Tuesday, August 7, 2018

Best Body Sculpting: EMSCULPT with Dr. Gupta in Cincinnati

The First and Only Medical Device that Builds Muscle and Burns Fat

Dr. Shalini Gupta of the Dermatology, Laser & Vein Center is proud to introduce the first device of its kind known as Emsculpt.  Emsculpt was developed by the innovative aesthetics company BTL aesthetics.  Emsculpt utilizes the power of 2.5 Tesla magnets to stimulate and contract target muscles.  With a unique profile of multiple successive contractions, Emsculpt is able to achieve multiple supramaximal contractions of the muscle in a single treatment cycle.  Unlike flexbelts and other tens units, Emsculpt delivers the equivalent of 20,000 crunches or situps to the abdominal area.  The procedure paddles can also be applied to the buttocks for a nonsurgical buttock lift.  The arms and thighs can also be treated for better definition, permanent fat removal and better tone.  

Emsculpt has wide reaching interest across several categories of patients.  Body sculpting, fitness and athletic oriented men and women can gain further benefits to their hard work by gaining superior muscle definition and fat loss of the last few stubborn areas.  Those who already have a six-pack see even more dramatic definition and toning.  Some men also develop diastasis recti which is a separation of the abdominus recti muscle and presents as a pooch of the muscle that is difficult to reduce.  Emsculpt is proven via image studies, biopsies and clinical investigations to significantly hypertrophy the muscle and effectively reduce the abdominus recti diastasis. 

Women are especially prone to diastasis recti after pregnancy, especially after multiple pregnancies.  Emsculpt is proven to reduce diastasis recti, a feat previously achievable only by dedicated physical therapy or by an invasive abdominoplasty surgery (tummy tuck).  

Anyone who is struggling with loosing abdominal fat or wishes to firm and tighten sagging buttocks can be evaluated to see if they would be a good candidate and what type of results might be possible.  In some cases, it might be advisable and possible to combine Emsculpt with other weight reduction methods or procedures such as Vaser liposuction, Coolsculpting, Vanquish ME, and Sculpsure.  

Patients who are unable to exercise due to back problems, knee, hip problems or any other debility or disability can benefit Emsculpt being able to strengthen their core, increase energy level and improve their overall fitness and metabolism status.  This would also include the elderly who are unable to exercise and don’t have the core strength to be able to effectively exercise.

It is amazing to note that the fat loss after the procedure is close to 25% and continues to improve for up to 6 months after completion of the treatment cycles.  Muscle hypertrophy of 19% is maintained during this time period.  Treatments are recommended twice a week for two weeks.  Another successful protocol is one treatment weekly for five weeks.  Each treatment lasts 30 minutes and feels like muscle contractions.  The procedure is not painful at all.  Patients report feeling a good muscle soreness as if they have done 20,000 crunches afterwards.  Maintenance treatments may be required with time if one is not able to maintain the results with regular work outs.  Repeat treatments might be suggested at 6-12 month intervals.  

Contraindications to receiving Emsculpt treatments include pregnancy, excess fat over the treatment site, metal implant over the treatment area, pacemaker or defibrillator.  

For more information about Emsculpt you can visit www.cincinnatiskinandlaser.com/emsculpt. 


#Emsculpt is here in Cincinnati! Non surgical Booty lift!

Tuesday, December 12, 2017

Dermal Fillers: Juvederm, Restylane, Radiesse, Bellafill, Sculptra, etc.

So why are dermal fillers so popular and why do we need/want them?

The reason we use dermal fillers is because as we age, we naturally loose some of our youthful features including fat pockets which either shrink or shift and hence we loose that soft cushioning under our skin which reflects light in a positive manner off our face to give us a healthy glow.  Of course the collagen and elastin fibers also reduce with age, causing us to loose that lush, soft hydrated glow. There is also structural bone loss that occurs and contributes to undereye and cheek hollowing.  Fillers can help correct these problems.

The common areas for volume loss include the temples, lateral cheeks, central cheek, undereyes, chin and the lips.  Many patients come to the office with concerns of the nasolabial folds or laugh lines looking deepened and while we may at times inject fillers directly into those lines, a more natural appearing approach is to lift the skin upwards by restoring volume in the midface, lateral cheeks and temples.  Adding volume along the jawline also gives amazing and beautiful results as does adding volume to the chin area to soften the jowls.  

When a patient presents with more significant volume loss, it's a great idea to build up collagen using Sculptra and Bellafill, both of which give a more long lasting improvement and stimulate your own skin to make new collagen.  Bellafill is also FDA approved for acne scars and performs very well.  Both Sculptra and Bellafill lay down a matrix upon which we can build with other fillers if needed.  It does often take a combination of fillers to achieve the best results.  The fillers don't have to be injected all at once either.  We can space the treatments out a bit and approach the volume loss stepwise.

The most popular injectables for patients of all ages are the hyaluronic acid fillers such as Voluma, Juvederm and Restylane of which there are several varieties.  Some are more hydrophilic, meaning they attract more water and others are a bit thicker and stickier for areas such as the cheeks.  We also like to use Radiesse which is a calcium based white product that also helps to stimulate your own collagen growth.  The hyaluronic acid fillers provide excellent volume but do not stimulate your own collagen.  Even though fillers do gradually diminish over time, they don't completely go away all the way and subsequent treatments build nicely upon the prior treatments.  

Perhaps the most important aspect of getting filler injections is making sure you have an awesome injector with a good eye because the product placement and end result should look natural without looking overfilled or puffy.  the lips, eyes, cheeks, temples are all areas I love to inject in.

Also, the hands are nicely rejuvenated using Radiesse filler to plump between harsh appearing tendons and puffy veins.  

There are some other great uses for fillers, such as Sculptra for cellulite and for lifting the buttock area and for improving lines in the decolletage.  

I hope some of this has been helpful to you.  Of course we welcome you to come in for a consultation and we'll devise a customized plan just for you.

Please also visit our website at www.cincinnatiskinandlaser.com for more information.  We are passionate about your skin and restoring your youth! 

Thursday, November 30, 2017

Kybella for Jowls, Bra Fat and Lower Buttock Banana Rolls

Kybella is an excellent option not only for chin fat reduction but also for the puppy jowls, bra fat and the annoying lower buttock "banana roll".  Kybella permanently disrupts fat cells in the treatment area and can have very satisfying and long lasting results.  The skin also tends to contract nicely as the fat dissipates within 6-8 weeks. The number of treatments required is generally two, but some patients may require fewer or greater treatments depending on how much fat is in the area.   Kybella was originally designed for treatment in the chin area, but is now being successfully applied to areas such as those puppy jowls, the annoying bra fat that bulges out under your arms and the little banana roll that doesn't look pleasing in tight jeans or tights.  If any of these areas are of concern for you, you can consider Kybella treatments to treat yourself to a more confident you.  Kybella treatments are quick and easy.  There may be some swelling and tenderness to the areas for up to 4-5 days.  Bruising is rare.  The procedure is entirely non-invasive and has become a popular choice with both men and women to remedy the double chin, jowls, bra fat and lower buttock banana rolls.

Wednesday, November 29, 2017

Coolsculpting, Vanquish and Sculpsure

Coolsculpting was developed by the laser guru physicians of the Massachusetts General Hospital at Harvard Medical School based on the observation that cold popsicles caused cheek fat loss in children.  We have learned now that fat cells are sensitive to extreme temperatures, whether cold or heat.  At our office we have all spectrum of treatments from freezing fat cells with Coolsculpting to Vanquish radiofrequency treatments that cover large areas to Sculpsure laser treatments with precise targeting of the fat cells.  When you come for your consultation, we are not limited by whichever shiny machine we have available, but rather by what we feel will give you the transformation you are looking for.

The advantages of Coolsculpting, Vanquish and Sculpsure include no recovery time and no garments to wear like with liposuction.  If this approach seems appealing and you are ready to transform your body, you need to be ready by understanding how these procedure will work to give you the body you want.  It is important to know that Coolsculpting, Vanquish, Sculpsure and Liposuction are not a weight loss procedures.  Rather, they will give you a more beautiful silhouette and shape by eliminating unsightly bulges.  You will also likely need two or three treatments to the targeted areas and multiple applicators to get not just bulge reduction, but a pleasing silhouette.  If you want to achieve poster perfect results, it will take a little time and financial commitment, but it is entirely achievable and gratifying.  Learn more at: https://goo.gl/ncpEkB

No Tox

No-Tox refers to a toxin free Botox treatment for those weary of having botulinum toxin injected into their skin or muscle. But does a product like this actually exist? Not a product, but there is a procedure available and several topical creams or serums that claim to gain a space in the ever popular space of diminishing frown lines!

First, a little about Botox (and why there is very little reason to fear it). Botulinum toxin has been in use for around 30 years now for cosmetic improvements with an excellent safety profile.  Even though it is true that Botox is made of bolutinum toxin, the amount of toxin is very small.  Even if the entire dose of Botox were to accidentally be injected into a blood vessel, it would be easily diluted and not cause any dangerous symptoms.  Local spread of the botulinum toxin into neighboring muscles can occur occasionally.  The most disturbing for facial aesthetic treatments are a temporary eyelid ptosis (eyelid droop) if botox spreads into the eyelid muscles or an asymmetric smile if botox diffuses incorrectly during a depressor angularis oris treatment to soften the downward lip movement that shows sadness.  But even the most feared symptoms dissipate quickly as Botox is not permanent and breaks down over just 3 months.  There are currently three brand names of Neurotoxins:  Botox Cosmetic, Dysport and Xeomin.  In our practice, we use Dysport and Botox Cosmetic primarily as they give good long lasting improvements.  We also keep Xeomin for patients who may be allergic to egg products.  

Several topical preparations have been made but they are not strong enough to give the same effect as Botox that is injected specifically and directly into the muscle of concern.  Some of them have shown to be mildly effective and may prolong the effect of Botox injections.

No-Tox can also refer to injections of dermal fillers instead of Botox to soften wrinkles.  This can work well but the dermal filler may wear off quicker than normal if the creasing the lines continues as it will break down the filler.  In a small number of cases, fillers can also move slightly away from the line or wrinkle itself with movement of the line.  I recommend using fillers in conjunction with Botox for best results if the lines are very deep.

There are two procedures which are fairly similar referred to as No-Tox as well.  They are known as GFX treatment (Glabellar Frown Treatment) and ThermiRase.  These treatments utilize a small radiofrequency probe directed at the nerve fibers which innervate the glabellar complex of muscles as they arise from the temples.  Both procedures work beautifully for the frown lines in between the brows for an immediate and long lasting to potentially permanent improvement of the frown lines.  If 2 cm of the nerve is treated, generally the treatment can be expected to be permanent.  We have successfully helped many of our patients to never require Botox in their frown lines again.  However, the shortcoming here is that this procedure really only works on the frown lines between the brows sometimes referred to as the 11's.  GFX and ThermiRase are not recommended for forehead lines or crow's feet.  One other interested application however is for neck bands, though clear protocols have not yet been established for this area.  

So, as a patient, you definitely have some options for how you choose to get rid of frown lines that make you look angry, depressed or anxious.  You will feel naturally happier too as there is evidence that relaxing these muscles actually does improve mood and depression.  For headache and migraine sufferers, this can be nothing short of a miracle too.  

ThermiRase before and after photos.

Friday, November 10, 2017

Botox for scars, pucker lines, sweat and acne?

Did you know there's yet another interesting use for Botox?  Studies have shown that if Botox is injected around a fresh sutured incision, that the incision heals with significantly less scarring?  It is believed this is because the Botox eliminates tension and disruptions to the healing wound which allows it to heal more smoothly.  The scars are visibly less apparent when treated with Botox!

Botox is also great for pucker lines around the mouth.  It does prevent a strong pucker, but in turns helps the lines smooth out.  Also, if placed correctly, can give a nice little flip upwards of the lip which gives the appearance of a fuller lip without a dermal filler.

Botox is awesome for hyperhidrosis or excessive sweating.  When placed superficially under the skin it blocks the sweat glands and hence, no more sweating.  The most common areas treated are underarms, hands and forehead or scalp.  Some patients are even requesting a "blowtox" as it allows patients not to sweat from their scalp after a workout and saves a hairwash afterwards!  A single treatment can last from 3 months to a year, partly dependent on the number of units of Botox used.  A few of our patients have noticed marked reduction in sweating longterm after several treatments and now require very few visits if any.  We do also offer ThermiDry which is a one or two time procedure which also dramatically reduces the sweat glands and odor longterm.

Finally, Botox can be useful in Acne.  In dilute amounts, it can be carefully injected in the more acne prone areas to reduce sebum production and helps the skin heal with significantly less scarring.  The skin of course also appears more healthy, smooth and glowing wherever the Botox is injected.

www.cincinnatiskinandlaser.comPlease call us at 513-985-9885 with any questions or visit our website at www.cincinnatiskinandlaser.com.