Tag Archives: plastic surgeon bakersfield

Survey Says: 30% of Women Over 40 Want a FaceLift

According to a new survey, over a third of women over 40 are concerned enough about their appearance that they would definitely consider plastic surgery if they could afford it. The average age the women surveyed believed was the best age for plastic surgery is 52, 41 weeks and four days. Also, according to those surveyed, 20% of the surveyed women between 40 and 60 said they would gladly get a face lift to smooth out the signs of aging if money were no object.

In my Bakersfield plastic surgery practice, women start coming to us on a regular basis in their early 30’s, principally to put off facial rejuvenation surgery, such as a face lift, by having dermal fillers and Botox injections, as well as facial treatments with our aesthetician, Terra. Through the judicious use of these facial treatments, patients can forestall the need for more invasive treatments for many years.

Did you know that dermal fillers, for example, can be injected to lift the cheek area, which also lifts the jowls, one of the first signs in an aging face? It’s true. You can literally have a “liquid facelift” through the proper placement of these fillers, all without surgery. Now, eventually, aging will continue to the point where even the best and best-placed fillers won’t do the trick, and at that time you’ll need to decide whether or not you want to have surgical face lift. However, as fillers become more and more advanced, that stage is put off longer and longer. If you aren’t certain whether your facial aging can be managed with fillers vs surgery, give Terra a call and ask for her consultation. I can also examine your face to help you understand your options.

What do you think about this? Are you taking advantage of skin treatments and dermal fillers to put off surgery until much later?

To your health & wellness,

Dr. Vip Dev


Whatever happened to Silicone?

Although liquid silicone injections were banned by the FDA is 1992, many unqualified providers will still administer them off-label, with potentially deadly effects. I’m willing to bet that if you asked 5 friends who are “in the know” about cosmetic procedures, that at least 3 of the would not know that silicone was banned. Take a look at Priscilla Presley. That’s how she got that look.

Silicone was used as long ago as the 1950s to augment breasts, and then became very popular in the 1970s and 1980s to fill in wrinkles and enhance lips. However, studies discovered that the injections caused infections and deformities, as well as potentially migrating via the bloodstream and causing blood clots. Just last year, a 43-year old woman died after having black market silicone injections to her thighs and buttocks.

Since silicone is permanent and does not adapt to aging tissue, surgery is required to remove it. Lisa Rinna recently had surgery to improve the appearance of her lips, which were affected by silicone injections administered in the 1980s.

Silicone injections have been replaced by FDA-approved alternatives such as: Botox, fat injections, collagen and Restylane. Most of these treatments last between six months to a year.

So, if anybody asks you about silicone or tells you there’s a great, cheap offer for fillers at Dr. X’s office in Bakersfield, keep in mind, t’ain’t so! And if there IS anybody injecting silicone, don’t get any.

To your health & beauty,

Dr. Dev

How Do Lasers Work?

Laser technology for cosmetic usage has been around for the past 40 years, but has come into its own in the past five years, offering men and women a variety of treatments including hair removal, body sculpting and skin resurfacing. Occasionally, a patient will ask me how the laser actually works. Truth is, until recently, nobody has known the exact underlying processes that occur with lasers! Is it the laser light that motivates the collagen to rebuild or is it the heat that the laser delivers?

A researcher by the name of Susanne Dams, with Philips Research Eindhoven, conducted her own studies on lasers to find the answers.

Dams treated cell cultures and human skin with heat shocks of 45 and 60 degrees Centigrade, without using a laser light. (This is equivalent to 113 to 140 degrees Fahrenheit. Water boils at 212 degrees Fahrenheit, so 113-140 is hot but not boiling hot.) Her results show that the heat shocks increased the production of collagen. When laser light was added, the only measureable difference was the ability of the laser to pinpoint the exact location of heat delivery. This is an important part of the treatment, inasmuch as heating smaller areas of skin is safer than heating larger areas of skin. In fact, her study also showed that heating the skin to 113 degrees Fahrenheit for 8-10 seconds was the optimal amount of heat to increase collagen. Above that temperature there is no added benefit and, in fact, causes skin cell damage.

Collagen is a skin protein that gives skin elasticity and firmness, the “bounce back” that young skin enjoys. Beginning in the mid-20’s, our collagen production begins to decrease, leading to wrinkles and sagging skin.

Three ways to increase your collagen levels

Studies show that there are 3 primary collagen-builders for those of us in the over-30 crowd:

  • Laser Skin Treatments:
    • Although the CO2 laser is considered the Gold Standard for skin resurfacing, the after-effects force patients to hide from the world for 2-3 weeks as their faces crust over and peel. Not a pretty site and most people don’t have 2-3 weeks to spend for recovery. Fraxel treatments and even chemical peels can obtain similar results, with little to no downtime. Instead of one big treatment, chemical peels and fractionated laser treatments are divided into 4-6 treatments, giving essentially the same results without the recovery time.
  • Retinoids:
    • Retin-A is the only topical skin treatment that is proven to increase collagen. No matter what they tell you on TV, this is a fact. For those in need of this, I can prescribe Retin-A.
  • Hyaluronic Acid Fillers:
    • Fillers made with hyaluronic acid, such as Juvederm, Restylane and Perlane, have been shown to increase collagen. This explains why, over time, you may need less filler each time you come in for a filler treatment. It’s not because you retain the filler from the last treatment, but because your own collagen is rebuilding.

Some things that damage collagen, by the way, are sun exposure and tobacco usage. If you want to keep your looks, use a good sunscreen and don’t smoke!

To your health & beauty,

Vip Dev, MD


Drink to Great Skin!

Time and time again we have been told that the key to amazing skin is through simply drinking an excessive amount of water. To some, this may sound too good to be true. A recent study highlighted in the Daily Mail has found that certain waters may indeed reduce the appearance of wrinkles.

Water is said to moisturize the skin, reduce wrinkles, cleanse the body and banish blemishes. However, dermatologists are insisting that this may not be 100% true. They argue that the outer layer of the skin is the only thing that maintains moisture levels in the skin.

During the double blind, placebo controlled study; female participants were asked to maintain the same diet and skincare routines. A Visia skin complexion analysis was performed on each of the women to determine rates of wrinkling, sun damage and the skin’s texture.

Following the initial analysis, the women were asked to drink 1.5 liters of water a day for eight weeks straight. Some women drank tap water, while others drank mineral-rich Willow Water from the U.K.

Willow Water reportedly contains salicin, a compound that when metabolized turns into salicylic acid. Salicylic acid is known for it’s anti-inflammatory properties and is found in many skincare and acne products.

At the end of the 8 weeks, the women underwent a second in-depth Visia skin analysis. The study found that women who drank ordinary tap water saw a 19% reduction in wrinkles and that the women who drank Will Water saw an even more impressive 24% reduction.

These findings are impressive to say the least. Not only that, fighting wrinkles with water drives home a healthy habit that is recommended for everyone to practice—staying hydrated!

To Your Health & Beauty,

Vipul R. Dev, M.D.

Study: Dysport More Effective Than Botox for Crow’s Feet

Since its FDA approval for cosmetic purposes in 2002, Botox has been used for the purpose of wrinkle reduction. Up until the FDA approval of Dysport in May of 2009, there was no other botulinum toxin treatment on the market other than Botox. While Dysport has had a slow introduction into the market, a new study may give it the extra boost it needs.

According to the study, which was presented at the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) 2010 Annual Fall Meeting, Dysport is significantly more effective than Botox Cosmetic for the treatment of crow’s feet.

Ninety subjects were assessed on day zero and day 30 following treatment by both Botox and Dysport. The double-blind study found that Dysport was hands-down more effective than the well-established Botox Cosmetic.

Botox has long been considered the gold standard of injectables, so this data showing Dysport’s stronger efficacy is compelling,” Corey D. Maas, MD, AAFPRS Group Vice President for Public and Regulatory Affairs, told Plastic Surgery Practice.

Based on the findings, patients who are interested in treating their crow’s feet may want to reconsider what product they ask for. The study also found that Dysport is more effective in treating hyperfunctional frown lines. For more information on Dysport in Bakersfield, please contact The California Institute of Cosmetic & Reconstructive Surgery for a consultation.

To Your Health & Beauty,

Vipul R. Dev, M.D.

The Skinny On Stem Cell Facelifts

Stem cells have been under investigation for years for their potential to treat numerous medical conditions. With the most recent findings, the use of stem cells for aesthetic purposes is gaining a lot of attention and popularity. Once specific procedure that patients are requesting is the stem cell facelift.

Although studies are still underway to prove the efficacy of stem cells for facial rejuvenation, many doctors are already offering this procedure. During the procedure, fat is removed from another part of the patient’s body and purified. After purification, the surgeon will inject the fat into different areas around the face.

The fat will plump the face in areas with skin is sagging, leaving it looking younger and refreshed. Stem cells also have the possibility to regenerate elastin and collagen, which in turn can help the skin bounce back to it’s original form. Even though this sounds promising, most anti-aging stem cell research is in its infancy.

For a long time, stem cell research was unable to be processed due to legal restrictions. Since stem cell research originally focused on embryonic cells, there was a lot of controversy surrounding how they were harvested. More recent research has found that stem cells are existent in human fat and has opened more doors for new studies.

Another benefit of stem cell facelifts is that no scalpel or incision is made in the face therefore there is no scarring and no need for general anesthesia. This results in minimal downtime for the patient. If you are a Bakersfield resident who has questions about the stem cell facelift, our knowledgeable staff at the California Institute of Cosmetic & Reconstructive Surgery is available to address your concerns.

To Your Health & Beauty,

Vipul R. Dev, M.D.

Aging Earlobes Can Be Treated, Too!

Wrinkles can be found anywhere on the body—even your ears! Never fear, though. Droopy earlobes can be treated with the help of some popular injectables.

Earlobes, just like any area covered by skin, are susceptible to aging. Your ears can droop, wrinkle or even have thinning of the skin—just as the face and neck areas do.

By not wearing heavy earrings and avoiding excessive sun exposure, you can slow the signs of aging lobes.  However, like any part of the body, ears aren’t wrinkle-proof.

Commonly used to treat facial wrinkles, dermal fillers are now being used to treat the signs of aging in earlobes. If you don’t have wrinkly ears but your lobes are drooping as a result of wearing heavy earrings, Juvederm, Restylane or Radiesse can be injected for added support. Fillers will also decrease the appearance of the earring hole.

While some patients may desire more permanent options such as otoplasty, dermal fillers in the earlobe have an immediate effect with no downtime.

At the California Institute for Cosmetic & Reconstructive Surgery, are friendly staff would be delighted to address any questions or concerns you may have about treating the signs of aging in earlobes.

To Your Health & Beauty,

Vipul R. Dev, M.D.