Dr. Cappuccino’s Summer Skin Care Approach

Summer Skin CareNow that it’s summer, we should consider skin care strategies to protect our skin as well as improve the health, quality, and appearance of our skin. When it comes to summer protection, I take a three-point approach: block UV light, hydrate, and use antioxidants.

When blocking UV light we should make wearing sunscreen a daily routine.   If you are going to be out in the sun remember to reapply at least every several hours, especially if you are in the water or sweating.  Wear a hat, a big hat.  I wear a ridiculously oversized hat when I play golf.  I know I stand out a bit, but I don’t care since I know my face, neck and chest are being protected from future wrinkles and skin cancer.  Try to avoid being exposed to midday sun (10am-2pm), and if you are, try to seek some shade.

Water intake and topical moisturizers are two forms of hydration for proper skin care.  Both are important.  Eight 8-ounce glasses of water are recommended each day to help maintain the critical fluid balance of our body and skin and assist in detoxification.  Topical moisturizers to hydrate skin before and after sun exposure are a good idea, especially ones that contain hyaluronic acid.

I use several different topical antioxidant skin care products yearly, but especially in the summer.  UV light causes creation of free radicals in our skin which can lead to photoaging and skin cancer. Use of topical products which contain antioxidants such as vitamin E, ubiquinone, and glutathione can help minimize this damage.

To learn more about summer skin care, contact Board Certified Plastic Surgeon Dr. Guy Cappuccino in Mt. Airy at 301-829-4110. For more information visit www.DrCappuccino.com, or our Facebook Page.

Lose the Lines this Summer with Botox® / Dysport®

Infini sweat gland ablationHow about a Botox or Dysport treatment for summer? Typically in this sunny season we love to look our best. We’re in natural light and on the go, making memories with family and friends. A refresh to tired eyes or forehead lines might be just the perfect brightening lift you need to boost your confidence. Both of these treatments provide an easy way to lift brows and lose the lines without downtime. You won’t have to take a hiatus from your busy lifestyle.

Botox and Dysport are well-known neuromodulators manufactured by different companies. Both products use botulinum toxin, and are very comparable. Much like the difference between Coke and Pepsi, it’s a preference by the patient and Dr. Cappuccino as well as our experienced and licensed RN Injector Christine.

The repetition of muscle contractions create the wrinkles that patients like to reduce. Over time, squinting and smiling results in crow’s feet, forehead lines, and lines between brows. Injected Botox or Dysport diminishes the appearance of these lines, and provides a subtle lift to the brow. These neuromodulators temporarily reduce muscle contractions, which causes the muscles to relax. Relaxed muscles aren’t able to fully respond to nerve impulses. This results in eyes that look refreshed and awake, a smooth forehead, a lifted lip, or a softened chin.

Botox and Dysport can give you a youthful, natural result. As we say in the aesthetics world, fresh not frozen! Come in for a consultation with Dr. Cappuccino or Christine and we’ll customize a treatment plan for your desired result. For the month of July, receive free Botox with your Infini-RF Sweat Gland Ablation series. Stop sweating, and frowning this summer! Follow us on Facebook to stay current on our Botox specials and more. 301-829-4110

Infini: Radiofrequency & Anti-Aging for Summer Skin

shutterstock_134521247-(1) (1)Patients often ask me if there are any good treatments for their skin that can be done in the summer when they know they will be exposed to UV light. This is the perfect time to try Infini. What if we told you this radiofrequency technology tightens skin, treats wrinkles, and corrects acne scarring? Infini provides anti-aging results similar to a non-invasive facelift. Now we have your attention!

For the month of June at Guy Cappuccino, MD we are offering a free syringe of Bellafill filler with your Infini Face & Neck series purchase. Bellafill also helps keep our skin smooth and is perfectly safe any time of year. Many anti-aging treatments like lasers can’t be performed on summer skin, or on patients with darker skin tones, because certain lasers and light treatments are attracted to the darker pigment in your skin. If you have a suntan, or darker skin tone, you can safely have Infini treatments. Unlike lasers, radiofrequency energy is not attracted to the darker pigment. Infini is safer than a laser, with less downtime.

Infini is a revolutionary radiofrequency energy device that tackles aging skin by tightening and treating wrinkles. It also corrects acne scarring. The device sends high intensity radiofrequency energy deep into the dermis of the skin and stimulates collagen production for wrinkle reduction. We lose collagen as we age, so this stimulation of collagen turns the clock back on our skin. Think of it like an anti-aging controlled ‘injury.’ The collagen ‘fights’ back by strengthening and producing 3-D volumization, and this results in more youthful skin.

Since the treatment targets the dermis as opposed to the surface of your skin, it maximizes results with very minimal discomfort and downtime. You might be a little pink the day after treatment, with the potential for some swelling the first 24 hours. You can apply makeup the day after your treatment. Infini is ideal rejuvenation for treating face, neck, and hands. Depending on the number of areas we are treating, your appointment should be 45 minutes to one hour, with an additional hour for pre-treatment numbing.

Call today to schedule your Infini consultation, and we can customize a treatment plan for your desired goal. LIKE us on Facebook to stay up-to-date on Facebook exclusive giveaways and promotions for Infini—and more!

 

Look Great Now and Later with Bellafill

June is all about Bellafill at Guy Cappuccino, MD Plastic & Reconstructive Surgery. Bellafill Cappuccino-6-17-Promo-Web (1)provides beautiful, natural-looking volume to soften smile lines and acne scars. It is proven to be safe, effective, and long-lasting with minimal to no downtime. Unlike hyaluronic acid fillers that are temporary and require repeat touch-ups, Bellafill is a unique FDA-approved collagen based filler that works in two ways. This means less time spent at appointments, and less time under the needle. Let’s talk about the beautiful benefits of Bellafill.

How is Bellafill unique?

Bellafill is unique from other fillers because it works in two ways. Immediate volume takes place as the smooth collagen gel filler lifts depressed skin to the level of the surrounding skin in smile lines and acne scars. Long lasting improvement takes place as the polymethylmethacrylate (PMMA) microspheres also create a matrix to support your body’s own collagen production. As we age, our bodies naturally produce less collagen. This support structure from the microspheres gives lasting improvement by restoring your skin as opposed to temporarily filling it. The result is a smoother, more youthful appearance.

How long will it last?

Results are proven to last through 5 years in smile lines, and 1 year in acne scars. At the 5-year mark 83% of patients were still satisfied with their smile lines results. At the 1-year mark 90% of patients were still satisfied with their results for acne scars. Bellafill creates natural-looking, enduring results. Your body naturally metabolizes and absorbs the collagen over time, but the volumizing results of the support matrix from the PMMA microspheres lays the foundation for long-term smoothness.

Bellafill can be used alone or in combination with other treatments. During June we’re offering a free syringe of Bellafill with the purchase of an Infini Face & Neck Series. Contact us to take advantage of this $1,000 Bellafill value, it’s limited to the first 5 patients. Get your own beautiful benefits with Bellafill!

Enhance your Microneedling with the Proper Products

Cappuccino_microneedlingWhen you choose to have a cosmetic treatment such as microneedling, you’re committing to improving the look, feel and health of your skin. To speed up your skin’s recovery and enhance your results, it’s important to take special care of your skin after your microneedling treatment. This month only, we’re offering a free Skinfuse Post-Microneedling Kit with purchase of a microneedling series. Using an appropriate skincare system protects and enhances your microneedling investment.

Skinfuse medical-grade skincare is created specifically for post-microneedling. The skincare system optimizes results by delivering essential nutrients to skin at the proper time in the healing process. Ingredients that aren’t beneficial to the recovery process are omitted, so the skin is getting exactly what it needs. Skinfuse also assists in the collagen-building process that is stimulated due to the controlled injury that microneedling creates.

The skincare kit has 5 steps: cleansing, a calming complex, vitamin C serum, hydration, and a physical sunblock. Specific instructions are in the kit for how and when to use the products for post-microneedling. We have a limited amount of these kits available, so don’t delay!

We’re here to help you customize a treatment and after-care plan specific to your skincare goals. Call today to schedule your microneedling series, and protect your investment with the proper post-care products. 301-829-4110

Get Your Beauty in Bloom with Microneedling

Cappuccino-5-17-Promo-Web_1Are you ready to get your beauty in bloom for spring? Perhaps winter left you with dull skin, and you’d like to improve texture, fine lines, and acne scars. Microneedling is a wonderful treatment option for patients that aren’t ready for the downtime associated with laser resurfacing treatments.

How does microneedling work?

Microneedling is a minimally invasive procedure that uses fine needles to make controlled micro-injuries to your skin. The device we use is the Eclipse MicroPen. The needles of the MicroPen puncture the skin to create channels. The body triggers the skin to respond to these micro-injuries by naturally producing new collagen and elastin to fill the channels. As we age, our bodies slow the production of collagen and elastin. By turning back the clock on this collagen and elastin loss, microneedling offers several benefits.

Benefits of Microneedling

Our microneedling treatments can reverse years of sun damage. The MicroPen targets fine lines, texture, acne scarring, large pores, and minor blemishes. The benefits include smoother, firmer, younger looking skin. The depth of the needle and the number of treatments depend on the area and the desired result of the patient. A series of treatments is typically recommended, about one to two months apart. Recovery time with the MicroPen is minimal. You may experience some redness, tenderness, or minimal swelling the first 24 hours post treatment.

You will notice some immediate improvement after your treatment, and your results will continue to improve over the next 6 to 12 months as the collagen and elastin rebuilds. Contact us to schedule your complimentary consultation for microneedling, and we’ll customize a treatment plan based on your skin goals. Follow us on Facebook to stay current on promotions, events, and exclusive giveaways.

Now Hiring: Seeking a Medical Receptionist

Seeking an experienced full time Medical Receptionist for a plastic surgeon’s office (Mt. Airy, MD).  Duties include but are not limited to greeting patients, scheduling appointments, answering multiple phone lines, basic clerical tasks, collecting or updating demographic information, generating social media, and facilitate the patient flow of the office.  We are looking for someone articulate with excellent people skills and strong aptitude for technology.  Attention to personal grooming and appearance is essential.  Minimum one year medical receptionist experience required.  Must be HIPAA compliant.  No past or current patients of Dr. Cappuccino’s. Please visit www.drcappuccino.com for more information about our practice. Please email your resume to jennifer@drcappuccino.com.

Our practice is fully committed to equal employment opportunities for all employees and applicants for employment. It is our policy to recruit, hire, train and promote into all job levels any employee or applicant for employment regardless of age, race, color, religion, sex, sexual orientation, marital status, national origin, physical or mental disability, or veteran status. The company also prohibits harassment on these bases. All such decisions are based on individual merit, qualifications and competence as they relate to the particular position.

Top 5 Benefits of FUE (follicular unit extraction) Hair Transplantation

Here is a list of the top 5 benefits of FUE hair transplantation as compared with the older FUT method:

1. Office based procedure- FUE with NeoGraft is an office based procedure performed entirely under local anesthesia. Patients can drive themselves to and from the office and avoid the costs, inconvenience, and risks associated with the more invasive strip method required for FUT.

2. Quicker recovery time- FUE procedures such as NeoGraft allow patients to return to their normal daily activities in as little as 1-2 days. There are no staples or stitches to remove. The bandage is removed 24-48 hours after the procedure. Special care and washing instructions are given to each patient.

3. No linear scar- There is almost imperceptible scarring when compared to “strip procedure”, which may leave you with a very noticeable scar. This is important for patients who would like to keep a short hairstyle as the scar from the strip method is noticeable. The extraction sites from FUE range from 0.8-1.0mm which close up on their own in just a few days without a noticeable scar.

4. Less painful recovery- Pain is minimal following FUE procedures. Most patients report only needing Tylenol on the evening of the procedure. Long acting local anesthetics make the recovery process quite manageable without the need for narcotics. After 24 hours most patients describe no pain at all.

5. Higher graft survival rate- FUE has a 90-95% graft survival rate as compared with approximately 75% survival rate of FUT method. The precision harvesting of FUE allows less trauma or transection of the hair follicles during the harvesting process.

NeoGraft: A breakthrough in hair restoration

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* Individual results may vary. Refer to disclaimer below.

Hereditary hair loss is a medical condition that affects about 50 million American men and 30 million American women. By the age of 35, two-thirds of American men experience some degree of measurable hair loss, and by the age of 50, approximately 85 percent have significantly thinning hair, according to the American Hair Loss Association. This hereditary condition, clinically termed androgenetic alopecia, is characterized by a receding hairline as well as a loss of hair on top of the scalp.

When hair loss is first noticed, initial therapies are aimed at preventing further hair loss. For women a dermatologic workup may be indicated to determine if there is an underlying medical cause of hair loss. Medical therapies include topical Minoxidil and/ or oral Finesteride. Another new and promising treatment is PRP (platelet rich plasma), which uses a patient’s own activated platelets injected into the scalp, to slow and even reverse hair loss. However, once hair follicles are gone for more than a few years, the only method of restoration is hair transplantation. Over the years, hair transplantation has developed a negative image in popular culture due to early poorly executed “hair plug” procedures which left people with a “corn row” or “doll’s hair” appearance. This sends shivers down my spine when I hear patients say these words because for decades now FUT (follicular unit transplantation) has provided very natural appearing hairlines. The FUT method required taking a strip of hair from the back of the scalp and cutting it into individual follicular units and then transplanting them. Due to the invasive nature, this procedure was typically done in an operating room under anesthesia and was both costly and uncomfortable. Many potential patients shy-away from (or are not candidates for) the traditional FUT or “strip method” of hair replacement because of the slow recovery time, the loss of feeling at the incision site, the linear scar on the back of the head, or the amount of post-operative pain involved.

The Maryland Hair Center is excited to announce our newest offering, NeoGraft®. NeoGraft® introduces the “state-of-the-art” solution for hair loss. This game-changing technology automates the Follicular Unit Extraction (FUE) method to give patients more natural looking results with minimal downtime, no linear scaring and no stitches. It is a minimally invasive procedure where individual hair follicles are extracted from the back of the scalp via the NeoGraft machine and then implanted into the areas where hair loss has occurred. The entire procedure is done with local anesthesia only in the comfort of our office while patients binge watch a Netflix series! There is almost imperceptible scarring when compared to “strip procedure”, which may leave you with a very noticeable scar. NeoGraft has a greater that 90% take rate, so pretty much every single hair follicle that is taken out will grow. There is very little downtime after your procedure when compared to strip procedure. Patients can usually resume normal activity within 48 hours excluding strenuous exercise when done via NeoGraft. We incorporate all the latest techniques in hairline design to ensure your transplant will look natural, after all, as you know, the best transplants are the ones you cannot tell are transplants.

We recommend a full consultation with Dr. Cappuccino to ensure you are a good candidate for the NeoGraft procedure and to see how many grafts you would need in order to get the best results. We have a cutting edge simulation visualizer on our website which allows prospective patients to virtually “try on” a full head of hair before their consultation by uploading their own picture. On Thursday March 2nd, The Maryland Hair Center, located in Mt. Airy will be having its annual NeoGraft open house with individual consultations by appointment only and 20% off all procedures. For more information on NeoGraft or for a free simulation, visit www.marylandhaircenter.com or call Dr. Cappuccino at 301-829-4110

Botox Bargain: Buyer Beware

In 2015, nearly 7 million Americans received Botox or similar neuromodulator treatments. Approximately 2.5 million dermal filler treatments were done in the same year. With the overwhelming success of cosmetic injectable treatments, they have become broadly accepted by the American public. However, with this rise in popularity has come the unfortunate emergence of non-core specialty practitioners trying their hand at injectables. When I say “non-core” I am referring to all doctors who are not Board Certified plastic surgeons or dermatologists. Only these specialties include specific didactic and practical training in the use of cosmetic injectables as a part of their board certification process. That is not to say that other doctors cannot get trained later at a training course; however, when your pediatrician or ER doctor offers you Botox, or your hair salon suddenly starts offering Juvederm injections, you should understand that this was not part of their medical training, and you may be putting yourself at risk for more than just an undesirable cosmetic result. Imagine if one day I started offering to color my patients’ hair- the results would be disastrous. Many an unsuspecting person has fallen victim to bargain basement prices on such treatments, but the old adage applies here more than ever, you get what you pay for.

As a Board Certified plastic surgeon I feel it is my obligation not only to provide the highest level of treatment, but also to educate the public on what may or may not be correct for them. Often a patient will come to me asking for Botox for their forehead lines, but the problem is actually a heavy brow or excess skin of their upper eyelids. After explanation of the dynamics of facial aging and anatomy, I make the appropriate recommendation, which often is not an injectable at all. Routinely I see an unhappy patient come to my office complaining how their doctor did Botox in their forehead and now they look unhappy and mad all the time, and ask me if I can fix it. Botox and fillers can provide an amazing non-surgical result when used correctly, but knowing when and how takes correct training and years of experience. This is as much an art as it is a science. It has taken me more than a decade and tens of thousands of injections to master the art of injectables. I have compiled a list of questions that you should routinely ask when you go to a new provider for injectable treatments. My savvy new patients sometimes ask me these questions, and I am more than happy to answer to put their minds at ease.

Always ask your doctor about their experience with injectables: How and when were they trained, how many years of experience they have with each individual injectable as they are all different in their required technique.

Ask if your doctor has reversal agents for hyaluronic acid fillers (such as Juvederm or Restylane) in the event of less than desirable outcome or adverse event.

Ask your doctor if they are able and willing to help you in the event you are not satisfied with your results. I always ask my patients to call me in a week or stop back if things don’t look the way they expect. Often, if there is any issue, it is an easy fix that I don’t charge for.

Always ask to see the actual bottle of Botox or syringe of filler being used. Ask your doctor if they buy the products directly from the manufacturer or if it is obtained from the grey – or worse, black – market where quality control is suspect. Look for the holographic seal on the Botox bottle ensuring it comes directly from Allergan the manufacturer.

Ask how many units of Botox or Dysport are being administered. Dilutions may vary, but units are consistent.

Ask your doctor when the bottle of Botox was opened. Did you know that once opened and reconstituted, Allergan recommends the Botox be used within 4 hours to ensure potency? In a busy injectables practice like mine, that is no problem as we go through multiple bottles daily, but in a slower practice, beware.

Ask to see your doctor’s before and after pictures, especially of his or her injectable filler patients. Nothing gives a prospective patient a better idea of how they will look than seeing the doctor’s actual work!

The most important thing is to seek out a well qualified doctor you trust who has the full compendium of knowledge and tools to help you achieve the best possible result. Most of the time, injectable fillers give a beautiful, near immediate result. But even in the best of hands, aesthetic medicine can have less than perfect results, and those are the times you need your doctor and their office to be at the top of their game.

For more information about cosmetic injectable treatments call our Dr. Guy Cappuccino at 301-829-4110 or visit www.DrCappuccino.com