randy alvarez: youãre watching the latest edition of thewellness hour, the leader in medical news and information. iãm randy alvarez. todayãstopic, what you need to know if you are considering any type of facial rejuvenation. my firstguest is beverly hillãs hottest cosmetic dermatologist. if you are unhappy with theway you are aging and not quite ready for
wrinkles, a facelift, my advice, stick around for thelatest edition of the wellness hour. announcer: the wellness hour, an in-depth discussionwith todayãs top physicians and medical leaders. and now your host, randy alvarez.
youãre watching the wellness hour, the leaderin medical news and information. iãm randy alvarez. my first guest is dr. simon ourian.dr. ourian is the founder and medical director of epione, one of the largest cosmetic surgerycenters in america. he is here today to discuss whatãs new in minimally invasive facial rejuvenation.dr. ourian, welcome to the program. dr. simon ourian: very nice to meet you. thank you for havingme. now before we get into todayãs topic, bigtopic by the way, tell us about your center. itãs a large place in beverly hills. well, weãd like to think of it as a boutiquelarge center. although itãs large, we see
a lot of patients, but we want to make sureevery patient who walks into our office feels like they are the only person there. so fromthe moment you walk in, you are taken care of and you are taken to your room, and youãrereally treated like this is a five star hotel and five star facility. that removes a lotof the intimidation that patients may have. it can be intimidating going into a surgerycenter. everybody looks great. in many ways it is. youãre going to a placethat everybody is there to look better, and most patients donãt want to admit that theyãrethere because they want to look better, because letãs face it. nobody wants to be calleda vain person. so they come in and some people are intimidated. but the truth is we try toremove a lot of that feeling of uneasiness
by taking patients to the room and makingthem feel as comfortable as possible, and then spending a lot of time with them, a lotof questions, answer their questions, and bringing up new questions in their mind andsee what we can answer, and to make them feel better and give them all the information wecan. now your background, your training, ucla,went on to harvard medical school. tell me about it. from the beginning of my career, if you cancall it when i was ten, [laughter] i really wanted to do something that instantly couldmake changes in peopleãs lives. and cosmetic dermatology over the years became the pathfor me. i was always good with my hands. i
was artistic. i did a lot of sculptures, andover the years, i decided to take this path and spend more and more time with it. andas the lasers became more available, i find myself getting more drawn to them becausethey seem to be the future of medicine, the future of all the cosmetic procedures. and you invented one of the lasers. is thatcorrect? correct. do you have a patent? yeah, i hold the patent on the coolaser andon the coolbeam. itãs called the cool ã±
coolaser. coolaser. okay. iãll tell you a little bit about the coolaser.it is the laser that is used the most to remove fine lines, discolorations, some of the saggingof the skin, a lot of the signs of the aging that we get over the ages of 20 and 30 and40 from the sun damage, from the environment and from just aging. randy alvarez: okay. how is it different than intense pulsed lighttechnology or ipl, things like that. is it the same thing?
no, itãs not the same thing. there are manydifferent variables of lasers you can use for different treatments. you can use lasersto remove hair, to do vein removal, to treat spots on your skin, to remove wrinkles, andeach of these lasers are geared to a particular problem in your skin. coolaser came out ofa lot of frustration that i had with the lasers that were available five or six years go.we only had co2 and erbium laser and perhaps a few other lasers that really didnãt work.so all we had with these has been really, really effective, like co2 and erbium laser,but had a lot of side effects, or lasers that were not effective at all but they didnãthave side effects. so there was no merging between the two.
i worked with a lot of the manufacturers ofthe lasers to try to find out what is the laser that we can use that has the best ofboth worlds, not as much side effects as the effective lasers, and still give you the effectsthat you want. iãve worked with a lot of asians, african american, mediterranean, oliveskin, latin skin people who could not do these other lasers, the co2 lasers and the erbiumlasers, nor could they take two months out of their life to try to look better. now coolaserbasically came out of that frustration trying to make the lasers work. is it that much better than what was available? itãs a lot better, yes. [laughter] imagineif you ã±
so the results are better, much better. the results are as good, if not better thanthe older lasers, but the best part of it in my mind is there is no down time, thereãsno anesthesia, thereãs no huge pain that you used to go through from the other lasers.and the results are very effective and very natural looking. who is your typical patient? what type ofpatients are you seeing for some of the laser stuff, the coolaser? our typical patient is a person who wantsto look good. any person who wants to look better comes to our office. i think lookinggood is a very natural, very healthy, very
psychologically healthy part of the humannature. we want to look better because the very first face that we see in the morningis our own face. and we want that face to be the best one. and we remember 5, 10, 15 years ago, whenwe werenãt working this hard, when we hadnãt put our youth into working and a bad marriageand everything else and raising the children, and you remember that picture in your mind,you still look 25 years old, but your face and the mirror tells you something else. sothose are my patients who come in and they want to look a little bit better. more women than men?
probably 70 percent of women to 30 percentmen. of course women are more geared to this, but nowadays men need to look better too.i wake up in the morning and i donãt want to look 10 years older. yeah, you look good. your skin is really good. i am a walking advertisement for myself. ido things that i think are safe, effective, reversible, predictable, and are gonna giveme results that i want. and this is the same thing i would do for my own face, iãll doit for my patients. so you do fillers. i mean you do everything. everything thatãs available in the market.
i should mention by the way, the manufacturersays that you are if not number one, one of the busiest users or number one users of thingslike restylane and radiesse and things like that. is that true? is that right? and botox. [crosstalk] depending on year to year, we are either numberone, number two. i donãt know how many ã± we are listed on the top five, i know that,for botox in the past ten years and the past ã± how important is that to the patient? i meanexperience makes you that much better obviously. of course, like everything else. if you paintthe walls, if you do it for ten years, you
become really good at it. itãs experiencethat tells me if a patient is going to have good results right off the bat. i can tellthem, ã¬you know what? you may not be a good candidate for botox or any other procedure.ã®there are patients who come in ã± 30 percent of patients who come to our practice, we turnthem away. we say, ã¬this is not the right procedure for you,ã® or the procedure thatthey came in with in their mind is not going to work for them. i have patients who comein and they want to have huge lips. i am not gonna do that. i am ã± you donãt like that look. not that i donãt like the look ã±
who likes that by the way, because i donãtknow anybody that likes that. is it the doctor? is it the patient coming in saying, ã¬thisis what i wantã®? i think in most cases, and iãve experiencedthis. in most cases, patients come in and the say, ã¬you know what? i want to have biglips.ã® now if you can be easily intimidated and manipulated by the patient as a doctor,you are going to end up going to do the treatment. so you are going to go ahead and do the treatmentand patients are now with a big lip. i donãt need that. every time i do a patient, everytime i do a treatment for a patient ã± you like it to look natural. i like it to look natural, look their absolutebest. they are going to be my walking advertisement.
iãm not going to put my signature on biglips that they look like something that walked out of a cartoon. i want people to look theirabsolute best. a lot of patients, i tell patients bring your pictures with you, and if i seethe pictures from ten years ago, then i can accurately adjust. i say, ã¬you know what?you had a little bit of fat deposit in your cheeks. this i can melt. you have a littlebit of loss of tissue here. we can fill this up. you have sun damage. we can do coolaserfor your face.ã® and all these procedures in most cases donãt take more than an houror so. can you take off ten years? did you ever hearthat? we do that all the time. everyday.
randy alvarez: people can look ten years younger. 10 years, 15 years younger. of course. lookingyounger is just a lot of the scientific. your face hasnãt changed. itãs not like the bonestructure has been taken out of your face unless you had a major disease. things thathave happened to your face have been only in micro millimeters, and we can control this.we can raise the eyebrows a little bit. non-surgically, we can raise the eyebrows. with botox? either with botox or with fillers or withlasers. we can tighten the skin. imagine if you will, a laser is similar to getting asaran wrap and put it in a microwave. we can
shrink it and tighten it to your skin. so this coolaser, help me understand how itworks. penetrates the skin. how is it tightening the skin? whatãs going on? our skin is made of collagen, elastin andother fibers. so by heating this tissue underneath the skin without causing superficial damageto your skin, your skin goes into shrinking, a shrinking mode. and all this collagen thathas become loose over the years literally shrinks and tightens your skin. the beautifulpart of it is that it is not going to over-tighten your skin. youãre not going to end up lookinglike that tight deer in the light look. itãs going to
![wrinkles]()
look very natural, and everyone who sees you is not going to be ã± no oneãs gonna tell you, ã¬niceface lift.ã® [end of audio]
wrinkles, a facelift, my advice, stick around for thelatest edition of the wellness hour. announcer: the wellness hour, an in-depth discussionwith todayãs top physicians and medical leaders. and now your host, randy alvarez.
youãre watching the wellness hour, the leaderin medical news and information. iãm randy alvarez. my first guest is dr. simon ourian.dr. ourian is the founder and medical director of epione, one of the largest cosmetic surgerycenters in america. he is here today to discuss whatãs new in minimally invasive facial rejuvenation.dr. ourian, welcome to the program. dr. simon ourian: very nice to meet you. thank you for havingme. now before we get into todayãs topic, bigtopic by the way, tell us about your center. itãs a large place in beverly hills. well, weãd like to think of it as a boutiquelarge center. although itãs large, we see
a lot of patients, but we want to make sureevery patient who walks into our office feels like they are the only person there. so fromthe moment you walk in, you are taken care of and you are taken to your room, and youãrereally treated like this is a five star hotel and five star facility. that removes a lotof the intimidation that patients may have. it can be intimidating going into a surgerycenter. everybody looks great. in many ways it is. youãre going to a placethat everybody is there to look better, and most patients donãt want to admit that theyãrethere because they want to look better, because letãs face it. nobody wants to be calleda vain person. so they come in and some people are intimidated. but the truth is we try toremove a lot of that feeling of uneasiness
by taking patients to the room and makingthem feel as comfortable as possible, and then spending a lot of time with them, a lotof questions, answer their questions, and bringing up new questions in their mind andsee what we can answer, and to make them feel better and give them all the information wecan. now your background, your training, ucla,went on to harvard medical school. tell me about it. from the beginning of my career, if you cancall it when i was ten, [laughter] i really wanted to do something that instantly couldmake changes in peopleãs lives. and cosmetic dermatology over the years became the pathfor me. i was always good with my hands. i
was artistic. i did a lot of sculptures, andover the years, i decided to take this path and spend more and more time with it. andas the lasers became more available, i find myself getting more drawn to them becausethey seem to be the future of medicine, the future of all the cosmetic procedures. and you invented one of the lasers. is thatcorrect? correct. do you have a patent? yeah, i hold the patent on the coolaser andon the coolbeam. itãs called the cool ã±
coolaser. coolaser. okay. iãll tell you a little bit about the coolaser.it is the laser that is used the most to remove fine lines, discolorations, some of the saggingof the skin, a lot of the signs of the aging that we get over the ages of 20 and 30 and40 from the sun damage, from the environment and from just aging. randy alvarez: okay. how is it different than intense pulsed lighttechnology or ipl, things like that. is it the same thing?
no, itãs not the same thing. there are manydifferent variables of lasers you can use for different treatments. you can use lasersto remove hair, to do vein removal, to treat spots on your skin, to remove wrinkles, andeach of these lasers are geared to a particular problem in your skin. coolaser came out ofa lot of frustration that i had with the lasers that were available five or six years go.we only had co2 and erbium laser and perhaps a few other lasers that really didnãt work.so all we had with these has been really, really effective, like co2 and erbium laser,but had a lot of side effects, or lasers that were not effective at all but they didnãthave side effects. so there was no merging between the two.
i worked with a lot of the manufacturers ofthe lasers to try to find out what is the laser that we can use that has the best ofboth worlds, not as much side effects as the effective lasers, and still give you the effectsthat you want. iãve worked with a lot of asians, african american, mediterranean, oliveskin, latin skin people who could not do these other lasers, the co2 lasers and the erbiumlasers, nor could they take two months out of their life to try to look better. now coolaserbasically came out of that frustration trying to make the lasers work. is it that much better than what was available? itãs a lot better, yes. [laughter] imagineif you ã±
so the results are better, much better. the results are as good, if not better thanthe older lasers, but the best part of it in my mind is there is no down time, thereãsno anesthesia, thereãs no huge pain that you used to go through from the other lasers.and the results are very effective and very natural looking. who is your typical patient? what type ofpatients are you seeing for some of the laser stuff, the coolaser? our typical patient is a person who wantsto look good. any person who wants to look better comes to our office. i think lookinggood is a very natural, very healthy, very
psychologically healthy part of the humannature. we want to look better because the very first face that we see in the morningis our own face. and we want that face to be the best one. and we remember 5, 10, 15 years ago, whenwe werenãt working this hard, when we hadnãt put our youth into working and a bad marriageand everything else and raising the children, and you remember that picture in your mind,you still look 25 years old, but your face and the mirror tells you something else. sothose are my patients who come in and they want to look a little bit better. more women than men?
probably 70 percent of women to 30 percentmen. of course women are more geared to this, but nowadays men need to look better too.i wake up in the morning and i donãt want to look 10 years older. yeah, you look good. your skin is really good. i am a walking advertisement for myself. ido things that i think are safe, effective, reversible, predictable, and are gonna giveme results that i want. and this is the same thing i would do for my own face, iãll doit for my patients. so you do fillers. i mean you do everything. everything thatãs available in the market.
i should mention by the way, the manufacturersays that you are if not number one, one of the busiest users or number one users of thingslike restylane and radiesse and things like that. is that true? is that right? and botox. [crosstalk] depending on year to year, we are either numberone, number two. i donãt know how many ã± we are listed on the top five, i know that,for botox in the past ten years and the past ã± how important is that to the patient? i meanexperience makes you that much better obviously. of course, like everything else. if you paintthe walls, if you do it for ten years, you
become really good at it. itãs experiencethat tells me if a patient is going to have good results right off the bat. i can tellthem, ã¬you know what? you may not be a good candidate for botox or any other procedure.ã®there are patients who come in ã± 30 percent of patients who come to our practice, we turnthem away. we say, ã¬this is not the right procedure for you,ã® or the procedure thatthey came in with in their mind is not going to work for them. i have patients who comein and they want to have huge lips. i am not gonna do that. i am ã± you donãt like that look. not that i donãt like the look ã±
who likes that by the way, because i donãtknow anybody that likes that. is it the doctor? is it the patient coming in saying, ã¬thisis what i wantã®? i think in most cases, and iãve experiencedthis. in most cases, patients come in and the say, ã¬you know what? i want to have biglips.ã® now if you can be easily intimidated and manipulated by the patient as a doctor,you are going to end up going to do the treatment. so you are going to go ahead and do the treatmentand patients are now with a big lip. i donãt need that. every time i do a patient, everytime i do a treatment for a patient ã± you like it to look natural. i like it to look natural, look their absolutebest. they are going to be my walking advertisement.
iãm not going to put my signature on biglips that they look like something that walked out of a cartoon. i want people to look theirabsolute best. a lot of patients, i tell patients bring your pictures with you, and if i seethe pictures from ten years ago, then i can accurately adjust. i say, ã¬you know what?you had a little bit of fat deposit in your cheeks. this i can melt. you have a littlebit of loss of tissue here. we can fill this up. you have sun damage. we can do coolaserfor your face.ã® and all these procedures in most cases donãt take more than an houror so. can you take off ten years? did you ever hearthat? we do that all the time. everyday.
randy alvarez: people can look ten years younger. 10 years, 15 years younger. of course. lookingyounger is just a lot of the scientific. your face hasnãt changed. itãs not like the bonestructure has been taken out of your face unless you had a major disease. things thathave happened to your face have been only in micro millimeters, and we can control this.we can raise the eyebrows a little bit. non-surgically, we can raise the eyebrows. with botox? either with botox or with fillers or withlasers. we can tighten the skin. imagine if you will, a laser is similar to getting asaran wrap and put it in a microwave. we can
shrink it and tighten it to your skin. so this coolaser, help me understand how itworks. penetrates the skin. how is it tightening the skin? whatãs going on? our skin is made of collagen, elastin andother fibers. so by heating this tissue underneath the skin without causing superficial damageto your skin, your skin goes into shrinking, a shrinking mode. and all this collagen thathas become loose over the years literally shrinks and tightens your skin. the beautifulpart of it is that it is not going to over-tighten your skin. youãre not going to end up lookinglike that tight deer in the light look. itãs going to
look very natural, and everyone who sees you is not going to be ã± no oneãs gonna tell you, ã¬niceface lift.ã® [end of audio]
0 Response to "wrinkles"
Post a Comment