What Causes Marionette Lines and How to Get Rid of Them

Marionette lines, which are grooves or furrows that run from the corners of the mouth to the jawline, can give someone a naturally angry or sad appearance, even when their face is at rest. Without the proper treatment, marionette lines continue to deepen and worsen over time.

Fortunately, Dr. Samuel Pearl and Dr. Alexander Ereso can treat marionette lines using non-invasive, non-surgical methods. Patients that are interested in softening these lines and attaining a more cheerful expression should read on as the plastic surgeons discuss the causes and treatments of marionette lines. Continue reading “What Causes Marionette Lines and How to Get Rid of Them”

How to Make Your Botox/Filler Results Last Longer

Botox and fillers are fantastic products that turn back the clock on facial aging. One of the only drawbacks of these injectables is that the results don’t last permanently. To maintain smooth, youthful looking skin with Botox or fillers, regular treatments are required.

However, there are steps you can take to prolong the results of treatment with injectables. Dr. Samuel Pearl and Dr. Alexander Ereso share their best tips below.

Protect Your Face from the Sun

Too much exposure to the sun’s UV rays can reverse the effects of Botox and filler treatment and cause you to look older than you really are. Our plastic surgeons advise you to be diligent about protecting your skin from the sun, especially right after treatment. Wear broad-spectrum sunscreen with a Sun Protection Factor (SPF) of at least 30 whenever you go outdoors, and reapply frequently. For added protection, wear a wide-brimmed hat, too. If possible, avoid the peak sun hours between 10 a.m. to 2 p.m.

Follow a Healthy Diet

Eating a nutritious and balanced diet is crucial to the health and appearance of your skin. Make sure you’re eating plenty of fruits and vegetables and sources of lean protein. Stay away from processed or sugary foods, which can increase inflammation to the detriment of your skin.

Repeat Treatment Regularly

Some research indicates that getting on a regular schedule of Botox treatments may eventually extend the results. What happens is that over time, regularly scheduled injections “train” the facial muscles to contract less, resulting in fewer dynamic wrinkles. Eventually, patients can go longer in between appointments.

The key is to work with your injector to find the right frequency of treatments to train the muscles without causing them to become resistant to Botox.

Fine-Tune Your Skin Care Routine

Pharmaceutical-grade skin care products can protect the health of the skin and preserve the results of Botox and filler treatment. We encourage you to work with our highly experienced aestheticians, Sonja Cody and Carol McDonald, who can help you create or fine-tune your product regimen, making sure you use the proper moisturizer, sunscreen, serums and eye cream. The skin care products that we have available to you have been carefully chosen and selected to provide proven and long-lasting results.

For more information about extending the results of Botox or filler treatment, and finding the routine and products that works best for you, please schedule a consultation at Pearl-Ereso Plastic Surgery Center. Call or email us today.

Can the Effects of Dermal Fillers Be Reversed?

Dermal fillers are one of the most popular ways to minimize fine lines and wrinkles, restore fullness to the face and plump up lips and cheeks. When administered by a qualified plastic surgeon or nurse, these injectables create beautiful, natural looking results. The overwhelming majority of patients love the outcomes of filler treatment.

However, dermal fillers are not perfect. On occasion, a mistake can lead to overcorrection or asymmetry, or the body may react poorly to the product used. Sometimes, a patient may end up not liking the way they look afterwards, and want the outcome reversed.

According to Bay Area cosmetic surgeons Dr. Samuel Pearl and Dr. Alexander Ereso of Pearl-Ereso Plastic Surgery Center, “un-doing” the results of dermal filler treatment depends on the specific filler used, as well as the nature and severity of the problem.

Reversing Hyaluronic Acid-Based Fillers

Fillers formulated with hyaluronic acid, like Juvederm and Restylane, can be un-done with an enzyme called hyaluronidase. The enzyme dissolves the particles of hyaluronic acid to reverse its effects. This may reverse problems such as overcorrection, overfilling, lumpy texture or asymmetry. The treated area should return to its pre-treatment appearance (although there is no guarantee).

Reversing Non-Hyaluronic Acid-Based Fillers

Fillers not formulated with hyaluronic acid, like Radiesse and Sculptra, behave differently and require a different approach than using hyaluronidase.

Sometimes, massaging the treated area can resolve minor issues like lumpiness or asymmetry. But in most cases, the most effective way to see the results reversed is simply to wait for the body to absorb the filler, to surgically remove the filler or to strategically inject additional filler to cancel it out.

In the case of Sculptra, a longer-lasting filler, it is especially difficult to reverse its effects because the product stimulates the body’s own production of collagen. The collagen must break down naturally over the course of a year or so; it cannot be selectively removed. With that in mind, Sculptra may respond to some extent to steroid injections.

Because reversing the effects of dermal fillers is unpredictable, it’s important to work with a qualified plastic surgeon that understands how to use fillers safely and precisely. This increases the chances of a successful and satisfactory result.

To speak with Dr. Ereso or Dr. Pearl at Pearl-Ereso Plastic Surgery Center, please call 650-964-6600 or email us today.

Do Botox and Fillers Work On African-American Skin?

Drs. Samuel Pearl and Alexander Ereso and the rest of the team at Pearl-Ereso Plastic Surgery Center have been responsible for creating incredible anti-aging transformations, many of which have involved treatment with Botox and dermal fillers. As proponents of these injectable products, we receive numerous questions about them. One of the most recent inquires involved whether Botox and fillers work effectively on African-American skin and other dark complexions.

Read on to learn the answer… 

Ethnicity Makes No Difference

Having a darker complexion makes no difference in receiving a Botox or filler treatment. Drs. Pearl and Ereso and our team have worked with patients of all ethnicities and skin colors to successfully minimize noticeable signs of aging.

What matters more than the color of the patient’s skin is the specific injectable used. Injectables are not one-size-fits-all; they have unique purposes, formulations and consistencies. Some are thicker, some are smoother and some are designed for specific goals.

Botox and dermal fillers behave differently to achieve unique goals:

  • Botox is a neurotoxin that temporarily paralyzes the facial muscles that contract to form wrinkles. It is used primarily to smooth wrinkles and lines around the outer corners of the eyes, in between the eyebrows and across the forehead.
  • Dermal fillers, many of which are formulated with hyaluronic acid, act as a cushion to restore volume and fullness to the face. These products are often used to enhance shallow contours, soften creases around the nose and mouth and plump up the lips.

The Key to Successful Treatment with Injectables

An important piece of advice for patients of any ethnicity seeking anti-aging treatment with injectables is to find an experienced injector — preferably a plastic surgeon — that understands your goals of treatment and can capably help you achieve your desired cosmetic outcome.

Whether you want to fill in under-eye hollows, plump up your lips, add definition and shape to your cheeks or minimize noticeable crow’s feet, there is an injectable product to help. The right injector will explain your options to you and recommend the product best suited to your specific requests.

The Key to Long Lasting Results

The most important piece of advice for patients of any ethnicity is to practice good skin care and to utilize effective products in a daily regimen. Practicing good skin care includes having a good diet, using a good sunscreen and avoiding nicotine. Effective skin care products like TNS by Skin Medica are formulated to repair skin damage and protect the skin from harmful elements. Many of you have heard Dr. Pearl and Dr. Ereso state that while injectable, lasers and surgical procedures can provide dramatic improvement, the time that you put into your skin with your daily regimen and practicing good habits are just as important in being able to obtain long lasting results.

Contact Pearl-Ereso Plastic Surgery Center

If you would like more information about Botox, fillers or another anti-aging treatment available at Pearl-Ereso Plastic Surgery Center, please feel free to reach out. You can call us at (650) 964-6600 or send us an email today.