Petit Plastic Surgery
Petit Plastic Surgery
Surgery specializes in enhancing and correcting physical imperfections through cosmetic surgery. This medical specialty addresses genetic or acquired flaws, as well as those caused by trauma or aging. Cosmetic surgery is a personalized approach to surgery that aims to improve one's appearance, while reconstructive surgery is intended to address shape features linked to pathological processes. Both disciplines fall under the category of plastic surgery, and their goal is to maintain a consistent aesthetic and scientific approach to correcting body flaws and spontaneous changes in appearance. While reconstructive surgery is essential in any plastic procedure, the cosmetic aspect of reconstructive surgery cannot be overlooked.
In recent years, the popularity of medical treatments and cosmetic surgery has increased, as modern society places a high value on physical appearance and well-being. At Petit Plastic Surgery, we prioritize helping our patients achieve their desired aesthetic outcomes with the utmost care and precision.
Petit Plastic Surgery is a minimally invasive treatment that enhances a patient's appearance by making subtle modifications to their facial features. While this technique may seem simple, it is crucial to consult with a qualified professional to receive an accurate assessment of the target area. Without a proper evaluation, there is a risk of facial disproportion and asymmetry. There are several procedures that fall under the umbrella of petit plastic surgery, including botulinum toxin injections (BOTOX), dermal fillers, and the less commonly used rejuran healer (which is more prevalent in Korea). Each of these procedures serves a unique purpose in achieving the desired aesthetic outcome, and our team of experienced professionals at Petit Plastic Surgery is well-equipped to help our patients make informed decisions about their treatment options.
Rejuran Healer is a cutting-edge treatment that involves injecting biocompatible substances directly into the dermis, the deepest layer of the skin. The injection consists mainly of polynucleotides obtained from the genetic material of salmon, which is known to be safe and has no harmful effects on the body. Rejuran Healer is designed to repair and rejuvenate damaged skin resulting from various factors such as trauma, UV radiation, and aging. By using this treatment, patients can expect to achieve bright and healthy-looking skin. At Petit Plastic Surgery, we are proud to offer this advanced treatment option to our patients who are looking for a safe and effective way to revitalize their skin.
The following are the patients who are recommended to have this procedure:
At Petit Plastic Surgery, we offer Rejuran Healer as a treatment option for patients seeking safe and effective ways to improve their skin's health and appearance. Our experienced professionals can help determine if Rejuran Healer is an appropriate treatment option based on each patient's unique needs and goals.
Botulinum toxin, also known as Botox, is a medication that is derived from the toxin produced by the Clostridium botulinum bacteria. In high doses, this toxin can cause botulism, a nerve-related illness. Botox has been used in ophthalmology since the 1970s and has become increasingly popular in dermatology over the past two decades.
Botox is composed of seven different neurotoxins, but only toxins A and B are utilized in clinical practice. Botox A is a cosmetic injectable that is primarily used in dermatology to treat various medical conditions. Botox A was the first form of Botox to be approved for aesthetic treatment of glabellar forehead wrinkles by the Food and Drug Administration (FDA) in 2002. The second form of Ona-botulinum toxin A, made in France, was granted permission for cosmetic use in the European Union in 2006, and was later approved by the FDA in 2009. Botox type A has now become a common term used to refer to all chemicals used in cosmetic procedures. At Petit Plastic Surgery, we offer Botox injections as a safe and effective way to help our patients achieve their desired aesthetic outcomes.
Botox works through a four-step mechanism of action:
After injection, Botox spreads into the surrounding tissue until it reaches the presynaptic cell of the neuromuscular junction. There, it attaches specifically and reversibly to the membrane protein involved in acetylcholine release. By blocking the release of acetylcholine, Botox reduces the repetitive contraction of facial muscles and diminishes the appearance of wrinkles. At Petit Plastic Surgery, we offer Botox injections as a safe and effective way to achieve a more youthful and refreshed appearance.
Botox is a commonly administered treatment in dermatology that is injected into the muscles of facial expression. These muscles are primarily connected to soft tissues rather than bones and, when contracted, cause the skin on the face to stretch and produce facial expressions. Botox is used to smooth out wrinkles in various areas, including the neck, chest, forehead, crow's feet at the sides of the eyes, wrinkles around the lips, malar folds, and glabellar frown lines. Additionally, Botox can be used to treat conditions such as hyperhidrosis, lichen simplex, dyshidrotic eczema, and acne vulgaris by elevating the eyebrows. However, other signs of aging, such as dry skin, pigmentation issues, and vascular irregularities, cannot be prevented using Botox. At Petit Plastic Surgery, we offer Botox injections as a safe and effective way to help our patients achieve a more youthful and refreshed appearance. Our team of experienced professionals can help determine if Botox is an appropriate treatment option based on each patient's unique needs and goals.
Botox is contraindicated in certain patient populations, including those with myasthenia gravis, motor neuron disease, multiple sclerosis, Eaton Lambert syndrome, pregnant and lactating mothers, neonates and children, patients with focal and systemic infectious diseases, patients who are hypersensitive or allergic to Botulinum toxin, and patients who have previously undergone lower blepharoplasty. It is important for patients to disclose their full medical history to their provider prior to receiving Botox injections to ensure that they are a suitable candidate for treatment. At Petit Plastic Surgery, our team of medical professionals will conduct a thorough evaluation and assess the patient's medical history before determining if Botox is an appropriate treatment option.
Botox injections can cause adverse effects, such as bleeding, edema, redness, and soreness at the injection site. These side effects can be minimized by using finer needles and dissolving Botox with saline. Headaches are another common adverse reaction that may occur following Botox injections, but typically resolve after 3-4 weeks. Systemic painkillers can be used to manage these adverse reactions. Other side effects include lethargy, nausea, influenza-like episodes, and ptosis. Ptosis is most commonly seen in patients who have had Botox injections in the glabellar region, and can last for weeks but can be treated with alpha-adrenergic agonist ocular drops. Ectropion, which is the outward turning of the eyelid, can also occur when Botox diffuses into the lower eyelids.
Patients who receive Botox injections for crow's feet or bunny lines may develop strabismus, or crossed eyes, as a result of unintended Botox administration and local Botox diffusion. However, these adverse effects typically resolve once the paralyzing effect of the toxin wears off.
While the risk of adverse effects from aesthetic Botox injections is generally low, ecchymosis and purpura are common side effects that can be prevented by applying ice to the injection site before and after treatment. Botox should be administered in small amounts, at the correct dosage, and at least 1-2 cm away from the orbital bones' superior, inferior, or lateral margins. Patients should avoid touching the injection site for 3-4 hours after treatment and remain in an upright position for 3-5 hours. At Petit Plastic Surgery, we prioritize patient safety and will work with each patient to minimize the risk of adverse effects and ensure a safe and effective Botox treatment experience.
Dermal fillers are soft materials that are injected beneath the skin to address a variety of cosmetic concerns. They can be used to smooth deep under-eye shadows, uplift cheekbones, volumize the lips, and smooth lip creases and nasolabial wrinkles, as well as resurface the hands.
Dermal fillers are composed of a combination of natural and synthetic chemicals, with hyaluronic acid being one of the most common ingredients. Hyaluronic acid is a naturally occurring substance in the skin that helps with hydration and volume. Depending on the specific composition of the filler, hyaluronic acid fillers can last from seven months to much longer before being gradually absorbed by the body.
One of the major advantages of hyaluronic acid fillers is their natural appearance when injected, and the fact that they can be reversed using a specific agent in case of an adverse reaction or if the desired results are not achieved. Additionally, most hyaluronic acid fillers contain a pre-mixed anesthetic to ensure patient comfort during treatment. At Petit Plastic Surgery, our experienced providers use dermal fillers to help our patients achieve their desired cosmetic goals with natural-looking results.
In addition to hyaluronic acid fillers, there are other types of dermal fillers available, including calcium hydroxylapatite, poly-lactic acid, and autologous fat. Calcium hydroxylapatite is a naturally occurring substance found in human bones and has a long history of use in orthodontics and cosmetic surgery with a proven safety record. Poly-lactic acid is an artificial filler that stimulates collagen production and provides progressive results over several months. Polymethyl methacrylate is a semi-permanent filler that is more durable than other fillers but can cause lumps and be visible beneath the skin.
Each type of filler has its own unique advantages and disadvantages, as well as varying levels of volume, durability, and smoothness. Therefore, it is crucial to consult with a board-certified dermatologist or plastic surgeon who has a deep understanding of facial anatomy and is knowledgeable about the various fillers and injection techniques available. To achieve the best aesthetic results, a medical practitioner will carefully assess any concerns and goals, discuss what to expect before, during, and after treatment, and recommend the most appropriate filler for the specific area of concern. At Petit Plastic Surgery, we are committed to providing our patients with the highest level of personalized care to achieve their desired cosmetic results.
Dermal fillers have been approved by the FDA for individuals aged 21 and above for a variety of cosmetic purposes, including:
At Petit Plastic Surgery, our experienced providers use a variety of dermal fillers to help our patients achieve their desired cosmetic results safely and effectively. We believe in providing individualized treatment plans to ensure the best possible outcomes for each patient.
It's important to note that the FDA advises against using dermal fillers or any other injected filler for body contouring and augmentation in certain areas of the body, including:
Injectable silicone is not approved for any cosmetic treatment, including facial or body sculpting or augmentation. Its use can lead to serious complications such as infections, scarring, deformity, embolism, stroke, and even death.
Additionally, the FDA has not approved any needle-free systems for injecting dermal fillers, and no dermal fillers have been authorized for over-the-counter usage. The FDA has issued a Safety Communication regarding the risks associated with the use of needle-free systems for dermal filler administration. It's essential to consult with a board-certified dermatologist or plastic surgeon before undergoing any cosmetic procedures to ensure safe and effective treatment.
Some of the possible adverse effects of dermal fillers include allergic reactions, infections, granulomas (inflammation of tissues), asymmetry, lumps or bumps, skin discoloration, migration of the filler material to other parts of the body, and damage to blood vessels or nerves. Injection into blood vessels can cause tissue death, scarring, and vision loss. As with any medical procedure, it's essential to choose a skilled and experienced medical professional who is knowledgeable about facial anatomy to avoid complications. Patients should also inform their doctor of any allergies or medical conditions they have before undergoing treatment. It's important to note that while dermal fillers are generally safe, they are not a substitute for a healthy lifestyle or a skincare routine that includes sun protection and good nutrition.
It is important to note that using unlicensed dermal fillers or prohibited substances can be very risky and potentially dangerous, as the ingredients and quality of these products are not regulated or monitored. In addition, administering dermal fillers requires a high level of skill and knowledge of facial anatomy, and inexperienced injectors or those who lack proper training can increase the risk of adverse effects. It is crucial to only receive dermal filler injections from qualified and licensed medical professionals. Patients should also inform their provider of any medications, supplements, or medical conditions they have before undergoing the procedure to minimize risks.
The FDA-approved usage of dermal fillers comes with the following hazards. There are no known dangers related to the use of unlicensed dermal fillers or prohibited substances.
Hyaluronic acid is the most common ingredient used in dermal fillers due to its hydrophilic nature, which allows it to hold onto water and produce pressure edema. It is a polysaccharide naturally found in the skin and cartilage of the human body. However, individuals with bleeding disorders, allergies, or oversensitivity to filler components should not undergo hyaluronic acid treatments.
Due to the injection-based delivery method of fillers, bruising and hematoma are likely adverse effects. Additionally, the use of fillers is heavily reliant on the practitioner's skill, leading to potential negative effects such as under-correction, overcorrection, and lumping, which may not meet patient expectations.
Lumping, unrealistic patient expectations, and under or overcorrection are potential negative effects associated with dermal fillers. Lumping often occurs with non-homogeneous fillers and inadequate massage during the injection process. If the filler is not compressed and blended through massage, it can result in palpable and visible skin abnormalities.
Focal necrosis is a rare but serious consequence of filler treatment, with a rate of just one in a million cases. The glabella is the most common site for focal necrosis in filler patients, and symptoms typically appear within 1-2 days. This is caused by direct intravascular injections, resulting in blocked blood flow. Hyaluronidase injections are used as an initial antidote to treat the onset of necrosis symptoms if the physician is aware of them.
Both Botox and dermal fillers are dependent on the expertise of the operator and may result in similar adverse effects. Antidotes are available for both treatments in the event of any negative outcomes.
Botox cosmetic has become increasingly popular as a cost-effective and less invasive alternative to surgical procedures. The key component in Botox is botulinum toxin, which is produced by the bacterium Clostridium Botulinum. Originally known for causing paralysis from food poisoning, Botox works by inhibiting the presynaptic production of acetylcholine at the neuromuscular junction, leading to chemo-denervation and paralysis. Botox injections are commonly used to address wrinkles and lines on the face and neck, including crow's feet, forehead wrinkles, neck-bands, and jowl. While adverse effects are generally localized, such as paralysis of neighboring musculature or cold-like symptoms, there are no standardized physical limitations after Botox injections.
As there are numerous dermal fillers on the market and the desire to maintain a youthful appearance is common among baby boomers, it is crucial to make informed decisions when selecting a filler and procedure. This can maximize patient satisfaction and achieve desirable results.
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