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
Posted in: Anti-Aging,Skin Care

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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Botox As a Cure for Depression? More Than a Myth

June 18, 2014

One of the joys of my practice is observing the mood of my patients instantly change for the better after Botox and/or other injectables. Of course, we attributed that lightening of the mood and happier demeanor to feeling better because we look better. But, recent studies have shown that there is more than meets the eye in the Botox/mood connection. In fact, recent scientific studies have shown that Botox actually can be a mood elevator. Depression affects over 120 million people globally, making it one of the leading causes of disability in the world. Negative emotions are displayed through anger, fear and sadness, all of which can be physically seen in the furrows between the eyebrows. Scientists have been publishing data showing that if you are able to change the negative physical expressions, you actually can increase emotional wellbeing and reduced levels of fear and sadness beyond what would be expected from the cosmetic benefit alone. The bottom line is that it has been demonstrated that when patients were treated with Botox and were, therefore, inhibited from expressing emotion associated with sadness, fear and anger, they started to feel less depressed. The Psychiatric University Hospital of the University of Basel, […]

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The ‘Selfie’ – the Quickest Way to Get Your Face on the Internet and Into the Aesthetic Skin & Laser Center!

June 9, 2014

The other day, a new patient walked into my office holding her smart phone. That was a bit unusual inasmuch as when I meet a new person, I expect that we will give each other our full and undivided attention. Within a moment, however, I understood why the smart phone was actually important to our initial consultation. When I asked my question, “What brings you in today?” she handed me her phone and simply said, “This.” “This” was a selfie she had taken at a girls’ night out dinner. She didn’t like what she saw and had come to me for a fix. Selfies are not the only way in which we get to take a hard look at ourselves, but they are the modern way. We see ourselves in our bathroom, foyer or office mirrors every day, several times a day. For many of us, that means that we aren’t really taking a good hard look anymore. To say nothing of the fact that bathroom lighting often is flattering. And in meeting rooms, for example, we don’t see ourselves at all, so we have no idea of how we may appear to others. A selfie, on the other hand, […]

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Springtime – Time for ReJuvenation!

April 30, 2014

Now, like never before, remarkable strides are being made in reversing the signs of aging without a knife. We have a large arsenal of marvelous non-invasive tools that will help you look younger and more refreshed after a long and cold winter. Start the spring feeling beautiful but without missing a day due to recuperation from the effects of surgery. Give yourself a gift that will help you glow inside and out because of the very real – yet subtle – modifications to your appearance. It’s time for Rejuvenation! Just a few of the staples in our armament of weapons to beautify and rejuvenate are Botox® and fillers, Sculptra® and precision lasers, lights and radiofrequency. We now have the latest addition to the Juvederm® family, a revolutionary new technology designed to give lift to the face: Voluma®! And this is without even mentioning the personalized facial care products that I have developed to give you that glow every day. As I read this post I see it contains some interesting war-like imagery. But, after all, this is a fight against sagging, wrinkling and elasticity loss and volume! Why not own up to reality. The years want to take away our […]

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Suffering from Rosacea? We have the answer!

April 9, 2014

Rosacea, while not physically debilitating, may be psychologically debilitating. The red skin, unattractive bumps and pustules, bulbous or reddish nose may make you feel self-conscious. The symptoms may cause you to avoid going out in public. Or, if you do go out you may, wittingly or unwittingly, have developed habits that make you look as though you lack self-confidence. Just as someone with crooked teeth may avoid smiling, thereby leaving the impression of dourness or anger, someone with Rosacea may cover their face with their hands or look down at their feet rather than look directly into someone else’s eyes. These little “ticks” may cause you to seem unfriendly, disinterested, self-conscious or shy. It’s tough to get someone to trust you and believe in you when you can’t look at them directly. And, even in our environment of long-distance communications, sometimes a face-to-face meeting is the key to getting a job or securing a new client. If Rosacea is holding you back, it’s incumbent upon you to find the right measure to get you back on your feet and the road to personal comfort with how you look. First of all, if you have Rosacea, you are not alone. It […]

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Pore Minimizing

March 3, 2014

As we age, we notice changes in the surface of our skin. Large pores are a common problem, especially for those who have a history of oily skin. This becomes something that affects almost every one of us as we get older. Aging exacerbates pore size, creating a problem even for those who have always had “normal” skin. As we address wrinkles, pigmentation and other facial flaws, we increasingly focus on smaller imperfections. Pores enlarge as we age because skin turnover slows, allowing the pores to become clogged, so that over time the tiny openings stretch out. Hormonal changes also change the signal to the skin so that less collagen and elastin is produced, weakening the walls of the pores so that they begin to gape. Although topical estrogen can improve pores, it can also cause other hormonal problems and acne breakouts. Better and more reliable than estrogen for minimizing pore appearance are lasers, certain peels, such as Alumera®, exfoliating treatments and retinoid topicals. The retinoids work by signaling cells to make more collagen and elastin, as well as causing exfoliation. We now have retinoid topicals combined with antioxidants and hydrators so that the skin is less irritated and the […]

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Your Eyes Are More Than The Window to Your Soul

February 5, 2014

It’s long been said that eyes are the windows to your soul. And now, scientists at Orebro University in Sweden, after comparing the eyes of 428 subjects with their personality traits, have determined that the structure of lines, dots and colors in the iris of everyone’s eyes actually may reveal the truth about a person’s soul, or at least their personality. By way of example, according to this study, denser eyes correlate to people who are warmhearted, tender, trusting, and more sympathetic while those with less density tend to be more neurotic, impulsive and likely to give way to cravings. Based on my experience as an ophthalmologist, I must admit that I have never noticed such a correlation. But, what I can tell you is that eyes, and more specifically, eyelids reveal a great deal about a person’s age. The skin around our eyes, our lower and upper lids, is very delicate and thin. Because of this characteristic, it is often the first facial feature to reveal signs of aging. It darkens, becomes lax, reveals tiny wrinkles and thins out considerably. Crows feet, bags and dark circles appear. This impacts appearance of both men and women the same way. They […]

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You Are What You Eat

December 31, 2013

It might seem as though I talk a lot about skin cancers on these pages. That’s because it is a very real, but often overlooked, potential problem. Skin cancer is the most common cancer in the United States, and women age 39 and under have a higher probability of developing its most serious form, melanoma, than they do any other invasive cancer except breast cancer. Whether it’s a matter of staying out of the sun completely, steering clear of tanning beds, wearing a hat with a wide brim (though staying under an umbrella is better!), using high SPF, or taking vitamins before prolonged sun exposure, I advocate taking proactive steps to avoid damaging your skin, thereby opening up the possibility of melanoma. Well, soon you will be able to add one more thing to your arsenal of preventive products – broccoli. Studies have shown that the compound sulforaphane – which occurs in broccoli in high concentrations – may help reduce the risk of skin cancer. Here’s the twist – the sulforaphane doesn’t help when you ingest it – but when you apply it directly to your skin. Though still in trials and studies, the sulforaphane topical product can revolutionize the […]

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