Solutions is the official newsletter from

the office of Dr. James E. Vogel

Board Certified Plastic Surgeon

Associate Professor of Plastic Surgery

Department of Plastic Surgery

The Johns Hopkins Hospital

If we could offer you one tip for the future, sunscreen would be it. You can reduce the risk of

getting melanoma and premature aging by protecting yourself when you are in the sun. This

means more than just wearing sunscreen on hot summer days, in fact 80% of the sun’s rays can

still reach you through light clouds, mist, and fog.

Sunblock will protect your skin but remember that it should be “broad-spectrum coverage” which

will protect you from both UV-A and UV-B radiation. Sunblock with an SPF of 12 to 29 provide

only moderate protection. Those with an SPF of 30 or higher is recommended for full protection.

Typical signs of sun damage include freckles, sunspots and wrinkles! It is very important to

reapply sunblock every 2 hours if you are in the sun (which includes driving) for long periods of

time.

How to Protect Yourself

Don’t forget your sensitive lips! Protect with a lip balm that has an SPF of 15 or

higher

Reapply (even waterproof sunblock) every 2 hours

Wear sunglasses with UV-protective lenses. The label should say the lenses block

at least 99% of UV-A and UV-B radiation

Apply sunblock about 30 minutes before you go into the sun

Limit the amount of time you spend in the sun between the hours of 10am and 4pm

when the sun’s rays are the strongest. Check the local UV index before you head out.

Check your medications! Some medications can make you more sun-sensitive,

including oral contraceptives, antibiotics, skin treatments (Retin-A

etc) and medications for blood pressure, and arthritis.

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Save 20% on any medical

grade sunblock through

July 2012!

Dr. James E. Vogel

May 1st 2012

Volume 1, Issue 2

Would you like fuller lips? 2

New Testimonials 2

S-Lift vs Full Facelift 3

Endermologie

(Cellulite Reduction)

4

Product Highlight 4

Current Rebates 4

Hairlines Topic

Hair Transplant and Rogaine

5

Inside this issue:

Enjoy 0% Financing

for 12 months!

Would you like fuller,

more youthful lips? Restylane gel filler can add volume and fullness to the lips to create a more youthful appearance. Restylane is made of hyaluronic acid, a substance that is naturally present in your skin but decreases as we get older. The hyaluronic acid in Restylane is formulated to act like your own and replaces lost volume creating a more youthful appearance. The treatment takes only a few minutes and side effects are minimal but can include pain, swelling and bruising. Treatment can last six months or longer.

Is lip enhancement right for you?

Solutions ~ May 2012

Restylane® to Lips

Buy one syringe get second 1/2 off! Mention this Newsletter now through July 31st 2012 to receive this offer. Offer not valid with

any other discounts, specials or VIP card.

Testimonials My cosmetic surgery experience was terrific thanks to

Dr. Vogel and his staff. Dr. Vogel is an excellent

surgeon and he has an uncomparable bedside manner.

He definitely put me at ease from the very first

meeting. His staff is outstanding also. Everyone that I

encountered was genuinely nice and extremely

helpful. Danielle, the Patient Coordinator, goes above

and beyond in orchestrating the surgical journey. She

was always prompt in replying to any email I had sent

(and there were many) and was very comforting

during each step of the way. If I ever decide to have

another cosmetic procedure done, I will definitely go

back to Dr. Vogel since my first experience was so

spectacular.

~ Jen

___________

I would, and have recommended Dr Vogel. I have never

felt so comfortable at a doctor's office. In fact, I felt like

I was at a spa! Dr Vogel took his time with me, and his

staff was wonderful. The whole experience was easy,

including my recovery. I had very little pain, and I was

back to exercising in no time. My only regret is that I

didn't have breast augmentation sooner!

~ Tammy L.

___________

I cannot say enough to commend Dr. Vogel's practice.

Everyone treated me with respect, answered any

questions I had, and made me feel totally comfortable

with every step of my cosmetic surgery experience.

Not only is Dr. Vogel a highly skilled surgeon, his

bedside manner is impeccable. Every staff member

that I encountered was wonderful. The nurse that

placed my I.V. and took care of me before surgery was

very comforting. The nurse anesthetist even called me

the night before surgery to alleviate any worries I may

have had. I cannot say enough about Danielle, the

patient coordinator. She always answered any ques-

tions I had (no matter how trivial) quickly and we

corresponded through numerous emails before my

surgery date. If I were to have cosmetic surgery again I

would most definitely go to Dr. Vogel.

___________

I have been seeing Betsy Willner, the nurse injector at

Dr. Vogel’s office for six years now. She does a great

job on my Botox and filler treatments. I look younger

now than I did then! Before meeting Betsy I had been

going to another office and was not treated nearly as

well as I do at Dr. Vogel’s office and did not get the

results I get from Betsy. I would not think of going

anywhere else.

~Kim L.

Actual Patient Actual Patient Actual Patient

Not ready for a

S-Lift or full

facelift but want

your face to look

younger? Today, many women and

men are looking for ways to

look younger instantly-

without surgery. If you

would like to rejuvenate your

face, but are not ready for

surgery we offer several

effective options.

Fillers such as Radiesse®,

Juvederm® or Restylane®

are injectable fillers that

add volume. These fillers

can:

-Plump up the nasolabial

folds that run from the nose

to the corners of the mouth.

-Restore lost volume in the

cheeks

-Fill in lines in the area

between the eyes known as

the glabella.

-Add natural looking fullness

to thin lips

-Improve lines around the

mouth

-Fill in acne scars and pits

Botox Cosmetic® is an

injectable treatment that

can visibly smooth and

soften moderate wrinkes

Solutions ~ May 2012

fresh face...

“What’s in a name?” should really be the title of this article!

The reason is that many names have been applied to

different types of facelifts and none of the labels are really

fully descriptive. In fact some names for facelifts can be

confusing at best and often designed for publicity purposes.

Essentially all facelifts strive to accomplish the same goal,

which is to reverse the aging process. Given enough time,

sun damage and heredity, the skin and underlying tissues of

the face sag with gravity and the facelift procedure uplifts

those tissues. Certainly different techniques are available to

uplift the facial skin and tissues and this is where the

different names for the procedure come into play. A full

facelift usually refers to up lifting and tightening the loose

skin and muscles of the neck, cheeks, jowls and corners of

the mouth. Uplifting only the cheeks, jowls and corners of

the mouth is not considered a full facelift but rather, a

“mini” lift. In our office we refer to this procedure as an S

-lift! The S refers to the shorter scar needed to accomplish

the mini lift as compared to the longer scar used in the full

facelift.

Both the full and S-lift are excellent procedures. The choice

of which procedure is best suited for a given patient is an

individual assessment based on goals as well as the degree of

drooping facial and neck skin. Two examples are shown that

illustrate the application of these different facial procedures.

Q. If I have a S-lift, does that mean I can’t have a

full facelift in the future?

A. No. Having a S-lift today will not rule out the

option of having a full facelift in the future.

Q. Will a S-lift remove the nasolabial folds?

A. No. A S-lift usually softens this fold, which

runs from the nose to the corners of the mouth,

but it will not remove it.

Q. Will a S-lift eliminate a “turkey neck”?

A. No. Although a S-lift can smooth out minor

sagging of the neck skin, it cannot be expected

to eliminate a sagging neck. This type of

correction would require a full facelift and

perhaps neck muscle tightening.

Q. How long does a S-lift or full facelift last?

A. The answer is forever in that you will always

look better having had it done than not;

however it is not uncommon for people to have

a touch up or another facelift approximately

10 years later.

Q. Is recovery shorter with a S-lift verses a full

facelift?

A. In general patients are able to return to work

within 7 days following the S-lift and 2 weeks

following the full facelift. Some minor bruising

and moderate swelling will still be present at

the time however. On the other hand, a major

social or business event should be scheduled 6

weeks or more from the date of the procedure.

During your private consultation Dr. Vogel will

evaluate you and recommend the procedure that

will best achieve the results you want.

S-Lift vs Full Facelift (Not to mention “lifestyle lift”, “quick lift”, or liquid facelift”!)

Actual S-Lift Patient Actual Full Facelift Patient

Special $750 Off

S-Lift $1000 Off Full Facelift

Mention this Newsletter now through July 31st 2012 to receive this offer. Offer not valid with any

other discounts, specials or VIP card.

Product

Highlight

White Lightning is a powerful

formula that safely and rapidly

lightens hyperpigmented areas

while providing significant

controlled exfoliation without

peeling. This lightweight and easily

absorbed serum is excellent for

overall coverage or as a targeted

boost for problem hyperpigmented

areas. White Lightning serum is a

concentrated combination of potent

botanical ingredients that address

hyperpigmentation on a number of

levels while providing multiple anti

-aging benefits.

Mention this add to receive

20% off Offer not valid with any other discounts,

specials or VIP card

Coming From Out

-Of-Town?

We are conveniently located a short

cab ride from BWI airport and just

minutes off the 695 beltway.

There are excellent local

accommodations (The Pikesville

Hilton is approximately 2 miles

away) and great local restaurants.

Please let us know if you

require assistance.

Solutions ~ May 2012

Endermologie

(Cellulite Treatment)

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What should be expected from Endermologie?

We recommend an average of 15 sessions initially. A session lasts approximately 30-45 minutes. For the best results, two sessions a week are recommended. Following your 15 sessions a monthly session is then recommended to maintain your results. You must drink plenty of water throughout your course of treatment to help flush away toxins.

Would you like smoother, more toned skin? Endermologie is a FDA approved medical mas-sage for the reduction of cellulite (that dimpled skin!). Using a special machine, the skin is massaged, thereby increasing the supply of blood and lymph fluid to the treated area, along with the production of collagen, making the skin smoother. The endermologie machine has a vacuum that creates a suction to immobilize and lift soft tissues with the rollers, massaging the tissues at the same time. The vacuum helps to pull the septas (fibrous bands of tissue that surround fat cells in the skin to keep them in place) back up, smoothing and evening the surface of the skin.

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Hairlines Current State of the Art in Hair Transplants

Solutions ~ May 2012

Chances are that when you think of hair transplantation an image of hair plugs or corn rows come to mind. These are results of the past. In fact, chances are also good that you have seen individuals with a modern hair transplant but did not realize a surgical procedure had been performed! The reason hair transplants are so natural these days is a result of new micro vascular surgery techniques being applied to the field of hair restoration surgery. Older procedures involved transplanting plugs of 10-12 hairs each. Today the surgical microscope is used to isolate the hair follicles as they naturally occur in 1, 2, or 3 hair groupings called follicular units. These hair follicles are then meticulously transplanted into the scalp using micro-surgical forceps (surgical tweezers) using magnification and exquisite precision. The result is a natural look and growing hair in a location that was previously bald.

Result of Hairline Transplant Individual Follicular Units Prior to Transplantation

Rogaine

This is medication that was initially used for high blood pressure. It was converted into a

topical agent when it was shown to have properties of hair growth. This is the only FDA

approved topical medication for hair loss. The benefits are variable and only about 30%

of people really see a significant improvement in their hair growth when Rogaine is

applied to the scalp. The lotion can be very drying and can cause some scalp flaking. The

Rogaine foam is typically better tolerated. This product should be applied twice daily

and when discontinued the benefits accrued up to that point are typically lost within a

few months. For those individuals who use Rogaine and obtain an improved hair appearance and who also do not mind

the twice daily application, this topical medication does have merit!