BOTOX™ vs. Dysport™

  • By admin
  • 28 Aug, 2017
What do you use to wipe or blow your nose? A Kleenex™, right? Actually, it’s a “tissue”. Kleenex™ is one brand but has been used so commonly for so long that the name has become synonymous with the object. A similar thing exists with BOTOX™ and Dysport™. BOTOX™ was the first medicine used for the […] The post BOTOX™ vs. Dysport™ appeared first on Clymermd.
What do you use to wipe or blow your nose? A Kleenex™, right? Actually, it’s a “tissue”. Kleenex™ is one brand but has been used so commonly for so long that the name has become synonymous with the object. A similar thing exists with BOTOX™ and Dysport™. BOTOX™ was the first medicine used for the treatment of facial lines and wrinkles and is so popular that people refer to having “botox” treatments. What they are actually referring to is having a medicine injected into the muscles that cause wrinkles. There are a number of these medicines available, but the two most popular are BOTOX™ and Dysport™. The actual chemical name of BOTOX™ is Onabotulinumtoxin A, and Dysport™ is Abobotulinumtoxin A. Pretty similar, right? These two products both are most commonly used to relax the muscles that cause lines and wrinkles in the face. I am often asked the difference, and as you can see chemically they are almost identical. The real question that most patients want to know is which is better for them? The answer depends on each patient, and both products get excellent results. My patients tend to prefer Dysport™, as they see a longer benefit time with Dysport™. The longer it lasts, the fewer office visits, and less cost to the patient. There are a few patients in my practice that experience longer results with BOTOX™. So, at Clymer Facial Plastic Surgery we offer both products and advise each patient which product is likely best for them.
By Mark Clymer, MD FACS 16 Nov, 2017

One of the latest ‘Hot Topics” in many areas of medicine is the use of platelet rich plasma, or PRP. Platelets are the cells in the body that stick together and form clots when we have a cut or a scratch. One of the fascinating things about the human body is that many of the body’s cells and organs have more than one function. We are finding that platelets, and the plasma that contains them, have functions that may help healing and promote growth of other cells.

In plastic surgery, the use of PRP ranges from injecting PRP into incisions to promote healing, injecting PRP into the tissues of the face to promote collagen production, scalp injections as a non-surgical approach for hair restoration, applying PRP as a sealant after laser surgery, and applying PRP in facial surgery to limit bruising and aid healing. Many of these applications are in the early stages of use, but I have used PRP for over 10 years in facelift and browlift surgery with excellent results. In browlift and facelift surgery, PRP (also called platelet gel) is use to reduce the amount of bruising that occurs with surgery. The technique is safe, as the patient’s own platelets are used, and helps reduce bruising associated with surgery. Less bruising means less downtime, and in today’s busy society that is a great benefit.  Patients are back to work faster and need less cover up makeup in the first days after surgery.

As the benefits of PRP unfold, more of these techniques will be incorporated at Clymer Facial Plastic Surgery. If you have any questions about PRP and its use, call the office or schedule a consultation to see if PRP has benefits for you.

By Mark Clymer, MD FACS 27 Oct, 2017

Apple recently announced the release of their latest smart phone, the iPhone X™. Among the many advancements touted by Apple™, one feature of interest to me as a facial plastic surgeon is that of the facial recognition software. The iPhone X™, according to Apple’s™ website, will use Face ID™, a system that will recognize the user’s face to unlock the phone as well as perform other features. According to Apple™, Face ID™ will use the camera system on the phone to “accurately map and recognize a face.” (Apple™ Inc., Website , Press Release September 12, 2017; “The Future is here: iPhone X”) The system is also described as being capable of using IR images and “dot patterns” to identify the user to unlock the phone, while also “adapting to physical changes in appearance over time” (Apple™ Inc., Press Release September 12, 2017; “The Future is here: IPhone X ”) A phone that can account for the changes in our faces as we age!

This is not only technologically fascinating, but also reinforces some of the concepts that are inherent in facial plastic surgery. The fact that the brilliant people at Apple™ can program a device to recognize aging changes supports the long held premise of facial plastic surgeons that there are constants that are recognized by the human brain, both in terms of recognizing beauty and the signs of aging. These constants are the tenants that we as facial plastic surgeons rely on to achieve NATURAL changes for patients that want to improve their appearance or look more youthful and vibrant.

Many patients are hesitant to have cosmetic surgery for fear they will look “plastic” or look like they have had an operation. It is my opinion, supported by over 20 years of experience, that a natural look depends largely on the techniques used to achieve that look. Many procedures that I call “short cut” techniques leave just the look the patient does not want. On the other hand, well done cosmetic surgery is not “seen.” The patient merely looks better! They look more rested, refreshed, more youthful, or have a prettier profile or nose, but they still look like themselves. Surgery that keeps the patient looking like “themselves” relies on maintaining proportion, balance, symmetry, and natural curves and hollows of the human face. From what I gather from reading the Apple™ press release, this is the same science that the iPhone X™ is using to recognize a particular face. If we disrupt the natural proportions or features of a face, the patient may not” look like themselves”, or wouldn’t be “recognizable” by their phone. The art of facial plastic surgery is preserving those natural recognizable features of each individual’s face, while improving the signs of aging or enhancing the appearance of a particular feature.

With this in mind, an interesting question to ponder is would the iPhone X™ programmed to recognize the person before surgery, be able to recognize the person after surgery?  If the software accounts for aging, it should recognize the more youthful version of the person. With structural changes, like those achieved with rhinoplasty, as long as the patient looks like “themselves,” the phone should recognize them. I have no way of knowing the answers to these questions, as I am certainly not an expert in the smart phone technologies involved. What I am an expert in is facial plastic surgery. And I have countless examples of patients that come in after surgery and tell me stories of how the comments they are getting are “You look great, have you lost weight?”, “You look fantastic, did you change your hair style or make up?”

These stories are testimonials to the fact that well done facial plastic surgery is recognized as looking better , without looking different . The human eye recognizes aspects of youth and beauty that are consistent, as long as the person looks NATURAL.   So if you are considering facial plastic surgery, take time to discuss not merely what a procedure is called, but what it does and how that change effects noticeable improvements that look natural. Well done facial plastic surgery, or even non-surgical procedures, should leave the onlooker thinking you look great, but not being able to figure out why.

By Mark Clymer, MD FACS 11 Oct, 2017

The quest for minimally invasive, minimal downtime procedures for facial rejuvenation and skin enhancement has led both doctors and patients down paths that have been a mixture of disappointing results and exciting improvements.   One technique that has shown exciting improvements is microneedling, now offered at The Med Spa at Clymer Facial Plastic Surgery. This technique initially involved the use of a roller that had tiny needles on its surface. This roller was passed over the skin with gentle pressure. The intended effect of these micro skin pricks is the stimulation of collagen which in turn improves skin texture, tone, fine lines, and acne scarring. Recently, advancements in the technique have led to the use of electronic pen shaped devices that make a very controlled, reproducible micro puncture of the surface of the skin, and in doing so, trigger collagen production. This technique has been shown to be a safe and effective option for treatment of wrinkles, acne scars, and even some types of stretch marks. Patients are instructed to skip make-up for 24 hours after the treatment, and then may resume all normal activities. To achieve the best results possible with microneedling, a series of four treatments with three weeks between each treatment is recommended. In addition to the improvement in their skin, the minimal downtime is one feature of this treatment that patients enjoy, as it allows the treatment to fit into most people’s busy lifestyles. If you don’t have much downtime, and want to improve the texture of your skin or improve scars, call our office and get a consultation at The Med Spa at Clymer Facial Plastic Surgery.

By PatientPoint Launch 02 Oct, 2017
Fat transfer (also called fat injection), a technique that has been around for over 20 years, has had a recent resurgence in popularity. Think of fat transfer as another type of filler. It fills in hollows and replaces the volume we lose as part of the aging process. I have discussed how "fillers fill and lifts lift" in a previous post, so I won't belabor that point again, but fat is essentially just another filler. The procedure involves taking one’s own fat, usually from the area under the belly button, through a small incision about 3 millimeters (less than an eighth of an inch) inside the belly button. Using a micro-liposuction technique, smooth fat is harvested, then concentrated, and re-injected into the areas of concern. The advantage of fat transfer is that in most patients, it lasts much longer than the other available fillers such as Restylane®, Juvederm®, and others. The disadvantage of fat transfer is that it usually causes some bruising and swelling that can last 5 to 10 days. Therefore, it is more of a "recovery time necessary" procedure, whereas Restylane® injections generally require no downtime. Fat transfer can be performed in the office, although it requires that most of the area under the belly button out to the hips be injected with a local anesthetic, to numb the area for harvest. Once this area is numb, there is no pain, but the injection of local anesthetic for that size an area can be quite uncomfortable. Therefore, it is most comfortable for the patient to have this done in the operating room with sedation. The main reason that most people have fat transfer performed in the operating room, is that it causes bruising and swelling. So it makes sense to combine fat transfer with other procedures that also require downtime. Fat transfer can be performed in the office or in the operating room, and this, as well as the many other factors that are important in deciding which filler option is best for you, is discussed in consultation with me and my staff. We will guide you to the treatment option that will help you achieve your goals and still fit in your busy schedule.
By PatientPoint Launch 25 Sep, 2017

In the sea of beauty treatments and fad-creams, it can be difficult to decipher which products and treatments will actually be worth your time and money. Everywhere you look someone is marketing something! Just this morning I put on a pair of socks with Jessica Simpson stitched into the bottom of them and it occurred to me how all-encompassing our branding and marketing schemes have become - from our socks to the products in our bathrooms our heavily marketed world barrages us with promises of miracle creams and treatments. They boast with the microwaving powers to bippity boppity boo our skin issues away forever! While  billboards, magazines, and the internet can be a wonderful information hub, not  everything written, published, hash tagged or celebrity-stamped is going to deliver  on its promises.

Over the years as an aesthetician, I have had so many clients and patients lament to me about their frustrations with which “poreless wonder lotion” or “fairy-baby-face zap treatment” will actually work for them. The truth is that trying to find the best skin routine or anti-aging treatment program alone is like trekking Mount Everest thinking google maps is the only navigational tool you’ll need. While we wouldn’t traverse a mountain without a guide, many people believe they can figure out what's best for them without any help from a professional. If the avalanche of beauty treatments, serums, toners, vitamin C product possibilities that are out there in the market today confuse you, even in the least, it's time to find an aesthetician!

Here are the top 3 things to look for in your aesthetician.

  1. Find someone who respects you! They aren't solely interested in selling you what they believe in. You want someone who can guide you, not force you, into the best path for your personal needs and goals with your skin. The right person will be sensitive to your boundaries and not make you feel pushed or corralled into doing what they want you to do.
  2. Find someone with a passion to educate! The right person will EMPOWER you to know why the product or treatment is going to work for you. Their goal isn’t to sell, it's to educate!
  3. Find someone with a wide scope of offerings! You want to find a person who is constantly growing in their field. Someone who continues to grow in their knowledge will not only be highly educated in what's out there but be able to provide you with the best options for your needs.

An aesthetician's job is to help their clients and patients find the best solutions for their skin and because their names are attached to the advice and treatments they provide, there is a certain integrity factor in play that you will benefit from! As an aesthetician for over 7 years, the best part of my job has been the relationships and trust I have built with my clients and patients and the satisfaction of helping others reach their goals with their skin! Do yourself a favor and find a face whisperer!

By PatientPoint Launch 19 Sep, 2017

I am often asked the difference between the two techniques, SculpSure™ and CoolSculpting™. I have evaluated both technologies, and we offer SculpSure™ at Clymer Facial Plastic Surgery for a few reasons. Both techniques have been shown in studies to be effective ways to non-surgically reduce fat. So, both can be effective. However, there are differences that I believe are beneficial to patients and hence the reason we offer SculpSure™. The first difference is how the devices reduce fat cells. CoolSculpting™ freezes the fat in order to kill the fat cells, while SculpSure™ is a laser-induced killing of the fat. I believe this laser technology is the current leading technology for non-surgical body contouring. Another reason we have chosen to offer SculpSure™ is that there are differences in how each device works. In CoolSculpting™, the area to be treated is suctioned up into the device, so that a freeze can be created between the two sides. Imagine your vacuum cleaner sucking up an area of your love handles or an area around your stomach. Once the area is in the “vacuum”, the tissue under the skin is cooled to kill the fats cells. This vacuum creates a stretching of the skin. This stretching can result in pain or numbness that may persist, by some patients report, for weeks after a treatment with CoolSculpting™. In SculpSure™, there is no suction applied. This avoids the potential risk of stretching the nerves to the skin. Also, with CoolSculpting™ treatments, the area that has been suctioned up into the “vacuum” needs to be massaged to get it flat again. Since there is no suction being placed on the skin in SculpSure™ treatments, both the risks of stretching nerves and the need for post-treatment massage can be avoided. Secondly and probably most important to patients these days, is that the SculpSure™ treatment takes about HALF the time as a comparable CoolSculpting™ treatment. This makes for shorter visits, and less time out of your busy schedule.

So in summary, we have chosen to offer SculpSure™ as the current leading edge LASER technology for non-surgical body sculpting, with limited risks, less time per treatment compared to other devices, and excellent effectiveness and patient satisfaction.

By PatientPoint Launch 12 Sep, 2017
With the rise of the use of fillers in medicine, the term “liquid rhinoplasty” has become popular. In the strictest definition of plastic surgery, you can shape or form the nose using filler. However, the truest form of rhinoplasty as I define it is a surgical procedure with long lasting results. The long term results of using filler in the nose are not completely understood, and this fact needs to be weighed in any decision to reshape the nose. The temporary nature of fillers is also a drawback to using it to shape the nose. Fillers are an excellent treatment for volume loss in the face, as we lose soft tissues and their support. In the nose, reshaping of cartilage and bones are the main component of rhinoplasty. So to use soft substances to reshape more firm structures like cartilage and bone generally isn’t the best option. I typically recommend against “liquid rhinoplasty” due to the short term benefit and unknown long term consequences, but there are certain patients that may be good candidates. To determine the best way to reshape your nose the way you envision it, come in and discuss your goals with me. Together we will make a plan for the best “plasty” that will achieve them.
By admin 04 Sep, 2017
I have heard some people say they would never have BOTOX™ or Dysport™ as they have seen unnatural looks in their friends, movie stars, and passersby at the mall. I agree, there can be unwanted looks with BOTOX™or Dysport™, but don’t blame the medicine. ALL these medicines do is relax muscles. That’s how they smooth […] The post BOTOX™ and Dysport™: Additional Uses appeared first on Clymermd.
By admin 28 Aug, 2017
What do you use to wipe or blow your nose? A Kleenex™, right? Actually, it’s a “tissue”. Kleenex™ is one brand but has been used so commonly for so long that the name has become synonymous with the object. A similar thing exists with BOTOX™ and Dysport™. BOTOX™ was the first medicine used for the […] The post BOTOX™ vs. Dysport™ appeared first on Clymermd.
By admin 15 Aug, 2017
I recently read an article in the Florence, AL Times Daily titled, “Stretchy glue inspired by slugs could be the future of sutures”.  As a facial plastic surgeon, I employ a variety of techniques to ensure incisions and scars heal as invisibly as possible.  There are skin glue products on the market currently that pose […] The post Slug Slime appeared first on Clymermd.
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