Tag Archive | Lois W. Stern

Navigating the Sea of Skin Care Products – Part 2 – How To Choose A Moisturizer by Madeleine Arena

THE SKIN CARE ARENA

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

Winter is almost here, and with it the cold, dry weather that plays havoc on our complexions.  If you suffer from dry skin, and so many of us do, you’ve probably been on a quest to find the one moisturizer that truly works.  Sifting through the myriad of advertising claims on your way to choosing the best product for your needs can be mind boggling.  Once again, I urge you to read the labels, and look for certain key ingredients that are proven to work.

Ingredients To Look For:

Antioxidants – are a group of natural and synthetic ingredients that reduce free-radical and environmental damage.  They’re important because Antioxidants can prevent some of the degenerative effects in skin caused by sun exposure, and can also reduce inflammation within the skin.  Remember that dry skin is caused when the outer layers of the skin lose their ability to maintain normal moisture levels.   Mostly, this is due to sun damage, or by using products that damage the skin’s protective barrier.

The most effective moisturizers are formulated with a cocktail of antioxidants that work together to help your skin.  It’s essential that you choose antioxidants that are contained in packaging that will ensure they stay effective.  That means no see through jars.  Antioxidants break down in the presence of light and air. My Recommended Anti-oxidant ingredients: Tocopheryl Acetate (Vitamin E), Vitamin C, Green Tea, Resveratrol, Idebenone – a more stable form of Coenzyme Q10, Coenzyme Q10,  Spin Trap (Phenyl Butyl Nitrone),

Skin-identical/skin-repairing ingredients – are the substances that keep skin intact.  These are ingredients that already exist in your skin, and are therefore recognized by your immune system as part of your body.  They are the substances between skin cells (technically referred to as the intercellular matrix) that keep the cells connected, and help maintain the skin’s fundamental external structure.

An intact, stable, healthy, and strong structure is what allows skin to look smooth, soft, moist, supple, and young.  Unfortunately, the external structure of our skin, is easily damaged by the sun, irritation, over cleansing, over scrubbing, climate changes, and skin disorders.

When the skin’s the intercellular matrix breaks down, it results in water loss, flakiness, and a tight, dry-feeling skin.  In order to combat environmental stresses, and have a healthy, youthful appearance, all skin types must maintain, or restore the skin’s intercellular matrix.

Some well-known skin-identical ingredients, are: hyaluronic acid, sodium hyaluronate, cholesterol, ceramides, sodium PCA, amino acids, and fatty acids.  There are too many more to list here.

Emollients are lubricating ingredients that prevent water loss.  They also have a softening, protective, and smoothing effect on the skin. Preventing water loss is critical in maintaining skin’s moisture. Emollients vary in texture, and may be fluid or thick.  Some emollients include, petrolatum, fatty acids such as linoleic acid, glycerin, and fatty alcohols.

Anti-inflammatory ingredients are any ingredients that reduce signs of inflammation, such as swelling, tenderness, pain, itching, or redness. Many antioxidants fall into this category.  A couple of the best known anti-inflammatory ingredients are Bisabolol, and Chamomile.

You now have the information you need to choose the best moisturizer for your dry skin.

* Madeleine Arena is a cosmetic chemist who develops  private label skin and hair care products for the trade.

Visit her beautiful new website.

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Click on either book cover to place an order.   

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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

Navigating the Sea of Skin Care Products

The Skin Care Arena

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

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Magazines are filled with product ads making irresistible claims. Knowing which products will work for you can be a daunting task. Although it is possible to go it alone, you need to learn a great deal about specific skin care ingredients, what they can do for your skin, and how to use them properly. The advise of a skin care professional such as a cosmetic dermatologist or esthetician can be invaluable in setting you on the proper path as you chart your course.

There are many advantages to working with a professional. They will begin by educating you about your skin type and its special needs, while helping you set goals for its improvement. These specialists are skilled at working with you to establish an effective skin care routine with the right products for your skin type and/or skin problems.

According to the American Society for Dermtalogic Surgery (ASDS):

“Looking for a quick fix to erase wrinkles, tighten skin, reduce the signs of aging or treat acne could be as easy as a trip down to the local drug store. However, with so many over-the-counter products available, the beauty aisle can be overwhelming. Some skin care products are overpriced and make claims they can’t support. Other products that claim to take years off your face could be misleading and ineffective.’

When searching for an over-the-counter product, follow these tips:

Know your skin type

Establish a daily skin care routine: The key to success with most skin care products is continuity. Establishing a daily routine is important, especially with anti-aging creams. Don’t be discouraged, it may be six to eight weeks before seeing improvements with over-the-counter remedies.

Be cautious of “miracle” products: Skin care products that seem “too good to be true” probably are, so use your best judgment. Reputable product lines are the best bet and likely to be most effective and safe.

Research products before you buy them: When considering a purchase of products, research the product and its ingredients to find the products that work best for your specific skin type.  If there are ingredients that are unfamiliar, look them up to find out how they work. For example, products claiming to have Botox® like results, could be deceptive as Botox® is only effective when injected directly into the underlying muscle. The most expensive products are not always the right products for certain skin types.”

Be patient.  It may take six to eight weeks before you see improvement, especially with over-the-counter products. It’s important to remember that for the most part, department store brands are not strong enough to treat advanced anti-aging problems. Manufacturers of these products compromise by developing products with lower concentrations of ingredients that can be safely used by most people without negative side effects.

Always use a sunscreen on a daily basis.  It’s the most important step in not only preventing premature aging, but also in maintaining skin health.  If your skin is sensitive, and tends to react poorly to certain products, look for a sunblock whose first active ingredient is zinc oxide or titanium dioxide. 

Madeleine Arena s a Cosmetic Chemist who develops private label skin and hair products through her company, The Skin Source.

Visit her website.

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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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ANTI-AGING WITH NEW DERMAL FILLER

voluma2 Juvederm’s  new dermal filler is getting raves from patients and surgeons alike. It’s thicker constancy is said to get better, more long lasting results. Is the result the same as a facelift? Not on your life. It’s not as long lasting, nor is the result as dramatic. But if you are surgery adverse, it might just be enough. 

Check out this video @http://www.realself.com/question/does-voluma-cost

FREE – 10 Beauty Secrets That Won’t Break the Bank

Sign up for this monthly Beauty and Anti-aging Newsletter and Learn From the experts.

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Addendum:

Cosmetic Surgery consultant, Denise Thomas, just sent me her thoughts on the dermal filler, Belotero. Since I have never tried any of these fillers, I was interested in her experience.
“I am going to share my experience with you after trying, Belotero, as a filler.
Juvederm has been my favorite, but noticing many good reviews on Belotero, I tried it.
To my dismay, after three months the line between my brows has returned. Also, my sister immediately noticed a very slight puff in that area plus a slight darkness.
This is not to say others have not be pleased. I will stick to Juvederm, Belotero is less expensive, but not for me.”

 

Anti-Aging Tip – For Younger, Healthier Skin

Anti-Aging Tip – For Younger, Healthier Skin

We’ve said good-bye to summer, but keep that sunscreen handy. Don’t be fooled. You need to apply sunscreen every day. Here’s why.

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Five More Beauty Secrets That Won’t Break the Bank

Five More Beauty Secrets That Won’t Break the Bank
by
Lois W. Stern

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6. Brighter looking eyes
Purchase: A white or peach colored eyeliner pencil.
Directions: Apply the liner to the inner lower rim of each eyeâjust where your lashes begin. It makes the whites of your eyes appear whiter and your eyes brighter.

7. A glowing complexion
I’m not a great believer in fancy priced miracle-in-a-jar products, but am impressed enough with the ingredients in this low cost product to share it here.
40 Carrots Carrot + C Vitamin Serum is a lightweight gel that features beta-carotene, Retinol (Vitamin A) and Vitamin C, and is fortified with protein-rich soy and antioxidant-rich carrot, mango, and apricot oil. Available at your local drug store, Amazon.com and several other .com sites.

8. Flawlessly smooth skin 
Most women have some soft downy facial hair, even if it’s not readily apparent. Want to make it disappear – safely, easily and painlessly?
Purchase: A little battery operated gizmo – about the length of a ball point pen, and not much thicker – available at your local drug store.
Directions: Turn it on and gently draw the defuzzer upward against the hair growth. Yes, the fuzz will grow back in a few weeks, but it takes less than a minute to repeat the process to keep you fuzz-free.

9. While we’re talking about unsightly hair, purchase a small scissor with blunt points, that’s made especially for removing nasal hairs. Use it often to clip out straggling hairs as they reappear. A magnifying mirror is a great help for close up work. The blunt points are essential to prevent injuries.

10. Smooth, unchapped hands and feet
Directions: For ten minutes, soak your hands and feet in warm water combined with a cup of milk and a teaspoon of olive oil. The lactic acid in the milk will help you get rid of unwanted dead skin cells, while the olive oil will soothe the skin. Rinse and apply a rich moisturizing lotion. Wear cotton gloves and cotton socks overnight. In the morning you’ll enjoy softer hands and feet than you had ever thought possible.

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