Total Body Surgical Blog

Lip Lines and what to do about them, TBS Cosmetic Surgery

Posted by Jeff Swetnam, MD on Sat, Oct 05, 2013 @ 03:09 PM

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lip linesDo your lips look like you've been sucking on a sour pickle, even when you haven't??  Did you used to smoke (back when it was cool) and have the lips to prove it now??  
This is a common problem that we see every day.  It aggravates you when you look in the mirror and makes you self conscious.  The cause of the problem is usually from multiple factors.  Bad habits can cause it such as smoking or using a straw too much.  Another big factor is UV exposure from sun.  The biggest factors, however, are those you can't control, i.e., genetics and ageing.  As we get older, not only do we lose fat from our face, but also from the lips.  Young lips look full and have a great shape for some,
full lipsas in this picture.  The lip is full, both upper and lower, with a nice shape and good cupids bow on the upper.  Lips like these are what most women want.  Others are born with thin lips that have little shape to them...
thin lipsNot that there is anything wrong with them but they do lack fullness.  Obviously, this is genetics at work and there is not much that you can do about where you start.
In general, as we age, we lose fat in our faces.  Of course, the lips, being a part of the face, lose volume too.
lips ageing
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They begin to thin and start losing their shape with time and literally everyone starts developing vertical lip lines around the mouth.  The muscles surrounding the mouth are purse string type muscles that allow us to pucker, and muscles that pull the corners of the lip up or down.
facial muscles   depressor group1317340022061
As you can see from the names, there are a lot of depressors that pull the corners of the lip down.  All of these muscles, over the years, and with millions of facial expression, all in which the mouth is so active, wrinkles in the skin begin to form.  We all get the nasolabial folds as the cheek "deflates" and most get marrionette lines as well.  The vertical lip lines are almost always present as we age too but to varying degrees of severity.
nasolabial foldsHere you see nasolabial folds.
MarionetteLines NoMarkMarrionette lines
How do we treat these things?  
There are several methods to treat these bothersome lines and dents.
First...avoidance.  If you are a young person with great lips and no or few lines, don't smoke and use good skin care practices.  Avoid sun exposure on your face too.  Good prevention may slow the process or at least you will avoid these common problems starting early.
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Second, Botox and Fillers.  Botox can be used around the mouth if you have an experienced injector.  If the lines are not too bad, you can soften them or erase them with Botox.  Again, not every injector is trained to use Botox around the mouth and lower face so make sure yours has experience in those areas.
Fillers, such as Juvederm, Radiesse, and Silikon 1000 are great tools to soften the wrinkles and lines when Botox is not enough.  Fillers add volume so the skin is filled back out and the wrinkle de-emphasized.
The last of the minimally invasive techniques is the laser.  We use the Pearl laser to force the skin to make more collagen and in doing this, the skin tightens and reduces wrinkles.  It takes about a week to recover from and may require more than one treatment to get the result you want.  It is effective and costs about $600 for the lip area and $1200 total, for the entire face.
I usually recommend augmenting the lips too and do this with silikon 1000.  It is a slow correction that works great and can give you the lips you've always wanted. 
Come see us today by calling 918-786-7780 or 1-877-weight-0.
We can certainly help get the sour look off around the lips.
Looking forward to it!!

Topics: breast implants, Laser treatments with fractional lasers and pearl, laser treatment, obagi, collagen, radiesse, Botox, dermal fillers, Obagi skin care line, juvederm, silikon 1000

A, B, C's of Skin Care at Total Body Surgical Cosmetic Surgery

Posted by Jeff Swetnam, MD on Mon, Apr 25, 2011 @ 08:52 PM

Last week I began a discussion of common skin care complaints.  Today I will discuss one of the common complaints.....wrinkles...

Now this kid has a cure for everything.  Check out his routine!!

http://youtu.be/X5kFQW7W7_k

What causes wrinkles?  Well, that is a big question but the answer is about the same for everyone.  Time, as in aging, is the primary culprit.  We all make facial expressions that are common.  We all scowel from time to time, we smile, frown, and elevate our brow.  When young, we produce collagen at a rapid rate and elastin that keeps the skin flexible even when the underlying muscles wrinkle the skin.  Skin also produces more oil and moisture when young adding to its pliability.  At around age 30 most of us stop producing collagen at a rapid rate and we gradually develop a net loss of it.  When this happens, the skin, in response to constant pressure from the underlying muscles of expression, begins to gradually show wrinkles.  These wrinkles are seen in nearly everyone starting around age 40 but can occur much later or much earlier.  Genetics takes a part in when the process starts as well.

What can we do about them??  You can start with prevention.  This starts with a good skin care regimen.  The most important part of this regimen is sun screen to protect from UV damage.  For the remainder of the care, at Total Body Surgical Cosmetic Surgery, we recommend the Obagi line of medical skin care.  These products are fantastic at slowing the process of aging, i.e. wrinkles.  When used properly this line stimulates collagen formation and keeps the skin young longer.

When skin care is used properly, wrinkling can and eventually will continue to occur.  When this happens, the best product on the market, hands down, is Botox or Dysport.  These products are time tested, safe, and VERY effective when used properly.  We use Botox by the gallon and everyone loves it.  Wrinkles that are too deep for Botox may need to be Filled.  I will cover these products in my next chapter.

Come see us at INTEGRIS Total Body Surgical for a full line of Obagi products and Botox.  Mention this blog and get Botox for nine dollars per unit (about $300 for the full upper face).  You need to mention this blog though when you book.

Cosmetic consultations and skin care consultations are complimentary!!!

Topics: Skin care, collagen, Botox, Dysport, wrinkles