Dara Liotta MD FACS

Facial Plastic and Reconstructive Surgeon

City Aesthetics
Totum Health
154 East 85th St
New York, NY, 10028
Call: (212) 288-2222

Category: New and Noteworthy

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Welcome the brand new LitLift

Details of Dr. Liotta's trademarked LitLift

Details of Dr. Liotta’s trademarked LitLift

 

The LitLift TM is a new procedure developed to allow your face to look contoured—all the time!  My new, long-lasting, noninvasive treatment was inspired by the popularity of contouring and strobing makeup. I’ve devised a treatment I am calling the LitLift TM that uses a cocktail of Botox and filler to highlight and define the face in much the same way makeup can. The big difference is that the results of the LitLift TM can last up to two years! Check out what InStyle has to say about the LitLift TM!

To brighten and refine your features, I focus on the same six areas of the face we typically apply contouring or strobing makeup: the forehead, the brow-bones, the cheekbones, the center of the nose, the top lip, and the chin. Not everyone will need highlighting or contouring in all six spots; the The LitLift TM is customized to your face, and your face alone. The procedure is designed to enhance your natural features and to keep you looking “lit”, natural, and your best self at all times! Yahoo! is talking about the LitLift TM too!

The Details of the LitLift

  • In the forehead, I use Botox to smooth out horizontal lines, making the area above the brows appear smooth, glowy and subtly highlighted.
  • For the brows, a touch of Botox, strategically placed, lifts the brows just a bit, making the brow-bones appear brighter and the eyes more open.
  • To highlight the cheekbones, a conservative dose of filler, such as Juvederm VOLUMA, injected at the top of the cheekbones will define and lift them, as though they’ve been contoured.
  • To make the nose look straighter, thinner, and more refined, a tiny amount of VOLUMA down the center of the nose will cause light to bounce off just the filled area.
  • The cupid’s bow and philtral columns are highlighted with brand-new Juvederm VOLLURE to create definition.
  • for the chin, I use Botox to relax the mentalis muscle (a.k.a. the pouting muscle), bringing the chin forward slightly, out of the shadow of the lower lip. Then I touch up with filler, if needed, to define and highlights both the chin and jaw area.

Contact Dr. Dara Liotta for consultation at our Upper East Side Manhattan office to see if the LitLift TM is right for you! USA News Time is talking about the LitLift TM, and so is Female Daily!

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Protox: Customized Botox

customizable botox dara liotta

 

Gone (mostly) are the days of the post-injection frozen face, the seemingly emotionless Botox-bot shopping its way down Madison Avenue. As highly trained plastic surgeons in Manhattan’s upper east side beauty mecca, our needlework is getting much more subtle, “smarter”, and more customizable! Over the past year, I have seen a huge increase in younger patients, hoping to incorporate a little Botox into their regular beauty regimen to help prevent the development of fine lines and wrinkles, and to set the stage for lovely, natural, beautiful wizening (I don’t like to say “aging”). My patients, both men and women, want to look natural, just a little more refreshed and less stressed. They want to be able to express themselves with their faces- to laugh, get mad and even cry.

Introducing Protox

Often, as part of their jobs, they must be able to express themselves with their faces to be effective and successful. Lucky for us all, with some experience and knowledge, Botox is highly customizable! Introducing what I’ve dubbed “Protox” – custom Botox designed with your professional goals in mind. A personal brand identity is key to one’s career and the face often says it all.

The Case of The Lawyer

Attorneys must have the ability to look disapproving. This patient always needs to maintain a little corrugator movement (this is the muscle group that give you the vertical “11 lines” between the eyebrows, and furrows the brow) in order to successfully argue a case or negotiate a mediation.

When The Psychiatrist is the Patient

A Psychiatrist needs to maintain a sympathetic demeanor without displaying a disapproving, “frozen” look. In contrast to the lawyer, this patient needs to seriously weaken movement in the corrugators so they can relax and listen to what their patients are saying without looking judgy, but keep a little movement in the frontalis muscle (the muscle that raises the eyebrows) so they can still look like they care about what they’re hearing.

Let The Teacher Teach

He needs to maintain the ability to look surprised and to be sympathetic. This patient needs to retain almost all movement of the frontalis muscle that raises the eyebrows, but can often benefit greatly from Botox used to soften the crow’s feet and raise up the arch of the eyebrow.

The Poker Player

This patient needs Botox to retain her poker face and help eliminate the look of surprise (frontalis muscle) and some of the most common facial “tells” such as clenching the jaw and flexing the masseter muscle at the angle of the jaw. (masseter muscle Botox) It’s important for poker players to be able to keep all emotion under wraps.

The Actor Needs to Emote

Performers need to be able to express all emotions, but must also look permanently airbrushed with subtle touches of Botox in a number of areas.

No matter your personal or professional goals, subtle, natural, customized Botox is possible in the hands of an experienced injector!

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What you need to know: liquid rhinoplasty

liquid-rhinoplasty-benefitsAt my office, anything non-surgical or “liquid” is exploding in popularity, and that includes rhinoplasty. According to data released by RealSelf today, liquid rhinoplasty was in the top 15% of most-visited minimally invasive topics on the site; compared to last year, the topic grew 50% in popularity in the latter half of 2015 (even taking into consideration site growth)—that’s a major upswing.

With the increasing popularity, there has been some debate on the efficacy of this procedure: I think it’s important for patients to realize that not everyone is a candidate. Let me explain exactly how it works, how to tell if it’s right for you, and the pros and cons of committing to a liquid rhinoplasty.

HOW LIQUID RHINOPLASTY WORKS

During a liquid procedure, ice is used to numb the skin, and small needles are used to inject filler and/or Botox. In this “liquid”, “non-surgical” procedure, Botox and facial fillers are injected to achieve the desired result without a scalpel.

THE RIGHT CANDIDATE

In the right candidate, a liquid rhinoplasty can even out irregularities along the bridge of the nose, make the nose appear straighter, raise the nasal bridge, or camouflage a dorsal hump on the profile view. Issues with the nasal dorsum or the bridge of the nose are generally better treated with liquid rhinoplasty than issues wih the nasal tip. Although you are technically adding volume with filler, the end result is often a nose that appears smaller and more refined—essentially, the nose is more balanced. This is also an ideal procedure to even out anything a patient wasn’t satisfied with in a traditional rhinoplasty. You could almost think of it as semi-permanent contour makeup on your nose.

THE PROS

Not all nose concerns are amenable to liquid (non-surgical) rhinoplasty, but if you’re among the lucky (or unlucky, depending upon how you look at it), you can skip the pain and recovery of surgery: for most patients, there is essentially no downtime—a big bonus. Results are dramatic and instant, and the savings can be too, depending on your individual case—another big bonus. In addition, the filler I use is reversible, so if you don’t like it, it can be dissolved.

THE CONS

The major drawback is that the procedure is not permanent. Depending on the filler selected, the results generally last from 1-2 years.

Also, as we become more accepting of the idea of being poked and prodded with needles as a part of our routine beauty upkeep, it’s important to remember that all of these injections, while effective, and amazing when done properly and subtly, are not without risk. Vascular compromise leading to skin necrosis (actual death of skin because of decreased blood flow to the area) is the dreaded risk of non-surgical rhinoplasty. It can either occur from filler material actually getting into blood vessels, or from filler material pushing on blood vessels under the skin. While appropriate training and experience can help to minimize the risk of this occurring, the risk is never zero. Studies have shown a rate of vascular compromise after filler injection of approximately 0.05% even in the hands of highly trained physician injectors. That equates to approximately 1 in 2000 times that facial filler injections are performed in the nose.

Thankfully, vascular compromise is exceedingly rare, and when treated promptly, and correctly, will resolve without long-term consequences. But that’s the key—it must be attended to swiftly and expertly, and if not treated appropriately, long-term consequences can be serious.

HOW MUCH DOES IT COST?

The procedure will likely cost (depending on the filler used) between $850 – $1,200.

CHOOSING A SKILLED COSMETIC SURGEON IS KEY

You should always, always be sure your injector is properly trained and knows how to handle vascular compromise after filler injection, whether they have personally experienced it first hand or not.

All physicians who inject hyaluronic acid fillers such as JuvedermRestylanePerlane and Belotero, should stock hyaluronidase in their office (this is the enzyme that breaks down the hyaluronic acid fillers used for liquid rhinoplasty). So, while non-surgical rhinoplasty can be amazing, and is often quick, easy, and effective 1,999 out of 2,000 times, it is not without risks. Choose a plastic surgeon or dermatologist who is well trained, competent, approachable, and responsive to you and your concerns.

Read what RealSelf had to say about liquid rhinoplasty here.

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Kybella in NYC – Goodbye Double Chin

Kybella, Chin up!Welcome to NYC, Kybella! According to a 2014 survey conducted by The American Society for Dermatologic Surgery, 68% of those interviewed were bothered by “submental fullness”, a fancy term for a double chin. If you’d count yourself among that 68%, chin up!  The FDA has just approved a brand new non-surgical double chin destroying treatment called Kybella (aka ATX-101). Kybella is a patented synthetic form of deoxycholic acid that promises to melt your chin cares away. The drug is a man-made version of a naturally-occurring substance in the body, deoxycholic acid, that normally aids in the breakdown of dietary fat.

What You Need to Know

The treatment is performed in the office, by a plastic surgeon or dermatologist. It takes about 20-30 minutes and does not require anesthesia. The drug is injected in the area of unwanted fat (10-20 separate needle sticks). When Kybella comes in contact with fat cells, it disrupts the cell’s membrane and causes the cell to “lyse”, or burst.  The fat cells release their fatty contents into the surrounding area, and all that unwanted junk is cleaned up and carried away by your body through its normal process for such things. As for recovery, you should expect some swelling and tenderness at the site of the injections for the first 2-3 days after treatment, and some people may have some temporary numbness in the area. Multiple treatments will likely be required for optimal results. During clinical trials, participants received injections once per month for up to six months.

Say Goodbye to Your Double Chin

The reality is, although a small amount of submental fat is – literally – a small thing, it can make you look older and heavier than you are. Though excess fat under the chin can be associated with weight gain, genetics also play a huge role, and for some people, though they may be at a healthy weight, they still have that extra padding under the chin. Before Kybella, the only options for reduction of submental fat were surgicam, liposuction, or surgical neck lift. Kybella is exciting because it represents the first effective treatment for the double chin without the anesthesia and downtime required for conventional surgery.

Is Kybella for You?

Not everyone is a candidate for Kybella. For example, Kybella melts fat, but does nothing to tighten redundant skin under the chin, and it is not approved for patients under the age of 18 (duh!), so an in-person consultation is a must before scheduling the treatment. Nonetheless, welcome, Kybella! Our newest tool in the non-surgical arsenal in the battle against submental bulge! Read this post on TravelBeauty.com

Read more about Kybella here

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Facial Plastic Surgery Trends for 2015

2015Believe it or not, facial plastic surgery, like fashion, is subject to trends. What’s “hot” changes constantly, and who wants which procedure changes as well. Over the past few months, it seems that demand for liquid surgery (without the knife) has increased, and men are beginning to turn up for tweaking more frequently. There are also some exciting new products waiting for the FDA nod in 2015. Here’s what I have on my radar for the year to come.

Liquid Courage

Basically, anything non-surgical, or “liquid” is exploding in popularity in my office. The two most common, non-surgical “liquid” procedures I’ve seen a major increase in are Liquid Rhinoplasty and the Liquid Facelift. At this time last year, I was performing about 1 Liquid Rhinoplasty per month. Now, it’s more like 1 or 2 per week!

In these “liquid” non-surgical procedures, a combination of Botox and various facial fillers are injected to achieve the desired result without a scalpel. In the right candidate, a Liquid Rhinoplasty can even out irregularities along the bridge of the nose, raise the nasal bridge, or camouflage a dorsal hump on the profile view. Similarly, in a Liquid Facelift, a combination of Botox and filler is used to turn back time, rejuvenate the area around the eyes and mouth, erase fine lines and wrinkles, and replace the volume that our faces tend to lose with time. During a liquid procedure, ice is used to numb the skin, and small needles are used to inject filler and/or Botox. Not all nose concerns are amenable to Liquid, non-surgical, Rhinoplasty or Facelift, but if you are among the lucky (or unlucky, depending upon how you look at it), you can skip the pain and recovery of surgery. Results are dramatic and instant, and so is the savings!

Typical results of a Liquid Facelift

Typical results of a Liquid Facelift

Typical Results of a Liquid Rhinoplasty

Typical Results of a Liquid Rhinoplasty

Menaissance

Over the past few months, I’ve seen a serious increase in the number of men coming in for cosmetic pick-me-ups, and I expect the trend to continue in 2015. To what do we owe this “BRO-tox Boom?” When I ask, the main reason men report seeking out cosmetic surgery treatments is to appear younger at work. It seems that the combination of increased availability of easy outpatient treatments, wider cultural acceptance of cosmetic procedures, and an increased emphasis on the value of youth in the workforce has fueled a “menaissance” in facial plastic surgery.

The American Society of Plastic Surgeons has reported that the number of men seeking Botox has increased 310 percent since 2000, and I’ve seen a similar increase with many other facial plastic surgery procedures, including facial filler injection, laser treatments, rhinoplasty, and neck liposuction. I would guestimate that three years ago, less than 10% of my patients were men. Presently, I would say that around 30% are.

Male Rhinoplasty

Male Rhinoplasty

On the Horizon

Get ready for this: A needleless Botox may receive FDA approval in 2015. There is a new, investigational, formulation of botulinum toxin type A that uses a proprietary peptide technology for delivery across the skin. It’s not your mother’s wrinkle cream, it’s a Botox cream!  The topical treatment will still need to be applied by medical personnel in a doctor’s office, so it’s not a do-it-yourself home treatment. However, it may be useful for people who are afraid of needles, or for large area Botox treatments, such as treatments for excessive underarm perspiration (Yes, you can do that!).

Another cosmetic advancement on the horizon: New fat-melting injections await FDA approval in 2015. Currently in clinical trials, this treatment shrinks fat cells with targeted injections. Once injected, the drug activates receptors within fat cells and triggers the breakdown of triglycerides, causing the cells to lose volume. Translation? Bye bye flab, hello fab. Stay tuned!