Facial wrinkles and creases begin to appear in your lips and skin as the underlying collagen and elastin fibers begin to break down and wear out. While this breakdown is part of the natural aging process, it can also result from excessive squinting, frowning and smiling. In the past, the most frequently used material for filling facial wrinkles and frown lines was injectable collagen. Recently, hyaluronic acid has exploded on the scene as the longer-lasting, more natural filler preferred by physicians worldwide.

Now Dr. Rosen injects Juvéderm for patients in Broward and Palm Beach counties and throughout South Florida to smooth out those wrinkles and frown lines. Juvéderm is a natural, cross-linked, non-animal hyaluronic acid has been developed using biosynthesis. It can help you meet your goals without the fear of an allergic reaction. This new hyaluronic acid known as Juvéderm has been used in Europe for years.

How does Juvéderm work?

Treatments are done in our office and take about 30 minutes and the result is immediate. Juvéderm contains hyaluronic acid in the form of a crystal-clear gel. Unlike other fillers, it is supplied to your doctor in densities. Each one is designed for a specific treatment area. Your doctor may use a mixture of densities to help you achieve your desired appearance.

Juvéderm is injected into the skin to create volume, resulting in a healthy and vital appearance. When injected into the lip it can restore a more natural and/or sensuous look. In contrast to other implants, Juvéderm is not extracted from animals. This means that you don’t have to worry about an allergic reaction. Juvéderm is perfectly safe to use instantly without pre-testing.

What areas respond the best to Juvéderm?

Fine lines in the forehead, “crow’s feet”, wrinkles between the eyes, on the cheeks and at the corners of the mouth, and deeper wrinkles on the cheeks and chin all respond well to Juvéderm. Lip enhancement or a “pouting” lip can be achieved using Juvéderm. This treatment also improves the vertical or “Smoker’s Lines” along the edges of the lip.

Is it safe?

Yes. Hyaluronic acid occurs naturally in the body and therefore it also dissolves naturally with time and is integrated into your body’s tissues. Over time, the molecules dissolve and turn into water as they depart without leaving any trace in your body.

How long does it last?

It varies from individual to individual. The length of time your treatment will last depends on many factors such as your skin, your lifestyle and your age. Most patients find the effect remains after 9 months. However, the average lip treatment only lasts for about 6 months due to their higher blood flow.

The great thing about Juvéderm is that you can replenish your natural beauty whenever you feel the need. Unlike permanent implants, Juvéderm always leaves you a choice when the effect of the treatment has worn off. A touch-up can be performed any time you like after the previous treatment.

Furthermore, a face is constantly changing and beauty is best maintained by periodically evaluating the need for further treatment.

What are the treatments like?

The treatment is performed by injecting Juvéderm under your skin. Since no pre-test is needed, the whole procedure takes less than 30 minutes. Pain relief is usually not needed, but many patients like the added comfort provided when we apply an anesthetic cream about an hour before the injections.

How will I look after my treatment?

After Dr. Rosen performs your Juvéderm injections, normal activities can be resumed immediately. Discomfort is minimal. The treatment site may have a little swelling, which may last a few hours. There may be some slight bruising which can be covered with make-up. Depending on the area treated, correction usually lasts from 6 – 9 months.

If you have been wondering how to get rid of your wrinkles but aren’t ready for surgery, Juvéderm may be the answer.

Wrinkles are caused every time you smile, laugh or frown. The more emotion you show the deeper these wrinkles and lines are likely to be. Now there is a new alternative to Botox®, called Dysport®.

The procedure known as cosmetic denervation is the number one cosmetic procedure. Dysport or Botox treatments are performed by Dr. Pamela Rosen for patients in Broward and Palm Beach counties and throughout South Florida to improve the appearance of worry lines, frown lines, laugh lines, crow’s feet and other dynamic wrinkles.

What is the main difference between Dysport and Botox?

Independent, side-by-side, studies have shown that the main difference between the two products is that results with Dysport appear sooner and last longer that those with Botox.

How does Dysport work?

Dysport works just like Botox. It blocks impulses from the nerve to the tiny facial muscles that are related to expression lines. Both Dysport and Botox relax the muscles so they do not contract. After treatment, the overlying skin remains smooth and unwrinkled while the untreated facial muscles contract in a normal fashion, allowing normal facial expression to be unaffected.

Are Dysport and Botox treatments safe?

Dysport & Botox injections have been used safely and effectively for over sixteen years to treat many cosmetic, and medical disorders. Each year thousands of patients receive Dysport and Botox treatments for a variety of conditions, and they are now the most popular treatment for providing a more relaxed expression.

What is the Dysport treatment like?

Cosmetic denervation with Dysport or Botox is a simple and safe procedure. Using a tiny, micro-needle, a very small amount of Dysport or Botox is injected, very precisely, into several locations on the face. Because the needle is so fine and only a small amount of liquid is used, the pain associated with the injections is minimal. Most patients compare the sensation to a bug bite. No sedation or local anesthetic is required, and you can resume normal activities immediately. You can even drive yourself home or back to the office. Some patients experience a slight temporary bruising at the injection site. This can be covered with make-up.

Are there any side effects with Dysport?

Temporary bruising is the most common side effect. In some cases the drug can migrate and cause a temporary weakness of nearby muscles. In rare cases, there can be a drooping of an eyelid or asymmetry of facial expression. The risk of any side effect depends on the muscles injected. Our physician will discuss this with you at length before your treatment. Because the effects of Dysport and Botox are completely reversible, any side effects are temporary, lasting only a few weeks.

What results can I expect?

If dynamic wrinkles make you look older than you are, Dysport or Botox can smooth these out and give you a more youthful and pleasant appearance. However, this procedure can not improve wrinkles due to aging and sun-damaged skin since they are unrelated to facial muscle contractions. Dysport and Botox injections will not improve sagging skin or replace the need for a facelift or brow lift.

Most doctors agree that injectable fillers may be the best option for patients with well-defined wrinkles, creases or soft tissue loss. Unfortunately, previous injectable fillers either required a skin test because they were made from animal proteins, or they didn’t last very long and required constant treatments to maintain their effect. Sculptra™ treatments are performed by  Dr. Pamela Rosen for patients in Broward and Palm Beach counties and throughout South Florida so patients can have filler material that lasts a long time, is not made from animals, and does not require a skin test.

Sculptra

Sculptra is an injectable product that is intended to restore and correct the signs of facial fat loss. Sculptra is not made from human or animal sources and does not require a skin test. Sculptra is composed of poly-L-lactic acid, a synthetic product. Poly-L-lactic acid (PLLA) is biocompatible (does not harm the body) and biodegradable (able to be broken down by the body). PLLA has been widely used for many years in dissolvable stitches, soft tissue implants, and other types of implants.

Sculptra is effective when used to fill wrinkles and furrows. It makes the skin appear smoother and firmer, enabling it to resemble its previous elasticity. Sculptra provides an increase in the skin thickness of the areas where volume (fat) has been lost, helping to restore fullness to the face for a more natural appearance.

Will Sculptra stop the cause of my soft tissue loss?

Sculptra will not stop the cause of your soft tissue loss. But, Sculptra will improve your appearance by increasing the thickness of your skin and surrounding soft tissue in the treated areas.

What are the benefits of Sculptra?

Sculptra has been clinically proven to be long lasting and well-tolerated. Patients treated in these same clinical studies reported an improvement in quality of life. Decreases in the anxiety and depression often associated with lipoatrophy were also reported. Increases in skin thickness lasted up to 2 years.

What are Sculptra treatments like?

Treatments with Sculptra take 15 – 30 minutes and are performed in our doctor’s office. A local anesthetic cream or injection may be applied to the treatment area. Then, using a small needle, Sculptra is placed beneath the surface of the skin, in the area of your soft tissue loss.

How many Sculptra treatments will I need?

During your consultation, Dr. Rosen will examine your areas of soft tissue deficiency and decide the appropriate number of treatment sessions and estimate the amount of Sculptra you will require at each session. Most patients require 1 – 3 treatment sessions every 2 – 4 weeks. Some patients may also do best with a combination of Sculptra and another filling substance. Severe soft tissue loss usually requires 3 – 6 treatment sessions.

How soon will I see results with Sculptra?

The results from Sculptra are not immediate. Sculptra provides a gradual increase in soft tissue and skin thickness. However, the effects of Sculptra are long-lasting. Dr. Rosen may want to see you again in a few weeks to decide if additional injections are needed. Touch-up treatments may be needed to maintain the desired effects.

What results can be expected from Sculptra?

Excellent results can be achieved with Sculptra when treating all parts of the face including the forehead, around the eyes and lips, between the mouth and nose, and the cheeks. Sculptra can add volume to the cheeks, to folds around the chin, and to rings around the eyes. It is equally effective on the neck and lower neckline. It can also be used to treat the hands, knees and ankles as well as certain types of scars.

What is recovery from Sculptra like?

After Dr. Rosen performs Sculptra treatments, patients are up and around immediately. At first, there will be some swelling caused by the injections and the extra water used to dilute the Sculptra. This will go away in a 1 – 2 days as the water is absorbed by your body. You could also experience some discomfort, tenderness, bleeding or bruising at the injection site. This too will disappear within a few days to a couple weeks. Occasionally, small bumps may form in the treated area. Local massage to the area usually can treat these should they occur.

Kybella fat reduction is for men and women unhappy with fatty deposits located under their chin and neck area, often referred to as a “double chin.” These fatty deposits, or submental fullness, cause some patients to feel less attractive and confident, but they aren’t ready for an invasive surgical procedure to correct it.

Kybella™ treatments are performed by Dr. Rosen for patients in Coral Springs, Boca Raton, Ft. Lauterdale and South Florida to treat these localized fat deposits. Kybella is a non-surgical, safe approach to localized fat reduction that provides a more pleasing, confident, appearance.

What is Kybella?

It is the first FDA approved non-surgical injectable that reduces the excess fat accumulation under the chin and neck area. It’s a minimally invasive, safe, effective non-surgical treatment that provides long lasting results with minimal side effects.

Who are the best candidates for Kybella fat reduction?

The best candidates for localized fat reduction are those that require fat removal from the specific area of fat located on the upper neck under the chin area. Candidates should be over 18 years old, have no chronic medical condition that may negate the procedure, have good skin and muscle tone, and require minimum tissue tightening in the area to be treated.

How is the procedure performed?

During the Kybella procedure we use a very tiny needle (about the size of an eyelash) to make multiple injections of Kybella into the targeted area. The Kybella treatment is almost painless, has no downtime, no heavy bandages, headgear, anesthesia, and no disruptions to your daily life.

How does it work?

It is an injectable that includes a naturally occurring molecule called deoxycholic acid that’s found in the body that aids the breakdown and absorption of dietary fat. Kybella is injected under the chin to melt these fat cells, thus improving your appearance and profile of the area while eliminating fat cells from the body. Once destroyed, these fat cells are no longer able to store or accumulate fat.

How does this compare to Liposuction?

With Liposuction, the fat is surgically suctioned out of your body. With Kybella, the fat is dissolved non-surgically. Kybella fat reduction treatments normally range from 2 – 4 short treatment sessions, with no downtime. The number of injections is dependent on the amount of fat to be dissolved. Sessions are scheduled 4 – 6 weeks between treatments for optimal fat loss results to occur.

Is Kybella safe?

Yes, Kybella is a safe and FDA approved treatment to reduce fat under the chin. You should select a health care provider that has been trained in reduction of chin fat by Kybella and is aware of your medical history, including your current medications.

What about side effects?

The most common side effects following Kybella treatment may include some redness, bruising, tightness, or mild swelling which is normal and may last up to several weeks.

How soon will I see results?

Initial results will usually be seen within a couple of weeks after treatment and patients will continue to see results up to a month after the initial injection. With each additional treatment patients will continue to see improvement. During your consultation our medical provider will discuss whether you’re a good candidate for Kybella, how many treatments you may require, the length of time between your treatment sessions, and the expected results and cost.

What is DOT Therapy?

DOT Therapy is performed using the SmartXide CO₂ laser to stimulate new collagen growth. This laser distributes the tiny “thermal dots” to the skin leaving the skin around each “dot” intact. These “thermal dots” penetrate into the dermis for the most effective, long-term results obtainable. This results in a decrease in sunspots, fine lines, wrinkles, and acne scarring and a fresher, more youthful skin tone and texture. This promotes rapid healing with less downtime.

DOT Therapy provides Dr. Rosen with the versatility to fine tune your treatment parameters and provide excellent results in one to three treatment sessions.

Patients choose DOT Therapy because it:

• provides accurate results.
• promotes rapid healing with minimal recovery time.
• does not cause bleeding.
• requires little or no anesthesia
• provides a fresher, more youthful skin tone and texture.

What should I expect after my treatment?

The skin is the largest organ in our body. It is made up of millions of cells that protect us from the environment and regulate our body temperature. Every day thousands of cells die, flake off and are replaced by new cells from beneath the skin. As we age, this process begins to slow down. Our skin may become dull. Dark blotches, fine lines and other signs of sun-damage and aging begin to appear.

Chemical Peel Skin Rejuvenation

Chemical Peels have been used for over 100 years to create an even and controlled shedding of damaged skin cells. Each year thousands of chemical peels are performed in the United States. A chemical peel uses a solution applied to the skin to remove dead skin cells and stimulate the production of new skin cells. Dr. Pamela Rosen performs chemical peels for patients in Broward and Palm Beach counties and throughout South Florida to tighten skin, reduce wrinkling and restore a more youthful appearance.

During your consultation with Dr. Rosen you will want to explain the level of skin improvement you hope to achieve. She will then review your medical history and examine your skin type and pigmentation to determine if you are a good candidate for a chemical peel. Together you can evaluate the advantages and disadvantages of the different types of chemical peels, discuss your options, your expectations and determine the best treatment for you.

Don’t forget to mention any history of viral infections, sensitivity to the sun, or prior skin treatments such as dermabrasion or Accutane treatments within the past 6 months.

What skin conditions can a chemical peel improve?

Chemical peels can effectively improve a wide variety of skin conditions including:

• Fine lines and wrinkles
• Uneven pigmentation
• Shallow acne scars
• Sun-damaged skin
• Age spots
• Freckling

A chemical peel is not a substitute for a facelift. It cannot eliminate excessive or lax skin. But, in many cases a chemical peel is performed in conjunction with these procedures.

What is the treatment like?

Unlike laser peels, chemical peels can be performed on the face, neck, chest, hands and even the arms and legs.

Most chemical peels are performed as outpatient procedures in the doctor’s office or surgical suite. Depending on your skin type and the desired results, your physician may recommend a superficial, medium, or deep chemical peel. Dr. Rosen will select the proper chemical or mix of chemicals (glycolic acid, beta lift, Jessner, TCA or trichloroacetic acid, or carbolic acid) and apply the solution to various areas of skin. Once applied, the chemical produces a separation and peeling of the outer layers of the skin. This stimulates the production of new skin from beneath.

Most patients experience a warm to hot sensation which may last as long as ten minutes, followed by a stinging sensation. For deeper peels, some patients require anesthesia.

What should you expect after treatment?

After Dr. Rosen performs a chemical peel, reactions are similar to a sunburn and range from mild to more pronounced. Generally, the deeper the peel, the longer the recovery.

A light peel usually results in some redness, and possibly some scaling for a few days. Medium and deep peels can result in swelling and blisters that break open forming a crust and turning brown, followed by peeling which can last up to 2 weeks. These peels may require dressings on some or all of the treated skin. Dressings are usually removed after 1 – 2 days. Ointments and creams will be applied to keep the skin moist. At first the new skin will have the color of a significant sunburn. This will gradually fade to pink over the next several weeks. Cosmetics can be applied after about 2 weeks. Following a chemical peel, your new skin will be tighter, smoother and may be slightly lighter than it was before surgery.

Following any skin peel, it is important that you avoid any exposure to the sun. Your new skin is very sensitive and susceptible to injury. Always apply a wide spectrum (UVA and UVB blocking) sunblock of at least SPF 15 twenty minutes before you go outside. Your surgeon will prescribe a proper home skin-care treatment program to ensure proper healing.