"There are several solutions to rejuvenating gaunt, aged skin which has developed wrinkles or volume loss," explains Nashville, TN Board Certified Plastic Surgeon Dr. Nicholas Sieveking. Dr. Sieveking is not criticizing women who run; he is simply making them aware of the consequences of pounding the pavement. "Rejuvenating your appearance can include both surgical and non-surgical procedures." A combination of Botox and injectable fillers such as Restylane, Juvederm Ultra and Radiesse can smooth wrinkles and restore fullness to the face, while further preventing signs of aging. Botox treatments can target lines in the brows or around the mouth, but the result typically lasts about three to four months. Injectable filler treatments to restore volume provide results which last at least a year, and often much longer than that. "In some patients, I've seen Botox last the full four months, but I've also seen instances where results have only lasted two months - everyone is different," says Dr. Sieveking. Dr. Sieveking's experience has proven that Juvederm and Radiesse usually last about twelve to sixteen months. Restylane, which is used mostly for finer lines and wrinkles, not deeper contours, tends to last for six to twelve months. For Runner's Face, Dr. Sieveking's recommendation for filling is Juvederm Ultra, which can restore volume to chin, cheeks, and cheekbones that become hollow or thin due to weight loss or age-related facial fat loss. This product reliably lasts up to 18 months. "Fat grafting would be the best option for natural, long-lasting restoration would be the best option for natural, long-lasting restoration of volume loss in this group of patients, but unfortunately in this group of patients there is typically very little to no fat in other areas to take from." Non-invasive treatments like chemical peels, laser skin tightening, photodynamic therapy, portrait plasma regeneration assist in eradicating the lines formed within the skin itself, such as around the mouth, and greatly contribute to producing a more youthful appearance. For true correction of sagging skin, more invasive procedures may be required. Eyes tend to show the first signs of aging, an eyelid lift or brow lift will rejuvenate the eye area and take years off your face.
Dr. Nicholas Sieveking is a board certified plastic surgeon who completed his training in General Surgery and Plastic and Reconstructive Surgery at Stanford University. After Stanford, he received additional fellowship training in Aesthetic Surgery in Rio de Janeiro and São Paulo, Brazil. In addition to his plastic surgery board certification, Dr. Sieveking is also board certified with advanced fellowship training in Anti-Aging and Functional Medicine. This double board certification enables Dr. Sieveking to be the most complete anti-aging surgeon and physician to treat his patients age-related needs, from the inside to the outside. Dr. Sieveking's comprehensive solo practice includes advanced cosmetic and reconstructive surgeries, state of the art cosmetic laser and skin care services, Bio-identical hormone replacement therapies, medically-supervised weight loss programs, and cutting edge laboratory testing for hormone, amino acid, vitamin and nutrient deficiencies as well as toxin analysis and food and chemical sensitivities testing.
Dr. Sieveking has operated and lectured around the world on topics of face lifts, breast surgery, and cleft lip and palate repair. He has authored a chapter on Rhinoplasty in one of the major training textbooks for plastic surgery residents. In 2012 and 2013, he was voted "Top Plastic Surgeon in Nashville" in two Readers Polls by the citizens of Nashville.
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