I, Dr. Randal Haworth, have embarked on a dedicated mission to deliver the best and most comprehensive care in the aesthetic medical arena.To fully grasp what this means, it is necessary to divide aesthetic medicine into three prongs:
- Aesthetic Plastic Surgery
- Non invasive Aesthetic Clinical Treatments
- At Home Skin care
The same goes for *New Technologies* and *Skin Care*. There is a bewildering array of new technologies constantly emerging and offered to plastic surgeons and their patients. Some are pie-in-the-sky promises, others represent real breakthroughs. My job is to ascertain the most cost-effective and efficacious ones and bring them to my patients as we expand the scope of aesthetic refinement.
AMONG THE NON-INVASIVE TREATMENTS OFFERED AT Self Centered Aesthetics:
Fraxel® This revolutionary laser now mimics results only seen with the CO2 deep lasers of the past, but without the downtime! Dramatic reduction in FINE LINES, PORES, BROWN DISCOLORATIONS and even ACNE SCARS is possible with 3 to 5 sessions (performed at 2 to 3-week intervals). There is a 4-day period of mild redness.
Lumenis® IPL Dr. Haworth and staff at Self Centered Aesthetics are committed to providing the best, proven state-of-the-art noninvasive technologies for his patients. Among them are the Lumenis One® IPL machine which uses short bursts of high intensity light of multiple wavelengths to treat BROWN SPOTS, BROKEN CAPILLARIES, ROSACEA and FINE LINES. It is relatively painless and all parts of the body on all skin types can be treated. Generally, packages of 4 to 5 are needed to obtain the most effective results and what makes it very attractive for my patients is that little to no downtime is encountered.
Lumenis Light Sheer Duet® This laser is among the very best for permanently reducing and removing hair on all parts of the body and face. The state-of-the-art technology that is combined in this machine is truly remarkable in that it utilizes a very large Diode laser spot size as well as combining vacuum assisted technology. As a result, large areas can be treated very quickly and effectively with minimal discomfort – even to the point where no numbing cream is needed prior to application. Ask our aesthetic nurse practitioner about how The LightSheer®Duet™ can help you achieve your personal beauty goals, save you valuable hours from shaving and avoid the associated rashes, cuts, and ingrown hair infections.
Roll-CIT® This is a non-ablative device consisting of a roller with attached micro needles that facilitates the skin to produce collagen and elastin. One can consider this as a supercharged mesotherapeutic tool that preserves the top layer of skin while utilized to treat WRINKLES, LOOSE SKIN, STRETCH MARKS, SKIN DISCOLORATIONS and SCARS. When performed by our aesthetic practitioner at Self Centered Aesthetics, needle lengths up to 2 mm are utilized whereas longer ones are employed by Dr. Haworth, sometimes under twilight sleep. Personal care versions with significantly shorter needle lengths are available from skin care professionals only.
Thermage® Radio Frequency skin tightening is no longer offered here at Self Centered Aesthetics for the following reasons. I have been underwhelmed by this and other RF (radiofrequency)-based technologies. Albeit, initial results can be impressive, longer-term ones are less so; indeed, measurable results can only be seen in roughly 20% of my patients, a clearly disappointing figure.
AMONG THE INJECTABLE TREATMENTS OFFERED AT Self Centered Aesthetics:
Belotero® This is the newest addition to the family of hyaluronic acid (HA) fillers available to patients in the USA. While, you may have heard of Juvéderm®, Restylane®, Perlane®, etc. however, there are some disadvantages to their use. The Tyndall Effect is one such problem that is encountered, especially when a well-meaning practitioner injects theses latter substances into and around the lower eyelid hollows. In practical terms, this results in swelling similar to the dreaded eye bags along with a bluish tinge. Injecting more deeply onto the bone of the orbit itself helps minimize this problem. Fortunately, this can be dissolved with an enzyme very quickly. Belotero® on the other hand, can be injected five times more superficially with a significantly decreased incidence of this effect. It lasts anywhere between 6 and 9 months. It is my most popular HA amongst my patients, producing consistently excellent results.
Juvederm Ultra® and Ultra Plus® are newer types of hyaluronic acid fillers similar to Restylane® but tend to last longer than this latter product. Consequently, Dr. Haworth utilizes these more frequently; he refers to them as “workhorse of fillers” since they can be placed almost everywhere in the body, have a great safety profile and last approximately 2-3 months longer than Restylane® or Perlane®.
Radiesse™ Though more expensive than the HA’s, it may be worth it in the long run since its longevity surpasses other temporary filler currently on the US market. Reports indicate that the effects of Radiesse™ last between 1 – 1.5 years within the face. In terms of anti-aging therapy, Dr. Haworth feels it is excellent for the nasolabial folds, temples, and the Marionette lines (running from the corner of the mouth to front of the jowls). To recreate cheekbones and jawlines for beautification therapy/facial augmentation, Radiesse™ is one of the most effective substances available since it has little compressibility yet feels naturally soft at the same time. It is also very effective in treating age-related atrophy in the hands. For more information, check out this video.
Aquamid™ The filler of the future from Denmark. A permanent, yet removable, injectable plumper that feels completely natural within the body. Approximately 95% water and the rest polyacrylamide gel, Aquamid™ seems to be the ideal substance today for facial rejuvenation and beautification through injection alone. As of yet, it is not FDA approved, so it is only offered under certain circumstances.
Botox™ of course, the tried and true will still be available , since they serve the certain needs and life styles of specific patients, These include Botox Cosmetic™, microdermabrasion, collagen products, such as Zyplast™ and Cosmoplast™ (the human derived collagen). Generally, less swelling and familiarity accounts for their popularity and no skin test is required with the latter product. Read more about this product.
Bellafill® , formerly known as Artefill™, is unique. It is basically the best, safest permanent FDA-approved filler on the market today. Dr Haworth has had over two years’ experience with this product and is impressed with its unparalleled reliability both in terms of safety and aesthetic outcomes. It is ideal for those who want more permanent results than those offered by the hyaluronic acid fillers (Juverderm, Restylane, etc.) and Radiesse. A skin test is required.
Surgical Healing AcceleratorsIdeally, cosmetic surgery represents a well orchestrated collaboration between the doctor, our staff and the patient. This is particularly true for the healing process. Though bruising, swelling and temporary scarring are part and parcel of every procedure, their extent can be minimized and duration diminished. On our part, we do everything we can in the operating room to minimize tissue trauma resulting in better, faster healing. But in fact, much of how you heal is in your hands. What you do – both pre- and post-operatively – can make a significant difference on how quickly you’ll emerge to enjoy your final results.
Also, be aware that certain procedures require more healing time than others. For example, it may seem counterintuitive but both liposuction and fat grafting – neither of which require any cutting – can cause significantly more bruising than do other procedures such as a facelit. So during your pre-operative consultation, make sure you’re aware of what to expect.
PRE-OP MEASURESNo aspirin or ibuprofen-containing products for two weeks before your surgery.
HOMEOPATHICS: BROMELAIN, ARNICA and PYCNOGENOL can reduce swelling, bruising and inflammation while accelerating healing.
ANTI-OXIDANT JUICING: Daily shots of potent anti-oxidant juices such as mangosteen or açai berry can significantly reduce post-operative inflammation, swelling and discomfort. At our office, our favorite is MONAVIE ACTIVE which you can purchase from us or buy online.
SKIN CARE: Dr. Haworth will often recommend a DEEP-PORE FACIAL five days before facial surgery.
POST-OP MEASURESDuring recovery, continue taking homeopathics and keep drinking your antioxidant juice along with your prescriptions. ICING for the first 48 hours. Sleep with head above your heart.
Much of what we know about post-surgery healing comes from studies in wound healing. Exciting new treatments include:
BIOPTRON®: This extraordinary POLARIZED LIGHT THERAPY system stimulates regenerative process of skin and underlying tissues. 30 minutes a day for five to six days after surgery can cut bruising and healing time in half. You can schedule appointments here or you may want to purchase a home unit from us or online (bioptron.com).
HYPERBARIC OXYGEN CHAMBER: This therapy speeds healing by decreasing swelling and inflammation, increasing circulation and fortifying the blood. For best results we suggest three to five treatments beginning the day after surgery. We can help you schedule appointments nearby.
Anecdotally, we have found that Bioptron light therapy combined with hyperbaric oxygen chamber sessions can help heal patients a full 10 days more rapidly than had they done nothing. For many, these are well worth the time and investment. Scar Care: Dr. Haworth will often suggest certain scar ointments and creams and occasional silicone sheets to minimize scarring.