Do I Need a Rhytidectomy (Facelift)?

Are you thinking about getting face lift surgery (rhytidectomy)? Not everyone who wants to look younger needs a rhytidectomy to see results. For many patients, non-surgical treatments with a skilled dermatologic surgeon can provide anti-aging results. They can even delay the need for surgical interventions.

Postpone a Rhytidectomy (Facelift) With Non-Surgical Anti-Aging Treatments

Starting as young as possible, great skin care, sun protection, and professional treatments in a dermatologic surgeon’s office can help you prevent or postpone the need for facial plastic surgery. However, if you’re at the point where you’re thinking about a rhytidectomy, there are still options that can help you achieve a more youthful look.

BOTOX & Dermal Fillers

Cosmetic injectables help reduce visible aging in a variety of ways going beyond the smoothing of crow’s feet or lip enhancement. In the hands of a skilled dermatologic surgeon, injectables like Botox and dermal fillers can also correct facial volume loss and sagging.

  1. Correcting Sagging Jowls: We can lift and tighten jowls to smooth your jawline using Botox and facial fillers. Botox injections can be used to tighten the jawline muscles. Facial fillers injected into the cheek area can also lift the loose, sagging skin while also restoring lost facial volume. We often use Juvederm Voluma and Restylane Lyft for this job, but the appropriate filler varies from patient to patient. Sculptra is also a popular injectable to correct facial sagging, as it rebuilds collagen beneath the skin. This provides greater support for the skin. Many patients combine Sculptra with a hyaluronic acid filler like Juvederm or Restylane for even greater results.
  2. Eye Rejuvenation: If you have under-eye bags/dark circles or brows that droop, you may have considered an blepharoplasty (eye lift) or a brow lift as part of your rhytidectomy. However, injectables like Restylane under the eyes and Botox into the brow area can restore a more youthful, alert appearance. If you’re just noticing these signs, microneedling can also help for prevention and to reverse aging progression.

Microneedling and Laser Skin Rejuvenation

Whether or not you choose cosmetic injectables, you may also consider a series of laser or microneedling treatments to assist with facial rejuvenation and anti-aging. Microneedling and laser skin resurfacing treatments help in a variety of ways.

  1. Boosting Natural Collagen and Elastin Production: Collagen provides volume and support beneath the skin while elastin improves skin elasticity. Both also increase skin healing to reduce the signs of aging.
  2. Reducing Surface-Area Imperfections: Fine lines, wrinkles, sun damage, uneven skin tone and texture, and even scars make us look older. Microneedling and laser skin treatments help reduce the appearance of these surface imperfections.

While these treatments don’t provide dramatic results for patients who have more advanced signs of aging, they can be used to supplement other treatments and as a preventative measure.

Kybella and CoolSculpting’s CoolMini

Your face may be smooth and youthful, but what about your neck and chin? While Botox can tighten neck muscles for a smoother look, it does nothing for double chin fat. Liposuction can reduce submental fullness, but if you want to avoid surgery, both Kybella and CoolSculping are FDA-approved for double chin reduction.

  1. Kybella is an injectable treatment that melts fat beneath the chin. It was the first FDA-approved non-surgical treatment for submental fullness.
  2. CoolMini was developed as a specialized double chin applicator using CoolSculpting, the #1 non-surgical fat reduction procedure. With the CoolMini applicator, CoolSculpting double chin reduction was FDA-approved and works well to reduce submental fullness.

Non-Surgical Treatments to Improve Results Following Rhytidectomy

Many patients won’t see their desired results without a rhytidectomy. However, if you have facial plastic surgery, you can still benefit from non-surgical cosmetic enhancements and skin treatments.

While a rhytidectomy can tighten loose skin, it does not restore lost facial volume. Therefore, many patients still benefit from dermal filler treatments. Laser skin treatments are also incredibly popular following a rhytidectomy, as the surgery does not address skin care to correct sun damage and scars. Botox and Botox alternatives like Dysport and Xeomin are also popular with patients following facelift surgery for fine lines and maintenance.

Postpone a Rhytidectomy at the Laser and Skin Surgery Center of Indiana

Considering surgical or non-surgical procedures for facial anti-aging? Come see us at the Laser and Skin Surgery Center of Indiana (LASSI) in Indianapolis for a non-surgical consultation first. Find out if non-surgical treatments are right for your facial anti-aging needs and goals. Our own Dr. C. William Hanke is a board-certified dermatologic surgeon with decades of experience in facial rejuvenation and has even led clinical trials for BOTOX, Kybella, and various laser treatments. Dr. Hanke can help you postpone the need for a rhytidectomy with a personalized treatment plan for your needs and goals. Contact us today for a consultation.

Lower Facelift Without Surgery

How to Achieve a Subtle Lower Facelift Without Surgery

Your basset hound is adorable, but looking in the mirror and finding a resemblance in the jowl area isn’t something you ever wanted to see. How do you slow and reverse what time and gravity have done to your once smooth jawline? You may have considered a facelift surgery, but if surgery doesn’t appeal to you, there are non-surgical options available in our Indianapolis dermatology practice. Cosmetic treatments like Botox and certain dermal fillers can provide a subtle lower facelift without surgery, offering results lasting two years or more.

Get a Lower Facelift Without Surgery With Cosmetic Injectables

Botox to Tighten Jawline Muscles

Botox has been on the market as a cosmetic wrinkle relaxer since 2002. Following extensive clinical trials and research conducted by dermatologic surgeons nationwide, including in our accredited clinical trials facility, Botox was FDA approved as a temporary treatment to reduce the appearance of forehead lines, crow’s feet, and brow lines. However, Botox is also used as an off-label solution to tighten muscles that have become lax over time. This includes the jaw area in what is known as a masseter muscle. This helps patients reduce teeth grinding, provide a more feminine-looking jawline, and reduce the appearance of sagging jowls for a lower facelift without surgery.

Dermal Fillers to Lift the Lower Face

It isn’t just muscles that lose strength over time. As we age, our bodies produce less collagen, the scaffolding beneath the skin that provides youthful volume and plumpness, and elastin, the protein that gives skin the ability to “bounce back” after being stretched out. As both of these youthful building blocks break down, the face loses volume and the skin begins to hang below the jawline.

With dermal fillers, specifically the newer hyaluronic acid cheek fillers Juvederm Voluma and Restylane Lyft, your dermatologic surgeon can restore lost facial volume. This fills out the area while naturally lifting the sagging jowls. This provides patients with the results of a lower facelift without surgery while also restoring lost volume to the cheeks. The best part? Depending on the filler used, your results can be immediately noticeable and last for up to two years, all without a single incision.

Voluma and Lyft aren’t the only fillers that can achieve this effect. Radiesse also provides patients with facial and jawline rejuvenation. Used in a similar way to Juvederm Voluma or Restylane Lyft, Radiesse is injected by a dermatologic surgeon to restore lost facial volume. The difference with Radiesse is that your results improve over time as the filler triggers natural collagen production, restoring the scaffolding beneath the skin. The result is more youthful facial volume that pulls the loose skin back upward to reveal a smooth jawline.

Sculptra is yet another solution that provides patients with gradual results. The entire face looks more youthful while also providing the patient with that smooth jawline over time and after several injection appointments.

Cosmetic Injectables for Non-Surgical Facial Rejuvenation at the LASSI

At the Laser and Skin Surgery Center of Indiana, we carry a large selection of FDA approved cosmetic injectables for facial rejuvenation. Whether you want to reduce the appearance of crow’s feet or want the full liquid facelift without surgery experience, our dermatologic surgeon Dr. C. William Hanke can provide you with amazing aesthetic results with an emphasis on patient safety and wellbeing. In addition to offering these injectable treatments, Dr. Hanke has taken part in clinical studies for many of the anti-aging treatments we offer in our Indianapolis dermatology practice. You won’t find a more qualified injection specialist in Indiana to provide you with the youthful results you’re looking for.

Schedule an Appointment for a Lower Facelift Without Surgery

Are you curious about what cosmetic injectables can do for you? Are you looking for a solution to sagging jowls and lost facial volume? Come see us before going to a plastic surgeon and committing to an invasive procedure that may result in serious complications. Schedule a consultation with Dr. Hanke in our Indianapolis dermatology practice. During your consultation, we’ll take a full health history and conduct a facial examination to determine which procedures are right for you. The goal is to provide you with a lower facelift without surgery using Botox, facial fillers, or a combination of treatments to suit your needs. We look forward to helping you restore your youthful look!

Which Wrinkle Relaxer is Right For Me?

Botox, Dysport or Xeomin: Which Wrinkle Relaxer is Right For Me?

You take great care of your skin, see your dermatologist regularly, and even get facials four times each year. However, you looked in the mirror recently and noticed something was different: fine lines. Fine lines in the forehead, between the eyebrows, and around the eyes, to be exact. Horrified, you Googled “Botox,” and learned that it’s not the only solution for fine lines in the upper face. There are several wrinkle relaxer injectable treatments comprised of the active ingredient found in Botox known as botulinum toxin.

How do you know which wrinkle relaxer to choose? Meticulously studied FDA approved options include BOTOX,  (the first and most well-known) Dysport, and XEOMIN. To know which one is right for you, it’s best to have a consultation with Indianapolis dermatologic surgeon Dr. C. William Hanke. However, until you can come in for an appointment, here’s a quick primer on these effective wrinkle relaxer treatments so you can get an overview of your options.

How Does Botulinum Toxin Work as a Wrinkle Relaxer?

Fine lines form because the underlying facial muscles endure years of repetitive movements. Combined with reduced skin elasticity and decreased cellular regeneration, these movements begin to leave permanent lines in the skin. Botulinum toxin decreases the look of facial lines by blocking the body’s release of acetylcholine, a chemical-based messenger in your body that directs your muscles to contract, at the neuromuscular intersection. In layman’s terms: Botulinum toxin works as a localized muscle relaxer that will temporarily decrease muscle activity in the upper face, smoothing out the appearance of forehead lines, frown lines, and crow’s feet.

Most Popular FDA Approved Wrinkle Relaxer Injectables

BOTOX: The Reigning Champion of Botulinum Toxin

botox wrinkle relaxer

Individual results may vary from person to person.

BOTOX earned its reputation as the reigning champion of botulinum toxin due to its longevity in the market. The name is familiar, which will undoubtedly make you feel more comfortable using it. BOTOX has long treated the facial lines that form because of repeated muscle movement. Not only does BOTOX diminish the appearance of these lines, it also slows the formation of new ones and helps prevent existing ones from becoming more pronounced.

Dermatologic surgeons usually inject a wrinkle relaxer between your eyebrows, into the forehead and into the outer section of the eyes where crow’s feet form. Less common uses for Botox include around the mouth, in the neck area, and in the underarms to prevent excessive sweating called hyperhidrosis.

Dysport: The #1 BOTOX Alternative Treatment

indianapolis dysport wrinkle relaxer

Individual results may vary from person to person.

dysport before and after photos

Individual results may vary from person to person.

FDA approved and formulated to treat fine facial lines, Dysport is the number one alternative treatment to BOTOX. Dysport is a botulinum toxin that hinders sweating and relaxes your facial muscles. The maker of Dysport modified the substance to feature fewer antibodies than BOTOX. This means that the product is designed to last longer than other botulinum toxin wrinkle relaxer injectables.

Dysport spreads out more when injected. As a result, you may require fewer injections. Additionally, the protein in the Dysport is somewhat smaller than in BOTOX. This may make it work more quickly.

XEOMIN: The Underestimated Wrinkle Relaxer

Xeomin before and after

Individual results may vary from person to person.

Like BOTOX and Dysport, XEOMIN is a botulinum toxin that temporarily diminishes moderate to severe frown lines that have developed between your eyebrows.

XEOMIN doesn’t receive the fanfare that BOTOX does, but it would seem that people are just unfamiliar with this product due to its more recent appearance on the market. Many people who have used it noted positive results. It’s also proven effective in clinical studies, some of which were conducted right here by Dr. Hanke at the Laser and Skin Surgery Center of Indiana!

Why Choose the LASSI for Botulinum Toxin Treatments in Indianapolis?

By choosing the LASSI cosmetic treatment facility in Indianapolis, you are entrusting your health, safety, and aesthetic results to a first-class dermatologic treatment center. Dr. C. William Hanke, MD, FACP also participated in the clinical trials for BOTOX and XEOMIN wrinkle relaxer injectables in our accredited facility. Allergan, the maker of BOTOX, even asked Dr. Hanke and the experienced LASSI team to oversee clinical trials prior to its FDA approval. It’s safe to say that Dr. Hanke and our team at the Laser and Skin Surgery Center of Indiana are among the most qualified in the state to provide you with facial rejuvenation treatments like BOTOX and other injectables.

Ready to Get Started With Wrinkle Relaxer Injectables?

Wrinkle relaxer injectables made from botulinum toxin have been used for years to help people look younger. The FDA has investigated these products thoroughly to ensure their safety and effectiveness, so you can feel comfortable embracing modern-day cosmetic treatments. Dr. Hanke and our Indianapolis dermatology team will give you the information that you need to decide between BOTOX, Dysport, and XEOMIN. If you’re ready to reclaim your youthful appearance by getting started with wrinkle relaxing injectables, contact us today for an appointment.

Botox Alternative Treatments

Are there any Botox alternative treatments or products that work?

You’ve seen the ads promising to make you look “10 years younger” claiming to be “Better than Botox” with topical skin care products. Some of them even have reviews and personal stories from customers who have tried their “revolutionary” product without the “dangers” associated with Botox treatments. But does “Botox in a bottle” really work? Is Botox really dangerous, or has it just gotten a bad rap? This article aims to offer insight into Botox alternative treatments, including what works and what doesn’t.

How does Botox work?

Botox before and after

Individual results may vary from person to person.

Botox, or botulinum toxin, works by targeting and relaxing the underlying muscles that create lines and wrinkles in the upper face. It’s a localized muscle relaxer which, when injected by a dermatologist, smooths out existing lines in the forehead, between the eyebrows, and around the eyes (crow’s feet). It also inhibits excessive muscle movement to prevent deepening of existing lines and the creation of new lines. After a few months, Botox begins to wear off and repeat treatments are required to maintain results.
Botox is a prescription treatment. It must be administered by a physician and cannot be used at home or by unlicensed providers.

Botox Alternative Skin Care Products: Why They Don’t Work

Claiming that a Botox alternative such as a cream or another application is as effective as real Botox is quite a leap. After all, if we were to rub Botox on your face here in our practice, it wouldn’t be effective at reducing your lines and wrinkles at all. This is because Botox must be injected directly into the muscle to be effective.

Over-the-Counter Topicals Can’t Reach Muscles, No Matter What They Claim

“Better than Botox” topicals currently on the marketing contain ingredients and ingredient combinations that are helpful for anti-aging of the skin and facial rejuvenation, but the claims of muscle targeting for deep-penetrating benefits are quite a stretch. These ingredients include:

  • Peptides
  • Neuropeptides
  • GABA (Gamma-aminobutyric)

All of these ingredients are similar to what your body produces on its own, so it’s safe to assume that these topicals are generally safe for use. However, the effectiveness of a topical agent penetrating deeply enough to target the muscles that create lines and wrinkles in the upper face has been proven untrue and cannot be effectively used as a Botox alternative.

What About Nanoparticles?

Many topical applications use nanoparticle technology for improved effectiveness. Nanoparticle technology can be defined as the shrinking of particle sizes to microscopic levels. Particles this small can easily pass through your skin layers without causing inflammation and irritation. Words that will be used in the advertising blurb or on the packaging of a product containing nanoparticles include microparticles, nanoparticle, micronized and nanopeptide.

Although topical solutions may be able to provide minimal reduction of superficial wrinkles, you should not expect them to provide the same effect as Botox or its clinically proven counterparts.

Why Botox Alternative Topicals Continue to be Popular

If given the opportunity to choose between the application of a cheap over-the-counter cream that claims to work as well as Botox injections, who wouldn’t choose the cream? Of course, consumers want to save money, avoid trips to the clinic for facial injections. It’s understandable. However, in this case, cheap topicals are actually very expensive — because you aren’t much for your investment.

One Botox Topical Shows Promise

Allergan, the makers of Botox, recently purchased a potential topical Botox alternative. Anterios-developed NDS technology shows some promise at delivering Botox into the treatment area without the need for injections, but it’s still in the development stage and patients would still receive these topical treatments in a clinical environment, so you won’t find this on drugstore shelves.

Botox Alternative Treatments That Produce Real Results

There are two alternatives to Botox that have been proven effective in clinical trials, and both are botulinum toxin that are injected by a dermatologist in a medical clinic: Dysport and Xeomin.

Dysport

Xeomin before and after

Individual results may vary from person to person.

Dysport is a prescription injection designed to remove moderate-to-severe frown lines between the eyebrows. Produced by the makers of the popular dermal filler Restylane, Dysport is the most well-known Botox alternative injectable treatment used today.

Xeomin

As with Dysport, Xeomin is useful for removing moderate-to-severe frown lines between the eyebrows. When administered by a board-certified dermatologist, Xeomin is an effective anti-aging treatment with similar results to Botox.

Get Botox or Botox Alternative Treatments in Indianapolis

Are you ready for products and treatments that really work to turn back the clock and slow the effects of aging on your face? Trust the experts at the Laser and Skin Surgery Center of Indiana. Our practice is a leader in injectable anti-aging, with dermatologic surgeon Dr. C. William Hanke having performed clinical research trials on Botox, Dysport, and Xeomin, in addition to countless other anti-aging and skin rejuvenation devices and products.

Schedule a consultation with board-certified dermatologist, Dr. Hanke today!

Which Popular Cosmetic Procedure is Right for Me?

At some point in our lives, we will wish we could turn back the hands of time to get that younger-looking skin. However, while there has been no Fountain of Youth discovered just yet that doesn’t mean that there are more realistic options available to you that could give you the results you crave. Find out about the different cosmetic procedures we offer at the Laser and Skin Surgery Center of Indiana in Indianapolis and what they could do to boost your appearance and confidence.

Which Popular Cosmetic Procedure is Right for Me?

Laser Skin Resurfacing

DOT Therapy CO2 Laser Skin Resurfacing is a popular cosmetic procedure if you are suffering from blotchiness, wrinkles and a loss of elasticity in your skin due to sun damage. This resurfacing technique uses a fractionated carbon dioxide laser to treat the skin. By creating micro-tears in your skin, it causes your body to produce a natural healing process and causes new collagen to form. This treatment is performed awake under topical anesthesia. The face and neck can be treated in as little as 15 minutes.

Intense Pulsed Light, IPL PhotoFacial

Intense Pulsed Light (IPL) is a popular cosmetic procedure if you are suffering from years of sun damage that has caused hyperpigmentation and redness. IPL light treatment could give you back a more youthful appearance. What makes this treatment ideal is that there is no recovery period so you can undergo treatment and continue with your daily activities. IPL is usually performed in three to five sessions at 3-week intervals. The results are gradual over the multiple sessions.

Laser Hair Reduction

Do you have unsightly or unwanted hair? Are you tired of plucking or waxing all the time? Then say goodbye to all these daily or weekly rituals and find out how painless laser hair removal treatment can reduce the appearance of dark, thick hair. This laser has been FDA-approved to reduce hair and to destroy hair follicles so the hair won’t grow back. Multiple treatments are usually performed over the course of several weeks to make sure we target enough of the unwanted hairs.

Cosmetic Injectables

If you are looking for a fast, almost painless way to reduce the appearance of fine lines and wrinkles around the eyes, mouth and chin, then hyaluronic acid fillers like Restylane and Juvederm could give you younger results in only a few days. A series of tiny injections are given into certain areas of the face. The treatments only takes a few minutes. Patients can come in for maintenance treatments every year or so as needed.

Get Started with a Popular Cosmetic Procedure in Indianapolis

Interested in any of our popular cosmetic procedures? If so, the next step is to find out which treatment aligns best with your goals and needs. Let’s sit down and talk. Contact us for a consultation and find out if a popular cosmetic procedure from this list is right for you.