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Archive for January, 2006

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Dear Dr. Seckel, What is the difference between facial rejuvenation and a face-lift? I am 50 and in great shape. But when I look in the mirror I see some sagging skin under my chin and dark circles and some puffiness under my eyes. I also have some brown spots on my cheeks and some wrinkles especially around my eyes. I want to look better but am not sure what I need. I always thought I would have a face-lift when the time came, but there are so many options advertised it is confusing. Thanks, Denise, Boston, MA

Monday, January 30th, 2006

Dear Denise,
To rejuvenate means to make young or youthful again or restore to an original state. Facial rejuvenation or skin rejuvenation requires that the face or skin be restored to a young, youthful, or original state.
To understand facial or skin rejuvenation you must understand what facial aging changes have occurred on the facial skin and [...]

PLEASE HELP!! Drooping Eyes 40 year old – after Blepharoplasty. My boyfriend just had upper & lower eyelid (BLEPHAROPLASTY) surgery 11/30/05. Since the surgery both of his lower eyelids are pulled away from his eyes and after doing a lot of searching on the Internet, it appears that he now has ECOTROPION. He still has a lot of tearing plus irritation but we are assuming this could be because it hasn’t been but 10 days. He has an appointment with the doctor who performed the surgery this coming Monday. The doctor is telling him that he doesn’t want Mike walking around for another week or two with his eyes in the conditions they are in. Would you suggest the surgery be performed so soon? I have contacted a plastic surgeon in Oklahoma City, who has been highly recommended by many people… and when I contacted this surgeon, I was told that Mike should not even consider any additional surgeries for 3 to 6 months so that his eyes will have plenty of time to heal. Am just looking for someone else who has had this type of complication after the BLEPHAROPLASTY SURGERY. Also, for the upper eyelids, the line where the stitches were is very rough – not the least bit smooth. Should it be smooth by now or in your opinion, will it finally smooth out within time? Thank you so much in advance for any thoughts or words of advice!!

Monday, January 30th, 2006

Dear Please Help!
From your description your diagnosis of ectropion is very likely correct. Other terms used to describe this problem are scleral show, sad eyed look, and hound dog eyes. You have taken the most important step by contacting a plastic surgeon who has a good reputation. His advice sounds appropriate. When you see the [...]

Dear Dr. Seckel, I am planning to have a face lift but have heard about Thermage. I asked my plastic surgeon but he does not do Thermage. My main problem I want to correct is that my neck sags like a turkey neck and I have bad jowls. Will Thermage help me? Thanks, Wanda, Boston, MA.

Sunday, January 29th, 2006

Dear Wanda,
I cannot give you a recommendation without examining you. If your plastic surgeon is a board certified plastic surgeon and you trust him/her then you should follow his/her advice.
The non-surgical facial rejuvenation skin tightening machine called Thermage® and the other new skin tightening technologies Titan®, LuxIR, Refirme and the Aluma® FACES®, can tighten skin [...]

Dear Dr. Seckel, I am 45 years old and have fair skin. I really don’t look my age, but I am starting to see wrinkles and loose skin that I don’t like. I don’t want a face-lift. There are so many skin rejuvenation options advertised that it is very confusing. What are the best non-surgical facial rejuvenation options for wrinkle removal and tightening the skin on my face? Thanks, Molly, Boston,MA.

Sunday, January 29th, 2006

Dear Molly,
Fortunately there are many exciting new methods available today for non-surgical facial skin rejuvenation that do not require a face lift. While a face lift, called a rhytidectomy in medical terms, is still the “gold standard” and a face lift will give a very beautifully rejuvenated facial result, newer high tech non-surgical facial rejuvenation [...]

Dear Dr. Seckel, I am scheduled to have a blepharoplasty to correct the dark circles and bags under my eyes. I asked my doctor about the laser blepharoplasty and he does not do the laser blepharoplasty. He says he doesn’t see any advantage, but he does not have a laser. What should I do? Thank you, Michelle, Boston,MA.

Sunday, January 29th, 2006

Dear Michelle,
As I say repeatedly in all my writings the MOST IMPORTANT thing for any patient considering eyelid rejuvenation surgery for removal of eye bags and dark circles under the eyes is to find a board certified plastic surgeon they trust, feel comfortable with, who has a good reputation, is very experienced in eyelid surgery [...]

Dear Dr. Seckel, I am considering a skin tightening procedure. I have read your articles about Titan skin tightening. How painful is the procedure? How soon do you see a result? Is there any new skin tightening method on the horizon? Thank you, Phil, Boston, MA.

Sunday, January 29th, 2006

Dear Phil,
The non-surgical facial rejuvenation procedure called skin tightening with the Titan® machine does produce discomfort; the machine produces a stinging heat sensation. While the pain is certainly tolerable, I prefer to apply a topical anesthetic cream on my patients because the procedure can take an hour or more and after time and many pulses [...]

Dear Dr. Seckel, I had a blepharoplasty operation done about a year ago. I still have dark circles under my eyes. My doctor wants to inject filler called Restylane into the dark circles. Is that safe? I thought the blepharoplasty would take care of the dark circles but I guess I was wrong. Judith, Boston, MA.

Saturday, January 28th, 2006

Dear Judith,
I do not recommend the injection of Restylane®, Hylaform®, Sculptra®, Radiesse, or any other artificial filler into the dark circles under the eyes at this time. This eyelid rejuvenation technique is new and studies of its safety and effectiveness are not available. I worry about damage to the eye by the injection, especially if [...]

Dear Dr. Seckel, I live in Boston and have seen several doctors about the loose skin on my neck. I have received different opinions about what to do. One doctor wants to do a face-lift. Another suggested I try Thermage. I have also read about the thread lift and lifestyle lift. I am 45 years old have good skin but am concerned that my neck and jaw line are starting to sag. Can you help me understand the difference between these procedures? Thanks, Meg, Boston, MA.

Friday, January 27th, 2006

Dear Meg,
It is impossible for me to make a personal recommendation for you without examining you in person. It is very important that you seek consultation with an experienced board certified surgeon who can offer you all the options and choose the one that is best for your face. Avoid having someone “fit your face” [...]

Dear Dr. Seckel, I am 40 years old and am beginning to see some loose skin on my neck and a little bit of looseness on my jaw. My skin is good, I don’t have many wrinkles. I really don’t want a face lift. I have read that there are laser face lifts called non-surgical face lifts. Do these work well on the neck? Am I too young to have a face lift? Thanks, Claire, St Louis, MO.

Friday, January 27th, 2006

Dear Claire,
The early skin aging changes you see on your neck are very common and are often the first sign of facial aging that prompts people to consider some type of facial rejuvenation. Fortunately for you, you just have early skin laxity and don’t have many wrinkles, thus non-surgical facial skin rejuvenation will be more [...]

Dear Dr Seckel, My doctor has recommended that I have Thermage to tighten my neck. I have also heard of Titan and something called Faces. What do you recommend? Thank you, Myra, New York, NY.

Thursday, January 26th, 2006

FACES®……appears to be a significant new development in the treatment of facial aging.