I figured that that headline would get your attention. While it is hard to call being poked and prodded by dozens of needles and chemicals and sound rays “noninvasive”, the term distinguishes a generation of new procedures from the old standbys that require incisions, cause bleeding and usually require some sort of intravenous sedation or general anesthesia. Truly noninvasive procedures don’t really exist. But hold onto your seats, because we really are entering a generation of much less invasive facial rejuvenative procedures...
Here’s what I do. First, I inject Botox to lessen the vertical wrinkles between the brows, the horizontal wrinkles of the forehead, and the crow’s feet. Then, I numb up the midface (like a dentist does) and inject Radiesse to fill the depths of the nasolabial fold, the marionette lines, and the depression between the chin and the jowl. Then I use Restylane or the new Belotero to fill in those fine wrinkles around the lips and chin. Then, I outline the borders of the lips to restore the “white roll” that disappeared a few years ago. Then I inject some material to build up those philtral columns between the lips and the nose. Finally, I do a light peel with trichloroacetic acid (TCA). This peel will help decrease the brown splotchy pigmentation of the skin and it can also help some of the very early wrinkles. Then, you’ll go home and you won’t answer the doorbell. If you have these procedures on a Thursday, you can probably (notice the word “probably”) go back to work on Monday. This combination of procedures takes about an hour. In the second version of the midlife beauty restoration session, I supercharge the rejuvenation by performing all those procedures along with the new Ulthera procedure.
Ulthera is a brand new technology. It uses high frequency ultrasound to zap the skin, fat, and underlying tissues. By focusing the ultrasound energy under the skin the energy can be directed precisely where I want it. Ulthera can lift brows, cheeks, jowls, and necks. It can smooth the skin of the neck, cheeks and around the eyes. It can even reduce the fat of the neck. And all this without an incision or losing a drop of blood. Sound too good to be true? Those of you who know me or read my books know that I am a skeptic. But this technology shows so much promise that I am have become an early adopter. The Ulthera procedure adds 30-60 minutes to your procedure. Your recovery will not be lengthened, however.
The latest information about Ulthera is that it can effectively tighten loose upper arm skin. For those of you who do not want a scar from your armpit to your elbow (brachioplasty surgery), this provides a nonsurgical alternative. A publication showed that the procedure improves the appearance about 50%. That may not be good enough for some people, but many of you might consider this to be a breakthrough, allowing you to wear sleeveless clothes again.
Before these procedures, I require you to visit your board certified internist for a complete medical exam. If you are over 60, that will include a stress test. If you are from outside of the New York/New Jersey area, it is a good idea to stay in the area for about 6 days following the procedure. Of course, before the procedure, I’ll need to see you for a consult, and we’ll take photographs and compare them to your “after” photographs with my Mirror Image computer gizmo.