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Seriously, Can a “Face Lift” Really Be In a Jar?

THE SKIN CARE ARENA

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by Madeleine Arena, B.S., M.B.A.*

There are many products on the market that claim to lift and firm the skin, even when it’s crepey. Claims such as, “face-lift in a jar”, are almost always misleading. While some of these firming creams do have value for skin, for the most part, their promises go beyond the scope of what’s possible from any skin-care product.

In reality, no firming or tightening products will give you results that are remotely similar to what you get from any medical procedures including fillers, lasers, or cosmetic surgery. It’s important to know the truth about firming creams. They’re expensive, the results are temporary; and who wants to waste money?

Skin Firming Facts

  1. Elastin is the fiber that allows the skin to “bounce” back into place. The skin begins to sag when the elastin fibers are damaged. Combine this sagging with sun damage and the skin becomes like crepe paper.
  2. Elastin production in the skin diminishes as we age. It produces less and less until it makes almost none at all.
  3. Sun damage and the natural aging process degrades elastin fibers. Even with medical procedures, it is almost impossible for adult skin to make more elastin.
  4. Most firming creams don’t contain ingredients that can firm or tighten (lift) skin.
  5. Skin-care products containing collagen or elastin cannot help rebuild or reinforce these structures in your skin. The molecular size of both collagen and elastin are too large to penetrate the skin’s surface. So the collagen and elastin in these products cannot fuse with the collagen and elastin in your skin.
  6. Some products on the market claim that the collagen and elastin they contain are “micronized”. That means that the molecules are small enough to be absorbed into the skin. However, even if they are nano-sized, these ingredients still will not merge with the collagen and elastin in your skin.
  7. For the most part, products claiming to tighten crepey skin contain ingredients called film-forming agents. These film forming ingredients actually form a film on the skin that can make the skin “feel” tighter. The effect is temporary. The sagging skin will not be noticeably lifted.
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Strategies to Firm and Tighten Skin

1. While collagen doesn’t help crepey skin bounce back, it does help support skin structure so that sagging is less apparent. The idea then is to build more collagen.  To do this, use skin care products that contain potent antioxidants and skin-repairing ingredients.

2. Daily sun protection with an SPF 30 sun protection product is critical. Sun damage destroys elastin and collagen fibers. Remember your face doesn’t stop at your chin so apply sunscreen to your neck as well as to your face.

3. Exfoliating daily with either a salicylic acid (BHA) or glycolic acid (AHA)  product has been proven to help improve skin texture. In addition to smoothing skin, research has also proven that these ingredients build more collagen and, may also help firm the skin. There’s no need to use both; one or the other is fine. However, alternating them also is an effective strategy.

4. Topically applied Vitamin A, also called retinol, can help improve the shape of the elastin. Research has shown that it builds more collagen, and may also help build elastin. Applying prescription retinoids such as Renova, or a retinol product every night can help a lot.

5. Medical interventions such as lasers and other light therapies such as Fraxel or Ulthera have demonstrated remarkable skin-firming results. They have also improved crepey skin.

6.    It’s time to consider cosmetic surgery when you’ve tried everything, and you’re not getting the results you want. There is a variety of face-lift procedures that can make a dramatic difference without making you looked “pulled too tight.”  It’s essential to combine these procedures with an effective skin-care routine to maximize your end results.

Be cautious of “miracle” products. Skin care products that seem “too good to be true” probably are. Research products before you buy them. Before making a skin care product purchase, research the product and its ingredients.  If there are ingredients that are unfamiliar, look them up to find out how they work.

Sources: Journal of Drugs in Dermatology, September 2012, pages 1036–1040; Birth Defects Research, September 2012, pages 248–257; International Journal of Cosmetic Science, April 2012, pages 132–139, and February 2011, pages 62–69; Biomacromolecules, February 2012, pages 379–386; Journal of Cosmetic Science, March 2010, pages 125–132; Journal of Cosmetic Dermatology, March 2009, pages 56–62; Journal of the European Academy of Dermatology and Venereology, volume 20, 2006, page 980; and Experimental Dermatology, volume 11, 2002, page 398.


* Madeleine Arena is a cosmetic chemist who develops private label skin and hair care products for the trade. Madeleine can be reached through her website – www.tscsource.com

Madeleine@tscsource.com

Use the form below to send questions to Madeleine.



 

A New Look for Renee Zellweger – Plastic Surgery: Yes or NO?

So much in the news about 45-year-old Renee Zellweger of late, suddenly ushered in after her appearance at the recent 21st annual Elle Women in Hollywood Awards.

TMZ reported: Despite not appearing in a movie since 2010, Renee has definitely been working for the last few years … on her face.

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Is it really anyone else’s business? Well, in my case it became everyone’s business because I wrote a book about my experience. Was I self-conscious and a bit embarrassed? Sure. But I took the plunge and was glad I did. Sometimes honesty pays off.

All this banter abut Renee reminds me of an article titled “Hey, It’s Still Me in Here”, which appeared in the Sunday Style section of the NY Times some years back. I was quoted then about some of the positive and not-so-positive reactions I get from others. And after interviewing over 100 women who had undergone cosmetic surgery for my book, Sex, Lies and Cosmetic Surgery, did I have stories to tell!

Check it out

@http://www.nytimes.com/2007/12/30/fashion/30plastic.html?_r=2&ref=fashion&oref=slogin&

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Getting Over Getting Under by Dr. Barry Friedberg

Five reasons why Dr. Barry Friedberg, a 36-year private practice, Board certified anesthesiologist and the founder and president of the 501c3, non-profit Goldilocks Anesthesia Foundation wrote Getting Over Going Under, 5 things you MUST know before anesthesia

Let no one ever kid you, being an advocate for change, especially in anesthesia, is about the most difficult task one could ever attempt to shoulder.

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     Hercules should have had it so easy.

 

 

In 1992-3, after seeing my first 50 cases of propofol ketamine (PK) sedation emerge without PONV or need for postoperative opioids, I felt much like Archimedes, “Eureka. I’ve found it.” PK numerical reproducibility was established with the addition of BIS/EMG monitoring in 1998.

I have published 5 peer reviewed papers, 15 letters to the editor in Outpatient Surgeon Magazine, more letters to the editor in Anesthesia & Analgesia, British Journal of Anaesthesia, Anesthesia Patient Safety Foundation, Plastic & Reconstructive Surgery, & Aesthetic Plastic Surgery, a landmark textbook ‘Anesthesia In Cosmetic Surgery,’ and 51 lectures in the US, Canada, Mexico, Dominican Republic, Israel, Malaysia & Singapore.

Many people publish papers. However, half of all published papers are never subsequently referenced. My papers have been subsequently referenced in 144 papers and in 50 textbooks.

Despite my Herculean effort to change the minds of my fellow dedicated anesthesia providers (DAPs), the subjects of postoperative pain management and PONV continue to appear in the literature as if the solution had yet to be discovered (or worse if my efforts had never occurred.)

As Aspect’s Dr. Paul Manberg often opined, ‘Change is glacial.’ When presented with my thoughts about getting better patient outcomes, most of my colleagues attitudes were essentially, ‘We’re not killing anyone, why should we change?’ Somewhere Semmelweis’ corpse is turning over in his grave.

Actually, as Li reported in 2009 Anesthesiology (110, 759-765), we are killing one American patient every day from anesthesia over medication, the natural result of not directly measuring anesthetic effect on the cerebral cortex. Even more saddening was that the editors of Anesthesiology did not deem this mortality study worthy of being an article of special interest.

Part of the human condition is that all people regardless of their profession resist change. Physicians as a sub-set are notoriously resistant to change. DAPs as a sub-set of physicians are virtually impossible to change. Unless presented with this simple paradigm in training, most DAPs will not even consider the notion of a differing paradigm.

The DAP syllogism goes like, ‘All surgery is painful. Opioids (narcotics) are painkillers. Therefore, all surgery requires the judicious use of some opioids.’ Having successfully practiced for the past 16 years without intra- or postoperative opioids, I would beg to differ.

Postoperative pain is a function of intra-operative pain.

Only by midbrain NMDA saturation prior to incision (or injection) does one avoid entrance of pain signals to the brain. NMDA saturation is accomplished in 98-99% of patients with a 50 mg dose of intravenous ketamine 3 minutes prior to stimulation. Hallucination free use of ketamine is accomplished by incrementally titrating propofol to BIS <75 with baseline EMG; i.e. tinyurl.com/n98x86k

Instead of being frustrated with my apparent inability to produce change in my fellow DAPs’ intra-operative conduct, I considered using the same paradigm for change that got fathers in the delivery rooms for the births of their children; i.e. public knowledge leading to public demand.

What are the 5 reasons I wrote ‘Getting Over Going Under, 5 things you MUST know before anesthesia?’

Reason #1: How can a pre-surgery patient know to ask for the best available technology, a brain monitor, if they do not even know that such as thing exists?

Reason #2: Why would they ask for one without the knowledge that over medication can lead to delirium, dementia and even death, especially in those over 50?

Reason #3: Why would the general public not assume they would receive the best available technology for their anesthesia care, especially if it might improve their chance of waking up without brain fog?

Reason #4: Why does PONV still exist and is there is an established way to avoid it?

Reason #5: Why does postoperative pain still exist and is there an established way to avoid it?

The answers to these reasons are easily digested in his 2010 book for which a free Kindle giveaway this summer was very successful and another is planned for this fall.

All proceeds from the sale of this book support the education message of Dr. Friedberg’s non-profit Goldilocks Anesthesia Foundation, “No major surgery under anesthesia without a brain monitor.”

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For further information, contact Dr. Friedberg @drfriedberg@drfriedberg.com

A PERSONAL COSMETIC SURGERY STORY

A PERSONAL COSMETIC SURGERY STORY
by Denise Thomas
Cosmetic Surgery Consultant
At one time Charlotte was a beautiful woman, living in Arizona. Although a practicing attorney, she secretly battled with a disease called alcoholism. It wasn’t until she moved to Manhattan that I got to know her. I was startled to learn her actual age. She was only fifty years old at the time, but truly looked at least ten years older. The mix of sun damage from the hot Tucson sun, careless use of sun screen and over consumption of alcohol are hardly anecdotes to anti-aging!
Charlotte decided to try the Betty Ford clinic, unfortunately, to no avail. Soon after her return to Manhattan, she contacted me and we became friendly. Desperately wanting to help her, I told her abouta well known  therapist who dealt with addictions. Charlotte not only agreed to see her, she loved the therapist. This prompted her to join AA, followed by another trip to Betty Ford, and, imagine, she even adopted a puppy, a wonderful idea the therapist offered thinking it might help her to have a pet in her life, to love and pamper.
One day, out of the blue she surprised me by saying, “Denise, I just might be ready for some cosmetic work.  I think it might give me a boost and some courage to go forward. I feel ready for a second chance at life.”
I agreed that the time might be right, saying, “It certainly won’t cause a miracle, but if you understand that and use it as a stepping stone, why not? Just remember, you are doing this for yourself, not for anyone else.” Who could blame her for wanting to look and feel better and didn’t she deserve it?  Don’t we all?
After having a wonderful face and eye lift, she  was so happy, wishing she had done it sooner and very much wanting to venture out into her new world.
With her upbeat attitude and newly refreshed looks Charlotte was ready to move forward. She felt confident enough to step out and accept a Thanksgiving invitation. Although she enjoyed a lovely meal withgreat conversation, suddenly she felt a need to leave. For some strange reason she just felt lonely.
When Charlotte stepped off the elevator, there in the lobby stood a  rather dapper, handsome man, holding a flower in his hand. He looked at her and offered her the flower. She smiled and accepted it. Coincidentally, he had just left his dinner invitation as well. As Charlotte later learned, this man was newly divorced and also was overcome with feelings of fear and loneliness. Later he told her he thought it was going to be so hard to find a special someone to share his life with. He confessed that even though he had been introduced to several lovely ladies, in his opinion none of them were as pretty as she, the woman who had just accepted his flower.
Thankfully, he summoned the courage to ask her on a dinner date and many more getting-to-know-each-other dates and outings, until they realized they were deeply in love. They even agree that New York winters were not for them, and are now looking for a new home in Florida.
I’m going to miss Charlotte, even though I know we will keep in touch, but I’m so happy I was able to lend a helping hand in putting her life back on track.
 This is a true story. Only her name was changed to protect her identity. I do hope you enjoyed it.
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Denise Thomas is a Manhattan based Cosmetic Surgery Consultant

Beauty and Anti-Aging Tip – Wrinkles and Face Lifts – Do They Work Together

If you see a woman with a road map of wrinkles on her face, do you instantly think: “She’d look so pretty if only she’d get a facelift.” Well,maybe a facelift isn’t the best solution . . . unless of course, you admire that wind tunnel look!

In this video, noted plastic surgeon Dr. Robert Kotler, explains why, and tells what might be a better solution.

Watch it here.

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In Loving Memory of Joan Rivers – The Anti-Aging Queen

IN LOVING MEMORY OF JOAN RIVERS . . .

Let’s laugh together over some of Joan’s funniest lines about Cosmetic Surgery. After all, making people laugh was her passion! Joan had been there, done that, so many times and was an expert at pulling humor from her experiences. 

 

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Read nine of her funniest puns posted to the right of each of her photos.