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Dr. Ende has extensive experience with hairline lowering and hairline design and was recently asked to write a book chapter on these topics in an upcoming textbook. As a sneak peak, Dr. Ende will be introducing his use of bone tunnels in securing the scalp. This eliminates the need for Endotines which are absorbable carpet tack devices. Although Endotines work well, bone tunnels have eliminated some of the annoying side effects of Endotines which were often visible for some period of time afterwards. The book chapter will have before and after pictures 10 years after the procedure, a rare display of work in cosmetic surgery. The patient display will show the longivity of the results as well as lack of evidence of scarring. This exciting update to the hairline lowering procedure is a culmination of Dr. Ende's experience with hundreds and hundreds of these procedures. If you were born with a high hairline and want to find out your options, call for a consultation today.
At the Triological Society Meeting in San Diego California, some very important updates were discussed as well as reaffirmations of Dr. Ende’s current practice and his thoughts on this topic. As most patients know, Dr. Ende has never recommended Mederma or any other onion containing products for scar treatment because he never saw it work. Dr. Ende has always recommended scar gels that contain silicon. An excellent paper and presentation also showed that Mederma had no benefit over a placebo! So much for this cream that has sold 10s of millions of dollars worth of product! On the other hand, scar gels that contain silicon continued to show benefit over placebo and we will continue recommending these to all of our patients. We don’t want anyone to use them too early though as they may interfere with healing, but they are usually safe to use after 2 weeks past your surgery.
Juveau, also known as “NewTox” is a new and exciting version of Botox. Juveau was first developed in Korea and is now finally approved for use in the United States! Although Juveau has the same effects as Botox in reducing wrinkles in the forehead, between the eyebrows and the crows feet, it seems to last longer. In fact, a recent article in the Aesthetic Surgery Journal showed that there were still signs of it working at 150 days in over 37 percent of the patients tested. That’s 5 months! Most Botox patients only last about 3.5 months. Juveau is priced the same as Botox in our practice and has become basically the only one that patients want to use now because of its longevity. Even if you have never had regular Botox before, Juveau is currently the best option on the market.
Kevin Ende, MD has several exciting and safe ways to give you fuller, more beautiful lips. However, if you received silicone lip injections for your lip augmentation in the United States or another country, you may find yourself disfigured and in pain now. Although silicon can not be dissolved, Dr. Ende can help you with the pain and swelling with a simple injection at first, but many patients will also need silicon injection removal. The silicon itself does not grow, but many patients get painful inflammatory tissue that surrounds the silicon which is called a siliconoma. If performed well, silicon lip injections are often ok, but even if they are performed perfectly, some patients will still have issues. There are many other ways to help your lips that are much much safer. Silicon removal surgeries are very difficult and often require 2 or 3 sessions to remove all of the problem areas. Kevin Ende, MD has tremendous experience removing silicon from patients with a high success rate. If you haven't already done silicon injections, don't start now! Speak with Dr. Ende about safer lip injections, lip implants or a lip lift.
When choosing a surgeon to perform facial plastic surgery, it is very important to choose a surgeon who is board certified. Some surgeons dabble in cosmetic surgery while others perform cosmetic surgery mostly on the body. Facial Plastic Surgeons perform plastic surgery only on a patient's face, while General Plastic Surgeons perform entire body plastic surgery and may not specialize in any one particular area. Some physicians aren't even surgeons, but they perform cosmetic surgery. When a doctor is board certified in Facial Plastic Surgery, that means that he has undergone extensive training and passed both a written and oral test as well as submitted an extensive list of cosmetic surgeries on the face that they have performed. This is far different than a doctor who goes away for a weekend course, and comes home to start performing procedures. Why this is allowed in this country is a discussion for another day, but these are the facts. Board certified facial plastic surgeons not only have the expertise to perform these procedures, but also the knowledge of the postoperative period to ensure the best outcomes. So how can a patient be sure the doctor performing their procedure is board certified? Patients should ask their physician a lot of questions. They should specifically ask if he or she is board certified in facial plastic and reconstructive surgery by the American Board of Facial Plastic and Reconstructive Surgery. They should also request to see before and after photos of patients the doctor has operated on to see what kind of results they can expect.
