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.


PB is the combination of restoring volume to the face with fillers
(Sculptra, Juvederm, Restylane, Radiesse, and fat transfer), and
improving skin tone, texture, tightness, and color with lasers and other
modalities (Fraxel Dual, restore, repair; O2Intraceutical oxygen
infusion facials). The treatment is individualized for each patient.
We ask patients to bring photographs of when they were younger and felt
that they looked their best. By comparing the photos with their current
state, a plan is made to restore their youthful appearance, helping
them look their best.



While I am on the subject, for those of you who don't already use
one, Buff-puffs are an excellent old fashioned technique of exfoliating
you skin and keeping it "buffed" inexpensively at home. Clarisonic is
also a great at home treatment for the skin. I guess a little self
"buffing" at home won't hurt, but please do not try to "puff" at home on
your own, unless it is by putting on a few pounds; pass me the
cheesecake please. Be well.



Dr. P

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