Watch here for everything you wanted to know about surgical and non-surgical cosmetic medicine including eyelid surgery, botox, varicose & spider vein treatment!


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Male blepharoplasty - men have eye bags too!

According to recent data, male cosmetic surgery is on the rise.  Economic times may have influenced this statistic, as a competitive job market favors energy, youthfulness, and yes, looks.  The most popular cosmetic procedures for men include botox and fillers for wrinkles, chin implants to rectify a weak profile, hair transplants for a fading hairline, and liposuction for excess fat pouches.  Also at the top of the list is blepharoplasty to reduce sagging eyelid skin and eyelid bags.

Male blepharoplasty should be done in a more conservative manner than female blepharoplasty in most cases, to preserve masculinity.  The male eyelid anatomy can differ from that of a female, with the eyelid crease in a different position and the brow with more fullness. 

Blepharoplasty or eyelid lift can be done in conjunction with fat injections, laser skin tightening, and botox to acheive an enhanced result.  In Michigan, Dr. Brett Kotlus offers customized procedures for his extensive list of male patients.  Below is a video of Dr. Kotlus' patient who underwent upper and lower blepharoplasty 1 month earlier.  His masculinity was preserved and he certainly did not end up with the dreaded "Kenny Rogers" look!

What is a non-surgical eye bag treatment?

Lower eyelid bags can make you look older and more tired than you actually are.  These bags and shadows are usually caused by lower eyelid fat pouches that are bulging in combination with hollowing of the upper cheek in an area called the "tear trough". 

There is a surgical option to correct these bags that removes and/or shifts the fat pouch.  The surgery may also involve fat injections and laser resurfacing to smooth the surrounding areas.  Surgery gives the most long-lasting benefit, but it also involves some downtime, usually a week (or a few) of swelling, bruising, and redness.

The non-surgical correction for eye bags involves filler injections to plump the hollow, sunken areas that create shadows under the eyes.  The fillers can last a year or more and have little downtime.  Most people can return to work after the treatment that takes about 15 minutes. 

The patient above (who generously allowed us to use his photos) had Juvederm Ultra placed by Dr. Brett Kotlus in the tear trough and upper cheek.  He was totally thrilled with the result.  Dr. Kotlus is one of the most experienced under-eye filler injectors in the state of Michigan and uses special techniques including blunt microcannula delivery systems to prevent bruising and reconstituted hyaluronic acid to ensure a smoother, more natural contour. He performs these treatments in the Macomb county office at Allure Medical Spa. 


Posted on Wednesday, January 9, 2013 at 11:29AM by Registered CommenterAllure in , , , , , , | Comments Off

Botox and filler at any age

This patient (who graciously allowed us to post her before and after photos) may be advanced in age but she is young at heart, and she wanted to express that to everyone around her. She had 2 simple non-surgical treatments to help her acheive that goal: Botox and filler.  These are injectable treatments that are performed in the office at Allure Medical Spa, with minimal to no downtime and dramatic results. 

Botox is used to relax the muscles that cause frown lines.  When used between the brows and around the crow's line wrinkles, the eyebrows are lifted and the wrinkles are softened at the same time.  This effect will last for 3-6 months after the treatment.  

Dermal filler (Juvederm Ultra Plus in this case) is a soft, biocompatible gel was injected underneath the eyebrows, in the grooves under the eyes, and in the sunken cheeks to lift and rejuvenate these areas.  Juvederm Ultra can last many months in these areas.

If you are looking to express your inner age with cosmetic treatments such as Botox or Juvederm, visit our main website or schedule a free consultation appointment at one of our Michigan locations, Shelby Township or Livonia. 

Posted on Monday, December 3, 2012 at 11:26AM by Registered CommenterAllure in , , , , , , , | Comments Off

Simple steps to treat wrinkles around the mouth and lips

Everyone hates those wrinkles that radiate around the lips. And they only seem to get worse with age. What can be done? These simple steps will help to prevent these lines and can reduce their visibility.

1. Stay out of the sun.  It's well-know that sun damage causes wrinkles. Wear at least a 30 SPF sunblock and a hat when you're spending any time outside.

2. Don't smoke.  There are many good reasons to avoid smoke or to stop smoking.  Lip wrinkle prevention is another compelling argument to not smoke.

3. Use a medical-grade skin care regimen.  Ask your dermatologist or cosmetic surgeon about topical skin care products that can help with your particular skin type.  Tretinoin and L-ascorbic acid can both help with wrinkles by boosting collagen conent in your skin. 

4. Laser wrinkle treatments and chemical peels. These will create controlled injuries in the skin that stimulate new skin growth that tends to look smoother and more youthful. Lasers like Fraxel, ActiveFX, and DeepFX have been well established as excellent wrinkle treatments.  Traditional dermabrasion (not microdermabrasion) can also work well for lines around the lips, but it has a higher risk of hypopigmentation, when the skin loses it's color and looks porcelain white. 

5. Botox. A small amount of this popular muscle-relaxing protein can be injected into the muscles around the lips.  Just enough Botox or Dysport will reduce the lines that are caused by pursing your lips without changing the function of the lip muscles.  

6. Dermal fillers. The most popular injectable wrinkle fillers are made from hyaluronic acid gel, a substance naturally found in your body.  This gel can be used to fill under the wrinkles to lift them up and make them less noticable.  Juvederm, Restylane, and Perlane are among the most used HA fillers in the U.S. 

7. Combination treatments. Any or all of the above will help to reduce those pesky lip lines.  You can talk to one of the doctors at Allure Medical Spa in Michigan for a free consultation if you want to see what can be done for the lines around your lips. 

Posted on Wednesday, October 24, 2012 at 09:01AM by Registered CommenterAllure in , , , , , , , | Comments Off

What to expect with acne scar treatments

Unwanted scars can be a devastating result of cystic acne, leaving one with a dimpled, irregular skin surface.  Avoiding these scars before they occur is the most desirable course of action, but sometimes it is too late.  Treatments can alleviate the visibility of these irregularities.  The specific treatment options vary and should target the type of scar present.  Sometimes a combination of scar types are seen on an individual. 

A key point is to realize that acne scar treatments do not often eliminate acne scars, they can reduce their visibility.  Reduced shadowing and scar depth is the goal of treatment, but signs of the scars are often still seen.  In certain cases, the skin can look exceptionally smooth after treatment, but this is not true for all patients.  

Above is a diagram of acne scar types.  The deepest, ice-pick scars are the most difficult to treat.  Chemical peels (using the CROSS method with TCA) and laser resurfacing may be of the most benefit in ice-pick scars.  Other techniques for deep scars include skin punches and floating punch grafts.

Box-car and rolling scar types often respond better than ice-pick scars.  These are best treated with laser resurfacing and dermal fillers.  The Fraxel laser has an excellent track record when it comes to acne scarring.  Fraxel Restore uses fractional photothermolysis with an erbium laser to build collagen in the dermis.  Fractional CO2 lasers such as ActiveFX and DeepFX and Fraxel Repair are also excellent for these types of acne scars.  Fillers used to improve acne scars include hyaluronic acid (HA) products (Juvederm, Restylane, Perlane). In Michigan, HA fillers are the most popular form of wrinkle and injectable acne scar treatments, especially when performed in conjunction with laser resurfacing. 


Posted on Wednesday, September 26, 2012 at 10:21AM by Registered CommenterAllure in , , , , , , , , , , | Comments Off