Collagen Stimulation With Hyperdilute Radiesse

Collagen is the main structural protein found in our skin. It is made by fibroblasts and along with elastin and keratin, is responsible for skin strength and elasticity. As we age, less collagen is produced and by age 45,up to  25% of the collagen in the face is lost. There are multiple treatments available to help stimulate collagen, including lasers, microneedling, and fillers.

Radiesse is an FDA approved filler that can restore volume and stimulate collagen. It consists of calcium hydroxyapatite (CaHA) suspended in an aqueous gel carrier. The gel gets absorbed and the CaHA stimulates collagen in skin and bones.

When blended with saline and lidocaine, Radiesse is thinned out, making it easier to inject and spread out over a large area.  This is a comfortable procedure, resulting in minimal social downtime. Some swelling and bruising is possible with any injection.

Hyperdilute Radiesse can be injected into the face , neck, above the knees, elbows and other areas to create firmer looking skin. The skin tone and texture are improved, reducing the appearance of fine lines, wrinkles and crepiness.

A series of treatments is usually recommended for best results, with improved elasticity and thicker skin. This depends on age, skin quality and goals. Time is required for the fibroblasts to make collagen and results are cumulative. They improve over time and are best several months after the final treatment. Maintenance is recommended every one to two years.

Hyperdilute Radiesse is great for neck lines, above the knees, mid and lower face and other areas.  Combined with other treatments or on its own, it is a very popular treatment internationally.

Radiesse for Lower Face

Radiesse for Lower Face

Radiesse for Jawline

Radiesse for Jawline

Radiesse for Hands

Radiesse for Hands

Radiesse is an FDA approved filler that can restore volume and stimulate collagen. It consists of calcium hydroxyapatite (CaHA) suspended in an aqueous gel carrier. The gel gets absorbed and the CaHA stimulates collagen in skin and bones.

IPL Treatment for Dry Eyes

Dry Eye Syndrome is a common condition and can be very disruptive to people’s lives. Recurrent styes, swollen and crusty lids, scratchy and tearing eyes are all symptoms of dry eye syndrome. People with allergies can have worsening symptoms due to underlying dry eyes. Contact lens wearers, people with a history of LASIK, rosacea, post-menopausal women, people with autoimmune conditions like Sjogren’s and rheumatoid arthritis are all at higher risk for dry eye syndrome. Many medications, including blood pressure meds and antihistamines, can cause dry eyes. Daily activities, such as prolonged computer and smartphone use, reduce our blink rate and can aggravate dry eyes.

Inflammation plays a key role in initiating, perpetuating, and causing dry eye progression. The meibomian glands in the eyelids do not function normally and get blocked. As a result, the tear film becomes unstable and evaporates too quickly.

Artificial tears, warm compresses and lid hygiene may help mild cases of dry eye but IPL is beneficial for the more severe cases. Since there is no cure for dry eye, breaking the cycle and managing it is important.

IPL breaks the cycle of inflammation. Light energy from IPL warms the meibomian glands, thereby facilitating expression of meibum. Most people need a series of 3-4 treatments to get to a better baseline. This is followed by an at home eyelid health maintenance routine. Depending on the severity of the symptoms, repeat IPL are needed every 6-12 months.

There are several treatments for dry eye and IPL helps improve multiple causative factors

IPL Treatment for Dry Eyes - Avon, CT

Dr. Shternfeld has been practicing Ophthalmology since 2000 and has been performing IPL for dry eyes since 2018. Please contact our office to schedule your Dry Eye Consultation by calling 860-999-4865

Why Choose an Ophthalmologist as Your Injector?

Choosing who will perform your aesthetic procedures is an important decision and people often take a long time before they trust anyone with their face. Experience, continuous education, positive online reviews and recommendations from friends/family are often factors.

Dr. Shternfeld is an Ophthalmologist with extensive injecting experience and training. She combines her knowledge of anatomy, training as a microsurgeon, love for continuous learning and taking care of patients to create subtle and elegant results.

Botox was initially used for people with uncontrollable eyelid twitching and ocular misalignment and her training in Botox started in 1997, before it was used for cosmetic reasons. Since then, she has trained repeatedly with world famous injectors and teachers, such as Dr. Cotofana, Dr. Arthur Swift, Dr. Leonie Schelke, Dr. Lee Walker, Dr. Stella Desyatnikova, and many more.

Botox Avon, CTThe most commonly placed area for Botox is the the forehead and potential complications include eyelid drop and brow drop. Ophthalmologists are trained in eyelid anatomy and surgery, and can recognize who is a risk for these issues, like people with heavy brows due to extra skin and underlying ptosis, or droopy lid.  Dosage and location placement need to be adjusted to help reduce the incidence of complications.

Another potential side effect of Botox is dry eye and many people already have this underlying condition.  Diagnosing, treating and preventing worsening of dry eye is another Ophthalmology specialty.

Fillers are a very safe and effective way to balance facial features, restoring and creating more optimal reflections of light from the face, thus making people look more rested and relaxed. Enhancing features without overemphasis to any one feature creates smoother transitions, so light is reflected, instead of caught sinking in valleys caused by aging changes. Dr. Shternfeld specializes in full face assessment, to create a natural look.

Being an Ophthalmologist, she takes care of many patients with dark under eye circles, which make people look tired. Choosing the right treatment is as important as doing the procedure correctly. Because not everyone is a candidate for tear trough fillers, it is very important to see a person well experienced in this area. Unfortunately, complications are more common in this area, as the anatomy is very complex, and Dr. Shternfeld sees patients from different states, who come to seek help.

Preventing complications is always a priority. Dr. Shternfeld has extensive training in cannula technique, to reduce bruising, swelling and reduce the risk of vascular events. The most serious complication of dermal filler is a vascular event, whereby filler enters an artery and prevents oxygen getting to the tissue. This can also result in vision loss, if the artery supply to the eye is compromised. Fortunately, these complications are extremely rare but preventing, recognizing and properly managing them results in best outcomes and increased patient safety. Dr. Shternfeld has trained in ultrasound technique to identify vessels and place filler more safely.

Botox and dermal fillers are great tools to help you look and feel your best with minimal downtime. Feeling confident in your injector’s aesthetic sensibility, attention to detail and safety, experience, and education in the latest techniques are all reasons to see Dr. Shternfeld. We look forward to taking great care of you.

How To Make Botox Last Longer?

How to make Botox last longer?Botox is one of the four FDA approved neuromodulators, including Dysport, Xeomin and Jeuveau. All of them have the same active molecule, a botulinum toxin A, which binds to the nerve and prevents it from sending a message to the muscle. They differ in manufacturing processes, surrounding proteins and molecular sizes. As the muscles remain relaxed, overlying skin does not form wrinkles.

The benefits of Botox are to both prevent and reverse wrinkles, allowing us to look more relaxed and refreshed and to balance facial features, such as reducing gummy smiles, chin puckering, downturned smiles and improving neck appearance, among other things.

Injecting Botox is both a science and an art, because very detailed attention to detail and understanding of anatomy is so important. Botox treatments are comfortable and quick and full results are seen in 2 weeks. When a muscle is injected, all the other muscles have to rebalance and it is important to create a balanced , harmonious result. Assessment before injecting is critical to a good result, as scars, facial asymmetry, heavy brows can influence the outcome.

When performed by a well trained medical professional, Botox treatments create very happy patients, who want to maintain their great results. That is why Botox treatments are the most popular medical aesthetic treatments, with millions performed each year.

Botox starts to work in 3 to 5 days and is in full effect in 2 weeks. It starts to wear off around 8 weeks and lasts for 3-4 months. Unfortunately, during the pandemic many patients have noted that their treatments are not lasting as long as they did previously. Also, some people need higher doses to achieve desired results. Studies are still not available to explain whether this is due to stress or other factors.

Here are some things that you can do to help your skin stay looking good and Botox to last longer

  • No intense exercise for 24 hours after injections
  • Sunscreen to prevent collagen disruption
  • Do not smoke
  • Proper dosing: Botox duration is dose dependent and a lower than recommended dose will wear off quicker. Discuss your goals and budget with your injector.
  • Maintenance: Regular treatments every 3-4 months will keep the muscles relaxed and prevent further wrinkles. More frequent treatments may result in resistance. Slow and steady wins the race.
  • Zinc supplements: The chemical reaction that enables Botox to attach to the nerve is dependent on zinc. A study done in 2012 recommended a supplement of 50 mg a day to help maintain the Botox activity. Phytase is an enzyme that aids zinc absorption. Zinc and phytase supplements are available over the counter and maybe effective to prolong Botox longevity

Melasma and Hyperpigmentation: Causes and Treatments

Hyperpigmentation

Melasma is a common, chronic condition that results in spotty hyperpigmentation. Pregnancy, birth control pills, hormone replacement treatments and thyroid disorder can all trigger melasma
and sun exposure can make it worse.

Melasma is more common in women, usually with an onset between the ages of 20 and 40. It is more common in people who tan easily or who have naturally dark skin.

The pigmentation results from an overproduction of melanin. Avoiding sun exposure and continuous sunscreen use is very important to prevent flares. Therapy is aimed at suppressing melanin production.

There is no cure for melasma and it is prone to episodic flares. Many different treatments have been tried and often a multifaceted approach is required. Mask wear has predisposed people to melasma mustaches and women find this particularly frustrating.

Lasers, IPL Photofacial, microneedling have all been used and unfortunately, sometimes have worsened the conditions.

Chemical peels are often used to help with melasma. A set of peels is often the most beneficial for best results.

Hydroquinone, retinoids and topical steroids can be used at home to suppress melanin production. Hydroquinone is not available in Europe as it is potentially carcinogenic. Retinoids, which are vitamin A derivatives, promote cell turnover and help suppress melasma. Dermatitis is
a potential side effect of hydroquinone and retinoids.

Several agents have been studied and found to improve melasma. Glutathione, kojic acid, vitamin C, licorice extract, tranexamic acid and arbutin have all been found to be helpful. Niacinamide or vitamin B3 stimulates collagen synthesis, acts as an antioxidant and humectant.
It can reduce pore size, reduce redness and hyperpigmentation.

At Inner Glow AestheticsMD we have created a cocktail of hyaluronate, which keeps moisture locked into the skin, combined with several ingredients shown to help hyperpigmentation. They are mixed together and applied into the skin using a painless micro injection device. Our
Pigment Correcting Glow Treatment will even out the skin tone and the correct at home skin maintenance will keep you glowing.

Botox for the Lower Face – Nefertiti Neck Lift

Botox for the Lower Face - Nefertiti Neck Lift

Botox is most often used aesthetically in the upper face to treat the forehead, frown lines and crow’s feet. It has been FDA approved for aesthetic treatments since 2002 and our knowledge has grown exponentially, with many more indications for this very versatile tool.

The face ages obliquely down and in. As we grow older, bone and deep fat loss, as well as displacement of tissue, creates a heaviness in the lower face. Jowling becomes more prominent, and the neck skin becomes more lax. As a result, the contour and definition between the jawline and the neck decreases. Constant use of our devices has also contributed to a phenomenon called the “tech neck” with prominent horizontal lines across the neck from staring down.

While nothing replaces a surgical neck lift, multiple minimally invasive procedures are available to prevent and improve the appearance of the neck and lower face. Hyaluronic fillers can be used to gently fill in the horizontal lines, making them less pronounced. Microneedling and Radiesse, a filler that stimulates collagen, can be used to help promote collagen to maintain skin quality.

Botox is a neuromodulator that prevents the muscles from contracting. The platysma is a flat superficial muscle along the sides of the neck.  It becomes hypertonic over time and forms bands, pulling down on the face and contributing to jowling and a downturned mouth.

Very comfortable and quick injections to the platysmal bands and along the jawline can relax the pull. This helps prevent jowling in younger patients and diminishes it in older ones.  A better-defined jaw line, better skin quality, a more flattering resting face without a downward curve to the mouth are some of the benefits of lower face and neck Botox.

The treatment is called the Nefertiti neck lift in honor of the Egyptian queen known for her beautiful neck. It’s quick and very comfortable. The results last for 3-4 months. If you have any questions, please feel free to contact us.

Key Things to Know about Dermal Fillers

Dermal Fillers - Avon, CT

Dermal fillers have become a very popular way to restore a more youthful appearance, plump lips and smooth wrinkles.
Learn about injectable dermal fillers and see how they can help you look your best.

1. What are fillers made of?

Most dermal fillers are made of hyaluronic acid, which is naturally found in our skin.

Others are made of Calcium Hydroxylapatite, Polymethylmethacrylate (PMMA) and poly-L- lactic acid (PLLA).

Hyaluronic acid dermal fillers are a gel that is injected into the skin. Hyaluronic acid is a naturally occurring substance that helps keep the skin plump and hydrated by attracting water.

When we are young, our skin has enough hyaluronic acid to store the required amount of moisture and keep our skin fresh. As we age, the amount of hyaluronic acid naturally decreases—making us appear older.

Volume loss contributes to many visible signs of aging. Dermal fillers can replace the lost volume, restoring a more youthful face and enhancing facial features.

There are other types of fillers but Hyaluronic Acid Fillers are the most popular because of their high safety profile.

2. How are Botox/ Dysport different from fillers?

Botox and Dysport are neuromodulators that prevent the muscles from moving, thereby relaxing wrinkles. Fillers restore the lost volume and smooth the wrinkles.

Fillers and neuromodulators work well together to help balance the face, creating a well rested and balanced face.

3. How long do fillers last?

This depends on the area treated, the filler and the patient. In general, hyaluronic fillers last 6-18 months. To maintain optimal results, touch ups are periodically necessary for optimal results.

4. When should people start getting treatments?

Fillers can refine, define and restore. In younger patients, optimizing features like lip and chin augmentation, improving jawline definition and under eye circles are very popular.

Older patients require a more comprehensive approach, with special attention to restoring volume loss, creating a refreshed look without creating a weird look. Facial balancing and pan facial treatments have optimal results. They can be staged and done over time.

Sunken cheeks and temples, lines around the mouth and nose, above lip lines and more can all be treated.

An aesthetic injector needs to have both an excellent aesthetic sensibility and technical knowledge to create natural results. Good work is subtle and elegant.

Dermal fillers, neuromodulators, lasers, good skincare, along with exercise and a good diet, are a great way to flatten the aging curve.

5. Who is not a candidate for dermal fillers?

  • Pregnant and breast feeding women are not candidates for fillers.
  • People with a history of cold sores should be pretreated with antivirals before getting lip fillers.
  • Fillers should be avoided for at least 2 weeks before & after any dental work, vaccines, and tattoos. This helps reduce the risk of infection, swelling and nodules.
  • People who are having an active skin, sinus or dental infection should avoid fillers until they are well.
  • People with a history of autoimmune disease are at a higher risk of complications and need to discuss this with their injector.
  • People with severe allergies and anaphylaxis need to discuss this with their injector.

Tear Trough Fillers – What To Expect With Under Eye Filler

Tear Troughs

Many people come to get treatment to their under eye area because they have dark circles under their eyes and they look tired, no matter how much sleep they get or what expensive skin creams they use.

There are multiple reasons to have dark areas under the eyes. The eyelid skin is the thinnest in the body and very delicate.

Many people have prominent veins that show through the skin, giving it a bluish, purplish tint. This can be addressed by laser to the veins. Others have skin laxity, fat pooching out and the eye bags create a shadow under them. This is best treated with skin resurfacing treatments and surgery. The tiny vessels by the eyes leak and hemosiderin can get deposited around the eyes,
creating pigmentation. This can be improved with microneedling, lasers and certain eye creams to maintain the results. Some people have loss of volume due to aging and genetic predisposition, which reveals the tear trough ligament and reveals a concavity.

As you see, tear troughs are a very complex area to treat and it’s very important to choose a
specialist who can correctly diagnose the cause of the under eye circles and treat them
appropriately.

Dr. Shternfeld is a Board Certified Ophthalmologist and specializes in under eye fillers. Many patients come from out of state to have a consultation and treatment.

Tear trough fillers are very safe and effective, when performed on the proper candidates. Often, cheek and temple fillers are also necessary to help restore volume around the eye. The goal for tear troughs is always to support the surrounding areas and place the minimum amount of filler needed into the tear trough itself because there is very little space in the tear trough. Also, it is an area prone to swelling and hyaluronic fillers attract water. As a consequence, sometimes the area swells too much and tear trough fillers have to be reversed with an enzyme called
Hyaluronidase. It can also develop a bluish tinge, called the Tyndall effect, because the filler is too superficial.

Price of fillers varies from $850 to several thousand, depending on the treatment required.

Choosing the correct filler, amount of filler and correct technique are very important factors to creating best long term outcomes. Fillers can last for many years and people often come to see Dr. Shternfeld to correct fillers placed elsewhere, some years ago. Many factors contribute to good outcomes.

Your Botox Questions Answered

Your Botox Questions Answered

Botox is one of the most popular cosmetic treatments around the world. Each year, millions of women and men utilize this anti-aging treatment to improve their appearance without surgery or downtime. Botox, or similar therapies like Xeomin and Dysport, diminishes fine lines and wrinkles around the brow, eyes, and forehead. It is FDA-cleared, safe, and effective.

Frequently Asked Questions

1) How does Botox work?

Botox attaches to the nerves and prevents them from sending the signal to the muscles. The muscles can relax and the skin over the muscles looks smoother.

2) Is Botox safe?

Botox was initially used by Ophthalmologists in the 1990’s to treat eye movement disorders and uncontrollable blinking. In addition to cosmetic treatments, Botox is used for many medical indications like bladder spasticity, cervical dystopia, migraines, teeth grinding and many more. It has been safely used in millions of patients for over 20 years.

3) How long does Botox last?

In most people, treatments last for 3-4 months. Results are dose dependent and higher doses create longer lasting results.

4) When is a good age to start using Botox?

Botox is FDA approved on people over age 18. It can be used to prevent wrinkles from developing in younger patients treated with low doses and in older patients to remove wrinkles and prevent them from getting worse.

5) Who is not a candidate for Botox?

People who are pregnant or breastfeeding, people with a previous allergic reaction to Botox or its components, people with neuromuscular disorders such as myasthenia gravis are not candidates for this treatment.

60 What are the most popular areas to treat with Botox?

The elevens or the furrows between the brows are the most frequently treated areas. Also, the horizontal forehead lines and the areas around the eye corners, also known as the crow’s feet.

7) What areas can be treated with Botox?

Botox can be used on both the upper and lower face. In addition to treatment of the forehead, the lower face can be treated for facial slimming, TMJ, and downturned mouth. Gummy smiles and lip flips can be done to create a more attractive mouth. Botox is also FDA approved for migraine treatment.

8) What is the Nefertiti neck lift?

Nefertiti neck lift Botox can be used to relax the platysma. The platysma is a superficial neck muscle that acts to pull the face downward, contributing to jowling and a downturned mouth, which looks sad. By relaxing it, the neck and face look defined and less like a turtle. Also, the progression of jowling is reduced.

9) What else besides Botox can relax wrinkles?

Botox is one of four FDA approved neuromodulators. Dysport, Xeomin and Jeuveau are all effective Botulinum type A medications that can be used. Injectors often have a favorite based on their experience.

10) Does Botox hurt?

Botox treatments are quick and comfortable. Very tiny needles are used and carefully placed.

11) How long does it take to see results?

Botox starts to work in 3-5 days and is in full effect after 14 days. It starts to wear off after several months and most people are retreated every 12-16 weeks to maintain a smooth appearance.

12) How much does it cost?

Botox is priced per unit and dose is dependent on your goals, number of areas treated, strength of the muscle. Budget is discussed prior to treatment and a plan is created.

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Everything you need to know about Lip Fillers

Lip Fillers - Avon, CT

Cosmetic lip augmentation is a very popular procedure. Lips are one of the main focal points of the face. When we speak, attention is drawn to our mouths and a beautiful smile conveys so much positive energy. Lip fillers can be used to restore lost volume, reduce above lip lines create more symmetry, cover up scars and create a more attractive smile.

Dermal fillers such as Restylane, Juvederm and RHA are used in the lips. They are made of hyaluronic acid which is naturally found in the skin. It attracts water, keeping the skin looking dewy and plump. Once injected, they begin to integrate into the substance of the skin, attracting water molecules and hydrating the surrounding tissues.

What is Lip Filler used for?

Lip Fillers are used to create fuller, well defined, balanced and more symmetrical lips. Lip fillers can improve the appearance of your lips by adding

  • Shape
  • Structure
  • Volume

The effects typically last around a year. Touch ups are needed to maintain the shape.

Benefits of Lip Fillers

Once injected, the gel in the Lip Filler supports and shapes the tissues of the lips. The benefits of using Lip Fillers include:

  • Improved Appearance: Lips are one of the focal points of the face. When we smile, they convey a sense of well-being and a positive attitude. Younger patients often get lip fillers to get the lips they always wanted and older patients want a restoration of the lips, which turn in and shrink as we age.
  • Natural Looking Lip Fullness: Many people are afraid to get fillers because they see so many weird and unnatural results on social media and in their community. If you want elegant and subtle, Dr. Shternfeld is the physician for you. With extensive training and experience, she delivers natural looking results.
  • Gradual Progression: Fillers can be given over a period of time to produce the optimum result. This option is particularly appealing to people who were born with thin lips and aren’t exactly sure how they will look when their lips are fuller. At Inner Glow AestheticsMD, we discuss with our patients all the options that are available to them during their initial consultation.

Lip Fillers - Avon, CT

Frequently Asked Questions

1. How long do Lip Fillers last?

You’ll see results instantly, but about 20 percent of what you first see is swelling. The full effect of the filler is seen at four weeks, when swelling has subsided, and the filler has integrated into the skin. Fillers last for many years, but touch ups are usually needed every year.

2. Do Lip Fillers hurt?

The procedure is quick and relatively painless. Numbing cream is used. Some people feel a slight pinch with each injection, and your lips will probably feel tender afterward. The fillers used contain an anesthetic called lidocaine, which minimizes discomfort during injection.

3. Are Lip Fillers safe?

Hyaluronic acid fillers are FDA-approved and safe for injection. Millions have been done worldwide and severe complications from dermal fillers are uncommon.

4. What do I need to do before the procedure?

Avoid ibuprofen, alcohol, and aspirin to reduce risk of bruising. People with a history of cold sores need to take medication before and after to prevent a breakout. Taking arnica before & after fillers may help speed up healing. Ice may help reduce swelling.

5. What if I’m not happy with my results?

The good thing about hyaluronic acid fillers is they are reversible. Many patients come to Dr. Shternfeld from other locations, and they have fillers that are lumpy, migrated or look not quite right. Hyaluronidase is used to dissolve fillers.

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Dermal Fillers After Care

ABOUT BRUISING AND SWELLING

Dermal Fillers - Avon, CTAbout 50% of people injected Dermal fillers will bruise. It is hard to predict who will bruise, how large or dark the bruise will be and how long it will take for the bruising to go away. Bruising may be immediate or take up to 3 days to show up. ALL BRUISING GOES AWAY! Certain areas of the face will swell more than others when treated with fillers. Lips always swell when augmented, lip swelling resolves with ice. Swelling usually resolves in 7-14 days.

Try the following to speed up the bruise healing process:

  • Arnica is a homeopathic remedy sold in health food stores and pharmacies. Arnica helps resolve bruising. It comes in a gel and sublingual form (tablets that melt under the tongue).
  • Add pineapple, blueberries, strawberries and spinach to your diet. These foods contain Bromaline a natural anti-inflammatory enzyme that will also resolve bruising.
  • Stop all Aspirin, Vitamin E and fish oil supplements, alcohol and red wine until bruise goes away.

Dermal Filler Aftercare:

  • After injection, you may apply ice to the injected areas: 10 minutes on, 30 minutes off. Following this protocol for up to 6  hours will help eliminate bruising
  • Try to minimize moving areas injected with dermal filler for the rest of the day
  • Do NOT massage the injected area unless instructed. If you feel a nodule, it may be swelling or product and it will go away with healing, which can take up to two weeks. If you are concerned, call the office, or come in so we can examine you!
  • Try to sleep on your back the night after treatment
  • Avoid prolonged sun or UV exposure for two weeks
  • Avoid saunas and/or steam baths for two weeks after injection
  • Makeup and facial creams should be avoided for at least 12 hours after the injection

Please note Inner Glow AestheticsMD is NOT an emergency clinic. If you feel like you are having the following, please seek treatment

  1. If you feel like you are having a life threatening reaction, please call 911
  2. If you have blanching (mottled white skin), numbness, skin cold to touch, extreme pain, extreme swelling, blurry vision, go to local urgent care or emergency room ASAP (tell them what treatments you have had)
  3. For questions NOT requiring urgent response, please call Inner Glow AestheticsMD at 860-999-4865. We will return your call as soon as possible.

BOTOX®, Dysport® or Xeomin® After Care

ABOUT BRUISING AND SWELLING

Botox AftercareAbout 50% of people injected Dermal fillers and 10% injected with BOTOX®, Dysport® or Xeomin® will bruise. It is hard to predict who will bruise, how large or dark the bruise will be and how long it will take for the bruising to go away. Bruising may be immediate or take up to 3 days to show up. ALL BRUISING GOES AWAY! Certain areas of the face will swell more than others when treated with fillers. Lips always swell when augmented, lip swelling resolves with ice. Swelling usually resolves in 7-14 days.

Try the following to speed up the bruise healing process:

  • Arnica is a homeopathic remedy sold in health food stores and pharmacies. Arnica helps resolve bruising. It comes in a gel and sublingual form (tablets that melt under the tongue).
  • Add pineapple, blueberries, strawberries and spinach to your diet. These foods contain Bromaline a natural anti-inflammatory enzyme that will also resolve bruising.
  • Stop all Aspirin, Vitamin E and fish oil supplements, alcohol and red wine until bruise goes away.

Aftercare Instructions:

    • NO laying down or reclining for four hours after injection
    • NO scratching or rubbing the area
    • NO bending forward for four hours
    • Do NOT put ice on areas injected
    • Exercise injected areas by making the expressions you are trying to eliminate
    • NO physical exercise, i.e. biking, running, gym classes
    • To avoid infection, makeup should not be applied to treated area for at least 2 hours after the injection
    • You may start seeing and feeling the effects of neuromodulators in 2-7 days after injection
    • Full effects of neuromodulators may take up to 2 weeks
    • Follow up in 2 weeks

Please note Inner Glow AestheticsMD is NOT an emergency clinic. If you feel like you are having the following, please seek treatment

  1. If you feel like you are having a life threatening reaction, please call 911
  2. If you have blanching (mottled white skin), numbness, skin cold to touch, extreme pain, extreme swelling, blurry vision, go to local urgent care or emergency room ASAP (tell them what treatments you have had)
  3. For questions NOT requiring urgent response, please call Inner Glow AestheticsMD at 860-999-4865. We will return your call as soon as possible.

How Botox Can Help Treat Eyelid Spasms

Botox Treat Eyelids SpasmsThe Inner Glow AestheticsMD is unique because it is a Medical Aesthetic Rejuvenation spa run by Dr. Ilona Shternfeld, a Board Certified ophthalmologist.  Her surgical and medical training in this field give her a thorough understanding of facial anatomy and proportions. Dr. Shternfeld is also trained to treat blepharospasm. Eyelid spasms occur when one or both eyelids twitch or suddenly close. These movements are involuntary, meaning that they are out of your control. Spasms are different than eyelid twitches.  A twitch or a tic is a small movement usually caused by stress or being overly tired. They do not affect your vision.Botox can help treat Blepharospasm by relaxing the muscles around the  eyelids to stop the spasms and provide relief from this (annoying) condition. Symptom relief can last for months! Although there are alternative treatments for Blepharospasm, like oral medications, none have proven to be as effective.  As an Ophthalmologist, Dr. Shternfeld can help you with the safe and proven treatment option. If you are looking for relief from eye spasms, give her a call today!

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Face Washing 101: How To Properly Wash Your Face

How To Properly Wash Your FaceWashing your face is like many other elements of a good health and beauty routine. Sure, you can do it fast by just splashing on some water and soap. You can cut corners by skipping lotion. You can sleep in your makeup and just ignore it all together, but your skin will pay. In the spirit of the back-to-school season, it’s time for a quick lesson on how to properly wash your face. Let Dr. Shternfeld walk you through the basics with this 5-step skincare guide you can start using today!

Know your skin type.

This is really important. Are you oily, dry, or combo? Do you breakout or have sensitive skin? Your skin care products should be tailored to fit your needs. Skin care is not a one-size-fits-all thing. Once you identify your skin type, search for products that specifically address your needs and skin concerns.

Don’t over do it.

A gentle 30 second scrub with a cleanser made for your skin type is all you need. You can actually wash your face too much or too harshly which can lead to irritation. Use small, circular motions with your fingers using warm water to open up pores. Make sure the water isn’t too hot.

Use a toner.

Washing your face is more than just cleansing. Incorporate a mild toner into your routine for amazing results. A quality toner can remove dirt, oil, makeup and bacteria to unclog pores. A toner can also help shrink your pores and restore your skin’s PH balance.

Moisturize!

A good moisturizer works wonders. Not only does it hydrate and refresh, it helps with flaking and dullness. Your skin will be bright and creamy throughout the day and have an extra layer of protection if you use a moisturizer in the morning. When you going to bed, opt for a heavier anti-aging night cream.

Wear Sunscreen.

This is the part of the skin care routine most women skip. Wearing sunscreen DAILY is essential no matter what your age or the season. Not only will it help keep your skin safe, it will help prevent fine lines and wrinkles from forming.

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Contact us today to schedule an appointment and explore all options available. We look forward to refreshing your aesthetic!
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5 Common Signs of Aging Eyes & What To Do About Them

5 Common Signs of Aging Eyes

As the old saying goes, “the eyes are the window to the soul”, and there’s so much you can learn from someone’s eyes. Believe it or not, one of the very first signs of aging is seen in the eyes. The skin around the eyes, eyelids, and brows often grow thinner with age and lead to common signs of aging. Here’s more on give common signs of aging eyes and how we can help at Inner Glow Spa.

  1. Dark Circles. They are the reason concealer was invited, right? As you age, you might start to notice those dark circles get more noticeable and prominent. They are often hereditary but can also be trigged by things like allergies and poor sleep. Medically speaking, they are caused by loss of collagen over time. We recommend Biopelle’s Dark Circle Relief cream that uses Vitamin K Oxide to help reduce the appearance of discoloration and dark circles under the eye.
  2. Hyperpigmentation. Dark circles or spots around the eyes can also be caused by true hyperpigmentation of the skin. Hyperpigmentation is often caused by sun exposure but can sometimes be a normal part of aging, especially in dark-skinned individuals. Microneedling is a great way to treat hyperpigmentation along with daily sunscreen use.
  3. Eye Hollows. The skin around our eyes is the thinnest and one of the first to show signs of aging. Selphyl Platelet Rich Plasma and dermal fillers, such as Restylane, can be used as minimally invasive treatments to improve the appearance of this area. Restoring the volume to your cheeks and under eye area is a great way to look younger.
  4. Crows Feet. This is a very common complaint from aging women. Crows feet are the wrinkles around the outer corners of our eyes. They are also commonly seen when we smile. Crows feet are easily treated with Botox which helps relax wrinkles and provide a more youthful appearance.
  5. Wrinkles.  Crows feet are specific to the corners of your eyes, but dynamic wrinkles in your forehead and 11s area (area between your eyebrows) can also cause your eyes to look aged and tired. Botox is a great way to treat dynamic wrinkles and fine lines which will also help prevent further wrinkles.

Inner Glow AestheticsMD is happy to help with all of your skin care concerns when it comes to aging. We have a variety of treatments available to help your aging eyes and skin. Don’t forget that Dr. Shternfeld’s surgical and medical training as an Ophthalmologist give her a thorough understanding of facial anatomy and proportions.

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Contact us today to schedule an appointment and explore all options available. We look forward to refreshing your aesthetic!
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