Acne scars are one of the most difficult conditions to treat as multiple sessions are required to improve scars but never really eliminate them. A newer technique used in the office of Dr. Anil Shah is the use of targeted CO2 laser treatments to individual acne scars. This treatment works by using an infrared guided C02 laser beam and directing it into each acne scar. This treatment is similar to cross TCA in that each scar can be treated as an individual and the surrounding skin is left alone. Targeted CO2 also has the benefit of being able to vary the degree of penetration and strength of the laser. CROSS TCA can only be treated for acne scars at either 50 percent or 100 percent. If there are a variety of acne scars, patients can have the entire face resurfaced plus targeted CO2 treatment.
Prior to using this treatment, a test procedure is often performed in one or two acne scars. Often times, both targeted CO2 and CROSS TCA are used at the same time in different scars during the tester process to see which procedure will have a more favorable outcome and avoid prolonged erythema. The tester process helps identify patients’ interaction with a treatment prior to treating an entire face. For patients who are traveling in for a treatment, a tester process may not be economically possible and an initial full-force treatment can take place as long as those patients are willing to accept a longer healing process and prolonged erythema and unusual reactions as possible outcomes.
With any acne scarring treatment, there are risks and benefits. The goal of acne scarring is to build collagen and elastin in a safe, effective manner while limiting downtime and risk for the patient.
The lateral brow lift is a new version of browlift based on the anatomy of the brow area. Traditional browlift approaches utilized a large incision across the entire scalp called the coronal approach. The issue with this approach is surgeons needed to remove large amounts of hair bearing skin and could potentially create the look of a larger forehead. Endoscopic approaches released the brows from a deeper periosteal approach and still play an important role in brow reshaping. There are some patients who are solely seeking a lateral lift along the brow area, particularly along the lateral brow. For these patients, a lateral brow lift can be an ideal component to their facial-aging recipe.
A lateral browlift involves an incision along the temple of the skin. The brow and forehead skin is lifted in a more superficial plane, allowing for removal of forehead skin. Tension is placed on the subcuteanous component of the skin allowing for the superfical component to remain tension free. Since the dissection is limited, patients often have quicker recoveries with less bruising than endoscopic approaches. The hair along the temporal region can take a few weeks to "flatten" out, however, most hairstyles will easily camoflauge this area during the healing process.
A recent study in Spain aimed to find out an association between men's attractiveness (rated by independent male and female viewers) vs masculinity to determine if it had an impact on the quality of the sperm. The study published in Evolutionary Biology found that men with high testosterone based features (jaw and cheekbone width, etc) had lower quality sperm. Men with more attractive features had better sperm. However, this study was severely limited by the number of participants (only 50 males).
Some sperm banks are selling possible candidates based on celebrity resemblences. resemblance.
A recent analogy of facial aging spoken at a conference compares our faces to a pillow. Our facial volume is like the spongey core of the pillow, which loses shape and dimension over time. Our skin is the fabric over the pillow becoming more wrinkly over time.
While this analogy may have some merit, most patients do not want to be called a "pillow face". This is a derogatory term used when the face is overly injected with filler.
Obviously, there are many anatomical and aesthetical nuances of the face which the injector has to relate so that the face appears both refreshed and natural.