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I’m Dr. Ginsburg and this is our second segment on the ways that we can make someone appear more attractive and youthful. In the first segment, we talked mainly about the shape of the face and, as you can see, Amber has a very pretty, youthful-shaped face as did Candace. But just to go over a few of the things we talked about, the shape of the temples, the beautiful shape of the cheekbones, the lip proportions, the sharp angle to the jaw, or the nice eyebrow, how it arches nicely and sits just above the orbital bone, one of the features that gives women their pretty, feminine appearance.

What I’m going to talk about in this segment is the skin surface and the first segment we talked about how we reshape the face and things we can do to eliminate lines caused by muscle movement, but what makes a youthful face look young is the color, texture, and tone of the skin. Amber is very young, she has a very smooth pretty complexion, there are no brown spots, there are no red spots, there’s no sun damage, but unfortunately, as we get older, due to aging or lifestyle habits, people develop freckles, they develop little spider veins, the skin will take on a little yellow, sallow discolor from repeated bending of the skin, particularly around the mouth. People will get what’s called smokers’ lines, which are not necessarily due to smoking, they’re due to repeated pursing of the lips. When we go like this, our lips contract and we get little lines above the lips. Over a period of time, those lines will remain at rest.

So, what I’m going to do today is talk about how to improve the surface texture, color, and tone of the skin. Of course, there are products that we use, you know, the main anti-aging product that everybody uses these days is retinoic acid, which comes in many different forms. Retin-A was the first brand, was used as an acne treatment, but we later discovered that it improved little brown spots and made the skin smooth looking. Beyond Retin-A, there are many treatments that we perform in order to make the skin look younger, and we can divide those treatments into two categories: Ablative, which means to burn and remove, and non-ablative, which produces no recovery and no change in the actual surface of the skin immediately after the treatments.

The laser that I use is called Sciton and Sciton is one of the most advanced lasers available. Sciton offers ablative and non-ablative treatments. The popular non-ablative treatment is called Photofacial BBL, stands for broadband light, and the new term for repeat treatments is called Forever Young. The technology involves delivering energy through the skin. We do not burn the top layers of the skin, but the energy goes through the top layers of the skin, targets brown and targets red. So, if someone comes in and they have, you know, freckling or sun damage causing the skin to turn brown, we advise them to get a series of BBL treatments, a series of photofacials on repeat treatments. You will see improvement in the spider veins, which some people call rosacea, you will see lightning of brown spots and you will also see collagen, new collagen deposition which gives the skin a smoother look and helps with fine lines.

The series is called Forever Young because it was discovered that people who came back on a regular basis for the BBL treatments not only continued to look young, but when they did skin samplings and biopsies, the skin retained the characteristics of younger skin. So if I started treatments on her, let’s say when she reaches 30 or 40, and I did treatments every year, 10 years later I could look at the surface of her skin and it would look as young as it did before, if not younger, and we can do a biopsy and would look just as good as youthful skin.

So the main treatment I do for people who don’t want any downtime but want improvement in redness and color, texture, tone is the Sciton BBL treatments. Someone who has more advanced changes but is willing to have a little bit of downtime, then we use the ablative technology. Ablative means to remove or, you know, in layman’s terms, it means to burn the surface of the skin. The beauty of the Sciton laser is that we can tone the depth of the burn to within one ten thousandth of an inch, so if someone wants to come in and just wants a teeny little bit of brightening treatment, they will get a 4-micron peel, there’ll be a little bit red that day, the next day they put their makeup on and they go to work. Their skin will look brighter, it removes a little bit of the brown, and if they do a series of those treatments, you get more and more improvement. That’s about the lightest treatment you can do, is a 4-micron micro laser peel.

We can tune the Sciton laser to go deeper. We can go as deep as several hundred microns for someone who has deep wrinkling. In order to get a positive effect on the wrinkling, generally we have to go between fifteen hundred microns, and that generally has a two to three-day recovery time. So, if you’re coming to me and you say, “You know, what can you do to make my skin look younger?” I’ll recommend either ablative or non-ablative treatments and your choice will depend on how much downtime you can afford. If someone is in their 50s and 60s and want significant improvement, I might recommend a two to three hundred micron peel, but they would have to be willing to take three to five or even seven days off from work. Deep wrinkles around the mouth are one of the hardest things to treat, in order to go deep enough for that, generally we need a five to seven-day recovery. The results can be dramatic, it can absolutely make an older wrinkled face more youthful and attractive.

So in summary, what we’ve talked about is the ways to improve the surface of the skin by using various products and non-ablative and ablative resurfacing. So, that would, you know, if someone came in for consult, we would have to take into consideration what their aesthetic goals were and whether or not they are going to have downtime. I’m Dr. Barry Ginsburg, and I hope you enjoyed this discussion on skin resurfacing.

Are you frustrated that despite weight loss and exercise, you still don’t have the figure you long for? Hello, I’m Dr. Barry Ginsburg. At Ginsburg Dermatology Center, I have performed over one thousand liposuction procedures under local anesthesia, thus avoiding the risks of general anesthesia and allowing return to work and exercise within 24 hours. The beautiful figure you long for is easily attainable.

Ginsburg Dermatology, practicing the fine art of well-being.

Hi, I am Dr. Ginsburg and we are about to do a cool sculpting treatment on Jill. At Ginsburg dermatology center we offer CoolSculpting and Smart Lipo. Cools sculpting is the most popular non-invasive means of fat removal but it’s very important when you get a consultation to go to someone who offers both, because cool sculpting is only for small localized areas of fat removal whereas liposuction you can remove large areas of fat removal, so please come for a consultation and we will decide on what the most effective treatment is for you!

Subcision is an effective treatment for deep areas of cellulite. Performed in conjunction with Vaser shape it can significantly improve overall appearance of cellulite.

Ginsburg Dermatology Center and patient consultation. A candid view.

Doctor – She already has beautiful lips but we are going to make them a little bit bigger and maybe a little bit out of proportion. What you want is the bottom lip to be about one-and-a-half times bigger than the top lip but I think hers is a little bit larger than one-and-a-half times. The other feature that makes lips pretty is the definition of the wide/white line, this little area at the junction of the top of the lip. Another thing that makes lips pretty is Cupid’s bow. If you see that and that, and that combined with the Philtrum columns gives a very pretty middle lip. So, what we are trying to do is maintain the shape, we don’t want the lip to turn out, because that gives a duck-like appearance which nobody likes. When I inject lips, there is no one way I inject lips, I can’t tell you the formula, but I look where I want the lips to be a little bit bigger and then I add volume there and then I try to match it if I want to make the lower lip a little bit better. So, she already has some numbing cream on and so she may feel it a little bit, but it shouldn’t be particularly painful. So, first I want to add more volume here, so I am going to go right under her white rule here and I use a 30 gauge-31 gauge needle on an insulin syringe. We load the filler into that and it gives me much much more accurate control and also less pain on injection. So, if you look already how much this has turned up and is already a little fuller. Okay, and let her take a quick peek at that size. It is very important to get feedback on lips because you don’t want ….

Patient – I love it.

Doctor – Yeah, want to make it a little bigger? Little bit bigger? Take a look. A little bit bigger?

Patient – I think you should do what you think you should do.

Doctor – Okay, I’ll do a little bit more. So, I’m gonna add a little bit more volume to the middle lip right here, and if you could look at that (nice). Take a look again.

Patient – I love it.

Doctor – The amount of filler I use in lips is very, very small and I’m using Restylane right now which is a hyaluronic acid filler. So, the other thing I like to do is match the fullness of the upper lip with the fullness of the lower lip, so I am going to put some right there and it gives a sort of a dumbbell-like appearance, which is the classical shape to the lip. So I am going to stop there. You can take one more look at it. And I matched that to that. And then we’ll do the other side, not on the camera.

Patient – That’s great!

ACNE segment on ABC 33/40 featuring Dr. Barry Ginsburg.