290 Country Club Drive I Suite 110 & Suite 130 I Stockbridge, GA 30281
Check out our NEW & Updated website! www. SchillingMedicalSpa .com
WINTER 2010-2011
JOHN P. SCHILLING, MD, FACOG
MEDICAL SPA and COSMETIC SURGERY CENTER
UNCOVER
YOUNGER SKIN
Look your best at any age. Skin-care. Injectables. Laser. Fat Grafting. Peels.
IS A HOME BOTOX PARTY
RISKY BUSINESS? What is the price you may pay?
WINTERIZE YOURSELF Could your body use a little maintenance?
Weight-Loss. Liposuction. Tummy Tuck. Breast Enhancement.
DR. SCHILLING
ANSWERS QUESTIONS
MOST ASKED Most common female issues. 770.506.9123 Join us for INSIDER Specials & Events!
Are you ready for a change?
SKIN
Look Your Best At ANY Age
R
ecently Dr. Schilling was privileged to attend a private course with Zein Obagi, MD, a world renowned dermatologist and formulator in Beverly Hills, CA, who developed Obagi Skin Care Products.
This course was not just about “selling” Obagi products, but providing the best available treatment to people who desire improvement in their appearance at any age. Some of the topics addressed were prevention, skin function, and maintenance to keep skin healthy, young-appearing, and free from deteriorative signs of aging and skin disease. The objective of the course was to help physicians like Dr. Schilling to use a systematic approach to restore skin to its natural, healthy, youthful state. Healthy, youthful, attractive skin is the goal both patient and we at Schilling Medical Spa strive for, and it should be possible for persons of ALL skin types and colors to achieve, whether through the Obagi Skin Health Restoration program alone or in conjunction with a procedure. Sometimes, physicians become skilled in one procedure, be it chemical peeling, laser treatments, or surgical intervention, and then use that procedure for all patients indiscriminately. Dr. Schilling agrees with Dr. Obagi, each patient is an individual with personalized needs. The indiscriminate use of the same procedure for every patient-- should end. They are not necessarily better and may be worse than more limited procedures. Procedure selection should be based on the needs and realistic goals the patient wants to achieve. Dr. Schilling’s medical staff works under his direct supervision and he has impressed the same values of attention to the patients outcome and education of giving each individual realistic results that can be obtained along with their own personal goals. So whether you discuss your goals or concerns regarding your skin with Dr. Schilling or one of his licensed staff, both will have you in mind first and foremost.
Starting at age 30, skin cells become lazy and eventually go dormant. As cellular activity slows, skin begins to age-causing lines and wrinkles, laxity, and hyperpigmentation. Any of these problems sound familiar yet? There are basic principles of restoring healthy skin. • • • •
Correction Stimulation Pigment Control Protection
Correcting cellular skin functions with topical agents such as Obagi Skin Creams and peels. Utilizing procedures to normalize skin texture, lasers, IPL, mircrodermabrasion, all as needed. And then nurturing the result with a maintenance program. After evaluating your individual skin health, we would prescribe a good home skin care regimen to prep you for the next step in your plan to skin recovery.
When you buy skin care at a department or drug store it is FDA-approved (no prescription needed). The interesting fact is the FDA’s definition of cosmetic products are they cannot cause: Alteration Irritation Harmful Effect {In essence:
“INEFFECTIVE”}
The only products that fulfill that FDA requirement are: non-medical, moisturizers, shampoos, nail polish and make-up. {Which is the entire industry.}
Another consideration to fulfill the When you are ready for a result-oriented plan, visit us! look of youth are injectables. As we age, lines begin to develop at the corners of our nose and extend down toward the mouth and beyond, often giving the appearance we are much older than we really are. Even when your skin is healthy you cannot stop these creases caused by loss of facial fat and less elastic skin, coupled with genetics. Facial fillers such as Juv�derm, Radiesse, or Restylane and Sculptra, which is a collagen stimulator, can all be used in conjunction with Botox to give you volume and literally “erase” wrinkles that can add years to your age.
With the above information in mind, let’s get to what we can help you achieve. Although, we cannot change who you are, we can help make you feel great about yourself and be the best you can be, accomplishing a plan of action to a younger, healthy, more youthful-looking you!
The combination of what we have to offer and what you desire, we can have you looking younger in no time. Let us make you achieve the look that represents the age you actually feel! We can’t wait to meet you!
Check out our NEW & Updated website!! www. SchillingMedicalSpa .com
JOIN US!
W
risky business?
t ou ab . n o us cti k . t. k os u uc en As Lip my T ncem a s. Tum Enh -Los t t eas eigh Br W
Is a home BOTOX PARTY
INSIDER Specials & Events!! Save $$
hile Botox parties can be perfectly safe, as long as the administration of Botox is conducted by or under the supervision of an experienced physician in a sterile environment, there are some surprising risks that stem from just joining in the fun that you may not be aware of as a participant.
have privileges at a local hospital. If they are not a physician, who is responsible in the case a rare emergency or side-effect? These are the questions you must consider.
With the popularity of Botox, it is natural that people would offer discounts, knockoffs, and innovative marketing approaches. Botox parties are part of that: women and men are finding that they can get a facial rejuvenating treatment along with hors d’oeuvres and a glass of Merlot at a price comparable or cheaper than their local cosmetic surgeon’s office.
A host or hostess of a Botox party may be familiar with the injector’s experience, as a guest, you may not be. Botox, as well as cosmetic fillers, are increasingly available, and it’s possible the person administering Botox at a party may not even be a licensed professional. Another consideration, even if your injection went smoothly, many times patients desire a touch-up or need a follow-up visit after the injection of Botox or Filler, where will you go and who is responsible for your results?
You may wonder why can they offer Botox cheaper? The price may be MUCH higher then what you expect once you consider the consequences. There have even been reports of fake Botox or tampered Botox being administered in some cases; this is a major risk if you’re not familiar with the injector. Who is your injector, what are their credentials? If they are a physician, do they have hospital privileges in case of a rare emergency or side-effect? Did you know in the state of Georgia you are not mandated to carry malpractice insurance? However, if you have privileges at a hospital you MUST have malpractice insurance. On that note, ask your injector if they
T
he winter is a perfect time to check off your list of “this year I’m going to’s...” Most likely we can help you fill in the blank on your list. Let’s just name a few: This year I’m going to: Lose weight & get in shape Get rid of excess skin from my pregnancy Get appointment to get my saddle-bags liposuctioned! Quit wearing padded bras and get breast implants! Are any of these on your list? Your in luck because Dr. Schilling, a board certified physician, offers everything on your list in one place. And, with a name you can trust for the last 23 years in Henry County, why would you go anywhere else? Weight-Loss Plans: End your struggle with excess weight— We offer various plans, all medically supervised, prescription meds available at our office and B-12 shots if desired. Same day appointments are usually available. Tummy-Tuck (Abdominoplasty): This procedure can remove the excess sagging skin as well as the old C-section and hysterectomy scars creating a smoother flatter tummy. Most times we do this in conjunction with liposuction to remove the unwanted fat. The procedure is done in the office under local anesthesia with mild sedatives for enhanced safety and avoidance of general anesthesia.
It may all seem fun, though the consequences can be great when something goes wrong. The physician pays the price of responsibility, therefore it may cost a small amount more, but in the end you have the comfort of safety and reassurance you are in good hands. Cosmetic surgeons are becoming more and more concerned about these injections being dispensed by unqualified and unsupervised individuals. Word of advice, calculate your risk before you consider the price.
YOURSELF
Are you in need of body maintenance? We got you covered!
Liposuction: This procedure is perfect for those who are at their ideal weight, but need to take off those extra areas dieting won’t. Always disliked a certain part of your body you carry weight? Hips, love handles, arms, belly, buttocks, bra fat... liposuction can help sculpt the shape you have always wanted. This procedure is also done in-office under local anesthesia for enhanced safety. Fat Grafting: Would you like less there... and more here? It’s possible with fat-grafting. Take excess fat from one area and fill in the desired area with your own fat. This procedure works well with facial fat-grafting— as we age, we lose facial fat and gain in areas we would prefer not to— or take fat from your belly and put that little extra padding you have always wanted in your derrière! Breast Enhancement: Dr. Schilling has been working very hard over the last two years to become skilled in breast implant surgery. He has been to numerous hands-on courses and will be soon offering breast enhancement surgery in addition to his other cosmetic surgery list. This too will be offered in-office under local anesthesia. If you are interested in any of the above cosmetic procedures, a complimentary consultation is required. Please feel free to find out more... now start checking off your list!
We asked Dr. Schilling to answer some of the most common questions related to female issues he has been asked over the last 30 years in practice. Although each woman has different circumstances, we all can benefit by learning from each other. Please feel free to make an appointment to discuss your individual problem or question.
Dr. Schilling ANSWERS QUESTIONS about... the MOST asked about female issues.
I leak urine when coughing or exercising, can something be done? Urinary incontinence is common in women and all types of urinary incontinence can be treated. It can happen at any age, so you don’t need to be embarrassed. There are a number of reasons for leaking urine and a full evaluation is done in our office to determine the diagnosis. If stress urinary incontinence is the cause, I can offer and perform an outpatient urethral sling procedure using a synthetic mesh material. What can I do for this constant bleeding all the time? This is one of my most common frustrations complained about by my patients. Unfortunately, there is not an easy one-for-all answer. Abnormal or dysfunctional uterine bleeding has many causes and treatments. An office evaluation, pelvic exam and sonogram of the uterus are required. Treatments are individualized and sometimes include medical therapy, endometrial ablation and hysterectomy depending on your circumstances, desires, existing health issues, and age. What is endometriosis? This seems to be another common issue of my patients. Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, bowel or the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond your pelvic region. In endometriosis, displaced endometrial tissue continues to act as it normally would: It thickens, breaks down and bleeds with each menstrual cycle. And because this displaced tissue has no way to exit your body, it becomes trapped. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal tissue that binds organs together. This process can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available. What is HPV? HPV stands for Human Papilloma Virus and is known to affect 25-35% of the population. It is transmitted sexually among heterosexual and homosexual persons. Four of the approximately 40 subtypes have been implicated in causing cervical cancer which is why you need to obtain PAP smears. Newer DNA technology allows PAP smears to detect the presence of HPV. Doctors can treat the cellular changes associated with HPV but not the virus itself.
What are my options for permanent birth control? You have several options, the most common known to most women is a tubal ligation procedure. This involves destruction or blocking of the mid-portion of the fallopian tube so that the sperm cannot reach an egg. Some are performed surgically by placing clips on the tube or removing a portion of the tube itself. In recent years we can offer more options for permanent birth control, the Essure™ or Adiana™ procedures are performed in the office under local anesthesia without any scars or downtime. The actual procedure only takes 8 to 15 minutes, you should be in and out within an hour. The success rate is excellent and patients seem to prefer the office procedure over the hospital. Most all insurance companies cover permanent birth control. Do hormones cause breast cancer? It has never been scientifically shown that estrogen hormone administration CAUSES breast cancer. Other scientific studies have demonstrated a slight increased risk of breast cancer. I am very careful to listen to your specific needs, family history, and previous gynecologic history. After carefully discussing the risk and benefits I may prescribe hormone therapy as indicated for specific menopausal symptoms and treatment and will always individualize each treatment plan for each specific patient. Do I need a PAP smear after a hysterectomy? Probably not IF you had no prior history of abnormal PAPs before the surgery. Do not confuse having a PAP smear with the annual GYN physical exam. Most doctors will collect a PAP smear every 3-5 years after hysterectomy. How do I know when I am in menopause? Menopause does not just happen overnight, your hormones and cycles change over a period of time. But the true definition of menopause is no periods for one year; for those of you without a uterus; symptoms and hormone testing can make the diagnosis. If you are still having periods but suffering the symptoms you may be experiencing peri-menopause. I can offer you options based on your own symptoms and individual concerns or risks.
Visit our Women’s Center to discuss your questions. 770.474.7151