Blog
ACNE SCARRING
According to the American Academy of Dermatology, acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. It usually begins in puberty with approximately 85 percent of those between the age of 12 and 24 experiencing minor acne. Even if you don’t struggle with this condition still today, chances are you may still have scars to show from when you once did.
Whether your scars are sharply dimpled “pock marks,” a “rolling” scar, firm and elevated, or just persistent red spots, there are lots of ways to approach treatment. A combination of surgical, laser, and medical procedures can be used to achieve ideal outcomes over the course of time and while there have been quite a number of effective technologies and surgeries used to treat acne scars over the years, it’s imperative to remember that there is no “one-size-fits-all” solution and best results are typically seen over time and multiple visits. Every patient with acne scarring is unique and different, and we believe their treatments should be treated accordingly. Dr. Biesman has worked with acne scarring patients for more than 20 years, and can provide a treatment plan that’s customized and most effective for your needs. Here are a few possibilities:
SUBCISION TREATMENT METHOD FOR ACNE SCARS
Subcision is a procedure which releases acne scars that are depressed so they become more level.This is a common approach when scars are not deep enough to require removal, but are too deep to respond well to filler or laser treatment alone. Our practice is one of the few in the country that performs subcision in the specific, strategic way that we do. In this procedure, a tiny blade is used to release the scar from the underlying deeper tissues holding the scar, allowing the depressed area to become somewhat shallower. While bruising and swelling may occur, stitches are not required.
LASER TREATMENTS FOR ACNE SCARS
Another method for improving skin texture from acne scarring uses newer laser and energy-based technologies including non-ablative fractional skin resurfacing and eMatrix skin resurfacing. Some treatments may have more downtime than others, and some require multiple sessions while some are single treatment. Nevertheless, these approaches can beautifully improve the appearance of scarred skin.
MICRO-NEEDLING FOR ACNE SCARS
Micro-needling is an interesting treatment that has been around for a long time, yet recently, has become an important part of our acne scar treatment. Originally in a clinical trial which Dr. Biesman helped lead, the goal was to use micro-needling (which uses tiny, sterile needles to repeatedly puncture the skin) to inject a filler into the scar. Even before using the injectable filler, patients were reporting favorable improvements in their scars, with micro-needling alone, which lead to this discovery. There are many different types of micro-needling and various degrees of aggressiveness, and Dr. Biesman can evaluate which might be best suited for you if you’re a candidate.
SURGICAL REMOVAL (EXCISION) OF ACNE SCARS
When treating the deep and narrow ice pick scars, surgical excision is usually required as lasers or technology-based approaches aren’t the best method for correcting these types of scars. Removal of these type of scars is performed in the office with the aid of local anesthetic injections, meaning no sedation is required. As the scars are removed, sutures repair the skin and convert the deep ice pick scar to a much smoother, less depressed scar. Most often, ice pick scars are found on the cheeks and temples and a large number can be removed during a single visit. Typically, only one to two stitches are required at each surgical site and the stitches stay in place for one week.
INJECTABLE FILLER FOR ACNE SCARS
When acne scars create divots in your skin, we can often simply inject a filler to counteract that effect. Bellafill is a FDA approved filler that uses collagen and medical-grade plastic beads to fill depressed acne scars.
Dr. Biesman began developing his unique approach to acne scarring some 25 years ago, well before he relocated to Nashville, Tenn. He’s extremely passionate about carefully assessing not only each unique patient, but each unique scar to provide an optimal treatment solution. We know how concerning it can be to live with acne scars, and we’re committed to helping you along your journey to achieve skin quality that you’re proud of. To learn more about how we can help, call our office to book a consultation: 615-329-1110.
WAYS TO PREPARE FOR YOUR BIG EVENT
Event season is officially upon us! This time of year tends to be filled with all sorts of celebrations: everything from galas, to award shows, to nuptials of couples publicly proclaiming their love. Whatever important event you have on the horizon, it’s never too early to start thinking about preparation. We offer lots of common procedures at our practice to help you look your best in photos and in person! Furthermore, we’re aware there are other solutions beyond just what we can offer. To simplify your planning process, we’ve compiled a list of tactics that we’d recommend, along with a timeline for each so you know when to schedule appointments accordingly!
If you want an even, glowing skin tone…
–ESTABLISH A SKIN-CARE REGIMEN (ASAP!)
Regardless of whether you have a big event or not, it is imperative to find the right skin care routine in order to maintain optimal skin health. But with countless products on the market today, how do you know which are the best for your unique needs? Booking a consultation with our office will allow Dr. Biesman and his team to carefully assess your skin and the appropriate prescribed medical grade skin care products to address your concerns.
–IPL: INTENSE PULSED LIGHT (6+ WEEKS OUT)
If you struggle with red or brown discoloration around your face, neck, and/or chest, you may benefit from Intense Pulsed Light (IPL). IPL treatments can correct the red and brown skin tones we often see as a result of sun exposure or aging. The face, neck and chest are the most commonly treated areas although the arms, legs, back and shoulders respond nicely to the treatment as well. A few treatments are often required for best outcomes, so you will want to begin several months before your event. Downtime after IPL is minimal, but even still, this isn’t a treatment to have performed within a few days of important photos or events.
-CO2 LIFT MASK (24-48 HOURS OUT)
The CO2 lift is a facial mask that provides a “pick-me-up” to make your skin glow and look its best. It may be applied in our office or at home and takes roughly an hour or so to complete with results lasting 5-7 days.
If you want to reduce your wrinkles…
–INJECTABLES FILLERS & BOTOX (1 MONTH OR MORE OUT)
Injectable products such as Botox and soft tissue fillers can enhance or restore your natural beauty while keeping a natural appearance. Whether your concern is unwanted wrinkles, sagging cheeks, a tired or sad-looking mouth, jowling or generally not looking your best, both Botox and soft tissue fillers can provide a quick restoration. Ideally, facial injections should be performed at least one month before any major event. There can be minor bruising, and we like to follow up with you two weeks after the procedure in case any fine tuning is necessary for optimal results.
–LASER SKIN RESURFACING (SEVERAL MONTHS OUT)
Deep and fine skin wrinkling is a common complaint. To address this concern, we often recommend laser skin resurfacing, which rejuvenates tired, wrinkled skin to produce a fresh, youthful appearance. Whether you are young and have fine wrinkling or have earned your deeper wrinkles over time, there is a resurfacing procedure that is right for you! Skin resurfacing clears brown discoloration caused by sun damage, tightens skin along the jawline, eyelids and other areas, smooths wrinkles, and improves the texture and appearance of scars. Depending on the treatment that is best for you, some recovery may be required after skin resurfacing, so explore this option at least several months before your event.
If you’re looking to make your eyes pop…
–UNDER EYE INJECTABLE FILLERS (1 MONTH OR MORE OUT)
Some of us are born with deep hollowing under our eyes, which gradually descend even more due to aging. This can make you appear to be sad or tired even if you’re happy and rested. To correct this, we’ll often use injectable soft tissue filler to fill in that hollow area, resulting in a more bright-eyed and rested appearance. Similar to other injectables, this should be performed at least one month before any major event. There can be minor bruising, and we like to follow up with you two weeks after the procedure in case any fine tuning is necessary for optimal results.
-LASH EXTENSIONS (1 MONTH OR MORE OUT)
This beauty service is becoming incredibly popular, but especially for events! If you’ve never tried lash extensions before, it would be wise to have the lashes attached a full month out before the event to ensure your eyes don’t have an adverse reaction and give you a chance to get the length and volume just right. Then, a few days before your event, you can have them filled in so they’re in tip top shape. Locally, our friends at Parlour 3 offer this service and do an incredible job. In fact, they have an entire dual-purpose salon, Hunter-Paige, which is dedicated to helping you get “event ready” with everything from blowouts, to updos, to makeup!
If you’re looking to trim down…
COOLSCULPTING® (3-4 months out)
If you have unwanted, stubborn bulges of the abdomen, flanks, back, inner and outer thighs, arms, under the chin or other areas, you may be a candidate for CoolSculpting®: a completely noninvasive, safe and effective way to eliminate unwanted body fat. Ideal candidates are within 20-30 pounds of their ideal body weight and have stubborn bulges that simply don’t respond to diet and exercise. Treatment is performed in the office without anesthesia or sedation. Best results are seen three months after treatment. Using the latest techniques and technology, CoolSculpting® can transform your body.
-ESTABLISH A FITNESS ROUTINE (NOW)
Having a regular fitness routine is always a key component of optimal health, but especially leading up to a special event if you want to look and feel your best! Our friends at Wil Power Sports Training can help you establish a workout routine that’s sustainable for your lifestyle and will leave you feeling like your best self.
While some of these recommendations may not serve you in time for this particular event season, it’s inevitable that there will soon be another one just around the corner. We hope this serves as a helpful resource to plan so you can look and feel your best for any important occasion you may attend!
LET US HELP YOU GET “SPRING READY”
Every year, winter seems to take a harsh toll on us all. As we seek refuge indoors from the frigid temperatures, it’s far too easy to overindulge during our hibernation (why go exercise when you can curl up and watch Netflix on the warm sofa?). When we do brave the cold, our skin takes a beating from the cruel winds and dry air, leaving us robbed of moisture. So if you find yourself scrambling for ways to shake the winter blues as spring slowly begins to take bloom, we’re here to help. Here are some procedures we offer at our practice that will have you walking into the season ahead with confidence and feeling like your best self.
GET BATHING SUIT READY WITH COOLSCULPTING
If you’re hoping that “shedding winter layers” means more than ditching your sweater and coat, CoolSculpting® is a great way to reduce those unwanted, stubborn bulges of the abdomen, flanks, back, inner and outer thighs, arms, under the chin and other areas. This completely noninvasive, safe and effective way to eliminate unwanted body fat is perfect for candidates who are within 20-30 pounds of their ideal body weight. Furthermore, Dr. Biesman has served as an advisor to the company that developed the CoolSculpting technology for many years and remains a member of the company’s Medical Advisory Board. Best results are typically seen 3 months after treatment, so now is the time to book your consultation!
PREPARE FOR SPRING EVENTS WITH INJECTABLES
Whether you’ll be attending a gala, a wedding or another special event, ideally your facial injections should be performed at least one month prior. Regardless of what you’re looking to treat (unwanted wrinkles, lines in the upper and lower face, deep circles under the eyes, sagging of the cheeks, a tired or sad-looking mouth, jowling, unwanted fat under the chin, etc.), we offer a wide range of injectable products such as Botox®, soft tissue fillers and Kybella®. These products are simple adjustments that Dr. Biesman specializes in and can provide subtle, yet incredible results to help you look and feel your best!
GET RID OF RAZORS WITH LASER HAIR REMOVAL
If you’re looking to head to a warm weather destination anytime soon or simply preparing for warmer weather here in Nashville, you’ll likely be wishing you had laser hair removal at some point. While a series of treatments is required in order to achieve the best outcomes, it’s always a great time to start so you can get closer to saying “farewell” to razors (and more importantly, razor burn)! The most common areas treated with laser assisted hair removal are the face, underarm and bikini area in women (but we treat everything from cheeks, upper lip, sideburns, chin, legs, the chest and back depending on your needs).
NURTURE WINTER SKIN + PREP FOR THE SUN
As previously mentioned, our skin usually needs a lot of TLC this time of year. Between the lack of moisture from the dry winter air and heading into seasons of extra sunshine, there is plenty you can do to not only fix what winter has done, but also prepare for what’s ahead. For starters, having medical grade skin care and proper sun protection as part of your daily regimen is the foundation for healthy skin. Our team is highly skilled and knowledgeable on this topic and can help custom tailor a routine that fits your skin’s needs. If you’re looking to take things a step further and address some red or brown discoloration on your face, neck, and/or chest skin, you might consider Intense Pulsed Light (IPL). IPL treatments can correct the red and brown skin tones resulting from sun exposure and aging. The face, neck and chest are the most commonly treated areas although the arms, legs, back and shoulders respond beautifully to treatment as well. Finally, if you’re looking to address more severe skin wrinkling or discoloration, we also offer varying intensities of laser skin resurfacing, which can result in regenerated skin that is smoother in texture and appears more youthful.
Regardless of what concerns you may have as we approach a new season, we’re confident our wide range of services can provide viable solutions for you. Contact our office by calling (615) 329.1110 to book a consultation and learn more.
LOVE YOURSELF THIS VALENTINE’S SEASON
As we approach the season of Valentine’s Day, we felt compelled to divulge on the topic of self love. You see, plastic surgery and cosmetic procedures in general often have a bit of a negative connotation, but we think it’s time those stigmas are unpacked a little. Research shows that when people feel good about the way that they look, they are often more willing to try new things, take risks and take charge of their lives in new ways.
The goal at our practice is never to change who our patients are. On the contrary, our hope is that we can equip you to feel like the most authentic version of your very best self. Similar to how we style our hair, whiten our teeth or put thought into an outfit that we wear, many of the minor enhancements we offer are intended simply to help our patients put their “best face forward.” So whether you talk to a member of our staff, one of our patients or to Dr. Biesman himself, you’ll hear a resounding unity supporting this sentiment. In fact, we asked a few patients and staff members to share what “self love” means to them.
“To me, self love is allowing yourself grace. It is acknowledging your weaknesses and embracing them along with your strengths. Self love is determining and then working towards what makes you the best version of yourself. With self love you need self care (AKA… treat yo-self)!”
Lauren, RN – Clinical Nurse
“Our practice provides a safe and caring space to help patients look and feel their best. Our job is not to judge, but to educate our patients so they can make the most informed decisions to get optimal outcomes. It’s so rewarding to help a patients address a concern so they can leave our office feeling more confident in their everyday lives.”
Cara, RN, FNP – Clinical Nurse
“Accepting the way our faces and bodies look as we age is a struggle that many moms face. While I smile at the memories that caused my laugh lines and I’m proud of the babies that caused my abdominal skin to droop, it doesn’t make my sagging skin more appealing to me. Understanding that my skin and body change as I age isn’t an excuse to give up, it is motivation to preserve the skin I have now. In just a few visits with Dr. Biesman, I have corrected a few minor things through non-surgical techniques that greatly improved the overall appearance of my skin. Injectables helped to correct the loss of elasticity in my jawline while Botox helped with my crow’s feet. The heated Thermage procedure assisted to tighten the skin around my jawline and neck which seemed to age and fall prematurely. Dr. Biesman’s conservative techniques really helped me to feel a bit more comfortable in my own skin. While I can’t recapture what I once was, I am determined to work graciously with what I have now!”
Jenny Reimold @jennyreimold – Patient
“Self love means the freedom to take care of yourself! Whether it’s exercising, visiting Dr. Biesman, eating better, getting your nails done… or anything else that makes you look and feel your best. For me, practicing this has been a total game changer. Additionally, positive self talk is a big one for me. I have many mantras and phrases that I repeat to myself daily that help me practice self love. But at the end of the day, it’s about realizing your potential and working on bringing that to life – because you are worth it!”
Mallory Ervin @malloryervin – Patient
However you choose to practice self love this season, we’re in full support of it! And if you need some inspiration, here are six simple ways we suggest giving yourself a little TLC this month:
1.GO FOR A HIKE
Moving your body and breathing in the fresh air is a great way to feel alive (especially if the sun is shining). Just don’t forget your sunscreen!
2. TAKE A BUBBLE BATH
In today’s world, we tend to default to time-saving tactics, which means simple luxuries like a bubble bath are often overlooked. Put on some relaxing music and let yourself have a good soak.
3. SIMPLIFY YOUR ROUTINE
Looking to rid any “extra steps” in your self-care routine? You might consider booking laser hair removal this season to finally rid unwanted hair once and for all. Contact our office to learn more.
4. SIGN UP FOR A CLASS
We often romanticize the idea of learning a new language or mastering a new skill like sewing. So why not finally invest in yourself and your goals by signing up for a class? USN is offering a variety of classes this winter, including everything from cooking to watercolor landscape painting.
5. PAMPER YOUR SKIN
Your skin is your largest organ, so why not do something to say “thanks” for all it does for you? Contact our practice to learn more about booking a service like a chemical peel, non-invasive skin tightening or a laser skin treatment.
6. CURL UP WITH A BOOK
Not only is it nice to get lost in a story, but there’s something wonderful about the stillness that accompanies reading. Cozy up and soak in that tranquility!
We realize that self love isn’t a “one size fits all” practice. Everyone is going to have a different approach to being their best self and doing what makes them feel more fulfilled. Whatever that looks like for you, we support you exactly where you are. If we can ever help you achieve any of your personal development goals, know that we’re always here to help.
New Year, New You
After months of over-indulging in holiday festivities and food, we’re approaching that time of year when we suddenly shift from parties to proverbial New Year’s resolutions. January is undoubtedly a popular time of year for self-improvement, and we’re keen to help you feel like your best self. If you’ve ever considered undergoing an aesthetic procedure, this is a fantastic time to act. As the temperatures drop and the sun is scarce, it’s common to spend more time tucked away indoors. This is an optimal form of recovery or “downtime” that we recommend to our patients who undergo a variety of procedures that are more involved. So if you’re interested in learning more about some options that are available to you, we’re here to help.
Holiday Inspiration Guide
Transformation Stories From Our Patients
While Dr. Biesman takes great pride in all his patients, our practice also values the privacy of everyone who walks through our doors. For this reason (along with HIPAA policies) we don’t share a lot of the incredible transformation stories that Dr. Biesman helps his patients achieve every day. Enter our roster of incredible influencers.
We’ve had the pleasure of treating some of Nashville’s most influential faces throughout the years. Recently, several of them have been sharing these experiences with their online audiences. While this doesn’t cover all the patients we’ve had the pleasure of treating, since these testimonials have already been publicly shared, we thought we’d round up some of their experiences to answer some common questions about the procedures we perform every day.
Enhance Your Appearance as You Prepare for the Holiday Season
While it might only be September, now is the time to think about preparation in order to look your best during the holiday season. Whether you’ll be attending a corporate party, festivities with friends, or simply gathering together with your extended family, there’s no question that this is a popular time of year to be seen by those you love. Let’s explore some common procedures we offer that can beautifully enhance your appearance as you prepare for the holiday season.
Who is the Man Behind the Practice? Q&A with Dr. Biesman
While it’s no secret that Dr. Biesman is a Board Certified Oculofacial plastic surgeon, chances are you may not know much more about him than that. Dr. Biesman deeply values his relationship with each patient and always strives to make them feel like the priority upon every visit. So given the nature of his “you-focused” mentality, this month, we sat down with Dr. Biesman for a Q&A to turn the tables and provide you with a little more context about the man behind the practice.
Our Waiting Room featured in ED NASH(VILLE) Sophisticated Living Nashville
Above is yet another striking illustration of how eloquently Nash’s art harmonizes into any environment. As seen in the newly renovated practice of nationally-renowned and Nashville-based Oculofacial Plastic Surgeon, Dr. Brian Biesman, Nash’s work not only hangs proudly upon the entrance but his patients are fortunate to enjoy Nash’s paintings in two additional places throughout his practice.
