COSMETIC
Dr. Wolff is a board certified dermatologist who has had extensive hands-on training with cosmetic surgery during her time in New York City as a dermatology resident and subsequent years in private practice.
She has participated in numerous cosmetic dermatology meetings, national dermatology conferences, and is skilled in the proper evaluation of facial anatomy and techniques of cosmetic surgery.
The Four R's of Facial Rejuvenation
Resurfacing
Chemical Peels and Microneedling
Chemical and mechanical resurfacing has been utilized by humans for thousands of years, dating back to ancient Egypt. Resurfacing techniques have a long history of safety and efficacy when performed by a licensed professional. The dermatologists role of resurfacing the skin has been utilized more frequently over the last few decades. All resurfacing procedures induce controlled skin injury to a specific depth, which promotes the turnover of damaged skin cells and new skin growth. The degree of clinical improvement, recovery time, and risk of complication are proportionate to the depth of injury.
Chemical Peels
-
Chemical Peels (Chemical Resurfacing):
-
Indications: Correction of superficial skin damage
-
Sun damaged skin correction
-
Softening of fine wrinkles
-
Pigment correction (melasma, acne related inflammation and scarring)
-
Acne therapy
-
-
Procedure: Skin is cleansed to remove oil, debris and excess dead skin and then degreased. Chemical is applied to induce light injury to epidermis to promote new growth of cells.There is minimal downtime and mild stinging/burning during procedure
-
Microneedling (not currently offered)
-
Microneedling (Mechanical resurfacing)
-
Indications: Correction of superficial and deep skin damage
-
Sun damaged skin correction
-
Fine lines & Fine-medium depth wrinkles
-
Acne scars
-
Deep and superficial pigment correction (melanoma, acne)
-
Stretch marks
-
Improvement of skin texture
-
-
Procedure:
-
Microneedling is a procedure that is used to by using tiny needles to penetrate the skin.
-
It is a minimally invasive, non-ablative procedure that has minimal downtime and discomfort.
-
Topical numbing cream is applied before the procedure do decrease discomfort.
-
There is minimal down time, with post-procedure redness lasting from hours to 2 days.Bruising can last days to two weeks, but this is dependent on treatment area and depth of treatment provided.
-
This procedure can be tailored to each patients’ specific skin needs and Dr. Wolff finds results are enhanced by the and personalized combination of antioxidant, brightening, and rejuvenating serums during the procedure.
-
-
Relaxing
Injectable Neuromodulators – Botox, Dysport, Xeomin
Cosmetic administration of botulinum toxin is considered a safe and effective treatment for the reduction of facial wrinkles and signs of facial aging, especially in the uppermost third of the face.
How does it work?
Botulinum toxin (the active ingredient in Botox, Dysport and Xeomin products) is a purified protein that is produced by clostridium botulinum bacteria. When administered into muscles there is a temporary weakening of muscle contraction, which tends to last 3-6 months.
There have been no serious side effects with its use by trained dermatologists. The effects of botulinum toxin are temporary, however, with continued use are able to improve and prevent the appearance of the fixed fine lines and wrinkles that are visible on the face at rest. Neuromodulators can be safely combined with other non-invasive cosmetic procedures to improve and slow down signs of facial aging.
Indications:
-
Lifting of the brows
-
Improvement of wrinkles of the forehead, between the eyes, crows feet (sides of eyes)
-
Improvement of lines around mouth and dimpling of chin
-
Treatment of excessive sweating of underarms, hands and feet
What is the procedure like?
The dermatologist will inject a few drops of the product into the muscle (or muscles) that are causing facial wrinkles. Over the next 5-7 days the neuromodulator will take effect in weakening the ability of that muscle to contract, thereby softening the overlying skin and gradually allowing the wrinkle to disappear. The weakening of the treated muscle generally lasts between 3 and 6 months.
​
Recontouring
Soft tissue Fillers - Juvederm, Restylane, Radiesse, Sculptra
Cosmetic administration of dermal fillers is considered a safe and effective treatment for the reduction of fine lines and loss of volume.
​
How Does it Work?
Facial fillers offer a soft, subtle, and non-surgical facelift option to reposition and refresh
the facial structure and replace volume lost over time. When done by a board-certified dermatologist, these areas can be corrected leaving the patient with a subtle, natural, and “refreshed” appearance which can last anywhere between 6-24 months.
​
Why does it work? The science:
​
-
Dermal collagen becomes fragmented and lost as a result of age and chronic sun
damage. Loss of collagen contributes directly to thinning of skin and contributes to the
production of wrinkles. Filler can be placed in the dermis to soften deep wrinkles and to replace volume loss.
-
Facial fat is divided into compartments, which may age independently of one another.
Redistribution and loss of these fat compartments leads to the formation of facial folds
and exaggerated facial lines. Filler can be placed in these compartments to correct the loss of
volume and the appearance of skin hollows.
-
Bone resorption also leads to volume loss of the face, particularly evident in hollows of
the temple, cheekbone and jawline areas, this leads to an aged appearance of the facial
skeletal structure. Filler can be placed by a professional safely above these bones to
promote the return of a youthful structure of the face.
​
​
​
The combination of loss of volume in the soft tissues (specifically collagen and fat) and the thinning of bone structure with age - both directly cause the skin to sag. The aging process is gradual, as are the resultant changes in the facial structure. Make and appointment for your personalized cosmetic consultation.
​
Please do not schedule any cosmetic procedures earlier than 2 weeks from an important event, as to allow time for any potential swelling and bruising to subside.
​
-
To decrease bruising & soft tissue swelling
-
1 week prior to procedure discontinue the following (as they thin the blood):
-
Multivitamins, vitamin E, fish oil, ibuprofen/naproxen, alcohol (including beer & wine)
-
***Aspirin and other blood-thinning medications should still be taken if they are recommended by your doctor for a preexisting medical condition
-
-
​
-
To correct problematic filler from other cosmetic provider
-
Please bring a record of what product was injected into your face
-
Correction may require a minimum of two visits, and hylauronidase may be used to dissolve erroneous filler prior to correction with a new product
-
Redraping
Surgical options
While the above non-invasive rejuvenating options will suit many patients goals, based on a patients expectations and desired outcome, more invasive surgical options should be explored.