As many of you know, one of our newest and favorite treatments is the Melanage Peel. This is a great anti-aging peel, but is specifically formulated to target patients with unwanted sun-damage, hyperpigmentation and melasma. We are always skeptics at the actual results when we bring something new in to our practice. However, we have been THRILLED with what we are seeing! Though there is some downtime (redness and peeling), we have been able to offer clear skin to those who have never before had it! What we have learned through our experience is that is critical to continue using pigment suppressing and stimulating products to maintain the results, otherwise, some discoloration is likely to return. It’s always about maintenance, isn’t it? Re-treatment is recommended annually. Here is one of our patients just recently treated…WOW!
Did you know that CareCredit makes it easier to do an in-office Cosmetic Procedure such as Botox, Laser, and Facial Fillers? It’s not just for surgery financing.
CareCredit lets you spread out the cost in monthly payments. Choose either a “No Interest” 6-12 month plan or a “Low Interest” at 14.90% APR (24-60 months) plan. CareCredit can be used for procedures that are from $1 to $25,000.
There are no application fees and no pre-payment penalties. Visit www.CareCredit.com to learn more or call them at (800) 859-9975 to apply.
We have a lot of new things here at Banis Plastic Surgery, and we are very excited to bring them all to you! A great way to keep updated on what we are offering is by viewing the videos we have available on our website! We have uploaded new videos to our website, including Deka Dot Laser and Coolsculpting by Zeltiq, and don’t forget about logging on to Touch MD to watch videos regarding all of our different procedures and surgeries. If you have forgotten your TouchMD login, just call our office at 502-589-8000, and we will be happy to give it to you. If you have any questions about a procedure, the videos on our website are a great way to get them answered, and let you know more about any procedures you might be interested in. And as always, we are just a phone call away, and happy to answer any questions you might have!
We are very proud and super excited to now be the first to offer CoolSculpting by Zeltiq in Kentucky.
We’ve all been there, diets, exercise…the never ending treadmill. We all want healthy lifestyles that go along with healthy bodies. But let’s face it, stubborn areas of fat that no amount of exercise seems to budge are just so frustrating.
Until now there has never been a safer, more natural approach for remaining, troublesome fat bulges. It’s non-invasive, no needles, no down time, just an hour of your time. Matter of fact we have had patients read a book during their treatments, do work on their lap tops and even take a nap! Too good to be true? Now come on, you know us better than that! We’ve done our homework you can always count on us!
This FDA approved device is based on the science completed through Harvard Medical School showing that fat cells are extremely susceptible to cold – cryolypolysis (if you want to get fancy) therefore inducing a natural, controlled elimination of fat cells. Starting several weeks after a treatment, cooled fat cells begin a process called “apoptosis” and begin to shrink and disappear, therefore reducing the fat layer on the abdomen, love handles, bra fat pads and more.
Interested? Oh, we know you are. Give us a call at (502) 589-8000 to make a consultation to further discuss and see if this treatment is just right for you!
We are excited to announce that Dr. Banis has been selected as the one of the first Plastic Surgeons in this region to carry Xeomin. A new alternative to Botox, Xeomin has FDA approval for cosmetic use and has already been used in over 261,000 patients worldwide.
Xeomin is being called the “naked Botox” because it is free of accessory proteins perhaps having the ability to last longer than Botox. One important factor that we feel is a valuable advantage is to offer an alternative to any patients who have built up antibodies to Botox.
If interested in finding out more about Xeomin – call our office at (502) 589-8000!
After a few years of wanting a brow lift, I finally did it! Dr . Banis proposed an endoscopic approach, which meant he would use a scope to access the surgical sites through three incisions on my scalp. I arrived two hours before my procedure to allow time for registration and nursing admission. The entire staff at Baptist East Hospital was both professional and caring, making my experience as pleasant as possible. The surgery itself lasted about 1 ½ hours. When I awoke in the Recovery Room, I was absolutely pain free! Although I felt great, I did look a little scary, as I had layers of gauze and an ace-wrap covering the upper 1/3 of my face and head to help prevent bleeding and swelling. I started my pain medicine as soon as I got home and stayed on a regular medication schedule to keep my discomfort to a minimum. Overall, I felt pretty good today and had no problems (like nausea) from the anesthesia used.
Post-Op Day #1:
Slept in our recliner last night to help prevent any unnecessary swelling. I took my ace-wrap off this morning and saw there was only one tiny bruise to my left eye lid- Amazing! I noticed the four tiny incisions (about the length of a staple) to my forehead ( just above my brows) with small pieces of tape covering them. I was able to shower and wash my hair today- I can’t tell you how great that felt! The post-op pain started to “kick-in” today, giving a sensation of pressure/tightness to my forehead and temples with “pinching” sensations to the incision sites on my scalp. I applied ice compresses every hour that I was awake (They felt so good!) and took my pain meds every 4-6 hours. I ended up sleeping much of the day away, but I am sure that my body needed the rest….
Post-Op Day #2:
Our recliner is getting a workout! Again, I spent all night in it and awoke with a small bruise below my right eye and ALOT more facial swelling, particularly around my eyes. My face was so swollen and my brows so distorted that my 9-year old exclaimed, “Mommy, you have angry eyes!” Dr. Banis called to check on me and re-assured me that the crazy appearance of my brows was only temporary and due to the amount of swelling. The surgical tape covering small incisions on my forehead fell off in the shower today and the incisions look fantastic- No stitches and completely closed. Overall, my energy level was better today. I took my pain medicines and used ice packs around the clock again.
Post-Op Day #3
As expected, my swelling and pain were at their worst today. This is true of almost all surgeries and I am glad that I knew to expect it! Lots of rest, medicine and ice today. My husband remains perplexed as to why I had this done in the first place? He says he loved me just the way I was- he didn’t see a “problem” with my eye brows . I can’t wait to show him my before and after photos…..
Post-Op Day #4
More of the same today, though my pain is starting to improve. Mostly just a strong, dull headache in the forehead region, which is completely expected. I am taking my meds less often today and moving around the house more- though the past few days of rest and having my family wait on me for a change were wonderful! I am looking forward to my appointment tomorrow with Dr. Banis.
Post-Op Day #5
Woke up this morning looking great, even after spending my first night lying flat in bed! I can’t believe how great my brows look! My visit with Dr. Banis went well. He was pleased with my progression and even took out my staples today- Ithink there were almost 30! Even though I still had some swelling, we went ahead and took some initial post-op photos today. I knew that I was happy with my results, but I could not believe how dramatic the changes were! I see these changes every day in our practice , so you’d think I would have been prepared. I couldn’t wait to show the rest of the office staff and my friends. Let me tell you- I was not the only one who was blown away.
2 Weeks Later-
Back to my normal routine. My recovery couldn’t have gone any more smoothly. I continue to show friends my Before and After photos (I love to see their reactions), as this has been one of the best things I have ever done for myself. I would do it all over again- the results far outweigh the few days of discomfort I experienced. To anyone considering this or any other cosmetic surgery…..don’t wait! I am glad that I did this when I wanted to instead of wasting time waiting and contemplating. Now I will have many years of enjoying my results!
Société Clinical Skincare makes one of my favorite cleansers,” AHA Exfoliating Cleanser.” It’s botanically-based with effective Antioxidants, Vitamins, and Acids (Malic, Glycolic, Lactic). Performance ingredients such as Australian Tea Tree Oil and Echinacea offer anti-bacterial and anti-inflammatory benefits. The cleanser is free of parabens, sodium laurel sulfate and propylene glycol.
Directions: at night, I apply a small amount to the face and lather for 60 seconds then rinse. I repeat, this time using my Clarisonic skin brush. In the morning, I apply a dime-size to a damp face and lather (leaving it on while I brush my teeth), then rinse thoroughly. The daily exfoliation helps skin to look healthier, smoother and firmer – suitable for all skin types, and is particularly effective on oily skin. Skin feels soft without irritation. I follow this up with their Conditioning Prep Solution or their Clarifying Prep Solution. …..by Olga, Customer Service
We continue to have great success with our Ulthera ™ treatments. Our patients are tolerating the treatments well and our results continue to resolve over 90 days post treatment. May 3rd and 4th WAVE 3 TV will review a story on the Ulthera ™ at Dr.Banis Plastic Surgery, being the first here locally and in the state of Kentucky to have the Ulthera ™ technology. If you are interested in seeing the treatment, hearing from one of our first treated patients and finding out more about what Ultherapy entails – follow the story being aired on WAVE 3 on May 3rd at 11pm and May 4th at noon.
As with all of our organ systems, our skin quality, function and rate of physiologic aging is determined not only by extrinsic factors such as diet, stress, and exposure to toxic agents, but also, and even more significantly, by intrinsic genetic factors. We know that the genetic backgrounds of certain ethnic populations (Northern European) strongly differentiate themselves from other ethnic populations (African and Asian) by the quality and durability of their skin. We all (in the skin care profession) know intuitively and by experience that fair/red haired- blue eyed individuals will have more “problematic”, damage prone skin compared to darker complected, brown eyed people. We know that these “at risk” populations will show significant evidence of aging in a more rapid, severe, and aggressive manner compared to genetically “favored” populations.
The basic mechanism by which intrinsic aging of skin occurs is complex and not well understood. However, in both types of aging (intrinsic and extrinsic) the rate of aging is said to be a fine balance between deoxyribonucleic acid (DNA) damage and repair. Recent advances in molecular biology have helped us to better understand this process. Currently, several mechanisms have been proposed as contributors to the aging process, such as disruption of genes in cell cycle regulation, alteration of cellular constituents (proteins, lipids, nucleic acids), production of reactive oxygen species (free oxygen radicals), and telomere shortening. In all of the above, the central mechanism involved is the cell’s inability to repair DNA damage that has occurred. Mutations in DNA repair genes have been linked to various diseases such as cancer, accelerated aging, and neurological diseases. It is also well known that inherited defective genes can lead to premature aging syndromes such as progeria. These syndromes are characterized by genetic mutations, and these mutated genes can be identified. Since current scientific evidence indicates that skin quality and premature aging are mainly regulated at a genetic level, specific genetic markers such as these will enable us to identify the gene(s) involved in the skin aging process.
Unfortunately, to date we are unable to tailor our skin care and treatment protocols to the most important determinant of skin quality – the genetic component. Our scientific understanding of skin physiology and function has helped us make great strides in optimizing skin quality, but can carry us only a limited distance when confronting the genetic limitations of an individual’s skin composition. For instance, we are all aware of the need for the stimulative effects of retinoids, and the antiaging and damage preventing effects of antioxidants in improving skin quality. Not to mention now the increasing emphasis on the restorative and anabolic effects of growth factors on the skin. But as effective as these components are, the next level of intervention will logically be when we can not only optimize skin function at whatever baseline one has, but can actually intervene at a genetic level to reconfigure the genetic makeup to enable the body to produce better quality genetically superior protein components for the skin.
With our increasing understanding of the human genome, it is conceivable and even expectable that we will acquire the knowledge necessary to understand the critical sites in our genetic code that affect skin function and physiology, and to manipulate them in specific and tailored fashion to effect improvement in each individual’s skin. This information is not yet available, and to achieve this level of detailed information of our genetic code and its relationship and effect on the skin will require further extensive investigations on large populations. Our research team is currently involved in a project to identify genes that determine skin quality and develop effective methods to counter the adverse effects of aging. We will examine the genetic profile of an ideal population which reflects both subtle and established age-related features. In some individuals these changes begin in the third decade and are gradual, while in others, it becomes pronounced within a short period of time. We believe that by identifying the specific gene(s) we will be able to get an insight into the underlying mechanism of how skin ages, thus paving the way for early diagnosis and development of targeted therapies. Until the scientific breakthroughs become reality we will continue to incrementally improve our understanding and care of the skin with the phenotypically tailored remedies and technologies.
Dr. Banis is a Certified Plastic Surgeon with over 20 years of experience in plastic surgery. He was an early pioneer in the use of microsurgery, routinely addressing the most challenging cases of reconstruction. Over his years of practice he understood the importance of healthy skin. His research has led him to develop vitamin/herbal formulations for skin support and disorders such as acne. Please feel free to contact Dr.Banis or his nurse, Abbey Helton, at 502-589-8000.
Telomere – Protective chromosomal end caps. Degradation of these important structures lead to normal or accelerated aging.
Historical records indicate that the ancient Egyptians understood the concept and importance of nutrition to skin health and beauty. Thousands of years ago natural foods were used by Cleopatra to exfoliate and smooth her skin. Natural skin care goes beyond just the application of topical cleansers and moisturizers. It pertains to a holistic philosophy, embracing the holistic care of one’s body. As the “father of medicine” Hippocrates once said, “let thy food be thy medicine and thy medicine be thy food”. This succinct admonition states well the philosophy and belief that what is ingested will affect all aspects of health -including health of the skin.
The science, however, behind natural nutrient based skin care formulations and the financial backing to conduct scientific research on them has lagged behind pharmacologic approaches to achieving results. The spheres of Western (pharmacologic and technology based) and Eastern (health, wellness and nutrition based) medical practice has started to overlap, and a much broader awareness of the possibilities for nutritional approaches to health has emerged. These potentials include strategies for health maintenance, disease prevention, and healing for specific problems. This trend is now also extending into the arena of skin health and beauty.
So it is not surprising that a natural, ingestible, nutritionally based thinking and conceptual approach to obtaining healthy and – not coincidently – beautiful skin has been delayed in coming. It is now possible to see the future on the horizon, or perhaps just by looking back into the past – thousands of years ago. A fundamentally natural and holistic approach to achieving better skin – not only through a disciplined approach to skin health with (topical) methods that we know through science and experience work well – but also through a relatively simple, straight forward, and eminently logical approach of supplying the skin (and entire body) internally with the necessary nutrients to metabolize optimally.
An easy example is antioxidants. They have been one of the most researched classes of agents for skin improvement and have truly delivered the results we search for as free radical scavengers, with properties for collagen stimulation, and repair and rebuilding of the cellular DNA. Our good old reliable vitamins C, A and E are the mainstay of antioxidant formulations and the most common to be found in topical agents. But there are other antioxidants that are very potent and beneficial for the skin, yet we don’t see them in topical formulations. Agents such as CoQ10, curcumin, lycopene, lutein, etc – all have scientific evidence documenting their ability to positively stimulate the skin but are not used, either due to cost of the formulations, lack of research of topical application, skin irritation, and instability/oxidation issues.
Let’s look at CoQ10. In order to determine whether CoQ10 can penetrate into the skin, studies have been completed on porcine skin, which is very similar to human skin in terms of permeability. It was found that CoQ10 was able to easily penetrate through the stratum corneum, with 20% penetration into the epidermal layer, but only 2% permeation into the dermis. In contrast to the localized delivery and compromised penetration of bioactives by topical application alone, the oral (ingestible) route of bioactive delivery offers several advantages. These include a) providing the nutrient to the tissues in a physiologically active, usable form b) delivery to all of the skin of the body c) delivery of the nutrient to all skin layers d) absence of obvious barriers to absorption (skin is primarily a protective barrier) e) absence of issues common to topical agents, such as wash off, reapplications, UV sensitivity and degradation, loss of potency, skin sensitivity to product, and unpleasant feel or odor, and f) simplicity, with expected better patient compliance. Recent studies show that plasma blood levels can be increased up to 300% by oral administration of CoQ10, thus making CoQ10 available in markedly increased concentrations to the skin.
With a savvy clientele now coming into our practices and demanding natural and “green” products we must open our minds and be willing to learn where we can draw from nutritional, mineral, and herbal literature to supplement the other aspects of our skin care programs. I believe this to be the new direction – treating the skin from the inside out. Combining therapy may be the ideal approach, topical along with ingestible. Systemic absorption, therefore presented to the body in an easily utilized, bio-available form. This concept is new for many of us, but well worth the time and effort to investigate in order to find the path to the results our patients desire. With this groundwork being laid, we will further explore more details on the concept of a new paradigm for skin care and health in the next issue of the newsletter.
1) Coenzyme Q Intake Elevates the Mitochondrial and Tissue Levels of Coenzyme Q and alpha Tocopherol in Young Mice. Kamlazov, S., Sumien, N., Forster, M., and Sohal, R. Journal of Nutrition. 3175- 3180 2003
2) The bioavailability of Coenzyme Q 10 Supplements Available in New Zealand differs markedly. Molyneaux, S., Florkowski,C., Lever, M., and George, P. Journal of the New Zealand Medical Association 117: #1203 10-80-20
Dr. Banis is a Certified Plastic Surgeon with over 20 years of experience in plastic surgery. He was an early pioneer in the use of microsurgery, routinely addressing the most challenging cases of reconstruction. Over his years of practice he understood the importance of healthy skin. His research has led him to develop vitamin/herbal formulations for skin support and disorders such as acne. Please feel free to contact Dr. Banis or his nurse, Abbey Helton, at 502-589-8000.