Tag Archives: Boston Blog

Thinking about a NoseJob/Breast Aug/Lipo/Tummy Tuck? … Butt Implants?

15 Dec

I go with a lot of my clients to their consultations and watch a lot of procedures with a plastic surgeon.  My wonderful friend called me at 8 this morning to ask me what she should ask at her consult (apparently she forgot I am NOT a morning person).  I jumped out of bed though, because I remembered I had a lists!  I love lists ALMOST as much as I love white boards!

I know Plastic Surgery isn’t for everyone, but I think if you are contemplating it, you should be prepared from the beginning; starting with the right surgeon can make all the difference in the world!

Plastic Surgery:  Making the Best Decision

Brief important plastic surgeon qualifications

Please check out www.plasticsurgery.org to see if your surgeon is ASPS accredited.  If they are ASPS accredited you are in good hands.

Each ASPS member must meet the following:

  • At least five years of surgical training and a minimum of two years of plastic surgery training.
  • Board certified by The American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada.
  • Trained and experienced in all plastic surgery procedures, including breast, body, face and reconstruction.
  • Peer-reviewed for safety and ethical standards prior to attaining the honor of active membership.
  • Only operates in accredited facilities.

When making the choice:

  • Use your head not your heart in making the selection.
  • Bring before and after photos, if possible, to show what you want.
  • Research the doctor, call other patients for recommendations.
  • Get a recommendation from your bariatric surgeon.
  • Meet the doctor and get to know him or her; you trust yourself to his or her care, so you need to feel comfortable with the person.
  • Use the term “reconstructive surgery” with your insurance company, since “plastic surgery” is often considered to be “cosmetic” or “elective” and hence is not covered.

Questions to ask:

1.  Are you an ASPS member surgeon? If he or she answers “yes” you can rest assured that your surgeon is board certified in plastic surgery, has hospital privileges and only performs surgery in accredited facilities.
2.  Are you board certified by the American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada?
3.  Do you have hospital privileges to perform this procedure?   If so, at what hospital? Is the surgical facility accredited?
4.  Am I a good candidate for this procedure?
5.  What will be expected of me to get optimal results?
6.  What are the risks involved with my procedure?
7.  Will I need to take time off work?  If so, how long?

What you should ask about the procedure

8.  What is the simplest and safest surgery to help me achieve my goals?
9.  How is the surgery performed?
10.  What is the expected length of operation?
11.  Are other options available?
12.  What results can I expect, and how long do the typical results last?
13.  Where will scars be located, and how noticeable will they be?

What you should ask about your surgeon’s experience

14.  How many times has the surgeon performed this procedure?
15.  How long has the surgeon been performing this procedure?
16.  How many times per year does the surgeon perform the procedure?
17.  How many patients have required re-operation or touch-ups?
18.  What complications may occur?
19.  How frequently do these complications occur?

What you should ask about logistical matters

20.  What preparation is required the day before and morning of surgery?
21.  Should my regular medications be taken on the morning of surgery?
22.  What time should I arrive at the surgery location?
23.  Should someone drive me?
24.  Should someone wait at the surgery location or come back later?

 

What should you ask about emergency plans

25.  What emergency plan and equipment are in place to provide for my needs in the event of an emergency?
26.  Are the surgeon and staff certified in Advances Cardiac Life Support? (ACLS)?
27.  Does the surgeon have admitting privileges at a local hospital should problems arise during my office surgery? (Call the hospital to confirm)
28.  How would I be transported to this facility?
29.  Has an adverse event ever occurred in the past?

What should you ask about the recovery process

30.  What kind of care will I require?
31.  When will I be able to go home? Is an overnight stay required, or is one available if I prefer?
32.  Who will attend me in the case of an overnight stay?
33.  Will I need someone to drive me home?
34.  If a problem arises after I go home, who answers calls after hours and on weekends?
35.  If I need to be seen after hours, where will this occur?

36.  If I need help in my home, is a private duty nurse available?  At what cost?

37.  Are any special garments, medications, or diets required during the recovery period?
38.  How much pain/swelling/bruising is to be expected? How long are these likely to last?
39.  How long does the entire healing process last?
40.  How many follow-up visits are necessary?
41.  Who performs the skin care/post-operative follow-up/suture removal?
42.  When can I wear makeup?
43.  When may I return to exercise/bathing/driving/normal activities/work?
44.  At what point will I feel comfortable in a social setting?
45.  What if I am dissatisfied with the results or with the degree of changes achieved?
46.  If touch-ups are necessary when would that be performed?

What about fees

47.  Does the cost depend on where my surgery is performed?
48.   Will I need to see another physician prior to surgery for examination or testing because of a preexisting medical condition?

49.  Who pays this cost? Will my regular family doctor suffice?
50.  If a complication causes me to be transported to a hospital or stay overnight, who pays for this additional cost?
51.  If I request multiple procedures, can they be performed at the same time? What are the cost savings?

52.  What options are available for payment?

53.  Does the office accept credit cards?
54.  Is a payment plan available to patients?
55.  What is the refund policy should I change my mind after paying in full?
56.  Is my surgery covered by my insurance plan?

After discussing all of the factors involved with your proposed procedure with the surgeon, you should have a sense of whether or not the surgeon is right to you.  Take note of and consider whether the surgeon:

  • Listen and understand your priorities, opinions, and requests?
  • Communicate concern, compassion, request and honesty?
  • Instill confidence in you?
  • Display confidence in his or her ability to care for you?
  • Seem distracted, or come across as arrogant or curt?
  • Seem patient and willing to spend time to answer all your questions and discuses your concerns?
  • Condescend; talk down or under estimate your intelligence?
  • Make eye contact or continually jot down notes in the chart as you spoke?
  • Display positive body language?
  • Confuse you or offer clear explanations?
  • Appear to be selling you the procedure?
  • Adequately discuss any preexisting medical conditions you might have?
  • Encourage your family to participate in the consultation and decision-making process?

Do you:

  • Feel that you have established forthright communication and a positive rapport with the surgeon?
  • Trust your life to this surgeon?
  • Feel the Surgeon is acting in your best interest?
Remember, Aesthetic Augmentation is no one’s decision but yours. 
Advertisements

I wouldn’t be a Barbie Doll if I didn’t have Fake

12 Dec

Hair. 

And you thought I was going to say “boobs.”  Not yet. 

I’ve had lots of different types of fake hair.  Lots.  Here’s a lil info written by myself and Mike Manzo (@MikeyManzo) of Michael O’Rourke’s “Rock Your Hair.”  (He rocks my life).

In the Beginning…

Picture from the Beginning

The first time I had extensions they were clips.  And it was love at first site.

Clip-Ins

These can be purchases for between $70-$100 at Sally’s Beauty Supply.  Make sure you get real human hair, and ask the people who work there to help you match it.  You don’t want to look like you got your weave at a mall cart.  They’re easy to apply, but take some practice.  By teasing the root of your hair, they stay in better.  Ask your hairdresser for some guidance!  They can be curled and flat ironed (I recommend doing this BEFORE you put them in).  Make sure you take these clips out before you sleep… mine make me break out.  The best way to clean these is with dry shampoo (I love Bombshell).  You should wash them every once and a while though with real shampoo.

Weave (Swing Wefts)

Swing Weft

My girl Ava did some very interesting techniques with my hair (microbeading, bonding… ect).  But my first step up from the clip-ins was as a model for Ava’s new technique with wire (like fishing wire… in fact… I think we went to Target and bought fishing wire).  She wired wefts of fake hair into my natural hair.  It looked awesome down, but was hard to put up (I only wear my hair up at the gym anyways).  The hair was totally re-usable.  Ava was awesome and gave me an hour long lecture on how to take care of my new hair.  I was so excited I think I paid attention to half of it. 🙂 I think this counts as white-girl weave?

Taped Wefts

Oh boy, did I have a bad experience with this one.  Mark from Dellaria’s in Newton convinced me they were the best thing.  Guys a great salesman.  But a horrible hairdresser.  My friend Nikki and I both got the extensions.  We both hated them.  You could see tape tracks in the hair.  Taking them out was a dirty gluey mess too.  Don’t Do It.  I’d like to thank Ava here for fixing this mess. Oh, not only did they look awful, but you couldn’t die them easily.  Bad for someone like me who highlights AND lowlights.

**No pictures.  Sorry.  I wore a hat most of the time during this phase!

Went back to clip ins about here.  Added some chemical free color.

A splash of color for concert going.

After my tape debacle, I went back to the clip-ins.  Had to let my hair recover.  It was around this time where my business was taking off in Newton Center, and I realized I couldn’t have fun funky hair anymore.  Or could I…

Red, blue, green, pink… clips from Sally’s for $3.99.

Whatever you do though… don’t flat iron or attempt to curl these.  They are synthetic and will melt.  And it smells.  Bad. 🙂

Next it was time for some Classic Bondage.

Classic Bonded Extensions

When I was ready to take the financial plunge and get real extensions, I had classic bonded extensions.  A tiny iron is used to melt the bond as it lies against your hair, which the stylist rolls until it cools and hardens with your own hair locked inside.  It takes FOREVER.  That’s why it’s so expensive. Accidental contact with a curling or flat iron could melt the bond, causing two to stick together or even to slip out of the hair. Removal requires application of a solvent, which softens the bond so the stylist can loosen it and slide it off (like the tape wefts).  Also, as your natural hair grows out… it can get a lil ratty looking.  And by ratty I mean dread-y.

Microbeading 

Straight from the bag (ie, i need to flat iron the layers together--pic pending)

This is the latest and the greatest. This method is one of the longest and safest for your natural hair.  Strands can be customized to different sizes for the most personalized fit.  A small bead is threadedaround a tiny section of your hair and a strand of extension.  The tube is then flattened with a plier-type looking thing, holding the two together.  It is perfect for those who like to highlight and lowlight (like me!).  There is no glue or adhesive, so it doesn’t ruin your natural hair when they are removed.  Removal is quick and easy with Microtubes. The now-flat tubes are popped back to their original shape and slipped right off.

Things I’ve never done… but you should know about.

Heat-Free Protein Bonds

These are the smallest fusion points available and also the hardest, yet they are as flat as a piece of paper. This makes Heat-Free Protein Bonds ideal for fine hair, because they are the least likely to cause visible bumps or be felt when running a hand over the hair.

What sets them apart from the classic protein bond is that they are applied using ultra-sonic vibration to soften them as they are attached.  This means that there is no heat applied to the hair at any time, and that it would require a much higher degree of heat to melt or damage these bonds. Blow-drying and irons are of little or no concern.

Shrink Tubes This newer technology uses a clear plastic tube to attach your new hair, and is the option which allows the most hair to be added. Your hair is threaded through the tube just like it is with the microbeading, but in this case the plastic tube is heated until it shrinks to half its original size, tightly gripping the extension and your hair together.

There is room for two extensions to be sealed into each tube, if your own hair’s root is thick and strong enough to anchor that. These are great for creating a “lion’s mane” type of look, or for curly hair.

Sewn-In Wefts AKA “weave”! Tried and true, sewn-in extensions have been done longer than any of the methods above. They are often more cost-effective, but can be heavy and even painful when first applied.  The hair can be re-used for many cycles, but can be difficult to blend with layered looks.

In Conclusion…

It’s always a good idea to talk to your hairdresser before spending money on extensions, and it’s also a good idea not to go cheap.  If your salon doesn’t have a stylist who does extensions, ask who they recommend.  It’s ok to schedule consultations with a few salons before choosing a stylist and extension method. This consultation should be free and take 15-30 minutes. You should be shown hair samples, color choices, and examples of the stylist’s work. Don’t be afraid to ask questions!

Great Gifts for the Women in Your Life

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

A Little More Thoughtful:

  • A New Flat Iron (some good names: GHD, CHI, and BaByliss) ($150-$350)
  • Magnetic nail polish (from Nails Inc.)
  • Good Shampoo (like Matrix $13-$22/bottle)
  • 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)
  • Along the lines of Sephora (which is at every mall) there are some really cool, easy gifts in there.  My friend Allegra told me she wants some vibrating lip gloss (I have no idea WHY it vibrates)… and they have sample kits of things like “mascara’s” and “lip glosses.”
  • New Make-up Brushes (check out Sephora again)
  • 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.)
  • Lululemon.  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)

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.  I know you don’t like to ask for directions… but the perfect gift can gift is the gift that keeps on giving… when the kids are sleeping.  Just never NEVER mention that the chick at the desk was cute.  In any way. Ever.

Wrap It Up. 

Gifts should come in an exciting box.  You’ve heard this saying before.  Wrap it up.  In something nice.

Anatomy of a Facial

3 Dec

A facial is a procedure involving a variety of skin treatments, including: steam, exfoliation, extraction, creams, lotions, facial masks, peels, and massage.  Facials can last anywhere from 30 minutes to over an hour and range in price depending on the types of products used for the treatments.  They are professionally recommended every 4 weeks for maximum results. Step 1: See a Professional.

All facials follow the same basic structure and order. They will begin with makeup removal and cleansing.  Then comes some method of exfoliation to remove dead skin cells and smooth the surface of the skin. A massage is then performed that can include all or some of the scalp, face, neck, shoulders, back and even the hands or feet.

Facials are then classified in two ways:  hands on treatment or electrotherapy.

“Hands-on” Treatment

The aesthetician will use her hands to perform the facial treatment. Sometimes, a steam machine is incorporated in these facials during or after cleansing, to open up the pores and allow a deeper cleansing action.

A facial mask is a creamy paste (or gel) that often contains minerals, vitamins, essential oils, and fruit extracts is the main step in the hands on treatment.  There are different kinds of masks for different purposes: deep-cleansing, by penetrating the pores; healing acne scars or hyper-pigmentation; brightening, for a gradual illumination of the skin tone.

Gels are mostly used for oily and acne prone skins and oils or moisturizing creams are used for dry to normal and matured skin types.  A clay or mud based face pack is used after the cleansing process and steam process (optional) is over to close the open pores and to provide nutrition to the skin.

Masks are removed by either rinsing the face with water, wiping if off with a damp cloth, or peeling off of the face by hand.  Duration for wearing a mask varies.  The perceived effects of a facial mask treatment include revitalizing, healing, or refreshing; and, may yield temporary or long-term benefits.

Electorotherapy Facials

Use machines as part of the treatment; there are several different types, which are suited to different skin types. Some of the most popular variations of this type of facial are:

  • Galvanic treatments: metal rollers or applicators are used to either produce a deep cleansing effect.  Depending on the active product being used, this will help reduce spots and blemishes (making this a good facial for an oily skin type), or to help infuse active ingredients deeper in to the skin (for a variety of skin types).
  • High frequency treatments: uses a glass electrode passed over gauze placed on the skin. This helps dry out spots and has an antibacterial effect, so is good for oilier skins or those with a few specific blemishes.  An indirect high frequency facial uses a saturator held by the client to draw a moisturizing massage medium deeper in to the skin, and so is best suited for more mature or dry skin types.
  • Microcurrent treatments: also known as non-surgical face lift, this type of facial uses a current to lift and tone the facial muscles and also to improve the colour and texture of the skin and soften lines.

During most of the electrotherapy treatments you may experience a slight tingling effect on the skin, but this is quite normal.

Facials are key to having nice skin!  They need to be maintained with a home care regiment that is not OTC!

Check out these posts as well:

Evaluating Your Skin.

 

Step 2: Spend wisely.

New Year, New You: Plan Accordingly!

1 Dec
Looking to enter the New Year looking younger and more refreshed?  It’s important to plan your beauty needs around a hectic holiday schedule, so if you’re thinking of amping up your look for the New Year (or any Holiday Parties) here’s some helpful hints/guidelines:

Non-Invasive

Spray Tan

Spray tans typically last 7-14 days.  If your thinking of spraying (which I highly recommend), do it as close to your event as possible!  You can’t shower for 6 hours after a spray, and you can smell a little bit sugary post-spray, so keep this in mind.  For the best results, spray the day before.  

Facial

A plain old facial can be done anywhere from a few days to a month before a special date.  But remember, book early, because this is a very popular treat during this time of year!  It’s also a great gift to give to someone who is impossible to shop for!  Everyone enjoys being pampered.  If you are planning on doing Botox or fillers, a facial should be done either immediately before or 5 days after any treatments! 

Chemical Peel

Degree of peeling can vary, and you don’t want to look like a snake shedding its hide for your holiday parties (it’s slightly unattractive, and not the attention you want!).  Talk to the aesthetician performing your peel and be CLEAR if you have any Holiday parties. ‘Tis the Season for Chemical Peels!.  For a real good, deep peel, expect about a week to two of down time.

Very Important:  moisturize often with a pharmaceutical or cosmeceutical grade product after a peel.  Many places have post-treatment kits.  Do NOT pick at your skin!  Stay out of the sun!

Waxing

Remember, waxing your brows or lip shouldn’t be done the day of an event.  The process can irritate your skin, leaving it a little red.  Icing the area helps.  Or an anti-inflammatory like ibuprofen.  Make sure to keep the area clean to keep bacteria out of your pores, and causing break outs.

Microdermabrasion.

Often done during the same time as a facial, and can cause some minor redness.  Protect your skin after this treatment. Stay out of the sun.

Laser Skin Rejuvenation Treatments

Depending on the laser, and the treatment, there can be some downtime with this (discoloration and flaking), anywhere from a day to a week.  Ask your practitioner what to expect with the treatment you are receiving.  These treatments really make your skin look great!  Never heard of laser skin rejuvenation?  There will be blog posts to come!

Eyelash Extensions

Although a little expensive, they look great for the holiday season.  They should be done about a week before your big event.  They take some getting used to! Lovely Lashes!.

Minimally Invasive Procedures

These can be tricky to time.  If you are planning on doing any non-invasive procedures, they should be done either immediately before Botox and Fillers, or 5 days after.  This is because you don’t want Botox to travel into the wrong muscle group, or fillers to be moved into the wrong area.  Use good judgement with timing your treatments!
 
Also, I think this year is the time to abolish the false notion and rumors about these products.  With small doses and a trained injector, you will look amazing!  If you don’t believe me, just ask my mom! 

Botox

It takes a few days for this treatment to work (anywhere from 2-14), fortunately, there is no downtime with this procedure (no bruising, no swelling).  If you want the best results from your Botox, plan on having your treatment 2 weeks prior to the 1st!

Fillers (Radiesse, Juvéderm… Perlene, Restyline, ect. ect.)

Depending on the area of injection, there can be some minor bruising (or major depending on the injector).  Invest in some Arnica cream, and expect the worst (2 weeks).  Cheek augmentation bruises the least, while lip augmentation and nasal labial folds tend to bruise the most.  Gosh, I hate it when I have dental work 😉  — A great excuse one client came up with!

Things Probably Best Left to do Until After the Holiday Season:

–  Bioenhancers like Sculptra Aesthetic (it can take up to 6 weeks to see a difference)

–  Plastic Surgery (unless you are planning on using your vacation time to get that breast aug you’ve been waiting for!)

–  Changing your hair color (stick to what you know looks good on you!)

–  Trying a new cream on your face.  (Although everyone should be using pharmaceutical grade products, sometimes they can irritate the skin at first.  Now is not the time to find out).  HINT HINT:  Especially Rentin-A!

Questions?  Feel Free To Email Me!  info@bostonbeautyblog.co

Skin Under Stress

29 Nov

“50% of my patients are presenting with stress-related skin problems”

– Leslie Baumann, director of cosmetic dermatology at the University of Miami Cosmetic Medicine and Research Institute.

I was given an interesting article from Allure magazine about skin issues and stress (which is a huge problem many of us have, including myself).  Eighty seven percent of respondents in the allure.com poll said they “notice a difference in their skin when they’re stressed out.”

When under stress, our bodies release adrenaline that elevates the level of a hormone called cortisol in the blood.  High cortisol levels also cause the skin to produce inflammatory agents, causing redness.  This hormone also tells fat cells to release sugar into the bloodstream for energy.  Stress cause our sebaceous glands to produce more oil that bacteria thrive on, leading to clogging and inflammation of a follicle.  If only we could stop stress!

Don’t Pick!

Finger nails are dirty, and long nails tear the skin, allowing more bacteria in.  Although it feels like such a stress relief to squeeze and pop pimples, it makes acne harder to treat, and increases the chances you will wind up with red or brown marks.

Stick a Post-it note on your mirror, keep your hands busy with a stress ball, and STAY OUT of the magnifying mirror (in fact, throw that thing out!).  Being around aesthetician’s all the time has helped me stop touching.  They are constantly asking me:  are you touching your face?  Have a friend ask you.

This time of year is exceptionally stressful.  So find something that relaxes you!  Yoga, tea, music, reading my blog 🙂 … anything.  Enjoy your busy December everyone!

Exercise?!?!… but “Nothing replaces traditional…

23 Nov

Liposuction”

A funny quote from the office. I was invited to observe lipoplasty (aka liposuction).  Of course I was psyched!  Before I receive a million hate mails–remember:  the point of my blog is to give information to everyone.  Just because this isn’t  something your interested in doesn’t mean someone else isn’t.  Beauty IS part individual ideals ;). See Beauty Defined.  Also… I tried not to be graphic but still be informative.  I also had the patients permission to write about her experience.  I may add pictures later.

What to expect during the procedure

The patient had baseline vitals and was medicated with xanex and percocet prior to the procedure.  She was marked by the surgeon in a few places on her neck (it was neck lipoplasty).  After the medication took effect, she was laid on the procedure table.  It is a sedated procedure, so the patient was awake and talking throughout.

Local anesthetic was injected before a small incision was made under her chin.  Then a liquid was injected that was a mixture of drugs that separated the skin from the fat, vasoconstricted (to prevent bleeding), and a numbing agent.  The surgeon separated the fascia tissue holding the skin and fat together and used a suction cannula to suck out the fat.  The neck does not contain much fat to suction, only about 100 cc’s was removed.  The patient felt comfortable throughout the procedure.  The procedure took an hour and a half from start to finish.

Sexy Head Bra

Post care instructions are pretty standard.  6 weeks of recovery time.  PLUS EXTRA BONUS:  You get to wear a sexy head bra!  (This keeps fluid from the area, and keeps the skin tight).  Remember, you may require some skin tightening post treatment.  This patient will be doing Ultera in 4-6 months.  Ultera is AWESOME (blog post coming soon)!  It was a great success and the patient is very happy!

Well what about laser? 

(from the American Society of Plastic Surgeons website)

Laser liposuction

Laser liposuction focuses low-energy waves delivered by a thin laser fiber that’s inserted through small incisions. The laser energy is focused on the part of the body where you’d like to have a fatty pocket removed. After the fat is melted, a small cannula is used to suck out the liquefied fat.

Ultrasound assisted liposuction

The fat is dissolved by the ultrasonic waves that are emitted from the end of a cannula that’s inserted through small incisions. Ultrasonic waves delivered through the cannula emulsify or liquefy the fat. After the fat is liquefied, it is then sucked out through a small cannula.

*Note, these are ASSISTED lipoplasties.  So what about regular laser and fat melting?  It’s not that easy my friends.  These procedures are typically performed in locations that don’t offer plastic surgery as an option.  Watch out for good marketing when it comes to these procedures.I have observed some great results from Zerona, but if home care instructions aren’t followed exactly… don’t expect these procedures to work for you.  And remember: 

Nothing Replaces Traditional Liposuction!

 
** For those of you who believe “nothing replaces traditional exercise” remember:  there are a lot of factors to consider when taking plastic surgery into consideration, and it shouldn’t be a thoughtless decision by ANYONE.  Lipoplasty will not keep the fat off forever, only exercise and a good diet will do that.  🙂 
 

Happy Thanksgiving Everyone!

That’s NOT Botox.

18 Nov
Another strong misunderstanding a lot of people have around the Boston Area is what products go where Botox does not.   If it’s caused by gravity:  THAT’S NOT BOTOX!

HYALURONIC ACID (HA) FILLERS (TEMPORARY)

Hyaluronic acid fillers are synthetic sugars that attract water molecules.  They are placed in actual wrinkles or other areas that need volume and offer instant results. They fill in marionette lines, lift up jowls or plump up volume along the jaw line where definition has been lost.

Restylane, Perlane and Juvéderm (www.juvederm.com) are the most commonly used hyaluronic acid fillers, with Juvéderm being the leading product (I refer to Restylane as ‘old school’).  There is no need for allergy testing, as these products are sugars your body naturally makes.  There is little pain with injection, as the new products come with lidocaine added as a powder to the product.   Expect a topical numbing agent (topical lidocaine) to be applied prior to injection.  This should be left on for AT LEAST 20 minutes.  The actual procedure only takes about 15 minutes.  Swelling and bruising are possible and you should probably not do a filler if you have an important event within a week from treatment.  ICE ICE ICE!  I also recommend arnica montana cream which can be purchased at GNC or Whole Foods.  You can expect results to last from six months to a year, depending on the brand and where it is placed (Juvéderm lasts the longest).

I have Juvéderm filler in my lips.  It feels and looks natural.  It was the first injectable I tried, and I’m very happy with it.  😉  I mostly just use HA’s in the lips and very deep frown lines between the brows.  Reason being, HA’s are injected into the superficial dermis and do not give as good of a fill for the cost for deep lines and folds.  I like other products more for those very deep lines.

Calcium Hydroxylapitate (SEMI-PERMANENT)

Radiesse (www.radiesse.com) is an example of a semi-permanent filler and it is made from calcium molecules suspended in a gel which stimulates your collagen. The microspheres in it create “scaffolding” that your own collagen will grow around, but is eventually broken down by the body. Radiesse can be used to fill the nasolabial folds and marionette lines, as well as define the contours of the face.  It goes deep in the dermal layer of skin, and should NEVER go in the lips!

Lidocaine topical should be applied 20 minutes prior to injection.  Lidocaine is added to the product immediately prior to injection.

I recently had a little lift put in my cheeks (as described in a prior blog).  I had zero pain or discomfort.  The lidocaine eventually traveled down my nerve from my cheek to my lips.  It felt a little funny!  It looks and feels completely natural. 

COLLAGEN STIMULATORS (aka collagen builders or stimulating fillers)

Collagen stimulators contain particles that signal the skin to produce more collagen. Instead of just filling in select lines and wrinkles, these are used on larger areas like the cheeks.  They can be used in areas where synthetic fillers look somewhat unnatural (like the lower face under the cheek area).  Results are not immediate; it takes about 6 weeks to see the result of the collagen stimulation; however, the product lasts two years.  Most women prefer the gradual change in their facial contour.

Sculptra (www.sculptraaesthetic.com) is an example of a collagen stimulator. It is approved by the FDA for restoration and/or correction of the signs of facial fat loss (lipoatrophy) in people with human immunodeficiency virus (as is Radiesse). Most patients require an average of two to three treatments six weeks apart for optimal results.

I had Sculptra injected into my temples.  Zero pain.  My patients are in LOVE with this product.  It costs about as much as other fillers when you take into consideration how long it lasts.  It also looks COMPLETELY natural due to the fact it’s ALL your own collagen produced.  I foresee this product being my number one injectable within the next year!  Move over Botox!!! 

COLLAGEN FILLERS

Although collagen fillers changed the face of beauty when they entered the marketplace in the 1980s, they quickly fell out of favor when longer-lasting hyaluronic acid was introduced. However, many doctors still use collagen, especially for plumping the lips and filling in “smoker’s lines” around the mouth.  Although overfilling is necessary to achieve the desired result, the excess fluid is absorbed over the first few hours after treatment, and minor redness and swelling subside in a few days.  Results last from two to three months… also known as a waste of money when there are so many better products!

Product Review: Skin Cancer Preventing Ingredients

16 Nov
I hope I officially warned you about the dangers of tanning with my previous post.  I hope if you are regular tanner, you have considered switching to Spray tanning. Thank you for the great responses to that post!  I’m so proud of your efforts.  Did you see an Aesthetician yet?????  Because that’s Step 1: See a Professional.

Vitamin A

The “Skin Vitamin.”  An disposable  factor in the maintenance of youthful, healthy skin.  Helps prevent and reverse photo-aging and helps improve hydration.  The unique thing about the line Environ, is the Vitamin A is in graduated concentrations.  It is formulated in the form of Retinyl Palmitate and Acetate.  This allows you to treat your skin, while acclimating safely to the highest levels of vitamin A available topically. This process prevents the possibility of developing a retinoid reaction common to all high levels Vitamin A (don’t be scared… I LOVE rentinol for any skin that’s over 30 … or has been in a tanning bed).
Vitamin C
Vitamin C is a free radical scavenger and plays an important role in the formation of collagen.  Vitamin C combined with Vitamin A addresses skin laxity most effectively.  It also facilitates in the reduction of uneven skin tone and blemishes.  Oh, and it moisturizes like no other!
Antioxidants (Free Radical Quenchers)
Vitamins C, E, B5, beta-carotene are used to counteract the effects of the free radicals in the skin that are formed everyday.  Sounds important, because it truly is.  But  often times many of you  think:  I have NO idea what a free radical is or why I need an antioxidant.  This is my simple explanation:  Think about an atom.  It has electrons in the outer ring that can be knocked out of their orbit, making the atom unstable.  Also, there is now an electron flying around all over the place knocking other electrons out of orbit.  Not good.  I’ll explain why in a later post.  Too many electrons are bad, even in a blog post!
I obviously get inundated with questions about products.  I have two lines that I fully LOVE and in response to today’s post I recommend a line called Environ.(Can be purchased at Pure Skin Care Salon, in Stoughton MA).  This product was originally developed by Dr. Des Fernandes, a plastic surgeon who worked in reconstruction with cancer patients.  It is a pharmaceutical grade line and can and SHOULD only be bought from a trained professional.  I understand it is hard to switch your products, but please refer to my blog about why you should use cosmeceutical/pharmaceutical grade products, they really work!  This line has high doses of Vitamin A, C, & E Antioxidants, peptides, penetrant enhancers and much more.  All of the Ingredients are active, meaning the penetrate on a cellular level.  Many other lines only sit on the surface of the skin, and may feel good but do nothing.  LK Stamp of Approval.
I am so having one of my web designers create a stamp of approval icon!!!!! It’s the little things that excite me!!!   I hope they excite you and open you up to a new way of think.
 Skin Cancer is preventable and very curable if found early. 

Indoor Tanning Statistics – Woah.

15 Nov

There’s a fine line between tan and looking like you rolled in a bag of doritos..

INDOOR TANNING

  • Ultraviolet radiation (UVR) is a proven human carcinogen.33 Currently tanning beds are regulated by the FDA as Class I medical devices, the same designation given elastic bandages and tongue depressors.34 
  • The International Agency for Research on Cancer, an affiliate of the World Health Organization, includes ultraviolet (UV) tanning devices in its Group 1, a list of the most dangerous cancer-causing substances.35 Group 1 also includes agents such as plutonium, cigarettes, and solar UV radiation.36 
  • Frequent tanners using new high-pressure sunlamps may receive as much as 12 times the annual UVA dose compared to the dose they receive from sun exposure.37 
  • Ten minutes in a sunbed matches the cancer-causing effects of 10 minutes in the Mediterranean summer sun.38 
  • Nearly 30 million people tan indoors in the U.S. every year39; 2.3 million of them are teens.40 
  • On an average day, more than one million Americans use tanning salons.41 
  • Seventy-one percent of tanning salon patrons are girls and women aged 16-29.42 
  • Indoor ultraviolet (UV) tanners are 74 percent more likely to develop melanoma than those who have never tanned indoors.43 
  • People who use tanning beds are 2.5 times more likely to develop squamous cell carcinoma and 1.5 times more likely to develop basal cell carcinoma.44 
  • The indoor tanning industry has an annual estimated revenue of $5 billion.40

from The Skin Cancer Foundation website

My next blog will be about a great product line to prevent melonoma!

%d bloggers like this: