Dr. Stephen Mulholland's Plastic Surgery Blog

Posts Tagged ‘cosmetic surgery’

Quick Cosmetic Fixes and Non Surgical Procedures

Monday, April 8th, 2013

Welcome to SpaMedicaTV.  Dr. Stephen Mulholland, your host.  Today our story – quick fixes.  Little things, non-invasive things that people can do to look great.  Sometimes, when you add up those quick fixes – non-surgical,
non-invasive body contouring enhancements, leg veins, fat reduction, cellulite improval.  Or in the face РBotox®, fillers, facial rejuvenation, lasers and lights – you can get a big wow.  You could look five, six, seven years, eight years younger with very little effort and very little risk.

quick fixes_thumb

 

Let’s take a work at one person’s quick fix story.

Cassandra:


Stephen Mulholland:
mine – my appearance – and see what recommendations he has for me.After getting rejected from the Beautiful People website and after careful consideration, I’ve decided to meet with Dr. Mulholland for a consultation, just basically to go over some concerns of

Okay, Cassandra.  You are in the entertainment industry.  You’re an actor.  You’re 28, turning 29, so,  you’re not getting any younger in an industry where ageism is paramount.  You look in the mirror, give me the top four or five things that bother you.

Cassandra:

Basically, I’d like to see the lines up here…

Stephen Mulholland:

Show me those lines.  Show me the lines.

Cassandra:

Right here.

Stephen Mulholland:

Okay.

Cassandra:

The furrow.

Stephen Mulholland:

Wow, you’re a very tense frowner.

Cassandra:

The line in my nose.

Something that’s kind of bothered me my whole life is the tip of my nose and I hadn’t really thought about it until today.  Just going over the details with Dr. Mulholland, he made me realize that it’s something that could be really well-fixed in a very short amount of time.

Stephen Mulholland:

In our plan today – frown for me – you have a very frown active muscle here, so we’re going to put a little bit of Botox®…

Cassandra:

My ideas on beauty are pretty much that everyone is different.  It’s an extremely subjective thing, you know, to say to one person, “You’re beautiful.  You’re not.”  I think in different people’s eyes, different people are beautiful.

Stephen Mulholland:

I think that will complete the picture.  You will be a work of art.  Are you ready to go get going?

Cassandra:

Okay, I’m ready.

Stephen Mulholland:

Let’s go.

Cassandra:

Do people cry?

Stephen Mulholland:

Tears of joy, that’s all I see.

Cassandra:

Okay.

Stephen Mulholland:

Tears of joy.

Cassandra:

I know that there’s going to be a bit of discomfort during the procedure.  Dr. Mulholland said that there are definitely needles involved.

Stephen Mulholland:

We’re going to do some freezing first and there’s a little bit of sting to that.

Cassandra:

Okay.

Stephen Mulholland:

There’s a little bit of pain.  Doesn’t hurt nearly as much as growing old as an actor without trying to battle the aging process.

Cassandra:

Ultimately, it’s going to be worth it.  I know I’m taking a risk, but it’s something that I’m willing to do, because the outcome is what I want.  I want to get on the Beautiful People website.

Stephen Mulholland:

This will take away the pain, discomfort when I’m actually putting the filler in, which would be a lot more painful than putting up with a little bit of local anesthetic.

Cassandra:

I’m a little bit afraid of needles, so we’ll see what happens.  I’ve been afraid of needles since I was a little kid.  Probably all those immunizations or something, but yeah.  Just going to have to deal with it.

Stephen Mulholland:

I’m coming up on your eye here.  We’re a little bit sunken.  We have that…what we call a tear trough or that dark, sunken area.  This will bring up volume to fill it out and make it look smooth so you don’t have that little bit of that trough under your eye that does contribute to looking tired.

Cassandra:

Something that I hadn’t really considered were the dark circles under my eyes.  He pointed them out and said it really does make me look tired and sunken.  I guess it’s good to know that from his professional standpoint that’s something I need some help with.

For me, the price of beauty is minimal.  I mean, if it’s going to help me advance in my career, it’s going to help me get further, then it’s definitely something that I can do.  It might not be for everybody, but this is where I’m willing to go now.

Cassandra:

It’s been a few days since my procedures and I haven’t seen Tara in those days, so I’m really excited to see her reaction to the work that I’ve gotten done.  Excited, nervous, but mostly excited to see her reaction.

Tara:

Cassandra?  Are you home?  Oh, my God!  You look so beautiful.  Ohh!

Cassandra:

Thank you.

Tara:

I love your nose.  That’s the biggest change for sure.

Cassandra:

I like it, too.  Totally different.

Tara:

Yeah.

Cassandra:

Look – no lines.  The scar isn’t as noticeable.

In the end, I’m really happy with the outcome.  I feel like this will definitely further my career.  People are really going to see a fresher, more revived me and I’ll get work out of it.

So, you want to help me take a picture.

Tara:

Sure.

Cassandra:

Since I got rejected the first time around, I think the picture might have been what did it.  This time, I’m going to make sure that the second picture is perfect.

Tara:

You look amazing.  If they don’t let you in I don’t know what to say.  Because you look really good now.

Cassandra:

Thank you.

Tara:

I’ve really got one.  Let’s see.

Cassandra:

Yeah.  Well, that’s a keeper.

Tara:

Yeah.

Cassandra:

Okay, so that’s the one, I think.

Tara:

Okay.

Cassandra:

One of the pictures that Tara took is perfect.  I’m going to submit it to the website and I’m positive they’re going to accept me.

It was a really long 72 hours that I had to wait, but it’s finally up.  When I got the e-mail, I was a little bit nervous before I opened up, but I opened it up and I got in.

Oh, sweet, sweet.  I have to call Peter.

I know that there was going to be pain involved with the procedure, but when it was actually taking place, all those needles going into my face really, really hurt.  But getting the e-mail from Beautiful People just validated completely all the work that I’d gotten done.

Come on, pick up.

My agent Peter is going to freak when I call and tell him the good news.

[Phone ringing]

Peter:

Cassandra, my superstar.

Cassandra:

Hey, Peter.  How’s it going?

Peter:

Good, good.  How are you, Cassandra?

Cassandra:

I’m great.  I got some good news actually.

Peter:

Let’s have it.

Cassandra:

Well, you remember that website I was telling you about?

Peter:

That’s the one that Jay gave you a lot of work on, right?

Cassandra:

I got accepted to it.

Peter:

Oh, that’s great.  Congratulations.

Cassandra:

Thank you.  I’m super-excited.  I sent in a new shot.  I’m going to be forwarding you some new head shots as well. I guess you’re going to be getting lots of phone calls in the next little while.

Peter:

That’s what I like to hear.

Cassandra:

A little bit of blush on my new cheeks.

Woman’s Voice:

Speaking of cheeks, what’s going on back there?  Did you get your butt done, too?

Cassandra:

Nope.  It’s all natural.

Woman’s Voice:

Must be some special genes, because that looks good.  My goodness.

Cassandra:

Thanks.

The casting director from this new TV series saw me on Beautiful People and that’s how I got this big audition.  So, it’s working.

And the earrings?

Woman’s Voice:

Gold ones? Yeah.

Cassandra:

Too much, or…

Woman’s Voice:

No, they just have the right amount of pop.

Cassandra:

I think I’ll put a little bit of blush on these new cheeks of mine.

Woman’s Voice:

Yes, that will definitely accentuate the cheeks, for sure.

Cassandra:

This is pretty much the biggest audition I’ve ever had, to date.  I’m super-excited.

Woman’s Voice:

Now, how many people are going to me auditioning for this.

Cassandra:

Well, it’s down to the shortlist, which I made.  So, not as many as it first started out.

I’m really confident.  More so than I’ve ever been before on any other audition.

So, what do you think?

Woman’s Voice:

I think you have this for sure.

Cassandra:

I think I have it too.

I know it’s because of my new appearance and because of the site.  I’m very pleased with that.

Stephen Mulholland:

Wow.  What a great outcome.  No surgery, no scalpel.  If your interested in non-surgical enhancements, face or body quick fixes, please check us out at spamedica.com.  E-mail a consult request or call us.  Looking forward to seeing you.

Dr. Stephen Mulholland, your host for SpaMedica TV.

Take care.

 

Breast Augmentation for Seniors on Global TV Toronto

Monday, March 18th, 2013
Welcome to SpaMedica TV.  My name is Dr. Stephen Mulholland.  Good to see all of you again. Our show today is on a very, very common and popular procedure – breast enhancement surgery, or breast augmentation, as it’s commonly known.  Breast augmentation has changed totally.  We’ve had the advent of new cohesive gel, or Gummi Bear-type implants; solid silicone gel that feel more natural, tend not to ripple and don’t leak.


We’ve had the advent of multiple approaches to putting implants in – through the armpit with an endoscope; under the breast – multiple options. We have the advent of shaped implants – teardrop implants and round implants – with multiple projections and sizes.


So, how do we put it all together?  Well, we help you.  I help you make that decision in multiple ways.  Number one – my 15 to 20 year experience doing the procedure.  Number two – we use the Vectra 3D analysis system, a 3D camera system where you stand in front of that and we can show you the size of implant, the shape of implant that works best for you.  You get to pick off the shelf, if you will, using a 3D imager, the implant and size and shape that works best for you.


So, let’s take a look at one young lady’s story and see how she was able to achieve…balance her proportion again through breast augmentation.


[Global TV broadcast begins]


Announcer’s Voice:
Coming up – why people of a certain age are now going for those nips and tucks – how the procedures can be a bit different.


Woman’s Voice:
Knowing that you could feel better if you had a little perk [Laughs].


Announcer’s Voice:
She underwent a breast lift at age 63.  The plastic surgery boom for people of a certain age – our feature report is ahead.


Announcer’s Voice:
Awarded “Best Newscast” – the News Hour with Leslie Robertson and Anne Mroczkowski


Leslie Robertson:
Well, when you think of cosmetic surgery, who do you picture going under the knife?  Not your grandma or grandpa.  Well, with people living longer these days, doctors are seeing a new and growing trend.  Our Minna Rhee reports.


Minna Rhee:
Guess how old this blonde is?  Thirty?  Forty? She’s 63 and proud of it.


Woman’s Voice:
I’m playing golf, I’m playing tennis and I just want to look better.  Like, feel…look as good as I feel.


Minna Rhee:
She says she’s fought aging head-on by going under the knife to get breast implants at the age of 62.


Woman’s Voice:
They just look blah.  You know, just…it’s just…it’s a lift…


Minna Rhee:
She’s not alone.  This slice of the pie might not look like much, but it represents the well over half a million senior citizens who underwent cosmetic procedures in the U.S. last year.  This plastic surgeon estimates 30% of his patients are in their golden years.


Stephen Mulholland:
Well, it’s like an icebreaker.  The cutting edge of the baby boomers are turning 60 every ten seconds.  How we’re going to age is nothing like the world has ever seen.


Minna Rhee:
It’s a paradigm shift and boomers are creating a cultural shift in the way mature people project their external image to the world. Take Jeanette Courseault – she’s 71, raised five kids, 13 grandchildren, and says she’s got decades more to go.


Jeanette Courseault:
I don’t feel old.  I feel like I have a young spirit.


Minna Rhee:
But she feels gravity is betraying her and has decided to get a liquid facelift.


Stephen Mulholland:
Yeah.  Just make a little hole in the skin…


Minna Rhee:
Jeanette is undergoing a new procedure – getting fillers injected in multiple areas through one hole to avoid bruising.  When it comes to going under the knife, doctors say there’s more risk with mature patients.


Stephen Mulholland:
You have to be a little more attentive to screening preoperatively.  Make sure there’s no heart disease.  Make sure there’s no silent hypertension.  Always have an anaesthesiologist.


Minna Rhee:
Those who choose to go this route say it’s an investment in themselves.


Jeanette Courseault:
We control everything else in our lives, why can’t we control how we look?


Minna Rhee:
Baby boomers were responsible for the explosion in cosmetic century at the turn of the millennium when they were at the peak of their earning power.  Statistics show they are now one of the fastest-growing segments visiting cosmetic surgeons – changing the notion, really, of what it is to age gracefully.
[Global TV broadcast ends]


Leslie Robertson:
Mmm.  Looks like California, suddenly, in your stories of those two women who don’t look their age.  Fully-grown, of course, adults.


Minna Rhee:
Their own money.


Anne Mroczkowski:
Their own decision.


Leslie Robertson:
Their own money, so they’re not draining OHIP.  But there are critics who might say, “How much is too much?”


Minna Rhee:
You know, I think it’s a fine line and who are we to judge?


Leslie Robertson:
Right.


Minna Rhee:
Really, right?  They’re saying, you know, it’s not about trying to be 20 again, I think.  They just say that there’s a disconnect between who they see in the mirror and how they feel inside.  Of course, people are living older, longer years.


Man’s Voice:
Many getting divorced.


Minna Rhee:
Yeah.  Exactly.


Man’s Voice:
Fifty percent.


Minna Rhee:
They’re back in the dating game again.


Man’s Voice:
Yeah.


Minna Rhee:
So, really, they say it’s really for themselves and that woman wouldn’t usually walk around in her bathing suit.  She did it for us.


Man’s Voice:
Oh, okay.  Wow.  All right.  Thank you, Minna.


Minna Rhee:
You’re welcome.


Man’s Voice:
Always new things to discover when you’re around.


Minna Rhee:
Seniors are changing.


Man’s Voice:
There you go.


Stephen Mulholland:
What a nice result and a very compelling before-and-after.  Often after childbirth, weight loss, there’s a deflation – a loss of volume in the breasts.  Restoring a nice, natural upper pole fullness is what most women are looking for.  So, the 3D Vectra® analysis machine helps me help you.  It allows you to see, within 5%, the kind of contour and shape that you can achieve.  It eliminates a lot of the uncertainty around what size and shape works best for you.


So, check out SpaMedica.com.  Look under the breast augmentation section.  Find out as much information as you need and come in and see me.  I’m looking forward to help you achieve the balanced proportion, figure and form that you’d like to restore.

Stem cells, light therapy and DNA!

Friday, March 1st, 2013
Some tiny enzymes called sirtuins are generating a big buzz in beauty circles these days. These naturally occurring proteins play a protective rolein cellular function and, when stimulated, may even extend the lifespan of cells. According to Toronto dermatologist Nowell Solish, stimulating sirtuin activity can inhibit the aging process, but more research is needed to determine just how deeply sirtuin-activating products penetrate. “Resveratrol and other sirtuin ‘enhancers’ have been shown to boost sirtuin activity in lab studies, but they’re not absorbed well by the body,” he says. Even so, many sirtuin-based formulations‚Äî including Clinique Youth Surge SPF15 Age Decelerating Moisturizer, Avon Anew Ultimate Elixir Premium and REN Sirtuin Phytohormone Replenishing Cream‚Äîare hitting the market.
WD9T2621_small
A new batch of high-performance skin-care products may encourage skin cells to repair their DNA at a faster rate. “The body repairs DNA naturally,” says Solish, adding that some topicals allow this process to occur more quickly because they provide some protection from environmental stressors. That’s where lines like Dermaglow’s DermaDNA come in. “The bioDNA complex in our Cellular Repair serum protects skin from oxidative stress and stimulates the skin’s own antioxidant enzymes,” says Kathleen Elliot, head of product development and research for Dermaglow. Your Transformation, a DNA repair line from Canyon Ranch, contains a form of vitamin B3 that stimulates the skin’s wound-healing response, says Kristine Cryer, vice-president of product development. Resist-Age Metamulsion Cell-Matrix, a range from Canadian brand Lise Watier that has been formulated to stimulate the skin’s repair system, also launches this spring.
Eating your way to a perfect complexion is the premise behind the nutracosmetics trend, which includes supplements, beverages and candies. The new generation of these products delivers research-based, therapeutic doses of ingredients without excess sugar and calories. Genuine Health’s new Healthy Skin Chocolate Soft Chews contain cocoa extracts, which improve skin hydration and circulation, according to studies by the University of Dusseldorf. “Chocolate often contains trans fats and refined sugar, which can increase inflammation,” says Julie Daniluk, a Toronto-based nutritionist. “But cocoa seed extract preserves cocoa’s natural polyphenol content, which is known to improve skin health.” Also new in ingestibles is the French brand Oenobiol. “Most women have an inadequate ratio of omega-3 and omega-6 fatty acids and may not get enough of specific carotenoids and phytonutrients,” says Dr. Marie Bejot, founder erf Oenobiol \n theory, these supplements target dry skin and dark circles and will possibly improve the quality of skin, hair and nails.
Hand-held pulsed-light devices are the newest development in at-home hair removal. The Silk’n, which launched in Canada this spring, delivers pulsed-light energy to the hair shaft. It works by transforming light energy into heat, which damages the follicle and, over time, prevents hair from growing back. Although it was designed specifically for those who like the convenience of at-home beauty treatments, you’ll still need some basic training. (It’s available only through physicians and medispas.) “Patients usually see results after the first or second session and have a hair reduction of up to 90 percent after nine sessions,” says Dr. Stephen Mulholland, a cosmetic surgeon based in Toronto. Since the light acts on hair pigment, people with fair skin and dark hair are good candidates for treatment; those with darker skin should steer clear because the melanin in their skin can interfere, causing hyperpigmentation or even burns. Other new light-therapy hair-removal devices include the nolno! and the TRIA Laser Hair Removal System.
Scientists have discovered that our genes themselves differently, depending on age and environment, and now they’re learning to manipulate them to keep us looking younger longer. Take Olay Professional Pro-X, a new range of anti-aging treatments. “We’re using breakthrough genomics tools to map the molecular fingerprint of young versus old skin,” says Mary Begovic Johnson, principal scientist for Olay at P&G Beauty. “We discovered that the skin’s barrier plays a fundamental io\e in. trie appearance o¬£ aged skm.” To strengthen it, Olay used a proprietary peptide that builds collagen and elastin. Another product based on genomic science is Lancome’s Genifique Youth Activator, a self-adjusting formulation that changes gene activity and works on skin at any age.
Until recently, it was a choice: conventional anti-aging products (whose ingredients were impossible to pronounce, let alone identify) or organic skin-care products (which usually fell short in terms of efficacy). But a handful of beauty companies are creating a new paradigm: skin care that’s both free of synthetic ingredients and effective. Canadian line Consonant Body Organic Skincare infuses its formulations (all of which are pH-balanced) with super-hydrating olive, coconut, rosemary, aloe vera and jojoba oils. Cult product The Solution, an all-in-one moisturizer by New York-based Envision Beauty, is also making waves. “It’s packed with ingredients like goji berries, which contain antioxidants, proteins and nutrients that improve skin firmness and guard against environmental damage,” says founder Kimberly Snyder. Another high-performance organic brand is Intelligent Nutrients, developed by Aveda founder Horst Rechelbacher. Each product in the food-grade line‚Äîwhich includes skin, body, fragrance and nutraceutical products‚Äîcontains a proprietary blend of antioxidant-rich black cumin, pumpkin, red grape, raspberry and cranberry seed oils. “The biggest thing in anti-aging is going to be stem-cell therapy,” says Mulholland. “I’m experimenting with taking patients’ own stem ceils and reinjecting them into their facial skin where it appears deflated.” Stem-cell serum adds volume, produces more natural-looking, youthful skin and lasts longer than gel fillers, but it won’t be commercially available for a few more years. Until then, we’ll have to settle for topical stem-cell technology: Prestige brands, including Amatokin, ReVive and Dior, have introduced products that target stem cells. While Amatokin and ReVive encourage regeneration of stem cells, Dior works to prevent loss of stem cells. “Products like Dior Capture R60/80 XP prevent actively reproducing epidermal skin cells from drying out,” says Dr. Neil Sadick, a dermatologist and global medical adviser for Dior.
Forget what you’ve heard about the damage caused by colouring your hair. Thanks to breakthroughs in hair-colour technology, colouring can actually leave hair in better condition than before. Unlike previous versions, which stripped away the hair’s protective outer layer, the new permanent formulations are much gentler‚Äîeven while they cover up the grey. “L’Oreal Paris Excellence To-Go Haircolour features a molecule [a polymer] that neutralizes negative ions, which make hair look dull and unhealthy,” says Nicole Dupuis, director of L’Oreal Canada’s technical centre. “It also includes a ceramide that protects and repairs the hair fibres.” Clairol Perfect 10, an ammonia-free hair-colour line, uses a lightening system called AminoGlycine, which causes the hair cuticle to open so that colour can penetrate with less damage. “It [also] works at a lower pH, which helps preserve the hair’s natural protective coating,” says Dr. Linda Jacobs, section head of global hair-colour research at P&G Beauty. The best part? These at-home hair-colour products only take 10 minutes.

Medical Spa Movement Raises Some Eyebrows

Wednesday, February 27th, 2013

Just across from the Playnix Toy store at Flatiron Crossing mall, the sign outside the new SpaMedica beckons:  “Looks youngerfor your holiday party. Book today”

Pressing shoppers can’t help but stop and peek in. Some, like 41 year old hairdresser Melissa Smith, step inside.

“My clients can already see a difference” said Smith, as she relaxed in a plush earth-toned room afer a luxurious morning of self-indulgence and – medical procedures – at SpaMedica.

Since she first stepped curiously through the door two weeks ago, Smith has had Botox injections into her horehead, Restylane injected into her lips, a FotoFacial to even out her sun-damaged skin and a MyoFacial – which applies electrical impulses to her facial muscles – to tighten sagging skin. The blend of relaxing atmosphere, trained medical staff and non-invasive procedures at SpaMedica is what swayed her.

“Women work extremely hard” she said. “We want to be pampered.”

Enter the medical spa movement.

spamedica medical clinic_ big

Since Dr. Bruce Katz first blended spa and medical cosmetic services at his Juve MediSpa in New York about four years ago, the movement has exploded with over 520 “medical spas” nationwide and dozens more preparing to open, says Susie Ellis, president of Spa Finder magazine and website. Ellis says the term can mean different things, but is loosely defined as a place “where medical professionals and spa professionals practice together.” Some provide executive physicals, cosmetic surgery or root canals in a soothing, relaxing atmosphere. Many provided non-invasive anti-aging services – like Botox injections and laser treatments – in a spa-like setting.

 

“The No. 1 thing the consumer wants is a more nurturing and caring environment, but they also want the experience of a medical professional. Combining them is really resonating,” says Ellis.

On a recent morning at SpaMedica, Dominique, a 48 year old mother of three, had her body concealed in a space-age-looking pod that massaged her body as medical aesthetician Debbie Palasek hovered over her face, next to an intimidating machine called a Medusa. With the precision of a surgeon, Palasek dipped two metal probes in blue goo designed to conduct electricity, then placed upon a spot above Dominique’s right lip and delivered a current, prompting it to quiver involuntarily.

While it feels a bit odd, the MyoFacial, referred to as a “work out” for your facial muscles, is far preferred to other anti-aging options, Dominique said.

“I only have one face. I don’t wnt it cut up.” she said.

SpaMedica, one of the first medical spas to come to Colorado, started in Canada and now has three U.S. franchises and three more set to open soon. While it may look and feel like a spa, with soothing music, elegant artwork, and waterfalls, there are distinct differences, says medical director Linda Fast.

“We have machines that nobody else has. You could not have them in a regular spa,” she said.

SpaMedica has three registered nurses on staff, and is under the supervision of a medical doctor who visits regularly, Fast said. Like all medical offices, it is required to comply with federal privacy regulations.

Among its offerings: A FotoFacial, which uses radio frequency and a laser to strip skin of sun discoloration and dead cells; A Frozen in Time facial treatment which uses FDA-approved frozen bovine stem cells to firm and hydrate skin; Restylane for lip-plumping; Botox for wrinkle-erasing; and LipoLite, a non-surgical alternative to liposuction which uses radio frequency to “liquefy” cellulite and flush it out.

One Botox treatment runs about $300, while a “Non-surgical Face Lift Plus” which includes 20 MyoFacials, peels, facials, Botox, Restylane, and FotoFacials over 10 weeks, runs $5,500.

Fast said already the medical spa movement, and the emergence of effective , non-invasive skin treatments, appears to be shifting the demographic for anti-aging services downward from the 40-plus crowd into the 30s and younger.

Kate Lutti, who works at SpaMedica’s front desk, is living proof.

“A lot of people my age don’t have wrinkles in their forehead, but I got genetics from mother,” said Lutti, 21, who recently had her first Botox injection.

Providing such services in a retail setting, where people can pop in while shopping or on their lunch break, makes them that much more accessible.

“They used to call them ‘lunch-time peels’ now there are lunch-time a lot of things,” Fast said.

But Dr. Peter Schmid, a cosmetic surgeon and director of the institute of aesthetic plastic and reconstructive surgery in Longmont, said consumers need to be cautious.

While he believes there are some positive aspects to the burgeoning medical spa movement, some facilities use the term without the credentials to back it up, he said.

“A ‘medical spa’ implies a certain level of medical expertise,” he said. “People need to do their homework.”

He suggests that potential patients of any medical spa check the medical director’s credentials, ask how often he is on site, and insure that equipment and other material, such as Botox, is FDA approved before signing up.

The American Society of Dermatologic Surgery issued a similar warning recently after several patients in Florida reported being injected with a substance that may have been artificial Botox. In a prepared statement, Dr. Rhoda Narins, ASDS, decried the “unfortunate proliferation of non-physician providers who typically don’t have the necessary medical training and qualifications”

“It’s not enough to rely on word of mouth,” said Narins.

Smith, who is in the second week of the 10-week non-surgical face lift program, said she couldn’t be more pleased with her care at SpaMedica. She’s already seen a few of her 20 years under Colorado sun slip away, and she hasn’t had a single day of down time, as she would with a conventional face lift.

Instead, after her recent morning of treatments, she slipped on her clothes, put on her makeup and went shopping. “It’s easy,” she said.

 

*Article originally published in Daily Camera Magazine in December 2004. Written by Lisa Marshall.

Top Places for Fat Transfers

Tuesday, February 12th, 2013

BY MARLENE REGO

Most people who lose fat never want to see it again, let alone have it injected back into their bodies. But¬†that’s exactly the principle behind fat grafting. By transferring your own fat¬†from a donor site (collected from areas like the abs, hips or thighs, with a needle¬†or through liposuction) to areas where youthful volume has been lost, it’s a natural alternative to fillers or implants. We asked plastic surgeons to suggest the best¬†areas for fat transferring.
Fat Grafting Liposuction  in Toronto
HANDS
No body part gives away one’s age more than the¬†hands. Here, fat grafting is very common ¬†because it plumps the prominent veins and thin, wrinkled skin that highlight aging. ¬†Bonus: Recovery takes a week and the results are long-term, lasting two to three years or more, says¬†Dr. R. Stephen Mulholland, IVID, FRCSC, of Toronto’s¬†SpaMedica.
LIPS (NOT IDEAL)
Animated areas like the¬†lips¬†don’t do as well with fat injections. All that movement ¬†stresses the fat graft and, as a result, some of it is reabsorbed into the body. With¬†this procedure the swelling alone is enough to make patients reconsider. Think puffy ¬†fish lips for three to four weeks.
UNDER THE EYES
Areas that don’t move much, like the¬†eye hollows, benefit from fat transfer. And, ¬†unlike synthetic fillers, results can last years or more, adds Dr. Mulholland. Expect to¬†require two cc’s per eye, says Dr. Philip Solomon, MD, FRCSC, facial plastic surgeon, otolaryngology/head and neck surgery.
HOW TO GET A YOUTHFUL, SHAPELY COMPLEXION USING YOUR OWN FAT
BUTT
After hands, this is the most requested fat grafting procedure since we weren’t all born ¬†with curves like those of Mad Men’s Christina Hendricks. Safer than implants because of ¬†risk of complications and infections, this procedure involves harvesting fat from other areas of the body and Injecting it into the¬†butt¬†to sculpt and shape. You do need a large ¬†amount of fat from a donor site ¬†200 300 cc’s in each buttock, according, to Dr. Mulholland¬†- but the results are long term.
BREASTS (undetermined)
Ever wondered about having your own fat injected into¬†breasts¬†as an alternative to implants? ¬†A lot of experts are still on the fence about it. Firstly, the most that can be expected ¬†is a half-cup size gain with fat injections, as multiple transfers are often needed to achieve significant augmentation. Next, since fat cells contain stem cells, some doc-¬†tors question whether it could be dangerous. “One In eight women will get breast cancer,”¬†says Dr. Mulholland. “There is research in rats that points to an increase in the cancer and¬†tumor load when a different site’s stem cells and fat grafts are put next to it.” And although¬†some surgeons who perform fat grafting to the breast area separate- and remove fat stem¬†cells and do not inject fat directly into the breast tissue, the jury Is still out on the long-¬†term safety of this procedure.
JAWLINE
Jowls are one of the most dreaded side-effects of time and gravity. Fat injections¬†can sculpt and restore fullness to where it’s needed for an even, firm¬†jawline. One pro of¬†fat grafting‚Äîanywhere on the body, not just the jawline‚Äîis that noone reacts to his or¬†her own fat. “It’s safe and ideal for patients who don’t want anything foreign,” says Dr.¬†Mulholland. As we age, sculpted and round cheekbones are lost. That’s why plumping them ¬†with fat is a good solution. Plus, a fat transfer will rejuvenate the skin in this area ¬†by increasing blood flow. Cost for this procedure starts at approximately $2,500¬†(including initial lip procedure) and depends on how much fat is being injected. Since¬†65 per cent overfilled or “overcorrected” to allow for this, explains Dr. Solomon.
TEMPLES
Surprisingly, having fat injected in the temporal hollows can do wonders to restore youth. ¬†”It’s also to some degree a per manor t correction as compared to using fillers. A certain ¬†percentage of the fat graft remains where you place it. You do continue to age, though, ¬†and the area will begin to fall with time,” says Dr. Richard A. Rival, MD, FRCSC, facial ¬†plastic surgeon, otolaryngology/head and neck surgery in Toronto.

Beyond Botox – Flare Magazine March 2003

Friday, January 25th, 2013

I was starting to feel like Charlie Kaufman trying to adapt a best­seller into a screenplay, mean­while unraveling in the process a la Adaptation. Honestly, this story has followed me from Toronto to L.A. to Hawaii, where my husband took me for a five-day pre-Golden Globe stress rest. (As president of the Hollywood Foreign Press Association, which puts on the event, I needed it!)

It didn’t matter how many times I plucked my eyebrows, nibbled and hunted for yet another snack, mon¬≠keyed with my just-refined manicure or pedicure, groomed the dog, dusted the dust-free furniture or straightened the fringe on the throw rug, I couldn’t get the story to flow‚Äîeven sputter. So, first, I tackled the other stories that had begun to pile up. My Al Pacino story for a European men’s magazine was received with raves, as were my George Clooney, Reese Witherspoon, Madonna and Matt Damon articles‚Äî and a few I’ve since forgotten.

Maybe it’s because I’m being asked to write about a personal experience that I find mvself stumbling so. Or per¬≠haps it’s the long, befuddled glances from my husband, who is not a sup¬≠porter of plastic surgery as an elective operation at all. His point of view is that, if you’ve been in a car accident or are a burn victim or have a birth defect, then go for it. All the other cos¬≠metic enhancements for the sake of sheer vanity are, to him, sheer insani¬≠ty. A lot of people share his point of view, but they don’t circle in the vortex known as Hollywood.

Non-surgical facial rejuvenation in Toronto

For those of you who have read my regular column in FLARE, you know that, month after month, I stand next to some of filmdom’s finest. It appears that a new generation has been spawned: the Ageless Generation. The miracle workers are the doctors. I do some investigative homework to find the real gems who help make celebri¬≠ties look their best during some long and grueling shoots. It’s hard to get celebs to fess up, but when they do, two names come up repeatedly. In Canada, it’s Toronto’s¬†Dr. R. Stephen Mulholland. In L.A., it’s Dr. Edward 0. Terino (but that’s another story). So what secrets do they have that the rest of us might be interested in?

From the moment I set foot in¬†Dr. Mulholland‘s Yorkville office, I feel immediately comfortable in the unpretentiousness of the sparkling-clean clinic. So I was more than happy to try a smorgasbord of walk¬≠away treatments.

Peel ($189 per treatment or $800 for four treatments*): I step into a pod-like chamber, not unlike something out of a science-fiction. I lie down with my head peeking out from the top. The moment strains of Beethoven begin to wash over me, I become comfortable as the pleasant voice of Heather, the medical esthetician, explains the pro­cedure step-by-step. The chamber-pod vibrates the rest of my body as Heather pampers my face with a pre­cision handpiece that directs a contin­uous stream of very fine crystals, made of aluminum oxide, across my skin. The slight suction and gentle abrasive action of the crystals remove the dead outer layer, while bringing die smoother, softer under layer of the skin to the surface. This action works best on people with fair skin. With several treatments, it peels away many signs of aging and sun damage, as well as acne scarring and pigment abnormalities. The gentle vibrating of the chamber-pod prevents me from tensing up. As 1 embrace the pamper­ing, my thoughts drift to my former lunch dine excursions—usually shop­ping—and it dawns on me that a single crystal-peel treatment costs considerably less than what Fve spent on a pair of shoes. I emerge from the pod feeling extremely refreshed, pol­ished and relaxed. My skin feels like satin and my body was tricked into believing it really did have a massage.

Botox¬†($500-$!,000 for die fore¬≠head and around the eyes*): By now, practically every age-group is using Botox. It’s as common as dental floss in L.A. The theory is that if one starts early, those deep furrows and laugh lines never have a chance to take hold. Botox (botulinum toxin) lasts about three months on me. I like Dr. Mulholland’s quick, precise tech¬≠nique. The injection sensation feels similar to a small bug bite. I had no bruising, just some minor tenderness that lasted for two days. For the squeamish, Dr. M, who is in his early 40s but belongs to that ever-growing Ageless Generation, can apply a top¬≠ical numbing cream for a totally dis-comfort-free experience. By the way, you do not leave with a robotic, frozen look. You can still move your facial muscles. The most common thing people say is that you look more rested.

FotoFacial¬†Program ($2,499, includes six FotoFacials, four ultra¬≠sonic peels and skin-care products): Treatments can be performed on any part of the skin but are especially effective for improving the appear¬≠ance of the face, neck and chest. FotoFacials treat redness, flushing, dilated capillaries, sun damage and rosacea. I can attest that the overall tone and texture of my skin improved and that a brown spot Fve had on my cheek since childhood practically vanished after only one treatment. In fact, my FotoFacial results were at their peak about a month later. Some of the celebrities I stand face-to-face with during our interviews actually remarked on my beautiful skin. This was an honest shock because not only did I suffer a bout of adult acne in my late ’20s and early ’30s but it’s hard not to get sun damage in Soudiern California and my larger-than-1-like pores are a genetic curse from my father. My mother and older sisters, on the other hand, were blessed with seemingly poreless, porcelain complex¬≠ions. Fuckv for me, the FotoFacial can be done during your lunch break with no downtime and very little discomfort, especially when you apply a topical anesthetic cream, for people with sensitive skin, like me. It takes about 45 minutes to numb the skin in preparation for the pulses of visible light that are zapped over the skin.

I didn’t tell my husband that, when I left¬†SpaMedica¬†after four hours of procedures, I decided to wave off the recommended cab ride and walk back to my hotel. Little did I think I would run into anyone, but there he was: director Joel Schumacher, who had seen me earlier that morning for an interview. Now, as he was passing me on the street with an unidentified friend, Joel discreetly‚Äîand quickly‚Äî looked the other way. I couldn’t help but register the look of pity coming from his eyes. OK, I might have looked like a pifiata at a children’s birthday party‚Äîa little red and lumpy‚Äîbut come on! A pleasant “Hello, how are you?” would have been fine.

So was it all worth it in the end? Absolutely. Back in L.A., dealing with the stress of the Golden Globes, I remembered that, as long as I continue to work on my personal spiritual growth, Hollywood is just a state of mind, no matter where you live. But looking good doesn’t hurt.

Prices may vary, depending on your surgeon of choice. For more info on plastic surgery and to find a surgeon in your area, contact the Plastic Surgery Information Service at (888) 4-PLASTIC or visit the service’s Website, www.plasticsurgery.org, or the Canadian Society for Aesthetic (Cosmetic) Plastic Surgery, (800) 263-4429, or on the Internet at www.csaps.ca

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