Medical Spa MD is a community of more than 12k plastic surgeons, dermatologists, & aesthetic physicians practicing cosmetic medicine. FREE Medical Spa Info for Clinicians

About   |   Advertise   |   Press   |   Contact

Sponsors, Advertisers & Friends

Medical Spa RX Group Buy Program.

Waiting Room Video DVD Marketing

The very best bang for your buck cosmetic marketing!
Watch demo Frontdesk waiting room videos and DVDs.

Medical Spa Training Manuals

Medical spa & laser clinic staff training manuals.

2nd MD
2nd MD - Boarded US physicians work from anywhere.
Medical Justice
Relentlessly protecting physicians from frivolous lawsuits.

Medical Fusion nonclinical conference

Medical Fusion, the non-clinincal medical conference.

ExpedMed CME

ExpedMed - Adventure & Wilderness Medicine CME

More control of your income, career, and lifestyle as a physician.
Read our terms
Newest Comments
Medical Spa Classifieds
Medical Spa Jobs

Medical Spa MD is a world-wide physician community for clinicians in skin clinics, laser centers and medspas with thousands of physician members around the world. By using this site you agree to our terms of service and fine print.

For Physicians In Cosmetic MedicineMedical Spa MD is the premier physician community for dermatologists, plastic surgeons and clinicians practicing in skin clinics, laser centers, and medspas with thousands of physician members around the world. Why should you join Medical Spa MD? Learn More > Join Now For Instant Access To Members Content & Downloads. It's free!
 

Entries in skin tightening (6)

Friday
Sep142012

Marguerite Barnett MD FACS PA - Sarasota Institute Of Plastic Surgery & Mandala Medical Spa In Florida

Marguerite Barnett, M.D., F.A.C.S., P.A. Board Certified Florida Cosmetic SurgeonDr. Barnett has integrated her cosmetic and reconstructive techniques with the wisdom of ancient Eastern healing arts to create a new healing vision.

Name: Dr. Marguerite Barnett
Clinic: Mandala Medical Spa
Location: Sarasota, FL
Website: drmbarnett.com, mandalamedspa.com

That's interesting: Dr. Barnett is a double board-certified cosmetic and reconstructive surgeon, licensed in both Hawaii and Florida.

Giving back to the community is an integral part of Dr. Barnett’s philosophy and commitment to health and wellness. She actively participates in local charitable events year-round with the Wellness Community of Southwest Florida; United Cerebral Palsy of Sarasota; and The Women’s Resource Center. One of the most popular ways Dr. Barnett supports charitable events is through her expression of Indonesian and Balinese dance.

Can you give us a picture of how your clinic is organized and runs? 

My clinic for business accounting purposes is split into two sides. The doctor’s practice and the medical spa. The concept was to have the high-tech, scientific “western” doctor’s side balanced by the luxurious ancient rituals of the eastern spa side. Of course there’s an overlap and that’s exactly how I wanted it. If the massage therapist spots a weird mole on their client’s back, the client can run next door to have me look at it. If I encounter a patient who needs skin care for best results, I can shoot herover to the medical aesthetician. Post-op patients benefit from acupuncture to lessen pain and my employees and patients benefit from stress-reducing yoga and meditation. The overall design which has an Asian flavor is comforting and inviting to all. I was nervous at first because it was not the typical doctor’s office but on the day of moving in, I lost my fear completely when one of the movers, a Bronx native judging by his accent, dropped his box and said “Whoa! This place feels healing! You the Doc? What kinda Doc are you?” He got it! 

Hawaii Board Certified Plastic Surgeon Dr. Marguerite Barnett

You're double board certified cosmetic and reconstructive surgeon licensed in both Hawaii and Florida. How do the different states that you practice in differ in terms of medical operations? 

Well, I haven’t lived in Hawaii for almost 30 years but what my friends in the state communicate, Hawaii seems to be ahead of Florida in many aspects. They have a much lower rate of uninsured population and a more cohesive public health initiative, important when you’re dealing with an international, multi-cultural population with extreme disparities in wealth and education.

Florida has these issues as well but we’re not handling them as well as Hawaii. Maybe the fact that Hawaii consists of several small islands sharpens the sense that these issues must be addressed or the lifeboat will sink. It’s harder to ignore these problems on an island. Also they do not have a governor that turns down billions of dollars in federal aid.

Click to read more ...

Monday
Sep102012

Nick Carr MD, FRCSC, Canadian Plastic Surgeon & Educator

Dr. Nick Carr shares his thoughts on the medical education system in Canada as a plastic surgeon and eductor.

Name: Dr. Nick Carr 
Location: Vancouver, Canada
Website: skinworks.ca

That's interesting: Dr. Nick Carr is a Royal College Examiner in Plastic Surgery.

Click to read more ...

Monday
Aug132012

Radiofrequency Assisted Liposuction (RFAL) - A new technique for adipose tissue treatment & 3D-skin tightening

The new technique using radiofrequency assisted liposucion (RFAL) from Invasix is based on bipolar radiofrequency energy which is applied to the subcutaneous adipose tissue and subdermal skin surface.

Preliminary clinical trials, histologic biopsies of the treated tissue and thermal monitoring demonstrate a rapid liquefaction of the adipose cells, coagulation of surcutaneous blood vessels and uniform sustained heating of tissue.

The dramatic rise in liposuction procedures, the aging “baby boomer” population, with decreasing skin tone and advanced laxity are seeking new body contour procedures.

The traditional tumescent, suction-assisted liposuction (SAL) is a mechanical disruption of adipose tissue through the openings in the cannula with induced negative pressure and can be quite traumatic to the patient.

 In seeking to improve the postoperative patient recovery of swelling, bruising, pain and to enhance skin contraction as well as to diminish physician effort, newer generations of energy-assisted liposuction technologies have been developed.

Preliminary studies with the RFAL technique reported faster treatment, improved safety, reduced tissue trauma, liquefaction of adipose tissue, blood vessel coagulation and uniform heating of the skin and subcutaneous tissue as well potential 3D-skin tightening. Due to histologic observation of connective tissue in the treatment area there is a significant change in its structure with coagulation of the deep, dermal collagen. After treating the subcutaneous fibrous and dermal matrix with RFAL the results are impressive in 3D-soft tissue contraction and contours.

Dr. Bratani has no disclosures and interests with Invasix Ltd.

Saturday
Jul072012

Dr. Anna Rosinska Of Body Focus Laser & Longevity Center In Midland Texas

Dr. Anna Rosinska Board Certified Physician Midland, TexasOA dermatologist from Poland, Dr. Anna Rosinskas aesthetic practice also offers medical weight loss and wellness medicine in Texas.

Name: Anna Rosinska
Clinic: Body Focus Laser & Longevity Center
Location: Midland, TX
Website:askDrAnna.com

Personally, I’m most interested in integrative medicine, which is the combination of traditional medical therapy with complimentary natural components that address each patient in a holistic way.

That's interesting: Dr.Rosinska was voted a Silver Medalist in Midland’s Top 100 Businesses and Personalities in category for Midland’s Favorite Physician in Year 2008. Dr.Rosinska was also voted a Gold and Silver Medalist in Midland’s Top 100 for 2009 (Best Physician and Weight Loss Clinic) and Silver Medalist in Weight Loss Clinic category in 2010 .

Can you tell us a little bit about how your interest grew in cosmetic medicine?

I always had an interest in weight loss and as one of the very few female physicians at that time in our area I had huge female patient population. My ladies were frequently complaining about

Click to read more ...

Saturday
May262012

Laser Liposuction & Skin Tightening - Emperor's New Clothes?

Laser Assisted Liposuction - Medical Spa MDDoes laser assisted liposuction really provide all of the skin tightening benefits that the manufacturers claim?

We are in pursuit of many Holy Grails in plastic surgery, from scarless post-surgical healing, non-invasive liposuction and implant-free breast augmentation to non-invasive skin tightening. With the advent of laser-assisted liposuction (LAL) came the promise from the manufacturers that we have finally achieved a way of combining "minimally invasive" fat removal with skin tightening, sensationally treating two maladies with one procedure.

I been involved with LAL for many years, and it has been the primary revenue driver in my practice for nearly five years running. I began to perform the procedure when the machines became powerful enough to actually generate enough subdermal heat in a timely fashion to potentially create significant collagen remodeling and hopefully result in skin tightening. My case load quickly became large enough that I was asked to be a national speaker for one of the dominant laser companies educating other physicians on the use of LAL. As such, I delved into every published paper even remotely relating to heat-generated skin tightening and laser assisted liposuction. Over the years, I have been able to merge a huge surgical experience with the science behind the procedure and draw some fairly clear and simple conclusions on the issue of skin tightening.

Setting up a patient for potential skin tightening is fully dependent on generating ample subdermal heat to initiate collagen denaturation and subsequent remodelling. Generally, this temperature is felt to be between 40 to 45 degrees celsius.  At around 47 degrees celsius, skin blistering and burns occur.  With proper time, temperature-monitoring devices, and careful technique, adequate temperatures can be achieved. Getting the skin to this temperature range takes time and significantly prolongs the procedure. Additionally, the risk of seroma escalates the longer you spend with the tissues in this temperature range in my experience.

In about 15% of cases, I see clinically visible skin tightening which I don't feel I would have seen using other techniques. This skin tightening is not the equivalent of excision techniques, but typically limited and subtle. This is obviously purely my subjective opinion to be clear, and I cannot say that these same results may not have occured witht the same frequency had I used other liposuction techniques.

The science of LAL and skin tightening is clear that some tightening does occur and is quantifiable. But this does not predictably translate into clinical relevance. I have now performed nearly 1000 LAL's and no longer educate my patients that LAL is a good method of tightening skin. The limited degree of tightening I credit LAL for is not enough to call it a clinically relevant skin tightening procedure. The majority of new LAL consults in my practice present with the impression that LAL is going to tighten up their loose skin while removing fat. The notion is dominant on the internet and even in print ads. I politely educate them that although there may indeed by some skin tightening, this will be subtle at best. In my opinion, the advantages of LAL lie elsewhere, particularly in a somewhat easier recovery.

I continue to hear from colleagues who also use LAL that they believe in the skin tightening.  I don't know if this is a case of "The Emporers New Clothes" or not. I have pushed the envelope in terms of thoroughly heating up the skin to appropriate temperatures and length of time, but only see minimal tightening and an increase number of seromas. I continue to use LAL heavily but no longer tout skin tightening as being an expected end point.

Thursday
May172012

Dr. George Sanders, Encino CA Plastic Surgeon

Dr. George Sanders, Encino CA Plastic Surgeon

Despite of the emergence of noninvasive treatments, Dr. George Sanders keeps himself abreast with the current trends.

Name: George Sanders, M.D.
Location: Encino, CA
Website: drsanders.com

The Sciton Erbium laser was purchased several years ago and remains a stellar performer for full face laser ablative therapy when the patient has 9 days to recover to the point that they can wear makeup and go out and look very good. I do many facelifts and this recovery time frame makes sense in that the remainder of the face is recovering at about the same pace. When I purchased the Sciton, other erbium lasers were available, but the dual head configuration and other factors made it more appealing. It has paid for itself many times over and remains a very reliable piece of equipment that provides a consistently excellent result with minimal complications. 

The Fraxel laser is used by my nurse in those patients who do not need as much of a result as the Sciton produces and who do not have as much time for recovery. These patients have at most one or two days of downtime.

Eventually we will need to replace our Sciton, and it may be that a fractionated CO2 laser may be the answer. I am also looking with interest at the nonsurgical fat sculpting devices as well as the nonsurgical skin tightening devices. Reliability, cost effectiveness, efficacy, and a usefulness that will last years are all things that I look at when deciding upon what to purchase. I am also not interested in a device that requires multiple patient visits to accomplish the desired result because of inherent limitations in office space and personnel time.

Click to read more ...

Join Medical Spa MD

captcha

Medical Spa MD is a world-wide community of physicians and clinicians practicing cosmetic medicine. Please read our Terms of Service, Advertising Terms and Privacy Policy.

Copyright © 2011. All rights reserved.

LEGAL NOTICE & TERMS OF SERVICE