Cosmetic In-Office Procedures

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Cosmetic In-Office Procedures

Cosmetic In-Office Procedures

There are a variety of non-invasive cosmetic in-office procedures that can be performed that do not require an operating room. The results from these procedures last on average six months to two years and rejuvenate the skin and restore volume and that youthful look. Dr. Popham is a trainer for several injectables and has over a decade of experience with facial volume augmentation and facial rejuvenation.

Botulinum Toxin Type A or Onabotulinum A (BOTOX®)

BOTOX® is a brand name for a medication. This medication is given by injection. using one of the tiniest needles made. Botulinum toxin type A is used in men and women for temporary improvement in the appearance of moderate to severe horizontal lines in the forehead, vertical frown lines between the eyebrows, crow’s feet at the outer eyelid corners, neck bands, and other facial changes brought on by aging. It relaxes targeted muscles by blocking nerve impulses that trigger wrinkle-causing muscle contractions. Botox typically works for three to four months at a time, so most patients who use Botox do so three or four times a year. Botox has one of the highest safety profiles of any medication used in America.

Botox is not used to “freeze” the face or to eliminate facial expression, but is used to soften appearances and to eliminate what Dr. Popham calls “facial communication errors”. In other words, as one example, deep vertical “frown lines” between the eyebrows at least subconsciously transmit a feeling of sternness or of anger or deep seriousness. If a person chronically feels stern, angry, or deeply serious, then the lines are communicating accurately. BUT, if a person is communicating these feelings when he or she does NOT necessarily feel stern, or angry, or serious inside, he or she is experiencing a “facial communication error”. Botox treatments correct these errors of facial expression and allow a person to look more on the outside what he or she feels on the inside.

Dr. Popham is one of the most experienced Botox injectors in the country. It is important to choose an injector who is experienced with BOTOX® and very knowledgeable about the eyes and their surrounding anatomy. Dr. Popham began injecting Botox for patients with muscle dystonias such as blepharospasm and hemifacial spasm while he was a clinical fellow in oculoplastic surgery at Harvard Medical School in 1990. He then became one of the first physicians in the US to use Botox for cosmetic purposes. He has subsequently served on the National Educational Faculty for Allergan, the maker of Botox, and has lectured and taught techniques to many physicians both in the US and abroad. Dr. Popham has also been voted by his peers in 5280 Magazine as Denver’s best cosmetic Botox injector.

On Skin Care

BOTOX® is a popular non-surgical injection that temporarily reduces or eliminates frown lines, forehead creases, crows feet near the eyes and thick bands in the neck. The toxin blocks the nerve impulses, temporarily relaxing the muscles that cause wrinkles while giving the skin a smoother, more refreshed appearance. Priced by area. Done with a gentle touch!

Sculptra

Facial aging is not just about skin laxity and sagging. Another major cause of facial aging is loss of fat or loss of volume in the face. The face preferentially loses fat and even bone volume as a part of the aging process.

Sculptra is a volumizing and lifting agent that is unique in its class. Sculptra is NOT a filler, but rather is a medication that is injected beneath the skin, stimulating gradual production of additional collagen. Sculptra is administered using topical anesthesia and sometimes oral sedation in the office. Most patients initially undergo a series of three to four sets of Sculptra injections at 6-8 week intervals. During this time, the medication gradually stimulates production of the patient’s own collagen, and reduces the telltale signs of facial aging through loss of facial volume. Many patients maintain the restorative volume benefits by adding one vial of Sculptra annually. Sculptra is arguably the longest lasting means of facial volume augmentation or rejuvenation, and thus is one of the most cost effective.

Dr. Popham has lectured about Sculptra on numerous occasions. As a Sculptra Trainer, he has taught many area physicians how to properly and safely administer Sculptra. He has been injecting Sculptra for medical and cosmetic purposes for over ten years.

Sculptra® is an enduring treatment approved by the FDA for restoration and/or correction of the signs of facial fat loss, or lipoatrophy. It is the first FDA-approved product of its kind for this condition. Facial fat loss, or lipoatrophy, is the loss of fat beneath the skin, which can result in sunken cheeks, indentations, and hollow eyes. Sculptra® is a safe, synthetic, and biocompatible material that is injected below the surface of the skin in the area of fat loss. It provides a gradual and significant increase in skin thickness, improving the appearance of folds and sunken areas. The effects are long-lasting; they were shown in a clinical study to last for up to 2 years after the first treatment session. No skin testing is required.

Juvederm

Juvederm is a long-lasting, clear, hyaluronic acid gel. Juvederm Ultra or Ultra Plus may be administered by injection under the skin. it lifts and adds volume to the areas being treated, restoring a natural and more youthful appearance. Hyaluronic acid is a naturally occurring substance found throughout human skin and joint spaces. Allergic reactions to Juvederm therefore are rare.

The hyaluronic acid in Juvederm supplements and augments the body’s age-depleted hyaluronic acid or fat pads to plump-up or “fill in” the area being treated. It is commonly used to fill in the nasolabial folds (the parentheses around the mouth), marionette lines below the corners of the mouth, the cheeks, and the tear trough areas. A more complete discussion of Juvederm and related products can be accessed through this link: www.allergan.com. Dr. Popham was one of a select few doctors given access to Juvederm on an investigational basis prior to its commercial launch in January 2007.

Ever wonder how you would look without those wrinkles on the sides or your nose and mouth like those parentheses lines? See how Juvederm can help smooth those parentheses lines, as well as other moderate to severe wrinkles and folds including marionette lines, vertical lip lines, and chin wrinkles up to one year. While just a representation, this tool will give you an idea of how Juvederm can help you achieve the more youthful look you want. Treatment Visulizer (click to view page)

Voluma

Voluma is a strong volumizing filler and lifter that is new to the US market. It is used to augment and lift primarily in the cheek area, where it is injected just above the cheek bone. Voluma is expected to last up to two years in this area.

Volbella

Volbella is used to superficially lift areas of the face such as the areas around the eyes (perioribital area) for crow’s feet, tear troughs, and hollows under the eyes.

Kybella

Kybella is an injectable used to eliminate excess fat below the chin and upper neck for a more defined, youthful look.

Sciton Halo Laser

The Halo laser treatment combines deep dermal rejuvenation with epidermal renewal targeting discoloration, sun damage, uneven skin tone, enlarged pores, poor texture, fine lines and visible signs of aging. Great results with minimal downtime.

Sciton Pro Fractional Laser)

Scar Revision

If you would like to improve the appearance of a scar, then you may wish to consider scar revision. A finer, less obvious scar can be the result, depending on your own healing capabilities. Initially, a freshly revised scar looks quite satisfactory. Then it can become red and firm. Gradually it softens and becomes more pale than the adjacent skin. Occasionally, steroid injections into the scar or dermabrasion is used to further refine the area.