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.

Who Can Benefit from Platelet Rich Plasma?

The results of taking care of your skin from early age can be astonishing. Anybody can look 10-15 years younger if they are following simple rules (if they follow these simple rules)

1. The main idea is to protect your skin from the sun, which destroys collagen, and causes early wrinkles and premature aging.

2. Quit smoking. Smoking chronically deprives the skin of oxygen and essential nutrients. Smoker’s skin appears pale, while others develop uneven coloring (and can develop uneven coloring ). Free radicals from smoking cause collagen and elastin destruction.

3. Using moisturizes, antioxydants, retinol stimulates collagen, which promotes healthy and hydrated skin.

4. Consuming healthy diet rich in fruits and vegetables, which contain vitamin C, is very important since we need vitamin C for collagen production.

5. Maintaining healthy weight, yo-yo dieting or loosing and gaining weight will loosen your skin and create wrinkles.

After following all these rules you might expect to look 21 forever. Unfortunately, the natural aging process will take a toll on everyone, especially when you are approaching menopause or going through menopause. With loss of estrogen, skin can become dry and saggy.

 Advanced way to preserve your youthful appearance is using PRP and micro-needling.

PRP is you own growth factors, delivered from your own blood, injected to your skin or delivered through micro-needling, will stimulate cells growth, promote repair, in case of acne scars, stimulate collagen, creating thicker skin with less wrinkles, improve hyper pigmentation. 

PRP is derived from your own growth factors, taken from your own blood, and injected into your skin through the micro-needling technique. It will stimulate cell growth and promote repair. In the case of acne scars it will stimulate collagen, creating thicker skin with less wrinkles and improve hyper pigmentation. 

And because it is your own blood from which PRP is derived, there is virtually no risk of allergic reactions.

PRP Brooklyn, Long Island

Bar Rafaeli and Kim Kardashian undergoing micro-needling with PRP

Micro-needling is a minimally invasive procedure, which involves a series of tiny needles which are passed over the skin, creating micro-injuries which trigger new collagen and elastin synthesis as the skin begins to naturally repair itself. These micro-injuries also create channels that allow various substances – serums, hyaluronic acid, vitamins or your own plasma – to penetrate deeper into the skin.

We expect to have minimal downtime: sunburn like redness next day after procedure, with improving tone and texture of skin within a few days, glowing, improved pigmentation. It is an excellent procedure to be done few days before the event to achieve a healthy glow.

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

 

 

 

 

 

 

High Frequency Cavitation Ultrasound, Brooklyn, Long Island

High Frequency Cavitation Ultrasound is a painless alternative to Liposuction but without down time, pain and recovery, it has been used by tens of thousands of people from around the world for several years and has a long proven track record of success and safety.

The science behind High Frequency Cavitation Ultrasound is simple, the high frequency ultrasound wave stimulates and vibrates the fat cell at such a high rate causing tiny air molecules to form that are negative in pressure. These tiny air “bubbles” want to force their way out of the cell, and by doing so burst the fat cell destroying them forever. That same ultrasound wave passing through the surface skin is like someone slapping your skin 25,000 times per second this causes a firming and tightening of the skin.

The entire High Frequency Cavitation Ultrasound system does remarkable things from destroying fat cells and cellulite to skin tightening and the improvement of lymphatic drainage. All this with the end result of improving the bodies overall look and appearance and it’s ability to process waste and toxins allowing for easier weight loss and the ability to maintain a healthier lifestyle.

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.