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Exfoliation Hydration Solar
Protection Anti
Oxidant Protection Extreme
Weather Protection Aesthetically speaking, we want our lips to look full, moist, and voluptuous with an appealing smile. To attain this look, start with Joey’s Super Duper Lips, which actually plumps up the lips and lasts for hours. Secondly, line the lips with Joey Opti-Brite Lip Pencil, which gives the teeth a whiter look. And, top it off with Joey’s Lips on the Go Kit, which contains a "Laminate" which smoothes out lines on the lips and helps prevent feathering along with 4 yummy color swirls and 4 lip shines that also help the teeth look whiter. All of the above mentioned products are on special this month.
What are the current treatments for the Aging Mouth? First, volume loss of the lips generally results in the post-menopausal period as a result of estrogen lack and generalized hormonal demise. As an anti-aging physician, I will always measure blood estradiol, estriol, estrone, progesterone and testosterone levels and supplement with transdermal bioidentical human hormones. Hormone replacement therapy has received some very negative attention lately. The essence of the argument is that the combined use of conjugated (the biochemical liver detoxification process resulting from oral intake) HORSE estrogen and excessive doses of progesterone taken orally and TOGETHER result in an increased risk of heart disease events (7 more per 10,000), breast cancer (8 more per 10,000), stroke (8 more per 10,000) and pulmonary emboli (8 more per 10,000), but 6 fewer cases per 10,000 or colorectal cancer and 5 fewer hip fractures. These studies were performed only on patients taking the popular drug PremPro® and not on those taking bioidentical transcutaneous therapy. Many studies have looked at the risks of bioidentical therapy and not found any of the above risks to occur, but substantial improvement in the risks for heart disease, stroke, improvement in vasomotor symptoms and osteoporosis. INext, I will augment the lips to subtly give them more volume, either through collagen injection or Alloderm® strip implantation. Collagen augmentation will last about two months and should be repeated frequently to form a "collagen base," to continue to build on, while Alloderm® strip augmentation is performed no more than yearly. Regarding the fine vertical lines of the upper lip. I am asked endlessly about what to do here. First, the approach must be combined. I use small doses of Botox® placed around the mouth to gently paralyze some of the muscles of facial expression which result in the vertical lines. With carefully placed Botox® the oral commisures ("drool lines") on either corner of the mouth can be turned up by paralyzing the muscles which pull them down. Botox® can be used in the chin to stop dynamic lines that look like cobblestones when making certain facial expressions. Second, we prescribe a course of microdermabrasion therapy to simulate collagen and resurface epidermis. We also have many chemical peels, which can result in continuous epidermal exfoliation. Third, we may resort to actual collagen injection into the lines themselves, to "plump them up." Fourth, we always recommend non-ablative laser therapy (the Aramis® 1540 laser) continuously used on a monthly basis, to stimulate dermal collagen production over a period of time. In fairly marked cases of peri-oral aging, i.e. very deep lines, I may suggest peri-oral CO2 resurfacing, a very effective way to "start over," with only about 5-7 days of down time. The home care products for peri-oral, lip and face enhancement are many. The active ingredients should contain DMAE, alpha Lipoic Acid, Glycolic Acid, Tretinoin (Retin A®), hydroquinone and kojic acid, and topical Vitamin C. There are now many fine office based, no down time treatments to improved skin texture, lip size and texture, and line presence and development around the mouth. Treatment of the Aging face continues to be less invasive and less difficult to perform as advancements such as Botox®, non-ablative laser (Aramis®), microdermabrasion, Collagen and Cymetra® (human collagen), and quality product development become more widespread.
Are you planning on having facial surgery? We have put together two excellent kits for our Pre and Postop clients. Read about both of these programs -- plus the protocols that Dr. Van Wormer uses to prevent scarring, bleeding and swelling when he does laser resurfacing.
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