Just kidding.
On the other hand, I am truly happy to announce that we now have Juvederm xc and the Clarisonic Opal available in our Orlando Plastic Surgery and Skin Care Center.
Most are by now familiar with Juvederm- a hyaluronic acid filler that allows natural correction of facial lines and wrinkles. It remains a great product, associated with a very high rate of patient satisfaction. The trouble with Juvederm (and other fillers) has always been that some patients are afraid of the needle required to inject the material- no matter what improvement may be possible if they could overcome this fear.
In the past, injectors have tried all manner of maneuvers to limit patient discomfort, including numbing creams (minor reduction in pain), injections of local anesthetics under the skin (which hurt as much as, if not more than the injection of filler, and obliterate the anatomy making the lovely correction you want more difficult), and even oral sedatives like valium. Others have tried mixing lidocaine with the filler material, but because the lidocaine is a liquid and must be added to the juvederm gel, this necessarily reduces the volume of the juvederm in the syringe and changes the consistency of the gel- complicating the treatment outcome further.
Juvederm XC is a great new product, in which Allergan (Juvederm's manufacturer) has added a powdered form of lidocaine- still very effective at reducing the discomfort of the injection, but without changing the amount of the material in the syringe, or changing the characteristics of the material. Patient comfort is achieved without sacrificing the effectiveness of the treatment.
Most of you are already also familiar with the Clarisonic skin cleansing brush. It uses sonic waves of energy to cleanse the skin of the face and body (using the new body brush head) and evolved from the success of the Sonicare toothbrush.
Clarisonic has just come to market with a product called the Opal, for use on the delicate skin under the eyes. Let me tell you that no one is a bigger skeptic than I am with regard to products making promises to make your wrinkles go away... And I'm not sure I'm ready to say that this product will eliminate the need for eyelid surgery. The little device does make the skin feel really good, though, and I think there is at least a short term improvement in the appearance of the under eye area. I see this becoming an excellent tool for those of you not ready for eyelid surgery, but frustrated with skin creams in this area.
Questions?- email me at DrSoto@mac.com
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