Restylane Vs. Voluma for the cheeks. Which one gives better result?

Question from Manhattan, NY: I have a appointment to add a little bit of filler to my cheek and my doctor suggested using either Restylane of  Voluma. I already had Restylane in my tear throughs with great results, but was wondering the difference between the fillers for adding natural volume to the cheek area and if one will give you better results.

Dr. Dean Kane, board certified Plastic Surgeon from Baltimore Answers:

Great question! The pharmaceutical industry is producing a plethora of wrinkle rejuvenating injectibles and the FDA is approving them for use for different usages.

Restylane and Voluma are a sub-class of skin and soft-tissue injectible fillers using HA. They are made from the same molecule, hyaluronic acid, a normal constituent of the skin which reduces in quality and quantity with aging, photodamage and other medical syndromes.  Including Restylane, Perlane, Juvederm Ultra, Juevederm Ultra Plus, Voluma, Belotero and many new-comers, the difference is in the linking bonds which make them thicker to inject and harder to break down by natural skin enzymes. It is this difference which makes them useful for epidermal fine lines, dermal wrinkles and skin folds. They are temporary “volumizers”, in effect “fillers” of the skin or soft tissues for the desired results and lose volume over 6-24 months depending on the amounts and quality of linking and amount of enzyme in your skin. If over-done, hyaluronidase, the same enzyme as in the skin can be used to reduce the fill.

I love Voluma, Juvederm Ultra Plus and Perlane for the fuller “apple” of the cheek and the same for the “Nike Whoosh” of the cheek bone.

​Restylane is great for the “crow’s feet” lines not reduced by wrinkle reducers Botox or Dysport.

Other sub-classes of skin and soft-tissue injectibles unable to be reversed include:

• Stimulants such as Sculptra which provide a slow and steady stimulation of dermal molecules such as collagen, hyluronic acid, elastin and others without volumizing. Sculptra firms the skin rather than fill.
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• Non-HA temporyary volumizers such as Radiesse which is made of calcium hydroxylapatite originated as a bone filler and is cosmetically used in microspheres to fill dermal lines or as volume.
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• Permanent fillers such as Artecoll, Artefill, silicone and others are volumizers and are not fully broken down by the body.
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Each fulfills a certain niche in the quest for skin rejuvenation.

Find the most skilled, well experienced injector to guide you through the maze of these and more evolving skin rejuvenation injectibles, procedures, lasers, lights and surgery to achieve your desires.

I hope this was helpful! All the best!

Dr. Dean Kane

www.DrDeanKane.com

DeanKane@DrDeanKane.com

410-602-3322

Belly Fat!

Question:I had a baby 7 years ago i lost weight everywhere but the bottom of my belly. how can i get rid of it?

Dr. Dean Kane, board certified Plastic Surgeon from Baltimore Answers

Dear “Belly Fat”:

Every woman is different and after pregnancy, the skin stretches and the muscle and fascia stretch out too. You may put some visceral (organ) weight on or fat under the skin. It is best to undergo a proper evaluation with a Board Certified Plastic Surgeon and consider your options.

These include:

1. a traditional tummy tuck where the ab muscles are tightened, the sides are liposuction contoured, the excess skin is removed, the mons lifted and a new belly button is created.

2. a mini-tummy tuck where the skin below the belly button is removed and mons lifted.

3. a panniculectomy / lipo-sculpting where the large lower roll of tummy skin is removed and the upper tummy and sides and / or back are reduced with liposuction.

4. a body lift used with patients who have super-skin excess and the tummy, sides and back skin are lifted with or without muscle tightening.

5. liposuction of the circumfirential trunk for body contouring.

6. liposuction of partial areas such as the front abdomen with and without muscle etching, love handles, inner and outer thighs, arms, neck; any of which use traditional, syringe and ultrasonic liposculpting.

7. Cool Sculpting is a non-surgical option of multiple spot fat reductions without anesthesia.

As you can see, there are many options dependent on your desires, future for more pregnancy, budget and recovery time.

I hope this was helpful! All the best!

Dr. Dean Kane

www.DrDeanKane.com

DeanKane@DrDeanKane.com

410-602-3322

How should I care for behind ear incisions after face and neck lift? They feel itchy and irritated.

Question from Florida, NY

Just a little over two weeks post opt, very itchy and irritated feeling? Using perioxide and antibiotic ointment 2 times a day.

Dr. Dean Kane, board certified Plastic Surgeon from Baltimore Answers

2 weeks after a facelift incision, the dynamic changes of healing call for inflammation. This maybe the reason for the itchiness and irritation. It could also be a developing infection. Please see your surgeon to evaluate and make his recommendations.

I hope this was helpful! All the best!

Dr. Dean Kane

www.DrDeanKane.com

DeanKane@DrDeanKane.com

410-602-3322

I’m so scared of the side effects I got from botox, can I die? Please help! I had 4 units above the lip.

Question from New Sweden, ME: 2 days after, as I felt the Botox over lip, I felt something in my throat, and difficulty swallowing. Next day my tonsil under the jaw was swollen. Head itching. Hives on legs. Pain in ears. Later hives on arms, face, body and felt like my face would burn up. Numbness and sensations in the face, lips, tongue, throat, legs and arms. 18 days later it’s on going. I’m so afraid! Can I die? Can the botox be spreading and develop to botulism? Can I get an allergic chock? What to do? Use antihistamine.

Dr. Dean Kane, board certified Plastic Surgeon from Baltimore Answers

Botox and other like muscle relaxers are a pharmacological grade purified protein made from the fermentation of the bacteria clostridium. There are 7 different types but only 2 are used for cosmetic and therapeutic purposes. There has been no reports of the small cosmetic doses of these medications traveling to areas farther than injected causing the symptoms or concerns of botulism. In fact, Botox, Dysport, Xeomin and Myobloc, are used 1000’s of times daily around the world.

Botulism is the growth of live bacteria in the body producing and dispersing this molecule within hours of eating it.  It is found in soil and water and can occur by a using a contaminated “street” injection, consuming improperly prepared food or getting it into a wound. Onset is within hours so this is certainly not your case.

Many drugs are now made in similar fashion by fermentation and purification including antibiotics, antibodies and other life-saving uses from bacteria and fungus. The purified protein may be a cause for allergy formation from prior or serial exposure of this drug. Like the rare side-effects of Botox, flu-like symptoms and swelling or redness can occur. This sound more like your description and may or may not have been caused by a flu or Botox.

It is best to be evaluated and treated by your primary care physician or seen in the Emergency Department of a hospital if the symptoms and concerns are progressing. If there is concern that this maybe an allergy related to the Botox molecule, you may be sent to a allergist to diagnose this.

I hope this was helpful! All the best!

Dr. Dean Kane

www.DrDeanKane.com

DeanKane@DrDeanKane.com

410-602-3322

I’m 22 year old and looking at Botox/Dysport. Is this too young?

Question from Sydney, AU

What age is it typically recommended to get Botox injections? I’m 22 and I’m starting to notice fine lines.. By no way are they very noticeable but I know Botox is preventable. Is it also true that the injections can work as a brow lift? Because I have very slightly hooded eyes and I would love it if these lifted the forehead area up a bit..

Dr. Dean Kane, board certified Plastic Surgeon from Baltimore Answers

Botox has both therapeutic and cosmetic applications. It is used functionally in young children with various spastic muscle and many other problems. ​For cosmetic uses in relaxing the muscles of facial expression before deeper and more permanent lines set in, Botox is never to early. This will help along with properly used retinoids to prevent lines, wrinkles, folds, pigmentation and aging skin.  Please seek the advice of a well experienced, board certified plastic surgeon or other expert injector and skin specialist for a review of your best options.

​
​ I hope this was helpful! All the best!

Dr. Dean Kane

www.DrDeanKane.com

DeanKane@DrDeanKane.com

410-602-3322

Holiday Shape UP Duo Specials and Seminar: Coolsculpting and Lipo B

Getting into shape and losing weight is an endless battle that plaques most Americans. We are all looking for the magic bullet that would make it easier and more efficient to get slim and fit.  There is no getting away from the need to keep a healthy diet and a daily exercise program, but the medical community now offers combination of procedures and services that make your efforts more targeted and efficient.  The Center for Cosmetic Surgery and Medi-Spa has combine forces with The WeightWise Weight Loss Center to do just that with their Freeze and Burn Program using CoolSculpting and Lipo B Shots.

CoolSculpting freezes unwanted stubborn bulges of fat on the abdomen, back, muffin top, arms and inner thighs. The process takes up to 90 days for the body to re-absorb the frozen fat cells which are metabolized through the body. The Lipo B fat burning shots are ideal to use during this 90 day period. Lipo B shots consist of Vitamin B12 and Lipotropics. Lipotropics are three amino acids that are essential for health of your liver. The liver is the organ that is responsible for removing fat and toxins from your body. Vitamin B12 gives you an energy boost which also helps to burn calories. By definition, a Lipotropic substance speeds up the removal of fat and cholesterol from the liver.

What would be more idea than to combine these two fat freezing and calorie burning services together to help you get into shape faster and more efficiently. Even more ideal is to seek the medical advice on how to keep weight issues under control.  The WeightWise Weight Loss Center provides a program consisting of the use of prescription appetite suppressants, dietary guidelines, and Vitamin B12 and/or Lipo-B shots.  This program helps patients to learn how to make changes in lifestyle in order to be able to lose weight and maintain that weight loss. Being obese or overweight is considered a chronic disease. We know the challenges that being overweight can cause – both physically and emotionally.

Being the onsite weight loss program within the practice of Dr. Dean Kane’s Baltimore Center for Cosmetic Surgery and Medi-Spa provides the tools that help patients to lose weight and lose inches at the same time faster and more effectively.   The success of combining different tools, such as CoolSculpting, prescription appetite suppressants and Lipo B shots is what sets us apart from the rest.  CoolSculpting can freeze away areas of fat, while weight loss and the boost from LipoB shots helps to metabolize fat from the body and cause weight loss.

Call today and take advantage of our Holiday Shape Up Specials: 20 % off the CoolSculpting Procedures and when you buy a package of 10 Lipo B Fat Burning Shots and get 2 shots FREE (a $50 Savings).

Attend our exciting new Seminar that talk about The Freeze and Burn Program: Freeze unwanted Fat and Burn away the Calories on December 5th at 11:00 at the Center for Cosmetic Surgery Center and Medi-Spa at 1 Reservoir Circle, Pikesville, MD 21208. Seminar is free to attend but must RSVP at 410-602-3322 or email: Lauri@DrDeanKane.com

The Freeze and Burn Program: Freeze unwanted Fat and Burn away the Calories

Getting into shape and losing weight is an endless battle that plagues most Americans. We are all looking for a magic bullet that would make it easier and more efficient to get slim and fit.  There is no getting away from the need to maintain a healthy diet and a daily exercise program but the medical community now offers combination of procedures and services that make your efforts more targeted and efficient.  The Center for Cosmetic Surgery and Medi-Spa has combine forces with The WeightWise Weight Loss Center to do just that, “get slim AND fit” with their Freeze and Burn Program using CoolSculpting and Lipo B Shots.

CoolSculpting freezes unwanted stubborn bulges of fat on the abdomen, back, muffin top, arms and inner thighs. The process takes up to 90 days for the body to resorb the frozen fat cells which are metabolized through the body. The Lipo B fat burning shots are ideal to use during this 90 day period. Lipo B shots consist of Vitamin B12 and Lipotropics. Lipotropics are three amino acids that are essential for the health of your liver. The liver is the organ that is responsible for removing fat and toxins from your body. Vitamin B12 gives you an energy boost which also helps to burn calories. By definition, a Lipotropic substance speeds up the removal of fat and cholesterol from the liver.

What could be more ideal than to combine these two fat freezing and calorie burning services together to help you get into shape faster and more efficiently? Even more ideal is to seek the medical advice of how to keep weight issues under control.  The WeightWise Weight Loss Center provides a program consisting of the use of prescription appetite suppressants, dietary guidelines, and the Vitamin B12 and/or Lipo-B shots.  This program helps patients learn how to make the changes in lifestyle to lose weight and maintain that weight loss. Being obese or overweight is considered a chronic disease. We know the challenges that being overweight can cause – both physically and emotionally.

Being the onsite weightloss program within the Baltimore practice of Dr. Dean Kane’s Baltimore Center for Cosmetic Surgery and Medi-Spa provides the tools that help patients to lose weight and lose inches at the same time, faster and more effectively.   The success of combining different tools, such as CoolSculpting, prescription appetite suppressants and Lipo B shots is what sets us apart from the rest.  CoolSculpting can freeze away areas of fat, while weight loss and the boost from a LipoB shots that metabolize fat from the body and help with weight loss.

Call today and take advantage of our Holiday Shape Up Specials:

20 % off the CoolSculpting Procedures and when you buy a package of 10 Lipo B Fat Burning Shots, get 2 shots FREE (a $50 Savings).


Attend our exciting new Seminar that talk about The Freeze and Burn Program: Freeze unwanted Fat and Burn away the Calories on December 5th at 11:00 at the Center for Cosmetic Surgery Center and Medi-Spa at 1 Reservoir Circle, Pikesville, MD 21208. Seminar is free to attend but must RSVP at 410-602-3322 or email: Lauri@DrDeanKane.com