What's New? Facial Cosmetic Surgery 2010 Meeting
Tuesday, July 27. 2010 posted in Plastic Surgery in the News
Dr. Persky was privileged to attend and honored to speak at The 6'th Annual Facial Cosmetic Surgery 2010 meeting, an international multi-specialty symposium which gathered over 800 core facial plastic surgery specialists from 23 countries. World leaders in the specialties of Cosmetic Dermatology, Facial Plastic Surgery, Oculoplastic Surgery, and Plastic Surgery gathered in the Las Vegas mid summer desert heat to discuss "hot" topics in their fields.Dr. Persky shared his nearly 3 year experience with FRACTIONATED CO2 LASER skin rejuvenation (Fraxel repair). Fractionated CO2 laser treatment has become an accepted non-surgical technique of facial rejuvenation.
Dermatology experts Susan Weinkle, MD; Ava Shamban, MD; Wendy Roberts, MD; Hema Sundaram, MD; Phill Werchler, MD; Rebecca Fitzgerald, MD; Mary Lupo, MD; David Goldberg, MD; and Lisa Grunebaum, MD to name a few shared their skin care "pearls" as well as their injection and other rejuvenation techniques.
Every patient should be on a RETINOID (Retinol, Retin-A, Renova, etc.)at night if tolerated for optimal skin tone, color, and texture. Fillers are very popular. Dr. Persky believes that SCULPTRA will become a very popular filler in the next five years. TAZORAC is a wonderful topical for the treatment of acne and pore size.
Non-invasive skin tightening technologies were discussed. Zeltiq looks promising using cold to shrink the fat of love handles and abdominal pooches. Ulthera uses ultra-sound energy to lift the tissues of the forehead, neck, and face. Pelleve` uses radiofrequency (RF) energy for moderate collagen stimulation and lifting of the face. Primaevia uses bipolar radiofrequency to diminish wrinkles. E-Matrix uses sublative RF to rejuvenate darker skin types.
Facelift experts are using fat transfer in nearly all of their lifts to supplement facial volume. Fat transfer to the face is alive and well! The latest Rhinoplasty and Blepharoplasty techniques were shared by world leaders as well.
There are new filling agents that will soon compete with hyaluronic acids such as Juvederm and Restylane. The topical "Botox" Revance looks to be a few years away from hitting the market with promising results on the treatment of "crow's feet" and excessive sweating of the underarms and hands.
That's all the news from Las Vegas, where all of the faculty were great, all of the exhibitors friendly, and all of the children not allowed in the casino (with apologies to Garrison Keillor).
Dr. Persky will be speaking about the use of Fraxel repair in the treatment of acne scarring and skin rejuvenation at the American Academy of Facial Plastic and Reconstructive Surgery Annual Meeting in Boston this September. Until the next update, have a great summer, wear your sunscreen, and be well.
Art Linkletter's classic 50's television show "Home Party" always ended with Art interviewing young children in the segment "Kids Say the Darndest Things". Having participated in answering facial plastic surgery questions on line for the past few years, I must say that some of our patients ask the "darndest things"! 
Ever wonder what you might look like when you are older, or more importantly what your prospective mate may look like when they are 64? The Beatles weren't the only ones to ponder that question. Well, a website called Make Me Old (http://www.makeold.com/php/mmo/default/control.php?nopops=&__utma=219000069.2050413622.1279691368.1279691368.1279691368.1&__utmc=219000069&__utmz=219000069.1279691368.1.1.utmcsr=(direct)|utmccn=(direct)|utmcmd=(none)&&scount=3) will do the aging for you. 
Hi friends. It has been awhile since I last wrote; hope that your summer is going well.
The study of youthful, beautiful faces reveals two common findings. A youthful face has adequate volume or fullness, and secondly, the skin appears flawless and well hydrated. With aging, we lose volume from our faces through the loss of fat, bone, and muscle. The skin ages due to loss of underlying support as well as from sun damage. Rejuvenation of the face can be achieved by "puffing and buffing" (PB). I originally referred to the treatment as buffing and puffing (BP), but after the BP Gulf oil disaster thought that PB was more appropriate.
Sculptra Aesthetic is FDA approved to treat nasolabial folds (smile lines from the nose to the corner of the lip). Off-label use of Sculptra includes filling hollows in the temple area, building up the upper lateral eyebrow which in turn gives more show to the upper lateral eyelid, adding volume to cheeks and cheek bones, replacing lost volume at the base of the nose and maxilla resulting in elevation and shortening of the upper lip restoring a youthful proportion between the upper and lower lips (1:2 ratio), treating lost volume in the chin, pre-jowl area, and building up the jaw line. Other volume depleted areas of the face can also be treated. A natural lift of the cheeks and jaw line can be achieved in most patients.
Now there is a more comfortable solution for patients who are hesitant to start or maintain their facial filler injection treatments because of perceived discomfort during injection.
Many of my patients, and many more of you out here in internet-land have asked me what my thoughts are regarding Zerona laser treatments. For the past year I have researched Zerona technology (since it came to market). I remember first seeing advertisements for Zerona at The Aesthetic Show in Las Vegas, July 2009. The ads were the first of their kind, pasted on the mirrors in the restroom outside of the lecture conference halls at Caesar's Palace. This was my introduction to the creative marketing efforts of the company behind Zerona. The company has employed Leeza Gibbons as their spokesperson. 
Fraxel Dual laser skin treatments have become one of our most popular treatments with patients who wish to remove brown pigment (age, liver spots) from their face and body with no pain and minimal downtime. The treatment is quick and easy. It can be performed on the face and body as well.
Dr. Persky was asked to comment on whether Heidi Montag's recent multiple surgeries and the filming of the surgeries for the use in a future "reality" TV show was common.
Our family spent a few days this spring in Sun Valley, Idaho. The time away from my practice gave me the inspiration to share my thoughts about "The Secret of Youthful Skin" with you. First a little about Sun Valley and its charming ski town Ketchum, Idaho.
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