MAY

26

Scar revision

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A scar is a normal response to injury of any kind, including surgery. This is the body trying to protect itself from exposure to external environment or repair itself following trauma. Many factors influence how a scar forms or how much scar tissue is formed. These factors are influenced by wound size, depth, and location, the person’s age, skin characteristics (such as color of skin). Unfortunately, not all of these factors are completely understood and even their associations, mentioned above, may not even be factors at all! Scar revision is performed when scars are unsightly, or influence function of a body part, or cause pain and discomfort. Depending on the extent of the revision, the procedure may be performed under local, sedation, or general anesthesia. Sometimes, surgery may not even be necessary. Steroid injections can improve the appearance of a scar or even function of a body part from the scar. When to have scar revision done is not always clear. Scars do tend to contract (shrink) with time and thus revision may not be necessary. When to perform a revision depends on the location, size, the amount of time from the injury, or the emotional impact of the scar. Generally, the minimum time is approximately 2-3 months, though it is not uncommon to wait even longer, sometimes one year after the injury.

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MAY

26

Face lift

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Facelift (rhytidectomy) is a cosmetic surgery procedure designed to help men and women achieve a more rejuvenated facial appearance. As we age, our skin loses its elasticity and begins to sag. This process can leave your face looking tired and worn, with deep wrinkles, hollow cheeks, jowls and loose skin in the lower face and neck. Facelift can address all of these issues and help you look appear younger and more rejuvenated. Variations of facelifts are available that differ in their degree of invasiveness. The most commonly preformed lifts include the superficial musculoaponeurotic system (SMAS) lift and the deep plane facelift, while less invasive surgeries include the short scar facelift and endoscopic facelift.

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MAY

26

Botulinum Toxin (Botox)

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Facial fillers and injectables are used to reduce the many signs of the aging face, or correct minor deformities. Botox (cosmetic) is usually used for elimination of wrinkles of the forehead, glabella (between eyebrows), “crows feet”(sides of eyes), under the eyes, and around the mouth. Botox has been found to have many other uses, but here we will discuss only its aesthetic uses. These procedures are temporary and require repeated uses for maintenance. It is important to note that injectable fillers, and Botox, is not meant to repair but temporarily improve. There are many different types. Even permanent ones, but one must be very cautious when using anything permanent as there is a risk of permanent deformity and infection.

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