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     Michael B. Lyons, MD, FAACS
Board Certified Facial Plastic & Cosmetic Surgeon

(251) 344.0044

Dr. Lyons Blog-Check back often!

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                                     (251) 344-0044
Having just returned from the annual Aesthetic Meeting in New Orleans, I found myself reflecting on some of the newer trends in plastic surgery...non-surgical nasal reshaping, radio-frequency  assisted lipolysis of the face (Facetite and Bodytite, and high intensity focused ultrasound (facelift in a box) the Ulthera. 
The use of longer lasting Hyaluronic Acid fillers (Voluma) in the nasal dorsal (top and tip of the nose), actually adds volume to the depressed areas and projects the tip to give a smooth, level profile and a natural looking refinement. This can be performed under local anesthesia in the office with usually only one syringe full of filler.
Radio Frequency Assisted Lipolysis has been used in Europe and South America for over 5 years. After FDA approval of the device and a significant upgrade in hand pieces, the Inmode Bodytite and Facetite devices were added to our armamentarium.  The device I currently use liquefies the fat, tightens the fibro septal network, and with the new external probe, I can also tighten the skin from the outside. The beauty of the procedure is that it shortens downtime, reduces post op bleeding and bruising, and gives us a much more uniform result. The Facetite is the closest one can come to a Facelift like result with only 3 puncture sites and you receive 40-45% the results of a facelift without the excisional scars. The results last 3-5 years. One simply wears a garment for 4 days and can return to work. The Bodytite probe is used on the abdomen, chest, back, and extremities. The patients are responding very dramatically with the rapid healing, skin tightening, and overall comfort of this device versus the lasers we have used in the past.
The Ulthera also known as the facelift in a box has been in our practice for the past few years, and we've seen dramatic results with this device. The company continues to develop improvements with newer transducers that will work not only on the muscle to give a lift, but in the mid dermal layer to enhance collagen production and reduce deep wrinkles. They recently developed a new protocol to help with fine lines around the eyes and the lips with their superficial transducer...this is a must see. There is no need for a driver nor is there a need for any down time with this procedure. See what Christy Brinkley thinks about the device.
If you are interested in more information on these new and exciting technologic advances, please call Pat-Patient Coordinator, to set up a consultation at 251 344-0044.

FaceTite, Neck Tite & BodyTite

1 Procedure

  Blog for FaceTite, BodyTite and Neck Envy Radiofrequency Procedures

I have acquired a new device that has been used in Europe, Canada, and South America for over 6 years with raving success. The Facetite and Bodytite Radiofrequency  assisted liposuction device has been used in the US now for over a year and has gained a great deal of notoriety  for its ability to not only tighten skin, but also lift it as well. It is an improved version of previous attempts at using radiofrequency with a safety shutoff system and bipolar thermal indicator to help the physician determine the exact amount of heat needed to perform not only fat reduction but also skin tightening. It works in conjunction with liposuction on the face, neck, body, and extremities. The upgraded device I have is also designed to perform blepharoplasty (eyelid lifts) procedures as well.

This remarkable device yields significant contraction on the face and neck that is comparable to an excisional facelift procedure with only the need for a weekend to recover from a few puncture sites in the periphery of the face. Patients experience less bruising, less bleeding, less swelling,  and less pain and discomfort. This procedure can be combined with a Fractional CO2 Laser resurfacing to enhance the superficial skin's texture, smoothness, and pigment. The Facetite procedure uses a radiofrequency probe to coagulate the subdermal fat and deep dermal collagen to achieve lifting and tightening. The CO2 Fractional Laser uses photonic energy to help reduce superficial wrinkles and build collagen in the superficial layer. The procedure can be performed under mild sedation with local anaesthesia on a Thursday and return to work with makeup on Tuesday. This is all performed as an outpatient.

Bodytite procedures utilize the same radiofrequency device with a slightly larger probe. Again this device creates heat from the probe tip under the skin, while the surface probe measures the temperature assuring the physician of an adequate treatment as well as adding a safety cut-off feature to prevent damaging the skin. On the trunk a surgeon can achieve a tummy tuck like result without a large lower abdominal scar and minimal downtime. Of course this device can be utilized to tighten the back, flank, thighs, buttocks, knees, and arms. The remarkable armlift and thighlift afforded by this device is unequaled in plastic surgery today. These procedures are performed as an outpatient under minimal to moderate sedation (similar to a colonoscopy) along with local anaesthesia. The patients wear spanks-like garments for 6 weeks afterward and need a long weekend to recover before returning to work. Contact Pat at your convenience to schedule a consultation and see if you are a candidate for this exciting new minimally invasive procedure to help return your shape to its more youthful appearance. M.Lyons, MD  
                                     Let's talk Stretch Marks for a moment
Stretch marks or "striae" are a result from rapid expansion of the skin either during rapid weight gain and growth seen in adolescence or in pregnancy.  The problem is that the dermis (the second layer of the skin) that is full of collagen is stretched or thinned out.  Topical moisturizers and skin exfoliants have been used to limited success due to the depth of this deficiency.

A combination of treatments that has improved the appearance of these stretch marks is the use of a skin tightening laser in the one thousand to three thousand nanometer wavelength.  I personally like the ERBIUM fractional laser for added depth of tightening as well as remodeling of the skin afforded by this device.  Subcisioning the tissues helps reduce the "valley" in the middle of the stretch mark.  Adding fat transfer or long lasting fillers to the tissues may also improve the appearance.   

If the patient is also planning to have a liposuction procedure, adding the Smart Lipo Laser treatment to the areas has also improved their appearance.   This laser not only gives the patient spot fat reduction, but also adds subdermal skin tightening.  This effectively narrows the stretch mark and reduces the "valley" in the middle.   
Let us know by calling 251 344-0044 if you have more questions.

Have you heard of REJUVA LIFT?  There's a new thread in town that's rejuvenating your skin while lifting and building collagen.  The new PDO threads are improved and Dr. Lyons is really liking the results.  Read what he has to say below.

A new PDO thread has been released that incorporates the ease of insertion found with a cannula thread along with a stronger bond appreciated due to the "quills" position and direction. The Koreans continue to improve on the PDO (polydiaxanone) sutures by modifying the configuration of the tiny barbs that help hold them in place. The barbs are now arranged in a spiral configuration that adhere to the deep skin when twisted, prior to pulling the deep tissues posteriorly and superiorly (back and up) from the midline of the face to reverse the appearance of the aging face. 
These PDO threads adhere more securely and offer the same collagen stimulating properties as they dissolve. As the suture is held into place for the first 6 months as the body breaks it down, the surrounding tissues are being invigorated to produce more collagen thereby thickening the collagen layer of the skin and rejuvenating it at the same time. This new collagen lasts over 18 months, giving the procedure about a two year longevity. The skin takes on a new LUSTER and smoothness along with a more youthful position. This procedure is performed in the office in under an hour with the patient able to drive home. 
Combining the PDO thread lift with Bellafill (a new 5 year filler), a patient can have their temples, tear trough, and lateral cheek area rejuvenated (with the Bellafill), followed by reducing the jowls and streamlining the jawline and upper neck using the PDO threads. Brow lifting with Bellafill using a micro-cannula has proven to be a 5 year alternative to the endoscopic browlift. Bellafill can be used in the face, the hands, and the gluteal (Buttocks) area for rejuvenation of these tissues. It is a very versatile filler. 
We welcome you to our practice: You have alll you need to be successful.  So Listen to your heart and do not follow the herd.  Remember to live from your strength, not your fears.  These wise word are so profound to me that I reflected on how patients new to the practice must feel the first time they come to see us.  People can be fearful of meeting new people, how they will be treated, will the Dr. and staff listen to their concerns, how much the procedure will cost, will it hurt, and will it work for me, etc. I encourage you to not let your fear overcome you but let your desire for enhancement excite you.  I am grateful to report that we have a dedicated staff that is truly caring, encouraging and supportive.  We listen to your concerns, make recommendations and walk you through the process.  Your consultation is all about YOU! How we can support you with knowledge about procedures, the cost, the process and intended reults.  Call our Patient Coordinator (251) 344-0044 for a complimentary telephone consultation today.  Please keep in mind that when you look your best, you often feel your best, so enjoy Life's journey!
For a limited time we are offering buy 3 BELLAFILL syringes and receive 1 complimentary.  This special is offered by the company and may end at any time.  Don't miss this special on a 5 year filler.  
                                 One syringe is $850.00 (regular price $1000.00)
                                 Two syringes $1700.00 (saving $300.00)
Buy 3 for $2550.00 and receive the 4th one complimentary saving $1450.00! Limited Time!

Having just returned from Suneva's Summit for Success in Dallas, my staff and I were impressed by the company's presentations of their three year old product called Bellafill.  The advanced training we received will benefit our patients by reversing some of the structural volume loss seen in the Aging Face. I personally underwent some injections of the filler (Bellafill) over 1.5 years ago.  I have to share with you that I not only saw structural lifting and revolumization in my cheeks, tear trough, and parentheses lines; but I also witnessed first hand the improvement of my facial skin.  Bellafill works initially as a filler with 3 components: lidocaine, bovine collagen, and pmma.  These products have been used in medicine for over 30 years and are safe and effective.  The exciting part of this filler's story is that it lasts over 5 years in patient studies while gaining FDA approval.  It accomplishes this by becoming a bio-stimulator of your own collagen.  First the product is injected into the body followed by a gradual (6 month) absorption of the Bovine collagen.  The body then becomes stimulated to produce its own collagen with the presence of pmma microspheres.  Bellafill improved my facial skin tone, texture, and increased the volume in my mid face.  this filler is best inserted into the deep skin layers with the use of an atraumatic micro-cannula to reduce bruising even further. 

  The properties of Bellafill allow it to lift the cheeks, fill the temples, and reduce the jowls for over 5 years.  Bellafill can also be used to lift the brows, the nose, and the parentheses lines.  When Bellafill is injected under the nose it helps lift the nose, but it also helps to shorten the appearance of the upper lip.  It has changed the lives of patients that have acne scars, revolumizing their depressed scars as well as smoothing out their skin.  Other options for the filler include enhancing the jawline, improving the angle of the mandbile, augmenting chin projecion, and flattening the glabellar furrrows.   Some physicians have used it successfully in the hands, knees, elbows, and the decollete'( chest).

  I personally like how it looks, soft, natural and more youthful in my face.  Pat, my Office manager, has experienced the same and tells me "I want more."  As we all age, it is important to replace the lost volume and this is an easy way without any downtime.

  Please call Pat at the office (251) 344-0044 to see if you would be a candidate to benefit from a non-surgical treatment to reverse the sinking and sagging of the aging face.  We are offering great specials for a limited time.  Call for details.
Left to right
Shelly Rickhold, LPN
Dr. Michael B. Lyons 
Pat Altivallo, Suneva V.P.
Pat Covington, Office Mgr. &
         Patient Coordinator