Why It’s Best to Get Laser Work Done During Winter

While other aesthetic procedures and topical products can enhance your skin appearance, there’s no replacement for laser and light treatments when it comes to addressing more pronounced skin texture and tone issues. These therapies clear up and even out your skin in a way you can’t get out of a bottle. Fractional laser treatments are one of the most popular options for skin rejuvenation because they deliver tiny columns of heat to the skin that encourage collagen growth and speed up cell turnover. The fractional laser resurfacing treatments with Pixel® from our Philadelphia-area team give you smoother, clearer, and more youthful skin. If you have been thinking of having laser resurfacing to give your skin a complete makeover, we advise trying it out during the winter months, for a variety of reasons:

Lasers Need Time to Work

Although you’ll notice some improvement to your skin just after a laser resurfacing treatment, results are progressive, and patients can expect the optimal appearance to develop around two to three months later. During this time, the skin is able to fully heal while new collagen and elastin are produced to improve the structure.

The gradual improvements look more natural and subtle rather than making it obvious that you’ve had “work done.” With that said, if you’re hoping to be able to flaunt your new, glowing skin by spring, it’s better to start early. You may also need to have several treatment sessions to get your desired results.

More Time to Recover

Patents usually need a few days off to recover because their skin will be sensitive and red after a laser treatment. The long weekends and time off during the holidays give you more opportunities to heal at home.

Colder Weather Is Ideal for Lasers

After a laser treatment, your skin is very sensitive to heat and especially prone to developing hyperpigmentation and irritations. Try to limit your sun exposure as much as possible. We spend more time covered up in bulky clothes indoors during winter, and the sun’s rays aren’t as strong, so you can take advantage of this and treat yourself to a rejuvenating laser treatment.

Read to try out Pixel®? Dr. Timothy Greco and the rest of the team can get you started. Talk to us about the procedure by calling (610) 664-8830, or submit a contact form to see us for an appointment.

A Beginner’s Guide to Thread Lifts

Many patients are ready for something that gives a more dramatic result for sagging skin than injectable facial fillers, but still aren’t ready for a complete facelift or other facial surgery as yet. Our specialists in minimally invasive procedures from the Philadelphia area office of Dr. Timothy Greco use Silhouette InstaLift to give patients a more youthful and energized appearance without surgery. The results are visible right away, and the new contours last for up to two years. Continue reading to learn about how thread lifts work!

Once we lose collagen, fat, and bone from the face, we often discover that our facial contours no longer look as sharp as they once did. Thinning skin may begin to sag around the lower face area. Injectable wrinkle treatments can only do so much for loose skin when we reach this stage, and fillers are mainly designed to address moderate to severe wrinkles as opposed to more advanced sagging and skin folds.

Silhouette InstaLift repositions and lifts lax skin around the central and lower part of the face by introducing absorbable threads below the surface of the skin. These threads are lined with tiny, barb-like cones that attach to the under surface of the skin and pull it upward, supporting its structure. This treatment gives an additional lift to the jawline and cheek areas as the threads continue to stimulate collagen production in the underlying layers of skin to give it a tighter appearance over the following months.

Some of the major advantages associated with having a thread lift are that as it is minimally invasive, only local anesthesia is used, there is very little recovery time needed, and side effects are minimal. The results will be noticeable as soon as the treatment is over, and they will progressively improve for up to 12 months as your skin builds more collagen.

If you’re interested in having a facial rejuvenation treatment for the New Year, check out our special on thread lifts: Enjoy $400 per thread (originally valued at $600) when you book a consultation for a thread lift before Jan. 31, 2021!

Want to learn more about what to expect from minimally invasive procedures? Our Philadelphia-area team can answer any questions you might have about a thread lift or other cosmetic treatments. Call (610) 664-8830, or submit a contact form to request an appointment with us.

What Causes Laugh Lines, and How Do Fillers Smooth Them Out?

For some people, laugh lines symbolize joy and happiness. For others, these pronounced creases that extend from the sides of the nose to the corners of the mouth and along the inner cheeks are no laughing matter. These lines are often one of the first telltale signs of aging to appear, and they can make you look tired or unhappy—even when you’re not. These indentations—technically called nasolabial folds—are a perfectly normal and harmless feature that are present on almost everyone’s faces starting from early childhood. The exception is newborn babies and people with certain medical conditions. The folds become more noticeable over time due to aging, smoking, weight fluctuations, chronic sun damage, and the impact of gravity. When this happens, you’ll need a filler like JUVÉDERM® from our Bala Cynwyd-based cosmetic team to reverse this particular sign of aging.

Your skin makes less collagen and elastin as you age, so it naturally becomes more lax around the lower face. Loosening skin and years of facial expressions cause laugh lines to be most visible when you’re smiling or laughing, and the repetitive muscle action involved in these expressions usually makes them deeper. The secret to turning back the clock and addressing these wrinkles is restoring the volume that your skin has lost by physically filling in the empty space below the surface. Fillers can be used as an alternative to a surgical facelift for restoring your contours, though the results will not be nearly as dramatic as with surgery.

JUVÉDERM® contains a synthetic form of the organic hyaluronic acid your skin uses to maintain fullness and hydration by pulling in water from the deeper layers and the surrounding tissues. The soft, smooth gel makes the skin firmer, plumper, and more luminous. The filler isn’t injected into the folds themselves, but rather the surrounding areas so that the gel flows into the gaps where it’s needed. The goal is to soften the lines, but still leave some small, natural-looking creases so that your face doesn’t look over-filled or swollen and unnatural.

Talk to our team at Dr. Timothy M. Greco’s office for more advice on reducing facial wrinkles like laugh lines with JUVÉDERM®. Call us at (610) 664-8830, or write us a message to talk more about your goals.

Which Facial Areas Are Appropriate for Off-Label BOTOX®?

BOTOX® is a powerful microbial toxin that has a long history of use for both cosmetic and therapeutic applications. Since the early 2000s, when it was approved for glabellar lines, this breakthrough injection treatment has become the gold standard for diminishing hyperfunctional facial wrinkles. Basically, the injectable causes isolated muscles to relax, keeping wrinkles at bay. Specifically, when injected into particular facial muscles, it temporarily stops the activity that causes wrinkles to appear. It works by blocking the release of the neurotransmitter that initiates muscle contractions. Although Dr. Timothy Greco uses BOTOX® at his Bala Cynwyd practice for three FDA-approved applications (crow’s feet, glabellar lines, and forehead lines), experienced physicians like Dr. Greco also use their clinical judgment to inject it for other uses. Dr. Greco just published a chapter in a medical text as the lead author on the use of BOTOX® throughout the face and neck, Complications in the Minimally Invasive Facial Rejuvenation. Because the treatment is so versatile, physicians are constantly finding new applications for it.

The term “off-label” simply means that the medicine is used for a condition that has not been officially studied or approved for specific uses by the FDA. This is a perfectly safe and common way of using injectables. It’s up to the physician and patient’s discretion to determine whether the off-label use is the right choice in a given case.

BOTOX® is most often used off-label on the following areas:


Sometimes referred to as “Browtox,” the injectable can be used on the eyebrow area to lift and reshape brows, creating a brighter, fresher look.

Bunny Lines

The movements of facial muscles when you scrunch up your nose can cause diagonal wrinkles at the sides of the upper bridge, known as bunny lines. BOTOX® can smooth these out.

Gummy Smiles

BOTOX® relaxes certain overactive muscles so that the upper lip can unfurl, creating a more balanced smile that does not reveal as much gum show.

Lip Lines

Vertical lines around the mouth, which develop due to habitually pursed lips, can fade if the muscles are allowed to rest.

Marionette Lines

These are vertical lines that extend from the downturned corners of the mouth to the chin.

Dimpled Chin

A dimpled or “cobblestone” chin with an orange peel texture (peua d’orange) often occurs when the mentalis muscle is overactive, causing the skin to crease up because of the movement of the muscles below it. BOTOX® gives Philadelphia-area patients a youthful and refreshed-looking appearance by softening wrinkles and improving facial symmetry. Get more advice on this injectable and other cosmetic procedures available from Dr. Timothy Greco’s practice. Call us at (610) 664-8830 to learn more, or submit a contact form to request a consultation.