get your sexy back

CHEST REJUVENATION

GET YOUR SEXY (CLEAVAGE) BACK!

Cleavage can be one of a woman's sexiest physical features.  Unfortunately, many factors play into the aging of our chest and cleavage areas, making this area an easy "tell" for our true age.   Danielle Smith, Miami Aesthetic Nurse Practitioner's Neck Rejuvenation is designed to reduce sagging neck and chest skin, removal wrinkle, as well as improve skin texture and color.  Depending on each patients needs, Danielle Smith NP will utilize a variety of techniques including botox, filler, and skin care to reduce wrinkles, tighten loose skin, and improve the texture and coloring of skin. 

Our chest is a sensitive area and is constantly exposed to the elements, but it is often forgotten in our daily skin care routines.  Excessive sun exposure and sun damage to skin can drastically accelerate the aging of our skin.  Additionally, continuous positions can increase the folds of our skin, combined with the loss of elasticity due to aging and you have the perfect combination for wrinkles and aged skin.  For many women who love to sleep on their sides or wear push up bras, this constant folding of our cleave skin can case deep wrinkles and folds.  If you notice these lines starting to form after you wake up in the morning, now is the time to start acting.  The longer you wait to take corrective and preventative measures, the deeper and more permanent these wrinkles will set.  Danielle Smith NP has an excellent program for helping to treat patients chest aging concerns at all stages of aging.  

WHO IS A GOOD CANDIDATE? 

Nearly anyone experiencing signs of pre-mature chest aging or advanced signed of chest aging.  Wrinkles and lines that are apparent after sleep on your side or wearing a push-up bra are the first sign. 

Women of all chest sizes may start to experience these signs of aging.  Depending on your genetics and your chest skin care will determine how quickly you start to see them. 

TREATMENT OPTIONS

Danielle Smith, Miami Aesthetic Nurse Practitioner typically uses a combination approach for Chest/Cleavage Rejuvenation.  In some cases the best way to treat chest aging is with appropriate placed dermal fillers.   Some patients also require treatment of their neck skin which may involve a combination of botox and dermal filler.  Generally in all cases a diligent skin care regime is a must!  Skin care will involve focusing on exfoliation, skin restoration, hydration and sun protection.  

Danielle Smith NP finds that her patients achieve the best results with a combination of both dermal fillers and skin care.  The amount of volume loss that you have experienced will determine the amount of volume replacement that you require.  Your specific needs and expectations will determine the course of your treatment plan. Danielle Smith NP will work with you to develop a plan that works best for you.  Plans can either include a single procedure or treatment, or a series of small volume additions.  Danielle Smith NP will also address your skin care regime with you to optimize your skin care, prevent further aging and being to restore any skin damage.

PRE PROCEDURE INSTRUCTIONS

If you are considering Hand Rejuvenation by Danielle Smith NP of Miami, Florida it can be completed at the time of your consultation.  To ensure you are ready for your appointment with Danielle Smith NP, make sure you have not consumed any Aspirin containing products prior to the procedure.  If you have to take Aspirin due to a medical condition do not stop taking it until you speak with Danielle Smith NP first.  Avoid drinking alcohol, especially red wine, 1 week prior to your procedure to help minimize any bruising.  You should bring a list of your current medications to your appointment and be prepared to provide a brief overview of your past medical history.  If you have a specific request regarding your chest/ cleavage rejuvenation, be ready to address these (ie, fine lines, sagging skin, deep folds, sun spots, or discoloration).  At the time of your appointment Danielle will discuss your treatment options with you to best accomplish your desired results while maintaining an overall aesthetic facial balance.  

POST PROCEDURE INSTRUCTIONS

Immediately after the procedure you can expect to have some mild tenderness and swelling to your neck/chest.   The tenderness and swelling will subside in a few days.  Patients who are considered easy bruisers or who take blood thinners may experience some mild bruising, these too will resolve on their own in a few days.  To speed up your recovery you can take Arnica supplements right before and for a few days after the surgery.  Danielle Smith NP has done extensive research into the affects of Arnica on the reduction of post procedure bruising, swelling, and pain and offers supplements for purchase on site if you forget to pick some up.  Danielle Smith NP recommends that you avoid touching the back of your neck/chest or manipulating it as little as possible.  You want to avoid sleeping on your side or wearing push-up bras for at least a week.  You will need to sleep lying on your back.  Avoid strenuous exercise for the rest of the day after the procedure.  You can resume your normal activities the next day, but to ensure the best results continue to avoid excessive manipulation of the neck and chest for about a week.  It is okay to use make up, moisturizer or sunscreen over that area, but try not to be too aggressive in your application.  Hylauronic Acid is a hydrophilic substance and will pull water into it, considering this it is important to keep your skin moisturized after the procedure.  You will also notice that when you eat excessively salty foods you may experience mild swelling, this is also related to the hydrophilic properties of the hyaluronic acid.  

FOLLOW UP EXPECTATIONS

Danielle Smith NP has all of her patients follow up in 2 weeks to evaluate your results and ensure that you are completely satisfied with the procedure and to take your post procedure photos.  Should touch ups be required they would be preformed at this time. 

just for him

BOTOX FOR HIM | WRINKLE ERASER

BOTOX® Cosmetic is just as helpful for men as it is for women. In fact, hundreds of thousands of Botox procedures are performed annually on men. It is effective for reducing lines and wrinkles all over the face, but the most popular areas of treatment for men are between the eyebrows and across the forehead. Men can benefit from Botox's ability to help them look relaxed and younger, whether you want to look your best for business meetings or social purposes. Even men in their 30s and 40s can have noticeable furrows from smiling, frowning and other facial movements. These lines can make you look older, sad, angry or tired.

Quick, safe and effective, BOTOX® reduces facial lines and wrinkles for up to six months with no downtime and little to no discomfort. Through a series of tiny injections, BOTOX® treatments cannot only prevent these lines from deepening, they can also erase these marks of aging, leaving you looking refreshed.

FILLER FOR HIM | SHED THE YEARS

Fillers such as BOTOX® Cosmetic, Restylane® and Juvéderm® Injectable Gel treat wrinkles and folds within targeted areas of the skin, while also restoring lost volume through simple, safe and effective injection treatments. Many patients choose fillers to improve the appearance of wrinkles within the nasolabial folds, crow's feet and furrows in the brow. These injections usually last for at least four months, depending on the type of filler and the individual patient, and can be repeated to maintain results.

FACIAL REJUVENATION FOR MEN

Over time, our skin changes as a result of aging, sun damage and several other factors, causing wrinkles, pigmentation and scarring to develop on our faces. Many patients unhappy with these changes seek cosmetic treatments to restore their appearance and maintain a beautiful, youthful and fresh face. These nonsurgical treatments safely and effectively enhance the appearance of the skin while still allowing patients to look like themselves. While aging and sun damage are the most common causes of unwanted skin changes, certain conditions can also negatively affect the appearance of the skin, such as:

·       Pollution

·       Poor diet

·       Lack of exercise

·       Smoking

·       Hormonal changes

·       Medical conditions such as acne and rosacea

·       Genetics

There are several different treatments available to help reverse or improve facial changes and allow patients to restore a refreshed, younger-looking appearance that reflects the way they feel about themselves. Many patients choose to combine one or more rejuvenation options, or to combine their treatment with plastic surgery procedures such as a facelift or brow lift to maximize results.

Danielle Smith NP will recommend the most effective treatment option(s) for you after a thorough evaluation of your skin, your medical history and your goals for treatment. Choosing an experienced doctor that you trust to perform your treatments is an important factor in achieving your desired results.

Q & A on Latisse

 1.       Putting mascara on and taking it off has got to be pretty rough on your lashes, right? 

It can definitely be rough on your lashes and cause damage. 

Some tips…

1)    Use gentle, ophthalmologist tested, and oil-free make-up removers such as Clinique Take the Day Off. It dissolves long wearing even waterproof eye make-up. It is safe to use around the eyes, and appropriate for contact lens wearers. 

a.     Another brand to try: They’re Real Remover, by Benefit. If you've ever worn their mascara, even though it isn't waterproof, it can still be a pain to remove. This formula is also safe for around the eyes, but it is a cream version, for all those who prefer not to use the liquid sister of eye make-up remover.

b.     Whichever you choose, you definitely want to use cotton rounds,

2)    And for heaven’s sake ladies, be gentle! Swipe softly in a downward stroke in order to minimize pulling out or damaging your eyelashes.

3)    You will the want to follow with a cleanser that is safe to use on and around the eyes. Try Caudalie Gentle Cleansing Milk which is gentle enough for around the eye area and will help facilitate further breakdown of eyeliner and mascara.

4)    Also if you can avoid waterproof mascara, that would be helpful.

2. There’s so much we can do to nourish our skin, but what are some things we can do for our eyelashes?

There are several lash conditioners on the market and if you think about it, lashes are hair follicles that we often neglect.  A few favorites include Chanel Beaute des Cils and Dior Diorshow Maximizer. Both can be worn as a primer under your mascara for added thickness, or what is even cooler is that they can be worn alone before bed due to their conditioning properties. Both contain a conditioning formula that fortifies and hydrates, while enhancing lash volume, density, and color.

Now if you want to grow your lashes or increase the volume, density, color and length….that will take more than a conditioner.  The best product on the market for proven lash growth is Latisse®.

3.       What are many women doing perhaps unknowingly that can damage their lashes?

Biggest mistake for eyelashes, besides aggressively rubbing the eye area, is false eyelashes and extensions. Overuse of both of these could result in ripping out the eyelashes themselves, or causing damage to the follicle which leads to them not growing back in.  The glue that is used for the application of false lashes can be the most damaging of all.  Its designed to stick to your lashes causing you to pull them out when removing them.  Steer clear if you can. 

4. Are there products (whether natural remedies or beauty store buys) that really work?

Latisse! Latisse! Latisse!

Latisse ® is an FDA approved prescription medication produced by Allergan that is approved to and indicated to grow eyelashes.  Clinical trials showed that Latisse provided patients with 106% fuller, 25% longer, and 18% darker lashes. 

5. Can you please list all of the steps (in detail) to complete the ultimate lash-care guide (including any relevant products)?

AM Routine

1)    Wash Face Gently around eyes

2)    Apply Lash conditioner such as Chanel Beaute des Cils and Dior Diorshow Maximizer

3)    Apply makeup as usual

PM Routine

1) Gently remove eye make-up with a gently with a gentle eye make-up remover & cleanse face.

-       Take a cotton round/pad and apply the eye make-up remover of choice. Gently stroke in a downward motion. Do not rub to towel dry, lightly pat with towel.

2)    Remove contacts if this applies.

3)    Apply one drop of Latisse via brush applicator to the eyelash margin on each eye. Do not put the product directly in your eye and do not apply it to the lower lids.   Blot away any excess. Dispose of the applicator and use a fresh one for each eye.

You will start seeing results after 4 weeks of consistent use with Latisse and up to 16 weeks for full results.

Q & A on botox & filler

1. What's the different between Botox and fillers? 

BOTOX® Cosmetic is designed to reduce the repetitive muscle contractions that cause frown lines, crow’s feet, and forehead wrinkles.  Lines and wrinkles caused by active movements or expressions are what we call dynamic wrinkles.

As the BOTOX® Cosmetic takes effect (about 5 to 7 days) you will notice a visible smoothing of your crow’s feet lines and frown lines between your brows.

Dermal filler is an injectable soft gel that acts as a volumizer, providing a subtle smoothing, plumping, volumizing effect as well as lifting areas of moderate to deeper folds or volume loss, such as smile lines, marionette lines, down turning smiles (oral commissures), lips and cheeks. 

2. When should someone start doing botox?

I will start by saying, everyone is different.  There are a lot of factors that play into facial aging and premature aging, including sun exposure, environment, diet, hydration, skin care and genetics.

The best time to start is when you are looking in a mirror and you make an expression to see the lines, then relax.  Are the lines still there?  Even faintly, can you see an impression of it?  That will only continue to increase with continue use and exposure.  It is much easier to do BOTOX® Cosmetic once a year on a preventative front, rather than coming in a few years down the road and having to do much more to correct.  Just like a healthy diet and exercise routine and lifestyle maintenance, it is never too late to start but the sooner the better the results will be.

3. What are the benefits of botox?

BOTOX® Cosmetic have some amazing benefits.  For aesthetic purposes BOTOX® Cosmetic can smooth out facial lines and wrinkles resulting in a younger, fresher-looking face.  When used on the frown lines which are the lines between the eyebrows, it softens them up so much resulting in a less angry look to the face.  When used on smile lines often referred to as "crows feet" it gives a slight lift or pulled look creating a younger face minus those deep lines and wrinkles you see every time you smile.  

We also use BOTOX® Cosmetic and Dysport for Hyperhydrosis (excessive underarm sweating). 

I personally undergo this treatment and it is not painful. I do not even use numbing cream. The effects are amazing.  I have nearly a 100% reduction in underarm sweating and am able to wear some of my favorite silk tops, even in the Miami summer!  The results last for just over 6 months.

BOTOX® Cosmetic to treat hyperhydrosis is a great option for those who don't want sweat stains or don't like using deodorant.  It is a very popular treatment all year round in Miami due to the high humidity and the big social scene and designer outfits.  Celebrities often go for Hyperhydrosis treatments before the red carpet events.

4. How can someone avoid that "frozen" look with botox?

Go light - if you go light though, expect it not to hold as long and may require you to come in more frequently

Or rotate the areas - don’t do all 3 at once

Also, some people like the frozen look – they prefer the stoic, poised and unnerved appearance that it can provide.  I find this more in people who are very emotionally expressive.  In the sense there is little buffer or filter between the thoughts in their head and the expression on their face.  They appreciate the veil that botox can provide.

At smith & popov we are very conservative and always prefer to provide a natural look to the face.  We focus on smoothing out the wrinkles but allow movement so it doesn't look like you have had botox.  It simply looks as if you look youthful and refreshed.  We do get some requests from our clients who want to have a "frozen" tighter and smoother look and some benefits include a more awake wide eyed look and as well as a subtle brow lift appearance.  After we spend time discussing the options we always work together to get the results our clients want without going too extreme.

5. Fillers...what do they do exactly?

Simply put, fillers fill.  They add volume where volume needs to be added, either to restore or enhance.

Volume is super important as we age because we tend to lose it in our face resulting in a hollow, drawn and droopy look.  By using dermal filler injectables you can really build the face back up to look youthful and plumped.  Aside from age prevention, fillers are amazing for those who do not have the features that they want.  We can create those features for them.  Whether it is a full, plump lip or high contoured cheekbones.  We can add volume to various areas of the face to fix almost any superficial imperfection.

6. What are your dos and dont's of fillers, especially at a young age (25-30)

In today's media and with reality shows glamourizing botox and fillers on younger girls who happen to look really good and have great results the do's are to go slow and spend time talking to the specialist to make sure that the look you are requesting is right for you.  So just because your favorite celebrity has va va voom lips it may not necessarily be the right look for you.  Be realistic with your goals and what you want to achieve.

Do: Educate yourself – this is something that we pride ourselves on at smith & popov.  We welcome questions and consultations.

Do: Keep it natural. Do things in stages and not too much at once. If someone is advising you to do more than you are comfortable with in the first treatment, you may want to get a second opinion or do more homework.

Do: Your homework on your provider.  The least or most expensive deal in town is not necessarily the best. 

In Florida you want to look for providers that are Nurse Practitioners (ARNP, NP), Physician Assistant’s (PA), Medical Doctor (MD), Doctor of Osteopathic Medicine (DO), or Dentist (DMD). 

Not all botox is created equal. 

Do: Make sure you are getting US Allergan BOTOX® Cosmetic from a verified provider.  You can check https://www.botoxcosmetic.com to make sure your provider is registered under “find a provider.

Do: Follow provider pre and post treatment instructions and follow up recommendations.

Do: Maintain your investment – take care of yourself and your skin

- use your sunscreen, wash your face, remove your make up at night, eat a balanced healthy diet, workout regularly, drinks lots of water, don’t smoke, and limit excessive alcohol.

7. How often do these procedures need to be touched up?

When first starting with a patient, I tell them to expect to come in for a touch up.  It takes building a relationship with the patient to get to know what they like and to see how the products work for them.  I much prefer to be conservative to start and then add on whatever additional is needed for a touch up.   After that, it's very infrequent.

7. Add On - What does a maintenance plan look like?

It depends on each patient and how far along they are in the aging cycle. 

If you have moderate to severe wrinkles I would recommend staying on top of your BOTOX® Cosmetic cycle with consistency at every 3 to 4 months.

When you have deeper lines that we are working to correct, I advise my patients not to wait for the wrinkles come back, but to come in when they start seeing the movement return.  Don’t wait for the lines to fully form again. That’s how we stay ahead of them. 

If you are more of a preventative case, you can get away with doing BOTOX® Cosmetic once every 6 months to a year.

8. Is there a way to get these done without looking "fake" going for a more natural look?

Absolutely, it is all about finding the right provider who values that natural look as well.  It is always best to start low and go slow.  Dip your toe in, try it out, add it on slowly.  You can always ask to see your provider’s “before and after” photos to get a sense of their injecting style.

Keep it to 1 to 2 syringes per treatment with filler then go back after the product has settled.

Danielle Smith’s philosophy is to be conservative and natural.  We are committed to giving our clients the results they want.  We work with first timers, individuals on a budget and those high profile "perfectionists" who have very little down time and rely on the natural look for their careers.  There is simply no rush.  Starting slow and evaluating as you go is the way we work.  We create relationships with our patients where they have access to us 24/7 if needed and at smith & popov we only offer private one on one appointments where we spend time educating and discussing options.

9. How to decide if either of these are right for you.

The best way is to inform yourself.  Go and visit your provider.  At smith & popov we are big on educating our patients.  We offer complementary consultations and welcome the questions.  We want our patients to understand exactly what they are looking for and what their options are.  If someone is uncertain or hesitant, I will give them a list of educational resources or other referrals to help them gain more information and knowledge.

baby botox

Call it the Millennial makeover — and many believe it’s becoming scary. The past two to three years have seen an explosion in the popularity of noninvasive cosmetic procedures — with the Millennial and Baby Boomer generations now flocking to clinics in almost equal measure.

It’s a major shift in the space, which was once almost exclusively focused on Baby Boomers and even their parents looking to reverse the effects of Mother Nature (not that they can be totally reversed). Now patients from their early 30s to even their 20s and, yes, teens (at least when it comes to lip injections — think the plump-lipped Kylie Jenner) are rushing to doctors to get ahead of the effects of gravitational pull before they become too noticeable. And for the more mature crowd where gravity has started to take its toll, Ultherapy (micro-focused ultrasound that lifts and tightens skin), light-based therapies (IPL, or intense pulse light) and laser treatments claim to have gotten so advanced that, in conjunction with dermal fillers, they reportedly can stave off facelifts for up to a decade, if not altogether.  The reason for all this upsurge? Pop culture and social media. It is the selfie generation, after all. 

WWD Are the Kardashians, millennials seeking to look young causing cosmetic procedures boom? by Rachel Strugatz WWD Mar 31 2016. 

extra extra

Danielle Smith NP is a Master Injector who specialized in custom techniques focusing on balance, symmetry and combined products to create optimal results.  

“Injecting is my specialty.  It’s what I do.”

Additional Filler Options

Danielle Smith NP can create a custom program to smooth out and plump lines and wrinkles to refine skin texture and create a younger, fresher, rejuvenated look.

Deep Line Diminisher

Danielle Smith NP utilizes all the various FDA approved Injectable to fill deep lines and depressions for a smoother, softer and more refined skin texture.

Nooks & Crannies

Everyone has flaws and imperfections, whether its uneven lips, one brow higher than the other, or loss of volume in various areas of the face. Danielle Smith NP is trained to look at balance and symmetry to create a flawless, perfect-looking face.  Whatever your concerns – smoothing out or filling in for a refreshed look – our specialist can recommend the best treatment to get you feeling more confident, beautiful and rejuvenated.

Phase it Up

A work of Art takes time.  While you do see instant results after the first treatment, some people like to start conservative and build up to a desired look.  Danielle Smith NP can design a treatment plan based on your beauty goals to get the best result and look over time. 

he can do it too

All for Men

More and more men are opting for Botox and Dermal Fillers and are taking advantage of aesthetic services to give them a natural refreshed youthful look without looking like they have had any work done.  At smith & popov we call this the Timeless Technique which keeps you from looking like you are aging or getting old.  Danielle Smith NP offers Complementary Consultations so that she can discuss and address and of your aesthetic concerns and what we can fix.

Botox Services

• Bro-Tox
• Mad Men aka The 11’s – the frown lines between brows
• Hot-Tox – Brow raising and wrinkle smoothing

Dermal Filler

• Chiseled and Sculpted Contour
• Chiseled and sculpted jaw line – creating strong and defined features
• Nasolabial folds to soften creases
• Sagging corners of the mouth
• Kybella for double chin – instantly melts fat with just a few injections
• Smile lines
• Chin Wrinkles
• Marionette Lines

fill 'er up

Danielle Smith NP uses only FDA approved products to enhance and restore facial aesthetics, as well as prevent signs of aging.  Danielle Smith NP specialized in a unique technique to create flawless results through an artistic approach with a trained eye to focus on balance and symmetry and combined materials to enhance the best results.

Danielle Smith NP educates and discusses all options, concerns and desires ranging from safety to results, to pricing through her complementary consultations.

What can fillers do?

• Increase volume for a fuller pout

• Replace volume that has been lost over the years

• Smooth out and even boarders of the lips

• Smooth out surface and textures such as lines and wrinkles

• Lift the corners of the lips to avoid the droopiness and sagginess

Nasolabial folds aka smile lines

The deep creases running from either side of the nose down towards the corners of the mouth, known as “smile lines”, are created by repeated movement of the mouth.  Over time these folds get deeper and can make you look older than you are.  Filler adds volume to the skin reducing the appearance of nasolabial fold creases. Danielle Smith NP uses a technique to combine both a thicker and a thinner filler to smooth deep creases and superficial “smile lines” for the most perfect, natural looking result.

Oral Commissures aka down turned smile

The area at the corner of the mouth where the upper lip meets the lower lip is called the oral commissure.  Gradual depression of this area occurs as we age making our smile look more like a frown.  Fillers are a quick fix creating natural volume and lift for a very impactful difference.  Danielle Smith NP may also recommend adding filler in the upper check for subtle, additional lift.

Contour that won’t wash off aka Cheek Contour & Lift – Waterproof Contour

If you want model cheekbones, a thinner contoured face, a lift, or to restores the volume you once had, this is the best filler treatment to achieve that younger, fresher, glowing face.  Danielle Smith NP uses various techniques to achieve the perfect cheek contour – natural or dramatic. 

lip service

Its all about LIP rejuvenation! The lips are the most exciting part of the face.  There are so many styles and ways to sculpt and design lips. There are two reasons for doing lip filler: To restore what you once had or to create something you’ve never had before.

Lip Menu

Smooth Smile: this is for a surface texture only with little to no volume to smooth out the lines on the lips and around the mouth to create a silky texture with a subtle gloss look to the lips.

Designed to hydrate and soften the lip texture.

Lip Lift

It is very common as we grow older that gravity brings down the corners of the mouth creating a droopy, jowly effect.  This is an easy fix that makes a huge difference in the appearance by injecting filler in strategic areas around the corners of the lips aka the oral commissures.

 Lip Contour

Defined and prominent lip boarder.  Fill in and naturally create a beautiful lip border, contour and shape filling in lines and wrinkles on uneven lips for balance and symmetry for a beautiful youthful appearance.  This is great for patients whose lipstick bleeds into the lines outside of the lips.

Bring it Back

As we age, we lose lip volume and the lips become thinner and more shriveled.  This treatment restores the healthy lip volume and smoothness that is youthful and natural looking.

Perfect Proportion

Create perfect balance between the volume in the upper and lower lip and symmetry for a perfectly balanced pout.

XL Voluptous

Sculpting is my specialty and for those who desire gorgeous bee-stung lips that are full and vivacious, Danielle Smith NP can create and build the ultimate sexy pout.

Cute Cupids

Naturally over time, the double arch shape of the upper lip flattens making the peaks less defined.  By enhancing the cupids bow area with filler, you can restore definition, beautiful fullness and sexiness that you once had.

Custom tailored

Danielle Smith NP is a specialist who approaches lips with an artistic approach, she is trained to look at the balance and symmetry of the face and each feature.  She can customize the perfect lip look that suits your style and look from the most conservative to the ultimate Va Va Voom.   Let Danielle tailor you PERFECT lips!

Lip Flare

Rich Ridges – philtrum columns – the ridges connecting the upper lip to the nose offering a beautiful curve to the upper lip can flatten and loose defintion.  Danielle has a cutting edge technique to restore this beautiful contour and redefine your pout. 

all about that boo-tox

Miami Aesthetic Nurse Practitioner Danielle Smith uses Botox Cosmetic for wrinkle elimination in areas such as crows feet, between the eyes - glabella (aka the 11's), smoker-lines or lip wrinkles, laugh lines, neck wrinkles (bands) and many others.  Danielle Smith NP will also use botox to decrease the contractility of certain facial muscles in order to “open” specific areas.  The best example is using botox injections to open the eyes.  Click here to read more about eyelid rejuvenation.  

Crows Feet

Eyes are the windows to the soul and often the first place to show signs of aging.  Botox Cosmetic is used around the eye to smooth out and soften both superficial and deep lines; creating a youthful, refreshed and rejuvenated appearance.

Frown Lines

The vertical lines and grooves between the eye brows can create a constant angry look.  Botox Cosmetic is used to target and relax muscle activity in this area to visibly smooth the lines resulting in a younger, softer-looking appearance.

Forehead lines

With constant movement and facial expressions, such as raising our eyebrows, we tend to form lines and wrinkles on our forehead.  Botox Cosmetic relaxes muscle activity to smooth out lines and wrinkles for a more lifted, refreshed look.

Bunny Lines

Bunny Lines are winkles that form at the sides and top of the nose when you smile, laugh, scrunch and squint.  Botox Cosmetic is a quick fix to subtly soften, smooth and prevent these lines from becoming deeper. 

Brow Lift

Danielle Smith NP uses Botox Cosmetic to target the muscle that depresses the brows relaxing them in an uplifted part of the face for a more vibrant and rejuvenated overall look. 

It's never too late!

It's never too late to start using Botox to reverse and prevent the signs of aging. Reverse the signs of aging by eliminating wrinkles and fine lines on the forehead, around the eyes or between the brows.  Millennials – be proactive and prevent wrinkles from occurring, lift brows and open eyes.  Danielle uses these wrinkle erasers to lift, tighten, smooth and create symmetry for the perfect, flawless look. 

my wrinkles

Fun Fact ▪️I used to require 70units of botox to tame this forehead and frown lines. It took me 2 years of injecting 70 units of botox every 4months to get it under control. Now I simply maintain with 15-20units every 4months. ▪️Can you believe I was 21 in this photo? ▪️
I often get asked, "When is a good time to start doing botox?" Most people would think 21 is way too young to start until you see this forehead... Each patient is different, but my general rule is 1) if you make the expression and then relax, can you see the lines at rest? If yes, (even faintly)... it's time. ▪️Without botox the lines will only continue to set and get deeper. Which then requires more units, and more time to correct them. 2) sooner is always better than later. ▪️even if it's once, or once a year, the smallest amount of botox prevention can make a huge difference. ▪️The GOAL 🥅: to be able to use the least amount of botox overtime. By starting early, we can stay in prevention phase longer and then maintain with less. I like to call this ▪️BABY BOTOX ▪️it optimizes movement and expression while suppressing wrinkles and lines to give the most natural results possible. ▪️▪️▪️get the magic @smithand_co

sculptra

Youthful skin starts within

Sculptra® Aesthetic works subtly and gradually over time for a more youthful-looking appearance. Unlike hyaluronic acid (HA) fillers, Sculptra Aesthetic helps stimulate your skin’s own natural collagen production to help restore its inner structure and increase facial volume that has been lost to aging.1-3Sculptra Aesthetic is intended for use in people with healthy immune systems as a one-time treatment regimen of up to four injection sessions that are scheduled about three weeks apart.

Collagen by the numbers

Collagen is a key structural component of smooth, healthy-looking skin. As you age, your body’s collagen production decreases. In fact, you lose about 1% of collagen per year after the age of 18.5 This is when you may start to notice the formation of wrinkles. Luckily, Sculptra Aesthetic can help, even if decades of collagen loss have already occurred.

YOU LOSE ABOUT 1% OF COLLAGEN PER YEAR AFTER THE AGE OF 18.5

Collagen Is the Key

The not-so-secret cause of facial aging

One of the primary reasons for visible facial aging is loss ofcollagen, a fibrous protein in the deep dermis that givesstructure to skin and supports the functions of elastin andhyaluronic acid (HA). Elastin is an elastic protein that

maintains skin shape, while HA cushions and lubricates to keep the skin hydrated. More collagen enables the presence of more elastin and HA.

Main Modalities to Fight Aging

Resurfacing

Chemical peels, microdermabrasion and laser resurfacing modify the surface of the skin to correct visible signs of sun damage, such as fine lines, irregular pigmentation and blemishes.

Injectables

Toxins, traditional fillers (hyaluronic acid) and collagen stimulators are injected into facial areas to reduce the appearance of lines and wrinkles and restore facial contours.

Surgery

A wide range of surgical procedures exist, like liposuction, face-lifts and fat transfers, which are used to remove excess fat, lift severely sagging skin or fill facial hollows. These are the most invasive types of treatment.

secret of aging

Research has shown that Aging Skin is very similar to that of wounded skin.  As skin ages the structural function of the different layers beings to weaken and breakdown causing a loss in elasticity and volume which leads to the sagging, wrinkled appearance of aged and damaged skin.  The bedrock of our skin is in the vascular supply, young skin with strong capillaries is apply to provide a consistent supply of nutrients and oxygen to the dermis.  The vascular supply is also removing the toxins and oxidative stress from our skin that is accumulated through environmental exposure such as poor diet, sun damage, smog and other chemicals.  The dermis is responsible for housing and producing our collagen, elastin, and hyaluronic acid.  These are the powerhouse of youthful, taught, full skin.  As we age the production and quality of these proteins declines resulting in a weaker and less effective variation.  The most superficial layer of skin, the Epidermis, is known for its high cellular vitality providing our skin with that sustained glow and radiance.  As we age the loss of cellular vitality and slower cell turn over due to a lack of nutrients, and accumulation of toxins dulls our natural glow.  Have you ever noticed how a baby’s skin glows?  That is because the skin cells of an infant are as effective as they will ever be, full of nutrients, good blood supply and free from environmental stressors and toxins. 

So what is the secret to restoring our skin vitality? Feed it! Eliminate the toxins and environmental stressors and provide it with the nutrients it needs to thrive and regenerate.  PSP - the proprietary technology harnessed in NeoCutis Skin Care, are Human Growth Factors designed to directly stimulate our own collagen and elastin through fibroblast function.  Read more about PSP here.