Cosmetic Surgery Highlights

What is a Quick Lift?

2011-04-09T10:07:00.002-04:00

The QuickLift™ is a revolutionary procedure that
tightens skin in the lower portion of the face and neck.
This outpatient procedure delivers impressive results
similar to traditional facelifts, with a lower likelihood of
complications and a quicker recovery. The QuickLift™
offers significant age-diminishing effects, with minimal
downtime and lasting results.
The QuickLift™ is designed for men and women
between the ages of 40 and 65-plus who want to stay
ahead of the aging process. At these ages, most individuals
lose elasticity in their skin and develop varying degrees of
looseness along the jowl line and beneath the chin. Unlike
procedures with similar names, and most mini facelifts
that tighten only the skin, the QuickLift™ permanently
suspends the underlying structures of the lower face,
offering men and women the benefit of a more youthful
appearance for years to come.
The QuickLift™ is more affordable than the traditional
facelift, making it accessible to a wide audience looking to
stay ahead of the aging process. Although the downtime
associated with the QuickLift™ will vary from patient to
patient, the procedure often is called a weekend facelift
because some people have the procedure performed on a
Friday and are back to work by Monday or Tuesday. The
results obtained with the QuickLift™ are predictable and
natural, sometimes erasing 10 or 15 years from a person’s
appearance. Unlike the conventional facelift, which results
in a pulled-back appearance, the QuickLift™ offers very
natural-looking results.
Although the QuickLift™ can provide significant
aesthetic improvement, after any facial procedure, the
normal aging process resumes. Lifestyle choices, bone
structure, skin type, sun exposure and heredity all play a
part in determining how long the desired result will last.
The QuickLift™ does not stop the aging process, but it
does turn it back about 10 years.

Review Top Cosmetic Procedure at Accents by Mark Berkowitz, MD

2010-11-21T16:06:00.004-05:00

2010 has been a phenomenal year for the clients of Accents Cosmetic Surgery in Sterling Heights, Michigan.

The top 5 non-surgical procedures:

1) Dysport and Botox Cosmetic: Dysport has moved up strong against Botox Cosmetic. Just like some prefer Coke and others Pepsi, the same rivalry has come about for these muscle relaxing injections. Many of our clients have moved to Dysport. They feel that it works faster and lasts longer. An honorable mention goes to Zytase which can be used prior to either injection to help the results be more effective.

2)Fillers: There has been an ongoing race between Restylane, Radiesse, and Juvederm. The addition of lidocaine to Restylane and Juvederm has increased their popularity. Each filler has its calling for different areas of the face. Sculptra is still very popular for overall volume facial enhancement. Coming up quick is Naturalfill; that is, using your own body fat to fill your face.

3)Mixto Laser Fractional Skin Resurfacing: Ever since we brought this CO2 technology from Italy, it has been an instant client pleaser. Smoothing skin; improving pore size; diminishing acne scars; reducing wrinkles; removing sun damage with minimal downtime.

4)Thermage: After close to a decade this non-surgical face lift and body tightening procedure is wonderful for those who require no down time. My patients who want additional skin benefits combine it with Mixto for my premier UPLIFT.

5)Latisse; Although this is more a product than a procedure, it deserves recognition. This product flies off the shelf like candy or the Wii game during Christmas. Longer, thicker, darker more beautiful lashes in just a few weeks.

Top 5 Surgical Procedures at Accents:

All of the surgical procedures are performed at SCM (Surgical Center of Michigan); a fully accredited operating room. Safety and a sterile environment are very important to me.

1)Laser Eyelid Surgery: Clients have traveled from from both far and near, internationally as well, for my laser eyelid lift. With this procedure I reduce the heaviness of the upper eyelids while I contour the "bags" of the lower eyelids. I have to admit I love performing this procedure. My patients heal faster than scalpel techniques and the laser skin rejuvenation works beautifully to smooth the skin. Eyebrow lifts and forehead lifts are used by many to further enhance the eyelid procedures.

2)Face Lift: I am constantly perfecting my face lift techniques. I am very much oriented to each detail of this (and all my procedures). I am very excited to announce that starting immediately I have added the Quicklift to my face lift protocol. This procedure is performed for most in less time than a standard face lift, with less risk and faster healing time. My clients can even to choose to have it performed under local anesthesia alone.

3)Co2 laser skin resufacing; Traditional laser resurfacing still remains popular after 15 years at Accents. This procedure, compared to Mixto, is performed in the operating room. It is used to greatly diminish wrinkles and sun damage while tightening the skin.

More exciting updates in coming months.

Mark Berkowitz, MD Review :Top 5 Cosmetic Procedures

2010-01-27T22:57:00.004-05:00

Top 5 Cosmetic Procedures at Accents Cosmetic Surgery in 2009 were:

1 Laser Eyelid Surgery

2.Cosmetic Botox and Dysport

3. Facial Fillers : Lip Augmentation, Restylane, Radiesse, Juvederm, Sculptra

4. Laser Skin Resurfacing; Mixto Co2 Fractional Laser

5. Thermage Non Surgical Face Lift

A review of Accents Cosmetic Surgery for 2009 revealed these top 5 procedures. Mark Berkowitz, MD of Sterling Heights, Michigan predicts the popularity of these procedures will increase in 2010.

Beautician Poses As A Cosmetic Surgeon

2008-10-18T21:44:00.002-04:00

The National Bureau of Investigation has filed charges against a beautician allegedly responsible for a botched cosmetic operation on a man who suffered infection reportedly from silicone injections.

Now this occurred in the Philippines but do not think that it cannot happen here in the United States. I am amazed daily when I meet clients who have gone elsewhere and come to me with complaints. Some have gone to a well known cosmetic surgeon's office only to have injections performed by someone else. Who? The client has no idea nor do they ask! Others have gone into an office where they never meet the doctor or the doctor's specialty has nothing to do with cosmetic work. So can this occur in the United States? You bet! Before you have that procedure ask: Who are you and what are your qualifications to perform this procedure?

Wrinkle-rexia Story about Botox Overusage is Rediculous

2008-10-14T09:48:00.003-04:00

A medical group out of UK has created a non-story about Botox. Any procedure can have its devotees and its abusers. The same is true for Botox. Cosmetic Botox is safe for the reduction of facial wrinkles. People can become obsessed with any procedure. It is up to the cosmetic or plastic surgeon to educate the patient on the proper treatment. At Accents Cosmetic Surgery and Medical Spa in Sterling Heights , Michigan, I (Mark N Berkowitz, MD) meet with each individual client to discuss their needs and direct them to the proper procedure. Medical spas and surgeons' offices are not cookie cutter places. The physician should be able to individualize each client's treatment. This means at times directed patients away from treatments that will not give them benefit.

www.AccentsCosmeticSurgery.com Located in Sterling Heights, Michigan Macomb County is suburban Detroit

Detroit Cosmetic Surgeon Questions Senator Biden's Botox Usage

2008-10-07T15:18:00.004-04:00

Anyone who watched the Vice Presidential Debate cannot deny that Senator Biden's middle forehead had minimal movement. This can be accomplished through Allergan's Botox Cosmetic as well as some other surgical and non- surgical procedures. Senator Biden did have movement of his crow's feet which is another popular place for placement of Botulinum toxin. If he did have the injection he may have chose the glabellar lines ( 11 lines between the brow) so it did not appear as if he was angry or questioning Govenor Sarah Palin.

Botox Cosmetic is a purified protein thati is used too temporally relax muscles. It only takes 5 minutes for this minimally invasive procedure that can make you look younger and refreshed. During these tough economic times it is a small investment that can bring you month's of happiness!

Saving the economy, one face-lift at a time

2008-09-11T10:47:00.001-04:00

Can a $5,000 investment boost your likelihood to find a job, earn more money, or make people drawn to you? Studies show the answer is positive. Read this article written in a sarcastic tone and you will see that people perform cosmetic surgery for more than vanity!

Want a Face Lift? Quit Smoking First

2008-08-14T07:43:00.002-04:00

Anyone familiar with my practice knows that I have been testing patients for cigarette smoking prior to and after face lift surgery for years. My patients sign a release that they will stop smoking. This is for their best interest. Smokers are much more likely to have side effects from face lift surgery. This is especially true for the skin flap that is created. This flap may get less blood flow in a smoker and cause it not to heal well.

5 Minute Hand Rejuvenation with Radiesse

2008-07-30T09:18:00.002-04:00

This is a 5 minute procedure to rejuvenate the hands. It is painless fast and effective. The before picture (top) was taken 5 minutes prior to the after( bottom). The results will further improve over the coming weeks. I will post the video of this procedure on YOU TUBE in a few days.

Question About Facial Scars From Acne

2008-07-30T09:12:00.002-04:00

A young woman Chicago, Illinois with facial scars resulting from acne asks: I have some relatively deep scars on my face and have been told that a micro fractional laser skin resurfacing CO2 procedure would help. I am wondering how much it costs for only one treatment. Could you please keep me informed?

Dr. Mark Berkowitz, Medical Director of Accents Cosmetic Surgery and Medical Spa in Sterling Heights, Michigan, responds: The scars you describe as relatively deep may possibly be smoothed with laser resurfacing. Without seeing the scars it is hard to say, however. Fractional resurfacing is not as aggressive as traditional resurfacing and for most patients with fine lines or discoloration, 1 fractional treatment may be adequate. Scarring is an entirely different issue and is less likely to be improved with a single fractional session... more likely several sessions spaced 6 weeks apart. A traditional CO2 laser peel (performed under anesthesia and requiring up to 2 weeks of healing before you can even wear make-up) would likely take just 1 treatment. That stated, neither treatment would "iron" out the skin and get rid of 100% of the scars. Most patients with acne scarring are thrilled with a change that normally ranges 30 - 70 % improvement. Anyone that suggests a single fractional peel will work is likely to disappoint you so please ask to see photos of patients with similar concerns to yours.

African Americans Show Facial Aging In Eyes Earlier Than Caucasians

2008-05-07T13:49:00.000-04:00

African Americans Show Facial Aging In Eyes Earlier Than Caucasians

I recently came across an article I found interesting – which is why it is now appearing on my blog. The article, published in March's Plastic and Reconstructive Surgery® (PRS), the official medical journal of the American Society of Plastic Surgeons (ASPS), explains the value of paying particular attention to ethic characteristics. It states: While it is no secret African Americans' skin may keep its youthful appearance longer than other ethnicities, many people don't know African Americans show facial aging in the outer corner of the eyes earlier than Caucasians and this requires extra attention to maintain their ethnic integrity.

"African Americans have a slight slant to their eyes, much like Asians do but not as pronounced," said Julius Few, MD, ASPS Member Surgeon and study co-author. "During aging, we found not only do the outer corners of the eyes of African Americans droop lower than Caucasians, they also droop sooner."

In the study, the median eye slant for African American women aged 45 years or younger was 3 degrees and decreased to 1 degree for those older than 45. The median eye slant in Caucasian women aged 45 years or younger was 1.3 degrees and decreased to 0 for those older than 45. While the forehead and eyebrow areas of Caucasian women tend to drop a decade earlier than African American women, the aging effects to the outer corner of the eye is exactly opposite.

With aging, the outer corner of the eye droops down, making under-eye bags more noticeable, lower lids looser and aging more evident. During an eye lift, if the outer corner is not raised up enough to recreate the slant, many African American patients will feel their ethnically unique features have been changed.

"On top of honoring their ethnic uniqueness, one of the biggest concerns African American women have is their tendency to show scars," said Dr. Few. "By going through the inside of the lower eyelid and hiding a small scar in the upper eyelid crease during a lift, the scarring will not be visible."

I have been performing eyelid surgery in this fashion for more than a decade and can assure you that patients of all ethnic backgrounds appreciate hidden cosmetic surgery scars!

Have you heard about DOTS?

2008-05-07T13:47:00.000-04:00

Have you heard about DOTS?

DOT therapy is all the rage in aesthetic journals thanks to some savvy public relation experts. DOT, short for Dermal Optical Thermolysis, is the brand-name for SmartXide, an FDA-cleared fractional laser resurfacing procedure.

It works much like the MIXTO fractional laser facial I offer at my Sterling Heights medical spa, ACCENTS. This technology precisely delivers CO2 laser energy to targeted areas on the face, neck, chest – and can even be used to rejuvenate aging hands.

Both DOT and MIXTO place a pattern of tiny, micro-sized dots to speed healing and reduce downtime by leaving some of the skin untreated. The dots stimulate new collagen growth to:

Reduce sun damage
Blend blemishes and dark spots
Smooth rough, uneven skin texture
Control signs of aging
Fade acne scarring
Soften laugh lines, crow’s feet and wrinkles

Unlike traditional CO2 laser resurfacing, MIXTO laser facials are quite tolerable and most patients do not need any type of anesthesia or topical numbing prior to treatment. After treatment, most people report feeling a sun-burned sensation and say there skin feels tight. Their skin also has a dot-covered appearance and may be darker or redder than normal for a few days following each session. MIXTO treatments can safely be repeated about 6 weeks apart. Each additional session should yield even nicer changes in skin texture and tone.

At ACCENTS, we have been watching this type of fractional laser technology for awhile. In late 2007, we introduced MIXTO to our patients. Shortly after this, WebMD declared fractional laser peels to likely be the most popular skin rejuvenation procedure for 2008. Our patients love these treatments and we are thrilled that more and more celebrities and beauty buzz-makers are learning about our secret beauty booster.

Comparing apples to oranges? Price shopping for plastic surgery proves tricky.

2008-04-07T14:38:00.001-04:00

Comparing apples to oranges? Price shopping for plastic surgery proves tricky.

As you may be noticing, cosmetic plastic surgery is truly not just for the rich and famous anymore – and with today’s financing options it becomes easy to see how just about anyone can afford a facelift, Botox, laser peels, breast implants, and any other procedure surgery available.

However, when price shopping, make sure you understand that a low price may equate to substandard service, poor quality materials or other corners being cut. A lower price may also simply mean you aren’t comparing apples to apples.

Surgeons concerned with quality, safety, and minimizing your risk will likely perform surgery in a surgical environment… not in an exam room with less than sterile surroundings. The cost of surgery will vary based on your needs and the complexity of your desired procedure. The cost is also comprised of different elements, including:

Surgeon’s Fee – which will vary based upon the complexity of your case and the length of time your case will take.
Facility Fees – whether your surgeon prefers a hospital surgical suite or a free-standing, outpatient surgical center, the surgical staff expects to be paid for their work and the facility for its space – which may cost $600-900 per hour.
Anesthesia Fees – when a licensed professional is contracted to administer anesthesia, just like the facility staff, he or she expects to be paid – which may be $200-350 per hour.
Material Fees – though all procedures require a certain amount of suturing materials, medications, dressings and other standard materials, some procedures require “extras” like implants, cosmetic fillers, and non-standard materials that may be billed separately.

Your surgeon may ask you to pay each of these individually or combined but be aware that somebody will be asking you for the money they have earned. It’s only logical… and it’s only fair… but some practices may not tell you about these other fees and you’re sure to get a surprise either on the day of surgery or shortly after when you get a bill by mail.

Is there really such a thing as SCARLESS cosmetic surgery? Is Scar-LESS an acceptable option?

2008-04-07T14:35:00.003-04:00

Is there really such a thing as SCARLESS cosmetic surgery? Is Scar-LESS an acceptable option?

In recent years, many of us have accepted that an eyelift or facelift could be the right procedure for our aging faces… but with so many readily available options has it become acceptable to have tell-tale cosmetic surgery scars?

If I were among the millions of Americans who want to look years younger without publicly advertising their little beauty secrets to the world, one of my first concerns would be having highly visible scars in front of my ears or along the lower eyelash line.

My next concern would probably be the price difference between a well-hidden, skillfully placed incision and the ½ inch slash some surgeons make in front of the ear. Understandably there is a significant trade off.

While I can’t claim to perform “scarless” surgery, I can assure you that incisions I place inside of the ear, mouth or eyelid, and within the hairline will be far more attractive in comparison to more standard techniques. Even your hairdresser will have difficulty figuring out your secret!

If you weren’t concerned about your appearance you wouldn’t be considering cosmetic enhancement… so why do I see so many unsightly scars from botched surgeries performed elsewhere? And, why do I find myself asking why seemingly intelligent people make such poor decisions? Do your homework – PLEASE!

Detroit Cosmetic Surgeon Offers Lip Tips You’ll Love

2008-02-27T00:33:00.003-05:00

Luscious Lips Improve Valentine Celebrations
Detroit Cosmetic Surgeon Offers Lip Tips You’ll Love

(Sterling Heights, MI – February 6, 2008) With Valentine's Day just around the corner, Dr. Mark Berkowitz, Medical Director of Accents Cosmetic Surgery and Medical Spa, is just in time to prepare pouty lips and transform thin lips for a special Valentine’s Day. Berkowitz has just released a free, fact-filled report, entitled: Lip Tips You’ll Love – an in-depth review of today’s lip enhancing options sure to dispel common myths and leave Detroiter’s smiling seductively.

“This information is going to be incredibly valuable to women of all ages,” explains Berkowitz. “Thin lips or wrinkles surrounding the mouth leave my female patients feeling insecure. Even with great skin and flawless make-up, thin, wrinkled lips can’t be disguised. Rarely does a day pass without addressing this concern,” Berkowitz adds. A live treatment can be viewed on youtube.com – just search for Mark Berkowitz.

Cathy Stramaglia, one of Berkowitz’s medical aestheticians, knows the value of plumper lips first hand. She recently had Restylane placed by Dr. Berkowitz in her lips and is pleased to report that even a month later she loves applying lipstick and lip liner every morning. Cathy feels more self-confident since her quick, in-office treatment and would without reservation recommend this procedure to any woman feeling remotely inhibited by their less than sultry lips.

With so many options available to create a plump, seductive smile, Lip Tips You’ll Love, explains surgical lip augmentation, cosmetic injections and more. Maria Orlando, another of Berkowitz’s medical aestheticians, also contributed to this guide to beautiful lips with tips for lip health, make-up application, and choosing the right products.

Free copies of Lip Tips You’ll Love are available. Anyone who would like a copy may request it by phone: (586) 254-7692 or may download it from Berkowitz's website: www.OneHourLift.com/lips.

Berkowitz has been injecting lip-plumping fillers for nearly a decade and welcomes the opportunity to educate Detroiters interested in enhancing social interactions limited by frown lines, smokers lips or looking old. Being both knowledgeable and entertaining, Berkowitz interviews well and welcomes questions from the media, listeners and readers alike. His interviews have been featured in The Detroit Free Press, The Macomb Daily, on Today's Health and on WDIV.

Dr. Jan Adams Speaks on Larry King About Kanye West's Mother's Death

2008-01-24T08:00:00.000-05:00

By clicking on the link above you can watch the video. One of the many interesting things about this video is the doctor speaks about himself in the third person essentially removing himself from the story. I never understand when someone speaks about themselves and does not use I or me....very interesting. The one point that is reality that Dr. Jan makes is that not all plastic surgeons are confident cosmetic surgeons. Unfortunately the public is told that you should only seek a board certified plastic surgeon for cosmetic surgery. This statement is made by the governing body of the plastic surgeons. As Dr. Jan points out just because you trained in a plastic surgery residency does not mean that you have ever performed Cosmetic procedures like face lifts. The patients who came to plastic surgeons do not want their faces and bodies trained upon by residents and fellows. There are excellent cosmetic surgeons who are plastic surgeons but there are as many, if not more, excellent surgeons who are Ocular plastic surgeons, ENT- facial, Dermatologic surgeons as well. Board certification in any of these specialties is very important but not the only factor. Please read my earlier blog for more relevant questions.

Cosmetic Surgery Clinics Using Hard -Sell Tactics

2008-01-09T10:39:00.000-05:00

This has been a progressively worsening problem. Clients are going into centers for "fast" face lifts or permanent hair removal and being sold packages by staff that know nothing about the procedures. In some clinics clients NEVER even meet the doctor. I guess patients feel comfortable because they saw it on TV, and if it is on TV it must be good. Right? Unfortunately the is not always true. There are many "cookie cutter" clinics out there where everyone gets the same procedure regardless of their needs.

Always meet with the physician.

Always see before and after pictures.

Always ask if these pictures are the doctors own pictures. Yes some doctors do not show their own pictures.

Always ask about the doctor's training, especially in the procedure that you have chosen.

Always ask about board certification. Find out by what board: Ophthalmology, Dermatology, ENT, Ob/ Gyn. Plastic, Emergency, Family Practice, etc.

Do Not Assume that just because a physician is board certified in Plastic Surgery that they are competent in Cosmetic Surgery.

Do Not Assume that you physician will be the only one performing your procedure. There may be residents, fellows, visiting physicians.

You need to do your homework. Ask your neighbors, your family doctor, others in the reception area. Check out the doctor's website.

If it doesn't feel right then don't sign on the dotted line.

5 Top Procedures Sure To Erase 10 Years

2007-12-15T08:39:00.000-05:00

Besides this blog, my website (www.AccentsCosmeticSurgery.com) I have been posting information at other sites. Click on the title above and you will be brought to squidoo.com. At my site there, http://www.squidoo.com/10daysequals10years , you can watch videos but also there are great before and afters that I have transformed over the past few years. Take a look.

All I want for Christmas is a shot of Paralyzing toxins in my forehead

2007-12-12T13:36:00.000-05:00

Botox is a great gift! But it is not a paralyzing toxin. It is a purified protein that relaxes those squeezing muscles. this allows the muscles to relax and then you get get rid of those worry lines. Click on the link above to read this holiday story.

Beautiful New Cheeks in 15 minutes At Michigan Medical Spa

2007-12-06T21:46:00.000-05:00

This lovely lady had underwent one of those heavily advertised "quickie lifts" but still noted a sunken midface, cheeks. In 15 minutes I used Radiesse to lift her cheeks and sculpt her jawline. The 1st and 3rd pictures are the "befores" and the afters are under each one. Come on in , so my staff and I can discuss which procedures would be best for you.

Michigan Medical Spa Offers VIP Membership

2007-11-28T12:34:00.000-05:00

[Sterling Heights, Michigan – November 29, 2007] Accents Cosmetic Surgery & Medical Spa in Sterling Heights, Michigan has become the first Detroit-based Medical Spa to offer an exclusive VIP membership program. Dozens of men and women have already signed up and committed to caring for their skin and addressing their cosmetic flaws in 2008. The beauty of this program is that it allows Michiganders to enjoy the benefits of a medical spa at a tremendous savings unlike any other in the country.

“We’re hoping this local success story is a sign of improving consumer confidence,” explains Dr. Mark Berkowitz, Medical Director of Accents. “As businesses struggle all around us and our neighbors move away, we all become anxious. We know our clients are budgeting and planning... often foregoing vacations to have a Thermage treatment and some Botox,” he adds.

“When we introduced the VIP program we knew we could make our patients’ lives a little easier. By sitting down with my patient care coordinators and me to develop next year’s treatment plan, we were able to save our patients thousands of dollars in most cases. This is the only program of its kind where patients pay less than wholesale for Botox Cosmetic.” explains Berkowitz.

Berkowitz also explains that his membership program further secures his future. “Though business has been steady, our membership program ensures success for 2008. We have patients signed up for procedures and treatments well into June. By treating these patients well, we’re sure to continue growing by leaps and bounds. The program is clearly a win-win for all of us,” states Berkowitz.

Cosmetic Botox injection Video from Dr. Berkowitz at Accents Cosmetic Surgery in Michigan

2007-11-24T22:23:00.000-05:00

Click on the above title link and watch a client have a botox injection to diminish her glabella lines (wrinkles between the brows).

Mxto CO2 Fractional Laser First Use in Detroit Michigan Suburb

2007-11-24T20:13:00.000-05:00

Click on the link above to watch my performance of the Mixto CO2 Fractional Resurfacing. I am the first doctor ever to perform this procedure in Michigan. Look through this blog and you will be able to see some early results. These clients needed no anesthesia and healed with minimum downtime.

Restylane, Radiesse Create a Liquid Face Lift in Michigan

2007-11-01T15:43:00.000-04:00

This beautiful Detroit Woman was unhappy with the sagging that has occurred to her cheeks and jawline. She also desired a more luscious lip. I provided her with a liquid face lift using Restylane and Radiesse. These pictures are taken 30 minutes apart!

Fractional Laser Is Used in Michigan Spa to Rejuvenate Hands

2007-10-13T15:21:00.000-04:00

I have been having such great results with the Fractional technology that I have now started to utilize it to rejuvenate hands. No anesthesia is necessary. The skin gently flakes for a few days after the procedure. Patients have no discomfort. This is the greatest. the pictures above are only one week apart. In this case we used the Mixto fractional laser but this can also be accomplished with Fraxel, Activefx, Scition profractional, and Alma Pixel.

Detroit Medical Spa Offers Fractional Laser Resurfacing Breakthrough

2007-09-28T21:06:00.000-04:00

The past few weeks has been great at Accents. We are all happy to see Maria back after the birth of her first child. During the time Maria was away Cathy has been busy helping me make patients younger ever day. As many of you know we are always exploring the BEST technology for our beloved clients. The latest technology we have brought to the forefront is FRACTIONAL LASER technology. Those of you who have known me over the past decade ++ know that I LOVE laser resurfacing. There is nothing better than getting rid of all those brown spots, wrinkles and tightening up the facial skin. The results are wonderful BUT there is a lot of downtime. With fractional lasers like Scitons' Profractional, Alma's Pixel, Reliant Fraxel, Lumenis Active FX and Mixto, clients have very little downtime. Most are back in make-up in 2-3 days. Above are pictures of patients 1 week after the procedure. It is amazing how .good their skin looks and feels.

Patients Seeking Cosmetic Injectables Should Weigh Training and Qualifications Over Convenience

2007-09-14T10:37:00.000-04:00

(Click on title to read full article)
NOW THIS IS WHAT I HAVE BEEN TALKING ABOUT!

It amazes me that people are willing to trust their face to anybody. They go to a doctor's office or a spa and someone walks in a sticks a needle in their face and they have no idea who that person is. Is it the doctor? I s he trained? Is it a nurse? A technician? A physician's assistant?

You must ask! It is your right. Do not go by price alone. The least expensive may not be the best.

Investigational New Drug Application For "Fat Melting" Injections Cleared By The FDA

2007-09-11T22:41:00.000-04:00

Mesotherapy has been scrutinized been some and hailed as a better than liposuction by others. The key ingredients appear to be phosphatidylcholine and deoxycholate. Lipodissolve is a proprietary mixture used by physicians for the past few years. It is about time that the FDA investigate if this is safe and effective for patients.

Routine Vision Testing Results in Growing Number of Eye Lifts

2007-09-10T20:13:00.001-04:00

Routine Vision Testing Results in Growing Number of Eye Lifts

Reading glasses, cataracts, and glaucoma are typical problems seen by eye doctors around the world as people age, but I regularly see a problem that appears on the outside of the eyes. The eyelids and brow begins to sag as gravity sets – a problem I have treated for more than a decade with a cosmetic surgery, not covered by insurance. However, a growing number of patients are having insurance cover the procedure to repair drooping eyelids because this excess, sagging skin is impairing their vision.

As we age, the elastic tissue around the eyes begins to lose its springy, rubber band-like quality. This allows pockets of fat to form, giving the appearance of puffy eyes. What’s more, the skin around the eyes stretches out, and muscles weaken – which causes fat to accumulate, giving eyes their droopy and saggy appearance.

If this happened overnight, patients would come in frantic that their peripheral vision was gone. But, like everything else with age, this change is gradual. Patients often don’t realize they have a medical concern until they talk to a specialist, like me - a fellowship-trained Ocular Plastic and Reconstructive Surgeon. This correction is a functional surgery, not just a cosmetic surgery, if their visual field is affected.

A routine visual field test helps determine when sagging eyelids become a medical issue. This quick, painless test shows doctors how much of a patients visual field is blocked and then repeated, with the sagging tissue held out of the way, to illustrate how much vision may be restored following surgery.

Most insurance companies, including Medicare, will cover the testing. Experienced doctors can interpret the visual field results and understand insurance criteria to determine what degree of improvement may be gained and when insurance will likely pay for the procedure. The procedure, definitively, continues gaining popularity as a medical issue.

I am a uniquely qualified cosmetic surgeon - one of only 18 others in Michigan with his certifications and expertise. As a fellowship-trained cosmetic surgeon, I specialize in laser eyelid rejuvenation and revision procedures to correct less than desirable outcomes of other surgeons. For more than fifteen years, I have successfully transformed my patient’s visions of beauty into reality by sculpting sagging skin, redefining drooping jowls, renewing facial contours, and improving the appearance of aging, sun damaged and flawed skin.

What are people thinking? Cosmetic Disasters Await Tourists!

2007-08-31T08:56:00.000-04:00

This is your face, your body , your eyes. Being in Michigan I have seen it for years people crossing the border for Lasik. Why? because it is cheaper. But what happens when problems occur? Your insurance doesn't cover you in another country. Those bills add up quickly to fix errors that occur elsewhere. Cheaper care is not usually better care!

Finally a spa treatment that you can rely on…

2007-08-27T10:45:00.000-04:00

Finally a spa treatment that you can rely on…

For years, skin care products have touted the benefits of topical collagen – though not until now did this make sense! Javani™ collagen-infusion treatments are the first skin hydrating products available that deliver micronized, intact collagen that absorbs into the skin. The collagen remains in the skin, drawing in and holding moisture. Skin is loaded with moisture, fine lines diminished and texture smoothed and softened.

All natural, alcohol free and sure to not leave an oily residue on skin, Javani™ products can be used where maximum hydration of the skin is necessary. Javani™ products are also ideal following skin rejuvenating medispa treatments where moisture is lost from the process.

At ACCENTS, we offer Javani™ treatments as follows:

1- Javani UltraFacial: following a skin and spirit rejuvenating corrective facial, Javani gel is ultrasonically massaged into the skin to make fine lines disappear, improve skin texture and to add a soft, healthy glow.

2- Javani MicroFacial: hydrating the skin after a Microdermabrasion or chemical peel prevents dryness and roughness caused by the treatment and replenishes moisture lost to chemicals used to peel away dead skin cells.

3- Laser Skin Resurfacing: Pre-hydrating the treated areas assists the removal process and prevents excessive moisture loss caused by laser energy.

Unique Benefits:

Minimize the appearance of fine lines and wrinkles without the need for injectables – also reduces the signs of photoaging, including poor skin tone, rough texture, and dryness.
Javani can work with injectables or sub-dermal implants to erase the appearance of fine lines and wrinkles.
Javani is made of natural substances that are easy to recognize and are compatible with the human body. No other collagen-based product contains as much natural, micronized, intact collagen as Javani products.
Results are immediate and long-lasting with simple maintenance.
Javani can work in combination therapy with existing dermatological processes to treat a wide range of dermatological issues.

Botox to stop sweating?

2007-08-25T19:18:00.001-04:00

Botox to stop sweating?

Severe underarm sweating is a medical condition known as severe primary axillary hyperhidrosis, which involves overactive sweat glands. Sweat is your body's temperature regulator. In severe primary axillary hyperhidrosis, sweating significantly exceeds the body's normal requirements for cooling. This embarassing condition often effects young woman - like 17-year old Amanda of Macomb County, who d espite a surplus of remedies (including prescription-strength anti-perspirant) was unable to get adequate relief and continued to grow self-conscious.

Before visiting me, Dr. Mark Berkowitz the Medical Director of Accents Cosmetic Surgery and Medical Spa, Amanda had exhausted both the Internet and medical community looking for a solution. "I wanted to find a safe option and didn't want to worry about being embarrassed by something like wet spots on my clothing. It's hard enough with all the normal worries teenagers have," she explains.

Botox was the solution for Amanda. This extremely diluted and safe variation of the botulinum tonxin blocks the chemical signals from nerves that stimulate the sweat glands. Botox is able to stop sever seating with just a single treatment for about 6 months! And, Amanda isn't my only satisfied patient - we have patients from as far away as Kalamazoo and Mt. Pleasant that visit twice each year and no longer worry about excess perspiration.

Clinical studies show:

Patients treated with Botox are far more likely to achieve an effective response than those not treated. 57 out of 104 Botox treated patients achieved an effective response – compared to only 6 out of 108 treated without Botox - that's 55% vs. only 6%.
Patients treated with Botox are far more likely to achieve a great reduction in sweating compared to the number of patients who benefit from other agents. 84 out of 104 Botox treated patients (81%) achieved a greater than 50% reduction in sweating – compared to only 44 out of 108 treated with other agents (41%).

Within just a few weeks of a single, quick, in-office Botox treatment, patients are likely to notice a significant reduction in underarm sweating. The effects of Botox will gradually wear off. It is not a cure – but excess sweating is likely to be quashed for about 6 months before re-treatment may be needed. Botox for excess underarm perspiration is often a covered insurance benefit – and, Allergan (the manufacturer of Botox) does offer assistance to those without insurance or are able to demonstrate financial need. My insurance liaison's available to verify benefits.

Men Embrace Botox Restylane Fotofacials in Detroit

2007-08-14T21:27:00.000-04:00

Michigan has been hit very hard by lay offs, unemployment and a weakening job market. This has not stopped both women and men from embracing minimally invasive procedures at Accents Medical Spa in Sterling Heights, Michigan. Dr. Berkowitz has noted an increase in both sexes requesting minimally invasive procedures like Botox Cosmetic, Restylane, and Fotofacials. In order to keep up with the job market and compete with new college graduates more men and women are seeking "no down time" procedures. Dr. Berkowitz, a board certified physician who is fellowship trained, is one of only a handful of physicians who performs the injections himself.

Clients enjoy the fact that Dr. Berkowitz cares enough about their outcome that he personally performs the injections. Dr. Berkowitz appreciates the fact that his clients do not always have a full week or two of down time nor do they want anyone to know that they have had a rejuvenating procedure. Dr. Berkowitz's goal is a natural change that makes patients look refreshed and not plastic.

Michigan Patients Thrilled by Sculptra

2007-08-11T17:20:00.000-04:00

Dr. Berkowitz, the medical director, of Accents Medical Spa in Sterling Heights, Michigan has successfully been using Sculptra to rejuvenate his patients. Like an artist he is able to use this long lasting filler to sculpt new cheeks, eyelids, jawlines, and lips. Word of mouth is spreading throuhgout Detroit suburbs about his Liquid Face Lift. Dr. Berkowitz has been using fillers like Sculptra, Restylane and Radiesse and Botox Cosmetic for over 13 years and is one of the most experienced injectors nationally. Dr. Berkowitz performs all of the injections himself unlike other spas where it may not be performed by the doctor.

What It Does

Sculptra® is an injectable product that restores and corrects the signs of facial fat loss by replacing lost volume. Sculptra® provides an increase in skin thickness, helping to create a more natural facial appearance in those with facial lipoatrophy.

Sculptra® is composed of poly-L-lactic acid, a synthetic material. Sculptra® is not made from human or animal sources and does not require a skin test. Poly-L-lactic acid (PLLA) is a biocompatible (does not harm the body), biodegradable (able to be broken down by the body) material that has been widely used for many years in surgical products. The effects are long-lasting; they were shown in a clinical study to last for up to 2 years after the first treatment session.

Accents Cosmetic Medical Spa First in Michigan to Apply Syneron Fractional Matrix

2007-08-11T17:09:00.000-04:00

I am thrilled to be the first doctor in Michigan and one of only a handful throughout the United States to use Syneron's latest fractional technology. It is the third part of our no-downtime Fotofacial procedure. Our patients have been thrilled by the results. This technology is responsible for lessening wrinkles around the mouth and eyes without any downtime

Fractional Skin Treatment

A New Revolution in Fractional Aesthetics

Offer your patients the Ultimate Non-Ablative Fractional Solution

Only the Matrix IR™ elōs™ fractional applicator combines Fractional Optical Energy with Bi-Polar Radio Frequency (RF) to produce deep dermal heating to effectively treat wrinkles. Powered by elōs Technology, Matrix IR Fractional Treatment delivers industry-leading results that your patients will love.

"The Matrix IR is a powerful tool for wrinkles - one of the most difficult problems for aesthetic treatment. With the Matrix IR applicator, we are able to achieve deep, predictable dermatological results."
~ Vince Afsahi, M.D.

How it works

The Matrix IR applicator uses a proprietary synergy of light and conducted Bi-Polar RF to create the deep thermal heating needed to both shrink and generate new collagen while protecting the epidermis.

Combining the deep penetration of a diode laser and RF with intense epidermal cooling allows thermal energies to penetrate deeper into the dermis. This creates a unique thermal profile that is optimal for effective wrinkle treatment yet gentle to the epidermis.

Selective heating within matrix thermal bands allows surrounding tissue to remain undamaged. This fractional tissue-sparing promotes quicker healing and minimizes downtime.

Fig. 1 Fig. 2 Fig. 3
Contact is made with Matrix Diode Laser The intersection of energies
skin and cooling begins pre-heats target creates thermal bands

deep in the dermis

elōs Increased Safety & Satisfaction

Safe and effective industry-leading medical aesthetic technology
Significantly less energy required compared to conventional lasers and IPLs
Features Active Dermal Monitoring™ and electrode contact check

elōs advantages translate to enhanced patient comfort, convenience, & satisfaction

for most patients.

Cosmetic Eyelid Surgery and Lasik

2007-08-07T17:27:00.000-04:00

As an Oculofacial Specialist I am often asked which procedure should be performed first, laser eyelid (lift) surgery or LASIK (vision enhancement). Many times patients will have Lasik see themselves more clearly and then recognize that their eyelids have become tired and baggy looking!

It can truly be performed in any order but the timing changes depending upon which you have first. If you have laser eyelid surgery (blepharoplasty) first, I would have you wait a minimum of 6 weeks prior to LASIK. If you have LASIK first I would have you wait 6 months before the eyelid surgery. This is because the LASIK changes your cornea(the clear part of your eye) and pressure on it by shields that protect the eye could have an impact on your cornea early on. Also LASIK can change your tear production and I want to make sure this is normal and healthy prior to surgery. Unfortunately many general and facial plastic surgeons do not check patients' tear production prior to surgery. This simple test, Schirmer test, can have a big impact on your happiness after eyelid surgery. For if you have low tear production more conservative eyelid surgery or no surgery at all should be performed.

Dr. Berkowitz First Doctor in Michigan Using Syneron Matrix Fractional Technology

2007-08-05T15:44:00.001-04:00

How it works

Selective heating within matrix thermal bands allows surrounding tissue to remain undamaged. This fractional tissue-sparing promotes quicker healing and minimizes downtime.

Fig. 1 Fig. 2 Fig. 3
Contact is made with Matrix Diode Laser The intersection of energies
skin and cooling begins pre-heats target creates thermal bands

deep in the dermis

elōs Increased Safety & Satisfaction

Safe and effective industry-leading medical aesthetic technology
Significantly less energy required compared to conventional lasers and IPLs
Features Active Dermal Monitoring™ and electrode contact check

elōs advantages translate to enhanced patient comfort, convenience, & satisfaction

2007-08-04T23:14:00.000-04:00

Accents' Patients Thrilled by Original Fotofacial Procedure

2007-08-04T10:12:00.000-04:00

What is the FotoFacial RF Pro^® treatment?

FotoFacial RF Pro^® treatments are full face, neck, hands or body treatments using Intense Pulsed Light (IPL), Infrared (IR), Laser and/or Radiofrequency (RF) energy combined in the same pulse. These gentle, no-downtime treatments are used to improve the cosmetic appearance of the face, neck or body. The original FotoFacial^® procedure brings together the best of aesthetic dermatologic skin care and cosmetic plastic surgery into one non-invasive procedure. The FotoFacial^® procedure has increased in popularity and recognition to the point where it is now one of the most commonly performed cosmetic procedures in North America. The procedure has been featured in Allure, Cosmopolitan, In Style, Vogue, USA today, and numerous national and regional TV shows such as the TODAY Show and Extreme Makeover. Many Hollywood stars and TV personalities rave about the FotoFacial^® and credit this procedure for the renewed health and vitality in their skin. The FotoFacial RF Pro^® is the next generation in high-tech skin enhancement.

This procedure has spread by word of mouth. Our patients are sending in their friend daily. If you would like to try a complimentary Refirme treatment contact Hillary 586-254-7692.

Staring Down Father Time

2006-09-09T22:49:00.000-04:00

This article gives a good overview of what is happening in the cosmetic marketplace in 2006. As an Ocular Plastic Surgeon I especially like the last paragraph! "Ask how many times he does the procedure you're having done. If you're interested in an eyelid lift, for instance, choose someone who concentrates much of his or her practice in that area, not someone who only does them occasionally."

American Granny to have Face lift in China

2006-09-05T10:20:00.000-04:00

American Granny to have Face lift in China
What are people thinking? I understand wanting to save money but traveling all the way to China to have a face lift, that I cannot comprehend. With the expense of the flight and hotel she will more than likely spend more than if she had the surgery here. This is a procedure that needs followup with your physician. What if something goes wrong; she has a complication or a cardiac problem? Her USA medical insurance will not cover her expenses.

Lawmaker wants limits on Plastic Surgery

2006-09-04T09:59:00.000-04:00

Lawmaker Wants Limits on Plastic Surgery
Why is it that everyone wants to decide what is right for others? A premier in Australia wishes to restrict citizens less than 18 from having procedures. Can we no longer can trust the wishes of the patient guided by the parent and the physician? The lawmaker wishes all under 18 to undergo psychiatric counseling prior to surgery. There are many who are over 18 for which this would be worthwhile as well!

2006-09-03T16:28:00.000-04:00

Hello and Welcome to Cosmetic Surgery Highlights. I am Mark Berkowitz, MD. I am a Fellow of the American Academy of Cosmetic Surgery and American Society of Ophthalmic Plastic and Reconstructive Surgeons. I am a Board Certified Ophthalmologist. This forum will be used to discuss the latest Cosmetic Surgery highlights.

In reading this column, you agree, that this information is for your enjoyment and never takes the place of a consultation with your doctor. The opinions set forth are my own and may not be true for your own situation. I will not be giving medical advice.

To find out more about my services, please visit my website at www.AccentsCosmeticSurgery.com