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The Aesthetic Consult at Willo MediSpa

I have an old sofa. My grandparents bought it in the 1930’s. I inherited it when my grandmother passed in 1984. It has a lot of Rossi history, and I can never part with it. It was covered with heavy red brocade when I received it and had crocheted anti-lathams on the arms and across the head rest area. My dilemma was what to do with it to make it fit in with me.

The analogy of the sofa works for how we look at ourselves. We can’t get rid of our face, but what can we do to enhance what we like and improve upon what we don’t? For my sofa, it was a matter of having it repadded and recovered with leather. During an aesthetic consult for your face at Willo MediSpa, there are several topics and options to discuss.

I always ask my patients what bothers them the most about their face. I think it is important to understand how patients perceive themselves and what priority they place on what they want to change. I need to see them through their eyes. This helps me make suggestions and discuss treatment options that address their concerns. Most of my patients want a softer, relaxed or refreshed look and not look like they went through an extreme make over.

Botox® Cosmetic Treatments

One topic to discuss concerns the dynamic and static wrinkles. Look in the mirror. Do you see wrinkles that you don’t like when you make facial expressions? Do you see wrinkles that are permanent without facial expressions? Botox® can lessen the wrinkles that are formed by the contraction of the muscles of the face. The usual areas for Botox® treatments are the glabellar area – the 1s, 11s, or 111s – that form between your eyebrows and make you look angry, the crow’s feet around your eyes that make you look old and the lines across your forehead that look like a pack of hot dogs. Not only will an adequate treatment of Botox® improve these areas, but several treatments over time may almost eliminate deep static wrinkles.

Botox® can also be used in the chin to soften an orange peel dimpling that can occur, around the mouth to soften perioral or smokers lines and to turn up the oral commisures or corners of the mouth, under the eyes to give a rounder more open look, around the nose to soften bunny lines, along the jaw line to soften the masseter muscle, and in the platysma bands in the neck to smooth the ropey appearing muscles that can appear.

Juvéderm® XC Treatments

Another topic to consider is facial volume loss. Look in the mirror. Do you see three chevrons developing on your face making you look old and gaunt? These are caused by volume loss of the underlying tissues as we age. The first chevron is the hollows in your cheeks under your eyes caused by a receding fat pad and bone resorption. The second chevron runs between your nose and mouth and is often called the parenthesis lines. The third chevron starts at the corners of your mouth and runs down towards your chin. All three can be corrected and softened using injectable dermal fillers.

Juvéderm® Ultra XC is a hyaluronic acid dermal filler that I use for areas needing less lift and more of a smoothing effect under the skin. It works well on most women’s faces for nasolabial folds, lips, glabellar and marionette lines and chin creases. Juvéderm® Ultra Plus XC is a more viscous hyaluronic acid dermal filler and is used where more correction is needed such as on deep nasolabial folds, deep marionette lines and with heavier skin such as men have. Juvéderm Voluma™ XC is a heavy hyaluronic acid FDA approved for age related mid-face volume loss. This product is injected periostially for the deep lift needed to correct cheek hollows and can also be used in the chin and pre-jowl areas.

SkinMedica® Skin Care Treatments

The third topic to consider is the overall appearance of the facial skin. Look in the mirror. Is your skin glowing and radiant, or do you have issues with fine lines, pigmentation, dry or oily or flat and dull skin? Going back to my analogy of the sofa, why fix the padding if you don’t repair the covering. A good home regimen and an occasional microdermabrasion or chemical peel can improve and correct your skin issues and help you to maintain youthful radiant skin. I recommend SkinMedica® skin care products and chemical peels. Their GRASS method will help you select the right products for your skin type and condition. They recommend products with growth factors, antioxidants, sunscreens and nightly retinols. Specialty products are used for various concerns as needed. We also have additional skin care products from Neova® to help with special skin conditions.

Latisse® Eyelash Treatments

The last topic to discuss is eyelash growth. Look in the mirror. Do your eyelashes enhance your eyes? Men usually don’t care how their eyelashes appear, but they notice women with long butterfly lashes and women like to be noticed for their lashes. Latisse® Eyelash Treatments are FDA approved for making your lashes grow longer, thicker and darker. It is an enhancement that highlights your eyes and makes them sparkle.

These are the topics I discuss with a patient who would like an aesthetic consult with me at Willo MediSpa. Often there are several concerns a patient would like to work on. It is not uncommon to create a plan that may start with one treatment modality and lead to another at a later time. There are times when what a patient is looking for is not something that can be achieved without surgery. Some treatments are less expensive than others. A plan that meets your goals and fits your pocket book is the best. Another point to remember is that aesthetic corrections need to be maintained. Periodic treatments to refresh your improvements are the norm.

I hope this has given you an insight on the topics I discuss in my aesthetic consult with you at Willo MediSpa. Please feel free to contact me if you have any questions.

Written By:
Dr. Nello Rossi – Willo MediSpa