Dr. Richard Gentile, a board certified Facial Plastic Surgeon introduced the “SmartBleph™” short for smart blepharoplasty at the 10TH International Meeting of Facial Plastic Surgery held in Hollywood Florida April 27-May 2, 2010.
“Smartlifting™, is a proprietary group of procedures introduced by Dr. Gentile in 2008 when the LaserSmartLift™ was introduced as Plastic Surgery’s first laser assisted facelift. In 2008 Dr. Gentile presented these techniques to the American Academy of Facial Plastic & Reconstructive Surgery at their Annual Meeting and to the American Academy of Plastic Surgery at their Annual Meeting. Utilizing the Cynosure SmartLipo™ Nd:YAG laser we are now able to gently separate the layer between the skin and facial muscles without extensive cutting and dissection. With Smartlifting™ operating time is significantly reduced as the laser helps to seal of blood vessels before the lifting portions of the facial rejuvenation procedures are begun. The eyelid applications enable the Plastic Surgeons to gently treat the eyelid fat bags without removing them thus reducing surgical trauma and time. The procedure is time efficient and gives beautiful results.

Dr. Gentile explained, “Typically in a traditional eyelid surgery incisions are made through skin and muscle frequently denervating the orbicularis oculi muscle. The “Smartlifting™ powered by the Cynosure SmartLipo™ laser, works in eyelid surgery by precisely delivering thousands of tiny laser pulses into the fat bags in the upper and lower eyelid. Each pulse heats a deep column of the fat bag which shrinks its size. These zones of heating also shrink the orbital septum which tends to bulge with age and allow the fat to bulge out. Next the volume deficient area is treated by micro fat grafting to increase the fullness in the depressed areas of the lower eyelids. Laser skin rejuvenation can also be completed with this procedure. Over the next several months following treatment, a natural process called collagenesis results in new, more organized collagen1. This collagen plumps the skin and results in even greater smoothing in addition to the results obtained by traditional eyelid procedure.”
Smartlifting™ procedures including the SmartBleph™ benefit both the Plastic Surgeon and the patient notes Dr. Gentile. “The operating time for facial rejuvenation procedures is dramatically reduced with Smartlifting™ and because it is a more gentle technique than traditional rejuvenation methods most of the procedures are performed without general anesthesia. These less invasive facelifts are exactly what many aging baby boomers are looking for.” Smartlifting™ is utilized for facial, eyelid, forehead and neck procedures and nearly 400 procedures have been completed to date. The complication rate was very low and the patient satisfaction very high in the patients reviewed. In addition to the new technique presentation he presented a one hour instructional course on SmartLifting™ and laser lipolysis for International Facial Plastic Surgeons. He also participated in two facelift panels “Facelift Refinements for the 21st Century” and “Pearls for Midface and Lower Facial Rejvuenation. For more information on the SmartBleph™ or Smartlifting™ family of proprietary procedures the LaserSmartLift™, UltraMiniLift™, or LaserNeckLift™ call the main office 330-758-2001 or visit www.facialplastics.org or www.drgentile.info.
1 Ross E. McKinlay J, Anderson R. Why does carbon dioxide laser resurfacing work? Arch Dermatol, 135: 444-454 1999.


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Wrinkle War; Dysport - an alternative to BotoxWFMJ Healthy Living Segment, 9/22 |
The FDA has approved Dysport to treat forehead wrinkles and frown lines, making it only the second drug to be approved by the agency as a wrinkle treatment.
Dysport (formerly known as Reloxin) is made from the same active ingredient as Botox (made by Allergan), Clostridium botulinim toxin type A. Botulinum toxins temporarily reduce the appearance of wrinkles by restricting the muscle actions that cause creasing and frown lines.
Like Botox, Dysport is administered via an injection at the site of forehead wrinkles. The FDA based its approval on clinical trials involving about 2,900 people at 80 study sites. Dysport has been used in Europe since the early 90’s
One clinical trial showed 93%-95% of participants noticed an improvement in the appearance of forehead wrinkles within seven days after treatment, and multiple treatments produced effects that lasted for more than 13 months.
The most common side effects of Dysport are nose and throat irritation, headache, pain and skin reaction at the injection site, upper respiratory tract infection, eyelid swelling or drooping, sinus inflammation, and nausea


The aging process involves not only the loss of elasticity of skin and other facial structures but also a significant loss of volume. Scultpra was the first biostimulatory filler introduced and it works by stimulation the production of collagen by the body after injections of the filler. It is a gradual and significant improvement that occurs and takes place over a three month period. Because it is a gradual improvement the results are not as noticeable after treatment. Because the bodys own collagen is depostited the result of the treatments are longer lasting and is the only filler to compare to micro fat transfer for longevity.
The Facial Plastic and Aesthetic Laser Center is Ohios technology leader for private plastic surgery practices. Dr. Gentile has a level of expertise in Dermal Fillers base on excellent training at the internationally renowned Baylor College of Medicine in Houston Texas and nearly 10 years of filler experience including over a thousand successful procedures. He frequently lectures at national and international meetings on Non Invasive options for Facial Rejuvenation topics and is recognized as a international leader in Facial Plastic Surgery. Visit www.facialplastics.org for more information.

Dateline (08/25/2009)
Dr. Richard D. Gentile a board certified facial plastic surgeon with offices in Garfield Heights/Independence, Fairlawn and Boardman Ohio was visited by five surgeons from Seoul, Korea August 25-26, 2009. The Korean specialists were visiting the US to receive advanced training in SmartLipo and Smartlifting techniques. Dr. Gentile presented the science and art behind his proprietary Smartlifting ™ techniques which he developed over the past several years. The patients being treated underwent a SmartFirming procedure and another a LaserSmartLift. Commenting on the development of this New Laser Facelift Dr. Gentile pointed out that nothing really new has been introduced in face lifting techniques for close to 20 years and the introduction of internal laser techniques for facial rejuvenation offers advanced technological solutions for age old problems. We are pleased that in Europe, Canada and now Asia these advanced techniques are being adopted to benefit patients seeking less invasive methods of facial rejuvenation. Dr. Gentile will travel to Seoul in September to host a workshop on advanced laser lipolysis techniques (SmartLipo) and facial rejuvenation techniques (SmartLifting). The workshop will include live surgery for facial lifting, firming and sculpting utilizing subcutaneous laser techniques.

Dr. Richard D. Gentile a board certified facial plastic surgeon with offices in Garfield Heights, Fairlawn and Boardman Ohio was an invited speaker at “Advances in Rhinoplasty” held this summer in Seattle Washington Dr. Gentile presented on topics including tip refinement and alar base narrowing as well as the proprietary technique for reinforcing nasal tip surgeries “domal batten grafts.”
This course is one of the world’s premier rhinoplasty courses. It has taken place in Chicago and Boston previously with great success. Dr. Gentile was the only invited surgeon from Ohio to participate in this premier educational course attended by over 300 Facial Plastic & Plastic Surgeons from the United States, Canada, Europe, Egypt and Asia
The Facial Plastic and Aesthetic Laser Center is Ohio’s technology leader for private plastic surgery practices. Dr. Gentile has a level of expertise in Rhinoplasty based on excellent training at the internationally renouned Baylor College of Medicine in Houston Texas and nearly 25 years of Rhinoplasty experience including over a thousand successful procedures. He frequently lectures at national and international meetings on Rhinoplasty topics and is recognized as a national leader in Rhinoplasty. Visit www.facialplastics.org for more information.
