Archive | November, 2012

Holiday Wish List

27 Nov

So I was asked to make a list of the things I want for the holidays. I was told to make sure it was not ridiculous. I considered it a challenge to be completely obscure. (Followed by things your girlfriend/wife/daughter/sister might actually want this holiday season.)

  1. My first answer to this was a football helmet full of cottage cheese. If you saw the popular 90’s movie Airheads, you would get this obscure reference. If you haven’t seen it… you should.
  2. A day off. Oh wait… You don’t get those when you have a business. Grrrrr…
  3. New boobs = Need new bras.
  4. Office Space. Actual office space. In the Quincy area. Not the movie Office Space. Although also a great movie with a TON of awesome obscure references. Have you seen my stapler? http://www.youtube.com/watch?feature=player_detailpage&v=pHHZBmF8mk4
  5. New Louboutins. Because I love obnoxious shoes.
  6. A new car. Preferably of the Mercedes variety.
  7. Gay Personal Assistant/Gay Best Friend (GPA/GBA) on payroll. Not only to help me with my business… but sometimes I don’t know which shoes to wear. Also, sometimes he should not wear pants. Because, lets face it, Gay men always have better underwear than straight men.
  8. A dog. Which my assistant will also be taking care of. He told me he will not take care of a pig named “Kosher” or a piranha named “Nemo.” Which I accept, because I’m not sure of the legal status of these animals in the State of Massachusetts.
  9. My significant other to finish law school. Because I have obscure legal questions like “what is the status of having a pig or a piranha for a pet?” and “is ‘I thought speed limits were suggestions’ a viable defense?”
  10. A $10,000 gift card to Starbucks. My CPA, Matt Traiger, told me I have a problem. And I’d like a gift card for gas. I’ll take that in the amount of $25,000. Or I’ll accept stock in Exxon/Mobile.
  11. The Helicopter button in my new Benz. You know, the one you press so your car can fly over 93 when it’s gridlocked. Oh right. That’s EVERYDAY.
  12. An alarm clock that is also capable of removing me from my bed. And putting me in the shower. And cooking. And cleaning. Oh wait… maybe my GPA can do that. Or at least hire people to do that stuff.

I don’t think this stuff is TOO much to ask for.

Ok, but for REAL:

Cool Gifts This Season

Having a hard time finding the perfect gift?  Here’s a few things every female fancies (you can’t go wrong)!

Cute Boutique-y Jewelry? I recommend:

Gift Certificates For:

  • a manicure/pedicure ($15-$50)
  • a facial ($45-$150)
  • her favorite hair salon (be sure not to get just ANY salon)
  • a massage ($60-$100)
  • a day at the spa
  • A nice robe/winter gloves/hat/scarf.  We all wear them… we can always use a new one.
  • This is cool from Target (it said over 3,000 participating spas, but I’m not sure which ones):

  • A Little More Thoughtful:
  • A New Flat Iron (some good names: GHD, CHI, and BaByliss) ($150-$350)
  • Good Shampoo (like my personal favorite, Melu by Davines ~$26.50/bottle http://www.davines.com/en/products/view/dehc-melu-shampoo )

  • a subscription to New Beauty Magazine (www.newbeauty.com) LOVE IT! $9.99/issue
  • NARS Turkish Delight Lip Gloss–looks good on literally everyone (Sephora $22) http://www.narscosmetics.com/color/lips/~/lip-gloss
  • Along the lines of Sephora (which is at every mall) there are some really cool, easy gifts in there.  I love their kits of things like “mascara’s” and “lip glosses.”
  • New Make-up Brushes (check out Sephora again) http://www.sephora.com/makeup-brushes-applicators-makeup
  • Jewelry- but beware– jewelry is a very personalized gift.  Diamonds and pearls are always classy… but is she a diamond girl?  bling bling? or more subtle? like classy pearls?  Does she usually wear gold? or silver?  I once broke up with a guy who bought me aquamarines for an anniversary gift (not because I’m shallow, but because after dating someone for a year, you should know what kind of jewelry that person wears.  I realized it was a dead end relationship.)
  • Lulu Lemon.  For your sporty chick.  (Has anyone seen the commercial where the chick is talking all about why she wears yoga clothes–she bikes, she does yoga, she hits the gym– and then she says “Who am I kidding, I wear Yoga pants because I’m lazy” ahahaha) http://shop.lululemon.com/home.jsp?locale=en_US&sl=US
  • The circle scarf. Very comfy. Very stylish. Check out these deals at Nordstom.com http://shop.nordstrom.com/c/lulu?cm_ven=google&cm_cat=juniors_brand&cm_pla=lulu&cm_ite=lulu%20scarf_b&ef_id=f85OuV1@Z0oAAEZF:20121127045318:s

Just So You Know…

Bags–A crash course

  • Dooney and Bourke (otherwise known as D&B) $$
  • Coach $$$
  • Chanel/Gucci/Burberry/Louis Vuitton $$$$$$$$$

Don’t even think about buying her shoes. — however the book “100 Shoes: the Costume Institute/the Metropolitan Museum of Art” with intro by Sarah Jessica Parker… that’s a great gift!

100 Shoes: The Costume Institute / The Metropolitan Museum of Art

Ask a Chick!

My friend Megan swears by “asking Steph at Nordstrom’s in Natick;” all you need is a size and she can style you up (remember to check the tag of your girls clothes… and also keep in mind every brand is different, confusing and annoying–yea we know!).  If you can’t make it to Natick, that’s ok.  A lot of the high end stores have staff that are MORE than helpful.

Wrap It Up. 

Gifts should come in an exciting box.  So, wrap it up!


Happy Holidays! ~ LK

Will it hurt?

24 Nov

Pain is such an abstract and obscure concept. You can’t really define it. It has so many dimensions. In the hospital, we assess pain on a scale of either facial expression charts or numerically from 0-10. Zero being no pain, and 10 being the worst pain you’ve ever felt in your life. It is an individual experience; the numerical response to a stimulus can differ drastically from person to person. So, whether or not something will hurt is relative.

    Source: http://www.pamz.com

On a Scale of 0-10…

What’s the most painful thing I’ve ever experienced? First, a broken heart. That took a really long time to recover from… and I definitely still have scars! The second most painful thing I’ve ever endured is being in a car accident, which I also still have issues from. I’ve never gone through childbirth, never been divorced, still have both my parents, and never had a kidney stone. So my list has room to change. I’d like to point out that my list does not include Botox, Fillers, or my recent surgery. But that’s what this post is about. Do aesthetic procedures hurt as much as people think they will?

Beauty is Pain

We’ve all endured painful treatments in the name of beauty. Ever tweezed your eyebrows? Waxed your lip? Burned yourself with a curling iron? Stuck an eyelash wand in your eye? Walked more than a street block in stilettos? All painful, but relatable, every day examples of things women do in the name of beauty.

If you asked 100 women the same question, you’d get a 100 different answers. This is because women never have a “yes” or “no” answer. It’s always a story. So here’s a comparison story.

Q: How painful are stilettos?

A: Well, that depends.

  • How big are the stilettos
  • How long are you wearing them for
  • How far will you need to walk in them
  • Who makes them
  • How often do you wear stilettos
  • How often do you wear those particular stilettos (i.e. are they broken in)
  • What condition are your feet in (i.e. do you have any blisters)
  • What size are the stilettos vs. what size are your feet (i.e. does the shoe fit)
  • What are the road conditions for which you will be walking in them (i.e. changes in elevation)
  • What are the weather conditions for which you will be wearing them (i.e. rain or snow, inside or out)
  • Etc, ect, ect.

So, when you ask how badly something will hurt, there are many conditions which will change the outcome. It’s hard to explain the pain factor of beauty. The “Universal Pain Assessment Scale” does not really work when it comes to women and what they’re willing to endure. So… I decided to paint my own comparative scale. Because I love “Paint” (the computer program) and I love making stuff relatable.

The “LK Aesthetic Comparative Assessment Scale”

I’m not going to lie. This took me a long time to create, and it’s pretty scientific (although has no reliability or validity, it is merely my projections). This is how it works. Each treatment is rated in 3 dimensions on a scale of 1-5. Then those 3 numbers are added.

Chemical Peels

Laser Hair Removal


Laser on the Face



Eyeliner Tattoo


Botox


Fillers


Some fillers hurt more than others. The worst is the lips. I used that for the pain scale, but other areas hurt much less.

Tear Troughs    2

Cheeks        2

Marionette Lines    3

Naso-Labial Folds    3

Plastic Surgery

In all fairness… I think surgeries could be subcategorized. I heard liposuction isn’t really that bad. I guess it depends how well you are medicated too. Pain is relative.

I Hope this gave some perspective! Remember, this scale holds no scientific basis.

XOXO. LK.

What To Do With A Scar

2 Nov

My friend Nicole had a thyroidectomy and she was asking me about what to do with the scar to help it heal. The neck is a tough area, so I directed her to ask a dermatologist, but I told her I’d research it a little. Scars can be very bothersome to people, especially when they can’t hide them. My friend Amy’s son just required a couple of stitches from a hockey accident. I told him not to worry though. Chicks dig scars. Fact.


Scars are visible signs that remain after a wound has healed. They are unavoidable results of injury or surgery, and their development can be unpredictable. Poor healing may contribute to scars that are obvious, unsightly or disfiguring. Even a wound that heals well can result in a scar that affects your appearance. Scars may be raised or recessed, different in color or texture from surrounding healthy tissue or particularly noticeable due to their size, shape or location.

I assisted in a scar revision surgery from a tummy tuck done in New Jersey that did not heal well. This woman went in to have the abdominal muscles repaired from her pregnancy, and left with a whole new embarrassing problem that still kept her out of a bikini.

What Causes Scar Tissue

One word: Trauma. Whether you fell of your bike or barstool, had surgery, were in a car accident, decided to take the brakes off your rollerblades even though you didn’t know how to rollerblade and you decided to start with going downhill (I like to live dangerously… what can I say… I was 13). I have a few scars that particularly bother me.

So you fall and you bleed. What happens? In the LK abridged version (for all intensive purposes):

Treatment can depend on what type of scar you have. These are several different types of scars including:

  • Hypertophic: Raised and red scars that cover the site of the original injury. Just your basic run of the mill scar.
  • Keloid: result of overly aggressive healing process, extending beyond the site of the original injury. (Interesting fact: 50% of people with Japanese heritage form keloid scars.)
  • Contracture: results from a burn when the skin tightens and can impair muscle and nervous tissue.
  • Acne: result from severe acne.

Treatment Options

As you are healing from a wound… proper nutrition is very important!
The healing process places extra demands upon the body. Adequate protein intake and vitamins are essential for wound healing.

  • Vitamin A is essential for replacement and healing of epithelial tissues
  • B-vitamins are needed by cellular enzyme systems
  • Vitamin C is essential for production and maintenance of collagen and development of new blood vessels
  • Vitamin D is needed for bone healing and formation
  • Vitamin E may help prevent some types of tissue scar
  • F, G, H, I, J are nonessential. There are no such vitamins. Interesting that they skipped out on these letters. I wonder why. (I digress).
  • Vitamin K is essential in the blood clotting process.

Topical Treatments

  • Creams/Ointments/Gels
    • Topical Vitamin E while the wound is healing. The process of massaging the cream during application is also good for the scar. I think it’s the main ingredient in Mederma. Which according to the box (see picture below) it is the #1 recommended product for scars. I’m not sure if this is true or not. I’m just saying that’s what the box says.

    • Corticosteroid or Antihistamine creams if scars are itchy or sensitive.
    • Retinol (More on Retinoic Acid (my fav!)can minimize post-scar formation pigmentation. Use 30 days after the scar has formed.
    • Silicone gel sheets can be placed over a wound when it has healed. I am using these right now on my breast augmentation incision. I will let you know how it turns out!
    • Tension and Pressure
    • Bandaging a wound applies pressure to the area.
    • Steri-strips applied to keep the wound closed as it heals.

Minimally Invasive Procedures

  • Stitches and Staples:
    • For wounds that require a visit to the ER, you may get stitches or staples. Follow your home care instructions if you do wind up in an ER (or if instructed to do so by a doctor or nurse). Not only will it decrease the likelihood of a scar, but it will also decrease the likelihood of things like infection. Yup. It’s true.
    • I highly suggest requesting a plastic surgeon stitch a facial wound. I know it’s the last thing you think about when bleeding profusely from a head wound, but they really do the best work, at the very least, much better than the ER intern who has never done it before. It’s your face. They can practice elsewhere.



  • Injections:
    • Steroid injections can be used for protruding scars. I actually had a scar on my back injected. The area was numbed with lidocaine and then injected with a corticosteroid. It took about 6 weeks to see a difference (sorry no pictures of before and after!). It can take several treatments to work. Which reminds me I should probably have it injected again.
  • Laser:
    • Vascular lasers may be used to lighten scars that are pink to purple in color. It may also facilitate the flattening of raised, red scars.

Surgical Revision

There are many options under this category including skin grafts, excision or laser surgery.

The tummy-tuck scar surgery I assisted in was an excision. The scar tissue was numbed with local anesthesia, which was difficult due to the fact that the tissue is fibrous, making it hard for the anesthesia to localize through the area. After the patient was numbed, a cauterizing tool was used to remove the scar tissue. The wound was re-stitched and a steroid impregnated tape was applied with a pressure dressing over it. The whole procedure took about 30 minutes.

I have also seen CO2 laser scar revision for acne. There is a lot of down time with this, but the end result is really nice.

Treating Acne Scars

I think it’s something like 3 out of 4 people suffer from acne some form of acne some time in their life, so acne scars are an issue for SO many people. Acne marks that are left behind after a breakout heals (usually reddish or brownish in color) will eventually fade without any intervention. But… most people will pick at acne with their fingernails, which causes a lot of damage to the skin and can also introduce bacteria to the site. Don’t do it. You will make it worse and increase the likelihood of scarring. A person’s acne needs to be under control before scars can be treated. Retinol. Cough.

Depending on the severity of the scarring, there are several possible avenues of treatment. I’d stay away from over the counter products when it comes to acne scars. First, they’re not going to help any, and second they can irritate the skin making a scar even more noticeable.

  • Mild scars: Microdermabrasion. and chemical peels (‘Tis the Season for Chemical Peels!.) will help with mild issues of the texture and tone of the skin.
  • Moderate scars: Laser skin resurfacing is recommended. I had this done at the office. It HURT. It usually takes between 3 and 10 days for the skin to heal completely.

I get asked all the time to put filler into a scar. Personally, I think there are better options. In order to inject filler, the scar tissue needs to be excised (yes, it is as uncomfortable as it sounds). It’s the same idea as numbing a scar with an anesthesia, the tissue just does not allow liquids (or gel’s like fillers) to penetrate evenly. This is my personal experience, but I know it is very common so I guess maybe some people have a better technique? I’m not sure.

  • Severe scars: CO2 laser can only be done by a doctor, under anesthesia. There is a lot of downtime with this procedure, unfortunately, but it yields fantastic results (I’ve seen it done a few times). I have never seen or heard of grafts for acne scarring.

XOXO, LK

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