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Botulinum

The face is the frame for one’s teeth, which makes surrounding wrinkles like an unsightly frame around otherwise well kept or restored teeth. Botulinum tox A (Botox®) is an important tool in correcting problems with the ”frame” around the teeth. Dr Lee offers a variety of solutions, including but not limited to the examples below.

Botulinum can also be used as therapy for disorders involving excessive jaw tension, teeth clenching, facial muscle spasms, and TMJ problems. See case 4 below.

Case 1: Correcting forehead wrinkles gives a more youthful appearance.

Forehead Before
Forehead After
Heavy forehead wrinkles Freckles remain, but not wrinkles

 


 

Case 2: Correcting glabellar wrinkles removes the angry, scowling look.

Glabella Before
Glabella After
Severe glabellar wrinkles Younger, more relaxed appearance

 


 

Case 3: Botulinum injection can reduce excessive upper lip movement that causes a gummy smile.

Smile Before
Smile After
Smile shows too much of the upper gums Corrected smile shows normal proportion of gums

 


 

Case 4: Large jowls causing the “chipmunk face” can be reduced in size. Because the jaw muscles have built up substantially over time, this correction will require larger doses of injected botulinum for a successful outcome.

Chipmunk Before
Chipmunk After
Prominent chipmunk face Corrected jaw muscle size and appearance

 


 

Dermal Filler

Dermal fillers replace volume under the skin that, when lost through aging, results in fixed creases or loss of normal volume. Depending on where these creases occur, they are unsightly and give an old age appearance. These include marionnette lines (corner of the lips down to the chin), abnormally thinned lips, nasolabial folds, dimples, and interdental papillae (unwanted triangular gaps between teeth). Dr Lee generally uses Juvederm™ but similar gels using naturally occuring hyaluronic acid are appropriate. Results should last 6 to 12 months.

Before Implant
Nasolabial After
Visible aging crease from nose to lips Nasolabial fold filled in
Filler Before Filler After
Multiple fixed creases Creases smoothed and better facial volume

 


 

IPL

Intense pulsed light (IPL) uses lower (safer) yet more targeted energies to the skin tissue with minimal or no discomfort. IPL involves a series of pulses over the treatment surface, which penetrates the skin layers and is absorbed by the blood vessels or by unwanted dark pigmentation (including pigment in hair follicles). The energy is absorbed by the vessel or pigment much more than the skin. Natural healing afterwards is able to reduce the unwanted lesion.

IPL does not involve irritants such as chemicals or radiation, as with some laser or radiofrequency resurfacing machines. Also, since IPL does not require topical anesthetics, although a cold pack is nice to use after therapy. Larger areas can be treated at one time than with laser treatment. There should be no downtime with IPL.

Treatments can take approximately 30 to 45 minutes, depending on how much skin is treated. A plan of 3 to 5 sessions is typical. While some patients see significant improvement in just 2 or 3 treatments, others may require more. It is mandatory to limit sun exposure for several weeks before and especially after treatment and be committed to daily sunscreen use.

Similar to other technologies, such as lasers, hair removal is an excellent application for IPL, especially for pigmented hair on less pigmented skin.

Case 1: This basic case illustrates correction of unsightly brown age spots on the face after several IPL sessions.

IPL Before Side
IPL After Side
Side view before therapy Side view after therapy
IPL Before Front IPL After Front
Front view before therapy Front view after therapy

 


 

Case 2: Many faces have multiple problems, mostly from aging or sun damage or both. IPL is versatile in being able to address numerous problems simultaneously.

IPL Before
IPL After
Sun damaged face before therapy Corrected skin tone after IPL

 


 

Hydrafacial

Hydrafacial™ is considered the newest step beyond legacy technology such as dermabrasion. This latest non-invasive skin resurfacing and rejuvenating technology uses the patented Vortex Tip. Facial skin is rejuvenated through a combination of cleansing, exfoliation, gentle acid peel, extraction, hydration, and antioxidant protection. Hydrafacial therapy is fast (15 to 20 minutes), pain free, and without downtime.

Best results occur after 3 to 6 treatments, with cumulative improvements in skin moisture level, skin tone, and reduced fine wrinkles. Hydrafacial is appropriate for sun damage, pigmentation problems, poor skin tone, very fine wrinkles, dry skin, and also oily skin/clogged pores (yes, even in teenagers!).

Hydrafacial Before
Hydrafacial After
Damaged facial skin before therapy Partial improvement after single session

 


 

Paraffin Hand

Repair, relax and reward your two hardest working representatives. Paraffin wax increases the skin’s elasticity, allowing increased movement and mobility. Similar to applications for muscle, tendon, and ligament problems, paraffin applied to the skin retains heat, increasing the skin’s circulation, opens pores, and softens the skin. This quick treatment is easily combined with a routine dental visit.

Paraffin Hands
Paraffin After
Removing gloves during paraffin therapy Hands after paraffin treatment

 

Be sure to view other examples of our dental work using the Our Work menu above.