin, and overall improve the outcomes for each patient. Skin that is prepared prior to treatment will respond more favorably and consistently and also has a quicker healing time as well as avoids complications associated with patients who have no preparation before their laser or light treatments. Working with your professional aesthetician or physician is important when customizing these programs in order to provide comprehensive treatment and optimal outcomes. It should also be emphasized that daily skin care and sun protection are important in obtaining and maintaining these results.

Evolv Forever Young

Evolv Forever Young is unique and exciting, cutting-edge program incorporating balanced skin care combined with maintenance treatments or broadband light therapy once every three or four months to essentially stop the aging clock in the skin. Stanford dermatology studies have shown that patients treated with BBL over 10 years actually looked younger than when they started the program. BBL is proven by laboratory research that these treatments result in unique benefits such as stimulating the ‘genes of youth’ at a molecular level. This innovative treatment is a quite exciting way to basically prevent most of the undesirable changes associated with aging in the skin.

To learn more about this personalized program – contact our office today for more information or request your skin analysis.

The Advanced Mommy Makeover

New Options in Body Contouring 

Pregnancy and its after effects can be tough on a woman’s body. From rapid weight gain, then weight loss, following a rapid expansion of the skin, there is a collective fascination with some of the changes that the body goes through before, during, and after pregnancy. Following pregnancy, there are often deposits of excess fat around the abdomen, hips, and trunk. The breasts may have lost volume, dropped, and lost their support. The skin may also have developed new stretch marks, as well as areas of brown patches or hyperpigmentation on the face and other areas.

New technologies, services, and options have created some exciting new possibilities for women after pregnancy. Dr. Frank Barone, board-certified plastic surgeon in Toledo, OH, explains the many new options available in body contouring today.

Abdomen and Trunk

After pregnancy, there are some permanent changes of the body, buttock, and abdomen. These include the muscles of the abdominal wall and the rectus muscle which can become stretched and separated. They will often not return to their preexisting state where they’re connected in the midline, providing support for the abdomen and back. This condition is called diastasis recti.

Another condition caused by pregnancy is long-lasting laxity and loss of support of the skin, accompanied by stretch marks. The tummy tuck, or abdominoplasty, is a procedure that addresses these issues by removing excess skin and fat in the lower abdomen below the belly button. Separated abdominal muscles are then repaired, and the sides of the body are contoured with liposuction.

-Advanced Concepts in Abdominoplasty and Body Contouring

New concepts of abdominoplasty include extending the contouring and shaping all the way around the body or to the sides. This technique can lift a drooping buttocks or correct laxity on the lateral side and hips as well as cellulite. These extended abdominoplasties, or circumferential abdominoplasties, are categorized as “body lifts.” Augmenting or improving the projection of the buttocks with fat buttock augmentation is also a possibility, as well as thigh lifting.

Other new concepts in body contouring surgery include surgery without the need for traditional suction drains based on a new surgical technique called progressive tension sutures and new options in reducing post-operative discomfort. In our practice, these procedures are always done on an outpatient basis and improving patient comfort is a priority. A new medication called Exparel® is injected by the surgeon during the procedure in order to block sensory nerves, and provides a significant reduction in patient discomfort, reducing the need for post-operative narcotics and improving the overall experience.

-Advanced Concepts in Liposuction

Finally, while contouring the body with an abdominoplasty or body lifting, we are also improving overall body shape contour with selective fat reduction by ultrasonic techniques. In our experience, ultrasonic liposuction, or VASER Liposuction, is the most efficient method of reducing excess fatty deposits. VASER ultrasonic energy releases fat cells, which makes removing the excess far more efficient and less traumatic. It also preserves nerves and blood vessels, consequently reducing post-operative swelling and downtime.

VASER ultrasonic liposuction also has the unique advantage of contracting or tightening the skin, which is very important for improving body contour after fat is removed. This has improved our results for patients having mommy makeovers and abdominal contouring. It is also important to understand that abdominal contouring surgery is not a free pass for poor lifestyle choices. It’s vital that patients remember that their overall health has a major effect on the outcome of their surgery. So, healthy lifestyle habits, such as proper nutritional intake and regular exercise, should be emphasized.

-Advanced Non-Surgical Abdominal Contouring Options

Non-surgical options are also present for abdominal contouring, be reducing both excess and firming skin, such as the new Vanquish ME™, Cellutone and Exilis Ultra™ devices, which remove fat cells by an external applicator. The Vanquish applicators do not touch the skin, and can also improve abdominal contour without any downtime. These procedures are done in the office and do not require anesthesia. The new Cellutone™, which uses sound waves to reduce the appearance of cellulite, is used with Vanquish ME™ to improve results in less time.

Read about the scientific study on Vanquish ME™ for nonsurgical fat reduction here.

Improving Breast Shape and Contour after Pregnancy

The combination of age and gravity will cause a woman’s breasts to droop and lose volume, but when you add pregnancy and breastfeeding to this equation, the changes are much more significant. This after-pregnancy breast change goes beyond actual sagging, but can result in changes in the nipples and the areola, as well as loss or deflation of the breast due to the hormonal changes of pregnancy.

-Breast Lift and Augmentation

To restore youthful shape and size a breast lift can be performed, which will elevate the tissue back to its pre-pregnancy position and restore a youthful shape. For some patients, more volume is necessary if there’s been a deflation of the breasts, and a breast implant and or fat grafting can be beneficial. Dr. Barone has extensive clinical research experience with the FDA approved cohesive gel breast implants. Available in round or anatomic shapes, cohesive gel or ‘gummy bear’ implants are composed of a semi solid soft gel and are more long lasting and will have no issue with potential leakage. They also hold their shape very well and are available in a wide variety of dimensions to correct asymmetry or side differences.

-Fat Grafting for Breast Enhancement

For appropriate patients, Dr. Barone may recommend fat grafting enhanced with PRP, or platelet-rich plasma, to restore natural volume to the breasts. The new breast lift or mastopexy involves shorter scars, and the vertical mastopexy is one example of that short scar procedure for breast lifting. Again, pain control with Exparel® allows this to always be an outpatient procedure, and makes the overall experience much more comfortable.

Skin Rejuvenation for the Post-Pregnant Woman

Telltale stretch marks on the stomach, hips, and buttocks after pregnancy can be very frustrating for women. Topical creams have never been proven to be effective, despite some unsubstantiated marketing claims. Dr. Barone and the professional staff at evolv will only recommend or utilize research proven products and services that have been clinically verified as safe and effective.

-Microneedling, Infini

Stretch marks are physical tares in the deep layers of the skin that are commonly seen after pregnancy or excessive weight gain. There are now promising technologies that can improve them. One option is microneedling, which stimulates collagen production while breaking down the scar and fibrous tissues. Microneedling with radiofrequency energy is even more effective, as has been proven by clinical results with the Infini RF by Lutronic.

Infini RF delivers a radio frequency charge to the tips of the insulated needles which results in a more vigorous response in collagen production and skin tightening than microneedling alone. Adding PRP therapy which is a powerful combination of multiple growth factors and regenerative platelets obtained from the patient’s own blood, to microneedling or Infini RF procedure has resulted in significantly more improvement in stretch marks and overall skin quality.

In addition, treatment of the skin with new formulations of retinol, which is a vitamin A derivative, has been shown to increase collagen production, improve circulation to the skin, and can improve stretch mark appearance, as well as skin health. I prefer Retinol and skin care products from ZO Skin Health because of their unique advanced bioengineering and proven efficacy.

If stretch marks are still pink or red, using light therapy, such as broadband light (BBL), is very effective in reducing their appearance. Fractional lasers are also beneficial in these situations, which is another new and exciting technology for skin improvement. The new HALO laser from Sciton Medical is particularly effective in improving stretch marks.

-Pigmentation

Pigmentation can be very challenging in the postpartum female. Brown spots and even deeper pigmentation in the lower levels of the skin, called Melasma, can be particularly frustrating. Melasma is often made worse from heat, so the use of lasers can be risky and must be used cautiously with proper skin preparation. Some chemical peels can be very effective for removing excess pigment in Melasma and hyperpigmentation. We have seen significant improvement with the use of medical skincare products from ZO® Skin Health, which has been the world’s leader in treating excess pigmentation in the skin.

Broadband or pulsed light and the use of Hydroquinone and other lightening agents to reduce pigmentation can be very effective if the skin is prepared properly. Of course, sunscreen and limited sun exposure is critically important in pigmentation and Melasma patients, and using a certified medical grade sunscreen with antioxidants is important.

The Advanced Mommy Makeover Summary

In summary, new technology and services have significantly improved the options as well as the results for women after pregnancy in repairing, restoring, and rejuvenating their bodies. These include non-surgical and surgical services. Shorter recovery times with increased comfort and reducing the length of scars are now a reality contouring the body after pregnancy in the advanced mommy makeover, and the combination of procedures has provided even better results.

Finally, the new science of regenerative medicine using fat grafting, stem cells, and growth factors with PRP harvested from the patient’s own blood and tissues are really going to be the future of body contouring due to the long-lasting effects and rejuvenate capabilities.

To learn more about these services, contact evolv Plastic Surgery & Medical Aesthetics today – (419) 464-9422.

Regenerative Medicine at evolv

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.

regenerative medicine

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

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.

Microneedling and Infini RF

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.

The Beautifying Benefits of CooLifting

CooLifting is a new and exciting facial technology that combines a controlled spray of carbon dioxide and a blend of natural hyaluronic acid with plant botanicals. This spray is infused on the skin to generate very beautiful results in lifting and improving the hydration of the skin with no downtime, no injections, and no discomfort. It has been proven in scientific research that a high concentration of carbon dioxide is beneficial to the skin because it results in releasing more oxygen and circulation to the area treated, creating a lifting and firming effect.

How Does CooLifting Work?

CooLifting has a proprietary “dermal delivery system,” which is a technology that improves the application of active ingredients on the skin. In this case, the ingredients include hyaluronic acid, which is made up of the natural sugars found in the skin that help maintain hydration and moisture, combined with soothing plant botanicals that improve the lifting effect using a natural stimulant. Carbon dioxide spray has been used for delivering cold therapy for many years, as well as improving skin conditions, such as inflammation and breakouts.

The CooLifting Treatment

CooLifting treatments take about five to ten minutes, and you can see results almost immediately with maximum results after 12 to 24 hours. A package of three treatments is recommended for optimal effects. After treatment, you can return to your regular skin care regimen and can apply maintenance treatments as well. All skin types can be treated with CooLifting, and it can also be combined with other facial treatments such as micro needling, chemical peels, and microdermabrasion.

Overall, CooLifting has been found to be a new and very effective low-cost treatment that can be used on any skin type without downtime or discomfort. It can help the skin look healthy and youthful, can improve hydration significantly, and can reduce the appearance of fine lines.

If you are interested in CooLifting treatments in the Toledo, OH area, contact us today to learn more or to schedule a consultation.

How to Maintain Your Facial Surgery Results

At evolv Plastic Surgery & Medical Aesthetics in Toledo, Ohio, we see many patients who are candidates for facial aesthetic surgery. Patients of all ages may be motivated to improve the signs of aging or to correct an abnormality that always bothered a patient throughout the years.

The Goal of Aesthetic Surgery

The goal of aesthetic or cosmetic surgery is not to “change” the patient, but rather the enhance their natural look, making them appear more youthful. When done properly for appropriate indications, that is exactly the result. However, one of the most common questions asked by patients is how long the results will last after surgery. This answer will greatly depend on how well the patient was prepared for their surgery, as well as consistently following the maintenance program after their procedure.

Facial Surgery Preparation

The technique and the experience of the plastic surgeon are important for the longevity of the result. It’s also very important how the skin was prepared before surgery and the maintenance program after.  Skin that is prepared with the appropriate medical skin care program will respond to the surgery more effectively. A physician-supervised medical skin care program will improve skin health and increase circulation which will result in quicker healing, less swelling and reduced downtime.  That is why evolv focuses on a pre-operative preparation program for all surgery patients.

Facial Surgery Results & Maintenance

After the procedure is complete, the next important consideration is maintenance. We try to educate all patients on the importance of a regular skin care program, which will involve scientifically-proven medical skin care products and sun protection, as well as healthy lifestyle changes.  We have had long term and very exciting results with our ZO® Skin Health program for patients extending the longevity of their surgical results.  After facial surgery, many patients can maintain the results much longer with the help of these programs by improving skin care.

In addition, new technology has allowed patients who have had surgery to extend the results using in-office or non-surgical maintenance programs. This may involve energy applications, such as radiofrequency with Exilis Ultra. It may include microneedling such as Eclipse MicroPen.  An exciting new technology which combines the benefits of medical microneedling and radiofrequency energy, Infini RF can tighten and improve skin quality to enhance and maintain facial surgery results.  Other programs offered at evolv include advanced chemical skin peels, light energy (IPL Redness Reduction and Photodynamic Therapy (PDT)), and other therapies that focus on increasing collagen production and rejuvenating skin quality which is very beneficial post- surgery in extending and in improving results.

Finally, one of the most advanced programs for maintenance after surgery is the use of fat grafting and stem cells, along with platelet-rich plasma (PRP) or growth factors obtained from the patient’s blood. Once the blood is drawn, it is centrifuged and the growth factors are extracted to enhance the skin response either with injection or mixing them with the patient’s own fat or stem cells. This is an area called regenerative medicine, which Dr. Barone believes will be the future for aesthetic surgery and aesthetic care.

Top Skin Care Tips for Maintenance

The top products for skin care maintenance are fundamental, usually involving a medical cleanser, an exfoliant, a retinol-based application (Vitamin A) and a medical sunscreen containing antioxidants. These are skin products that will reduce the signs of aging and keep the skin youthful and healthy, which will extend the surgical result.

Finally, we emphasize patient education, the importance of healthy nutrition, exercise, reducing stress and appropriate hydration. Your lifestyle and the overall health of your mind and body will affect the longevity of any facial or aesthetic surgical results. We believe in a long-term comprehensive program of general health and integrating medical skin care health as well. Our goal is for our patients to think of the bigger picture to enhance their appearance in addition to making them feel better about themselves, giving them more confidence, restoring their youthfulness and ultimately improving their quality of life.

The Slimming Benefits of Kybella

What is Kybella in Toledo, OH?

Kybella is the first and only FDA-approved injectable medication that improves the appearance of moderate to severe fullness under the chin and the upper neck.  This area often called the submental fat and is of great importance and concern to many patients, especially when the excess creates the appearance of a “double chin”.

Most patients believe that submental fullness is only related to being overweight but that is not the only reason.  Although it can be associated with weight gain, more commonly it’s a result of genetics or an inherited characteristic.  Another reason for this excess fat is related to aging.  As we get older, we often tend to have more fatty tissue under the chin and the upper neck.

How Does Kybella work?

Kybella is an injectable product that is injected into the fat under the chin. The formula, made of deoxycholic acid, causes the destruction of fat cells, leading to permanent slimming results. Treatments are typically four weeks apart, and for most patients, they require an average of two treatments to achieve their ideal neck/jawline appearance. However, some patients may require three or more treatments, depending on the amount and extent of fatty excess being treated.

This non-surgical procedure is performed in our office with no anesthesia required and no downtime.  We do offer a topical numbing cream on the treatment area to reduce any sensation from the small needles being used.

Good Candidates for Kybella

For non-surgical double chin reduction, an examination by your board-certified plastic surgeon is important because other issues such as skin laxity or looseness in the neck may need to be evaluated for alternate treatment options.  Kybella treatment results in permanent fat reduction and may also reduce moderate tissue tightening to improve the neckline.

Ideal candidates for Kybella in Toledo, Ohio, would be anyone with excess fullness in the upper neck or under the chin, with reasonably good skin tone.

Kybella Results

The results from this minimally invasive fat reduction procedure are typically seen after a few weeks. Initially, there can be an inflammatory reaction, some redness and tenderness, which is the result of fat cells being permanently destroyed. Once they are metabolized by the body and excreted, the inflammation will resolve.

Patient Satisfaction with Kybella

Patient satisfaction with Kybella is quite high when the appropriate candidates are selected and proper protocol is followed. That is why it’s always important to seek out a physician who has experience in this area, such as a board-certified plastic surgeon.  The injections also need to be placed very precisely by an experienced professional, otherwise, complications or uneven results may occur.

Patients are quite happy with the reduction in fat along with improvement in neck contour and are generally very pleased with the overall look and results after Kybella.

Non-Surgical Facial Rejuvenation Options

The process of facial rejuvenation has a large and growing interest for many patients, particularly with the advancements in nonsurgical techniques. Facial aging involves three basic areas: the surface and health of the skin, the volume of the underlying tissues, and the position of those tissues. Various options of nonsurgical rejuvenation address these features.

Improving Skin Health

At evolv, the initial approach to combat the signs of aging is to improve the health of the skin with a personalized program of medical skincare products and services. Skin that is cleansed and exfoliated properly, as well as regenerated with collagen production and protected from ultraviolet energy  will appear much younger and reduce signs of aging. This rejuvenation technique can be provided with medical skincare products from ZO Skin Health, as well as facial peels, laser light therapy, and other services that reduce facial veins and redness.

Neuromodulators (Botox, Dysport, Xeomin)

Another solution for age-defying results is choosing a neuromodulator, such as Botox, Dysport, and Xeomin, to reduce the appearance of excess expression lines and wrinkles in the skin. These treatments are injectables that balance facial expression by reducing overworked muscle activity that causes excess wrinkling. Most common expression wrinkles include crow’s feet around the eyes,  scowl lines between the eyebrows, or creases of the forehead.

Dermal Fillers

Injectable dermal fillers are  used to restore volume that is diminished due to the aging process, excessive sun exposure and smoking Specifically, fillers can be used under the eyes, creases around the nose, mouth, and volumizing and reshaping the lips. Dermal fillers are  excellent  for facial rejuvenation, replenishing and plumping the skin for a more youthful appearance.

When used appropriately, neuromodulators and dermal fillers provide a harmonious and balanced look to the face that enhances individuals’ appearances when maintaned with a healthy skincare program.

Surgical vs. Non-Surgical Rejuvenation

This is always a fundamental question for patients who arrive at evolv. Some aging changes cannot be corrected with non-surgical techniques, and aesthetic surgery has better benefits. These procedures may be replacing or restoring tissue to its original position, lifting sagging tissues, reducing excess skin, reshaping the nose, and reducing the jowls in the lower cheeks or the lax skin on the neck. Surgical options are most effective for naturally restoring harmony and youthfulness to the face. At evolv, surgical techniques are often combined with nonsurgical treatments to increase the longevity of the procedure.

Typically, Dr. Frank Barone looks at rejuvenation as a pretreatment to prepare the skin with non-surgical techniques and skincare. The lifelong  maintenance program,  for  patients, will extend the results indefinitely when performed by certified and professionally trained staff.

Dr. Frank Barone’s Advice

“If patients are looking for nonsurgical rejuvenation, my advice is to do your research and be careful about where you’re getting your information since there’s a lot of marketing and advertising in aesthetics, which can often be confusing to patients. We recommend that you seek the advice of a board certified plastic surgeon, preferably one who’s a member of the American Society of Aesthetic Plastic Surgeons (ASAPS), with a special experience in these procedures.

Also, if having any types of injections or nonsurgical treatment, be sure it’s done under the supervision of a physician who has experience in this area and has a specialty related to the procedure. These procedures can be done in any doctor’s office, whether there’s been adequate training or not. So it’s very important for patients to be careful about looking at credentials of the treating physician, experience of the office, and training in these specialties as patient safety is always of paramount importance,” said Dr. Frank Barone.

Call evolve Plastic Surgery and Medical Aesthetics today to schedule your consultation! 419-720-2008

The Sciton Halo Difference

What is the Sciton Halo System?

The Sciton Halo Laser is the world’s first and only hybrid fractional laser, meaning that the research manufacturers uniquely combined an ablative wavelength of therapeutic light energy with a non-ablative wavelength. This proprietary combination of wavelengths results in a synergistic benefit on the skin, which provides a significantly more impressive rejuvenation in skin resurfacing with less downtime.

What is the difference between ablative and non-ablative lasers?

Ablative technology uses light to effectively vaporize or remove damaged or aged tissue on the skin’s surface with a patented technology that reduces healing time. The non-ablative wavelength, which is added in the Halo, is light energy that doesn’t vaporize tissue, but heats the underlying tissues without damaging the epidermis or skin’s surface. By heating the deeper tissues, the skin repairs itself to increase skin firmness, reduce laxity, and it can also reduce pore size, pigmentation, and result in an overall improvement in skin texture.

What makes Halo unique?

The Halo system is innovative and has several other unique features. First, it involves an integrated cooling hand piece, which improves patient comfort during the treatment. The cooling hand piece is combined with a smoke evacuator that immediately removes any of the laser plume or airborne debris to a filter evacuator so patient or treating physician does not inhale the plume or debris. Additionally, there is a dynamic thermal optimizer (DTO) that automatically adjusts the power of each pulse of laser energy to the patient’s specific skin temperature. The patented technology was designed to improve the precision, consistency, as well as the safety, of the Halo Laser Treatment.

Another unique feature of the Sciton Halo System is called Optimal Navigation, which is a high-speed, motion-sensitive technology that tracks the handpiece movement. This feature helps improve the precision with every treatment specific to the patient’s skin type.

The most exciting benefit of the Halo system is the unique combination of the ablative and non-ablative light energy, reduced downtime, improved patient comfort, and significantly more dramatic rejuvenation in skin tone and texture.

Benefits of Halo

Patients can expect a glow to their complexion and an improvement in texture and firmness of the skin. After the Halo treatment, patients also see the benefits such as a reduction in fine lines, and acne scars, as well as overall sun damage and signs of aging.

Dr. Barone and the evolv professional staff are firm believers in conditioning the skin before laser treatments as results are often related to how well the skin is prepared. Our years of experience at evolv Medical Aesthetics has confirmed that patients who undergo an appropriate and individualized skin pre-treatment program will not only have better outcomes, but also heal more quickly and with more consistency and optimal results.

Who Should I See for the Halo Treatments?

Even with non-surgical treatments, it’s always important that patients do their homework and be careful when choosing aesthetic procedures and particularly the provider or trained professional. Studies have shown that the most important factors in aesthetic results are the training, experience, and qualifications of the provider. While any physician can legally perform a laser treatment or any cosmetic procedure, it must be emphasized that the Halo system is a powerful technology and consequently it is very important to seek out a certified, well-trained professional to avoid complications and maximize results.

Experience the Halo difference at evolv today by scheduling your consultation online or calling our office. We look forward to having you evolv with us to a younger, glowing you with healthy and more youthful skin.

Juvederm Vollure XC & Volbella XC

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