ThermiTight with Dr. Smart

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ThermiTight is an application of the ThermiAesthetics system that uses radiofrequency (RF) technology to safely rejuvenate the skin. It is also the most effective non-surgical skin-tightening treatment I’ve seen.

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Dr. Smart on Treating Stretch Marks

Stretch Marks And CelluliteWhy do stretch marks form? Well… from stretching right? Probably, but the precise cause of stretch marks, also known as striae, is not quite understood as there are clearly some other factors at work here. Whatever the exact cause, many of us have at least one or two of them. They tend to appear around the breast, upper arms, buttocks, hips, and upper thighs. They are also more than twice as likely to appear in women, compared to men. But regardless of gender, they can be frustrating to us all and are a very common cosmetic concern. (more…)

Dr. Smart on Treating Your Skin Well

clearskinThere are a few very basic recommendations and practices that should be included in any basic skin care regimen. Appropriate moisturization and exfoliation, protection from harmful UV radiation, and avoidance of the significant damage caused by harsh toxins such as those found in cigarette smoke. And certainly, especially in patients with lighter skin tone, the use of topical retinoids. (more…)

The Beauty of Belotero

Dr. Smart on combining Belotero with Botox to get rid of pesky wrinkles

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Botox is great, but it doesn’t always take the wrinkles away. Sometimes wrinkles are too deep. And simply relaxing the underlying muscles with Botox, or another neuromodulator like Xeomin or Dysport, is not enough to get rid of them. In these cases, we’ve had great success by combining Botox with filler, specifically Belotero. Belotero leaves an elegant result by filling those pesky wrinkles that remain even after adequate treatment with Botox.

Belotero is a great product when used appropriately. It is a hyaluronic acid filler like Juvederm or Restylane, but it has some important differences. Its formulation makes it well suited for very superficial injections directly into those lines that you just can’t seem to get rid off. Other current hyaluronic acid fillers are ideally placed slightly deeper in the skin, for a better volumizing effect.

If you have fine lines that Botox just doesn’t seem to fix, ask your doctor about Belotero. It might be right for you.

About Dr. David Smart

Dr. Smart was born in Salt Lake City and grew up climbing and skiing in the Rocky Mountains. He received his medical degree from the Medical College of Wisconsin, and must have enjoyed the harsh winters of the upper Midwest so much that he decided to stay in nearby Chicago to complete a residency in dermatology at the University of Illinois Chicago. With a particular interest in laser and cosmetic medicine, as well as general dermatology, Dr. Smart is excited to join the Advanced Dermatology team as the laser and cosmetic fellow.

Ulthera Skin Tightening

If you’re looking to lift and tighten the neck, jowls, or jawline, but don’t know if you need or want a surgical face lift, then Ultherapy might be right for you.

Ulthera is an FDA approved therapy for skin tightening, and is a non-invasive alternative to a surgical facelift. While not nearly as dramatic as a surgical facelift, the results are natural and significant in most patients. And the procedure does not involve cutting, downtime, scarring, or bruising.

Ultherapy uses focused ultrasound waves. This acoustic energy is specifically delivered deeply to various layers of the skin and underlying tissue which stimulates the body’s own collagen response for lifting and tightening the skin and underlying soft-tissue.
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Ultherapy is performed in the office with ultrasound gel applied to the skin. Most patients tolerate the procedure quite well, although we do sometimes prescribe pain and anxiety medicine prior to the procedure just to make it more comfortable. The treatment itself takes from an hour to an hour and a half depending on the areas treated.

The results of treatment generally develop gradually over time, and it can take up to 2-3 months for optimal skin rejuvenation, tightening, and new collagen formation. However, it is not unusual to see immediate lifting results.

Ulthera has been used for several years now, and has an excellent safety profile, and good results. Recently Ulthera was approved to treat the decolletage. If this holiday season your wish is for a more defined jawline, tighter skin, fewer lines and wrinkles on the neck and chest, and maybe even a slight lift to the brow, then consider Ulthera.

About Dr. David Smart

Dr. Smart was born in Salt Lake City and grew up climbing and skiing in the Rocky Mountains. He received his medical degree from the Medical College of Wisconsin, and must have enjoyed the harsh winters of the upper Midwest so much that he decided to stay in nearby Chicago to complete a residency in dermatology at the University of Illinois Chicago. With a particular interest in laser and cosmetic medicine, as well as general dermatology, Dr. Smart is excited to join the Advanced Dermatology team as the laser and cosmetic fellow.