Palm Beach Illustrated July August 2009

Page 45

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Aging Gracefully Without Surgery

Dr. Layne D. Nisenbaum

“The desired result is to make patients look better, more restored and youthful, not different.”

Firming, filling and tightening are the mainstay of rejuvenation and restoration of the skin. As we age, our skin loses its collagen and elasticity. Genetics play a role but prior exposure to the sun eventually takes its toll on the surface and deeper tissues. Fortunately, laser, light and injectable products can help restore years of damage from “fun in the sun.” Light-based treatments, such as photo rejuvenation, intense pulse light and radiofrequency devices, have been shown–when properly administered–to reduce pigmentation, increase tone and tighten the face, neck, chest, abdomen and extremities. IPL (photo rejuvenation), Thermage® (radiofrequency) and Fractional Resurfacing do work! Treatments must be customized to the patient’s skin type to determine the proper settings and treatment protocol. Patients do not have to experience pain, discomfort or significant downtime to get visible results. Combined modality treatments are often recommended after a customized assessment is made, ussually during the initial cosmetic consultation. Injections using fillers, volumizers and muscle relaxers help to restore volume that is lost due to age. The skin appears smoother, plumper and less lined. There are many injectable substances to work with these days, each with unique properties that can be mixed and matched to the patient’s problem areas. Restylane®, Perlane®, Juvéderm® Ultra and Ultra Plus, ArteFill and Sculptra™ are just some of the safest and most natural appearing fillers. BOTOX® and the newest FDA approved Dysport® are indicated for “frown lines.” The best use of the above listed procedures is where science and art come together. The desired result is to make patients look better, more restored and youthful, not different. Body treatments have come a long way from the invasive procedures of days past. With the advent of SmartLipo™, neck, abdomen, thigh and back fat can be melted and tightened simultaneously. Loose skin under the arms (bat wings) responds incredibly well with the smallest incisions. Ninety percent of the smart-lipo procedure is really laser. It is this component of the treatment that contracts the collagen causing skin tightening. For those patients with cellulite and in need of body toning, LPG’s newest Endermologie® lipo-massage is ideal. Customized skin care regimens and products complete the process with at-home instructions individualized to each patient’s unique needs. Remember, your lifestyle and budget are always paramount. A treatment regimen does not have to be all or none. It is always about you and your goals and realistic expectations.

Layne D. Nisenbaum, D.O., F.A.O.C.D. Board Certified Dermatologist Island Dermatology Laser & Anti-Aging Institute 50 Cocoanut Row, Suite 120 Palm Beach, FL 33480 561-832-1950 islanddermatology.com


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