It’s hard to calculate the number of times my patients have asked me whether it’s possible to remove dark circles from under their eyes. This is a particularly difficult dilemma in some cases, as when the circles are the result of genetic factors. In truth, just as pert noses or rosy lips are inherited characteristics, in most cases, so are dark circles. Unfortunately, dark lower eyelid circles can make you look tired or sad, and like any shadow, crease, wrinkle or dark spot, can change the entire appearance of your face in an unattractive way. For some, dark circles are transitory, the result of too many late nights, an extra drink or two, or too much stress. These cases require just a careful application of makeup for a temporary fix. For others, make up is not enough. The very first thing I do when faced with the “dark circle dilemma” is work with you to establish the cause of the circles. Only then, can we create a treatment plan. Sometimes the darkness comes from the loss of under eye fat or bulging fat that creates hills and valleys, or from very thin, nearly translucent skin that reveals the blue color […]



April 9, 2015
Posted in: Hyperhidrosis

As summer approaches some of my clients are coming to me for help with a problem they’ve had in the past but want to avoid in the future: hyperhidrosis. This is an annoying and persistent condition that I’ve discussed in a previous blog, but it is serious enough for me to want to remind those who suffer with it that there is a solution. Reminder: hyperhidrosis is excessive sweating. It’s not a mere annoyance, but a recognized medical and cosmetic condition that can be treated. Excessive sweating can occur in your feet or hands, but most significantly and commonly, it is excessive armpit sweating. This is the kind of sweating that soaks a person’s clothes and is persistent and difficult to control with antiperspirants. And, actually, the super strong antiperspirants that you see advertised on television for the control of excessive sweating contain really toxic ingredients! Now, before the heat and humidity of summer sets in, if you are bothered by hyperhidrosis, is the time to consider a more permanent solution for this annoying condition. In the past, Botox® was a reasonable treatment choice, but not a permanent one. Although Botox® can be successful for temporary control of the condition, […]


When Life Gives You Lemons

March 12, 2015

“Oh What a Beautiful Morning, Oh What a Beautiful Day” In aesthetics, my daily mission is to make the outside beautiful. But one of the great motivators for the physical change that comes with an aesthetic procedure is the nearly inevitable result that my patients also feel better about themselves. They feel the glow of a refreshed and beautiful complexion or the reduction in the appearance of aging or the correction of some imperfection they are concerned about. Yet many of us need more than a cosmetic makeover to look at the world with cheerfulness and a positive attitude. While I do wish that we could all wake up every day feeling like that song from Oklahoma: “I’ve got a beautiful feeling, everything’s going my way,” – as we all know, that’s not realistic. When you wake up feeling blue, here are some steps you can take that will help you internalize positive energy and make your day a better one – and you a stronger and happier soul. Try never to go through the day feeling out of sorts with an undercurrent of dissatisfaction. Do what you can to uplift your mood and outlook. A bad mood is bad […]

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Eyes: A Window to Your Essence

February 11, 2015

We’ve all heard that eyes are the windows to the soul. True or not? I certainly don’t know; no one does. What I do know is that your eyes are beautiful. When you smile, your eyes smile. When people look at you, they see whether your eyes are happy, worried, sleepy or bored. They tell whether you are listening or looking around. They contribute to our beauty. All of us speak with our eyes. But your eye isn’t just one thing. Eyes are the sum of their parts: eyesight, their color, the clarity of the whites, their shape and slant … every part is important. The appearance of the eyes is central to the perception of beauty and a variety of products are utilized to accentuate them. But it’s not just the eye itself that speaks to others. From an aesthetics viewpoint, you’re probably well aware, there is a renewed interest in eyebrows. Products for eyebrows have expanded exponentially. And a few years ago the gossip columns exploded with the news that taking into account private planes and staffing, Oprah spent up to $75,000 annually just to get her eyebrows done at her favorite place in Beverly Hills. Likewise, lining […]

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Welcome in 2015!

January 12, 2015

Time for New Year Resolutions We Can Keep My goal is always to help my patients and friends attain the best version of themselves: an appearance that is natural, and a healthy lifestyle that supports a refreshed overall look. This results in developing and maintaining a sense of well-being and enhanced self-esteem. There are many tools in my toolbox to help one achieve these goals: lasers and light systems, fillers, Botox®, Viora®, Sculptra®, SlimLipo® and many skin treatments. I’ve designed unique methods to combine these treatments, finding that there is synergy in approaching concerns via multiple modalities. One alone provides a boost; but together these applications do more to help us appear younger and more refreshed. That said, these approaches only address our appearance. And, let’s face it, though outward beauty is of importance to many of us, for most of us, it is about finding a deeper way of turning back the clock on aging changes. It’s a luxury to some, a necessity to others, but feeling healthy is a good objective for every one of us. Last month I wrote about the health and well-being that comes from yoga and other physical activity. These practices build muscle, strengthen […]

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Strong Body = Youthful Appearance

December 10, 2014

I’m the first person to extol the importance of regimented skin care and interventions like fillers and Botox as enhancements to youthful appearance. But, there’s more that you can do to help you glow from the inside out. In this and my next column I want to share with you a few more secrets to looking and being healthy and refreshed. One of the very best tools for keeping that healthy glow is yoga. In the very first blog post I wrote, I shared with you how yoga inspires and relaxes me. That was how long ago and as far as my personal health regimen is concerned, I’ve become more dedicated to yoga and more sure that it is an important key to my overall health, vitality and rejuvenation. Just the other evening while in class, my mind took me to thoughts of the personal discoveries I have made through my yoga practice. For three years I’ve been working to achieve the Crow pose. In brief, it has been a three-year effort to be able to balance in a squat with my knees resting on my upper arms and to hold that pose. A few weeks ago, I finally mastered […]

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The Time to Prepare the Roof is When the Sun is Shining!

November 13, 2014

So said John F. Kennedy. I’m reasonably sure he wasn’t thinking about preparing your skin and face for the holidays and winter. Nevertheless, today the sun is shining, it’s still warm; we can feel the warmth on our faces and see the sun shimmering through the remaining leaves on the trees. This is the perfect time to take stock of your complexion and decide what steps to take to look your best in the months to come. Think about what is happening in the next eight weeks: the winter is going to become colder and with cold weather comes chapped and dry skin on your face and hands. In two weeks it’s Thanksgiving, followed quickly by Christmas and New Year’s celebrations. Many of us will be seeing out of town guests, family and friends we haven’t seen for a while. For them and ourselves, we will want to look our best. Some of us are planning vacations. We may be going from the cold winter to the warmth of Florida or the Caribbean. We may be in the drying atmosphere of an airplane or the dirty air of a big city. Whatever is coming up in the next couple of […]

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Do I Really Need a Medical Doctor for My Aesthetic Procedures?

October 15, 2014

You’ve all seen photos online or shows on TV: devastating results of injectable and other aesthetic procedures and treatments administered by non-medical non-board certified personnel. The results can be dreadful. Have you seen the latest TV reality show called Botched? It features women (and a few men) who have gone in for some form of aesthetic enhancement, or just to look refreshed, and they come out as though they have been in a horror movie – upside down breast implants, cheek paralysis, asymmetrical cheeks, lips and eye lids, lumps and bumps from improperly administered fillers and sometimes even illegal fillers. These poor subjects have been “botched” for sure. Their only recourse is more surgery to repair the damage done. At about this point you you’re probably asking yourself:“Why?”“What happened?” “Can this happen to me?” Miserable results may ensue when aesthetics are practiced by those without a medical license, appropriate training, quality products, up to date knowledge, or an aesthetic sense. You need all of these qualities to achieve optimal results. At a minimum, you know, intuitively, that having a medical license is a built-in qualification for administering many types of procedures and treatments. In the aesthetic field, the difference between […]

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Reverse the Signs of Aging

September 10, 2014

Hyperpigmentation, commonly referred to as “age spots,” is one of the easiest skin conditions to prevent but one of the hardest to get rid of once it occurs. Take a look around at arms, hands, chests and faces of those around you. In all likelihood you’ll see dark patches. No matter how much Botox or filler you get, these spots are a dead giveaway to advancing age. But unlike some skin conditions that are organically induced and thus preventable, age spots are almost entirely preventable. They are caused by one thing – too much sun exposure. Many of us, when we were young, didn’t know any better and sat for hours in the sun covered with Bain de Soleil; our sun spots are the inevitable result. But it’s not only sitting at the beach that causes dark patches on the skin, most commonly affecting the face, chest, and hands. Did you ever notice that the left side of your face has more brown spots than the right? These too are caused by sun exposure – in this case from sitting in the driver’s seat of your car with the sun coming through the window. Prevention is key, and the easiest […]

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Does Your Smile Detract From Your Appearance?

August 15, 2014

Many have lovely teeth, but a gummy smile that is unappealing. The New York times recently featured this aesthetic concern that can often be readily treated with Botox. We have been offering this non-surgical treatment for years, and want to put the word out that this is available here. Below is a reprint of the NY Times article: Bothered by a ‘Gummy Smile’ By ABBY ELLIN JULY 31, 2014 12:01 AM Susanna Miller-Pence’s teeth weren’t the problem; her gums were. When she smiled, her upper lip stretched up so high that a ribbon of pinkish gum was exposed, giving her a so-called “gummy smile.” She hated it. “The doctor explained that my gums were longer than my teeth, so the dimensions weren’t right,” said Ms. Miller-Pence, 52, a psychoanalyst living in San Luis Obispo, Calif. Fifteen years ago, she had a gingivectomy, an operation to remove some of the extra gum tissue. A month later, she was grinning broadly. “Now everyone comments on my smile,” she said. Gummy smiles occur for a variety of reasons, most commonly a short upper lip, excessive gum tissue or small teeth, all of which are genetic. According to Dr. Stan Heifetz, a cosmetic dentist […]

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