Collagen Fillers

As people age, the face begin to show the effects of gravity and sun exposure. Years of facial muscle movements like smiling, chewing and squinting result in creases in the skin much like folding a piece of paper repeatedly along the same line does. Collagen, which keeps skin looking youthful and plumped up, begins to break down causing laugh lines, smile lines, crow's feet or facial creases over the areas where muscle movements occur. Soft tissue fillers, most commonly collagen and fat, can help fill in these lines and creases thereby restoring the face of a patient to a smoother and more youthful appearance. When injected beneath the skin, fillers plump up creased and sunken areas of the face. They can also add fullness to sullen and sunken cheeks and lips thereby correcting the lines of thinning lips and old age. Fillers also smooth out the step-offs that can occur between the lower eyelids and cheeks over time. Soft tissue fillers in conjunction with other plastic surgery procedures like laser skin resurfacing or chemical peels or eyelid surgeries and face lifts benefit patients. The most important fact to remember about injectable fillers is that the results are not permanent. The body eventually metabolizes injected materials. In some individuals, the effects of injected fillers last only a few months, while in others the results remain indefinitely. Researchers believe that age, genetic make up and skin quality may all play a role in the staying power of injected materials. Collagen is a naturally occurring element that supports various parts of the human body: skin, joints, bones and ligaments. A doctor injects collagen using a fine needle inserted to several points along the edge of the treatment site. Some physicians administer some local anesthesia so that the injections are not painful.

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House Calls

A house call, or Physician house call, is an act of customer service where the doctors goes to the consumers home, rather than the consumer visiting the suppliers place of business. House calls are most often associated with doctor house calls. There are still doctors making house calls. The physician-led multidisciplinary team provides comprehensive, patient-centered care for any condition, from the simple problems to the very complex, in the patient’s own environment. Thanks to modern technology and our sophisticated, multi-faceted delivery system, we can do more tests and procedures in our patient’s home or place of business than other primary care physicians do in their office. House call doctors are equipped to perform most procedures normally performed in a medical office. House call doctors utilize electronic medical records and will coordinate home health and hospice services, mobile imaging services, durable medical equipment services, laboratory services, and specialist referral services. House call doctors acts as the primary care physician or as augmentation to or as an interim physician to the patients’ present medial team. Doctor’s House calls provide post hospital stabilization service to physicians, insurance plans, and hospitals to mitigate hospital re-admissions.