Frequent Filler Miles, Juvederm and Botox in NYC

November 18th, 2010  

First it was frequent flier miles, then hotel chains. We even get to use almost any airline with Amex rewards. I drew the line there. It seems everywhere you turn you can get frequent user points: Starbucks, the local car wash, even nail salons. I choose not to save these cards. But now it’s right here in my office. Brilliant Distinctions is for patients who get repeat treatments with Botox and/or Juvederm. You can accumulate points on their website so that rewards can be accumulated towards money off (from Allergan) on Botox, Juvederm or even donate your points to charity.

To me, this is a no-brainer. As we know, Botox lasts an average of 3 to 4 months and Juvederm from 6 months to a year. To maintain the same level of rejuvenation you then need to return a few times a year to stay looking fresh and young. So, why not sign up?

A few years ago my Botox rep suggested that we have patients come in automatically at around 3 ½ to 4 months as their Botox is wearing off for repeat treatments. At first I thought it was a ploy to sell more Botox. However, by keeping muscles at rest and not allowing them to fully recover they undergo atrophy. That means the facial muscles get thinner from disuse.  This will enhance the smoothing action and after a few years may reduce Botox requirement for steady patients. So, when my receptionist offers to schedule your next Botox appointment right after you just had one, it’s to help maintain your wrinkle-less face.

In summary, Botox and fillers help rejuvenate your face. Timely visits will maintain a youthful look and now can even be redeemed for discounts on future treatment.

Skin Care Tips & Facial Beauty in NYC

November 12th, 2010  

Kim Roberts, the cosmetic patient coordinator for Pearlman Aesthetic Surgery just completed advanced training from SkinMedica. Below is a guest blog with her personal skin care tips: 

I recently attended the SkinMedica Long Island National Seminar. I love skincare!  Having tried many products touted as “anti aging” I was anxious to learn about the products that I have come to rely on and see what new skin care miracles they offer.

Below are the key skin care tips that I learned:

  • Don’t skip Toner, it restores the skin’s PH balance also removes dead skin cells
  • Use exfoliator that has spherical beads,  others will scratch and damage the skin
  • TNS (Tissue Nutrient Solution) has the highest concentration of Growth factors available. Growth Factors stimulate cellular growth
  • Vitamin C is the best antioxidant. Vitamin C works even better when combined with Vitamin E since Vitamin E traps the vitamin C in the skin

Products I personally can’t live without:

  • TNS Essential Serum
  • Retinol Complex
  • TNS Eye Repair (this has eliminated my need for under eye concealer!)   

After years of sun worshiping (something I don’t advocate) TNS Essential Serum is my anti-aging Super Hero! It has improved my skin tone and texture dramatically. I use it AM/PM immediately after cleanser/ toner, followed by moisturizer. 

TNS Eye Repair is a must! Used morning and night it has changed my life; virtually eliminating the dark circles and crepey skin around my eyes.

Retinol Complex completes my routine. I use this every night. I have used other brands of Retinol over the years and this one is by far my favorite. The texture of my skin is now smooth and clear.

To summarize, here is my daily routine: 

1-Cleanser AM/PM

2-Toner AM/PM

3-TNS Essential Serum AM/PM

4-TNS Eye Repair AM/PM

5-Retinol Complex PM 

Here’s to a more beautiful you!

To add a personal note from Dr. Pearlman; I too use the SkinMedica products daily. Why? because they work and my skin looks great.

Revision rhinoplasty and Revision septoplasty innovations with a PDS Plate

November 4th, 2010  

PDS Plates, the latest and greatest in revision rhinoplasty and septoplasty.

Two weeks ago I was lucky to get a sample of the new PDS plate to use in a tertiary revision septoplasty case. The PDS plate is made of the same material that is used in my favorite suture material for sewing cartilage in rhinoplasty. PDS suture material lasts around three months, long enough for healing and permanent cartilage bonding to take place but not so long that the body rejects it and tries to “spit” it out. The PDS plate has been around in Europe for a number of years. European colleagues have talked about it in their lectures and published on it in 2005: Dr. Wolfgang Gubisch, Archives of Facial Plastic Surgery vol 7, July/Aug 2005 and Boenisch and Trenite also in Archives of Facial Plastic Surgery vol 13 Jan/Feb 2010.

Finally us of the PDS plate for nasal surgery was FDA approved for use in US early this fall. The parent company, Mentor, was well represented at the AAFPRS (American Academy of Facial Plastic and Reconstructive Surgery) meeting in Boston with very informed vendors and an armful of papers documenting the advantages of using PDS plates.

After all that fanfare, I had the ideal case 2 weeks following the meeting (2 weeks ago); a gentleman who had two prior deviated septum operations with persistent nasal septal deviation and nasal obstruction. What he needed was to have the septum taken completely apart and have something like this plate to hold the healing cartilages pieces in place as the septum heals straight. After all this buildup, I was told that they were back ordered and the product wouldn’t be available for many weeks. Well, it pays to have a good relationship with a superb rep. She was able to procure a plate for me in time to use for the surgery and I really think it will help get a superior result.

This weekend, I am an invited guest to go to St. Louis to hear lectures by the doctors who invented and perfected the use of the PDS plate as well as a lab demonstrating the many ways they suggest it can be used. Fortunately for me and my patient, I had a jump start on the process.

By the way, I already have my next case in mind. This is a 6 year old boy who smashed his nose last summer and had a failed attempt at fixing his destroyed septum. His nose is also collapsed. I believe the PDS plate will help restore a straighter septum nasal height with less surgery than he would otherwise require without it.

I really feel that the new PDS plate is an excellent new product that will help enhance the results in revision rhinoplasty and revision septoplasty.