Tuesday, December 8, 2015

MiniLift: Designed to Take Years Off Your Appearance


Story Published: Dec 6, 2012 at 11:00 AM PDT
Dr. Jerry Darm of Aesthetic Medicine along with patient Charlene Cochran joined us today to introduce the MiniLift™ now available exclusively at Aesthetic Medicine. MiniLift™ is a revolutionary facial procedure designed to take years off your appearance. MiniLift™ tightens the skin eliminating wrinkles and lines to give you the younger healthier look you deserve.

Introducing the MiniLift™ now available exclusively at Aesthetic Medicine. MiniLift™ is a revolutionary facial procedure* designed to take years off your appearance. MiniLift™ tightens the skin eliminating wrinkles and lines to give you the younger healthier look you deserve. Best of all, you can get a MiniLift™ with payments as low as $179 per month.*
As people age, the effects of gravity, sun exposure, pollution, smoking and stresses of daily life can be seen in their faces. Deep creases form between the nose and mouth; the jaw line grows slack and jowly; folds and fat deposits appear around the neck.
A MiniLift (rhytidectomy) can’t stop this aging process. What it can do is “set back the clock,” thus improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and re-draping the skin of the face and neck. A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, nose reshaping, laser resurfacing, etc.
The technique has evolved from simple tightening of the skin to tightening and re-positioning deeper structures like muscle and connective tissues whereby the skin “comes along the ride.” This “deep plane” or “composite” facelift is considered by many to be the best procedure to create a more natural look (not “windblown”) and it lasts longer. Again, our goal is to achieve a natural “you look great” appearance rather than “I see you had a facelift.”
The three important areas of the aging face are:
  1. Neck folds and fatty deposits under the chin;
  2. Jowls and loose skin along the jaw line;
  3. Descent of the cheek pad which deepens the folds from the nose to the corners of the mouth.
Any or all of these may be present at any age. Candidates for these procedures can range from age twenty to my oldest patient, who was a healthy eighty-four year old.
Aging obviously does not stop in surgery but you’ll look younger by “turning back the clock” from then on. The length of time of these improvements last will depend on genetics, habits, and skin protection.
In your initial consultation, the surgeon will evaluate your face, including the skin and underlying bone, and discuss your goals for surgery.
Certain medical conditions could cause you problems during or after your surgery, such as uncontrolled high blood pressure, blood clotting problems, or the tendency to form excessive scars. Be sure to tell the surgeon if you smoke, if you are taking any drugs, or medications, especially aspirin or other drugs that affect clotting.
The surgeon will give you specific instructions on how to prepare for surgery and to stop or avoid certain vitamins and medications. Carefully following these instructions will help surgery go smoothly. If you smoke, it’s especially helpful to stop at least a week or two before and after surgery, if possible. Smoking inhibits blood flow to the skin, and can interfere with the healing of your incision areas.
A MiniLift usually takes 3 hours under general anesthesia although it can be longer if you’re having more than one procedure done.
Incisions usually begin above the hairline at the temples; extend in a natural line hidden just inside the cartilage at the front of the ear, and continue behind the ear to the scalp. If the neck needs work, a small incision may also be made under the chin.
There usually isn’t significant discomfort after surgery. If there is, it can be lessened with the pain medication prescribed by the surgeon. Severe or persistent pain or sudden swelling of your face should be reported to Dr. Ciano immediately. Some numbness of the skin is quite normal and it should disappear within a few weeks or months.
You will be instructed to keep your head elevated and decrease your activity level for a couple of days after surgery, to keep the swelling to a minimum. Bandages will be removed after two days and showering is possible. Don’t be surprised at the pale, bruised and puffy face you see. Just keep in mind that in a few weeks you will be looking normal.
You should be up and about in a day or two, but plan on taking it easy for the first week after surgery. The risk of bleeding under the skin, requiring a return visit to the operating room to treat the hematoma (blood collection) is at the highest during the first week. Since there is little pain and boredom sets in, you must resist the temptation to be too active!
The surgeon will give more specific guidelines for gradually resuming your normal activities. They’re likely to include these suggestions: avoid strenuous activity, including sex and heavy housework, for at least two weeks. Avoid steam baths and saunas for several months. Above all, get plenty of rest and allow your body to spend its energy on healing.
At the beginning, your features may be distorted from the swelling and your facial movements may be slightly stiff. Some bruising may persist for two or three weeks, and you may tire easily.
By the third week, you’ll look and feel much better. Most patients are back to work within ten days to two weeks after surgery. Any bruising that remains may be covered by special camouflage makeup.

Terry Misley Lost Over 100 pounds


If weight loss is one of your New Year's goals, Aesthetic Medicine has a proven program designed to help you do that healthily. Dr. Jerry Darm and patient Terry Misley, who lost over 100 pounds, joined us today to share how the program works.

At Medical Weight Management we offer a comprehensive medically-supervised weight loss program for patients looking to lose a significant amount of body weight. Unlike programs that focus primarily on hypnosis or meetings with non-medical personnel, our weight loss program is designed and administered by an in-house physician, nurse practitioner and a staff of registered dietitians. Our two main dietary programs are:

VERY LOW CALORIE DIET (VLCD)
The VLCD Program includes:
  • 5 or more nutritionally balanced meal replacements a day
  • Weekly medical supervision during the first month and once a month thereafter
  • Weekly class or dietitian visit
  • Weekly medical check-in
  • Monthly lab work
  • Monthly body composition analysis
HEALTHY SOLUTIONS (HS)
The HS program includes:

  • 2 or more nutritionally balanced meal replacements, 2 entrees, 5 servings of fruits and vegetables a day
  • Weekly medical supervision during the first month and once a month thereafter
  • Weekly class or dietitian visit
  • Weekly medical check-in
  • Quarterly lab work
  • Monthly body composition analysis

About Dr. Jerry Darm
Dr. Darm has specialized in weight loss for over 20 years. He graduated from Stanford University with a Bachelor of Science in Biology and a minor in Psychology. His medical training was obtained at OHSU. Previously, Dr. Darm was an Emergency Medicine physician where he saw many of the devastating health effects of carrying excess weight and decided to provide a medical based clinic for losing weight safely and effectively.

Wednesday, December 2, 2015

Erase the spider veins with Sclerotherapy


Smaller veins in the legs called spider veins can be treated by injecting them with a "sclerosing" solution which causes them to collapse or by treating them with laser therapy. The veins are then gradually absorbed and disappear.

Tuesday, December 1, 2015

Make Sun Damage & Rosacea Disappear


Story Published: Dec 1, 2011 at 10:29 AM PST
Aesthetic Medicine's Dr. Jerry Darm joined us today, along with patient Libby Mahedy Burkle, to tell us how laser treatments can dramatically reduce the appearance of sun damage and rosacea.