Injectables and Skin Resurfacing
Used to paralyze some of the muscles of facial expression, therefore resulting in less
obvious lines and wrinkles. It is mostly used in the area between the eyebrows to reduce
frowning on the sides of the lower eyelids, to reduce crow's feet, the depressors of the
lower lip, and the neck muscle bands. Botox® injections would need to be repeated between
4 to 6 months.
2) Fillers such as Collagen®, Restylane®, Radiesse®, and other similar products
Used to fill wrinkles and creases in the face. These are temporary products and will need to be repeated every
few months. Other permanent products such as silicone are used, but have not been approved by the FDA in the
United States. Thus, Dr. Srour does not do silicone injections.
Chemical Peel or Chemabrasion
Chemical face peeling is indicated for eradication of fine wrinkles in the absence of gross sagging of
the facial skin. If both sagging and wrinkles are present, a face lift is performed first followed a
few weeks later by the chemical peel. The peel could be applied to the total face or could be segmental.
Forehead and lip peel can be done at the same time as a facelift. Chemabrasion is also indicated for
different skin pigmentations or, superficial lesions and
capillaries. Light skinned people are
the best candidates.
Different chemicals can be used to accomplish the peel
1) Phenol peel
The procedure consists of the application of a prepared "phenol" solution under heavy sedation
resulting in a "peeling" of the upper layer and producing tightening and smoothing of the skin.
A special tape face mask is applied and left for two days when the patient is seen again. After teasing
off the tape, an antiseptic powder is applied over the treated area for a couple of days forming a thick
crust. Special creams are used then to soften this crust which falls off about 7 days following the
operation and a new pink healthy skin is seen under it. Cold cream or moisturizer is then used to cover
the delicate skin. Cover-up make up containing a sun screen can be used 10 days post-operatively. The
skin will remain pink for several weeks and abstention from sun exposure is mandatory. People with darkly
pigmented oily skin are warned about unfavorable discoloration and scarring.
2) TCA peel
For lesser wrinkles. The advantage of this peel is that it is faster healing, less painful, and does not
interfere with the capacity of the skin for pigmentation.
3) Glycolic Acid, Salicylic Acid, or Retinoid compounds
These are superficial peels and can be performed by a trained technician under medical supervision.
We have professionally qualified cosmetic surgeons at our Beverly Hills and Los Angeles centers. They perform
surgeries like breast reduction and lift, chin and cheek augmentation, face lift or rhytidectomy, otoplasty and tummy tuck.