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Category : Cosmetic Surgery

Bridal Skin Boot Camp: Fresh and Flawless Wedding Day Skin

bridal skin boot camp

Getting married this spring or summer? Believe it or not, NOW is the time to start thinking about your skin. This will likely be the most photographed and filmed day of your life, with lots of close-ups.  If you’re wondering how to get that effortless, fresh-scrubbed look that will carry you through your honeymoon, I’m about to tell you: It takes effort!

Make a Plan

Since you’re working up to your wedding day, and you may have photo shoots or events leading up to the big day, in my opinion, it’s best to have a series of less aggressive treatments that require little or no downtime rather than harsh ones (like deep chemical or deep laser peels) that require significant healing time, and may cause pigment irregularities, or excessive dryness or redness during the healing period. The cost is comparable, and this type of “stacked” plan is less risky, allowing you to achieve the same, or superior results, gradually by stacking the right treatments at the appropriate intervals.

 Start Early

Starting your skin boot camp 3-6 months prior to your wedding also gives you plenty of time to see how your skin reacts to each treatment so that the intensity can be either ramped up or down to produce maximally effective, and perfectly predictable, results for you on your wedding day.  The three basic steps are:

 

  • Target the imperfections beneath the skin: banish brown spots and shrink capillaries with medical IPL (intense pulsed light) treatments that use special filters to erase imperfections below the surface of the skin. Adding a SkinTyte treatment at the end of each session is helpful for those prone to acne, and for shrinking pores. These sessions should be spaced about a month apart.
  • Replace dry, damaged skin cells at the skin surface: Encourage cell turnover on the surface of the skin, and allow your face to make brand new, perfect, skin on its surface with a series of treatments (options include superficial laser peels, topical ViPeel treatments, or MyBody Probiotic Youthboost treatments, depending upon your skin and your particular concerns). We can discuss which of these treatments is right for you, your schedule, and your skin, during consultation. These sessions should also be about a month apart, and staggered with the IPL treatments.
  • Maximize and maintain your results: Perfect skin care and eye care products between treatments are essential. Starting 3-6 months before your wedding means that you have some time to get the absolutely best product regimen in place for your skin, so that you will have predictably gorgeous skin from now until go time. And sunscreen is a MUST. ALWAYS.

On a side note, if you’re thinking about Botox or facial fillers, like Juvederm, Juvederm Voluma, or Belotero, before your big day, definitely do not wait until the last minute.  I recommend these treatments between 4 and 5 weeks before the wedding.

Bridal Skin Boot Camp Regimen

Here’s a sample Bridal Skin Boot camp regimen for a May 30 Wedding for someone with absolutely no downtime for healing between treatments:

  • February 21: First IPL treatment with SkinTyte
  • March 14: First Probiotic Youthboost treatment
  • April 4: 2nd IPL treatment with SkinTyte
  • April 18: 2nd Probiotic Youthboost treatment
  • May 2: Final IPL treatment with SkinTyte
  • May 16: final Probiotic Youthboost treatment
  • May 30: Wedding Day!

To schedule an appointment with Dr. Liotta, please visit: www.FacialPlasticsNYC.com or call 212-288-2222.

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Facial Plastic Surgery Trends and Predictions for 2015

charlottes book fall beauty wellness treatment

Believe it or not, facial plastic surgery, like fashion, is subject to trends. What’s “hot” changes constantly, and who wants which procedure changes as well. Over the past few months, it seems that demand for liquid surgery (without the knife) has increased, and men are beginning to turn up for tweaking more frequently. There are also some exciting new products waiting for the FDA nod in 2015. Here’s what I have on my radar for the year to come.

Liquid Courage

Basically, anything non-surgical, or “liquid” is exploding in popularity in my office. The two most common, non-surgical “liquid” procedures I’ve seen a major increase in are Liquid Rhinoplasty and the Liquid Facelift. At this time last year, I was performing about 1 Liquid Rhinoplasty per month. Now, it’s more like 1 or 2 per week!

In these “liquid” non-surgical procedures, a combination of Botox and various facial fillers are injected to achieve the desired result without a scalpel. In the right candidate, a Liquid Rhinoplasty can even out irregularities along the bridge of the nose, raise the nasal bridge, or camouflage a dorsal hump on the profile view. Similarly, in a Liquid Facelift, a combination of Botox and filler is used to turn back time, rejuvenate the area around the eyes and mouth, erase fine lines and wrinkles, and replace the volume that our faces tend to lose with time. During a liquid procedure, ice is used to numb the skin, and small needles are used to inject filler and/or Botox. Not all nose concerns are amenable to Liquid, non-surgical, Rhinoplasty or Facelift, but if you are among the lucky (or unlucky, depending upon how you look at it), you can skip the pain and recovery of surgery. Results are dramatic and instant, and so is the savings!

Menaissance

Over the past few months, I’ve seen a serious increase in the number of men coming in for cosmetic pick-me-ups, and I expect the trend to continue in 2015. To what do we owe this “BRO-tox Boom?” When I ask, the main reason men report seeking out cosmetic surgery treatments is to appear younger at work. It seems that the combination of increased availability of easy outpatient treatments, wider cultural acceptance of cosmetic procedures, and an increased emphasis on the value of youth in the workforce has fueled a “menaissance” in facial plastic surgery.

The American Society of Plastic Surgeons has reported that the number of men seeking Botox has increased 310 percent since 2000, and I’ve seen a similar increase with many other facial plastic surgery procedures, including facial filler injection, laser treatments, rhinoplasty, and neck liposuction. I would guestimate that three years ago, less than 10% of my patients were men. Presently, I would say that around 30% are.

On the Horizon

Get ready for this: A needleless Botox may receive FDA approval in 2015. There is a new, investigational, formulation of botulinum toxin type A that uses a proprietary peptide technology for delivery across the skin. It’s not your mother’s wrinkle cream, it’s a Botox cream!  The topical treatment will still need to be applied by medical personnel in a doctor’s office, so it’s not a do-it-yourself home treatment. However, it may be useful for people who are afraid of needles, or for large area Botox treatments, such as treatments for excessive underarm perspiration (Yes, you can do that!).

Another cosmetic advancement on the horizon: New fat-melting injections await FDA approval in 2015. Currently in clinical trials, this treatment shrinks fat cells with targeted injections. Once injected, the drug activates receptors within fat cells and triggers the breakdown of triglycerides, causing the cells to lose volume. Translation? Bye bye flab, hello fab. Stay tuned!

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Interview with Robin Shobin of Charlotte’s Book

robin shobin charlottes book

Q & A With Charlotte’s Book founder Robin Shobin

Colorists, chiropractors, even colon hydrotherapists – women love sharing their arsenal of personal care professionals with each other. Those communication lines shut down a bit, however, when it comes to procedures like injectables and cosmetic surgery. Other than one hushed conversation with one of my closest girls over a glass of Pinot Noir, I can’t ever remember openly discussing Botox, Juvederm or Fraxel with a friend. This dearth of knowledge-sharing leaves many women at a loss to find the very best professionals…for procedures we wouldn’t want to trust to anyone less.

Well, the aesthetics and wellness WikiLeak we’ve all been waiting for has arrived: say hello to Charlotte’s Book. Founded by ex-Wall Street exec Robin Shobin, Charlotte’s Book is an online resource where women can find invaluable information on the best in skin care, anti-aging, aesthetics and wellness. We sat down with Robin to talk about (and say thank you for) Charlotte’s Book.

TB: What prompted you to create Charlotte’s Book?

RS: As a busy Wall Street executive, I was incredibly frustrated with how hard it was to find trusted recommendations for cosmetic dermatologists and other types of beauty and wellness experts. This process is still word-of-mouth….with no true online recommendation source. It was equally difficult to research the latest treatments and trends. I never had time to read beauty magazines or watch daytime TV, and getting advice from friends and colleagues was difficult as many women still aren’t as willing to divulge their latest laser treatment as they are to talk about their favorite lipstick. And, quite frankly, I was busy. The only time I had to research experts and treatments​ was late at night or on the weekends, so I would search online, which wasn’t helpful. In fact, it made me even more confused. I wanted to create an easy to navigate online resource that spoke in a trusted, relatable and discerning voice.

TB: What is Charlotte’s Book’s mission?

RS: Our tagline is #BeTimel​e​ss and I think that sums it up perfectly. We want to be the leading online resource for skin care, anti-aging and wellness.

TB: How does your background in finance inform and inspire Charlotte’s Book?

RS: I think it gives a great outside perspective and the site was born out of a true need. I never had a trusted source to ask questions ​about cosmetic doctors or beauty services because it was so taboo. I​n​ my world​ of female executives​, beauty is often seen purely as vanity, and women aren’t taken seriously if they care too much. Getting a facial or ​Botox is seen as a luxury. I like to quote Tyra Banks who says, “Right now, with women in power, and not apologizing for being strong or wanting to make money or to be on top, that’s my message — and that’s all feminism​.​ I feel like you should be able to have a fierce face at the same time.” Why is it wrong to want to look your best?​​

TB: How do you select the experts, doctors and businesses in your directory?

RS: We do anonymous surveys of women, consider the history of appropriate relevant credentials and bedside manner.​ We also think about the ability of our experts to partner with other experts. That is very important because being timeless is about the integration of beauty and wellness. And given all of the latest advancements, doctors are becoming very specialized. It’s important to see the right expert for different treatments​.

TB: In your work thus far, have you learned or uncovered anything surprising about the beauty/wellness/cosmetic surgery field(s)?

RS: It’s so alarming the amount of “fake” products​ on the market. Stories of watered down Botox, and outdated laser equipment being used at low levels… ​causing women great harm that is often irreversible. That’s why it’s so important for the public to be educated. It’s not just about credentials and qualifications, it’s about integrity.

TB: What do you look for when choosing a dermatologist, cosmetic surgeon or esthetician?

RS: Bedside manner, honesty, expertise in a specific field and a holistic viewpoint, meaning they truly understand that your skin is ​a ​reflection of everything going on in your life. I actually see two different dermatologists, one for laser and one for injectables.

TB: What do you think is the right balance for a person to strike between dermatologists, estheticians, plastic surgeons and your at-home personal care routine?

RS: I think it depends on that person’s goals and what she is trying to achieve. It can vary, not only by age, but by what is going on in one’s life. The ideal is building a personal network of ​a​ dermatologist, esthetician and wellness professional that you can trust, knows you, and can always help you look your best. Just like a woman has a relationship with her hair stylist, she should have one with her derm, facialist, and nutritionist. It’s an investment in herself.

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How I Beat My Daily Grind with Botox

botox for teeth grinding and jaw tension

Some people eat when they’re stressed. Some shop. Some shop for food that they then eat. Me? I clench my jaw. Aside from my knotted up shoulders, my masseter muscles are the greatest bearer of my bodily stress. If you suffer from teeth grinding,TMJ or any similar jaw-related tension condition, I know you feel my pain and frustration. To make matters worse, most of the clenching was happening at night, so I couldn’t even catch myself in the act and modify the behavior. I would wake up every morning with tightness and soreness along the side of my face that I would try – fruitlessly – to massage away. Before you could say “night guard’, I had cracked the filling on a molar and wore down another molar to a rounded stump. I wanted to find a real preventative solution that would help me avoid extra trips to the dentist – twice a year for my cleaning is more than enough, thank you.

Grinding Your Teeth? Botox to the Rescue

Botox, which is fast becoming a panacea for all sorts of health and beauty issues, is a very useful tool for dealing with jaw tension. Makes sense – Botox paralyzes muscles, and teeth grinding is caused by the masseter muscle going into nocturnal overdrive. Weaken the masseter muscle and you alleviate most, if not all, of this tension.

It’s Quick & Painless

I visited Dr. Dara Liotta for this unbelievably quick and painless procedure. We’re talking ten minutes and two tiny pinches. The first time she did the procedure she used 20 units of Botox on each side. When Botox is used to relax the facial muscles that cause fine lines, the maximum effect is seen in 7-10 days. When Botox is used on the masseter muscle, the maximum effect is not seen for 3 months…and results can last up to 9 months. Dr. Liotta recommended I get repeat injections every 6 months to maintain results. She also said that many people enjoy very long term results after three treatments. Within a month, I noticed a huge difference in the pain and tightness around my jaw. I no longer woke up every morning feeling like I’d been gnawing on a wad of Hubba Bubba all night. Now, nine months since my first injection, I’m happy to say I’ve not had to make a single extra dental visit!

Happy Side Effects

As if the reduction in pain and dental visits was not enough, the procedure has cosmetic benefits as well. I have always thanked my Russian ancestors for my chiseled cheekbones. Since the Botox reduced the size of my Masseter muscle, it also reduced and softened my jawline, creating a more dramatic angle from my cheek to my jaw.This allowed my cheekbones to “pop” even more than before. When Dr. Liotta showed me pictures taken before and then 2 months post-procedure, I was floored.

Using Botox to reduce the jawline is fast becoming a popular procedure as it is minimally invasive – traditional jaw reduction surgery involves breaking and removing part of the jaw bone. Ouch! Oh, Botox, what will you think of next?!

Dr. Liotta is fantastic. She is not only a Facial Plastic and Reconstructive surgeon, but also a Board Certified ENT surgeon, so she has an expert understanding of the face and neck. Want to talk to her about Botox, fillers or another cosmetic procedure? Visit her website for more information and to schedule a consultation.

By: Claire McCormack @clairemcmack

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Cosmetic Surgery and the Art of “Less is More”

less is more cosmetic surgery

The best plastic surgery is plastic surgery you can’t see. I often have patients who say, “when I walk down the street I can tell when someone has had filler, or a facelift.” I say that the only plastic surgery you can see is badly-done plastic surgery. Well done Botox, filler, peels, or even surgery should leave you guessing why your neighbor looks so well-rested, or why your college friend has looked the same for the last 15 years. A good rhinoplasty makes you notice your cousin’s beautiful eyes rather than her new nose. A good facelift has you hoping you’ll inherit your aunt’s great skin.

You and Your Plastic Surgeon Should Be a Team

You should feel heard, and you should choose a surgeon whose aesthetic and philosophy of beauty you share. I like to look at my relationship with my patients as a partnership. I am the plastic surgery expert, but you are the expert with regards to your face and your lifestyle. We not only need to work together to optimize results but we also have to trust one another and agree on what is beautiful. My philosophy of beauty is that “less is more.” My goal is to optimize your natural beauty, and to achieve an effortless-appearing, simple and timeless beauty that preserves the face as a fresh, clean palate.

Timeless Beauty

It transcends trends. It’s clean and it’s fresh. So if you want to experiment, do it with your hair, clothes, make-up – even nails. But please don’t experiment with your face! Just like any other aspect of fashion and beauty, trends in facial plastic surgery come and go. Unlike other aspects of fashion and beauty, you can’t shed a surgery like last season’s stilettos. Dramatic “reduction rhinoplasties” of the late 60s and early 70s have made many a pinched ski-slope nose on Madison Avenue. Extreme blepharoplasty (eyelid surgery) in the 70s has left many otherwise gorgeous ladies with hollow-looking eyes as they’ve aged. Plucking the eyebrows down to fine lines in the 80s has left models looking for eyebrow hair transplants now that the trend is for fuller brows (Yes! You can do that!).

Desperately Seeking Surgery

People seek out cosmetic surgery for many reasons, and that motivation is important. I have found that the happiest patients after Botox, filler, peels, or surgery are patients that chose to have a treatment, or surgery for themselves. This is the right motivation. I have no problem telling patients that I don’t think a treatment or surgery is right for them. Just because I’m a plastic surgeon, doesn’t mean that everyone should have surgery. Surgery has its place, and can produce fantastic results, but there are MANY other tools and tricks as well. You can always do more; but once you do too much, you can rarely do less.

Ralph Waldo Emerson said, “Love of beauty is taste, creation of beauty is art”. The perfect partnership between patient and surgeon respects the art of less is more.

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