February 6th, 2012

Neck Liposuction or Neck Lift, which is best?

Question:
Will liposuction of the neck give me a nice tight looking neck or do I need a neck lift?

Answer:
To get a great result with liposuction of the neck without a true open neck lift you must be a good candidate for the procedure. If your neck has fatty deposits between the skin and the muscles and your overlying skin has good to excellent elasticity, properly performed minimally invasive liposuction of the neck will give you a smooth tight neck with youthful contours, without cutting skin and tightening muscles. Patients of all ages with good to excellent skin elasticity are delighted with their results following minimally invasive liposuction of the neck. The procedure is done under twilight sedation and takes under an hour. You will go home with a compression neck wrap dressing that is removed in 2-3 days. At that time you will have manual lymphatic drainage massage and then deep tissue massage so that by six weeks you skin and soft tissues around your neck will be smooth and your results will be very apparent. If you feel your neck looks saggy or full and you do not have a contoured neckline, come in for a consultation to access whether you are a candidate for this minimally invasive procedure that will make you feel like you have a swan neck.

Learn more about:
Neck Lift | Neck Liposuction

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Neck Liposuction Testimonial

Visit our photo galleries:Neck Liposuction | Neck Lift

Quotes by Dr. Casas in the Media

Call now for your complimentary consultation.
You may reach us at the Chicago North Shore suburbs of Glenview, Il (847-657-6884) or Highland Park (847-432-1400).

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August 3rd, 2011

How injectable Sculptra Could Work for You

Q: If I am interested in understanding how injectable Sculptra (poly-l-lactic acid) might work for me, who do I talk to?

A: Probably the most important thing to do is find a physician who has a lot of experience treating the aging face. ABPS (American Board of Plastic Surgeons) Certified Plastic surgeons like myself are trained in the gamete of surgical and non surgical procedures that treat the aging face.

Background and Approach

Throughout my career, and especially since 2003, I have treated patients, over time, to help them approach facial aging in a medically safe way. This is called a longitudinal approach which includes both non surgical treatments as well as surgical treatments.

As we age, we may or may not see the loss of our cheek fullness, but we always see the development of nasolabial folds and jowls. I believe that those signs of aging are best treated after your face has been evaluated comparing it to your youthful photographs. This way we can both better understand how your face has uniquely aged. Usually it is complicated and involves skin, facial fat and bony changes.

Part of the process involves Sculptra. Sculptra is a unique product that I have used as part of a comprehensive approach to treat the aging face off label since 2006 (and on label since 2009). And as you may know from my blog, using injectable Sculptra is a unique non surgical procedure that is used to restore facial volume.

In fact, because of my dedication to the art of Plastic Surgery and to the science of the facial aging, I was compelled to study this unique product in 2006 when it became available for AIDS patients. AIDS patients also loose facial volume due to their disease.

So I was very interested in studying Sculptra in my facial aging patient population because until 2006 - and still to date - there are no other products that work to stimulate your collagen to form more collagen. And more collagen renders your face looking more youthful without as many folds, creases and lines.

The Study

In January 2011, my pilot study of 106 consecutive patients was published in our prestigious Aesthetic/Cosmetic Plastic Surgery Journal, The Aesthetic Surgery Journal which is published by Sage publishing company.

This study represented 4 years of treating and evaluating 106 consecutive patients who were successfully treated with injectable Sculptra for facial aging. This product once injected under a facial crease or fold will stimulate your overlying skin to form thicker collagen so that gradually over 4-6 months your facial aging treated areas will be reversed for 2-3 years.

The strengths of this product are that its effects are gradual and subtle and that they last a long time as compared to fillers. I recommend using Sculptra when a patient shows signs of facial aging that involves loss of soft tissue fullness that results in creases, folds and lines. In combination with an individualized skin care regimen that includes topical Retin A, patients see subtle but clear changes that allow their faces to look more youthful.

Below is the abstract from the January 2011 Aesthetic Plastic Surgery journal published by the Sage Publishing company which outlines the scientific work that Dr. Schierle and I did.

Abstract

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June 30th, 2011

How Do I Regain My Youthful Appearance?

Question
What do you think would be the best way to make me look less haggard, saggy , wrinkly, and ‘caved in’? When I compare and look at pictures of myself from 10 years ago, my cheeks were much higher and fuller - now they are sunken looking, with large folds and wrinkles and it makes me look older but I don’t think I’m ready for a Facelift!

Answer
It sounds as if injections with Sculptra Aesthetic may be a good option for you. Comprised of poly-L-lactic acid, it is a substance that stimulates your own collagen to grow, so results are very natural and happen over time. My strategy is to consider each patient’s facial aging pattern. And in combination with reviewing your old photos. Together we can individualize your anti aging short and long term plane. Often times a combination of skincare, some select nonsurgical and surgical procedures and Sculptra Aesthetic will all be recommended to achieve your aesthetic goals. When we use Sculptra Aesthetic the results occur gradually over 4-6 months. My patients like the gradual transformation and the fact that it is a reliable, long-lasting solution to lost volume.

If you have a sagging lower face, jowls, wrinkles, prominent nasolabial folds, or wattle (neck sagging) you can call now for your complimentary consultation!

Reach us at (847) 657-6884. We are located in the Chicago North Shore suburb of Glenview, Il

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