Category Archives: Non-Surgical Cosmetic Procedures
Don’t Want Surgery? Consider Instalift, a Non-Surgical Facelift
You no longer need surgery to look completely refreshed and rejuvenated. Schedule a consultation with Dr. Sherman now to learn if you’re an ideal candidate for a non-surgical facelift: 615-297-5798
Chemical Peels: How Treatment Works
Chemical peels can help make your skin look fresher and more radiant. First, a customized facial analysis is performed by one of our expert skin care nurses to help you determine which peel is right for you; then, they will provide you with a glycolic acid, salicylic acid, or combination facial peel. Learn more about chemical peels below!
If you’re interested in chemical peels, contact us today.
How to Enhance Your Profile for the Best Version of Yourself
Dr. Sherman understands that patients are concerned about the way they look in photos and can be self-conscious of their profiles. Recently, Dr. Sherman sat down with eHealth Radio to discuss how her work enhances her patients’ profiles so that they can see the best version of themselves.
Tune into this interview with Eric Michaels & Dr. Deborah Sherman and learn the answers to these questions:
- Dr. Sherman, tell us why women and men are so concerned about their profile these days?
- What are characteristics of your profile that are preferable and what characteristics are less than desirable?
- Is surgery the only answer for enhancing your profile? How about nonsurgical treatment options? Most people do not want to have any downtime or miss work?
- Could you review the Nonsurgical options for the lower 1/3 of the face that make up the “Social angle” as you call it that we all see in photos and when interacting socially?
- How does a person that wants to look better in photos or doesn’t like their profile learn what they need to get a youthful profile?
Bridal Party Treatments with Zero Downtime!
Looking for quick treatments that will have your skin glowing on your wedding day? Sherman Aesthetic Center created this infographic that includes five bridal party treatments with no downtime! For flawless skin on your wedding day, Botox can be used to soften areas of the face such as forehead lines, crows feet, a perpetual frown and more. Our lip fillers such as Volbella, Restylane Silk, and Juvederm will give your lips the perfect shape and allow your lipstick to look flawless on your special day! Latisse and permanent makeup will allow you to wake up the day of the wedding with your makeup already looking great. Lastly, tighten, lighten, and remove unwanted hair with a laser and light therapy such as laser photo rejuvenation (IPL) or laser hair removal!
Contact Sherman Aesthetic Center to schedule your bridal party pampering day!
3 Approaches to Stop Brown Spots in Their Tracks
3 Approaches to Stop Brown Spots in Their Tracks!
Welcome to December! There is a chill in the air, Christmas is on its way, and your time laying in the sun is (mostly) gone.
Once your tan has worn off and your beach vacation is far, far away, “they” arrive. Photodamage in the form of brown spots seem to appear after your tan fades away.
I am often asked what the best form of treatment is to kick the browns. At a national laser conference I attended, one of the top laser experts in the country made an excellent point: “We can flush the brown out of your spots, but we can’t take away your spots.” Your spots will always be lurking beneath the surface. Even after they are treated, it is vitally important that you continue to use sun protection. Next summer, with a little more time in the sunshine, your spots will darken again, and we’ll have to clean house in the fall. But if we can fade them to the point that they hide better with makeup, it’s a win!
Here are three different routes for lightening browns from sun damage:
Laser is an excellent way to lighten hyperpigmentation. It is important that you stay out of the sun while receiving laser treatments. Our GentleLase Alexandrite laser has been a gold standard in treating photodamage for years. You will likely need around 4-6 treatments of laser at a time. Again…come fall, after a fun summer outdoors, you’ll likely need to come back for a little clean-up!
There are several topical treatments that may be used year-round to lighten hyperpigmentation. Whether you use hydroquinone or non-hydroquinone products, topicals are a great way to keep your skin bright throughout the year.
3. Chemical Peels
A series of chemical peels will not only help lighten brown spots, it will improve your overall skin tone and texture and appearance of pore size. Chemical peels remove the top layer of dead skin cells. Your body will produce its own collagen, revealing brightened, new skin. We recommend a corrective series of 6 peels to put your skin through a customized skincare boot camp program designed to meet your individual needs. After this, you may continue to receive maintenance peels throughout the year.
Any combination of these treatments is even better if your goal is to “flush the brown out of your spots!”
And guess what the greatest preventative treatment is? SUNSCREEN! Always, always, always make sure your skin is protected with a good physical barrier SPF, even if you’re not planning on spending a lot of time outside. And remember…even though we feel like going into hibernation for the winter-the sun and its damaging rays do not! Sunscreen is just as important in winter to prevent brown spots from coming back! You’ll notice that the left side of your face typically looks more aged than the right. The reason? Sun exposure from driving in the car. So don’t skimp on the sunscreen.
Make your appointment with an Aesthetic Specialist today to get a customized skin assessment! We’ll help you develop a skincare plan that suits you best!
Kybella Journal: What can I expect? Notes and thoughts from a real patient
Kybella Journal: Kathy
If you’ve looked into Kybella, the newest FDA-approved treatment for fullness beneath the chin, you’ve probably read about side effects and the end result: reduction of double chin. But what happens in the days and weeks in between your treatments? We asked one of our patients to keep a journal and tell about her experience with Kybella all along the way after her first treatment!
What made you want to get this treatment:
I have never had a chiseled jar line even when I was young. I don’t have a double chin and I’m not overweight but I always hated my profile. I have avoided profile pictures my entire life. Dr. Sherman told me that I had a fat pad under my chin that I was probably born with and Kybella would help give me a better profile.
What are your expectations of this treatment:
I’m hoping to have a more chiseled jaw line.
How did you feel prior treatment:
I was terrified after reading all the information on the internet.
How did you feel during treatment:
They had me ice the area prior to the injections and I really didn’t feel anything during the injections until about the 20th injection. Then they had me ice it again, and they finished the injections. I was pleasantly surprised that just icing the area would numb it. I’m not going to say it was painless but it really wasn’t bad, maybe a 2, on a 10 point pain scale. Right after the procedure, the area felt weird. I can’t really explain the feeling. It didn’t hurt, it just felt unusual. The feeling only lasted 15-20 minutes. It started swelling and became numb in the area of the injections immediately, but I expected that.
I elevated myself that night while sleeping to help with swelling, and I was fairly swollen in the morning but not as bad as I expected. I took two Tylenol for pain the first night but that was the only time I took anything for pain.
Please rate treatment and post treatment tolerability and add any comments you want on the side- on a scale from 1-10 with 10 being highest:
How long did pain last: 30 minutes
The injection site became numb immediately and began swelling immediately. The injections really were not painful because they had me ice the area first. However, the injection area felt strange for about 30 minutes after the injection. It wasn’t painful, but it was uncomfortable. After about 30 minutes, it was fine except it was tender to the touch.
4 hours POST treatment:
Comments on how you feel NOW:
The injection area felt numb and was swollen. It was sensitive to touch but didn’t really hurt unless I touched it. I took two Tylenol when I went to bed and slept fine. I did sleep elevated to try and reduce swelling.
Numbing: 10 -injection area was numb
Comments: I had some pin point bruising but it was easily covered with makeup. The injection area felt wobbly, but I went about my day as usual with no problems at all. I had my daughter take pictures for me, and she had already forgotten I had it done. I did wear my hair down which helped to camouflage the fullness under my chin, but honestly I don’t think anyone noticed at all.
Numbing: 10- injection area remained numb
Comments: I could already see some improvement. It was still sensitive to the touch around the injection site.
Numbing: 10 -injection area remained numb
Swelling: 6- swelling improving
Comments: The swelling seems to be improving slightly every day. The area is not as wobbly today.
Numbing: 10- injection area remained numb
Swelling: 3-swelling significantly improved
The injection area remains numb and is still sensitive to direct touch but doesn’t hurt. Nobody can tell anything has been done unless I point it out to them. The area that remains numb has reduced in size from a silver dollar area to about an area the size of a quarter. The injection area is not wobbly, just not firm.
Numbing: 10- injection area remained numb
Swelling: 2- swelling minimal
The injection area remains numb and is still sensitive to direct touch, but I don’t notice it except when I wash my face or actually touch the area. The numb area is still about the size of a quarter. The injection area is starting to firm back up and feels kind of bumpy, but you can’t see anything; it just feels that way.
Numbing: 10- injection area remained numb
Swelling: 1- swelling minimal
The swelling is almost gone. The numb area is still about the size of a quarter. It is no longer sensitive to touch at all. It still feels kind of bumpy. I would say that I’m back to where I started, and now I will start to see REAL changes!! So excited!
As we age, it often feels as if our faces “melt”. We often hear “It looks like someone held a candle near my face, and it just started melting!” or “Gravity, baby. It’s all falling down.”
Sounds about right, but gravity actually isn’t the cause of facial aging. As the years pass, the structure of the face begins to shift and change. There is fat loss and repositioning, bone density loss, and slower production of collagen. Muscle contraction from smiling, eating, yawning, frowning causes lines to begin to form around eyes, cheeks, and mouth. UV damage from time in the sun causes age spots, loss of elasticity, and wrinkling.
We expect some of the brown sun spots, the tired eyes, the smile lines…but one thing that sneaks up on us is the change seen in the lips. Lips will seem to “shrink”, vertical lines above and below the lips appear, and lipstick begins to bleed. The “cupid’s bow”, the little v-shape in the middle of the upper lip, flattens. The plump, perky lips that gave kisses and smiles are becoming flat and thin, and are giving us away…suddenly our face seems to look much older.
What to do?
Can anything be done to prevent all of this?
Certainly a lip balm with sunscreen is helpful to protect the lips from aging from harmful UV rays. Drinking out of a straw can be curbed, and obviously, smoking is detrimental to lips (among other things).
Still, with all of these things under control, lips lose their stuffing and elasticity.
So fill ‘em up! The good news is, there are multiple hyaluronic acid fillers that may be used to improve lip definition, proportion, and volume. “Proportion” is an important word. A 60-year-old won’t have a 20 year-old’s lips. And they shouldn’t. It looks unnatural and disproportionate to the rest of their face. Too much filler in the wrong places gives an unnatural appearance and “trout pout”…you know what I mean. This happens when too much filler is put in the wrong place. Filler is should only be given by a Master Injector who will skillfully and artistically places the filler in the correct places with the correct amount. Lips should compliment the rest of the face…they should never “walk into the room” before you do. A well-done lip is subtle and appropriate for your face. Not to mention it sheds a few years off of your stated age J
The Right Tools for the Right Project
The wonderful thing (and the sad thing) about hyaluronic acid (H.A.) fillers is that your body produces H.A. naturally. The filler will gradually dissolve over time, and your lips will appear as they did before you ever got the filler. More permanent fillers are dangerous and tend to shift over time, sometimes causing more trouble than they’re worth.
The Next Best Thing!
More good news: Volbella has been FDA-approved in the United States! It is an H.A. filler specifically designed for the lips that we are SO excited about! More to come on Volbella. You’ll be the first to know when it officially arrives in our office!
Dr. Sherman on Nashville Channel 4 WSMV TONIGHT!
Dr. Deb will be featured on Nashville News Channel 4 this evening, July 7, 2015, to discuss Kybella, the latest injectable treatment for the “double chin”! Be sure to tune in to Channel 4 WSMV to hear about this exciting new injectable treatment from the premier Nashville injector, Dr. Deborah Sherman. The segment will air at 4 pm and 6:30pm Central Time.
Call our office to schedule a free facial analysis to find out if you are a candidate for Kybella at 615-297-5798.
Welcome the latest and greatest filler: Restylane Silk.
Your Ideal Lips!
Everyone’s facial structure is different — and so is everyone’s ideal lip shape and size. Restylane® Silk is the first and only FDA-approved product specifically designed for subtle lip enhancement and the smoothing of wrinkles and lines around the mouth in patients 21 years of age and older. Restore your smile and achieve your ideal lips with Restylane Silk.
See what others are saying
In a clinical study of patients treated with Restylane Silk or no treatment, clinical investigators reported:
77% of patients treated with Restylane Silk showed at least a one-point improvement in lip fullness (measured on a 5-point scale) eight weeks after treatment.
59% of patients treated with Restylane Silk maintained lip fullness six months after treatment.
For more information and real patient results, visit www.restylanesilk.com
Dermal Filler FAQs
Dermal Filler FAQs
1. What are dermal fillers?
Dermal fillers are used to restore lost volume to the face. The most popular fillers are made of hyaluronic acid, which is found naturally in the connective tissue of the body. Fillers can also soften lines, wrinkles, and give volume to “sunken” areas of the face. By treating these areas, a 30 minute filler session can provide a more youthful facial shape with a positive facial message.
2. How do dermal fillers work?
Hyaluronic acid fillers are “hydrophilic”, meaning they attract water from surrounding tissue. Hyaluronic acid is a naturally occurring building block of the skin. By replacing the body’s own youthful substance, a filler treatment can reduce the appearance of folds, wrinkles, and replace facial volume, giving you a softer, more natural, youthful look.
3. What are the benefits of dermal fillers?
In the hands of a Master Injector, fillers definitely produce a softer, more refreshed appearance. They can also encourage the body to produce more collagen. This “new collagen” response is part of the body repairing itself in the injection area.
4. What are the risks of dermal filler injections?
The most common side effects of filler injections are swelling and bruising. This varies from person to person, depending on how your body responds. It is helpful to avoid any blood thinning medications 2 weeks prior to your treatment to prevent bruising. As always, consult with your physician before discontinuing any medications.
For best results, it’s very important that you see an experienced aesthetic injector with the highest level of training that understands the specific techniques that are crucial to minimize risks of complications, such as infections, and answer your questions related to your specific concerns.
5. What areas can be treated?
A Master Injector will analyze your facial structure and your concerns to develop the optimal results. When you look at a person’s face, they may look tired, stressed or timid without even speaking. At the Sherman Aesthetic Center, our highly trained aesthetic professionals will assess your personal needs to determine which facial area needs treatment to most benefit your facial message. Common treatment areas include cheeks, mouth corners, nasolabial folds, marionette lines, wasting temples, saggy jaw lines, and the pre-jowl sulcus area. At the Sherman Aesthetic Center, in order to put your best face forward, we always prioritize which facial area should be treated first for best results within the confines of your cosmetic budget.
6. How long does a dermal filler treatment last?
The duration of the filler depends upon which filler is used and how quickly each individual metabolizes the filler. Most last from 6 months to one year. Others may last up to two years.
7. Can I be allergic to dermal fillers?
Allergies to the newest generation of hyaluronic acid fillers are extremely rare, as hyaluronic acid is found naturally in the connective tissue of your body. For this reason, allergy testing is not needed.
8. Are dermal fillers safe for cosmetic use?
Yes. Dr. Sherman believes the fillers are safe and gets filler treatments on a regular basis.
9. Can dermal fillers be used with other treatments?
Yes. Our Master Injectors commonly give Botox and filler are given on the same day in our office, though these may certainly be separated. Any laser treatments, peels, facials, etc should be spaced two weeks apart from your filler appointment. Many choose to use filler after having cosmetic surgery as well, which further adds to the natural youthful look to keep people guessing your true age!
10. Are dermal fillers only for women?
The number of men treated with filler has certainly been on the rise. Men and women alike benefit from filler. Many professionals are choosing filler as a competitive edge treatment to dress for success because your face is your “calling card”.
11. Are there any restrictions in my activity after a filler treatment?
The best thing about dermal fillers is that the results are immediate, and you can continue your daily activities without interruption. Swelling may increase with increased activity, but you may resume your normal activity (including working out!). The most important thing to remember is to minimize how much you touch your face and to sleep on your back if you can. Try not to schedule your treatment close to any special events, as swelling and bruising can occur.
12. What is the best dermal filler for anti-aging?
It depends on what feature of your face shows your aging characteristics, the amount of gravitational pull on your face in a particular area, your skin quality and thickness, and what facial feature you want to emphasize with your treatment. For some it’s their eyes, and for others it’s the mouth or cheeks. Choice of filler becomes like paint in our palette to choose the art we wish to create. Our Master Injectors, which include a Board Certified Oculofacial Surgeon, a Board Certified Physician’s Assistant, and an Aesthetic RN can help you choose the filler that creates your best look.
13. Are dermal filler injections painful?
There is some discomfort associated with filler injections. To minimize this, a topical anesthetic may be used. In most cases, the filler itself contains a numbing medication, so once the filler is injected, any discomfort is minimal. Most patients would describe the filler experience as very tolerable and some will report some mild soreness right after the filler treatment.
14. What is the best dermal filler for cheeks?
The newest filler for cheeks is Voluma which provides a great amount of “bounce” and gives a smooth lift with a natural look to the cheek area. Studies show that Voluma can last up to 2 years, depending on how your body processes filler. Your Master Injector will analyze your face with a free facial analysis to decide if Voluma is right for you.
15. How often can I have dermal fillers injected?
A Master Injector will assess your individual needs and develop a filler treatment plan that is unique to you. This is individualized to the patient, considering many factors in your personalized treatment plan. The good news is that there are some excellent filler treatment options available that can create amazing results with a well trained Master Injector using the right product with the right techniques.