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Be the best version of yourself
1250 South Tamiami Trail, Suite #302
Sarasota, Florida 34239
Tuesday, 09 September 2014 15:34

Will a liquid facelift improve my neck?

neck liftThe term “liquid facelift” refers to plumping up the face where it has lost volume by the injection of fillers. While fillers can have beautiful results when given expertly and artistically, “liquid facelift” is a term that can be misleading by suggesting surgical results without surgery.

While fillers may be used in the neck area occasionally, in the vast majority of cases the aging of the neck is due more to inelastic skin, gravity, excess fat or skin in the neck and/or the edges of neck muscles forming the “bands” that run vertically down the front of the neck.

In the case of inelastic skin, collagen and elastin in the skin have broken down. This requires rejuvenation of the skin, and neither surgery nor fillers will fix it. For the other aging changes of the neck surgical repair is almost always necessary for an optimal result.

Excess fat can be removed by several techniques and the neck can be surgically tightened so that instead of hanging down, the muscle actually serves as a suspension to hold the neck in a youthful contour. Most often, especially once a person has reached a certain point in the facial aging process, surgical repair of the neck becomes part of an overall facelift. These procedures are done in tandem to achieve harmony and the ideal proportions between the face and neck.

Lastly, with expert surgical technique and a truly artistic eye, a facelift and neck lift will look entirely natural without sacrificing any of the rejuvenation.

If you are interested in this process and want to find out more, please contact us at 941-951-2220.


Published in Blog
Monday, 11 July 2016 08:31

Jowls: Facelift or Fillers?

liftWhat to do about those dreaded jowls??
Early on, they’re often caused by volume loss in the face, especially some of that 20% of skull mass that we eventually (and quite normally) lose over our lives.  This is how it works:
There’s a little ligament, about ½ inch wide, on each side of the chin just where those “marionette lines” form.  It’s very tight between the bone and the skin – and it stays tight as our skull starts to become smaller, a process that generally begins after about age 25.  This is mostly what creates that first indentation of a marionette line and also the indentation on either side of our chin at the jawline that makes the area just next to it look like a jowl.  This is what we call a “pseudo-jowl” and it usually can be smoothed out nicely with a filler. 
As we proceed to age not only does that process continue, but we also accumulate some fat at the jowl, and other tissues stretch and slide down to form a real, live standard issue, pseudo-no-more jowl.
Sometimes people attempt to keep filling the indentation up as the jowl enlarges.  That’s when the face can look boxy and distorted – we’ve all seen it – because the actual cause hasn’t been addressed. This is when gravity has superseded the volume loss issue and a facelift is indicated.  The volume still needs to be addressed or people can look windblown, but the important thing is for your doctor to know the difference, address the proper condition and do it safely, skillfully and with artistic vision.

If you need help deciding between a facelift or fillers, click here to contact us for an appointment.


Published in Blog

jane-iredale-tantasia-sm1.  Use a self-tanner on your body.  Jane Iredale’s Tantasia gives you an immediate bronze with just a touch of glow, and once it dries it won’t come off on your clothes.  Its subtle shimmer is especially beautiful on legs and shoulders.  Also, it has a lovely grapefruit fragrance for a few minutes, and then it has no odor at all!  A great drugstore variety is Jergens Natural Glow.  Use this every day and you’ll build up a great tan.  Even if you’re fair, you can use the “Medium to Tan” tone to build up your color more efficiently.  A “haute” variety is St. Tropez Bronzing Mousse.  It will give you immediate color and needs to be applied only about twice a week for a consistent tan.  All three give totally believable color.

  2.   If you use foundation, keep it sheer.  Visible foundation looks dated and will accentuate any wrinkles or scars.  Use a light dusting of mineral powder, a tinted moisturizer or a tinted primer to warm your natural color.  One product we love is TiZO.  Branded as a broad-spectrum, SPF 40 sunscreen (made with titanium dioxide and zinc oxide, ergo the name), it has a tint that’s compatible with any skin color and it has that lovely primer quality of making the skin look soft-focused.

3.  Use a powder, crème or gel bronzer around the perimeter of your forehead and over your cheeks, nose and the tip of your chin.  In short, put the bronzer only where the sun would hit you if you were standing.  If you use bronzer all over your face, you run the risk of looking flat and muddy.  Again, keep things really sheer; you want the color without the look of spackle.

4.  Pinch yourself.  That’s the color your blush should be.  Place a pop of it right over the apples of the cheeks for a little flush of color.  This step will make the face look younger and sweeter.

5.  If you’re over 30, don’t try to “create cheekbones” by shadowing in hollows under the cheeks.  That will backfire and be aging.  What you can do to great effect is take a little shimmer powder or crème and place it on the top of the cheekbones, and even down the center of the forehead and nose.

If you’d like some help, give us a call at 941.951.2220 and set up an appointment for a skin evaluation and a make up lesson.  We want you to look like the very best version of yourself and we’re here to make it happen! 


Published in Blog
Q. Sally asks: I read your article about why eyes may get smaller as we age. Can you explain how I should insert and remove my contact lenses? contact lenses small eyes dr. holly barbour

A. The best way to insert soft contact lenses is to place them without stretching the eyelids. The best way to do this is as follows: Place the contact near the tip of your index finger. Make sure it's not too wet - this will allow it to grab onto your eye and not stick on your fingertip when you're trying to insert it. Get in front of a mirror and brace your third or fourth finger on your cheek without pulling down on your eyelid.

Tuck your chin down while looking up into the mirror so you've exposed as much white at the lower part of your eye as possible. Let the contact touch the lower part of the eye and as soon as it "grabs" look up as high as you can (you won't be able to see yourself at this point) and roll your fingertip up slightly to allow the top of the contact to seal onto your eye. It's really easy once you get the hang of it, and it's not that much different than the way people normally insert CL's.

To remove the contact, place the sides of the pads of your fourth fingers together, place them over your contact, and then pinch the pads together a bit to break the seal of the contact with your eye. This way, you can put them in and take them out day after day and year after year without ending up with a saggy lower lid margin down the road.

Q. Sally also noted that her eyes seemed smaller since she began wearing contact lenses about a year ago. Here was my reply:

A. If your eyes seem smaller since you began wearing contact lenses, it may be that the eyes are a little dry. When the eyes are dry we sometimes squint a bit in an unconscious effort to reduce their exposure to the air. If that's the case, you may want to try a contact lens solution that is moisturizing. Opti-Free Replenish is a great solution (no pun intended) for the drying effects of contact lenses. Other than that, contacts should have no effect on the size of your eyes.

Published in Blog
Tuesday, 22 April 2014 14:59

Product Description: JUVEDERM VOLUMA XC

                Juvederm VolumaXC-logo-4c

The newest Juvederm product, Voluma has been FDA-approved for use in restoring volume in the cheek area. Voluma has been shown to last up to 2 years.

If you loved Juvederm, you will love Juvederm Voluma even more! Voluma is made of hyaluronic acid (HA), a naturally occurring sugar in the body. In large part, the longevity of HA fillers has been determined by the amount of "cross-linking" of the molecules, meaning essentially how densely they're packed together. Voluma is highly cross-linked, to the point where the density of the filler allows it to last up to two years. This added density has not detracted from the smooth, silky way it goes into the face, but (aside from the fact that there is 20% more product in each syringe than there was with Juvederm's former incarnations) Voluma is definitely creating more fullness just from the density alone.

Published in Blog
Monday, 14 April 2014 20:24

Product Description: Artefill

A long lasting filler with immediate results. It works with your body's own collagen to give volume that will last years instead of months. artefill

For people who tend to "burn up" filler, Artefill offers a solution for both needle- and credit card-fatigue. This revolutionary volumizer has been around in its present form since 2006, but I have been watching it all these years to make sure of its safety profile.

Twenty per cent of each syringe-full of Artefill is made up of microspheres -- each one being 40 thousandths of a millimeter in diameter -- of polymethylmethacrylate (known by its acronym, PMMA). PMMA is an inert substance that has been used for decades in medicine, for instance in bone glue and the intraocular lenses that are put in the eyes at the time of cataract extractions.

The other 80% is bovine (cow) collagen, which is what most collagen injections were made of back in the 90's. The reason we don't use bovine collagen anymore as a filler is because it doesn’t last more than a few months.

However it has an ionic charge that suspends the PMMA microspheres the perfect distance from each other while they stimulate the body to form its own collagen around them. PS: For those of us who try to live cruelty-free, I've been assured by the company that the collagen is procured from trimming the hooves of this closed herd of cows - a pedicure, if you will.

For those of you who seem to metabolize away anything, take comfort in knowing that 20% of each Artefill treatment just can't be metabolized, so you get to keep it. Some people ask for multiple sessions over time so that the percentage of filler they retain becomes more and more of the entirety of the volume they want.

Published in Blog
Thursday, 03 April 2014 14:33

Amazing April Specials


Microneedling is a sensational way to smooth and firm your skin. It really makes a difference, and no, it doesn’t hurt.

This procedure has been getting a lot of press lately. We tried it, we love it and we want you to have its benefits too!

We’ll give you 20% off during April and you’ll get the compliments.

And take care of your lashes with Nouriche. This is a $125 value for $89 during April.

Call us today to find out more! 941.951.2220

Published in Blog
Friday, 07 March 2014 19:39

March Special



Spring is almost here and it’s time to firm up.

Oh, did we mention that we’re all about what’s above your shoulders?

Pelleve is a no-downtime procedure that uses radiofrequency waves to tighten your skin and promote collagen formation, all while feeling like a hot stone massage. It firms up the contours of your face and neck while helping to delay further aging changes in the skin. 

Published in Blog
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dr barbour

Oculofacial Plastic Surgeon,
Sarasota, Florida

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