Dr. Michelle Sieffert

Dr. Sieffert - female plastic surgeons in Columbus Ohio

Dr. Sieffert’s Top 5 Cosmetic Treatment Recommendations After Isolation

If, like many of us at Donaldson Plastic Surgery & Aesthetic Solutions, you’ve taken this time of social distancing for self-improvement, then you’re probably also thinking, “Once I’m allowed back to some sense of normalcy, what can I do (that I couldn’t do at home) to continue what I started?” 

I’m here to highlight just a few of the services we offer that I recommend when “coming out of quarantine” to help you on your journey to become the best, most confident version of you!


1) Wrinkle Relaxers & Botox

Neurotoxin injections (such as Botox, Xeomin, Dysport, Jeuveau, etc.) are used to treat wrinkles caused by muscle activity—most commonly in the forehead and around the eyes.  They can also be used for prevention if you are only just starting to see wrinkles surface!  The injections are relatively painless, only take a few moments to complete, and only need to be repeated roughly every 3-4 months (so you may be starting to see those fine lines and wrinkles return while on quarantine). My single rule for neurotoxin injections is simple: no exercise for 24 hours afterwards. 

We offer complimentary make-up touch-ups after any injectable procedure, so you can get back to your life without anyone being the wiser!

dermal filler injections columbus ohio

2) Facial Fillers

Filler is a substance made of hyaluronic acid (HA), which is a naturally occurring substance in your skin. It is used to plump areas of the face and body that have experienced volume loss, or to shape areas of the face like the nose, chin, and jawline.  Different fillers (Ultra and Ultra Plus, Voluma, Vollure, Volbella, Restylane, Radiesse, etc.) are designed with different measures of thickness and longevity; they can last anywhere from 1-2 years depending on the product used and the location injected.  Some of my favorite locations for filler are the lips, cheeks, jawline, temples, and nasolabial folds. The treatment generally lasts 30 minutes (most of that time is spent discussing your needs and desires), and you can expect mild, but not unbearable, discomfort. 

I suggest planning filler injections at least a week ahead of any major event, as swelling and bruising is a possibility with any filler injection.  As mentioned above, we offer complimentary make-up touch ups after your injectable visit, so you can leave our office looking and feeling like you!

Filler Injections Process Being Performed

3) Spa Facials & Chemical Peels

Perhaps you’ve been experimenting with making your own facials at home to keep your skin healthy and glowing, but need a little something extra to brighten or moisturize as you’re getting back to work.   In my opinion, nobody performs a more relaxing and effective facial than our Lead Medical Aesthetician, Tatjana

Tatjana offers 45 minute to 1 hour-long facials and peels, targeted to your specific skin type and individual skin concerns.  Come in to see Tatjana to discuss any medspa skin service you might be interested in, including brightening your skin, controlling acne, hydrating dry skin, improving fine lines, and calming irritated and inflamed skin. 

4) CoolSculpting for Rapid Bodyfat Removal

Everyone has that “one area” that, no matter how hard you exercise and diet, never seems to go away; this is where CoolSculpting is of benefit! The advanced CoolSculpting technology freezes localized areas of fat, causing damage and, ultimately, death, of the fat cell itself.  Over the ensuing 2 to 3 months, the body removes the damaged fat cells from the area, causing a reduction of up to 25% of the fat present in the treatment area. 

Coolsculpting in Columbus Ohio

Each CoolSculpting treatment, or “cycle”, lasts 1 hour.  You can expect mild discomfort and tingling as the treatment begins and ends (as the skin cools and re-warms), and an area of numbness that returns to normal between 2 days and 3 weeks afterwards.  As with any minimally invasive body contouring technology, multiple treatments in the same area are required to get a great result. 

5) CoolTone for Body Contouring

CoolTone is the newest non-invasive body contouring tool at our practice, and one that I am personally pretty excited about!  It uses electromagnetic stimulation to give your abdominal, gluteal, or thigh muscles (other treatment areas coming soon) a intense 30-minute workout, with the result being visible toning and strengthening.  This is a perfect solution for anyone who wants firmer abs, tighter glutes, or more defined thighs! 

CoolTone treatments begin with a series of four 30-minute “workouts” performed over a 2 week period, with subsequent maintenance treatments performed on a quarterly to monthly basis.  I recommend that any necessary fat reduction be done prior to muscle toning, which is why I encourage pairing CoolSculpting with CoolTone for best results.

Cooltone Services in Columbus

In my many years as a fitness competitor, I always had trouble with my abdominal region, and I can honestly say after my first series of four treatments I have never seen my midsection look better.  I am a strong believer in CoolTone’s technology!


Ready To Become the Best Version Of You? We’re Open to Help!

That wraps up my top 5 suggestions for coming out of quarantine!  Wrinkle relaxers, fillers, facials & peels, CoolSculpting, and CoolTone are among our most popular services, and are here to help you continue your efforts to help you feel your best every day! 

Call 614-442-7610 or submit a request on our website to schedule a consultation with one of our aesthetic professionals to find out if any of these treatments are right for you.

Schedule Your Consultation Today!

We can’t wait to help you become your very best version of you!

Prepping for Your First Dermal Filler Appointment

So you’ve made your first appointment for a dermal filler injection. Dermal filler, such as Juvederm, offers a safe, non-surgical way to help restore hyaluronic acid in the skin. This adds volume and reduces the appearance of wrinkles, giving you a more youthful experience.

As your treatment gets closer, you might be wondering if there is anything you can do to prepare ahead of time. The answer is “yes!” Doing your homework and making some slight adjustments to your routine can alleviate any stress ahead of the treatment and minimize your recovery. Here are four tips on how to prepare for your first dermal filler appointment. 

Set a Clear Goal

Before going into the procedure or consultation, be sure that the desired outcome is clear. Patients should prioritize their aesthetic goals and have a clear budget in mind for the treatment. It’s also a good idea to take a few pictures so you can see how the area improved following your treatment.

Do the Research

Your physician is a great resource for questions about the procedure, but it never hurts to do a little outside research. Patient reviews and testimonials can be especially helpful in helping you understand what to expect. Take notes while you’re reading through them and bring them with you to your first appointment. That way you won’t forget to ask any questions when meeting with your doctor. When it comes to choosing a provider, look for someone who is board-certified and has a well-trained staff. 

Eating more leafy greens and Vitamin K can help prevent bruising/swelling after receiving dermal filler.

Get Proper Nutrients

What’s inside the body can affect your reaction to the treatment. You might need to alter your diet a bit in the two weeks leading up to your appointment. Avoid aspirin, non-steroidal anti-inflammatory medications — such as Motrin and Advil — Vitamin E, and fish oil. All of these can increase bruising following the treatment. Eating more leafy greens and Vitamin K also can help prevent bruising/swelling.

Have a Clear Schedule

One of the most important things you can do is build in recovery time. There may be visible redness and swelling immediately following your appointment. For added discretion, book injections on a Friday or take a day off from work following the injection. 

Dermal fillers like Juvéderm® can be administered in as little as 15 minutes with results that can last up to a year. If you want more information about dermal fillers, schedule a consultation today with Donaldson Plastic Surgery.

If you have a wedding on the horizon, chances are you have a lot of responsibilities on your plate. What with choosing a venue, picking a perfect bouquet, and dealing with all of the hiccups along the way, it can be easy to put yourself last on the list.

Here at Donaldson Plastic Surgery & Aesthetic Solutions, we believe you should spend less time getting pretty and more time feeling pretty. That’s why we’ve decided to remove one of the biggest wedding stressors: timing your beauty and aesthetic treatments.

We’ve laid out an easy to follow guide for scheduling all of your prenuptial procedures. Before we get started, a quick note from Dr. Donaldson:  Starting your aesthetic treatments 12 months out is by no means imperative for a beautiful wedding. Whether it is a year away or the week before ‘I do’, there are treatment options available to help you look and feel like the very best version of you.

One Year

Major Surgeries

If you are considering a procedure like rhinoplasty, breast augmentation, or liposuction before the big day, we recommend scheduling them a year out. This will give you a generous amount of time to heal from the surgery so that you won’t need to be focused on your recovery in the months leading up. If your procedure affects your figure, this also gives you time to consider how your wedding attire may fit differently before and after.

Eight Months

Laser Hair Removal

Laser hair removal is a very common treatment leading up to the big day, and for good reason; who should worry about under arm stubble when tossing the bouquet, or the bikini line on their honeymoon? Laser treatments are typically done in a series with an average of six sessions to maximize results. With four to six weeks between each treatment, eight months should provide the right amount of time to smooth those areas.

Ultherapy

If your wedding is at least six months away, Ultherapy is an excellent alternative to give you the benefits of a face lift with no downtime. Using safe ultrasound technology and your skin’s own natural healing process, Ultherapy provides aging skin a boost to improve overall appearance and give you a youthful glow.

Six Months

CoolSculpting

If surgery is out of the question due to time, finances, or personal preference, another option to consider is CoolSculpting. It is a non-invasive treatment that has become increasingly popular for treating “problem areas” that don’t resolve with pre-wedding diet and exercise. CoolSculpting is often performed on the arms, back, inner and outer thighs, abdomen, love handles, and under the chin.

Some opt for more than one treatment to really target certain areas, which should be done with eight weeks in between. Optimal results usually take anywhere from four to six weeks, so you will want a small buffer of time between your last treatment and the ceremony.

Kybella

Bra fat and double chins are common concerns for many brides-to-be. By dissolving this fat, Kybella can give you the confidence to walk into your ceremony with your head held high. Kybella is injected into the desired area, with most patients receiving two or three treatments spaced four to six weeks apart. Because Kybella dissolves the fat gradually, you may want to schedule this in-office procedure beginning about five to six months before your big day.

diVa

The reasons for feminine rejuvenation before a wedding may seem self-apparent, but the diVa Laser Treatment is beneficial for more reasons than you might think. Known to help women’s issues like vaginal dryness, it can also be used to treat incontinence, pelvic prolapse, pain during intercourse, pH troubles and more. For best results, we recommend a series of three treatments spread four months apart, making six months the best time to begin diVa.

The results that diVa can provide are powerful – this private treatment can definitely spark the same confidence and glow as your other beauty and aesthetic procedures.

Three Months

Halo Laser Treatment

When it comes to our skin, wouldn’t we all love a fresh slate? Halo is the world’s first hybrid fractional laser designed to remove years of damage from the face. There are many benefits to laser skin resurfacing, including treating sun damage, pigment, fine lines, and improving the appearance of the skin’s pores and texture. Because everyone’s healing process is different, three months will allow your skin time to heal and reveal its natural glow.

BroadBand Light Treatment: BBL

Often done in tandem with Halo, BBL is your go-to laser treatment for correcting color and complexion. Many people with rosacea opt for this treatment before their wedding day because results are reliable and effective for even the most blushing of brides. A series of BBL treatments can be lined up with Halo treatments in order to minimize your recovery time and maximize your skin’s clarity.

Microblading

We’ve all looked back at past photos and thought, what on earth is up with my eyebrows? When you look back at your wedding photos, your brows should be the last thing on your mind. Microblading is a great way to achieve effortless, natural brows for your wedding. Three months gives you ample time for complimentary touch ups before the big day

With microblading, it’s really important to choose a qualified expert – Tatjana, our Lead Medical Aesthetician, will help you plan and shape your brows how you would like them to look well before your wedding. This will also give you the peace of mind that you don’t have to rely on a makeup artist to give you the full and beautiful brows you deserve.

Latisse

False eyelashes can be a pain, and, unless expertly applied, can look heavy and exaggerated. If you are looking for a fuller and natural lash, look no further – Latisse is your answer. Low-maintenance and done from home, Latisse is a prescription serum that will lengthen and thicken your own lashes for a beautiful effect. Adding Latisse to your regimen early will allow you to build up to the volume you desire.

One Month

lip filler injections at Donaldson Plastic Surgery and Aesthetic Solutions

Botox and Filler

The month before the wedding means looking at finishing touches. If you are looking for a little something extra to complete your beauty treatments, this is the perfect time to schedule your Botox and filler appointment. These treatments can be done at the same time and both offer a completely subtle enhancement of your natural features. While filler is immediate, Botox takes four days to take effect – one month before gives you a perfect amount of time for touch ups if needed.

Week Of

Derma Plus

The week of the wedding is your time to relax, so a spa treatment like Derma Plus with Tatjana is the perfect way to pamper your skin while also ensuring seamless makeup application for the day of the ceremony.

Derma Plus is a combination of dermaplaning and a very mild chemical peel. Dermaplaning creates a smooth surface and helps with makeup application by removing hair and dead skin cells, while the gentle peel leaves skin instantly smooth, radiant and glowing.

Your Wedding Day

Finally, your wedding day has arrived.

When it is all said and done, the pictures, your guests’ impressions and your significant other’s opinions are all significant, but the most important thing on your wedding day is how you feel.

This timeline is our way to help you get into the mindframe of “I am beautiful”. After all, the only thing everyone will see is the beautiful person you are.

At Donaldson Plastic Surgery & Aesthetic Solutions, we know what a significant time your wedding can be. Some of us may find that marriage is an opportune time to also renew your vows to yourself. What time could be better to revitalize a passion for self-care as you embark on this new journey with your loved one?

To love oneself is the beginning of a lifelong romance; let us raise a glass to you.

COLUMBUS, Ohio—The same person who fills your cavities also could be filling your wrinkles—with Botox.

Some dentists now are offering cosmetic procedures such as Botox.

Dr. Michael Firouzian started offering Botox and other dermal fillers after some of his patients asked about it.

“I found out that it’s something within our scope that we can do. I went down to Florida and did some training, and I had a plastic surgeon come in for a whole week and I trained with him,“ Firouzian said.

Plastic Surgeon Dr. Jeffrey Donaldson said that a week of training can’t compare to years of training required for board certification in plastic surgery.

He said patients should stick with plastic surgeons for any cosmetic procedure.

“From my end, a plastic surgeon has specific training in cosmetic services and reconstructive services. It’s the safest bet to have those procedures done,“ Donaldson said. “Materials like Botox injected into the wrong anatomical area can cause things like eyelids to drop and different facial expressions to disappear.“

Firouzian said he knows and understands the risks.

“As dentists, we are fully trained in knowing all the anatomy and knowing where all the nerves are. This is a service we offer to our own patients with a full understanding that there are certain guidelines we have to abide by,“ Firouzian said.

The Ohio State Dental Board has ruled that treatments, such as Botox, are within the scope of practice for dentists as long as they are limited to the facial areas.

The American Society of Plastic Surgeons said Botox falls squarely within the practice of medicine and should only be done by a board-certified plastic surgeon.

For the treatment and prevention of wrinkles, most people are aware of one solution — Botox; Columbus, Ohio men and women are also beginning to recognize other benefits.

Recent studies have suggested that people who are unable to make certain facial expressions actually feel the associated emotion less. For example, if you can’t scowl, you may not feel as angry… If you can’t cringe, you may feel less embarrassed or disappointed… If you can’t frown, you may feel happier!

Botox has been used extensively to treat tension headaches caused by muscles of the neck, face, and forehead, and now it is increasingly linked to improvements in depression as well:

At Donaldson Plastic Surgery, Columbus, Ohio native Dr. Jeffrey Donaldson uses Botox in combination with other injectables such as Restylane and Juvéderm to provide customized, comprehensive facial rejuvenation. In addition to improvements in appearance, the research above suggests that these patients may notice improvements in mood as well!

Many men and women could enhance their appearance with fillers such as Restylane and Juvéderm; however, they shy away from these treatments because of the needle. At Donaldson Plastic Surgery in Columbus, Ohio this is less of a concern now because the latest generation of fillers has arrived!

Several weeks ago, the company Allergan launched a new and improved version of Juvéderm that contains lidocaine — a numbing medication similar to novocaine. Their studies have shown that 9 out of 10 patients are more comfortable with the lidocaine than without, and so far Dr. Donaldson’s patients agree. Procedures that might have otherwise required a nerve block (direct numbing of a facial nerve) can now be done safely and comfortably with the new filler alone.

In the last several days a competitor, Medicis, announced the availability of their latest products: Restylane-L and Perlane-L. These next-generation fillers also contain lidocaine for a more pleasant cosmetic experience. Dr. Donaldson is one of the first plastic surgeons in the country to have them available for his patients.

Restylane Columbus OH Juvéderm Columbus OH
Whether you have had Juvéderm or Restylane in the past or are curious to try one of them for the first time, you will most likely benefit from the addition of lidocaine to the filling material. Columbus, Ohio plastic surgeon Dr. Donaldson believes that increased comfort is a major advantage, and Juvéderm XC, Restylane-L and Perlane-L are important breakthroughs in cosmetic medicine.

Filling, roundness, softness, plumping are all desired goals within the latest volumetric philosophy that has permeated plastic surgical literature and discussions.

In the past decade, a new generation of plastic surgeons has turned upside down the traditional thinking about aging, beauty and the aesthetic ideal. It used to be assumed that aging effects were due to gravity and stretching, and that tissues sagged and fell over time. While this may be true to a certain extent, there is another fundamental process at work: loss of volume.

Technological breakthroughs in 3-D imaging, CAT scanning and MRI’s clearly demonstrate a decrease in the amount of bone, size of fat pads, quantity of muscle fiber and thickness of skin over time. In contrast, high-definition photographs show that skin landmarks such as moles and freckles do not descend appreciably as a person ages. These studies suggest that the wrinkling and hollowness that characterize old age are similar to a grape becoming a raisin, or a helium balloon that has deflated — it is due to volume loss from deeper within the body, and not just sagging of the skin itself. 

This new understanding has major implications for the treatment and prevention of aging. The face lift provides an excellent example. The old mantra was to lift, tighten, stretch and smooth the skin, but now we know that the skin is merely redraping over less underlying tissue. If only the skin is tightened, the effect may appear as if a patient is standing in a wind tunnel — the skin is swept back smooth and tight, but overlying a hollowed and sunken framework. The more pure anatomic approach is to rejuvenate the face by restoring inner volume where it has faded. This may include the addition of fat grafts,duplication of underlying fascia and muscular tissue, placement of implants, and/or injection of hyaluronic acid filler such as Restylane and Juvéderm in combination with a face lift. When the deeper tissues are filled, then the skin is pushed out and wrinkles smooth more naturally. 

Dr. Jeffrey Donaldson is a champion of this new volumetric philosophy. He uses fat transfer, fillers and advanced multi-plane surgical techniques to restore volume and create youthful, soft, natural effects in the face and body for patients in Columbus, Ohio. Cosmetic surgery has rapidly evolved with these recent discoveries, and Donaldson Plastic Surgery offers you the most up-to-date results.

(1) How would you define a fat transfer plastic surgery procedure to readers who don’t know what it is?

Fat transfer is a minimally-invasive surgical procedure during which a person’s own fat is harvested though needles, or cannulas, then purified outside the body and re-injected into areas that need more volume. In essence, fat is taken from wherever it is unwanted and transferred to wherever it is wanted.

(2) Are these types of procedures popular?

Very. Just in the last ten years, many advances have been made in the harvesting, purification and injection techniques. Many plastic surgical training programs have begun to incorporate fat transfer into their curricula, and it is routinely discussed at national and international plastic surgical

(3) What are the different kinds of fat transfer procedures? How are they performed?

Fat transfer procedures may be categorized as cosmetic procedures and reconstructive procedures. Cosmetic purposes primarily include facial rejuvenation (cheek augmentation, lip augmentation, lower eyelid treatment, nasal contouring, wrinkle/crease filling, acne scar treatment) and buttock augmentation; reconstructive purposes include filling of post-cancer defects, treatment of radiation damage and scar revision to name a few.

They are all performed using sterile technique in an operating room, and they all include various methods for (1) fat harvesting that is similar to liposuction, (2) fat purification using centrifuges, strainers and/or wicks, and (3) fat injection using syringes and specialized needles or cannulas. The fat must then be painstakingly placed in tiny particles throughout the surrounding tissues in a latticework, or honeycomb pattern, so that they take on blood supply and become part of the body once again.


(4) What types of fat transfer procedures to you perform in your practice?

Facial rejuvenation, buttock augmentation, filling of breast cancer defects and scar revision.

(5) What are the pros and cons of these different fat transfer surgeries?

Pros: Permanent, natural, safe, minimally-invasive, affordable. Cons: Variable results depending upon surgeon and patient.

(6) What are the side effects of fat transfer surgeries?

One side effect is favorable: stem cell activity. Fat is rich in stem cells, and current research is attempting to understand how fat transfer procedures may maximize their utility.  Many patients describe improvements in skin tone, clarity, texture and pore density above areas of fat transfer, which may possibly be due to stem cell differentiation into skin cells. Negative side effects can include oil cysts, fat necrosis or granulomas.

(7) What should a patient consider before considering this type of plastic surgery? How are these considerations different from other plastic surgery procedures?

First, the results may be unpredictable. They are highly dependent upon the surgical technique and the surgeon’s experience, but also the patient’s own fat and blood supply. Second, the results change significantly over time. Most studies show that 50-70% of injected fat cells survive, which means that up to half of the immediate result may be lost. This leads most surgeons to “over-correct” during the procedure, knowing that the final outcome will be less. Finally, it is a permanent solution, unlike fillers such as Restylane or Juvéderm that fade away after a year. Some patients use temporary fillers to test their appearance before committing to fat transfer.

(8) What do you see as the future of fat transfer plastic surgery? Where is it headed?

One of the most exciting and controversial applications for fat transfer is in cosmetic breast augmentation. Many women (and surgeons) are thrilled by the idea of taking fat from the belly, or the hips and using it to enlarge the breasts. These techniques are being developed and refined, but many questions about long-term safety and the effect on breast cancer screening will need to be answered before this becomes mainstream. Also, more breakthroughs in the delivery of stem cells through fat transfer will likely be seen soon.

(9) Please add any additional information that you feel the readers would like to know that is not covered here.

Fat transfer may be done under local or general anesthesia, depending upon the extent of the procedure and the areas of treatment. Minor facial rejuvenation typically costs around $2000, major facial rejuvenation costs around $5000, and buttock augmentation costs around $10,000.

Quotes may attributed to Dr. Jeffrey Donaldson,

Seen last week on Columbus’ WCMH TV4, Dr. Donaldson explains lipotransfer procedure where fat is transferred from one area of the body to fill wrinkles and deep folds.


*Earned by Dr. Donaldson

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