A Treatise on Human Aesthetics
By Daryl R. Rheuark, MD, MS, FACS
Even the longest journey begins with a single step. You have made it to this website, this blog, along your own path marked by your personal experiences, loves, tragedies, searches and some luck. Your self-esteem, your view of the world and your place upon it, often depends upon how you interact with others and how others view you. You’ve decided to look honestly at yourself, your relationships, and your future and ask “where do I want to go?”
Only in the last five years have the aesthetic technologies advanced far enough to give you real rejoiceful options with a minimum of hard knocks. The past was filled with half-measures, promises and “Well, let’s see what this can do.” Yet, many of the same technologies I have used since 1996 in the operating room are new again.
Take radiofrequency energy delivery, still used in the operating room to treat lesions and excise tissue, now used in a bipolar mode by my Inmode Aesthetics Platform to tighten, brighten and firm skin and its supporting tissues all over of the body. These applicator tips have only been around since 2015.
Lasers, they have been around for decades, part of the photo facial scene (IPL) for years, attempting to resolve unwanted skin pigmentation, vascularities and tighten skin. I have used them since 1991 for their precision and control. But their precision and narrow bandwidth when treating the body aesthetic became their downfall. Many patients do not receive the resolution of skin discolorations they hope for because the energy of a laser is very specific to only a narrow band within the red to brown colors. Now you have the Inmode Xenon Pulse Lamp that can blanket the pigments that were missed before.
Toss in the myriad of fillers (Juvederm, Belotero, Restylane, and Radiesse to name a few) and neuromodulators (Xeomin, Dysport, and Botox) with your wishes and the abilities of your injector, and aesthetics gets complicated fast. The Internet, often the very first site of information for many us, is vague, baffling, and often plain wrong. There is no real scientific discussions available to you the consumer. Instead, there are a lot of hip sounding branded products and many promises. I have attended a multitude of aesthetic conferences and often find a few sales representatives who are unclear of the science and expectations of the aesthetic devices they push. Some of the products are just plain silly. But when you find a good source, you hang on to them.
Aesthetics is a process, a journey and I see myself as your guide. There are no cookbooks with recipes, one-size-fits-all methods or short-cuts. Many “Aesthetic Centers” may only push what they have on the shelves. Everyone is truly unique, not just in appearance, but wishes, concerns, needs, and worries. We embrace it and wish you success.