When it comes to hyaluronic acid injectables (more commonly known as fillers), we tend to focus on areas of volume loss such as the cheeks, under eyes, and lips. The chin is often ignored but can be a great candidate for filler augmentation. 

There are several benefits of chin filler including: 

• Correction of under-projected chin
• Creating a stronger jawline in men
• Disguising the jowls 
• Smoothing of chin dimpling 

Chin filler is great for men and women and can be injected into different areas to maintain and/or enhance masculinity and femininity in patients. 

The amount of filler needed depends on the chin projection deficit as well as the  goal of treatment but can typically range from one to three syringes. Results can last up to two years depending on the type of filler needed. 

In the particular patient above, two syringes of Restylane Defyne were used to achieve these beautiful results. 

Talk with your provider today to see if chin filler is the right choice for you.

The young woman seen in photos came to our Physician Assistant Shea for a non-surgical chin augmentation. Shea injected her with Restylane Defyne, which is FDA-approved for chin augmentation and correction. This subtle enhancement has huge impact, bringing her face into balance.

“Restylane Defyne is a great alternative for those who prefer nonsurgical treatment options for chin enhancement, or who want to get a glimpse into what a chin augmentation would look like,” says Shea.

Eyelid surgery, or “blepharoplasty,” has become incredibly popular since the pandemic thanks to the “Zoom Boom,” and to increased mask requirements, which make the upper face and eyes a focal point during everyday conversation.

Blepharoplasty is intended to enhance the upper and/or lower lids, to create a more refreshed, youthful look. For the upper lid, the procedure involves making an incision in the natural crease of the eyelid, and then removing and reshaping the skin, muscle, and fat that deflate and droop with age and sun exposure.Blepharoplasty can also be performed on the lower eyelid. As people age, the tissue that holds the fat in place can loosen and the fat can protrude, giving the appearance of bags under the eyes. These bags can be repositioned and reshaped.

Does insurance cover cosmetic eye procedures?

Generally, cosmetic services are not covered by medical insurance. But in some cases, like the patient shown below, if an eyelid’s drooping is severe and affecting vision, upper eyelid surgery may be covered. Simple tests can determine whether the condition warrants insurance coverage.

Diagnosis: Ptosis

This patient presented with droopy eyelids, also called ptosis (toh-sis), that may occur due to trauma, age, or various medical disorders. Ptosis can affect one or both eyes, and can be present at birth or develop later in life.

Depending on the severity of the condition, droopy upper eyelids can block or greatly reduce vision depending on how much it obstructs the pupil. This patient had ptosis repair (covered by insurance) at the same time as an upper blepharoplasty. This was followed by a CO2 laser treatment to the eye area.

Dr. Karlin, Dr. Daines, and Dr. Madorsky perform eyelid surgery. Please call our office to schedule an appointment, or use the in our website.

Microneedling is a minimally-invasive cosmetic procedure with a short treatment time, minimal downtime, and noticeable improvement within a few days. It is also cost efficient while still providing long-lasting results. It is performed with a hand-held device containing a tip with very tiny needles. This creates micro wounds in the skin, which help to increase the production of collagen and other healing factors. This results in beautifully refreshed skin, smaller pores, a reduction of fine lines and wrinkles, and a more even skin tone.

Some of the most common benefits that our patients experience include: • Tighter, lifted skin due to collagen production • Minimized pores • Improvement with fine lines and wrinkles • Reduction of acne scars • Reduction of surgical scarring and stretch marks Microneedling is safe on almost all skin types. To maintain the results of your treatment, you may need multiple sessions and perhaps other complementing treatments. We can advise you on the best plan of action based on your individual goals.

 

Dr. Adam Aronson has joined our team! He is a Board Certified Dermatologist with an interest in cosmetic treatments that can compliment and enhance healthy skin.

Dr. Aronson specializes in injectable treatments, dermal fillers, advanced skin care, laser treatments and chemical peels.

Dark circles under the lower eyelidsare common in men and women. Often accompanied by bags, dark circles can make you appear older and tired. Fortunately, there are options to improve the appearance of the undereyes.

 What causes dark circles?
There are a number of contributing factors, including

What can be done to address dark circles?

• Injectables/fillers to help replace lost volume and reduce dark shadowing under the eyes (see below).
• Skin care products such as SkinCeuticals A.G.E Eye Complex or the ZO Growth Factor Eye Serum to smooth and  brighten the under eye skin. (Available at the Appearance Center.)
• CO2 laser resurfacing to tighten skin and reduce discoloration.
• You may be a candidate for eyelid surgery, also known as blepharoplasty. Speak with one of our surgeons to learn more.

All of our providers are available for injectables. Additionally, our PAs are available for free consultations on skin care, injectables and lasers. 

Dr. Steven Daines and Dr. Simon Madorsky were just named among America’s Best Plastic Surgeons 2021 by Newsweek magazine.

Both physicians were recognized in the categories of Facelift and Rhinoplasty.

Special bragging rights go to Dr. Madorsky, who was named #17 in the country for Rhinoplasty. Only two Newport Beach surgeons are listed in the top 30 in this category.

Both of these physicians, who are consistently named Physician of Excellence by the Orange County Medical Association, are Double Board Certified facial plastic surgeons. Both see patients and perform procedures in our offices and at our adjacent surgery center.

We are pleased to be offering the VI Peel, a chemical peel that is a blend of acids, retinol, and vitamins that goes beyond a general resurfacing peel to treat specific conditions, including:

• Acne and acne scarring
• Hyperpigmentation
• Fine lines and wrinkles

Benefits of the VI Peel include:

• Restoring a more even skin tone
• Smoothing away rough skin
• Reducing the appearance of fine lines and wrinkles

This peel is applied in the office onto clean skin. It is left on for four hours, and the patient reapplies a solution later that evening, and peeling usually happens day three through day five. It is safe for all skin types, and is considered a medium-depth peel. Results are enjoyed in about seven days, and maximum results are achieved by doing multiple peels.

• 

We are currently offering a special! The price of one VI Peel is $425, but if you purchase a package of three VI Peels for $1,050. This is a savings of $225, or $75 per peel. Maximum results are achieved by doing multiple peels.

If working towards a PhD at UC Irvine was not enough, Klebea was also planning her wedding in Brazil. Wedding photos would be memories for the rest of her life. She was hoping to improve the unsightly scar on her cheek, a painful reminder of a past skin cancer removal.

She was referred to Dr. Simon Madorsky for scar treatment. During the office visit, he noticed something more ominous on her nose. Two separate nasal lesions were biopsied, and both were found to be basal cell carcinomas. As cancer treatment was planned, he treated her scar with injections and a topical scar cream. The cheek scar improved in time for the wedding, but the subsequent skin cancer surgery loomed large in her mind.

The plan was to undergo Mohs surgery­—a process that gradually removes skin involved with cancer, layer by layer, while sparing the surrounding healthy tissue, all in the same day. Each layer removed is examined with a microscope to track the cancer cell invasion. This process is repeated until no more cancer cells are seen.

Dr. Jonathan Baron performed the Mohs surgery. It took six layers to achieve cure. “He kept taking more layers, kept coming back. It was deeper than expected. I felt like 70 percent of my nose was gone.” Indeed, a large portion of the nose was lost to cancer. “We had discussed types of reconstruction, but I knew we would have to wait until that day to know the options.” When Dr. Madorsky told Klebea that a forehead flap was required for reconstruction, she started to cry.

Three months later, after the nose was fully healed, Klebea was not only cured, but free to live her life—finish her PhD, and enjoy being a newlywed. The SCARS Center team helped Klebea look her best for the wedding day and for every anniversary to come.

Vbeam is a classic laser treatment that uses pulsed dye laser (PDL) to treat a wide range of skin conditions. It is often referred to as a vascular laser because it is primarily used to treat skin issues related to blood vessels, including:

• Rosacea
• Broken Capillaries
• Scars
• Age Spots
• Inflammatory Acne

It delivers an intense but painless burst of light to the skin and the light selectively damages the blood vessels. These blood vessels are reabsorbed by the body, allowing for a cleaner, more refreshed appearance.

Safe, Quick and Visible Results

Eyes are protected with goggles during the procedure. Vbeam treatments are quick and feel like a warm blast hitting the skin. Downtime is minimal, with maybe a few hours of redness and mild pain, and makeup can be applied immediately after treatment.

Some conditions can be treated with one appointment, others may require multiple treatments. The number of sessions for maximum results is determined by a specialist