Tag Archives: Jeffrey Binstock

Botulinum Toxin to Treat Platysmal Neck Bands

Researchers at Johns Hopkins Medical Institution now say that botulinum toxin (e.g., Botox®, BTX-A) has replaced surgical procedures for correcting facial changes that occur later in life. These include down-turned corners of the mouth, sagging and uneven eyebrows, and bulging appearance under the eyes. Botox is also becoming popular for treating platysmal banding and improving jaw line definition.

Platysmal bands

Platysmal bands are caused by aging and thickening of two edges of the neck muscles that run up the front left and right sides of your neck mid-line, all the way to your chin.

  • Botox® Cosmetic for Neck Bands1photos of Dr. Binstock’s patients**

How botulinum toxin works

BTX-A can be used as stand-alone treatment to restore a more youthful neck contour and complement Kybella® injections for double chin. While Syringe Therapy using Botox does not tighten excess skin, Kybella can help reduce some skin excess. Neither takes the place of a surgical neck lift which is needed when there is marked skin excess.

BTX-A relaxes the target muscles by preventing release of acetylcholine, the chemical messenger that causes skeletal muscles to contract.

The response is apparent within a few days and lasts on average 3 to 6 months.

The bottom line

Improving the aging appearance of the neck is critically important in facial rejuvenation. As we get older, neck bands form, skin looseness increases, and lines in the neck to become accentuated, imparting an aged appearance.

Modest doses of BTX-A can soften the appearance of the vertical platysma bands. It’s a low-risk option for people seeking to improve their appearance.

You can learn more about your BTX-A options at Aesthetic Dermatology and Skin Cancer: Jeffrey H. Binstock M.D., here. For a consultation and more information about our approach to using botulinum toxin and Kybella to enhance your attractiveness, contact Dr. Binstock and associates Dr. Layton and S. Cullinane PA-C. Call our San Francisco office at (415) 956-8686, or in Mill Valley call (415) 383-5475.

 

Is Your Face Perfect?

Of course, not. Nobody is perfect. So, what guides do aesthetic dermatologists use in making recommendations for your facial rejuvenation?

The Golden Ratio

One tool is called PHI, divine proportion, the golden ratio, and even the Fibonacci Number. It’s based on work done by the 12th century Italian mathematician, Leonardo Fibonacci.

Fibonacci’s golden ratio is found everywhere: in nature, art, and even buildings. Architects and artists use of this ratio to create a more aesthetically beautiful design. Importantly, PHI can be used to guide treatment decisions in facial aesthetics. In fact, we at Aesthetic Dermatology and Skin Cancer: Jeffrey H. Binstock, M.D., believe in global facial rejuvenation based on PHI.

Of course, beauty is in the eye of the beholder; but in general, the closer the symmetry of a face is to the proportion 1.618, the more facially attractive you are likely to be to others.

What is your Fibonacci Number?

Determining your PHI starts by measuring the distance between the inner portion of your eyes (the intercanthal distance). This model shows the areas of the face that ideally share this distance (pink lines). Your PHI is then calculated by multiplying the distance between the eyes by 1.618, shown here as green lines.                     

The bottom line

Not perfect? Nobody is. But measuring these distances, and others, gives Dr. Binstock an essential guide to your facial rejuvenation using Fillers and Botox.

Perhaps the Beatles song says it best: “Something in the way she [or he] moves attracts me like no other lover…”

Attractiveness is about more than calculations and golden ratios. Psychologist Gordon Allport said that people have a consistency in how they express themselves. It’s found in how they walk and talk, their fitness, and even in their handwriting. People are also emotionally expressive; and those of us who spontaneously express positive emotions are likely to be more attractive to others.

As part of this overall picture, facial attractiveness can be enhanced. You can come closer to your goal through the use of well thought-out aesthetic procedures.

For a consultation and more information about our approach to using facial aesthetics to enhance your attractiveness, contact Dr. Binstock and associates Dr. Layton and S. Cullinane PA-C. Call our San Francisco office at (415) 956-8686, or in Mill Valley call (415) 383-5475.