At Marietta Facial Plastic Surgery, Laser & Aesthetics Center, we can match your unique needs with our safe, reliable treatments to improve your appearance — often without surgery.
We invite you to learn about the wide variety of non-surgical facial aesthetic procedures we offer. As a start, peruse the featured procedures below. Then, call our office to schedule a personalized consultation with Dr. Yellin, who will recommend the right combination of procedures for you.
As a clinical trainer for Allergan, Dr. Yellin teaches other physicians throughout the country the proper techniques for using Botox®, Juvederm Ultra®, Juvederm Ultra Plus®, Voluma®, and Kybella® to enhance facial appearance.
Botox® Cosmetic and Dysport®
Dr. Yellin is a nationally recognized expert and national trainer in the proper and creative use of neuromodulators such as Botox® Cosmetic and Dysport®. These medications reduce unwanted lines and wrinkles in specific areas of the face by quieting the underlying muscle activity. In areas such as the forehead, glabella (area between the eyebrows), crows feet and areas around the mouth, the skin and underlying muscle connect so that when the muscle tightens, the overlying skin folds. As skin loses elasticity, frequent folding of the skin will eventually leave a crease, even when the muscle is at rest. To minimize the lines in these areas, it is critical that the muscle activity be controlled.
So, how do Botox® Cosmetic and Dysport® work? They are chemically identical neuromodulator proteins that are manufactured to block the nerve endings’ release of the neurotransmitter acetylcholine so that muscle contracture cannot occur. The beneficial effects of these medicines first appear about two to three days after injection, are fully in effect about 1 week after injection and last on average between three and five months.
To maintain the relaxation of the facial muscles that have been treated, retreatment is required. If the effects of the medication are allowed to go away completely, the muscle will simply return to normal activity level unless the muscle has been kept asleep continuously for about two years or more. In that circumstance, the muscle may have atrophied to the point that some residual weakness may persist even if these medications are not continued. Though this effect may be deemed desirable by some since continued treatment with either Botox® Cosmetic and Dysport® may not be necessary, this cannot be reliably predicted.
Additional aesthetic uses for Botox® Cosmetic and Dysport® include balancing facial muscle activity in patients with facial paralysis, lifting of the eyebrows and corners of the mouth, opening the eyes in patients whose eyes become excessively squinted with smiling, controlling bunny lines on the nose, reducing the lateral fullness of a face by treating the masseter (chewing) muscles, reducing chin dimpling and dropping the upper lip to reduce excess maxillary gum show.
When creating a youthful facial appearance, it is no longer acceptable to address only skin sagging and unwanted lines and wrinkles. The critical third component of facial rejuvenation is replenishment of lost and redistributed facial volume. Depleted facial volume is responsible for hollowness, as well as the root cause of many of the sags and bags associated with aging.
Several different FDA-approved injectable materials are available for line and wrinkle therapy and facial-volume enhancement. Products such as Juvederm Ultra®, Juvederm Ultra Plus®, Voluma®, Restylane®, Restylane Lyft®, Restylane Silk® and Radiesse® are all dermal fillers intended to create volumetric enhancement of the skin and underlying soft tissues, that will last on average between nine months and two years, depending on what product is injected and its location on the face.
Facial areas where injectable fillers can be used to add volume include:
- Nasolabial Creases (smile lines)
- Marionette Lines (area from corner of mouth down to the chin)
- Tear Trough (hollowness underneath the eyes)
Sculptra® is a product that stimulates a patient’s own collagen production to gradually and naturally restore volume loss over a period of about six months. The average patient will require two to four treatments, spaced six weeks between each treatment.
Since it is the patient’s own collagen that will ultimately replenish facial volume, the effects may last for several years. However, unlike the injectable filler materials mentioned above, millimeter specificity cannot be controlled since a patient’s response to Sculptra® may vary.
For this reason, Dr. Yellin prefers to use Sculptra® in the lateral face such as the temple and cheek areas rather than the midface where millimeter volumetric control is critical. During your personalized consultation, Dr. Yellin will apply his knowledge and expertise to create a treatment plan that is specific to your needs.
KYBELLA™ (deoxycholic acid) is the first and only FDA-approved non-surgical treatment used to reduce moderate to severe excess fat beneath the chin (submental fat) also called a “double chin”, resulting in a visibly improved chin and neck profile.
Many patients experience a meaningful contour improvement of their chin profile after two to four KYBELLA treatment sessions spaced at least one month apart. However, up to six treatments may be necessary to achieve the desired result. Schedule a consultation so that we may design a customized treatment plan to help you improve your chin profile.
At Marietta Facial Plastic Surgery, Laser & Aesthetics Center, we offer Ultherapy® for non-surgical tightening and lifting of the face and neck. Ultherapy® is the first FDA approved non-invasive treatment to tighten and lift the jawline, neck, brow and décolleté.
The ideal patient for Ultherapy® treatment is an individual who has early to moderate facial and neck skin sagging, brow droopiness or laxity of the décolleté or has previously undergone facial aesthetic surgery and wishes to enhance his/her facial appearance. This is a procedure that is performed with no anesthesia in about 2 hours, provides gradual but meaningful improvement that peaks at about 6 months after treatment, with results that last for approximately 3-4 years. There is no bruising or swelling and no post treatment downtime and is available at a fraction of the cost of surgical treatments.
Ultherapy® uses focused ultrasound energy that can be targeted to multiple layers of the treated area including the skin, subcutaneous fat, fascia and muscle layers to create intense heat resulting in controlled tissue injury which the body responds to with collagen production and tissue contracture. The Ultherapy® machine also has a display which allows the technician to visualize the exact layer within the treated area that the energy is being delivered to, which provides excellent control and safety during the procedure. All of this results in meaningful tightening and lifting of the treated tissues, which can last for years.
Before your Ultheraphy procedure
Two weeks prior to treatment, you should avoid medications and oral supplements that are known to facilitate bruising, such as aspirin; NSAIDs like Advil, Nuprin, Aleve and Motrin; Vitamin E; Fish Oil; Gingko; Ginseng and Ginger tablets.
On the day of your Ultheraphy procedure
After arriving at the office for your procedure, you will be asked to sign the procedure consent and have your photos taken. Following this, you will take a Valium and a Hydrocodone/Acetaminophen tablet that you will have purchased at the drugstore prior to your treatment. You will then rest in our massage chair until you are relaxed. Once relaxed, you will be transferred to the treatment room and the Ultherapy® procedure performed.
It takes about two hours to treat the entire face and upper neck. Less time is needed if only a facial segment is being treated. Once the treatment is complete, you must have a driver take you home, due to the pre-medications used. No downtime or recovery is expected. All of the important healing and tightening occurs deep to the outer layers of the skin. Routine office follow-up is at three and six months.
ThermiRF (also known as Symphony RF) is the latest development in wrinkle reduction and skin tightening technology. It utilizes radiofrequency energy to heat the soft tissue layers immediately beneath the skin. The ThermiRF device can safely heat the treatment area to an optimal temperature for skin tightening unavailable from other radiofrequency devices such as Thermage. If necessary, fat reduction can also be achieved at the same time. Dr.Yellin currently offers ThermiTight, ThermiSmooth and ThermiVa treatments for skin laxity.
How ThermiTight-ThermiRF Skin Tightening Works
When heated to a high enough temperature, the body begins producing new collagen that in turn tightens and smooths skin in the affected area. The soft tissue layer immediately beneath the skin can tolerate temperatures up to 65 degrees Celsius, resulting in faster results when heated to that level. Previously, however, devices were required to go through the skin to heat the deeper tissues, limiting safe treatment temperatures to 45 degrees Celsius and thus requiring multiple treatment sessions to see results.
With ThermiRF’s innovative, minimally invasive treatment method, a small probe is inserted through a needle directly into the soft tissues immediately beneath the skin. This probe carefully monitors temperature to reach a safe yet effective level for faster skin tightening while a thermal imaging camera monitors the external skin temperature. This dual monitoring provides for optimum treatment and safety yielding improved results with fewer treatment sessions than other radiofrequency-focused procedures.
Benefits of ThermiTight-ThermiRF over surgical or invasive skin tightening include:
- No surgery required
- Minimal discomfort
- Minimal risk of injury
- Little to no downtime
- Safe for all skin types
Most patients tolerate the ThermiTight-ThermiRF procedure well and experience little to no discomfort or downtime. The length of the treatment session depends on the size of the treatment area but typically does not exceed 60 minutes. Patients can return to normal activities after their appointment. Mild swelling is normal and will recede soon after the procedure. As a standalone technology, ThermiTight-ThermiRF patients will see results in approximately 6-12 weeks as their body naturally flushes out targeted fat tissue and the skin tightens. If combined with liposuction, patients will see immediate contour improvement and with time, the skin will tighten.