Q: Regarding fillers, how do you avoid this unnatural look?
A: My approach to using fillers is to increase a patient’s natural beauty and help decrease the visual impact of the natural aging process. Face fillers replace the volume that we lose naturally or that falls on the lower face with age. To ensure a more natural look, it is essential to carefully consider the needs of each patient to replace the volume carefully.
Q: How long do fillers typically last?
A: The duration of a filling treatment depends on the treated area and the product used. I am thinking of different charges like building a house. First, you want thicker, more substantial fillers for the foundation in areas like the cheeks, temples, or chin. These facial fillers tend to last the longest, and some can last up to two years. Then you think of furniture, which is the medium thickness fillers that are useful for nasolabial folds or puppet lines. These charges can last up to a year and a half. Finally, think of cushions and other accessories, which are the finest fillers for fine lines, tears, and lips. These charges last about a year. However, each patient is unique and the duration may vary from person to person.
Q: How does hyaluronic acid improve skin tone? Is it true that it can dry out?
A: Hyaluronic acid is a natural component of our skin. It binds water leading to a plumping effect in the skin. Many facial fillers are made with hyaluronic acid to help replace age-related loss of volume. There are products on the market for the topical application of hyaluronic acid to help fight aging, reduce wrinkles, and improve skin tightness. The drying sensation of a product depends on the formulation, whether it is alcohol-based (like a gel) or cream-based. It is often a test and trial process to see if a product works for you, your skin, and your skin care goals.
Q: Wrinkle reducers vs. fillers? How are they different?
A: Wrinkle reducers are useful as a preventative. For example, using a retinoid to fight photoaging and fine lines is a great habit to develop early on. Plus, starting neurotoxin treatments to minimize forehead lines, frown lines, or crow’s feet can help reduce wrinkles which, over time, can get deeper and linger while your face is in the dark. rest. Even at this stage, a neurotoxin can be used to reduce wrinkles. These treatments are wrinkle reducers, and they are one way to help lessen the effects of aging. Face fillers, on the other hand, are most often used to replace bulk. As we age, the skin on our face naturally shifts from the triangle of youth (where much of the volume is in our cheeks and tapers down to our chin) to the inverted triangle (where the volume is now reduced around of our jowls and our cheeks have brightened). Face fillers help reverse this natural process by replenishing the volume of the upper face to restore the youthful triangle. Of course, the fillers can also be used in other places to replace the loss of volume.
Q: At what age do you recommend that patients start wrinkle injections?
A: Decisions about when to start using neurotoxins to reduce wrinkles are very personal. What I tell patients is that we treat what’s in the way you. So if you are looking at yourself in the mirror and dislike the wrinkles you see, now is a great time to see someone for a cosmetic consultation. Nevertheless, it is easier to prevent wrinkles at rest with the neurotoxin than to treat them once they appear. If you are concerned about the development of wrinkles, this is also a great time to visit a certified dermatologist to discuss preventative options.
Q: According to the Skin Cancer Foundation, at least one in five Americans will develop skin cancer within 70 years. Tell us a bit about the importance of comprehensive annual skin exams and what they entail.
A: Skin cancer is extremely common, which is why annual skin exams are so important. When you see a dermatologist, an expert examines your skin to make sure nothing is growing or hiding. Plus, it allows you to ask questions about different things that you have noticed about your skin. Dermatologists are watching all over because, believe it or not, patients can get skin cancer all over. We perform these reviews all the time and consistently do them in a highly professional manner so that you can feel comfortable. At home, I recommend that patients take a good look at their bodies (including their backs in the mirror) at least once a month. You will get to know your body well and begin to recognize if something new is appearing. If anything grows or changes or if something new appears, I highly recommend that you make an appointment for a professional assessment. Additionally, if you have a partner, it is also helpful to ask them to spot unusual changes in your skin. You would be amazed how many people find out about their skin cancer and come because something new has appeared or something has started to change in size, shape or color.
Q: What level of SPF should our sunscreen be and how often should it be applied?
A: I always recommend at least an SPF of 50. When studies are done in the lab to determine SPF, the coats applied are thick and consistent – much thicker than what we apply in real life. To get the most out of what we’re reasonably applying, I recommend using 50 SPF and reapplying every 1⁄2 to 2 hours, especially if you’ve been swimming or sweating. If in doubt, reapply! For those who don’t love sunscreen, I highly recommend UPF clothing. You can find UPF clothing everywhere now. Most of them are rated at at least UPF 50. And, when you wear UPF clothes, you don’t have to worry about reapplying because you are wearing a garment to protect your skin. It is my sun protection of choice.
Highlight of the medical provider: Dr Schneider is a Board Certified Dermatologist and Fellowship-trained Mohs Surgeon specializing in Mohs Micrographic Surgery, Facial Reconstruction Associated with Skin Cancer Removal and Medical Dermatology. His expertise extends to pediatric dermatology and the treatment of pigment disorders and cosmetic dermatology, including injectables such as neurotoxins and soft tissue fillers. Dr Schneider receives patients at the Skin Cancer & Dermatology Institute’s Carson location.
Get to know the Skin Cancer & Dermatology Institute and learn more about Medical Dermatology, Mohs Surgery and Cosmetic Surgery at SkinCancerDerm.com. Appointments can be made online or by calling 775.324.0699.