Thursday, December 18, 2014

Dr. Dean Kane Q&A – What can I do to speed up healing and reduce swelling after surgery or injectibles?

Q. What can I do to speed up healing and reduce swelling after surgery or injectibles?
A. We are very pro-active when it comes to nutritional suggestions to help our patients have minimal bruising, inflammation and swelling from both non-surgical rejuvenation procedures using Botox/Dysport, Sculptra, and fillers like Restylane and Juvederm as well as all our face and body cosmetic procedures. We also feel strongly that without a good diet high in protein, vitamins, minerals and anti-oxidants, the recovery periods will be prolonged and healing delayed.

From a homeopathic approach we highly recommend that our patients eat fresh pineapple several days before their procedures, the day of and following. The Bromelain in fresh pineapple has been shown to have great anti-inflammatory properties that helps to reduce the bruising of the face and body. In addition we recommend arnica montana in pill form and gel form the day of the procedure and following. Again this homeopathic products have tremendous anti-inflammatory effects on the body.

On a daily nutritional basis, I recommend to our patients what I do for myself and my wife, Lauri. We are a believer in the low carb diet with moderate to large amounts of protein 3 times a day along with a strong anti-oxidant diet of fresh vegetables. For breakfast we try to not only get our protein, but our anti-oxidants by having a green protein shake. Lauri mixes up a cup of fresh spinach, half a carrot, a small tomato, a quarter of a green apple with 2 scoops of vanilla protein powder with water in a blender or nutra-bullet. In addition we add in a liquid form of Vitamin D and Calcium into our shakes. This is a super healthy way to start your day with great vitamins, minerals and anti-oxidants. Lunch and dinner always includes salads, veggies and a protein food (fish, chicken, tofu, turkey).

When we do any cosmetic procedures, we are strong believers in how diet affects the healing process. Lack of protein and poor nutrition will lead to break down of tissues in the healing phase. We go over diet very seriously with all our patients prior to any cosmetic surgical procedures and always encourage a high protein diet especially for our, breast lifts and reductions, tummy tuck and body lift procedures and even face and neck lifts that require all those building blocks from protein to heal the large surface area created by surgery. For our liposuction patients, Lauri, who has degree in nutrition, will discuss diet and lifestyle changes to help patients lose weight and maintain their surgical results. Lauri will do the same with our CoolSculpting patients, while non-surgical, also need to understand that without changing diet and exercise no procedure will get the desired results.

Visit our website: www.DrDeanKane.com  or call our office at 410-602-3322 for additional information.

Wednesday, December 17, 2014

I had Restylane for my under eye hollows in Aug & unhappy with the result. Should I get it corrected by adding some more?

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Question from Jacksonville, FL: This is just a follow-up from my previous post..I think that the Restylane wasn’t injected in the right dermal plane and made the hollows worse. I regret getting it done as I only have minor under eye hollows to begin with..Going back to my ps is not an option at the moment, due to financial restraints and distance – he’s in CA and I’m in FL. I am hoping someone here could recommend a ps close to North FL who is familiar with cases like mine. Thank you!

 Answer from Dr. Dean Kane, Board Certified Plastic Surgeon from Baltimore:

Injectibles under the eyes for hollows and wrinkles are very challenging and require a very skilled injector! Your injector must understand the anatomy of the eyelid and cheek, the pros and cons of the different injectibles, evaluate your unique variations and have the skill level to try to achieve your desires.

Consider:
  • ​Skin tightening with ZO Obagi Skin Health and Peels
  • ​Laser and Light therapies
  • ​Deep fillers along the bone
  • ​Sculptra
  • ​Surgery
  • ​There are too many options and considerations to offer you without a proper exam.

Word of mouth followed by responsible social media like RealSelf should direct you to a well experienced Board Certified Plastic Surgeon or other expert injector to help you.

I wish you the best!
Dr. Dean Kane
Center for Cosmetic Surgery and Medi-Spa
www.DrDeanKane.com 410-602-3322 DeanKane@DrDeanKane.com

Wednesday, December 10, 2014

How long after having Juvederm do you need to not massage or rub the area?

shutterstock_79702981QUESTION from Australia, AU: Ive had Juvederm on my mouth lines, nasal lines and some on my frown lines. The dr said that I need to avoid pressing too hard for around 2 days when I cleanse my face and I should avoid having any kind of facial massage for the next two weeks. Is this right?

 Answer from Dr. Dean Kane, Board Certified Plastic Surgeon from Baltimore:

Any injectible has the ability to migrate or move initially following injection particularly with massage. I recommend to my patients that they may cleanse their face but avoid massage for 2 full days. Thereafter the gel will be more settled and fixed to the surrounding tissues. You may then gently massage using a lymphatic or squeegee technique to even out any swelling.

​Always return to and follow the directions of your injector. He /she was the one that performed the injection and should know what is best for you.

​All the best!
Dr. Dean Kane  Center for Cosmetic Surgery and Medi-Spa
DeanKane@DrDeanKane.com

Wednesday, December 3, 2014

Will Sculptra still give me a natural look?

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Question: I am thin, and have age related volume loss in my face. Will Sculptra still give me a natural look?

 Answer from Dr. Dean Kane, Board Certified Plastic Surgeon from Baltimore:

Sculptra in my hands has been sensational for thin patients. ​​Sculptra in its newest formulation has provide even firming of the facial skin without the over-filled effects seen with fillers. Fillers are necessary if you need a fuller cheek or lips.  For lines, passive wrinkles and folds, Sculptra firms the dermis naturally by stimulating fibroblasts to create the components of youthful skin: collagen, hyaluronic acid and elastin.
It takes 6 weeks to feel the initial effects of a thickening process to the facial skin and by 3 to 6 months following no less than 2 sessions of 2 vials each, the patient and comparative photos show remarkable results.

​Many of our patients well perform fillers for instant gratification and return for Sculptra for a more natural firming and elastic like shrinkage of the tissues. This is not filling and is not muscle relaxation but a natural, rejuvenation of thinner to thicker, firmer more resilient skin resistant to wrinkle formation and fine lines.
​​Once this minimally invasive procedure has achieved its desired effect, you can continue to stimulate the the dermis using other non-invasive techniques such as ClearLift, and retinoids to further deliver its effects at the dermal level.
​​Please proceed to a Board Certified Plastic Surgeon or other well experienced expert injector with many hundreds of Sculptra patients for your best results.

All the best of luck.
Dr. Dean Kane Center from Cosmetic Surgery and Medi-Spa www.DrDeanKane.com
410-602-3322 DeanKane@DrDeanKane.com