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Your eyes are one of the first areas to show signs of aging. Prominent bags under they eyelids can be congenital making the appearance noticeable at a very young age. It is not uncommon for people to display signs of orbital fat prolapse In their early 20s. Injectable fillers like Restylane can be placed into to tear trough to help camouflage the fat by adding volume. Eyelid surgery, also called blepharoplasty, is the only permanent solution to this problem area. If the only feature being addressed is prominent fat prolapse, the excess fat can be removed from inside of the […]

“Dr. Kolstad is Very Patient and Kind and Really Cares About His Patients – La Jolla, CA” I got the “lunch time” peel from Dr. Kolstad. It’s a chemical peel which just sits on your skin for a few minutes and after a few sessions gives the result of a major chemical peel. It works for me because I am really active and can’t take a week out of my life to heal from a major peel. Dr. Kolstad is really patient and sits and explains the process and he encourages patients to call at any time if there is a […]

The effects of the time and gravity around the eyes are frequently the most noticeable signs of aging in the face. Your eyes are where people look when they interact with you. Heavy eyelids may make you look tired even after a good nights sleep. In the upper eyelid there are three separate processes all occurring simultaneously leading to a tired, fatigued appearance. 1) The upper eyelid skin is the thinnest skin on the body. Over time the pull of gravity causes this very thin skin to stretch and accumulate unwanted excess. This process first leads a blunted, ill-defined crease above […]

Do you find that people keep assuming you are tired and fatigued even though you actually feel well rested? Do your eyelids feel heavy towards the end of the day? Are the frown lines between your eyebrows getting too deep? This is a complaint that we hear from many of our patients beginning in their late 30s and early 40s. NOT READY FOR SURGERY?Not everyone seeking younger appearing eyes needs surgery. Injectables can frequently be placed around the eyes to camouflage fat prolapse. Resurfacing peels and lasers can help tighten excess skin. And BOTOX® Cosmetic can be used elevate the brow. 1) […]

A “liquid facelift” is a popular term for nonsurgical facial rejuvenation. A combination of dermal fillers, volumizers and Botox can provide a noninvasive solution for a refreshed, rejuvenated look. A liquid facelift works best on faces without significant laxity or advanced signs of aging. Facial fillers and Botox work best to correct the following areas: Creases in the forehead and brow. Wrinkles around the eyelids and lips. Deep folds around the nose (nasolabial folds) and corners of the lips (melolabial folds). Loss of volume in the lips. Loss of volume in the cheeks. Loss of volume in the temples. Dark circles under the eyelids and tear troughs. A facelift […]

This is a question that everyone will ask themselves at some point during the recovery period. After rhinoplasty surgery the nose will look “puffy” and feel “spongy”. Surgical swelling can last in the nose for up to 12 months. The nasal tip will not show its true definition until all of the swelling is gone and the nasal skin has shrink wrapped to the new framework. Controlling postoperative swelling and hastening the removal of surgical edema are two very important challenges in rhinoplasty. One of the most important ways to reduce the duration of rhinoplasty swelling is to minimize it from […]

Botox is one of the most popular anti-aging treatments performed in the United States. Since its introduction as a cosmetic procedure over 20 million Botox injections have been performed. The safety and effectiveness of Botox has led many providers from multiple different backgrounds offer it in their offices. Botox can be administered by nurses, aestheticians, nurse practitioners, dentists, and anyone with a medical license. The diverse background of providers has led to range of prices for Botox. Botox can be found as cheap as $7 a unit in many medical spas and Groupons. With an average of 20-25 units per treatment […]

When used by trained professionals Botox can be safely applied to many different areas of the body. Botox is by far the most common “neuromodulator” in the world and it owes its popularity to its effectiveness and its safety. Botox gets its name from the botulinum toxin that is its active ingredient. A different type of botulinum toxin is found in a popular alternative to Botox called Dysport. If too much Botox is injected can it be deadly? For an average 70 kg adult the estimated lethal dose of Botox is 3,000 units. By comparison, the average treatment area of cosmetic […]

An unfortunate complication of a facelift is skin that is stretched too tight during the closure. Suturing the skin together under tension can lead to an unnatural, pulled appearance (windblown face) or unacceptable scarring in front of the ears. This completely avoidable complication is actually becoming more frequent. Why is an avoidable facelift complication becoming more common? A recent trend has increased the incidence of skin being pulled too tightly after a facelift. A desire for minimally invasive, 60 minute facelifts with less downtime has actually increased the risk removing too much skin. A traditional facelift is performed in two layers: the […]

Every nose is unique and requires specific alterations to bring it into balance with the rest of the face. This is even more true in ethnic rhinoplasty. In California ethnic rhinoplasty is a general term commonly referring to noses of Asian descent. Asian noses tend to have fewer growth centers across the midface. This genetic predisposition reduces the height of the nose in relation to the cheeks, eyes and lips. A small nasal bridge can make wearing glasses difficult. A small nasal bridge can also make the midface appear relatively flat on the profile view. Asian noses tend to have thicker […]