what should I do with all those bruises?

Bruises after cosmetic procedures are very annoying, aren’t they?

It is by far the most common complication associated with procedures such as dermal fillers or botox injections. There are many causes leading to bruising with varying severity and healing time. Studies have indicated that the incidence of bruising can occur between 24% to 68% in patients.

What makes us bruise more: Many prescribed medications, such as aspirin, ibuprofen, naproxen, warfarin, non-Vitamin K-dependent oral anticoagulants (e.g., dabigatran, apixaban, and rivaroxaban), heparin, affect blood clotting and will increase the risk of hemorrhage and bruising. If aspirin is being taken for analgesia, it should be avoided for one week prior to the treatment being performed. Similarly, non-steroidal anti-inflammatory (NSAID) medications, (e.g., ibuprofen, naproxen, diclofenac, celecoxib, and meloxicam) should be avoided for a similar period of time. Corticosteroids will also increase the risk of bruising as they increase the fragility of capillaries within the skin.

Herbal and vitamin supplements: Over the counter herbal and vitamin supplements have been known to increase the length of clotting time leading to a greater risk of bruising after procedures. High-dose Vitamin E, gingko biloba, and St. John’s wort, fish oils, omega-3 fatty acids, and garlic supplements can all lead to longer healing times and more bruising after aesthetic procedures. It is recommended to avoid such supplements for at least two weeks prior to surgical procedures.

 Management: To reduce the risk of unsightly bruising, it is recommended to cool your skin prior to injections. Cold compress and local compressions reduce bruising by inducing vasoconstriction. Another effective method is applying vitamin K8, bromelain or arnica to reduce bruising risk and increase the speed of resolution. Bromelain is an enzyme derived from pineapple that can aid the bodies disposal of metabolic wastes and speed the healing process following injury. It is normally taken at a dose of 200mg to 400mg, three times per day. Patients who develop bruising should be advised to stay out of the sun initially to limit the risk of persistent staining. Any extreme physical exertions or exercise can increase blood pressure and really aggravate potential bruises, so this should be avoided for at least 24 hours after your procedure. Patients should also be advised to avoid extended sun and heat exposure. Finally, if unacceptable bruising does develop, camouflage make-up may be applied.

 

Should I do Lip Augmentation?

It seems like plumping lips is very much in style right now. More and more people come in with a request to plump their lips, young girls want Kaylie Jenner lips: the juicier – the better, 

although “duck lips” or “fish lips” becoming less and less popular. Women (and some man) want NATURAL looking lips or just slight augmentation. A number one request I hear: “I want to plump my lips just please, don’t make them too big.”

It is true that we lose the volume of our lips as we age, so plumping the lips gives us youthful appearance.

Not overdoing it, keeping the right proportion of upper and lower lip and to other features of the face is key.

We got different tools to work with and different techniques.

The variety of fillers – Juvederm (Ultra, Ultra Plus, Volbella), Restylane (Silk, Refine) each material has its own qualities, which provides a unique advantage in lip augmentation. PDO threads (twist, smooth) can elevate the border of the lip. It is quite common to have lip asymmetry, which needs to be corrected.  

Dr. Olga’s recent patient,  before & after pictures

lips augmentation brooklyn

 

 

 

 

 

 

Things to know about Sculptra™ Treatment

Sculptra has been introduced to the market of aesthetic medicine around a decade ago, but I have been cautious to start using it for a number of reasons:

1. It is more expensive (600-1200$$ per treatment) that our conventional fillers like Juvederm, Radiesse, Restylane.
2. Sculpture needs to be reconstituted 24-48 hours prior to injection, so canceling your appointment is not an option.
3.You do need to come at least 3 times 4-8 weeks apart, and results will start to show in a few months after starting the procedure. This is unlike all our other fillers which give instant results
4.After care, (vigorous massage of injection area 5 times a day for 5 days) it is very important for the prevention of complications, like subcutaneous nodules. Knowing myself, I would probably be calling my patients every day reminding them to massage their faces.
5. Sculptra can not be used in areas that require a lot of movement like around the mouth, nasolabial folds, marionette lines or around the eye, tear through area. However,
these are the areas that most people request treatment for. HA Fillers like Juvederm or Restylane are commonly used.
After a decade of practicing Aesthetic Medicine,  reading multiple reviews, and talking my Patients, I have decided to add it to my treatment arsenal, for very specific cases so careful patient selection is the key.

PRP (Platelet Rich Plasma) for Hair Loss?

Platelet Rich Plasma, also known as PRP, is a non-surgical procedure that uses patient’s blood to stimulate his/hers hair growth. PRP is concentrated blood plasma which contains approximately three to five times the number if platelets found in blood. In addition, it contains other bioactive proteins that aid in wound healing and possibly hair growth

PRP for hair loss | Long Island

PRP FOR HAIR LOSS

PRP for hair loss | Brooklyn

PRP BEFORE & AFTER

 

 

 

 

 

 

 

Growth factor in PRP have been used to facilitate surgical or chronic wound healing, different eye conditions, sport related injuries, osteoarthritis. In aesthetic medicine it’s used to improve skin tone and texture, reduce pigmentation and wrinkles. Recent studies have suggested that PRP may also serve as a safe and effective treatment option for male and female pattern hair loss but it’s relatively new procedure with limited number of scientific studies to prove its efficacy and long-term benefits. Platelets are the key to the body’s ability to heal wounds. It is thought that by increasing the platelet count in a wounded area, the body’s healing of that area would be accelerated. It’s effects on promoting hair growth make it useful for the treatment of hair loss.

Is RADIESSE Safe and Effective

BioForm Medical, Inc. announced today that the U.S. Food and Drug Administration’s (FDA) General and Plastic Surgery Devices Advisory Panel has recommended the approval of Radiesse, a next-generation soft tissue augmentation product, for use as a filler material to restore soft tissue facial contours such as nasolabial folds and for use in the correction of lipoatrophy of the face associated with HIV therapy.

The Panel recommended approval of Radiesse with conditions in both indications following the review of data from a premarket approval application (PMA) for Radiesse to be used as an injectable device intended for use in the correction of facial lipoatrophy associated with HIV therapy; and a second PMA for Radiesse to be used as a filler material to correct facial lines and wrinkles such as nasolabial folds. Radiesse is the first filler to obtain concurrent positive recommendations for use in two facial aesthetic applications.

Facial Asymmetry Correction

Facial asymmetry is natural and common, during embryonic development two sides of the body develop independently.

Asymmetrical features like asymmetrical lips, nasolabial folds, eyebrows can be corrected non-surgically with use of Dermal Fillers: Juvederm, Restylane and Botox in Brooklyn and Long Island (North Woodmere)

Asymmetries can be exacerbated by trauma or facial nerve palsy (Bell’s palsy) which is also possible to improve

Naso-labial folds (actual patient of Dr. Olga Zilberstein)

Naso-labial folds filled with Juvederm Voluma (actual patient of Dr. Olga Zilberstein)

 

Non-Surgical Nose Job Brooklyn, Long Island

Non-surgical nose job (non-surgical rhinoplasty) is performed using injectable fillers restore a more symmetric look to your nose. Controlled and precise injections can make the nose look more proportional and stright. The results are instantaneous and there is essentially no recovery, unlike surgery. The most common filler used is Radiesse®, which is made up of calcium hydroxyl appetite crystals that are very similar to the mineral found in the bones of the nose, Juvederm or Restylane – Hyaluronic acid fillers also can be used.

Although it is a welcome alternative to surgery, thNose Correction before and after picturesere are some limitations to what this approach can accomplish.

There are many ways we can reshape the nose with fillers. The most common way injectable fillers can diminish the appearance of bumps on the nose. By injecting the bridge above the bump, it makes it appear straighter. This cannot, however, make a bridge smaller, or create a gently, feminine curve in the bridge that many women desire. While this creates a straighter nose it does not make it smaller. To create a smaller nose and remove the excess bridge a rhinoplasty (nose job) surgery is required.

In other patients who have a flat nasal bridge, fillers injected to create or augment the original bridge. This is a very common request in the Asian and African American population who often have flatter noses. Unlike the situation with nasal humps as described above, this treatment can give results similar to rhinoplasty surgery, because the surgery uses either your own cartilage or a permanent implant to build the bridge instead of a temporary injection. The difference between surgery and the non-surgical approach is simply that surgery gives a permanent result that does not require repeat treatments.

The nose can be further reshaped by filling dents, hollows or indentations.

In those who have had a prior rhinoplasty surgery and have irregularities, using a filler can be a welcome alternative to undergoing a more complex revision rhinoplasty surgery. This is especially true if the imperfections after surgery are minor (like small depressions in areas around the tip and bridge) and small refinements are only necessary.

Many patients want the droopiness of their nasal tip to be lifted with injections. A droopy tip of the nose can be cause by an overactive muscle that pulls down the nasal tip called the depressor septi muscle, especially when smiling. Botulinum toxin can be injected in between the nostril on the undersurface of the nose to release this muscle and create a more upturned nose. This will usually last 3 to 5 months at a time. Fillers can be further added where the nose meets the lip to support the tip at its base. Using both of these techniques together gives the best results, but the reality is that it lifts the tip by 2 to 3 mm in the best cases which is not very much. Because of this, the non-surgical approach is best reserved for patients who only require a small amount of lifting of the tip. Those with heavy or droopier tips will usually not see a significant difference to make it worth the expense, so rhinoplasty (nose job) surgery is a better option here.

Non Surgical Nose Correction, May 2017, Long Island

Nose Correction Brooklyn, Medical Spa, Dr. Olga Zilberstein, May 2017

 

 

 

 

 

 

Benefits of Botox Treatments

Botox is one of the most popular, quickest, easiest, and safest medical cosmetic procedures in the United States. If you are looking for the best Botox procedure in Brooklyn or Long Island, look no further than our clinic. Botox offers a big improvement on lines and wrinkles in the facial area, and may also help in relieving excessive sweating, or correct face asymmetries. If you are curious as to why you should invest in the Botox procedure, consult this article. We will tell you about the massive improvements that Botox treatment may offer you:

Look YoungerBotox

Botox has been used for quite some time now to help clients appear years younger. You can see results in just one treatment. By reducing lines and wrinkles in the face, you will dramatically reduce the look of your age. Make an appointment with our clinic today! In just one short appointment, you can learn more about how Botox treatments can reduce the appearance of your age, help you to look younger, and find out about our procedures. While Botox may not be the cheapest medical procedure you invest in, it is one of the most effective, with one of the quickest results. Let us tell you more about our simple, safe procedure today.

Feel More Confident medical-spa-new-york

Not only will you feel younger, but your improved overall appearance will certainly boost your confidence. Have the face you once used to, again, or get the appearance you have always wanted. Undergoing a medical spa treatment is a great way to boost your self-image. You may want to consider getting a medical spa treatment in advance of an interview, date, or other high-pressure situation to make you look better, and feel that you have the confidence to overcome any challenges you may face. Majority of our clients return to Dr. Olga Medical Spa after the first procedure because they love not only how the procedure makes them look, after, but also with how their improved appearance makes them feel. We are here to talk with you and help, anytime. Give us a call.

Choosing the Right Botox Brooklyn Aesthetics Expert

Botox is being used the world over to reduce wrinkles and lines. This FDA approved treatment is not only reversible and customizable but it requires a very little time to recover. Further, you won’t need anesthesia. These are some of the reasons why this treatment is becoming popular across countries. While plastic surgery continues to be expensive, non-surgical treatments are much cheaper for great results

About the treatment

Normally one Medical Spa in New York session takes only ten minutes. Your doctor will inject the material in the area and you will see an improvement after a few days. Currently, this treatment is approved by the FDA for people between the ages of 18 and 65. There are hardly any side effects. Some patients may have a slight feeling of nausea, swelling, tenderness, inflammation or redness. However, if you suffer from Lambert-Eaton syndrome or any other disorders relating to the neuromuscular system then you may have more side effects. It’s best to check with the doctor as he or she will be able to give you a detailed overview.

About the doctor

Choosing the right Doctor is one of the most important and serious decisions you can make to ensure that you receive the expected results. Keep in mind that the level of aesthetics procedures that will be performed on your skin will depend on how qualified or experienced your doctor is. It is important that you take your time to look for the right certified physician who will perform high quality and safe aesthetics procedures that will allow you to witness your results quickly. Look for a trained and highly experienced physician who has a good track record of successful treatments. They should be abreast of the latest advancements in this field. Meet with your doctor to identify the procedures they use. This will also give you an opportunity to ask questions.

What You Want To Know About With Botox Long Island and Botox Brooklyn Doctor Practices

When it comes to Botox, you need to know that who you are trusting to do the Botox injections is experienced in doing the injections. When you contact our Brooklyn or Long Island offices, you want to ask a series of questions that pertains to receiving the Botox injections.

First off, you will want to know if the needles that they use for the injections are disposable. You will want to make sure that they are to ensure that you will not get any bacteria or infection from the site of the injection. This is important to your health as well as the health to others.

Next you will want to make sure that when they offer the Botox injections that the doctor is used to the areas that you might need work on. For most people, they will choose to have the Botox injected into their facial muscles like around the eye brows, the crow’s feet area and as well as around the mouth. These are the areas that will show the age of your body and therefore are the areas that people want to have worked on. With more and more models and actresses having Botox, it makes people who would have never considered it wanting to give it a try.

Botox injections will help you to hide your age and therefore is a good idea for people who simply want to look ten years younger. You might not look ten years younger right off the bat but when given a few injections, the years will start to come off. You might not see a drastic change to your facial appearance for a couple of months but when you start to see the difference, call and schedule another dose of Botox. The Botox Long Island doctors typically want to have a rest period in between the doses so that your body will become used to the Botox rather than simply reacting negatively to the injection.