When You Look Marvelous… Millennials, Botox, and Natural Beauty

Billy Crystal’s Saturday Night Live character Fernando said things like, “When you look marvelous, you feel marvelous” and “Remember, it’s better to look good than feel good!” Well he may not have been too far off.

Recent studies have studied the effect of the neuromodulators Botox®, Dysport®, and Xeomin® on depression. The studies have shown that Botox® may be as effective for the treatment of depression as anti-depressants. The reason for this is thought to be the synaptic axon connections between facial muscles and part of the brain that senses expressions on the face caused by these muscles. Our brains can sense the expression on our face. When we look sad, tense, or angry, the facial muscles are contracted, the brain senses this and we feel sad, tense, or angry. There is a feedback loop that reinforces mood. The brain can also sense when the face looks relaxed, calm, and happy. Botox® relaxes the muscles that create angry, stressed faces, therefore the patient cannot make the angry unhappy face, quite the opposite results, a rested, calm, happy face. The majority of Botox® patients report “feeling really good” a few days after their Botox® injections. Many facial plastic surgeons believe that we may be treating depression with Botox® within the next 5 years.

There has been a large increase in the number of millennials who are requesting facial aesthetic treatments. The rapid rise of “Selfies” and the effect of the Kardashians have led to a rise in patients 30 years old and younger seeking facial aesthetic treatment. The most popular millennial requests are for lips, cheek and facial volume enhancement, fine line treatment and prevention, and skin care.

The treatment of young patients demands a most conservative and natural approach. Patients wish to look like themselves only better. All patients should be extremely careful in choosing their aesthetic physician based on their skill, experience, care, and most importantly natural artistic vision!

Minimal amounts of Restylane Silk® and Juvéderm Ultra Plus® are used to create soft, full, natural, sexy lips in younger patients. A little more can always be added if needed, but lips that are too large, out of proportion, or shaped like a duck’s bill are to be avoided at all cost.

Faces begin to lose bone volume from age 25 on resulting in early facial sagging. Hollows under the eyes, diagonal cheek valleys, nasolabial folds all immediately improve with properly placed Juvederm Voluma® and/or Sculptra®.
Dr. Michael Persky is on the advisory board and a clinical injector trainer for Sculptra®, and has injected more Voluma® than any other practice in The Valley.

Botox® used in miniscule doses on younger faces gives a more rested look, tightening the forehead, and diminishing lines around the eyes. Some believe that early Botox® treatment minimizes facial rhytids (lines) later in life.

Millennials love Clear + Brilliant™ to brighten their skin. Our licensed esthetician, Samantha Potter, customizes each patient skin care regimen recommending the most effective scientifically proven skin care products selected and tested by our physicians. We offer oxygen infusion facials, peels, micro-needling with or without platelet rich plasma, micro-dermabrasion as well as advice on healthy living.

Dr. Persky and Dr. Sunder love to answer questions about all aspects of facial plastic surgery. Please feel free to contact us at your convenience. As Fernando says, “Remember, when you look marvelous you feel marvelous.” Be well.

Call the office at 818-501-FACE to schedule your complimentary facial analysis.
Bookings@DrPersky.com

Drs. Persky and Sunder are certified Voluma de Maio Technique Master Injectors. Our patients, staff, and physicians have been impressed with the ability of Voluma to re-volumize the face. Amazing, almost magical transformations can be created using this unique revolutionary filler.

Voluma is a hyaluronic acid (like Juvederm) which because of chemical cross-linking can last up to two years, and is able to lift lax facial tissue immediately better than any other FDA approved filler. It has

Dr. Persky and Dr. de Maio at Voluma de Maio Master Injection Technique Course

been used safely worldwide since 2008 (Mauricio de Maio,MD San Paulo, Brazil has written a book on his experience, and personally trained both Dr. Persky and Dr. Sunder). It was FDA approved for use in the USA and we have been using it since December, 2013.

Voluma is approved for “on label” use on the bones of the cheek, creating natural volumization and curves that transition the cheeks, eyes, nasolabial folds, and even the jaw line. We are now using the product “off-label” in the subcutaneous tissues of the face, it can even be diluted for use in the lips and other areas. It can be injected with non-traumatic blunt tipped canullas with decreased discomfort and minimal bruising. It is
“Hollywood’s New Facial Aesthetic Secret” for looking naturally great.

Voluma is more costly than other fillers because of it’s unique lifting qualities and it’s up to two year effects. The only limiting factor to re-creation of the youthful facial fullness of decades past is the cost of the product and the artistic vision, skill, and experience of the injecting physician. Fortunately for our patients, both Dr. Persky and Dr. Sunder share a natural “da Vinci” artistic vision of classical facial proportions (The Golden or Phi Ratio), are both long time experienced aesthetic injectors, and are Master Voluma injectors. Beautiful, natural results can be obtained with proper use of Voluma. We like to combine Voluma with other fillers such as Sculptra when indicated for patients with volume loss throughout their face.

Dr. Persky has recently presented lectures on Voluma and Sculptra at Vegas Cosmetic Surgery 2014 and State of the Art in Facial Aesthetics 2014 (Atlanta, GA).

Please feel free to contact us with any questions that you may have regarding facial aesthetics. It is our goal to help our patients achieve their facial aesthetic goals in the most effective, safe, comfortable, and natural manner. Be well!