August 2009


Posted on August 12, 2009 in Body Skincare, Sun Damage/Protection

ChestOne of the more common concerns voiced by women of a certain age is the development of a delta-like pattern of wrinkles on the chest. Combined with the finer all-over wrinkling often seen on the fine skin of the décolletage, this can add significantly to the appearance of aging.

The delta pattern of wrinkling, where the wrinkles start just under the collarbone and “flow” towards the cleavage is not a true sign of aging. Rather, it is caused by the compression of the soft structures of the chest when a woman sleeps on her side or stomach. (Sleeping in these positions is also responsible for wrinkling and creasing of the face.) If you stand in front of a mirror and push your breasts and upper chest area together with your arms, you will notice how marked the delta creases become.

The best way to prevent delta creases, and-if they are relatively shallow-lessen their appearance, is to sleep on your back. You don’t have to lie staring up at the ceiling, but simply make sure that your shoulders are facing upwards. Positioning your hip sideways will feel more comfortable, and placing a pillow under each arm will help retrain you to stop turning on your side.

If the creases are very marked, they can be treated with the profractional laser or a mild peel to markedly reduce their depth. Very deep creases can be filled with Restylane or Juvéderm to restore the appearance of youth. Dr. Ebrahim also uses Botox® to address wrinkling in the cleavage area.

The network of wrinkles that often appears in conjunction with hyperpigmentation (freckles, age spots) is caused by UV light and frequently worsens after menopause, when the skin thins. This fine, crepey appearance can be addressed by the use of an Afterglow retinoic acid formulation, and/or treatments with the profractional laser. Dr. Ebrahim or her staff will also be able to recommend a skin cream that can address the hyperpigmentation, to restore a youthful, even tone.

Finally, to help prevent deepening of chest wrinkles, be sure to wear your sunscreen every day!

The Aging Face, Part 1: the lips

Posted on February 25, 2009 in Facial Skincare, The Aging Face

Lips1As we age, a number of changes affect the contours of the face. Some of the more obvious changes take place in and around the lips. Take a look at the picture to the left. The young woman’s lips are generous and curve outwards at the borders, giving them a full, sensuous look. The area between the nose and upper lips (called the philtrum) is well padded and soft-looking, with well-defined ridges.

Lips2Now take a look at the older face. The lips have become flatter, rather like a deflated balloon, and have lost a lot of their youthful fullness. Their border (known as the vermilion border) is indistinct, and the philtrum has also flattened, its vertical ridges almost invisible. The corners of the lips have begun to turn down, giving a droopy look.

Is your mouth showing the signs of aging? If you are bothered by thinning lips and a lengthened, flattened philtrum, simple, “lunch hour” techniques can help restore the look of youth. Injectables such as Juvéderm, Restylane or Perlane can be placed in the philtral ridges, and around the vermilion border, and the lips themselves plumped up. A small amount of filler at the corners will reverse the droopy appearance. The overall result is a natural return to a more youthful-looking mouth area.

If you would like to know more about lip rejuvenation, please give us a call to set up an appointment for a consultation. Then be prepared for compliments!

All about fillers

Posted on January 8, 2009 in Dermal Fillers, Facial Skincare

skd260337sdc_4Injectable fillers, as the name suggests, fill in the indentations and folds that develop as the face ages. They may also be used to fill in scars caused by acne, or to enhance the shape of the chin, jawline, cheekbones, or nose. So effective are fillers in rejuvenating the face, that their use is sometimes referred to as a “liquid face lift.”

The most common places where fillers are injected are the nasolabial folds (the folds that develop from the nose to the sides of the mouth when the cheek fat decends under the effect of gravity), the marionette lines (folds that run from the outer lips down to the jawline), and in the tear troughs at the inner corners of the eyes, to reduce the appearance of dark circles. These fillers are also injected into the lips to restore the fullness of youth or enhance the appearance of naturally thin lips.

There are three categories of injectable filler: temporary, semi-permanent, and permanent. Dr. Ebrahim uses both temporary and semi-permanent fillers to enhance the features and/or restore a youthful appearance to the face.

Temporary fillers last on average from three to six months, and include Belotero,  Juvéderm and Emervel. They consist of non animal-based hyaluronic acid that is completely compatible with the skin’s own hyaluronic acid. Using a very fine needle, Dr. Ebrahim carefully injects the filler into the skin, causing it to plump up. The effect is immediate. Prior to treatment, a numbing cream will be appplied to your face, minimizing or eliminating discomfort during the procedure but, if you are sensitive, a topical anaesthetic may be injected to numb area being treated. This is more common with lips, which are more sensitive than other areas of the face. Dermal fillers are available with an anaesthetic, ensuring comfort during the procedure.

A Semi-permanent filler may remain in the skin for a year or more.  Radiesse® contains hyaluronic acid and calcium-based microparticles which have the added benefit of stimulating the skin’s production of collagen.

One of the advantages of dermal fillers is the “lunchtime treatment” aspect, meaning there is no downtime and no one need ever know what you have done to make yourself look – and feel – so much better!

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