3252 Holiday Court, Ste. 210, La Jolla, CA
la Jolla, California

Category Archives: Aesthetic Center of La Jolla

ActiveFX – Fractional Laser Skin Resurfacing – San Diego

ActiveFXActiveFX is a type of fractional CO2 laser skin resurfacing technology. Since its introduction in 2004, CO2 laser skin resurfacing has become a first-rate skin treatment technique. The technology is effective for reducing fine lines and treating skin blemishes like acne scars and rosacea. With minimal downtime and consistent results, Active FX is an ideal solution for skin discoloration.

CO2 laser skin resurfacing works by pulsing carbon dioxide lasers deep into the skin layer to create a controlled wound. The wounding nature of the laser makes this an ablative skin treatment. The wounding triggers a healing reaction in the skin, which results in an overall improvement of the skin. Consult with a board-certified practitioner like Dr. Roy David to determine if this procedure is right for you.

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TickleLipo – San Diego Nutational Infrasonic Liposuction

TickleLipoLiposuction is a popular cosmetic procedure for removing excess fat deposits. For many people, despite a healthy diet and regular exercise, there is no getting rid of fat in stubborn areas like the thighs and stomach. Liposuction has been available for a long time, but now there a newer technique called TickleLipo.

Building on the principles of liposuction and fat removal, TickleLipo makes significant improvements in safety and efficacy. TickleLipo involves the use of an advanced cannula that is powered by air pressure. A cannula is the tube that is used to suction fat from the body during liposuction; it often relied on heat and could be quite painful.

The newer cannula used in TickleLipo is less traumatic, less painful and has a shorter recovery time. Consult with a board-certified plastic surgeon like Dr. Roy David for further information about the procedure.

To schedule a consultation, please contact us at our office in San Diego.

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Permanent Make-Up – Skin Pigmentation – San Diego

Permanent make-up is comparable to tattooing and is often referred to as cosmetic tattooing. Some common examples of permanent make-up that is used for cosmetic enhancements are eyebrows, eyeliner, and nipple-areola pigmentation. In the hands of a skilled medical aesthetician like Dr. Roy David, permanent make-up can subtly or dramatically enhance your look.

The goal of permanent make-up is generally to add a touch of color or definition. The lips can be accentuated, and the eyebrows can be highlighted with hairline strokes. This is an ideal option for some people who deal with skin allergies that make it impossible to apply any make-up.

Contact us at our office in San Diego if you would like to know more about the benefits of permanent make-up.

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Photo Rejuvenation

Skin blemishes come in all shapes and colors. Red, flushed skin, sun damage, hyperpigmentation, and enlarged pores are often caused by too much sun exposure, aging and genetics. However, there are effective treatments like photo rejuvenation that can offer someone a chance to cosmetically enhance their skin.

Increasingly popular, the photo rejuvenation procedure is minimally invasiveand uses light on targeted areas of the face and neck to remove blemishes of the skin. Typically taking 20-30 minutes, photo facials are an outpatient procedure with little to no recovery time. Patients may resume their day-to-day activities immediately after the treatment.

An experienced practitioner like Dr. David Roy can explain the benefits and specifics of photo rejuventation in greater detail.

Contact us at our office in San Diego if you would like to schedule a consultation.

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Is the Eyelid Lift being replaced?

Injectable fillers such as restylane and juvederm are becoming more and more popular for rejuvenating the areas around the upper and lower eyelids. Common complaints pertaining to these areas include: excess skin, wrinkling or G

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Q & A with Roy A. David, MD

I’ve Done a Lot of Fraxel Treatments and Still Have Scars. Will the C02 Work Better?

Nose Implant to Raise Bridge. Am I a Good Candidate? (photo)

Where Can I Find a Facelift Surgeon Who Will Actually Address my Entire Face?

I Had a Mini Cheek/Neck Lift Done 5 Days Ago, Feels Like there is Fluid in my Left Ear, Normal?

Facial Fat Grafting and Rhinoplasty from Two Different Surgeons

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Bruising After Rhinoplasty

One of the most common questions patients ask at their rhinoplasty consultation is “Will I be bruised afterward?”
The answer is usually “probably.” The chief cause of bruising is the osteotomy, or fine cuts that are made in the bones to reposition them. Not every patient requires osteotomies, however, and those patients generally have little to no bruising at one week. For the majority of rhinoplasty patients, there will be some osteotomy-related bruising but usually it is already resolving at the one week point- which is when the external splint is removed and most patients resume most of their normal activities. For women , the minimal bruising at this point around the lower eyes can be managed with some makeup and our fine esthetician staff is always ready to help!

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Office Expansion

The practice will be undergoing an expansion in the next months. We are adding approximately 800sf to accomodate the growing medical spa, as well as add additonal exam rooms and a private recovery room. Our surgical patients will have a private entrance and exit for the days following their procedure. We hope to keep the disturbance minimal and do not anticipate any sheduling changes. Thank you for your patience!

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Facelift Recovery Period

For many patients considering facelift surgery or mini facelift at our San Diego office, one of their chief concerns is the recovery period or downtime. By using twilight sedation and performing the procedure in a precise and custom-tailored fashion, we generally limit recovery to one to two weeks. This may vary of course if additional procedures such as eyelid lift or laser resurfacing and fat grafting are added- but even so, most patients fall within that range for facelift recovery.

On the first night after having a facelift at our La Jolla Center, patients often choose to have a professional nursing assistant stay with them. This can be at their own home if they live close by, or at the adjacent Sheraton Hotel. Other patients who have a comfortable or experienced family member or friend and had a relatively short procedure may choose to have this person stay with them instead.

Facelift sutures are removed between 5-7 days after surgery, and at this point swelling and bruising are becoming minimal. Makeup can usually be applied, and patients will start to resume some of their activities.

The important thing to keep in mind with any surgical procedure is that recovery times are estimates- everyone is different, and it is important to feel relaxed during this period, and to be able to take one or two extra days if needed.

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Lower Eyelid Rejuvenation with Fat Repositioning

In our San Diego plastic surgery practice we see a lot of patients who are interested in eyelid rejuvenation or blepharoplasty. Often, they are not sure what exactly they don’t like about their eyes- only that they look “tired” or “aged.”

It is the job of the facial plastic surgeon to make an accurate diagnosis and to also explain to the patient what they see as as the problem and what can be done to correct it.

In the past- plastic surgeons would address most lower eyelids the same way: removal of fat-as well as skin and occasionally muscle, to try to “smooth out” the lower lid area.
Unfortunately, not all eyelids respond well to “removal” of tissue, and in some cases this will create an artificial appearing “hollow” look around the eye.

In many cases, it is helpful to address the groove beneath the lower eyelids: this is called the nasojugal crease. It is formed due to thinning of the skin over the boney orbital rim, and leads to an aged appearance with a resulting shadow over the area.

The nasojugal crease can be addressed with fat grafting, fat repositioning, a midface lift, or with implants.

Fat repositioning can often be the most straightforward approach-as we are able to use tissue that is already there, avoiding liposuction or additional surgery. The fat that is herniated or bulging below the lower eyelashes is manipulated into a new position over the boney orbital rim, and often secured with sutures. The loose skin and muscle layers are then redraped over this, and excess skin and muscle may be removed.

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