Kybella.....Get rid of your double chin!

According to a 2015 ASDS survey, 67% of aesthetically-oriented consumers are bothered by under-the-chin fullness, or double chin.* Feeling the same? Schedule a visit with Dr. Trussell today and talk with her about KYBELLA® (deoxycholic acid). Get rid of your double chin! 501-228-6237

*American Society for Dermatologic Surgery 2015 Consumer Survey on Cosmetic Dermatologic Procedures (N=7,315); Exact survey language was, "How bothered are you by excess fat under the chin/neck?

KYBELLA® (deoxycholic acid) injection is the first and only FDA-approved injectable treatment that contours and improves the appearance of submental fullness, sometimes referred to as “double chin”

The active ingredient in KYBELLA® is deoxycholic acid, a naturally-occurring molecule in the body that aids in the breakdown and absorption of dietary fat.

When injected into the fat beneath your chin, KYBELLA® causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat.

Dr. Trussell will help you decide how many treatments you need. Usually 2-3 are needed. Once the desired aesthetic response is achieved with KYBELLA®, retreatment is not expected.  Call for your appointment with Dr. Trussell today!.....501-228-6237

Kybella.....$600/vial

#kybella #doublechin #submentalfat #permanentfatremoval

Sculptra Aesthetic........The Secret to Youthful Looking Skin

Sculptra Aesthetic is a type of facial injectable made from poly-L-lactic acid, which helps to replace lost collagen. It helps correct shallow to deep facial wrinkles, and folds that appear with aging, by replacing lost collagen. The main ingredient is a biocompatible, biodegradable synthetic material that has been used by physicians for decades.
 

Sculptra Aesthetic works within the deep dermis.

Within the deep dermis, your skin's structure is reinforced as Sculptra Aesthetic helps to replace lost collagen. This reinforced collagen structure provides a foundation that gradually restores the look of fullness of your shallow to deep facial wrinkles and folds that has been depleted over time. The result? Sculptra Aesthetic is different because it gradually and subtly corrects these facial wrinkles. This can provide a refined, more youthful looking appearance that can last more than two years.

On average, three injection sessions are needed over a period of a few months. The number of injection sessions and the number of injections per session vary from person to person as well as the areas of your face I inject it. 4 to 5 vials over three sessions is average. And if you are looking for a compliment to Ultherapy treatments....Sculptra is your answer!  Call us today to schedule your appointment with Dr. Trussell.....501-228-6237

Sculptra $700/vial (discounts for 4 or more vials)

#sculptra  #collagen #antiaging

Ultherapy......for a non-invasive facelift!

Ultherapy is the only FDA-cleared procedure to non-invasively lift the eyebrow, neck and under-chin. 

Now, FDA-cleared to improve décolletage lines and wrinkles!

Ultherapy harnesses the power of ultrasound to transform the brow, chin, neck and chest. Ultrasound, of course, has been used safely throughout the medical field for more than 50 years—and Ultherapy has been established as safe and effective in clinical studies and in more than 350,000 treatments worldwide. 

Ultherapy relies on ultrasound therapy to deliver its deep collagen-boosting treatment. It also incorporates traditional ultrasound imaging, which allows Dr. Trussell to see the layers of tissue she is treating, ensuring the treatment energy is delivered to where it will be most beneficial. 

Ultherapy around the mouth

Ultherapy of the lower face

Full face Ultherapy

These are just a few before and after pictures, and as you can see we get dramatic results. These results last 2-3 years depending on your age, whether or not you smoke, and general overall health. Price is based on the area(s) you choose to treat.

Lower face.......$2500

Lower face and neck.......$3500

Brow lift.......$750

We can customize the areas you want treated as well as the price, so give us a call today and schedule your appointment with Dr. Trussell.......501-228-6237

Our Newest Filler.......Restylane

It's a part of life—our skin changes as we age. It becomes thinner, loses fat, and no longer looks as plump and smooth as it once did. And how your skin ages will depend on a variety of factors including your lifestyle, diet, heredity, and personal habits. But the Restylane family of products may be able to help.

WHAT HAPPENS AS WE AGE?

1. Hyaluronic acid is a naturally occurring substance in your skin that helps provide fullness and elasticity

2. Hyaluronic acid diminishes as we age, causing skin to lose volume, while increasing the chances for wrinkles and folds to appear

WHAT CAN YOU DO TO HELP COMBAT THE SIGNS OF AGING?

The good news is that you can do something about it, with help from a product in the Restylane family to reveal a younger-looking you.

Products in the Restylane family are used to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Restylane, Restylane-L®, andRestylane® Silk are also the first and only FDA-approved products for lip enhancement in patients over 21 years. Dr. Trussell loves the look of Restylane Lyft in her cheeks to replace lost volume. The nice thing about the Restylane family is that you can achieve a very natural look, not overdone or "fake" looking.

Restylane Silk in the lips

Restylane Lyft....$600/syringe

Restylane -L.......$600/syringe

Restylane Silk.....$600/syringe

Call for your appointment today with Dr. Trussell....501-228-6237

#restylane

January Newsletter and Specials

Each month I send out a short newlsetter with new info and specials. If you would like to be added, sign up below. Click on the arrow above to read this month's newsletter!

Why doesn't anyone believe I have a thyroid problem?!?!

I get that question all the time. Most health care providers check a T4  and a TSH. If they fall within the lab's normal range, you're told you are normal. But there is more to it than that. There are other labs; there are "optimal levels" vs. "normal levels" and your thyroid function is tied to the rest of your endocrine system, especially your adrenal glands. I'll go through some of these things below.

TSH (thyroid stimulating hormone), which is produced in your pituitary, is not the most sensitive test. Free T3 is the best clue. There are also thyroid antibodies to be checked, T4, RT3, etc.  But labs have to be clinically correlated with the patient. How a patient feels is the best indicator of what's going on.

Free T3 is the active hormone. T4 is a pro hormone. T4 must convert to the active T3 hormone. T3 is needed for fat loss. It protects against arrhythmias. T3 decreases with stress and aggressive dieting and with heart disease and congestive heart failure.

Synthroid (generic is levothyroxine) is a commonly used medication for hypothyroidism (underactive thyroid). It contains only T4.  Replacing T3 + T4 provides many people a better quality of life, because many factors decrease T4 to T3 conversion including: dieting and stress, zinc, selenium and iodine deficiency, and certain drugs such as amiodarone, beta blockers and dilantin.
 

If you're reading this blog, you probably already KNOW the symptoms of hypothyroidism. But common ones are shown above. There are multiple causes of hypothyroidism. Secondary hypothyroidism is caused by failure of the pituitary to regulate the thyroid. Tertiary hypothyroidism is caused by failure of the hypothalamus (a region of the brain) to regulate the pituitary.  Primary hypothyroidism, which is most common, is caused by failure of the thyroid itself.  As mentioned above there can be failure to convert T4 to T3. There is also a condition called "thyroid resistance" where the receptors for thyroid hormone fail. And finally, adrenal insufficiency can cause hypothyroidism, because lower cortisol levels affect thyroid production, conversion and receptor uptake. 

                                                   Patient before and after thyroid replacement

Hypothyroidism can mimic menopause, andropause and adrenal fatigue. Normal lab values are not necessarily "optimal values". 

If you are experiencing any of the symptoms above, schedule an appointment and get checked out! It's time to stop making excuses and quit blaming normal aging for how you feel.

501-228-6237

If there are any other topics you would like for me to cover, post below!

Anne R Trussell MD

What's your real risk of a heart attack or stroke?

The way most doctors test for heart disease is with a lipid panel. I'm sure you have all seen them. Your doctor talks to you about keeping your total cholesterol under 200, lowering your LDL (the bad cholesterol), raising your HDL (the good cholesterol) and the ratios among these different lipids. But are traditional lipid panels and known risk factors like smoking, obesity, high blood pressure and diabetes enough to really predict your risk of heart disease and stroke? And what if you've already had a heart attack or stroke? Are these numbers enough to manage your disease?

You may be surprised to learn that 50% of people with normal cholesterol levels have heart attacks. That's why we offer the Berkeley HeartLab advanced lipid and genetic testing. You can't change your genetics, but you can modify your risk factors. For example, the actual LDL (bad cholesterol) number may be low, let's say 100, but the number of particles and the size of the particles that make up that number can vary widely. We want fewer particles and larger particles because they don't cross the artery membrane to form plaques leading to atherosclerosis. You can't determine that with traditional testing. If you KNOW what you're dealing with, you can often take supplements such as Co-Q10, and omega 3s to shift the particles to a safer size.

This is just one thing we look at on a Berkeley HeartLab profile. We look at your risk of developing diabetes; your Vitamin D level; your genetics tell us if you are at risk for aneurysms and Alzheimer's disease. And if you already have plaque buildup, it will tell us if that plaque is stable or prone to rupture which causes heart attacks and strokes. Many patients are time bombs that feel perfectly normal.

The Berkeley Heart Lab Cardio IQ Solution offers a comprehensive approach to heart health. We assess your baseline risk to individualize your cardiovascular disease risk.

We can offer personalized therapy by using your advanced testing and genetics to help determine the therapy you need to achieve better health now and in the future, such as initiating or intensifying medications, identifying opportunities for adjunct therapy, and helping you set diet, exercise and lifestyle targets. We always want to work with your primary care physician or cardiologist, sharing these results, so that you get the best treatment possible. 

We can then monitor your response to therapy.

There is ongoing patient support through Clinical Educators that help patients further understand what their test results mean for there lifestyle and work to help you adopt reasonable and realistic goals individualized to your likes and dislikes.

The 4myheart Program is available at no extra cost for patients when you have testing done. This includes online and personalized support from the Clinical Educators. 

Pictured above are my parents. They will be 78 years old this year. They are still very active and volunteering in the community in various ways, besides helping out with our four kids. My dad has had carotid artery surgery, heart stents and a bypass, plus diagnosed with an aneurysm. But he has not had a stroke, nor a heart attack nor an aneurysm rupture because I was able to assess his risk for these based on genetics and advanced testing parameters. With no symptoms and no advanced testing, he could have died before we were able to diagnose him correctly. 

Quest Diagnostics, who actually performs the Berkeley HeartLab testing will bill your insurance for the tests. Although our office does not accept insurance nor file insurance, we can provide you with a coded receipt for your office visit to submit to your insurance yourself.

Call today to schedule your appointment or for more details....501-228-6237.  Know what your real risk is for heart attack and stroke!

Anne R Trusell MD

Stressed? Need to pamper yourself? Get the Trussell Special Facial

One day at the office I had 50,000 things going. I was stressed and apparently talking 90 miles a minute. Sound familiar? We all have those days whether we are stay at home parents, work from home or drive to an office or multiple offices everyday. Prolonged stress is not healthy for us. It stresses our adrenals and leads to adrenal fatigue, creates anxiety and sometimes depression, all of which has adverse affects on the appearance of our skin. We have to be healthy on the inside to look our best on the outside. So what can you do to fix both? Get a facial!!

Our wonderful aesthetician, Kristi, created what she calls the Trussell Special Facial. I first got into a comfy robe, under some nice warm blankets, in a cool, dark room. The soft music in and of itself was so relaxing. Kristi has such a soft, sweet voice too. I truly was asleep before she was done. The hand and arm massage was an added bonus! Kristi used a pomegranate massage cream and Celadon Meridian Crown & Mountain Shan Tools to relax my muscles to the consistency of noodles......

For the facial treatment she used a deep cleansing oil followed by a balancing toner and then did a second cleanse with an AHA rejuvenating cleanser. I also got a wonderful rejuvenating mask with Himalayan red rice stem cells, peptides and soothing botanicals. She completed this hour long facial with Skin Therapeutics' Cell C-10, a hyaluronic vitamin moisturizer, an oil-free lotion and clear sunscreen. There were multiple other steps in between. I just hit the highlights. Kristi has the perfect touch when doing a facial massage. This is truly the most relaxed I have ever been with a facial.

Do your body, face and arms a favor. Or help a friend! Get them a gift certificate. Spend an hour getting a facial from Kristi. She can customize a facial just for you. Check out some of the options and prices on our website. Or.... if you want just what I had, say you want the Trussell Special Facial....$110.

And hey....this isn't just for us girls. Guys get facials all the time and reap the same benefits we do!