LED Therapy & your skin…

Anti-aging has never been easier! PVPS now offers LED light therapy

LED therapy (officially known as Light-Emitting Diode) can work wonders for our skin. This technology was originally used for household gadgets such as alarm clocks in the 1960s. Several years later NASA started using LED therapy to speed wound healing in no-gravity situations, which then led to LED being used in skin cancer treatments. The skin care industry now uses this technology to improve skin health and appearance in many ways.

LED light waves travel deeply into the skin triggering live cells to react. Red light LED actually strengthens and builds collagen! We love collagen, which is abundant in young skin and decreases as we age, so incorporating treatments that increase collagen production is extremely anti-aging. LED therapy is also anti-inflammatory, promotes increased circulation, speeds healing, reduces redness, constricts pores, and can suppress oil and acne.

This treatment is completely painless and takes about 20 minutes. It does not heat the skin, so burning is not a risk. All of the work is done below skin’s surface, so there is no damage and no down time whatsoever. It is also a perfect addition to our HydraFacial treatment.

PVPS now offers HydraFacial Elite (includes the LED therapy), and is a perfect multi-tasking skin treatment! This treatment deep cleanses, exfoliates, extracts pores, deeply infuses several nutrients, builds collagen, and renews your complexion. Your skin will glow for days! Our experienced Aestheticians offer this treatment at Ponte Vedra Beach, Southside, Amelia Island, and our Nocatee location.

We have a special going on now until 8/31/16 for the HydraFacial. Call us today to schedule your treatment at 904-273-6200.


 Andrea Written by Aesthetician, Andrea Bailey

Sealed With A Kiss……


For several years I got Juvederm injections to plump my thinning lips.  I loved the look but unfortunately, it only lasted 3-4 months for me, so the expense mounted with the frequency of the fillers.  When Dr. Sternberg told me about lip implants I jumped at the chance to have them inserted!  No more injections and every morning I look in the mirror and think, “oh, it looks like I just had my lips injected.”  It is a very natural look and no one knows I have the implants until I mention it.

It can be done under local anesthesia, like you get when you go to the dentist.  Mine were done during a surgical procedure I had planned.  I knew someone who had it done weeks before under local anesthesia, so I got to see her lips and knew what to expect.  She said she could not drink through a straw, as she was told to do (per post procedure guidelines), but could only eat with a baby spoon for several days.  I found I could not use a spoon, but could better use a straw for the first several days. I also applied ice to the lips which felt good and helped with the slight swelling.  I returned to the office a week later with very little swelling noticeable and had 2 small stitches removed from the corner of my mouth.

I have had my lip implants for 4 years now and still love them.  I don’t think about the fact that they are implanted, as they’ve become a part of me.  I can feel the implants if I press my lips together, otherwise, it’s life as usual.  I encourage anyone who has routine lip injections for restore volume to consider having implants placed and make an appointment to meet with one of our Board Certified Plastic Surgeons at Ponte Vedra Plastic Surgery. You will love them!!

Call Ponte Vedra Plastic Surgery today to schedule your consultation (904) 273-6200.

Written by Robin McBride       Robin



Perfect Summer Skincare Treatments


During summer months we typically spend more time outdoors. Activities such as cookouts, picnics, sporting events, pool and beach time means more UV exposure. We all know how very critical daily sunscreen application and reapplication are, but what are the best skin care treatments to promote skin health and radiance during this time without down time?  The aestheticians at Ponte Vedra Plastic Surgery recommend the DF Facial, Hydrafacial MD, and Hydrafacial Elite.

The DF Facial is a very relaxing treatment that combines spa-like pampering with clinical benefits to the skin. During this treatment, sound waves (sonophoresis) are used to deliver vitamin A deep within the skin to build collagen. Another unique feature of this treatment is microcurrent (iontophoresis) which gently and effectively tones facial muscles; almost like pilates for the face! This entire treatment is completely painless and extremely relaxing. Your skin will be noticeably nourished, hydrated, and have a gorgeous glow after receiving the DF Facial. There is no down time with this treatment, which takes 90 minutes and the cost is $200.

Hydrafacial MD is a true clinical treatment like no other. Our aesthetician uses a machine to deep cleanse, gently exfoliate with mild suction and mild exfoliants, extract pores painlessly, all while simultaneously infusing numerous antioxidants and plumping hyaluronic acid into the deep tissues of your skin. The result is extremely clean, noticeably plumper, hydrated skin. You will possess a glow to your complexion that will last for about a week. This painless, clinical treatment takes 30 minutes and the cost is $175 but we have an amazing summer special going on please call our office to get the details.

Our aesthetician can also step up this already fabulous treatment to the Hydrafacial Elite, which also includes a specialty serum vial and LED light therapy . Infusing a specialized concoction of Dermal Repair serum or Growth Factor serum will result in increased collagen production. LED light therapy specifically chosen for your skin concerns will build collagen, reduce inflammation, reduce bacteria, and improve overall complexion appearance. The Hydrafacial Elite is a painless, one hour treatment and the cost is $250.00

Andrea Written By: Aesthetician Andrea Bailey

Please call Ponte Vedra Plastic Surgery to book your facial today (904) 273-6200.


Quit Seeing Double on Your Chin

Some people really have double chins — Chris Christie, Jobba the Hut, and Orson Welles, to name a few. But truth be told, the vast majority of us will have some sort of junk going on under our chin as we age.

The clinical term is submental fullness. If you don’t want to say “double chin” say submental fullness. Considering pretty much everyone has some degree of a double chin at some point, it’s odd that more attention hasn’t been given the problem by the aesthetic industry.

Now that has changed with Kybella®, a prescription medicine available at Ponte Vedra Plastic Surgery. Kybella® is the brand name for a prescription injection formulated with deoxycholic acid to improve the appearance and profile of moderate to severe fat below the chin, commonly known as a double chin.

Lots of double chins

Do you have a double chin? You’re not alone, not in the least. In 2015, the American Society for Dermatologic Surgery conducted a survey and found that 67% of people said they’re bothered by a double chin. That’s two thirds of the U.S.! The survey also found that those people ranked their irritation with their double chin just as highly as their wrinkles or other signs of aging.

As we age, our skin sags; it’s just a fact of life. A variety of factors play a part: the influence of gravity, simple intrinsic aging (where decreasing production of collagen means the skin has less underlying support), genetics (some people simply have looser skin below the jawline), and weight gain. All of these factors cause our skin to droop. And because the skin under the chin has no underlying bone or muscle beneath it, it’s even more obvious when it becomes lax and hangs downward.

Kybella® to the rescue!!

Until now, a facelift or neck lift was really the only way to deal with a double chin. Then Kybella® was developed and approved by the FDA. It is now the only injectable treatment to improve the appearance and profile of a double chin.

The basis of Kybella® is deoxycholic acid. Deoxycholic acid is a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the fat beneath the chin, Kybella® (and its deoxycholic acid) destroys the fat cells. Once those cells are gone, there is no storage mechanism to store and accumulate fat in the area.

Multiple treatments yield the best results

At Ponte Vedra Plastic Surgery, we customize your Kybella® treatment. Most patients are happy with their new chin after two to four treatments, others require six. The number of treatments will depend on the amount of fat stored under your chin, along with your desired final profile. Treatments are spaced four weeks apart.

Plus, Kybella® has no side effects and requires no recovery time. There can be some temporary swelling at the injection sites, but that passes quickly.

Because Kybella® destroys the fat cells, results are permanent. However, if you gain weight, submental fat can return.

Interested in doubling down on that double chin?

Call us at 904-273-6200 and let’s talk about Kybella.


Is A Facelift Right For You?

A rhytidectomy, more commonly known as a facelift, is a procedure that can take years off of your face and help you feel more confident and attractive. While this procedure isn’t right for everyone, it does come with many benefits. Keep reading to learn more about the procedure and find out if it is a good option for you.

How does a facelift work?

As people get older skin sags and extra fat deposits can leave you looking older and heavier than you feel. During a traditional facelift, incisions are made near the hairline and the skin is raised from the face so that the underlying tissues can be tightened and repositioned. Excess skin is also removed during the procedure. Facelifts are usually used to correct issues with the lower two thirds of the face, but if you’d like to address other areas, facelifts can often be combined with other cosmetic procedures such as neck lifts, blepharoplasty, brow lifts, and skin treatments.

Who is a good candidate for a facelift?

A facelift is just one of many cosmetic procedures available. Your doctor can help you explore your options and choose a procedure that suits you. A facelift isn’t the right option for everyone.

The following people should consider alternatives:

  • People who are still quite young and just want to make small improvements • People who aren’t comfortable undergoing surgery.
  • People who only want to improve one thing—for example patients should consider dermal fillers if they just want to get fuller lips.

Good candidates for a facelift include:

  • People who’d like to see significant improvement—other cosmetic treatments provide more subtle results.
  • People who want to improve many areas of the face, not just one specific aspect.
  • People who are comfortable with surgery and healthy enough to undergo the procedure. A rhytidectomy is usually performed under general anesthesia to minimize pain and discomfort.
  • People who want long-term results—while alternatives such as Botox and dermal fillers can improve your skin, patients need repeat treatments to maintain their appearance. A facelift provides longer lasting results.

If you’d like to learn more about facelifts and other cosmetic treatments schedule a consultation at Ponte Vedra Plastic Surgery.

Methods to Force Your Skin to Improve and Repair Itself!


kim Kim Lindsey, Aesthetician 

Q: What is a good anti-aging product regimen?

A: Topical key elements for healthy skin are as an important regimen as your daily oral dose of vitamins. Everyone should be using a medical grade foundation of topical products beginning with a good cleanser, toner, topical vitamin A, C, antioxidants, peptides, growth factors and sunscreen.

Q: What is the average topically applied product penetration rate?

A: The approximate amount is in the region of only 7-10%.

Q: How can I improve the product penetration rate?

A: Our skin has a layer of dead cells piling up as a barrier to the world. Getting through this barrier and exfoliation the dead cells off is a key to increasing the penetration rate of products. This can be done utilizing scrubs, masques, microdermabrasion, using a cosmetic beauty roller and chemical peels.

Q: What is a cosmetic beauty roller?

A: This is a rolling micro needling device that can be used regularly at home to comfortably penetrate the dead skin cells by creating microscopic holes (0.2-0.3mm) allowing for more than 80 % better product penetration! This home treatment will increase your product results dramatically.

Q: How is Medical Micro Needling different than using a home beauty roller?

A: A cosmetic roller is designed primarily to increase your product penetration rate while a Medical Micro Needling treatment is a non-ablative way to force the skin’s natural ability to create new cell turnover, collagen, and elastin for a healthier, younger looking skin. This is done by stimulating a wound healing cascade caused by controlled injury with micro needles that range from a depth of 0.5-3.0mm depending on the condition you are treating. This treatment can be comfortably done by your Aesthetician after applying a topical numbing cream. The down time is typically only a few hours of appearing as you have a sunburn.

Q: How do Chemical Peels help improve skin?

A: A chemical peel is a controlled and safe way to injure the sluggish dead skin, stimulating rejuvenation of collagen effecting your overall complexion and skin quality. Your Aesthetician chooses from a variety of safe acids that are specifically designed to encourage new cell turnover and slough off old dead and damaged skin cells. The down time is depending on the strength of the peel, and your regeneration rate. The average person may experience some degree of peeling, redness, and tightness of the treated areas for approximately 5-7 days. Many clinical treatments like chemical peels and micro needling will achieve more effective results after a series of 3.

For more information on a professional, personalized skin care regimen contact a qualified Aesthetician at www.pvps.com or give us a call at 904-273-6200

*reference The Concise Guide to Dermal Needling, Expanded Medical Edition by Dr. Lance Setterfield, M.D.  1.11.16kl


All lasers are not created equal. Discover why the Halo laser is different.

Have you heard about the Halo laser and how it is different? Halo-Fractional-Laser

Introducing the latest in laser technology, the Halo! Currently, PVPS is the only location in North Florida providing this new treatment.  Call us for more information and to set up your consultation today! 

The Halo laser can be used alone or in combination with the BBL laser (broadband light laser).  This system assists in reducing pore size, pigmentation, and redness, improves skin tightening, and results in a long lasting youthful regeneration of the skin.  Even better, this system is not just for the face.  It can be used on the neck, chest, hands and arms. Age spots be gone!

So what does the Halo do?

With the introduction of the Halo technology we can effectively treat dark spots (age spots), facial redness, fine lines, and skin laxity.  The difficult to treat loose under eye skin can be treated with this modality as well to give tightening to the area. 

Wondering what to expect following the treatment?

This really is the best part about using Halo.  The procedure is done with topical local numbing cream.  There is minimal down-time.  You can expect to have red, slightly swollen facial skin for three to four days.  This is a great procedure to have done in the office on Thursday and go back to work on Monday.  There is no peeling.  The skin will feel like sand paper for a few days and there will be small dark flakes that you will notice on your skin for a few days afterwards.  These dark flakes are the underlying pigmentation that is being extruded.

How does Halo work?

The Halo is a hybrid laser that has a partial ablative and non-ablative property.  This allows minimal downtime with maximal effects.  The procedure requires three treatments 6 to 8 weeks apart and once per year thereafter.  There is exciting literature that has demonstrated significant long term youthful effects of this combined treatment.  See below:

Halo Laser Resurfacing

This patient is 38 years old in the first picture and 49 years old in the second picture.  She underwent 8 treatments over 10 years.

Discover the Halo glow for yourself and enjoy our September Halo Special.

What is a Liquid FaceLift?

Have you heard the term “liquid lift, or liquid facelift” when searching the internet or reading a magazine? If you have, and wondered what that means, then the following article will be very interesting and informative for you.

Q:  What is the “liquid face lift?”

A:   This is a term used when facial cosmetics is improved using only fillers and other non-surgical modalities. For instance, a patient may have fillers injected into the cheeks, eyelids, oral areas, and temples, while having Botox injected into the forehead, brows, eyes, and neck. This accomplishes a very nice, sometimes dramatic, improvement without having to undergo surgery.

Q:   Am I a candidate for the “liquid lift?”

A:   The best candidates for a liquid lift are patients with early to moderate facial aging who are not quite ready for eyelid lift, facelift, or midface lifts. This would be best determined during a consultation. We usually assess the patient, their goals, downtime limits, degree of facial aging, and whether the procedure is financially better than a surgical approach. Patients in their 40’s and early 50’s are usually the best suited for this treatment. They will have a very nice, restoration of youthfulness without looking surgically altered and requiring no time away from work.

Q:   What injections are commonly used for this?

A:    We usually determine the best filler to use based on areas we want to improve. A fine filler like Restylane© would be used for the lower lid creases, and smile lines around the mouth. A middle volume filler like Juvaderm© is best for the lips, corner of the mouth, chin, and nasolabial folds. Heavy lifters, like Voluma©, and Radiesse©, are best used to augment the cheeks, temples, lateral brows, and deformities of the nose.  Finally, Sculptra©, is used to thicken the skin and add more fullness to the entire face. In conjunction with these, we often used Dysport or Botox to soften the appearance of the brow furrows, lift the eyebrows, relax the squint lines around the eyes, and even to relax the lines around the lips and in the neck.  Again, the decision about what products to use is left up to a full discussion between you and your surgeon or nurse practitioner.

Q:   What is the downtime I should expect?

A:    Downtime is usually only about 24-48 hours. During this time you will have some swelling, and mild bruising. You can shower and use makeup right away. We recommend using ice and elevating your head on pillows the day of the procedure. You can go back to work the next day if you feel like you are ready. You may go back to working out after 48 hours.

Q:   How long does this type of treatment last?

A:   Depending on the types of fillers used (each has a different length of action), you should expect to get between 6-9 months from one treatment, although many patients report high satisfaction at one year. Botox© and Dysport© usually last 3-4 months. This treatment is best for patients who want to look their best during an event or Holiday season for example.

Q    Can I combine this with any other procedures?

A:   Yes, a liquid lift can be combined with other procedures to improve the health of the skin and look of the face. This is commonly combined with medical facial treatments, and medical grade skin care to improve the skin texture, tone, and color.  Also, we use skin tightening lasers (read about HALO and BBL) to improve the skin texture and sun damage. Together, facial volumization and advanced skin treatment, results in a dramatic improvement in facial appearance and youthfulness.

Exfoliate; Spring Out of the Old and In With Your New Radiant Skin

ExfoliationOn average your skin can shed 30,000 to 40,000 dead cells per minute. Exfoliation is very important when rejuvenating weary winter skin. Exposure to the “dry” indoor heat during the winter months can drain moisture from the skin and add layers of dead skin cells, leaving your skin feeling heavy and looking unhealthy. Exfoliation involves the removal of these dead skin cells from the outer layer, leaving your skin feeling fresh and looking radiant and smooth. Continue reading

In Search of the Holy Grail

Weight ScaleFor decades there has been a relentless search for effortless weight loss and painless cosmetic surgery. We might call these goals the “holy grail” of plastic surgery. Last year Americans spent over $11 billion on surgical and non-surgical cosmetic procedures and the potential market is likely much, much larger. The only thing that holds many of us back is the effort, pain and recovery typically required to improve/reshape our bodies. Without a doubt, there are tremendous profits to be made by anyone that can produce consistent results with minimal effort, pain and downtime. And wherever there are big profits to be made there will invariably be snake-oil salesmen trying to get a piece of the action. I cannot stress too strongly that it is a “buyer beware” market out there. Remember what your mother always said: “If it sounds too good to be true…..it probably is.”

With that warning out of the way, let’s look at where the search stands today.

I think the hottest area of research right now is the search for a non-invasive technique or technology that will remove fat without the need for surgery or anesthesia. There are several companies currently touting such technologies…and ALL are fiercely competing for our hard-earned dollars with big promises and multi-million dollar marketing campaigns. Let’s take a look at a few of them one at a time:

1. Cold lasers: This technology, most prominently marketed as Zerona and Lipo Light, uses non-invasive low level laser therapy(LLLT), or “cold laser” therapy, to purportedly disrupt the cell membranes of fat cells, essentially deflating them. Your body then eliminates the fat cell contents. Zerona has been modestly successful marketing their laser technology in conjunction with diet and exercise programs making it difficult to determine the true cause of any positive results.

2. Cryolipolysis: This technology, most widely marketed as Coolsculpting by Zeltiq, uses targeted cooling of the fat tissue, sparing injury to the overlying skin, in an attempt to kill fat cells. This technology, like Zerona, has been FDA approved for fat reduction, but experience to date is mixed. Our understanding is that patient satisfaction rates are in the 40-50% range. At $1000-3000/treatment, the challenge will be how to deal with the 50-60% of patients that are unhappy!

3. Ultrasound: Ultrasonic energy has been used for decades in medicine to treat various maladies such as solid tumors and kidney stones. Now it is being promoted as a way to break up fat cells without injury to the skin. The most promising and exciting technology is a type of focused ultrasonic energy called HIFU, or High Intensity Focused Ultrasound. Early studies seem to indicate modest success in carefully selected patients. While we have not yet committed to this technology, we believe it is exciting and are anxious to see results from second and third generation products.

4. Radiofrequency: While not marketed specifically for fat, I include this technology here because of its prevalence in the aesthetic marketplace. Most popularly known as Thermage, this technology is promoted as a way to tighten loose skin by transferring energy via radiofrequency waves to the deep layers of the skin. As with the other technologies listed above, results to date have been modest at best. I have seen many disappointed patients that have spent thousands on this technology only to end up in our office for a facelift.

So where does this leave us? As disappointing as it sounds, it’s not all bad. Future generations of one or more of the technologies listed above may prove to be more promising. Currently, there is no shortage of research going on with all of these and more. Unfortunately the holy grail, though perhaps on the horizon, continues to elude us. So for now I must still warn: “Buyer Beware”.

C. Cayce Rumsey III, M.D.

Doctor Rumsey is a founding partner of Ponte Vedra Plastic Surgery and is current President of the Florida Society of Plastic Surgeons.