BodyLanguage is your ultimate resource to CaloSpa Rejuvenation Center and CaloAesthetics Plastic Surgery Center. Dive in and discover the ways in which we are redefining the aesthetic space with our results-driven approach, patient education, and treatment innovation.
Issue #11
New and Innovative Techniques to Improve One’s Body
We’ve Got Your Backside
FACIAL FITNESS
THE IDEAL IMPLANT The Aging Face
OPEN HOUSE CALOSPA’S 21 ST ANNUAL Thursday, November 3 rd from 1 p.m. to 8 p.m. The Injectable Roadmap SURGICAL BODY CONTOURING Tighten It Up The Look Book
CaloRx CALOSPA…THE PERFECT PRESCRIPTION FOR ANYONE’S AESTHETIC NEEDS
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CaloRx
CALOSPA…THE PERFECT PRESCRIPTION FOR ANYONE’S AESTHETIC NEEDS
BODY LANGUAGE 2
CALOSPA’S 21 ST ANNUAL OPEN HOUSE THURSDAY, NOVEMBER 3 RD 1 P.M. TO 8 P.M. | RSVP: TEXT OR CALL 502.899.9982
CaloAesthetics Plastic Surgery and CaloSpa Rejuvenation Centers are an aesthetic, synergistic blend of surgical and non-surgical treatments. Our non-surgical offerings incorporate physician-directed skin care, injectable treatments, advanced laser therapies, body contouring, and FDA-approved technologies to address and treat our patients' concerns, moving up the aesthetic ladder to plastic surgery when a more advanced intervention is needed to achieve optimal results. No matter what your concern may be — fine lines and wrinkles, loss of volume or elasticity, hyperpigmentation or skin texture, unwanted fat or cellulite — we offer safe and effective non-surgical treatment options for everyone. And no matter your ethnicity, gender, age, or stature…our treatment plans…your CaloRx, can be tailored to your specific needs. As your needs continue to evolve, so will your treatment plan. Our experts are here to guide you along the way. Discover your CaloRx and attend our 21 st Annual Open House celebration, Thursday, November 3, 2022, from 1 p.m. to 8 p.m. at our flagship location in Louisville, KY. Please come prepared to have a great time, learn about all we have to offer, and take a moment with one of CaloSpa's expert providers to develop your 2023 treatment plan. We are committed to you and your aesthetic journey.
PRESALES * IT'S QUICK, CONVENIENT, AND EASY! › MAKE YOUR OPEN HOUSE PURCHASES STARTING OCTOBER 15 TH THRU THURSDAY, NOVEMBER 3 RD . › THERE ARE 4 QUICK, CONVENIENT, AND EASY OPTIONS TO ORDER. › STOP IN TO ANY CALOSPA LOCATION › CALL 502.814.3000 TO SPEAK WITH A CALOSPA REPRESENTATIVE › ORDER ONLINE AT CALOSPA.COM/STORE › MAIL-IN ORDER**
› DEVELOP 2023 TREATMENT PLAN › DISCOVER NEW TREATMENT OPTIONS › EXPERIENCE LIVE DEMONSTRATIONS WITH DOCTORS AND EXPERT PROVIDERS › COMPLIMENTARY MINI-CONSULTATIONS › EDUCATION ON ALL PRODUCTS AND SERVICES › COMPLIMENTARY MINI-MASSAGES › GIFTS WITH PURCHASE › SELFIE AND SOCIAL STATIONS › $30K+ IN DOOR PRIZES AND GIVEAWAYS › JEUVEAU ® – $10 PER UNIT › BOTOX ® – $12 PER UNIT › DYSPORT ® – $4 PER UNIT EXPERIENCE EXCLUSIVE 21 ST ANNUAL OPEN HOUSE SPECIALS › 20% OFF ALL SKINCARE AND BODY PRODUCTS › 20% OFF SELECT MEDICAL AND DAY SPA SERVICES
MAIL-IN ORDER FORM
ONLINE STORE
CALOPERK MEMBERS › EXCLUSIVE EVENT HOUR FOR PERK MEMBERS ONLY: 12 P.M. TO 1 P.M. › CALOPERKS DIAMOND MEMBERS WILL RECEIVE AN ADDITIONAL 5% OFF ON ALL OPEN HOUSE PURCHASES. › CALL 502.814.3011 ANYTIME TO PLACE YOUR OPEN HOUSE ORDER WITH A DEDICATED PERKS CONCIERGE.
CaloRx OPEN HOUSE CONSULTATIONS
During Open House presales, CaloSpa Rejuvenation Centers will be offering complimentary evaluations for patients to work with CaloSpa's ExpertInjectors, Clinical Aestheticians and Cosmetologists, Body Contouring Specialists, and Massage Therapists to tailor a comprehensive treatment plan that is as unique as each individual themselves. Call 502.814.3000 to schedule your consultation today! ***
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*Individual treatment results may vary. Open House pre-purchases cannot be rendered until Open House Week starting October 31, 2022. **There will be a 10-day processing lead time for mail-in orders. Please call 502.814.3000 for additional information. ***Offer valid on non-surgical consultation only.
2022-2023 CALENDAR of Events
OCTOBER 1-31 Breast Cancer Awareness Month 15 Open House Presales Begin
APRIL 1-30 Spring Beauty
MAY 1-14 Celebrating Mom – Mother’s Day Specials
NOVEMBER 3
21 st Annual Open House CaloSpa Black Friday
25
JUNE 1-30 Man Month 1-18 Father’s Day Gift Card Special
DECEMBER 10-23 12 Days of CaloSpa
JULY 1-31 Too Hot for Summer
JANUARY 1-31 Perks Month
FEBRUARY 1-14 Valentine’s Day Special 14-18 Love Your Skin Week
AUGUST 1-31 Back To School, Teach Appreciation
SEPTEMBER 1-30 Fall in Love with Your Skin
MARCH TBD
Get Derby Ready – CaloSpa Injectable Evening with Drs. Calobrace and Boehm
EXPLORE OUR FINANCING OPTIONS TO MAKE YOUR AESTHETIC SURGICAL AND NON-SURGICAL DREAMS A REALITY. LEARN MORE
Our financing options put our patient’s best interest first. Each program is designed to offer patients flexible and easy payment plans that are customized to fit the patient’s lifestyle and budget.
BODY LANGUAGE 4
BODY LANGUAGE
IN EVERY ISSUE
24 Coming Soon! 25 Renuvion – Reshaping What's Possible ® 26 Feminine Energy – Vaginal Rejuvenation 27
48-49 Ask Me About Acne 50 Seeing is Believing 51 BBL is Forever 52 Facial Fitness 53 Smooth as Glass 54-55 We've Got Your Backside 56-57
2-3 Open House 4 Calendar of Events 6 The Doctors 8 CaloSpa Centers of Excellence 9 Aesthetic Fellowship 10 Menu of Services 11 CaloPerks 64 Spa Info
diVa ® – Non-Surgical Vaginal Rejuvenation 27 Beauty Through Science 28-29 Hair Transplantation 30-39 The Look Book 40 #SkinSchool – What Chemical Peel is Best for You 41 Eye on the Prize 42-43 Tighten it Up 43 The Newcomer: Threading 44-46 The Injectable Road Map 47 Seeing Red
CaloFit – Burning Fat & Building Muscle Without the Sweat 58-59 Booties, Booties, Booties Rockin' Everywhere 60-62 What Do You Need to Address Your Skin Care Concerns? 63 Laser Hair Removal 63 Break the Sweat Routine
FEATURES
12-13 The Aging Face 14-15 CaloAesthetics Nose Best 16-19 Modern Breast Surgery – One Size Does Not Fit All! 19 The Ideal Implant 20-21 Fun Fat Facts 22-23 Surgical Body Contouring
BODY LANGUAGE 5 BODY LANGUAGE
THE DOCTORS
WORLD RENOWNED EXPERT – M. BRADLEY CALOBRACE, MD, FACS Dr. Calobrace is board certified in plastic surgery (American Board of Plastic Surgery), a Fellow of The American College of Surgeons and an active member of The American Society of Plastic Surgeons, The American Society for Aesthetic Plastic Surgery, and The Kentucky Society of Plastic Surgeons. He is nationally and internationally recognized as a leader and educator in breast surgery and holds a gratis clinical faculty position with the University of Louisville and the University of Kentucky. Dr. Calobrace performs over 1,000 cosmetic surgeries a year including breast, facial and body contouring procedures. Dr. Calobrace travels the U.S. and world educating on breast surgery, publishes extensively, and has published his textbook and video series this year on breast augmentation mastopexy. LUCAS BOEHM, MD Dr. Boehm joins CaloAesthetics from Wisconsin, where he completed both medical school and a six-year plastic surgery residency at the Medical College of Wisconsin. During his time at the Medical College of Wisconsin he trained extensively in all facets of plastic surgery, ultimately deciding to focus his expertise on aesthetic surgery of the face and body. Dr. Boehm’s interests include facial rejuvenation surgery, rhinoplasty, and aesthetic breast surgery. His bespoke approach to aesthetic surgery ensures each patient has a surgical plan tailored to their anatomy, their proportions and ultimately their goals.
World Renowned Expert, M. Bradley Calobrace, MD, FACS
Lucas Boehm, MD
DID YOU KNOW?
“We recognize doctors who share our mission to empower patients with reliable information. RealSelf Top Contributor status is awarded to a select group of doctors who have demonstrated an ongoing commitment to answering consumer questions, and are transparent about their level of service by encouraging their patients to post unbiased reviews and ratings.” – RealSelf, Inc.
DR. CALOBRACE IS A “TOP DOCTOR”
BODY LANGUAGE 6
For Your Convenience CaloSpa Rejuvenation Center is proud to offer non-surgical medispa services in two additional convenient locations. CaloSpa Lexington, KY, and CaloSpa Floyds Knobs, IN offer treatments like Botox and Jeuveau, injectable fillers, laser and light therapies, body contouring, and massage all in state-of-the-art facilities. Each location is under the medical direction of board-certified plastic surgeon Dr. Bradley Calobrace. Patients who visit our satellite locations can also learn all about the aesthetic surgical procedures offered at our Louisville location, CaloAesthetics Surgery Center. Each location offers expert providers to help guide patients through their aesthetic journey to achieve each individual's vision of beauty. We hope to see you there!
FLOYDS KNOBS, IN
LEXINGTON, KY
408 LAFOLLETTE STATION DR. | 812.920.4880
824 EUCLID AVE., SUITE A100 | 859.269.2256
• EASTER • MOTHER’S DAY • FATHER’S DAY Watch for Gift Card Specials for the Open House, Holidays, and Valentine's Day. When you purchase a $100 Gift Card, you will also receive a $20 CaloCard. * $20 SPECIAL GIFT IDEAS • BIRTHDAYS • ANNIVERSARIES • GRADUATION Come in to CaloSpa and purchase a Gift Certificate or Gift Card for that special someone. No better way to say thank you, I love you, or just because!
Order your Gift Certificates online at www.calospa.com or call 502.814.3000 . For a complete menu of services visit www.calospa.com.
* Restrictions may apply
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BODY LANGUAGE 7 BODY LANGUAGE BODY LANGUAGE 7
CENTERS CaloSpa
HANNAH BUENO RN, BSN
NICOLE BEAMS RN, BSN
KAITLYN HICKS APRN
OF
› NURSE INJECTORS › AESTHETICIANS
› BODY CONTOURING › MASSAGE THERAPY
TRINA HOLMES RN
LACEY MCCAULEY MMS, PA-C
DAWN RECKTENWALD RN
Looking your best does not always require surgery. Many of CaloSpa's advanced medical spa treatments were pioneered by our own plastic surgeon, Dr. Bradley Calobrace. Offering patients consistently great results and ensuring the highest quality in care, our Centers of Excellence include ExpertInjectors ™ , Clinical Aestheticians, Body Contouring Specialists, and Licensed Massage Therapists. Each provider, having had extensive training and adhering to stringent standards of our board-certified plastic surgeon Dr. Bradley Calobrace and board-eligible Dr. Lucas Boehm, offers a variety of injectable products and non-surgical treatments to ensure that we can build customizable treatment plans that can meet the expectations and beauty goals of each patient.
ASHLEY HATFIELD Clinical Aesthetician
KATY JO GROFT Body Contouring Specialist, Clinical Aesthetician
BETHANY SHIVELY APRN, DNP
CALL 502.814.3000 TO SCHEDULE YOUR CONSULT TODAY!
CaloSpa nurse injectors have over 90 years combined injector experience. CaloSpa is accredited as an ExpertInjector practice through the American Society of Aesthetic Plastic Surgery. The Nurse Injector staff performed over 10,000 treatments last year, adhering to stringent injectable standards. CaloSpa offers a variety of injectable products and non-surgical treatments to ensure that we can build EXPERTINJECTOR™
KELSEY HUPP Clinical Aesthetician
MEREDITH STEINMETZ Clinical Cosmetologist
LEXI STEELE Clinical Aesthetician
customizable treatments plans that can meet the expectations and beauty goals of each patient.
BRITTANY RONEY Body Contouring Specialist
MICHELLE LASLEY Body Contouring Specialist, Licensed Massage Therapist
EMILY PETTY Licensed Massage Therapist
KAREN STICKROD Lead Managing Aesthetician
LAUREN MEADE PA, Lexington
LINDSAY SALCE APRN, Lexington
JACLYN FAVORITE Clinical Aesthetician, Lexington
OLIVIA HALL RN, Floyds Knobs
SAYRE GRIMES Clinical Aesthetician, Floyds Knobs
BODY LANGUAGE 8
AESTHETIC
ALLERGAN BLACK DIAMOND
Less than 1% of all practices in the nation receive this honor. What does it mean to be a Black Diamond Practice? It means that CaloAesthetics Plastic Surgery Center and CaloSpa Rejuvenation Center are among the top 1% of all Botox ® Cosmetic and Juvéderm ® filler injectors in the U.S.
CaloAesthetic's Aesthetic Surgery Fellowship is a one-year program that provides a fully trained, board-eligible, plastic surgeon with additional specialized training in aesthetic surgery. Our program is one of the few aesthetic surgery fellowship programs in the U.S. endorsed by the Aesthetic Society. Each fellow is already a completely trained Plastic Surgeon prior to spending the year with us in the fellowship and works under the supervision of our board-certified plastic surgeon, Dr. Bradley Calobrace. Dr. Boehm will offer all aesthetic procedures as Dr. Calobrace’s fellow and junior associate. This is an amazing opportunity to have Dr. Boehm and Dr. Calobrace work together for your surgery… with amazing savings and results. We hope many of you get the opportunity to meet our current Fellow, Dr. Boehm, during the Open House or on one of your future visits to CaloSpa/CaloAesthetics Plastic Surgery.
EXPERTINJECTOR™
Less than 3% of all doctors in the U.S. are qualified to be an ExpertInjector. Our practice has earned the distinction of ExpertInjector for our excellence in safety, results, patient education, and choice of injectable products.
TOP 100
CaloSpa has been named a Top 100 volume injector for popular Restylane ® injectable Lyft. This recognition is a testament to our experience and expertise with the Restylane products and procedure, making our practice the destination of choice for high patient satisfaction with quality outcomes.
MEET CALOAESTHETIC'S 2022 FELLOW: DR. BOEHM
NEW BEAUTY TOP BEAUTY DIRECTOR
Dr. Calobrace has been named a Top Beauty Doctor in one of the nation’s leading beauty magazines dedicated to cosmetic enhancement and skin care. Regarded as “The Beauty Authority”, New Beauty magazine provides its readers with cutting-edge content on all things aesthetic.
REALSELF TOP DOCTOR
Awarded to only a select group of doctors who have demonstrated an ongoing commitment to answering consumer questions, educating and are transparent about their level of service by encouraging their patients to post unbiased reviews and patient experience.
Dr. Boehm joins CaloAesthetics from Wisconsin, where he recently completed his six-year plastic surgery residency at the Medical College of Wisconsin. His interests include facial rejuvenation surgery, rhinoplasty, aesthetic breast surgery, body contouring, and weight loss surgery. When he is away from the operating room, he enjoys playing golf and spending time withhis wife, Anita, and their two daughters, Mila (age 4) and Hanna (7 months). Dr. Boehm and his family are looking forward to exploring all that Louisville has to offer! Hometown: Sheboygan, WI Medical School: Medical College of Wisconsin Favorite Surgery: Rhinoplasty Favorite Surgical Instrument: Swivel Knife CALL TO SCHEDULE YOUR APPOINTMENT AND SURGICAL PROCEDURE TODAY AND RECEIVE THE FELLOW DISCOUNT
EVOLUS ELITE
CaloAesthetics Plastic Surgery Center and CaloSpa Rejuvenation Center are among the top Jeuveau accounts in the US.
SCITON DIAMOND DISTINGUISHED PARTNER
CaloAesthetics Plastic Surgery Center and CaloSpa Rejuvenation Centers are recognized as a Diamond Level Distinguished Partner for the advancement of skin rejuvenation.
DID YOU KNOW?
You can view Dr. Calobrace's CV by visiting caloaesthetics.com .
FOLLOW US ON INSTAGRAM: @CALOAESTHICS.FELLOW
BODY LANGUAGE 9 BODY LANGUAGE
MENU OF SERVICES Packages Also Available
DAY SPA
MEDI SPA
SERVICES Facials Makeup Massages Physician Directed Skincare Lines
BODY TREATMENTS Accufit ™ BioTE ® Hormone Replacement Therapy Diva ® – Vaginal Tightening Exilis Ultra ™ – Skin Tightening IM B12 Shot Forever Bare BBL ™ – Laser Hair Removal Genius ™ Body – Loose Skin and Wrinkles Laser Hair Removal miraDry ® Sweat Treatment SkinTyte ™ Body BODY CONTOURING & CELLULITE TREATMENTS Avéli ® – Cellulite Treatment CoolSculpting ® Elite EmSculpt ® Neo – Muscle Building + Fat Reduction truSculpt ® iD
FACIAL INJECTABLES Botox ® Dysport ® Jeuveau ™ Juvéderm ® Family of Injectables Kybella ® Kysse ™ Radiesse ® Restylane ® Family of Injectables RHA Collection ® Sculptra ® Versa ™ Voluma ®
SURGERY CENTER
BREAST Breast Enlargement Breast Implant Removal Breast Lift Breast Reduction Breast Reconstruction
FACIAL LASER & LIGHT TREATMENTS ClearSilk ® excel V ™ – Vascularity Treatment Forever Young BBL ™ Forever Young BBLBody+ ™ FotoRejuvenation Complexion Treatment Facial Tightening • INFINI Genius ™
Gender Confirmation – Top Surgery Gynecomastia – Male Breast Reduction Revisional Breast Surgery
BODY Arm Lift
COMING SOON
Body/Thigh Lifts Brazilian Butt Lift Fat Transfer – Face, Breast, Buttocks, Body Labiaplasty Mommy Makeover Platelet-Rich Plasma (PRP) Post-Bariatric (Weight Loss) Rejuvenation Renuvion ® – Skin Tightening SafeLipo ThermiTight ® – Skin Tightening Tummy Tuck Ultrasonic Liposuction FACE Calolift – Mini Facelift Chin/Cheek Augmentation Contour TRL ™ – Deep Skin Resurfacing Ear Pinning Endoscopic Brow Lift Eyelid Surgery Facelift Fat Transfer Lip Lift
CO2Lift Pro – Carboxytherapy Skin Care Daxxify ™ – Long Lasting Neurotoxin (plated) ™ SkinScience – Platelet-derived Exosomes Bare HR ™ – Laser Hair Removal
• SkinTyte ™ • Scarlet RF
HALO ™ Hollywood Laser Peel Laser Genesis ™ – Skin Glow Moxi ™ Spectra ® – For Pigmentation ADVANCED FACIAL TREATMENTS & PEELS CaloThreads Chemical Peels Dermaplaning (Blading) DiamondGlow Glycolic/Salicylic Peel HydraFacial ® MicroLaserPeel ® Microdermabrasion Microneedling Micropeel NanoLaserPeel ® PRP Facial TCA Peel
Lip Implant Mini Facelift Neck Lift NeoGraft ® Hair Restoration Rhinoplasty
BODY LANGUAGE 10
Calo Spa Favorite
Pick Your Perk Status
Looking Good Easier Just Got NEARLY 900 MEMBERS!
GOLD, PLATINUM OR DIAMOND
MEMBERSHIP BENEFITS GOLD PLATINUM DIAMOND
MONTHLY PAYMENT $75-$245
$250-$445
$450+
Save on Spa Products and Services
10% 15% 20%
Complimentary Treatment Plans
No RSVP Fee for Events
Experience
Special Gifts and Promotions Exclusive CaloPerks Events Save 10% on Surgeon's Fees Additional 5% Open House Discount
We have taken our focus on beauty and wellness to the next level. Understanding that consistency is key to maximizing the results of your products and services, we have created a rewards program, CaloPerks, to help you achieve your beauty and wellness goals with savings year round. Year-round Savings
AND ALL THE PERKS.
Additional Perks • Includes comprehensive skin and wellness consultations • Exclusive CaloPerks events • Discounts are valid with other reward programs (Aspire, Brilliant Distinctions, Swiss Rewards) • Credits never expire
A simple monthly payment can unlock all the Perks you need to a confident new you!
“I am so glad to be a Perks member! I am able to budget for my favorite routine treatments while saving some money. Taking care of my skin, body and health has always been very important to me. So to become a Perks member was an easy decision. I will always be a CaloSpa patient, and I absolutely love my Botox ® , now Jeuveau™, and Sculptra ® treatments! I will not go anywhere else, and when it’s time for surgery I will only go to see CaloSpa’s doctors.” – H.D., CaloPerks Member Are you ready to get perky? CALL 502.814.3000 TO LEARN MORE AND SIGN UP TODAY!
SAVE 20% › 20% OFF ALL SKINCARE AND BODY PRODUCTS › 20% OFF SELECT MEDICAL AND DAY SPA SERVICES AT THE OPEN HOUSE
MAIL-IN ORDER FORM
ONLINE STORE
BODY LANGUAGE 11
AGING FACE BY DR. BRADLEY CALOBRACE
SURGICAL
the
Facial aging includes three things: 1 CHANGES TO OUR SKIN + wrinkles + pores + irregular pigmentation + loss of glow
2
VOLUME LOSS IN OUR FACE + lips + cheeks + under eyes + global
3
FACIAL SAGGING AND RELAXATION
LEARN MORE
12 BODY LANGUAGE
Our approach to helping patients achieve their goals is always to start with the least invasive procedures which often can be quite effective without resorting to surgery. Good physician-directed skin care, HydraFacials, microneedling, chemical peels, laser treatments, toxins, and fillers all work together to accomplish amazing improvements.
The facelift addresses the sagging aspect of facial aging. Facelifts involve lifting the skin and then tightening the tissue and muscles deep under the skin and repositioning and reshaping those structures to a more youthful appearance. The skin is simply re-draped over the new shape and the extra is cut away. A modern facelift IS NOT pulling the skin back tight to make the face look better. We all know that looks BAD – that stretched, windtunnel- pulled appearance is what we avoid with our techniques at CaloAesthetics. A facelift can involve tightening only the neck (necklift), the neck and jowls/lower face (lower facelift), the entire face and neck (full facelift), or maybe just a less invasive lift in someone with early aging (mini-facelift) which often has shorter scars and quicker recovery. At CaloAesthetics, we refer to our mini- facelift as the CaloLift. The incisions can be only under the chin, only around the ears, or possibly both to optimize the final results. Facial surgery patients recover quickly, with all stitches removed in 5-10 days in most patients, back to work in 1 week (mini-facelift, neck lift, or eyelid surgery) or 2 weeks with a lower or full facelift.
However, surgery may be the best option for some patients. Remember, facial aging is not the only reason someone gets facial surgery. Rhinoplasties (nose-jobs) and otoplasties (ear- pinnings) are great examples of surgeries that improve the appearance from issues that are not age-related. The brow position and the upper and lower eyelids are often the first facial features to show aging. The upper eyelids become hooded and heavy, bags develop in the lower eyelids, and sometimes the brow begins to drop leading to a heavy appearance above the eyebrows. Browlifts are performed as Endoscopic Browlifts with only tiny incisions in the hair-bearing scalp. Upper blepharoplasties (upper eyelid) and lower blepharoplasties (lower lids) address the heavy upper lids and the bags in the lower lids. Laser resurfacing and fat grafting are sometimes performed with eyelid surgery to optimize outcomes! If not performed earlier in one’s life, the brow and lids are treated at the same time as the facelift.
When doing a facelift, patients should expect me to be looking at all the ways to make each patient look their best, and look natural. That will include good skin care, and possible non-surgical laser treatments (like the HALO, Moxi ® or Genius RF/Microneedling) to make the final result outstanding. Fat grafting is often done to restore the volume as well during the facelift, with fillers performed post–surgery to maintain the results over many years. Facelift age? 40's for mini-facelift, 50's for lower or full facelift, but many patients in their 60's and 70's undergo facelifts either as their first one or as a secondary re-lift to maintain that refreshed look. It can be less natural if someone waits and then does everything after significant facial aging. Sometimes the change can be so dramatic it is hard for people not to know something significant happened. For some patients that is perfectly fine. There is no doubt keeping up with the aging process and making small corrections starting earlier allows for a more gradual, natural change that can be a little more “under the radar” and less noticeable to family and friends.
BROWLIFT, UPPER AND LOWER BLEPHAROPLASTY
LOWER FACELIFT, LIPOSUCTION, FAT TRANSFER
NECK LIFT, SUBMENTAL LIPOSUCTION, THERMITYTE
CaloAesthetics Patient
CaloAesthetics Patient
CaloAesthetics Patient
BEFORE
AFTER
BEFORE
AFTER
FACELIFT, NECK LIFT, FAT TRANSFER
CaloAesthetics Patient
BEFORE
AFTER
BODY LANGUAGE 13
BEFORE
AFTER
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AFTER
SURGICAL
Nose CaloAesthetics Best BY DR. LUCAS BOEHM
14 BODY LANGUAGE
Surgical
Non-Surgical
Rhinoplasty or "nose job" is a surgical procedure performed to reshape and improve the appearance of the nose. In 2020 rhinoplasty was the number one cosmetic surgery performed in the United States. * Common complaints leading patients to seek rhinoplasty surgery include a nose that appears too large, a bump on the bridge of the nose, a crooked nose, a nasal tip that appears too big or bulbous, and trouble breathing through the nose. More so than most other surgical procedures, aesthetic nasal surgery must be customized to the individual. A detailed analysis of not only the internal and external nose but the entire face must be performed to understand what structures require alteration to achieve a more aesthetically pleasing nose that remains functional and proportional to the existing facial structures. Rhinoplasty surgery involves a small incision across the columella of the nose that extends inside the nostrils.
For those patients who may not be ready to commit to rhinoplasty surgery or don't have the downtime necessary for recovery, a less invasive alternative may be an option — Liquid Rhinoplasty . This procedure involves the injection of dermal fillers into the nose to reshape it and is a great option for patients with isolated deformities of the nasal bridge or nasal tip. It may also be an option for patients who have had a rhinoplasty in the past and have minor irregularities postoperatively. Lastly, liquid rhinoplasty can be a great way to "test out" your new nose before committing to a more permanent surgical rhinoplasty.
This incision allows the surgeon access to the underlying cartilaginous framework that gives the nose its external appearance. Traditional rhinoplasty operations were reductive in nature, focusing on making the nose smaller and more "refined". This often led to a weakening of the supporting structures of the nose and deformity, sometimes years after the operation. Using newer, more modern techniques, we are now able to refine the external appearance of the nose without sacrificing its underlying support. The best candidate for rhinoplasty is a healthy patient who has attributes to their nose they wish to change. In facial aesthetics we discuss facial proportions all the time and keeping proportions symmetric will yield the best result. A patient whose nasal features are out of proportion to the rest of their face is a good candidate because we can reduce the size of the nose to improve facial proportions. Rhinoplasty is performed under general anesthesia in our outpatient surgery center. Postoperatively, it is important for patients to keep their head elevated, especially while sleeping to minimize swelling. Swelling peaks 2-3 days after surgery but decreases thereafter. A cast is placed on the nose and splints are placed inside the nostrils for 5-7 days after the operation to protect your new nose.
RHINOPLASTY
RHINOPLASTY
LIQUID RHINOPLASTY
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CaloAesthetics Patient
CaloAesthetics Patient
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* According to the American Society of Plastic Surgery.
BODY LANGUAGE 15
SURGICAL
BY DR. BRADLEY CALOBRACE
DROOPY BREASTS, BUT PLENTY OF VOLUME
F or these patients, fat grafting can sometimes be used without implants to achieve additional volume that is completely natural and permanent. It has limitations, is not right for everyone, and can only increase the bra size one half to one bra size. This is perfect for some patients. We sometimes will use small implants with fat grafting to provide a natural result, but with more projection and volume. SMALL BREASTS, BUT DOESN’T WANT IMPLANTS
SMALL BREASTS
A breast lift alone is performed without an implant. Often these patients undergo an auto-augmentation, a newer technique that uses the patient's tissue to create a small, implant-like portion of the breast that is moved to the top, cleavage portion of the breast. This creates an augmentation look without the use of an actual implant. Fat grafting is occasionally used to provide additional volume and natural shape.
T his most often involves the placement of a silicone or saline breast implant. The new Ideal Implant is saline, but baffled and partitioned to provide a more natural feel. Silicone implants are the most common implants placed, usually behind the pectoralis muscle (but sometimes in front of the muscle). We mostly use smooth implants and recovery is quick — back to work in 3 days and full activity in 4 weeks.
IMPLANT REMOVAL, BREAST LIFT, FAT TRANSFER
BREAST AUGMENTATION
BREAST LIFT AUGMENTATION
CaloAesthetics Patient
CaloAesthetics Patient
CaloAesthetics Patient
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BODY LANGUAGE 16
W hen it comes to breast surgery, there are many misconceptions and misunderstandings. Breast surgery is not all about getting breast implants — it is 100% about finding a procedure to help our patients feel more whole, more beautiful, or simply more comfortable in their bathing suits and clothes. Maybe it is worth briefly describing some of the problems we see and how we help solve those issues.
DROOPY BREASTS, NO VOLUME (FLAT, DEFLATED)
BREASTS TOO LARGE
T hese patients often receive a breast lift (mastopexy) with the addition of an implant or possibly fat. The mistake often made by surgeons is to offer a breast augmentation to treat droopy breasts without doing a lift. We believe this leads to greater problems. Traditionally, breast lifts and breast augmentations were not done together and surgeons would perform two operations to correct these type of breasts. I wrote a landmark article almost a decade ago in our journal describing my techniques for performing a breast lift simultaneous with a breast augmentation. I published a textbook two years ago reviewing all of the techniques used to optimize outcomes. I also produced a video series that was the most watched video on QMP (Quality Medical Publishing) video series last year. This is a technique we have described, defined, and championed for many years and provides an outstanding improvement in one operation.
A breast reduction may be appropriate, sometimes with the use of mesh support (internal bra) to create a long-lasting, more beautiful result. The scars usually are anchor- shaped and extend around the areola, down the breast, and along the fold. These scars generally heal beautifully and patients are universally thrilled with the results.
BREAST LIFT
BREAST REDUCTION
CaloAesthetics Patient
CaloAesthetics Patient
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BODY LANGUAGE 17
SURGICAL
G ender confirmation surgery is performed to provide congruity between one’s gender appearance and gender identity. This may involve a breast augmentation in a male-to-female top surgery or a mastectomy (breast removal) for female-to-male surgery. In performing a mastectomy, great cares taken to not simply remove the breast, but shape the chest to be more masculine through scar placement and pectoral enhancement through selective liposuction and fat grafting. GENDER CONFIRMATION SURGERY
I mplants do not last forever, and breasts continue to change and age over the years. Too many women live with hard implants, deformed and/or saggy breasts for many years before seeking a correction. I am always shocked to hear from my patient that their breasts have been deformed and painful for 20 years or more. I have personally done live surgery around the world demonstrating our techniques for correcting breast problems after previous surgery. Ruptured implants, hardened breasts (capsular contractures), drooping of the breast tissue off of the implants, unaboob (symmastia), or breasts that are bottomed out and hanging too low can all be completely corrected back to natural, soft, mobile, and attractive breasts. This may include changing the implants, performing a breast lift, fat grafting, new implant pocket creation, and occasionally the use of soft tissue support, such as a temporary mesh or skin graft to correct the problems. PROBLEMS WITH BREASTS AFTER PREVIOUS BREAST SURGERY
M ale breast development is extremely common during puberty due to increased testosterone production (with increased estrogen from testosterone conversion) that ultimately disappears after puberty for most. When it does not, surgery can successfully treat the residual problem. This may require a small incision around the areola to remove the dense breast tissue or liposuction for any fatty component. If male breasts develop later, this is often excess fat with loose skin that is often resolved with liposuction alone. Medications, anabolic steroids, testosterone, and marijuana can produce male breast tissue that requires surgery and/or estrogen blockers to treat the problem. MALE BREAST DEVELOPMENT (GYNECOMASTIA)
IMPLANT EXCHANGE BREAST REVISION
GYNECOMASTIA
GENDER CONFIRMATION - FTM
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BODY LANGUAGE 18
IT MAY JUST BE
Ideal the
LEARN MORE
Implant
BY DR. BRADLEY CALOBRACE
DESIRES REMOVAL OF IMPLANTS
S ome patients come to see us asking for their implants to be removed, with or without removal of the capsule. This may be simply to downsize to a breast size that no longer requires an implant. Additionally, some patients have symptoms and illnesses that have no known cause, and the implants are removed in hopes of improving those symptoms (breast implant illness). While it is uncertain which patients will improve, some will indeed report significant improvement after removal. We continue to research this, but for now, we simply support and stand by our patients, educate them, provide realistic expectations, and work diligently to produce beautiful breasts as much as possible after implant removal. We will never provide false promises, but we also never refuse to help patients and remove unwanted implants and/or capsules. We strongly believe as great as implants are for many patients, they probably are not right for everyone and could even possibly provide problems for some patients. We err on the side of being our patients’ advocates always!
As many of you know, I have been lecturing and writing about breast surgery my whole career. In the 90s and early 2000s, I almost exclusively used saline implants for breast enhancement. In 2006, the FDA re-approved silicone breast implants and that has become the mainstay implant used in our practice and throughout the U.S. and world. There are different types, sizes, and shapes and I have published extensively on these over the past 15 years, including publishing 2 of the 3 FDA 10-year studies on round cohesive silicone implants. I also published an award-winning paper in the Aesthetic Surgery Journal in 2018 entitled, "The Safety of Smooth and Textured Silicone Breast Implants" in which I reviewed all 5 of the major core studies done for the FDA on the use and safety of silicone implants. One of the challenges is knowing if a silicone implant is leaking... it can be hard to tell. To assist that in our office, I evaluate implants that are 6 years or older with ultrasound during each visit. This helps pick up any early silicone leakage that might be hidden... an added advantage for each patient to come to the office for follow-up every two years. However, I think most do not know that there is an excellent option for silicone implants now available — the IDEAL IMPLANT . The Ideal Implant is a saline implant that also contains internal baffles that prevents saline sloshing and helps it to feel and act a bit more like silicone implants. Like all saline implants, when it leaks, you know it. These implants have excellent safety data, low rates of rupture, and other complications. These implants are an excellent option for those hesitant to use silicone implants or as an option in revisional surgery.
REMOVAL OF IMPLANTS
CaloAesthetics Patient
If you would like to know if an Ideal Implant might just be ideal for you, please call the office and arrange a consultation to learn more.
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BODY LANGUAGE 19 BODY LANGUAGE
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Fat, fat, fat… What is all this crazy talk of adding fat to patients? Well, it is true. The more we use fat grafting to improve our patients’ outcomes, the more we use fat. There is rarely a day that goes by that we do not do fat grafting for one or more of our patients. The reason: because fat is the perfect “filler” that is natural, provides volume, regenerative stem cells, and has long-lasting results. One of the misconceptions is that fat goes away after you place it. In general, over half of the fat that is placed survives and retains its volume for many, many years. This is one of the differences between FUN FAT FACTS BY DR. BRADLEY CALOBRACE
Fat grafting is done with most facelifts and eyelid surgery. The fat adds much-needed volume to the cheeks, lower eyelids, around the mouth, and in the temples. Even before facial surgery, fat is often used instead of fillers if our patient is going to surgery for something else. We would rarely, however, take a patient to surgery just to do facial fat grafting. But if we are already there, it is a perfect time to add some fat. FACIAL
So, don’t just think of fat as bad…
FAT TRANSFER WITH UPPER BLEPHAROPLASTY, HALO
CaloAesthetics Patient
a “filler” such as Juvederm ® or Restylane ® which lasts up to a year, and fat which can survive for many years or possibly a lifetime. It also is the patient’s own tissue, and thus is completely natural and shrinks and grows with the patient just like any fat would.
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BODY LANGUAGE 20 BODY LANGUAGE
Fat grafting to the breast has emerged as an excellent way to improve the results in breast surgery. Almost all breast reconstructions performed after mastectomies undergo fat grafting. Now, we can do modest breast augmentations with fat only, or we use fat to improve the results of breast lifts, breast implants, and especially as a treatment after the removal of breast implants (explantation). About half the fat placed in the breast survives and is permanent. Fat is a great way to add more volume to the top of the breast and provide improved cleavage. BREAST
Fat grafting can be used in tummy tucks to create a more athletic six-pack look. This is called the RAFT procedure (Rectus Abdominis Fat Transfer). Also, fat is used to fill in the hip dips, shape the male chest, fill in previous liposuction defects, and a variety of other uses. Just as important as fat removal can be to creating shape in body contouring, equally adding fat in needed areas can also create more attractive shapes. BODY CONTOURING
The so-called BBL, or Brazillian Butt Lift, has really become the “butt-buzz” on social media and is extremely popular. This has been one of the most powerful additions to body contouring in the last few years, providing a cinched waist and perky booty. To provide the greatest precision and safety, we perform BBLs under strict ultrasound guidance (Ultra BBL) to ensure optimal and safest fat placement. BUTTOCKS
...in 2022, fat is where it is at! I never throw fat away if I can figure out a great way to use it to enhance the shape of our patients.
FAT TRANSFER WITH UPPER AND LOWER BLEPHAROPLASTY
IMPLANT REMOVAL, BREAST LIFT, FAT TRANSFER
BRAZILIAN BUTT LIFT WITH AVELI
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BODY LANGUAGE 21 BODY LANGUAGE
SURGICAL
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BODY LANGUAGE 22
BY DR. BRADLEY CALOBRACE
At CaloSpa, we have invested millions of dollars in providing the most advanced non-surgical body contouring procedures, all which have been discussed in this magazine. They include:
Through these procedures, we can freeze fat, melt fat, tighten skin, build muscle, and smooth cellulite. However, sometimes surgery is the best option and the best value to achieve the desired result. Liposuction if extremely common in our practice and I perform liposuction at some level in over half my patients. At CaloAesthetics Plastic Surgery, we use power-assisted liposuction and do it through a technique called SAFE Lipo! The only limitation to liposuction is its inability to tighten skin. Renuvion ® is an excellent procedure to perform immediately after the liposuction to tighten the loose skin. I have been personally shocked at how effective Renuvion skin tightening can be. Additionally, every time we do liposuction we ask if there is anywhere we should put the fat. BBLs (Brazillian Butt Lifts ) are very common, but also some patients chose to do a bit of rejuvenating fat grafting to the face or breasts. Fat grafting is a powerful option to consider when undergoing liposuction. If the skin is too loose and the tissues are sagging, a 'LIFT' may be required. This could be a thigh lift, arm lift (brachioplasty), necklift, buttocks lift or even a complete body lift. This does involve more scars to lift and tighten the tissue, but the results are outstanding. These techniques are often used in patients who have undergone massive weight loss or genetically have very loose skin. Another problem area is the abdomen due to pregnancy, weight loss or aging. A tummy tuck (abdominoplasty) can include many techniques performed together to achieve the final result — liposuction, mons pubis debulking and elevation, skin excision, new belly button construction and muscle tightening. We inject all our patients with exparel at the end of surgery to allow a numbing effect in the area for 3-4 days. All of these procedures can be performed as an outpatient with close follow-up in our office as you recover. These may be more invasive procedures that may give some of our patients a bit of hesitation in going down the surgical path...and I may not want to ask them if they would do it again in the first week or so after the procedure. But when they go for it...and all is done...the big smiles and hugs a few weeks later remind me that we have changed each of their lives for the better, and it was definitely worth it.
COOLSCULPT ® ELITE
EMSCULPT ® NEO
TRUSCULPT ®
CaloAesthetics Patient LIPOSUCTION WITH THERMITYTE
CaloAesthetics Patient ANCHOR TUMMY TUCK
ACCUFIT TM
EXILIS ULTRASOUND TM
SKINTYTE TM
AVELI ®
EMTONE ®
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STANDARD TUMMY TUCK, LIPOSUCTION
EXTENDED TUMMY TUCK, LIPOSUCTION
ANCHOR ABDOMINAL DERMOLIPECTOMY
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BODY LANGUAGE 23 BODY LANGUAGE
SURGICAL
COMING SOON!
(plated) ™
Co2LIFT
The first and only topical skincare product harnessing the power of platelet-derived exosomes. The Science Our key proprietary ingredient, Renewosomes ™ , contains trillions of renewing exosomes that provide a natural defense against the signs of aging. Powerful Antioxidant Enzymes Helps protect from the environmental stressors that trigger cellular aging.
The only proven, medical-grade and topical carboxytherapy treatment that doctors recommend! CO2LIFT is a state-of-the-art, anti-aging treatment that is clinically proven to lift, hydrate, brighten and improve the overall health and appearance of your skin. You can now immediately revive natural radiance in under an hour with absolutely no downtime. CO2LIFT’s carboxy therapy treatment improves the skins elasticity without any invasive procedure. CO2LIFT is gentle and safe for both men and women of all ages. It’s as effective as some laser and radiofrequency procedures without the outpatient visit. • Reverse your Skin's Aging Process • Double Your Skin's Hydration • Proven to Increase the Skin’s Hydration by More than 117% • Improves the Skin’s Brightness and Overall Health • Tightens and Lifts the Skin
Daxxify ™
Calming Effect Diminishes the appearance of redness.
The first and only peptide-powered, FDA- approved frown line treatment with duration of 6 months and up to 9 months for some patients. * Like Botox and Dysort, when Daxxify is injected it delivers a dose of botulinum toxin to block certain nerve signals. This means the muscles are temporarily unable to contract, relaxing wrinkles and fine lines in the process.
Reduces the Appearance of Skin Imperfections Diminishes the appearance of wrinkles, brown spots, redness, and dullness. Collagen and Skin Cell Support Minimizes pore size and improves skin tone, texture, and youthfulness.
* https://daxxify.revanceaesthetics.com/
BUY NOW PAY LATER
We are excited to announce that CaloSpa’s online store now offers Klarna ® . Klarna offers you the option to pay in full at checkout, or to split your purchase into 4 regular payments with Klarna Installments, making your online Open House purchases quick and easy. So buy NOW and pay LATER!
BODY LANGUAGE 22 24
RESHAPING WHAT'S POSSIBLE ®
BY DR. BRADLEY CALOBRACE
After the liposuction, the Renuvion energy is applied internally to cause those fibrous bands to shrink and tighten up, thus tightening up the overlying skin. You may have seen one of our @calospa Instagram videos of this effect. Renuvion can tighten the bra line, hips, post- pregnancy belly, upper arms, and thighs. It is also used to tighten the neck after submental liposuction. This procedure is only performed during surgery but adds no additional scars or downtime. Now, of course, Renuvion can’t replace a tummy tuck or an arm lift when they are needed, but it can significantly tighten skin and provide an outstanding outcome in many situations and eliminate the need for larger scars to cut out loose skin. This is my favorite new device of 2022. When coming in for body contouring, ask about Renuvion and see if it is right for you.
TUMMY TUCK, LIPOSUCTION WITH RENUVION
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ONE OF OUR FAVORITE NEW
PROCEDURES IS THE RENUVION
SKIN TIGHTENING DONE ALONG
WITH LIPOSUCTION.
The Renuvion is a unique device that combines helium gas and RF (radiofrequency) energy to tighten the skin. When performing liposuction, removal of the unwanted fat leaves the skin attached to the underlying muscle through small, fibrous bands. These are the same bands that can create cellulite dimples in women. When the fat is gone, the skin can be looser.
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BODY LANGUAGE 25
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There are a number of reasons a woman may develop functional or aesthetic issues with the external vagina including normal aging, genetics, and child bearing. Labiaplasty can be performed under general anesthesia or sedation depending on patient preference. There are two main techniques in labiaplasty surgery — the trim and the wedge technique. Our surgeons are trained in both techniques and utilize the technique best suited for a particular patient's anatomy and goals. Postoperatively, patients should expect up to a week of downtime. Greater than 90% of patients report long-term improvement in the discomfort they reported prior to surgery. F eminine E nergy VAGINAL REJUVENATION BY DR. LUCAS BOEHM Labiaplasty is cosmetic procedure designed to improve the appearance and function of the vagina by reshaping excess labia minora tissue. The most common complaints we hear in our patients seeking labiaplasty surgery include discomfort during sex or other physical activity, irritation with tight fitting apparel, or dissatisfaction with the aesthetics of the vaginal area.
BODY LANGUAGE 26
ONE OF THE MOST EXCITING NEW ENDEAVORS IS STARTING A NEW EDUCATIONAL MEETING IN THE UNITED STATES. Dr. Per Heden from Stockholm, Sweden, and I are hosting our inaugural plastic surgery meeting, Beauty Through Science-NEW YORK December 1-3, 2022 in Times Square.
NON-SURGICAL
VAGINAL REJUVENATION
By Bethany Shively, DNP, FNP-BC, PMHNP-C
Non-surgical vaginal rejuvenation has become a more popular treatment not only in the aesthetics industry, but in gynecological offices and even in primary care, as this is an area that can negatively impact women’s health. We are happy to have offered diVa laser as a non-surgical option for over a year at our practice with outstanding results. diVa is a laser designed for the vaginal tissue that targets a variety of functional concerns. With improvements in stress incontinence (leaking during coughing/sneezing/laughing), internal laxity/ looseness, external laxity/looseness, sensation dysfunction, and vaginal dryness/painful intercourse, it has become a popular treatment amongst our population. Many women note significant changes during and after menopause or even sooner after delivering children. diVa is a simple, in-office procedure that addresses many of these concerns with minimal downtime. Recommendations can vary based on the patient and situation, but most women are seen for a series of 3 treatments, one month apart, and with minimal downtime. While results will last months/years, some women may require additional treatments or a “maintenance” treatment 1-2 years after their series. Schedule a consultation to see if diVa laser may be the right option for your women’s health needs.
Dr. Heden began BTS Stockholm two decades ago, and three years ago we joined forces to continue the Stockholm meeting annually and now have expanded it to the United States. This Meeting is unique as it includes leading Dermatologists and Plastic Surgeons from around the world, coming together to bring education on the most advanced treatments and technologies in our industry. I am very excited to bring together the very best educators to advance Aesthetic Education to the highest level in the U.S. and around the world.
— Dr. Bradley Calobrace
BODY LANGUAGE 27
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