Tag Archive | “facial wrinkles”

THE COSMETIC SURGERY CONSULTATION – A TWO WAY STREET

Some surgeons offer free consultations, but they most often are quick meetings rather than in-depth and personal discussions. (I went on one of those myself and it was a valuable lesson for me! I quickly determined that he was NOT a surgeon I wanted to work with). The experience helped me hone in on what I was really looking for in a surgeon. So it was time well spent.

What should you expect from an in-depth personal consultation?

surgeon

The patient’s Side of the Street: You need to communicate your goals, your wants and want-nots. Many perspective cosmetic surgery patients express a similar thought: “I don’t want to look like I have had surgery. I just want to look refreshed.” Some even bring in photos of themselves at a younger age, to help the surgeon envision the look you would look to recapture. But don’t bring in a photo of Julia Roberts and ask to look just like her! You won’t!

The surgeon’s side of the street: The surgeon will first want to determine if you are a suitable candidate for elective aesthetic surgery, so you will be  asked about your medical history. Be honest. Don’t hold back anything. While the vast majority of people are healthy enough to safely undergo elective surgery, some conditions do advise against it. So tell all. As much as you might have your heart and mind set on having these procedure(s), you don’t want to become a  statistic.

Next step in the consultation is for the doctor to listen to your goals, communicate with you about what outcomes you can reasonably expect, and develop an appropriate surgical plan. You will also have the opportunity to look at a range of before and after photos of patients who have undergone the same procedures. Be sure these are this surgeon’s patients, not photos taken by others.

Before your consultation ends, whip out that list of questions you have prepared in advance. Now is your opportunity to ask the ones still unanswered.

By the time you leave this office, you will have a pretty good idea of whether or not you feel completely comfortable placing your face or body in the hands of this surgeon to perform the procedure you desire.

Want to know the twelve questions women often think about but are too embarrassed to ask their plastic surgeons? Click here.

 

SIX SECRETS TO GORGEOUS SKIN – Some Basic Skin Care Solutions from Web MD

anti aging

A team of experts analyzed photographs of the faces of 186 pairs of identical twins, taken at the Twins Day Festival in Twinsburg, Ohio. The twins had also filled out detailed questionnaires about their lives and daily habits. Those who smoked and spent lots of time outdoors without wearing sunscreen looked years older than the twin who avoided those habits.  They had more fine lines, more and deeper wrinkles, and more mottled skin.

 

The results of this study should be no surprise! We have heard it over and over again. So secrets number one and two are wake-up reminders:

 

NUMBER ONE: NO SMOKING

Do not smoke — for the sake of your overall health as well as your appearance.

 

 NUMBER TWO: SUNSCREEN

  • Wear a broad-spectrum sunscreen that protects against both UVA and UVB rays with an SPF of 30 or higher, even on cloudy days.

  • Reapply your sunscreen every two to three hours you’re outdoors.  

 NUMBER THREE: RETINOIDS

Consider the use of Retinoids. Retinoids are sold by prescription only under names that include Renova, Retin-A, and in its generic form, Tretinoin.

Retinoids unplug pores, help clear up acne, reduce fine lines, boost collagen production, lighten brown spots and freckles, and improve skin texture. They can even help treat precancerous lesions. The downside to Retinoids is that they can cause dryness, flaking, and redness at first. So start out slowly by applying a pea-sized amount of retinoid every second or third night until your skin adjusts to it. If your skin continues to overreact, Web MD suggests trying an over-the-counter cream, gel, or serum containing retinol. Although the non-prescriptive version works more gradually and gently, it is still effective in rejuvenating your skin.

NUMBER FOUR: SIMPLIFY

Noted dermatologist, Dr. Vic Narurkar, introduced me to the KISS philosophy (Keep it Simple Stupid) when writing his chapter in my book, Tick Tock, Stop the Clock ~ Getting Pretty on Your Lunch Hour. WebMD reiterates the importance of sticking to a simple routine in its current article. Not only can using a lot of different ingredients be irritating to the skin, some ingredients actually cancel out the benefits of others.

  • Examples they provide include, the acid in salicylic or glycolic acid breaks down ingredients like retinol, hydroquinone or vitamin C. The products we need for beautiful skin are a simple cleanser, sunscreen, moisturizer, and a retinoid or retinol.

The simpler your skincare regimen, the more likely you are to stick with it.

NUMBER FIVE: PATIENCE

Give your products a chance to work. Finish the entire tube or bottle of a skincare product before evaluating its effectiveness. Changing your products every couple of weeks can actually be counterproductive.  But if your skin reacts to a new product with swelling, redness, or burning, stop using it immediately.

You might, however consider adjusting your beauty regimen seasonally. For example, your skin might do better with an oil-free moisturizer in the summer and a more emollient one during the winter when frigid temperatures and indoor heating can rob moisture from your skin.

NUMBER SIX: LIVE HEALTHY

Practice healthy daily habits in your diet and exercise regime. 

Healthy habits include regular exercise and at least seven hours of sleep each night.

A healthy diet is rich in fruits (especially berries), vegetables (especially spinach, raw veggies and salads), oily fish as salmon, and plenty of water throughout the day. 

 

Now if you’ve already “been there done that”,  and want to step up to the next level in minimally invasive professional treatments, read my article, “How Cosmetic Dermatology Can Enhance the Appearance of Your Skin” .

Enjoy the read and please let me know 

 

SOLUTION TO YOUR SKIN CARE PROBLEM: RED, DRY, ITCHY OR SENSITIVE SKIN

M.Arena_newMadeleine Arena

There is a Solution for Most Every Skin Problem
You Just Need to Find It.

Sally’s Story

I never know from one day to the next how my skin will look. My skin is so reactive, but I am never quite sure what it is reacting to. The clock is ticking and I can see it on my face. I am between a rock and a hard place. I need moisture and anti-aging products, but when I use them my face stings and burns. So if I don’t moisturize, I wrinkle; and if I do, I react. In addition, my skin is so flaky that my make-up cakes into the wrinkles and makes my face and eyelids look like I have baked a cake on them. As if all these issues weren’t enough, the perpetual redness of my cheeks and neck make me look like I am in a constant state of embarrassment.

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Sally’s Skin Problems

  • dry, flaky skin, dull looking skin
  • sensitive, itchy
  • makeup cakes into wrinkles
  • reacts poorly to skin care products
  • red, flushed color to cheeks and neck
  • puffy eyelids

At the end of her patience, Sally made an appointment with a dermatologist well known for her ability to treat women with sensitive skin. The doctor explained that a damaged skin barrier (the outer layer of her skin), caused her problem. Sally learned that when you cannot keep important elements like moisture inside the barrier, and you cannot keep problematic things such as irritants, allergen and bacteria outside the barrier, a cycle of inflammation begins. Inflammation leads to itching and a continued deterioration of the barrier. Hence, the skin cannot retain water, and dehydration occurs, which causes more inflammation, itching and dryness.

Problem # 1
Dryness, Crepiness and Wrinkles

Treatment plan for this problem
The main objectives of Sally’s plan were to alleviate skin dryness and minimize both her wrinkles and the stinging and redness caused by skin sensitivities. A gentle hydrating cream cleanser designed for sensitive skin types was recommended for twice daily use.

In the evening after cleansing, Sally was advised to apply an anti-oxidant night cream and to look for products that contained moisturizing ingredients such as Borage seed oil, Ceramides, Pro-Vitamin B-5 or olive oil and anti-oxidant ingredients such as Idebenone, Coenzyme Q-10 and Grape Seed extract. After cleansing in the morning, she was to apply a moisturizer with an SPF-30 or more, but was cautioned to pay close attention to how her skin responded to the moisturizer with sunscreen.

Problem #2
Redness and Stinging

Treatment Plan for this problem
Sally’s dermatologist recommended that she see an allergist, who could perform a patch test to further identify her specific triggers. However her dermatologist gave her a list of some of the most common sensitizing ingredients and advised Sally as a first step, to avoid those items temporarily and see if that helped reduce her skin sensitivity. The dermatologist explained that once the cycle has begun, all products used must soothe and desensitize. (She also advised Sally that while the redness might be annoying, her primary issues were dryness, crepiness and wrinkles.)

Sally’s plan incorporated products rich in anti-inflammatory and antioxidant ingredients to help rebuild the barrier and treat wrinkles. She was advised to use a gentle hydrating cream cleanser, as it also would effectively deep cleanse her skin without irritation. Her dermatologist recommended that in the morning she was to apply an anti-inflammatory serum after cleansing, and follow with a moisturizer and sunscreen with micronized Zinc Oxide (minimum of SPF-30), as it might be better suited to her sensitive skin.

In the evening after cleansing, she was instructed to apply an anti-inflammatory/anti-oxidant night cream as well. The doctor recommended products that contained anti-inflammatory ingredients such as Aloe Vera, Green Tea, Licorice, Evening Primrose oil and Zinc, and wrinkle treatment ingredients such as peptides for collagen and elastin production, Coenzyme Q-10 and Grape Seed extract.

Want to learn the basic Do’s and Dont’s of good skin care habits? Click on Skin Care

For more information on the most effective ingredients in today’s skin care products, Click here to learn all about the cosmeceuticals best suited to the needs of your skin.

TTSC_cover_med

Now also available in all e-reader formats with full color pictures.

In chapter four of Tick Tock, Stop the Clock ~ Getting Pretty on Your Lunch Hour, Madeleine Arena presents a number of different, typical real life skin problems and how to best resolve them.

Beauty Within

                Beauty Without . . .

                               What’s Your Passion?

Discover the many dimensions of beauty.

Lois W. Stern

Ageless Beauty Through DermaSculpt

After reading a bit about DermaSculpt, but not understanding the difference between dermal filler injections and those administered through a cannula, I watched this video for a little education. I’d love to hear from other plastic surgeons, derms and patients about their experiences with this technique.http://dermasculpt.net/demonstration_videos/Dr_Karimi

From what I gather, DermaSculpt is a new technique for injecting cosmetic facial fillers using a blunt tip rather than hypodermic needles.  According to the surrounding chatter on this technique, it provides excellent results using the same facial fillers and autologous fats through microcannulas of various sizes.

derma

What are the advantages? Again, I have no first hand experience with dermal fillers, but from what I read, there is less discomfort and bruising than  with needle injections, less risk of trauma to nerves and injury to blood vessels.  You can see in this video how, without removing the cannula, it can be guided quite precisely while under the skin to treat multiple areas of the face. One insertion can treat a much wider area.

I am told that after the procedure, normal activity can be resumed very quickly and that there is virtually no bruising or swelling.

Now I’ll bet my readers would like to hear from other plastic surgeons, dermatologists and patients with personal experience with this procedure.

SMARTPHONE FACE – THE NEWEST COSMETIC SURGERY FIX

‘Smartphone Face’ – Is your cell phone making your face sag?

couple-texting

How’s this for new math? Smartphone plus gravity equals drooping jowls and double chins.

What exactly is Smartphone face? The term describes a combination of sagging jowls, double chins, and marionette lines (those vertical creases that run from the corners of the mouth towards the chin.) If you sit for hours with your head bent slightly forward, staring at your iPhone or laptop screen, you may shorten the neck muscles and increase the gravitational pull on the jowl area, leading to a drooping jawline. The name also works on another level; face sag becomes especially noticeable when you take photos of yourself or video-chat on your portable device.

According to the American Society for Aesthetic Plastic Surgery, smartphones can make you look prematurely old. There’s no medical name for this condition, at least not yet. Until there is we can just call it “smartphone face.”

According to the ASAPS: “Lines and creases may develop if you spend an excessive amount of time texting and checking your email on your smartphone. The constant downward gaze caused by smartphone use may be causing some individuals to experience more lines and creases on their neck than would appear naturally.” With smartphone use leading people to tilt their head downward all too often, we could see an increase in drooping jawlines, even among the relatively young.

How do you fix smartphone face? 

The battle between smartphone and vanity has begun.

The obvious cure for smartphone face isn’t costly surgery or treatments. It’s giving up your smartphone and all of its apps. While a chin implant is a surgical solution, you can also firm up your jawline with less invasive techniques such as injections of chin fillers, Botox treatments, skin-tightening devices, liposuction/laser facelifts. Or, if you’re looking for a self-help solution, just remember to keep your chin up when you text or stare into your smartphone.

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STEM CELL FACELIFTS IN THE NEWS

stem cell

Three years ago a Los Angeles woman had a new cosmetic procedure, a stem-cell face-lift. During this procedure the surgeon liposuctioned adult stem cells from her stomach fat and after isolating them, injected those cells back into her face and around her eyes. In this case the doctors extracted mesenchymal stem cells—which can turn into bone, cartilage or fat, among other tissues—and injected those cells back into her face After some time, the woman was experiencing difficulty opening her right eye, and whenever she tried, she heard a strange sound. Eventually she consulted a second plastic surgeon, complaining of these symptoms. At first the consulting surgeon thought she was exaggerating, but she did indeed have a swollen, drooping eyelid. This was no overactive imagination at play! After more than six hours of surgery, the consulting surgeon and his colleagues had dug out pieces of bone fragments which had been growing in the flesh around the woman’s eye. The strange sound the woman was hearing whenever she tried to open her eye was bone grinding against bone.

Why did this occur? During the patient’s initial aesthete treatment, her surgeon had injected some dermal filler along with the stem cells. Although plastic surgeons have safely used dermal fillers for more than 20 years to plump up the skin and obscure wrinkles, the principal component of such fillers is calcium hydroxylapatite, a mineral which encourages mesenchymal stem cells to turn into bone, the probable explanation for this woman’s unanticipated predicament.

THIS STORY WAS REPORTED IN SCIENTIFIC AMERICA.

Although the consulting surgeon successfully removed the pieces of bone from his patient’s eyelid, no one can say for sure if her saga has ended as some living stem cells possibly have remained, to turn into bone in the future.

We all tend to get excited when we read about the next NEW thing to enhance our beauty. But MORE is not always better and NEW hasn’t yet stood the test of time. Cosmetic surgery is a constantly evolving field, but let’s be cautious and let the science precede the hype.

For more in depth information about Stem Cells, where we are now and where we are headed, read Dr. Alan Kisner’s informative article: STEM CELLS IN THE NEWS.

SOLUTION TO SKIN PROBLEM: ENLARGED PORES AND OILY SKIN


There is a Solution for Most Every Skin Problem
You Just Need to Find It.

Grace’s Story

Every day when I look in my magnifying make-up mirror, I cringe at what I see: enlarged pores, blackheads, wrinkles, and brown spots. While my skin has become less oily, it seems that I have traded some of my blemishes for wrinkles. I have tried what seems like every product on the market with no success. My pores are still enlarged, I am shiny by 10:00 AM and I still have breakouts. I thought my skin would get better as I aged, but that didn’t happen. I have even begun to see wrinkles and brown spots added to the mix. I guess the only positive thing I can say for my skin is that it is not sensitive.

Luckily, I sought out a cosmetic dermatologist to help me deal with my skin problems, who worked along with a fantastic esthetician. Together they explained that although there were no quick fixes, they could help me considerably if I would consistently follow a skin care routine that they would create for me. With their support, I was eager to begin.

16008242_Grace

Grace’s Skin Problems

  • oily skin
  • enlarged pores
  • blackheads
  • breakouts
  • age related fine lines
  • uneven skin tone

Problem #1
Blemishes and dark spots:

Treatment plan for this problem
Since her skin was not sensitive, Grace’s dermatologist urged her to go for it – the powerful prescription medications and medical procedures that would really make a difference in helping her accomplish her skin care goals. She was directed to use a cleanser containing a combination of glycolic and salicylic acids twice a day, explaining that the synergistic combination of ingredients would help rid her skin of bacteria that could cause breakouts. She also was advised to apply a nightly dose of Retin-A to not only help alleviate her troublesome breakouts, but also to treat Grace’s early wrinkles by exfoliating her skin and stimulating new collagen. In addition, the doctor ordered a prescription strength hydroquinone serum to lighten her dark spots.

Problem # 2
Oily Skin and Wrinkles

Treatment plan for this problem
To help Grace deal with her excess oil that troubled her throughout the day, her dermatologist gave her a sample of oil absorbing tissue blotters to try. He prescribed an oil free anti-oxidant serum that contained vitamins, peptides, green tea and Resveratrol (a substance found in the skins of red grapes), to help treat her wrinkles and anti-aging concerns. He also stressed the importance of using an oil free sunscreen with an SPF-30, explaining that this step is the most effective way to prevent premature aging as well as future pigmentation problems. He cautioned her that the combination of Retin-A and prescription strength hydroquinone would make her skin more sun sensitive, so she had to be diligent in her use of sunscreen. He further recommended that she use mineral make-up with an SPF-20 in place of a liquid foundation to give her an oil free advantage, excellent coverage for blemishes and dark spots, and sun protection.

The home care routine that was designed for Grace was part of an overall treatment plan that also included monthly deep cleansing facials and chemicals peels that alternated between glycolic and salicylic acids. Her dermatologist recommended these peels every other week for the first three months, then once a month for the next six months. Chemicals peels were scheduled two weeks after the deep cleansing facials. At the end of this six month period, they would evaluate Grace’s progress and modify her skin care regime as necessary.

TTSC_cover_med

Now also available in all e-reader formats with full color pictures.

In chapter four of Tick Tock, Stop the Clock ~ Getting Pretty on Your Lunch Hour, Madeleine Arena presents a number of different, typical real life skin problems and how to best resolve them.

Beauty Within

                Beauty Without . . .

                               What’s Your Passion?

Lois W. Stern

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BEAUTIFUL SKIN SUMMER TIPS

Since summer is upon us, noted dermatologist, Dr. Neal Schultz gives us a five step crash course for beautiful summer skin.

  1. First, to regain your face’s luster and clarity, start a simple routine of daily sunscreen, antioxidant and exfoliant use.

  2. Next, if you’re already using these products, adjust to lighter weight vehicles. 

  3. Then, clear up those blemishes on your back and chest that have been hiding under your clothes all winter by using acne spot treatments. 

  4. If you want to start the season a little bit ahead of the crowd with a tan look, use a self-tanner after having exfoliated for four days. 

  5. Finally, plan how you’re going to manage unwanted body hair that is less covered in the summer, particularly bikini and underarm hair. 

  6. And,  for more summer skin prep tips, watch his 5 Easy Steps for Beautiful Skin this Summer video.


    IF YOU HAVE SOME GREAT TIPS FOR BEAUTIFUL SKIN, PLEASE ADD THEM HERE.

    Beauty Within

                Beauty Without . . .

                               What’s Your Passion?

Click to Discover the Many Dimensions of Beauty 

Lois W. Stern

BE SMART, LOOK GREAT SUMMER TANS

Suntans make us look better, no doubt about that. And when we look better, it’s no secret that we also feel better. But sun worshippers beware. Unless you’ve been living under a rock someplace, you know all the dangers and down sides to UV rays – from deadly skin cancers to wrinkles, brown spots and dried, weather beaten skin. Enter Sunless Tanners.

Lotion and spray sunless tanners are applied directly to the skin. These products can give you a safe, beautiful tan without the inherent dangers of direct sunlight. Today dye ingredients have been perfected to yield a rich, natural tan indistinguishable from those obtained from the sun. But you need to use them properly and exercise a few precautions.


  • The surface of your skin needs to be smooth. Otherwise the self-tanner will stain those clumped surface cells darker than the rest of your skin. To get that smooth surface, exfoliate regularly with a glycolic exfoliant to rid your skin of uneven, dead surface cells. (Exfoliating is good for the skin whether using a sunless tanner or not, but particularly important if you do.)
  • Test sunless tanning products on a small patch of skin before applying it to the entire body, to avoid an allergic reaction or rash.
  • Wear protective garments or gear over the eyes, mouth and nose while applying sunless tanning products. Avoid inhaling the fumes or absorbing them through mucous membranes.
  • If using a spray-on tanner, as with any aerosol product, (antiperspirants, insect repellants, etc.), wait two minutes after applying before going near an open flame. 
  • If you have sensitive skin, eczema or other dermatological conditions, consult your dermatologist or other skin care professional to see if one of these tanners is safe for your skin.

Look great while having fun this summer.

Beauty Within

                Beauty Without . . .

                               What’s Your Passion?

Click to Explore the Many Dimensions of Beauty 

My Interview on The Authors Show – Listen Now

I talk with Don McCauley, lead interviewer for the Authors Show about my book: Tick Tock, Stop the Clock, Getting Pretty on Your Lunch Hour.

My elevator pitch for this book:

It’s nice to know that even in times of economic downturn, we can find affordable ways to enhance our beauty. Learn from eleven of the best-of-the-best, nationally renowned experts  and the honest, cutting edge information they provide.

Listen now.

Beauty Within

                Beauty Without . . .

                               What’s Your Passion?

Click to Explore the Many Dimensions of Beauty