Treatment of the Month - SILHOUETTE INSTALIFT

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Treatment of the Month - SILHOUETTE INSTALIFT

WHAT IS THE SILHOUETTE INSTALIFT?

The Silhouette Instalift procedure is a relatively new breakthrough technology that uses clear threads withtiny clear cones on them placed precisely under the skin to lift up the skin of the mid face includingcheeks, nasolabial folds, marionette lines, jowls, and jawlines without surgery or incisions, and with farless downtime.

These threads are made out of the same substance that is used in the product Sculptra. That substanceknown as PLLA (poly-L-lactic acid) is famous for building collagen in the skin like almost nothing else.The substance was first used in medical patients with conditions such as AIDS and cancer where theirfaces had hollowed out and left these patients looking gaunt. This substance became famous when safelyinjected into those hollow areas, it was able to stimulate the body’s own collagen production and build backup the skin allowing their faces to look full and healthy again.

Using this PLLA (poly-L-lactic acid) in lifting threads is really a completely different concept from thethread lifts of old. Instead of permanent threads lifting the skin, these threads slowly dissolve but leave acollagen matrix in their place that continues to lift the skin as well as rejuvenate the skins texture andappearance giving a twofold effect.

In general, the collagen created by PLLA is thought to last for 18 to 24 months. That said, some havefound that the lift effect lasts much longer. The reason thought to be behind this longer duration of lift isthe fact that when your skin is held in a lifted position for a long period of time, other dermal attachmentsto the skin will often form holding that skin in that lifted position indefinitely. That said, to manageexpectations properly we generally like to say the Silhouette Instalift procedure lasts anywhere from 1 1/2to 2 years.

HOW LONG DOES THE PROCEDURE TAKE TO PERFORM?

The procedure generally takes approximately 45 minutes to perform. It is performed under simple localanesthesia without the need for general anesthesia. A two hour appointment is booked for you and theremainder of time is often not entirely needed, but generally used to take before and after pictures, go overthe procedure a final time, carefully mark where the threads are going to be placed, clean and sterile drapethe facial areas, and go over your aftercare instructions.

WHAT IS THE DOWNTIME FOR THE PROCEDURE?

The downtime after the Silhouette Instalift procedure is generally 5 to 6 days if you want no one to knowthat you had it done. Generally, people will look most noticeably done for the first one to two days afterwhich the lifting effect will settle in nicely and very naturally.

For 1-2 weeks we ask that you rest your face and go into what we call our ‘Resting B. Face mode’ whereyou avoid as much facial expression as possible while your results settle in and collagen builds to optimizethe amount of lifting that occurs. For this reason, we discourage heavy exercising and grimacing at thegym, and ask patients to try and use a donut pillow and sleep off of their faces as much as possible.

HOW UNCOMFORTABLE IS THE PROCEDURE?

Again, the procedure is performed under local anesthesia. Most patients rate the procedure as a 3 to 4 outof 10 on a 10-point pain scale. Most of the discomfort patients say is the discomfort of the local anestheticbeing administered itself which again is rated on that pain scale as a 3 to 4 out of 10. After the anesthetichas been injected, the patients generally find the procedure reasonably comfortable and tolerable.

Most common side effects include bruising, and for the first 2 days puckering, and draping of the skinthat has almost always completely resolved by DAY 3. These side effects always resolve and havingperformed the second highest number of this procedure in New England, I have yet to ever see anythingbut an incredibly soft and natural result which has made this procedure so satisfying to perform. Approximately 10-15% of patients get a significant bruise usually up in the hairline region which can lastlonger than the usual 5 to 6 day recovery time but is generally easily covered up with makeup.

WHAT ARE THE COMMON SIDE EFFECTS FROM THIS PROCEDURE?

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HOW LONG DOES IT LAST?

The downtime after the Silhouette Instalift procedure is generally 5 to 6 days if you want no one to knowthat you had it done. Generally, people will look most noticeably done for the first one to two days afterwhich the lifting effect will settle in nicely and very naturally.

For 1-2 weeks we ask that you rest your face and go into what we call our ‘Resting B. Face mode’ whereyou avoid as much facial expression as possible while your results settle in and collagen builds tooptimize the amount of lifting that occurs. For this reason, we discourage heavy exercising and grimacingat the gym, and ask patients to try and use a donut pillow and sleep off of their faces as much as possible.

WHAT SORT OF LIFT CAN I EXPECT FROM THIS PROCEDURE?

The Silhouette Instalift procedure gives a beautiful and always natural lifting effect. It is not a surgicalface lift and cannot give as extreme a lifting result. That said, where a facelift in some can appear overlytaut and unnatural for a period of time or longer, the Silhouette Instalift always looks natural andrejuvenating. This procedure fills the void for patients that have some mid to moderate facial drooping,heavy smile lines, jowls, and loose skin but are not ready or far enough along to need a facelift. Or forpatients that really prefers to stay away from going under the knife all together, the Silhouette Instaliftprocedure can be repeated in more heavily problemed areas of the face months later to achieve moreprofound results. The other advantage of the Silhouette Instalift procedure is the beautiful collagenbuilding skin effect the threads have on the face that one does not get with a surgical face lift alone.

This technology is also being used in relatively young patients to correct early, often inherited problemareas to stave off the signs of early aging. There are many who believe that used in this way along withother aesthetic technologies, many in the future may never need to go under the knife at all.

HOW MUCH DOES THE PROCEDURE COST?

Unless we are just correcting a simpleproblem area in a younger patient whereonly a few threads may need to be used, weare generally using 3 to 4 threads on eachside of the face, or 6 to 8 threads for aface in total. The cost of this generallyranges between $2250 and $2800 at ourfacility, but at other facilities can range ashigh as $500 per thread or $4000.

If this is something you are interested inand want to learn more about, book yourfree consultation today to see if you are agood candidate and if the SilhouetteInstalift procedure is right for you.

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WHAT IS THE DOWNTIME AFTER THE INSTALIFT PROCEDURE?

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Product of the Month - ENVIRON SKIN CARE

Youth Essentia C-Quence Step-Up System

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VITA-PEPTIDEC-QUENCE SERUMS 1-4

The Vita-Peptide C-Quence Serum 1 the introductory

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VITA-PEPTIDE INTENSIVE SERUM 4 PLUSVita-Peptide Intensive Serum 4 Plus combined with the Vita-AntioxidantDefence Crème Plus is the fifth and final step in the Vitamin STEP-UPSYSTEM™. It contains the highest concentration of vitamin A, with acombination of highly stable, skin friendly forms, as well as vitamin C,antioxidants, peptides and other scientifically researched ingredients. Thisadvanced combination of ingredients targets the visible signs of aging,taking the look of youthfulness to the next level.

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BENEFITS OF THE VITA-PEPTIDE SERUMS AND CREAMS

Contains the signature Environ complex of vitamins A, C E and antioxidants that help

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GOOD FOR THE SOUL

FOOD FOR THE SOUL

Heart HealthyHerbed Chicken MarsalaRECIPE COURTESY OF FOOD NETWORK KITCHEN

Four 4-ounce boneless, skinless

chicken breast cutlets

Kosher salt and freshly ground black

pepper

1/3 cup whole wheat flour

1 1/2 tablespoons extra-virgin olive oil

3/4 cup low-sodium chicken broth

1/3 cup sun-dried tomatoes (not

packed in oil; not rehydrated), finely

chopped or very thinly sliced

1/2 teaspoon finely chopped rosemary

10 ounces white button or cremini

(baby bella) mushrooms, sliced

1/3 cup sweet marsala wine

2 teaspoons unsalted butter

1 to 2 tablespoons roughly chopped

flat-leaf parsley

INGREDIENTS: DIRECTIONS:1.) Place the chicken cutlets between 2 pieces of plastic wrapand pound with a meat mallet (or the flat side of a chef's knife)until about 1/3-inch thick. Sprinkle with 1/4 teaspoon salt and1/4 teaspoon pepper.

2.) Put the flour on a medium plate. Heat the oil in a largenonstick skillet over medium-high heat. Dredge the chicken inthe flour to fully coat, shaking off any excess. Add the chickento the skillet and fry until fully cooked and golden brown, about4 minutes per side. Transfer to a platter and tent with foil tokeep warm.

3.) Add 1/2 cup of the broth, the sun-dried tomatoes androsemary to any remaining drippings in the skillet and cook,stirring frequently, for 1 minute to plump the tomatoes. Add themushrooms, 1/4 teaspoon salt and 1/2 teaspoon pepper and cookuntil the mushrooms are soft, about 5 minutes. Add the marsalaand bring to a boil. Add the remaining 1/4 cup broth and thebutter and simmer until the butter is fully melted, about 30seconds.

4.) Spoon the mushroom mixture and sauce over the chicken,sprinkle with the parsley and serve.

WARMEST REGARDS,

"DR. S." (CRAIG SCHACHER, MD)BELLA MEDSPA BY DR. CRAIG SCHACHER, PLLC53 COURT STREETWESTFIELD, MA 01085413-562-3552

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