Halo Laser – Fractional Laser Treatments with Less Downtime

Halo Laser in Indianapolis, INHalo laser treatments offer a new option in laser skin resurfacing. The Halo laser combines fractional nonablative (1470 nm) and ablative (2940 nm) for quicker healing than with other fractional devices. Patients will notice improvements in skin color (reds and browns) as well as skin texture and fine lines.

Skin will appear more taut with smaller pore sizes.

Treatments are done in the northside office. Patients will arrive an hour prior to treatment for numbing cream. The device combines pulses with both wavelengths at once for a quicker treatment time. During treatment the skin will feel warm and ice packs are applied immediately afterward. Patients may drive themselves home. Recovery is quick with most patients able to resume activities and apply make-up within 2 to 5 days. Sun avoidance is important the first several weeks afterwards as well as before.

The Halo device utilizes its own proprietary dynamic thermal optimization technology (DTO) to measure skin temperature during treatment. This helps to ensure a more accurate treatment and a higher level of safety. Halo provides the most up to date fractional laser technology.

Some results will be visible within a week while others such a wrinkle reduction and skin tightening more like months. Patients will appreciate smoother skin with a glow like quality. Physician Assistant Sheryl New offers consultations to see if you are a candidate for this cutting-edge device.

What is the Best Non-Surgical Alternative to a Facelift in Indianapolis, IN?

Facelift in Indianapolis, INWhile we are still looking for a credible non-surgical alternative to a facelift, there have been several technical advances in the past 5 years that have improved your options. That being said, most patients will need to consider undergoing more than one kind of treatment to get results anywhere near comparable to a facelift. Below we have listed some of the most popular and effective non-surgical facelift alternatives.

RF Microneedling
Fractional radiofrequency (RF) microneedling is a cutting-edge skin rejuvenation technique that we have previously discussed in our blogs. It involves combining tiny needles (microneedles) with RF energy to tighten and add volume to the skin. Because the needle marks heal quickly, there is minimal downtime associated with the procedure.

For our RF Microneedling treatments, we have started using what we feel is the most effective device – the Syneron Candela Profound®. This device has been shown to provide visible tightening in one treatment 100% of the time. I can think of no other device that has achieved this. It is also the only FDA-approved device in its field. Lastly and most impressively, it has shown in studies to achieve on average 30% of the tightening of a traditional facelift.

The new FaceTite™ procedure is another minimally invasive way to achieve skin tightening without surgery. As discussed in our previous blogs, this treatment can be combined with liposuction for great results in those not ready for a full facelift. Unlike the other options here, FaceTite™ does require a little more downtime and is done in a surgical suite.

Injectable Fillers
Most patients often experience some volume loss with aging, and treating this with injectable fillers can be beneficial.  Fillers are primarily used to camouflage visible signs of aging- softening jowls and filling creases. We can also use fillers to provide some lift- by filling up the volume loss just as you would with a balloon. While injectable fillers are only a partial solution, combined with other techniques they can provide a nice alternative to surgery.

Skin Rejuvenation
Lastly, improving the skin can simulate some of what a facelift achieves. Smoothing the skins’ surface and removing creases will give you a more refreshed appearance. With resurfacing techniques such as laser and chemical peels, we can achieve in the office some of what is achieved after surgery. Which technique is right for you depends on your skin and the signs of aging that are occurring.

The best technique for avoiding a facelift is probably a combination of the above. Selecting the right ones for you starts with contacting us and scheduling a consultation with one of our aestheticians, nurses, or Dr. Hamilton.

Indianapolis, IN Residents Ask: “Will I have any pain after my facelift?”

Facelift in Indianapolis, INOne of the most common questions I am asked during facelift consultations is about how painful the procedure is. With the incisions, liposuction and skin removal, many patients are concerned they will experience a great deal of discomfort during the recovery process. While a facelift is an invasive procedure, patients are often pleasantly surprised with the relatively mild discomfort that they experience after surgery.

What to Expect During Recovery

After a facelift procedure, the patient will be numb throughout the lower face and neck. This greatly reduces the pain. That is not to say there is no discomfort, however. Many patients complain about a sensation of tightness and pulling in their face and neck after the surgery, though this begins to subside after the first week. While many patients need little to no narcotic pain medicine, everyone is different. There is a small portion of patients that will complain of pain and require narcotics the first week- but this is definitely a minority.

With much of the swelling subsiding by the first week, patients are generally much more comfortable by week two. Numbness on the other hand can remain for weeks to months- and this often becomes the most common complaint. Fortunately, in almost all cases, the numbness will resolve. (I have only had one case in twenty years of performing facelifts where the numbness persisted long term. I still have no explanation for this one case).

In general, facial surgery is associated with much less discomfort than other cosmetic procedures and this is certainly true with the facelift. Patients should be prepared to have some discomfort but should be reassured that most patients rarely have anything more.

If you’re considering undergoing a facelift, you can trust double board-certified facial plastic surgeon Mark M. Hamilton to help you achieve the best possible results. To schedule your consultation or to learn more about facelifts, contact our office today.

How Dr. Mark M. Hamilton Does a Facelift (Technically Speaking)

Facelift in Indianapolis, IN

“So, how do you perform your facelift?”

Many patients who are well read on facelift procedures will ask this question. They have heard such terms as lifestyle lift, quick lift, deep place facelift and composite rhytidectomy.  Many of these terms are marketing terms with limited real meaning, yet others are important surgical techniques. Asking how a plastic surgeon performs a facelift is a very valid question that can be critical to a patient’s results and their longevity. Please note this blog post is really geared for those looking for more information and is probably too technical for most. The basics of a facelift are outlined on our facelift page.

Every patient is different, so there is a real variation in technique depending on the patient. In general, I perform a biplanar extended SMAS imbrication facelift with liposuction, platysma plication and the FAME technique. In some patients, all the steps of this technique will be performed. In others, such as those undergoing a mini lift (mini facelift) or tuck up procedure, a much more limited technique will be used. Let’s look at these steps individually.

Step 1: Address the Neck

For most of my procedures, I will address the neck first (if needed), which typically involves liposuction. The platysmal bands are addressed next with a sequence of cutting and suturing to tighten and strengthen (platysma plication) the muscle. All of this leads to a tighter, more refined neckline.

Step 2: Address the Jowls, Cheek, Temple and Lower Facial Tissues

The next step is approaching the jowls, cheek, temple and lower facial tissues. From incisions around the ears, the skin in these areas is elevated. I then approach the deep tissues of the face to tighten the SMAS (Superficial Musculo Aponeurotic System) – this is a key step in a facelift.  Addressing the SMAS is what provides a natural and long-lasting facelift result. It is critical this is done in almost all facelifts.

The technique I use to address the SMAS is the extended SMAS imbrication with FAME technique, which allows the development of a healthy deep fascial flap for a more robust lift with minimal risk. Important ligaments such as the masseteric and zygomatic are released and repositioned safely. A healthy SMAS flap is provided for maximal lift of the neck tissues. Areas of jowling are lifted and corrected. The FAME (Finger Assisted Malar Elevation) technique allows me to safely release the zygomatic ligaments without risks of nerve injury, which leads to a lift of the midface tissues and a rejuvenated cheek region.

Using this approach to the SMAS, I am happy to say I have never had a permanent nerve injury and swelling and downtime are much less than that of more aggressive techniques. These elevated SMAS tissues are then lifted and tightened very firmly, which precludes the need for overly tight pulling of the skin.

Step 3: Reposition the Skin

These steps are followed by a repositioning of the skin tissues without tension. The combination provides for a natural, but long-lasting facelift result. In many patients, this may be combined with a forehead lift to address the upper face or a blepharoplasty (eyelid surgery) to address aging in the lower and upper eyelid area – this really depends on each patient’s anatomy and their opinions.

Every patient is different and, thus, so is the technique. However, I have found the sequence described above to be the best combination for providing a natural and long-term lift with minimal risks and the least amount of downtime possible. I look forward to helping you explore your options for your facial rejuvenation.


Facelift Under Local?!

Facelift in Indianapolis, IN

I have had more and more patients asking me if they can have their facelift under local. While I do perform many procedures (including facelifts) under local, this trend has surprised me. Maybe it is due to the many advertisements for such procedures such as Lifestyle Lift, Sono Bello Lift, Biltmore Lift, Quicklift and many other latest, greatest trademarked procedures. Whatever the reason, I think it is important to keep a few things in mind.

First, general anesthesia is very safe for most patients. Over the past several decades, innovation and training have greatly improved anesthesia. I often hear anesthesiologist tell patients that that the took more risk driving to the surgery center compared to the risk of their sedation that day. In addition, most reputable surgeons would agree that they can do more work, in a more efficient manner, with better results for the average patient under anesthesia, than they can under local. An additional important question to ask your surgeon is, “can you get the same result for me under local as you could if I were asleep?”

On the other hand, with today’s outstanding topical numbing creams we can do procedures much more comfortably under local than we could in the past. For instance, our patients will apply a 23% Lidocaine/7% Tetracaine cream one hour before the procedure to numb the skin, and then in the procedure room, we will carefully and slowly inject areas being treated with a tiny needle. The procedure is almost the same as those under anesthesia from here. With many of our patients, we talk during most of the procedure. Following the procedure, patients are able to drive themselves home if they wish and typically have few complaints of discomfort.

In is important to keep in mind that for local anesthesia patients must hold still and cooperate for at least a few hours while the procedure is performed. In addition, they do have to be comfortable with us injecting local anesthesia as we go and feeling some pulling of the skin during the procedure. Patients really have to decide if this is for them or not. If you have trouble at the dentist, then this is probably not the way to go for you.

Another consideration is that a lot of this depends on what type of procedure you are having. If a patient has minimal laxity and needs minimal work, a mini-lift may be appropriate. For these patients, a procedure under local is much more reasonable. If a patient has extensive muscle and skin laxity as well as submental adiposity, a more advanced facelift procedure will probably be required. In my opinion, few patients can do well with this type of procedure under local.

Our techniques for performing facelifts under local have improved dramatically, and this is a great option for many patients – exploring your options begins with a consultation to investigate the possibilities.