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® T H E A E S T H E T I C W E L L N E S S $4.95 US • $5.95 INTERNATIONAL Get Wise About FACIAL Anti-Aging M A G A Z I N E VOLUME 6 • ISSUE 6 Give the Gift of PLASTIC SURGERY Putting Your Cheer On With a Face Lift Tummy Tuck Variations Wait Until You See! MEET DR. TEHRANI NEW YORK Kevin Tehrani, M.D., F.A.C.S. RL M Professional Associate Profile: Dr. Kevin Tehrani Dr. Kevin Tehrani is a highly esteemed New York plastic surgeon renowned for his skillfulness in aesthetic plastic surgery. He is certified by the American Board of Plastic Surgery and is a fellow of the American College of Surgeons. Dr. Tehrani earned his medical degree at SUNY Downstate Medical Center. He completed his general surgery residency at Beth Israel Medical Center in New York where he was Chief Resident in General Surgery after which he continued his postgraduate training in plastic and reconstructive surgery at Kansas University Medical Center where he again served as Chief Resident. During intense surgical training, he dedicated all of his research and surgical efforts toward patient satisfaction and well-being. Dr. Tehrani has been active in the academic university setting, using his vast knowledge of plastic surgery to provide instructional courses in aesthetic surgery and laser applications, and has presented both nationally and internationally at major medical symposia. Dr. Tehrani is an outstanding educator in his field which is enhanced by his extensive experience in plastic and reconstructive surgery. Dr. Tehrani holds the academic position of Assistant Clinical Professor in the Dept. of Surgery at SUNY Downstate Medical Center. He is Chief of the Division of Plastic Surgery at SUNY Downstate Medical Center and is a member of multiple local and national societies including the American Society of Plastic Surgeons and American Society for Aesthetic Plastic Surgery. Recognized for his superior talents, Dr. Tehrani has been published in leading peer reviewed scientific journals, cementing his position as a leading New York plastic surgeon. Believing that plastic surgery can be the ultimate expression of art in surgery, Dr. Tehrani relentlessly strives for exceptional care and results for his patients. He is the founder and director of Aristocrat Plastic Surgery & MedAesthetics with offices in Manhattan and Great Neck, Long Island. He served as Lieutenant Commander in Naval Reserves Medical Corps. He volunteers his surgical expertise to under developed countries for children with congenital and acquired defects. Dr. Tehrani has admitting and operative privileges at numerous prestigious hospitals. When patients meet Dr. Tehrani, their experience greatly exceeds their expectations. At Aristocrat Plastic Surgery & MedAesthetics, Dr. Tehrani has created a luxurious and beautiful spa atmosphere where patients are pampered by all clinical and non-clinical staff from the moment they walk through the door. Dr. Tehrani has an indescribable way about him and immediately establishes a connection with patients which translates into confidence, trust and loyalty. When you become a patient of Dr. Tehrani’s practice, you are made to feel as if you are the only patient, and your needs and desires are the utmost importance no matter what time of the day you need him. Dr. Tehrani has a true passion for art and design which translates into patient outcomes that far exceed his peers. SERVICES AND PROCEDURES PLASTIC SURGERY Breast Augmentation Breast Implant Revision Breast Lift Breast Reduction Breast Fat Injection Breast Reconstruction Mommy Makeover Abdominoplasty (Tummy Tuck) Liposuction (SmartLipo, VASER) Brazilian Buttock Lift Face , eyelids and Neck Lift NON-Surgical Procedures DiCosmetic Injectables and Fillers Facelift & Skin Tightening (ThermiTight, ThermiSmooth & BBL SkinTyte) Fat & Cellulite Reduction (Cellulaze) Ultherapy CoolSculpting Fraxel BBL SkinTyte Spider Veins Treatment Skin Rejuvination, Facials & Peels Laser Hair Removal Laser Tattoo Removal RAD I AN T LI FE ® Kevin Tehrani, M.D., F.A.C.S. Aristocrat Plastic Surgery & MedAesthetics 560 Northern Blvd, Suite 109 30 Central Park South, Suite 13A Great Neck, New York 11021 New York, New York 10019 (516) 284-5000 (212) 439-9900 www.AristocratPS.com Opinions, products and procedures reviewed, reported upon, or advertised in the following pages may not be endorsed by featured Radiant Life Magazine Professional Associate. VOLUME 6 • ISSUE 6 PURCHASE 3 THERMISMOOTH AREAS AND GET ONE FREE TREATMENT OF BOTOX (up to $1000 value) Perfection at any magnification. Healthy, Beautiful-Looking Skin For Now and Forever with Environ. Electron Microscopic View of Skin Cell Extreme Closeup View of Skin View of Healthy, Beautiful Skin Environ Skin Care for the face and body is designed to help restore, protect, and maintain the appearance of healthy, youthful, and beautiful skin throughout your lifetime. Scientifically formulated Environ products incorporate high grade vitamins A, C, E, antioxidants, peptides, and growth factors to visually transform and rejuvenate the appearance of your skin, assisting to provide results that you’ll see, feel, and love. TM [email protected] • 1-508-539-8900 • www.dermaconcepts.com C O N T E N T S T H E A E S T H E T I C W E L L N E S S M A G A Z I N E PUBLISHER/CEO Debbie Taylor ManagingEditor ArtDirector Designer ContributingWriters Photographers ProductionManager Lesley Ranft Dennis Packer Cameron Boone Megan Simcox Lindsay Haakenson Patrick Johnson Christine Russo Lauran Childs Paul Good J. Elizabeth Simpson-Hughes Scott Taylor BecomeafanofRadiantLife® onFacebook!Shareyourstories,letusknowwhatyou’dlike toseeinthepagesofRadiant Life,andjoindiscussionsona widerangeoftopicsrelatedto youraestheticwellness. RAD I AN T LI FE ® RadiantLifeMagazineisPublishedbyDigitalStarsLLC, 1910JacobStreet,Wheeling,WV26003.Forsubscriptionor advertisinginformationcall877-754-3308. 2 Amessagefromour R AD I A NT L IF E PUBLISHER ® RadiantLifemagazineispublishedbyDigitalStars,LLC.RadiantLifemagazineprovidesinformationofageneral natureaboutallformsofbodyrejuvenationincludingbutnotlimitedtoplasticsurgeryandcosmeticdermatology. TheinformationcontainedinthepublicationisprovidedwiththeunderstandingthatneitherRadiantLifenorits affiliatesareengagedinrenderingmedicalservices,adviceorrecommendations.Anyinformationcontainedwithin thispublicationshouldnotbeconsideredasubstituteforconsultationwithalicensedphysician.ThoughRadiant Life uses its best efforts to ensure the scientific accuracy of the information it publishes, it is not possible to ensurethatallinformationprovidedwithinthismagazineisentirelyaccurateandup-to-dateandimpossibleto determinewhetheritwouldapplytoorbeeffectiveforanyparticularindividualineachoranyinstance.Digital Stars,LLC,itsaffiliates,employees,contributors,writers,editorsanditsEditorialBoardofAdvisors[“Publisher”] acceptnoresponsibilityforinaccuracies,errorsoromissionswithinformationand/oradvertisementscontained herein.ThePublisherhasneitherinvestigatednorendorsedtheindividualdoctors,companiesand/orproducts [“Advertiser”]thatadvertisewithinthepublicationorarementionededitorially.Publisherassumesnoresponsibility fortheclaimsmadebytheAdvertisersorthemeritsoftheirrespectiveproductsorservicesadvertisedorpromoted inRadiantLife.PublisherneitherexpresslynorimplicitlyendorsessuchAdvertiserproducts,servicesorclaims, nor vouches for the accuracy of their effectiveness. Publisher expressly assumes no liability for any damages whatsoever that may be suffered by any patient, purchaser or user for any products or services advertised or mentionededitoriallyhereinandstronglyrecommendsthatanyprospectivepatient,purchaseroruserinvestigate suchproducts,services,methods,and/orproceduresandtheclaimsmadethereto.Opinionsexpressedinthe magazineand/oritsadvertisementsdonotnecessarilyreflecttheopinionsofthePublisher.NeitherthePublisher nor its staff, associates, affiliates and/or its Editorial Advisory Board Members, are responsible for any errors, omissionsorinformationwhatsoeverthathavebeenmisrepresentedtoPublisher.Lawsvaryfromstatetostate, andifmedicaladviceorotherexpertassistanceisrequired,theservicesofacompetentprofessionalshouldbe sought.Theproductsand/orprocedurescontainedinRadiantLifemaynotnecessarilybesoldorperformedby yourhealthcareprovider.Theideas,productsandoverallcontentofthismagazineoranyothermedicalissues should never be followed without first consulting a licensed health care professional. When choosing a doctor foraprospectiveprocedure,consumersshouldalwayscheckwiththeirstateandlocalauthoritiestoensurethe professionalispracticingwithinthelegalboundariesofhis/herparticularstate.Theinformationonproductsand servicesasadvertisedinRadiantLifeareshownbyPublisheronan“asis”and“asavailable”basis.Publisher makesnorepresentationsorwarrantiesofanykind,expressedorimplied,astotheinformation,services,contents, trademarks, patents, materials, or products included in this magazine. You expressly agree that your use and oftheinformationcontainedinRadiantLifeisatyoursolerisk.Tothefullextentpermissiblebyapplicablelaw, Publisherdisclaimsallwarranties,expressedorimplied,including,butnotlimitedto,direct,indirect,warrantiesof merchantabilityandfitnessforaparticularpurpose.Publisherwillnotbeliableforanydamagesofanykindarising fromtheuseoftheseproductsorservicesadvertisedand/orpromotedinRadiantLifeincluding,butnotlimited to,direct,indirect,incidental,punitive,andconsequentialdamages.Certainstatelawsdonotallowlimitations onimpliedwarrantiesortheexclusionorlimitationofcertaindamages.Iftheselawsapplytoyou,someorallof theabovedisclaimers,exclusions,orlimitationsmaynotapplytoyou,andyoumighthaveadditionalrights.Be advisedthatsomeofthemedicalprovidersthroughoutthispublicationhavefurnishedconsiderationtoRadiant Lifemagazineand/oritsaffiliatesforadvertisingintheformofdisplayadvertisingorpaidadvertorialssomeof whichmaybefeaturedwithinthemagazine.Publisherneitherendorsesnormakeswarrantiesofanykind,either expressedorimplied,regardingthequality,accuracy,ethicsorvalidityoftheinformationaboutorbythehealth careprovider[s],hisorherservicesand/orstatementscontainedwithinthepublication.Westronglyadviseyou tocheckwithyourlocalstatemedicallicensingboardspriortoanyconsultationwithanymedicalpractitioner. AllpicturesreproducedinRadiantLifehavebeenacceptedbyPublisherontheconditionthatsuchpicturesare reproducedwiththeknowledgeandpriorconsentofthephotographer,doctor,andanymodelconcerned.Assuch, Publisherisnotresponsibleforanyinfringementofthecopyrightorotherwisearisingoutofanypublicationin RadiantLife.PhotographsofanymodelinRadiantLifeinnowaysuggestorimplythatthesubjecthasundergone anybodyrejuvenationprocedure.RadiantLifeisatrademarkofDigitalStars,LLC.Allrightsreserved.Nopartof thispublicationmaybereproducedortransmittedinanyformorbyanymeans,electronicormechanical,including photocopy,recordingoranyinformationstorageandretrievalsystem,withoutthewrittenconsentofthePublisher. VOLUME 6 • ISSUE 4 DearReaders, With the holidays here, it’s time to think of gift giving. We have many suggestionsinourarticle,“Givingthe GiftofPlasticSurgery”.TheMommy Makeover is very popular. It often includes breast augmentation, tummytuckandliposuction.Ifshe hasn’t had plastic surgery before, but has hinted every so often, this would make an excellent gift. Another suggestion is medical grade skincare. Medical grade skincare offers a higher concentration level of ingredients when comparedtostoreboughtproducts.Shewillthinkofyoueverytime shelooksinthemirror. With millions of people tuning into anti-aging for the face, we’ve tunedintotrendinginanti-agingtocheckthepulseonAmerican faces. There’s always something new and innovative happening inanti-agingfortheface.Supportingahealthydietandexercise routine with the advanced approaches found on Page 22 has beenthelatestoveralltrend.First,notethattherearethreeways inwhichafaceages,including:1)skindamagefromthesunand smoking;2)volumeloss;and3)sagging.Now,it’stimeto“GetWise aboutFacialAnti-Aging”. It used to be that aesthetics, cosmetic procedures, and plastic surgerywereonlyforwomen.Morerecently,therehavebeenan increasing number of men who are interested in aesthetics for every part of their body and face. No longer does the average maleshyawayfrommedicalgradeskincare,injectablesandfacial plasticsurgery.Theroughlookmaystillbein,butfacialaesthetics takemenintothenextdimension.So,ladies,whynotgivetheman inyourlifeagiftthatkeepsongiving.He’llloveyouforit. Living well has been a goal for many during the course of their lifetime.Ateveryage,welearnaboutdifferentaspectsofhealthy living.Manystudieshavedemonstratedthebenefitsoflivingwell. Ofcourse,weallknowthebasics.Still,there’salotmoreyoumay learninourarticle“LivingWellTodayforEnhancedTomorrows”. Wishingyou,yourfamilyandfriendsahealthyandjoyousholiday! Let’sgettogetheragainintheNewYear. https://www.facebook.com/RadiantLifeMagazine Considerthatyou’vedoneyourresearchabouttheplasticsurgeryprocedureofyourchoice.You’vesearchedtheInternet, investigatedboardcertification,viewedbeforeandafterphotosandwitnessedthebenefitsfirsthandfromotherswhohave hadplasticsurgery.Nowit’stimetoconsultwiththeplasticsurgeonofyourchoiceabouttheprocedure.Cosmeticsurgeons areknownfortakingextensivetimewithpeopleinconsultationforplasticsurgery.Yet,yourownpersonalchecklistcanhelp remindyoutodiscusstheseitemsthatmaymakeadifferenceinplasticsurgerytreatment. 1. Identifythetypeofboardcertification,hospitalaffiliation,hospitalprivilegesforprocedures, membershipinorganizationsandcontinuingeducationclassesofthesurgeon. 2. Identifyhowmanytimesthesurgeonhasperformedtheprocedure.Inquireabout complicationratesandthereasonsforcomplications.Complicationsarerare,butsome complicationsmaybeunavoidableforselectindividuals. 3. Identifythetypeoffacilitythattheprocedurewillbeperformedinandaskabout accreditationofthefacility.Inquireaboutequipmentthatisaccessibletothefacility suchasarespiratorandtoolstomaintainbodyheatduringandaftersurgery. 4. Inquireaboutthetypeofsupportthatisprovidedtoyoufollowingtheprocedureand duringtherecoveryperiod. 5. Understandalternativestotheprocedure. 6. Preparealistofyourmedicalhistory,including:medicalconditions,allergies, prescriptiondrugs,over-the-countermedications,herbalsupplementsandvitamins. Informthesurgeonifyouorafamilymemberhadapreviousadversereactionto anesthesia.Donotfailtodisclosethisinformationinconsultationwiththesurgeon. 7. Ifyousmoke,quitsmokingweeksbeforetheprocedureandrefrainfromsmoking followingtheprocedure. 8. Maintainalistofpre-andpost-operativeinstructionsthatisreadilyavailabletoyouat home.Donotmisscompletinganyoftheinstructions. 9. Inquirewiththesurgeonabouttheneedforrecoveryaids,patientcomfortsandhealing remediesbeforetheprocedure.Purchasesuchitemsbeforeyourplasticsurgeryprocedure. 10. Haveanescortdriveyouhomeandstaywithyouforthetimethatyoursurgeonrequires youhaveassistance. TheTop5RecoveryTips 1. Scheduleadequatetimeofffortherecoveryperiod. 2. Purchaserecoveryaidssuchaselevationpillowsandcompressiongarmentsbefore surgery.Haveicepacks,icechipsandgauzeonhandforswelling.Purchaseappropriate foodsanddrinks.Sensitiveareassuchasthefacialfeaturesmayfarebetterwithgauze thathasbeensoakedinicechips. 3. Keepapositiveattitude.Donotbediscouragedifyoudon’tlookyourbestfollowing surgery.Thefinalresultstaketime. 5. Contactyoursurgeonimmediatelyaboutanyadversereactions. Thenormalhumanresponsetothenew, theunknownortheuncertainisstress, worry,fear,andanxiety.Plasticsurgeons andtheirofficestaffmembersarenot onlymedicalandtechnicalprofessionals, buttheyknowthatapatient’swell-being oftenmeansdealingwithhisorhervery realconcerns,whetheritisfromactual badexperiencesormentalandemotional uneasiness.Alleviatinganxietyisasmuch ofapartnershipbetweendoctorand patientastheactualtreatmentbeing performed.Thereisarightcourseof actionthatbringspeacetothepatient. GettheRightInformation Thereisnosuchthingas“toomuch information”foraprospectiveplastic surgerypatient.Plasticsurgeonsarenot threatenedbyquestions,theyinvitethem. Youarethebestmanagerofyourown health,barnone. GettheRightMedication Sometimessimpleorevenlengthy explanationsaren’tenoughtocalma patientpriortosurgery.Atthatpoint,many plasticsurgeonsmayadministersome prescriptionanti-anxietyorantidepressant medstomellowthingsoutinthedays leadinguptotheprocedure. GetProperRestandRelaxation Anxietycanaffectmoodsandsleep patterns.Itisvitaltogetproperrestand doasmuchaspossibletoremoveany avoidablestress-causingsituationsfroma patient’slifebeforetheprocedure. GetPreparedforAfter-Care Forasmoothtransitionintorecovery mode,itisoptimaltohaveeverything readyandinplaceonceyouarrivehome aftertreatment. Reducingyouranxietyisaboutbeing informedandalsolookingforward confidentlytothenewyou. www.radiantlifemagazine.com RAD I AN T LI FE ® 4. Followtheinstructionsofyoursurgeon,includingshowering,medications,andactivity restrictions,suchasrefrainingfromexerciseandsunaswellasfluidanddietintake recommendations. ReducePre-op Anxiety-BePrepared C O N T E N T S RLM ChecklistforPlasticSurgery 3 C O N T E N T S RAD I AN T LI FE ® 4 T H E A E S T H E T I C W E L L N E S S M A G A Z I N E Features 6 GIVING THE GIFT OF PLASTIC SURGERY 8 ACHIEVING NATURAL BEAUTY - DR. TEHRANI 10 MEN CHECK INTO AESTHETICS 12 KEVIN O’BRIEN PRESIDENT OF THERMIAESTHETICS CHANGING THE WORLDS OF ANTIAGING & NATURAL BEAUTY ONE PATIENT AT A TIME VOLUME 6 • ISSUE 4 16 PUTTING YOUR CHEER ON WITH A FACE LIFT 19 TUMMY TUCK VARIATIONS 22 GET WISE ABOUT FACIAL ANTI-AGING 24 PLASTIC SURGERY FOR THE LITTLE FACIAL STUFF 28 32 C O N T E N T S Living Well LIVING WELL TODAY FOR ADVANCED TOMORROWS ASK RADIANT LIFE (YOUR QUESTIONS ANSWERED) RAD I AN T LI FE ® www.radiantlifemagazine.com 5 F E A T U R E GivingtheGiftofPlasticSurgery Is That All She Wants? P RAD I AN T LI FE ® lasticsurgeryisquitepopular.Theideaofplasticsurgerythatisboth appealingandlonglastingisveryappealingforwomenfromtheageof 18andup.Infact,manywomenwaituntilaftertheyhavetheirchildren toproceedwithplasticsurgeryprocedures.Too,itisnotuncommon forwomenintheir50’stodecideuponplasticsurgery.Regardlessofageand situation,plasticsurgeryisalsoacommongifttogivethesedays.Afterall,Farrah Fawcetttopsthelistforabeautifulfaceandbodythatthoseinterestedinplastic surgeryduringthe70swantedtomodelafter.Bythe90’s,themostappealing highdefinitionlookwasevidentinCindyCrawfordandthoseinterestedinplastic surgerysoughtaftersuchlooks.CatherineZeta-Jones’featuresofferthesignature ofbeautyinthe2000’s.Yourwoman’sdesiresin2014maynotbemuchdifferent thanthemodelsofbeautyinthepast,buttoday,there’ssomuchmoretooffer. 6 Ifshealreadylovesplasticsurgery, knowthereisagoodpercentageof womenwhoelecttohavemorethan oneplasticsurgeryprocedureinthe courseoftheirlifetime.Theymayeven electtohaveanotherplasticsurgery procedureperformedatthesametime asanotherprocedure.TheMommy Makeoverisoneexample.TheMommy Makeovertypicallycombinesmore thanoneplasticsurgeryprocedureto achieveahighlysatisfactoryresult.The VOLUME 6 • ISSUE 6 MommyMakeoveroftenincludesthe tummytuckandliposuction,besides breastaugmentation,breastliftora combinationofbreastprocedures. Ifshehasn’thadplasticsurgerybefore, buthashintedeverysooften,itmight notbesuchabadideatoembrace plasticsurgerynow. Let’scheckoutsomeoftheother cosmetictreatsthatSHEmaylikelywant, ifinterestedinplasticsurgery. MedicalGradeSkincare.Medicalgrade skincareoffersahigherconcentration levelofingredientswhencompared tostoreboughtproducts.This concentrationleveldeeplypenetrates yourskin.Regularfacialtreatmentsfor advancedskinexfoliation,renewable detoxificationandregularblackand whiteheadextractionsarestillhelpful. Still,medicalgradeskincareisdesigned topreserveyouryouthfulskinformany years. FatReductionProcedure.Theright choicedependsuponthedegreeand characteristicsofyourexcessfat depositstoberemoved.Withthatbeing said,liposuctionisstillthetraditional meansforfatreduction.Thisinvolves tinyincisionsandtheinsertionofa cannuladevice(vacuumlike)tosuction outthefat.CoolSculptingoffersthe freezingoffatthroughanon-surgical,no downtimechoice.Thismeansnoknives orneedles!Toenhanceyourappearance afterweightlossorforthoselittle pocketsoffatthatdon’trespondto exercise,it’simportanttoplanahead! BackLineProcedure.Yourpartner’s backistheoneareathatmaydefyall attemptsatexerciseanddiet.From littlebumpsandbulgestolargeback rolls,theseunsightlyfeaturescanbe verystubborn,particularlyforpeople over35.Theconditionisoftenthe resultofsaggingskinduetoaging,sun exposureormassiveweightloss.Onthe upside,liposuctionandthebackliftcan indeeddiminishthosedifficultbumps, bulgesandrolls.Therecoveryisusually approximatelytwoweeks.Analternative mightbeThermiTight™whichusesa novelradiofrequencytreatmentdevice totightenlooseskinandtreatsmallfat depositsontheback,eventhearms, legs,andunderthechin.Theresults buildovertime. BreastAugmentation.Breast augmentationistypicallybothafemale andmaletreat.Offeredinsalineand siliconevariations,breastaugmentation lendslonglastingenhancingresults. Inaddition,manywomenexperiencea boostinconfidencethatenhanceslifein morewaysthanone. BreastLift.BreastLifttechniques haveimprovedtoreducetheextentof incisionsinselectcases.Thegoodnews isthatscarringremedieshaveimproved toreducetheriskofexcessscarringand allowforbetterfadingofthescars.The breastliftiswonderfultoremoveexcess skin,repositionexistingbreasttissue andimprovebreastsagginess. MiniTummyTuckandtheTummy Tuck.BoththeMiniTummyTuckand TraditionalTummyTuckprocedures offerameantotightenlaxabdominal musclesandrelieveaprotruding abdomen.Excessskinmayalsobe trimmedforarefinedappearance. Theminitummytucktreatsthearea fromthepelvicbonedown,whilethe traditionaltummytucktreatsthearea fromthenaveldown. ButtocksLift.ButtocksLiftwas traditionallyperformedviabutt implants.Today,abuttocksliftmaybe achievedwithFatTransfers:Duringthis highlytechniquedrivenprocedure,your ownfatistransferredfromafattyarea toyourbuttocks.Repeatsessionsmay berequiredtoachievefullysatisfactory results.Still,theresultscanbe everlasting. VaginalRejuvenation.Duringvaginal delivery,thelabiamaystretch,tearor beotherwisedamaged.Thismaymake wearingunderwearandbathingsuits uncomfortable.Thismayalsoaffect intimacywithyourpartner.Thevaginal rejuvenationprocedureisappealingfor thesereasons.Inaddition,recoverytime isusuallylessthanaweek. TheSupermodelphaseofthe 90’schangedtheshapeofbeauty, exemplifiedbyLindaEvangelista,Christy TurlingtonandClaudiaSchiffer.Since then,theiryouthfullookshavespanned generations.Yourwoman’scantoo,and bestofall,forareasonableprice,by visitingwithaplasticsurgeon. RLM RAD I AN T LI FE ® CelluliteReduction.Cellulazeinvolves theuseoftheonlyFDAapproveddevice forcellulitereduction.Whetheryouare concernedaboutdiminishingcelluliteon thearms,chest,abdomen,waist,back hips,buttocks,innerthighs,outerthighs, and/orknees,Cellulazemaybethesolution youarelookingfor. F E A T U R E InjectablesandFacialFillers.Botox Cosmetic®Injectableisdesignedto preventandtreatdynamicwrinkles causedbyfacialmovementforupto 6months.ThermiRase™isamicroinvasiveprocedurethatappliesradio frequencyenergytoselectednerves toreleasecontractionscausingfrown linesbetweenthebrowsandonthe forehead.It’sawonderfulalternativeto neurotoxinswithlongevityofmorethan ayearfornearly80%ofrecentstudy participants.Theresultsareimmediate. FacialfillerslikeJuvederm®buildvolume inthetreatmentareatofillinareas ofvolumeloss,suchas,smilelines. ThermiSmooth™stimulatesfibroblasts toproducenewcollagenoveraperiod oftimewhichsmoothesoutlinesinthe liptonoseareaandsmilelinearea,as wellas,dramaticallydiminishesupper eyelidsagging.ThermiTight™forSkin Tighteningusesanovelradiofrequency treatmentdevicetotightenlooseskin andtreatsmallfatdepositsunderthe chin.Theresultsbuildovertime.So,a combinationmayberequiredtotreat differenttypesofagingsignsfora naturallymoreyouthfullook. www.radiantlifemagazine.com 7 F E A T U R E Achieving Natural Beauty With the Help of a rad i an t liLIFE RADIANT fe ® Top Rated Plastic Surgeon 8 While there is no such thing as a ‘Fountain of Youth”, many have experienced the wonderful rejuvenating benefits from facial and bodily procedures designed to enhance your appearance. Add to this the enhancement that many experience in their intimate, social and professional aspects of life, it is no wonder that cosmetic procedures are popular, especially for those who want to stay ahead of aging. Now, you can reap the rewards of lessons learned in previous VOLUME 6 • ISSUE 6 years to benefit from the many cutting edge advancements with Cosmetic Enhancements by Dr. Tehrani. Dr. Tehrani is considered a top rated board certified plastic surgeon who graduated from school following training that offered the gold standard approaches. Since then, Dr. Tehrani has kept current on all of the latest techniques and technology to specialize in all of the best facial and body procedures at his practice for over twelve years. As he explained, “You really need to be on the frontlines to offer the best approaches and to deliver the best results. I take pride in exceeding expectations in this area. I take time to investigate new technology and techniques to sift through those that are tried and true so I can reproduce optimal results in my practice. I am a perfectionist to a fault. Many people interested in aesthetic procedures today opt for minimally and non-invasive approaches that do not niche for loose skin. With just few days of downtime and wonderful skin tightening results, Dr. Tehrani couldn’t resist but to invest in the technology. Thermi even works well for other applications, such as for gentlemen who lose weight, but are bothered by a pouch that they want to get rid of. “In terms of what is most misunderstood by consumers about plastic surgery, the answer is two fold according to Dr. Tehrani. In general, many are misinformed about injectables. It’s vital for consumers to know that injectables are a highly technique driven procedures. Also, cosmetic procedures are not just for the rich and famous. Many consider cosmetic procedures just as routine as hair and nails, understanding its clinical and professional elements.” The goal of cosmetic plastic surgery www.radiantlifemagazine.com rad i an t liLIFE RADIANT fe ® is to bring a patient’s self-image into better balance; and by so doing, not only improve a face and body, but also achieve something deeper and more far-reaching—that elusive quality of leveraged self-esteem and a positive self-image. Dr. Tehrani is a top rated board certified plastic surgeon who can bring your goals to fruition. A preventative approach before aging sets in is wisest to commence in the late 20’s and early 30’s. This type of regimen helps preserve your youthful skin for up to 20 years. Depending upon the extent of aging on your face, you may need to blend different treatment protocols, each of which does one or two things therapeutically, but none of which can “do them all.” Aging tends to initially show around your eyes, at the corners of your mouth, in the lines between your eyes and your nose, or your nose and your lips – this is where fillers and neuro-modulators can do their best work. The good news is that today, you can decide what makes you unhappy – or you and Dr. Tehrani can work together to come up with the approach most likely to give you the youthful, vibrant appearance that you deserve … naturally. Dr. Tehrani is dialed in to all that you need. Not only board certified by the American Board of Plastic Surgery, Dr. Tehrani is a fellow of the American College of Surgeons. He is the founder and director of Aristocrat Plastic Surgery & Medaesthetics with offices in Manhattan and Great Neck, Long Island. He is Chief of the Division of Plastic Surgery at SUNY Downstate Medical Center and is a member of multiple local and national societies including the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery. He’s been nominated and voted by his peers and colleagues to be one of the Top 10 Plastic Surgeons in New York. Dr. Tehrani earned his medical degree at SUNY Downstate Medical Center. Then, he completed his general surgery residency at Beth Israel Medical Center in New York where he was Chief Resident in General Surgery. He continued his postgraduate training in plastic and reconstructive surgery at Kansas University Medical Center where he again served as Chief Resident. Dr. Tehrani has admitting and operative privileges at numerous hospitals. Dr. Tehrani holds the academic position of Assistant Clinical Professor in the Dept. of Surgery at SUNY Downstate Medical Center. He uses his vast knowledge of plastic surgery to provide instructional courses in aesthetic surgery and has presented internationally at major medical symposia. Recognized for his superior talents, Dr. Tehrani has been published in leading peer reviewed scientific journals. During intense surgical training, he dedicated all of his research and surgical efforts toward patient satisfaction and well-being. He served as Lieutenant Commander in Naval Reserves Medical Corps. He volunteers his surgical expertise to under developed countries for children with congenital and acquired defects. Dr. Kevin Tehrani was raised on Long Island and currently lives in Manhattan with his wife Leontine, son Jude and daughter Kaelin. F E A T U R E require downtime. My mission has been to meet this request and I do so with the assistance of less invasive technology. At my practice, it is not uncommon for women interested in a tummy tuck to receive liposuction and laser therapy instead of the more invasive tummy tuck when possible. Instead of a traditional invasive face lift, my face lifts tend to be less invasive. In short, I am a patient advocate. I have a reputation to maintain and my patients trust me as their advocate.” When queried about anti-aging, Dr. Tehrani offered his Top Tips. This includes: weight control through proper diet and exercise; hormonal balance; vitamin D efficiency which when deficient can adversely affect weight; and maintaining the health of cells through vitamins and/or supplements. Dr. Tehrani has also added bio identical hormones to the mix of his offerings. His PA performs an extensive panel to obtain readings on your hormone levels, antioxidant counts, heavy metal screening and a physical exam to develop the precise formulation you will need to optimize overall health. Dr. Tehrani also believes that environmental factors can play a significant role in aging. As such, he advocates for daily year round sun protection and daily cleansing with a bioactive material (vitamin C, Retinol or Retin A). For wrinkle prevention, it’s wise to consider injectables for around your eyes, between your brows and on your forehead before aging sets in. This will prevents facial creases in these areas. Facial Fillers serve a unique purpose for building volume in your cheeks or filling in smile lines. As such, there is a host to choose from including: Juvederm ®, Voluma ®, Restylane ® and more, depending upon your anatomical features and the region on your face that requires treatment. For skin tightening, there is Ulthera for under the skin layer tightening and Thermi RF for skin tightening. In fact, before Dr. Tehrani committed to Thermi Aesthetics products, he spoke with many patients to find it was a nice 9 F E A T U R E RAD I AN T LI FE ® 10 Men Check into Aesthetics Itusedtobethataesthetics, cosmeticprocedures,andplastic surgerywereonlyforwomen. Morerecently,therehavebeenan increasingnumberofmenwhoare interestedinaestheticsforeverypart oftheirbodiesandfaces. Bodycontouringprocedures,such asliposuction,bodylift,buttliftand tummytuckhavebeenverypopular forwomenineverydemographicfor overadecade.Butmenarejustas interestedintheseproceduresasof recently.Certainly,thereasonsarenot duetostubbornfatdepositscaused bypregnancythatdonotrespondto dietandexercise.Manymenhave becomeinterestedinbodycontouring forseveralotherreasons,asfollows. Inaddition,nolongerdoestheaverage maleshyawayfrommedicalgrade skincare,injectablesandfacialplastic surgery.Theroughlookmaystillbe in,butfacialaestheticstakemeninto thenextdimension.Weinviteallmen tolearnmore! VOLUME 6 • ISSUE 6 MaleBreast Reduction:The numberofmen whohaveover sizedbreastsand seekoutmale breastreduction hasincreased.The reasonsforover-sized breastsincludesteroid use,bodybuilding,and medicationsideeffects. Geneticsmayalsobeattheroot ofover-sizedbreasts.Malebreast reductionalleviatesthisstrain.The goodnewsisthattheprocedure offersaspeedyrecoveryandthe resultsarequitecomplimentary. BodyLift:Manymenwhohavehad weightlosssurgeryareturningtothe bodyliftprocedurestoremoveexcess leftoverskinontheflanks,abdomen, back,armsandthighs.Thebodylift proceduresareoftenthefinalstep inatransformationthatcanlastfor manyyearstocome.Thebodyliftcan vastlyenhancesocialrelationshipsand professionallifeaswell. Liposuction:Therearemanymenwho experiencetroublesomefatdeposits thatsimplydonotrespondtoexercise ordiet.Thesetypesoffatdeposits arejustnotdesignedthatway.Inthis case,liposuctionisagreatanswerto achieveamoretonedappearance. Liposuctionformenispopularfor MedicalGradeSkincare:Time waitsfornoone.Menintheir20’s and30’sareturningtomedical gradeskincaretopreservemore youthfulnessinlateryears.At thistime,menmayonlyneed oneproducttoachievehighly satisfactoryresults.Bylate30’s, 40’sandbeyond,thesolutionmay bebottledupintwoproductsand injectables,layingthegroundwork forasimpleroutinethatmayturn backthehandsoftime. Injectables:Agingtendstoinitially showaroundyoureyes,atthe cornersofyourmouth,inthelines betweenyoureyesandyournose, oryournoseandyourlips–thisis wherefillersandBotoxcomesin. BotoxCosmeticwillpreventand treatwrinklescausedbymuscle movement,whilefacialfillersadd volumetofillinsmilelines,noseto mouthlinesandmore. Facelift:Inlateryears,afacelift withorwithoutotheradjunctsto treatmentmaybemoreappropriate. Somemenareoptingforthemini faceliftintheearly40’stopostpone theneedformoreinvasivesurgery. Othermenprefertowaitandachieve benefitsthatturnbackthehandsof timeforuptotenyears. Itisnowonderthataesthetic proceduresformenarepopular, especiallyforbabyboomersand thosewhowanttostayaheadof aging.Now,youcanreaptherewards oflessonslearnedinpreviousyears tobenefitsfromthemanycutting edgeadvancementswithCosmetic Enhancements. Ifyouwantamoreyouthful, morerestedandmorenaturally beautifulappearance,allofwhich havepassedatestoftimeforsafety andeffectiveness,weinviteyou toconsidercosmeticprocedures. Whetherit’storemaincompetitive inadifficultjobmarket,tosharein anenhancedintimateexperience withyoursignificantother,orto boostyourself-imageforgreater confidence,aesthetictreatment formenmayberightforyouthis RL M season. F E A T U R E theabdomen,hips,andback.Men mayalsobeabletoachievearibbed sixpackappearancewithcertain liposuctiontechniques. Attn: All Men: Must Haves for Anti-Aging ReadingGlasses,BifocalLensesor aNewPrescriptionmaybeinneedto preventwrinklesifyousquintwhenyou readabook,yourphoneiPadorcomputer screen. ImprovedEcoFriendlyLightingmaybe wisetoadjustyourreadinglightandthe contrastbetweenyouriPadorcomputer screenandambientlight. JawTwistingStoppers,suchas, mouthguardsforsleepinghelppreserve youthfulnessthroughoutthejawareaand aroundthemouth.So,checkinwithyour dentist.ThisincludesClenching andGrimacingTeeth! RAD I AN T LI FE ® Thegoodnewsformenisthattoday, youcandecidewhatyouwanttobeyour anti-agingroutine.Theapproachyou takewillmostlikelygiveyoutheyouthful, vibrantappearancethatyoudesireand deserve.Inthemeantime,wehaveafew musthavesforeverymantomaintaina moreyouthfulappearance. All-spectrumormulti-spectrumSun ScreenwithanSPF-30ratingtopreserve youthfulskinandpreventskincancer.Use yearroundatalltimesandreapplyevery hourinsummerandaftersweating. PolarizedSunglassestocuttheglare andstopyoufromsquintingwhichisone ofthemanycausesofwrinkles. www.radiantlifemagazine.com 11 F E A T U R E changing the Worlds of Anti-Aging & nAturAl BeAuty… one Patient RAD I AN T LI FE ® at a time 12 Kevin o’brien President of thermiAesthetics VOLUME 6 • ISSUE 6 Today, for instance, face lifts – once being sought after by women as young as their late 30s, are now the final level of beauty care for those who have entered their sixties, and beyond. This tidal wave of change has been driven by new technologies – each of them was revolutionary in their day, but today, most of them now increasingly limited to those with severe cosmetic needs. Instead of lifts and tucks – or even liposuction for many needs – less drastic, gentler and far more effective treatments are becoming the norm. In addition, the profile of the cosmetic and aesthetic patient has changed. Where once she was 45-plus, with increasingly serious signs of personal aging, she is now both he-and-she, and they often begin in their 20s. There are now three distinct age groups where patients receive different care, each type of care specifically intended for their age group and natural anti-aging needs. From about 35 to 55 – the age range which has seen the most benefit from technological breakthroughs – superficial treatments and minimallyinvasive Botox and fillers can no longer effectively halt – let alone reverse – the apparent natural aging of the skin. Here is where technology-driven treatments to literally shrink the skin – as well as providing much longer-lasting tech alternatives to injectables and fillers – to sustain and even reverse the natural appearance of aging. Finally, for those above age 55, the needs of aging skin often call for surgical treatments to remove or tighten sagging skin suffering from an excess of laxity. But even here, both the Botox/ filler regimen and the subcutaneous skin-tightening treatments that were useful when patients were younger can still work in cooperation with the surgery to provide the maximum, natural-looking benefits for patients. While all of this is important, those new technologies allowing patients to take advantage of totally non-invasive surface-level dermatology treatments, along with minimally-invasive treatments that work right under the surface of the skin – this is where the real breakthroughs are being made. Kevin O’Brien is the President of ThermiAesthetics, a fast-emerging leader in the tech-driven fields of skin tightening, technology-based alternatives to Botox, and even to previously-impossible surface-only skin tightening in delicate areas, such as around the eyes. His company’s technology is all based around the use of focused radio frequency energy to literally place a carefully metered level of heat to a precise location, where that heat can do the most good. “Our peer-reviewed, FDA-approved technology does one of three things,” O’Brien explained. “Our most popular treatment, ThermiTight™, actually tightens the skin tissue while literally melting fat cells. It is used primarily in the lower face, the neck, the arms and other problem areas. It can replace liposuction – but more important, it can tighten skin and remove fat in areas never “open” to liposuction treatments. “Our second procedure, ThermiRase™,” he said, “is a peer-reviewed microinjectable way of putting just the right amount of therapeutic heat on selected nerves to accomplish what Botox achieves – but our treatments last for years, not months, as they take away frown lines, restoring a peaceful and more youthful look. “Our final procedures, ThermiSmooth™, O’Brien pointed out, “uses the topical, totally non-invasive application of gentle heat to treat fine lines and wrinkles, RAD I AN T LI FE ® The youngest are in their 20s, up to age 35, and their care is primarily on the surface, though they will also receive Botox or other neuro-modulators, along with fillers to reshape the flow of the skin to retain a more naturally youthful appearance. Microdermabrasion, chemical peels, laser skin treatments and a host of other tech-driven care also serves the needs of those in their 20s and early 30s. F E A T U R E The past 25 years have seen dramatic changes in the way aesthetic beauty care is created. Severe, irreversible and invasive surgical treatments are no longer the first choice for those just starting to show the effects of natural aging. www.radiantlifemagazine.com 13 F E A T U R E often around the eyes. It removes circles and other aging lines with a procedure that patients say “feels like a warm, moist massage that I wish would never end.” But end it does, and when it does, the patient looks naturally younger, more well-rested and even happier than prior to the treatment.” The ThermiAesthetics technology is built around three primary tools. First, there’s the heat applicator, a wand-like radio frequency (RF) device that actually places the heat on or just under the skin, allowing doctors to literally sculpt the tissues being treated. Next is a sophisticated infrared video camera that, linked to a large flat screen monitor, allows the doctor to see the skin’s exact temperature in real time, guiding his every move. Finally Thermi provides doctors with a specially-developed computer to help regulate the heat, second by second, centimeter by centimeter, as the doctor provides pinpoint treatment that shrinks skin, paralyzes “wrinklecausing” nerves and softens and relaxes the tissues around the eyes. “We have not only created this technology,” O’Brien explained. “We created a Clinical Advisory Council of advanced physicians – men and women who have the soul of researchers, every bit as much as they are committed patient-care therapists. These remarkable physicians have helped us to develop medically-sound treatment protocols, as well as helping new-toour-technology physicians transition quickly into skilled Thermi professionals. These new physicians often become active members of our Council as well, adding their own patient care ideas and innovations to the cause of helping all of our physicians meet all of their patients needs. “We, and all of our physicians, are driven by what physicians call the “holy grail” of aesthetic medical care – the three things that every patient looks for … and hopes for. Measurable effectiveness, seen almost immediately, Little or no down-time, and, No pain!” RAD I AN T LI FE ® “Following guidelines established by our Clinical Advisory Council,” O’Brien said, “physicians can insure that their patient treatments are painless. Based on our refined technology, there is little or no down time, even for the most intensive treatments. Finally, because of how RF treatments work, results are seen almost immediately, and they stay visible for at least a year, and often much longer. In addition, repeat treatments have been proven to not only make their effect known more quickly, but to last longer.” 14 VOLUME 6 • ISSUE 6 F E A T U R E before After 4 months Douglas key, MD before After 6 months brian kinney, MD before After 2 treAtments before After 12 WeeKs deniS BrAnSon, Md www.radiantlifemagazine.com RAD I AN T LI FE ® Jeffrey CAruth, Md 15 F E A T U R E Putting Your Cheer On With a Face Lift Afterafacelift,yourdriver’slicensemaystateyourageas 37,42,55,or62,butmanystillpicturethemselvesintheir 20s.Someplasticsurgeryproceduresofferdramatic,long lastingresultswhichhavebeenknowntopayotherlife enhancingdividends.Afaceliftisonesuchprocedure. RAD I AN T LI FE ® >> 16 VOLUME 6 • ISSUE 6 The results of the mid face lift can last for 10 or more years and are highly complementary Eyelid surgery is designed to lend a well-rested, more youthful appearance forafewmonths,revealingenhanced eyes.Typically,resultsproduce doublethicknessandfullnessforyour eyelashes,aswellas,asignificant increaseinlengthanddarkness.It’s pricedtosellaswell.So,itmakesa worthwhilesolutionfor mostanyone. •Fordeepforehead >> www.radiantlifemagazine.com RAD I AN T LI FE ® excesswillbetrimmed.Ifmore youthfulcontouringtoyourfaceis necessary,yourdeepertissuesmay berepositioned.Asmallincision underyourchinmaybemadeto treataturkeywaddle.Forlessskin removalrequirements,alessinvasive endoscopicliftmaybeperformed throughinconspicuousincisions. Formorepronouncedsagginginthe cheekarea,amid-faceliftmaybe performedthroughaneyelidincision orothersinasuperiorlocationfor accesstothetreatmentarea. Somewomenandmenelectto haveadditionalfacialprocedures performedinconjunctionwithaface liftorfaceneckliftcombination, including: •Forfinelinesandwrinklesaround youreyes,brows,orforeheadcheck outBotox®Cosmeticforimmediate significantresultsatasensibleprice. Followingafewquickinjections,you canbegintoseeresultsthatbuild overaweek’stime.Thisisbecause Botoxreleasesthecontractionsthat causemanylinesincrow’sfeet,for example.Everlastingresultstoset offyourfeaturescanbeachievedby continuingwithtreatmentseverythree tofourmonths.Alternativelyoras anadjunct,considerThermiRase™,a micro-invasiveprocedurethatapplies radiofrequencyenergytoselected nervestoreleasecontractionscausing frownlinesbetweenthebrowsandon theforehead.Longevityisexpected tobemorethanayearforthevast majority,basedonstudyresults.The resultsareimmediate. •Formildtomoderatelines, investigateThermiSmooth™which stimulatesfibroblaststoproducenew collagenoveraperiodoftimewhich smoothesoutlinesintheliptonose areaandsmilelinearea,aswellas, dramaticallydiminishesuppereyelid sagging. •Formoresignificanteyelid rejuvenation,eyelidsurgeryis designedtolendawell-rested,more youthfulappearance.Theprocedure maytrulyaccentyoureyestocreate balanceandharmonyforyourother facialfeatures.Whiletherecoverymay beuptotwoweeks,thevastmajority donotmindbecausetheresultslast tenyearsormore.Foreverlasting results,youmayrequireatouchup. Ofcourse,big,brighteyesandlong, thickeyelashesarehighlydesirable amongwomenandmen.Oneofthe simplestmeanstoaccentuateyour eyesiswithLatisse ®.Latisse ®is filledwithabimatoprostophthalmic solutionthatcanbeappliedtothe uppereyelashesdaily F E A T U R E T hecountdownison.Itcouldbe justweeksuntilyournextdate, adventure,jobormilestoneof anyothertype.Therearemanygreat timestolookforwardtowithprecious lovedonesandfriends,especially afterafacelift.It’salsoagreattime tomeetnewpeoplefornetworking ormorerelationships.Andofcourse, it’sanewbeginningafterafacelift becauseyou’veturnedbackthehands oftime.Finally,it’sagreattimeof yearforafacelifttohelpyouputyour bestfaceforwardanyoletime. Ifyouareinterestedinafacelift, youcanbeassuredthatthegoal willbetosmoothlooseskinonyour faceandneck,tightenunderlying tissue,andremoveexcessfatthrough incisionsthatarehiddenasmuch aspossible.Ifnecessary,aturkey waddleappearanceontheneckmay beimproved. Oneofthebiggestadvantagesin havingafacelifttodayisrecovery timeforthevastmajority.Many womenandmenqualifyforless invasivefacelifttechniquestobenefit fromasmootherrecoverytimeframe andashorterone.Thesetechniques areknowntohelppreventlatestage agingandpostponemoreinvasive surgery,whileprovidingsubtle,short termresultsfollowinga5to10day recoveryperiodonaverage.There isthemidfacelifttotreatthearea fromthelowereyelidtotheupperlip andcheekforpeopleinthemoderate agingphasewhichmayrequireupto 14daysrecovery.Theresultsofthe midfaceliftcanlastfor10ormore yearsandarehighlycomplementary. Thereisalsothefaceliftnecklift combinationwhichoffersthemost dramaticenhancementtodiminish facialsaggingandwrinkles.This procedure,too,canrequireupto14 daysrecovery,butresultscanlast tentofifteenyearsforarenewednew look. Duringtheprocedure,yourfacial skinwillbeseparatedfromyour underlyingtissueandthe 17 F E A T U R E lines and hooded eyebrows,theForeheadLiftrefines yourforeheadbyliftingyourforehead todiminishwrinklesandhooded eyebrows.Recoveryfortheforeheadlift isaweektotendays,buttheresults offeradramaticchangethatlasts fortenormoreyears.Some peoplecombinetheforehead liftwithinjectablesforlater stageaging. •Fornasal imperfections,nose surgeryisapopular facialplasticsurgery procedure.Nose surgeryartisticallyand scientificallybringsbalance andharmonytoyourface, whileimprovingbreathingwhen necessary.Withtheadvantage ofaweek’srecoverythroughthe surgicalapproach,manycaneasily fitnosesurgeryintotheircalendar. Alternatively,nosereshapingmaybe performedwiththeuseoffacialfillers inselectminorcaseswhichallowsfor immediateresultsandnodowntime. •Forprotrudingears,earsurgery, alsoknownasotoplasty,accentsyour earsinabeautifulwaytocompliment yourfacialfeaturesandaddbalance andharmonytoyourface.Thegood newsisthatrecoveryisnottypically longerthanaweek,soyoucanbe readyformostanygalawithalittle planning. Selectplasticsurgeonsarehighly skilledinfacelifttechniquestoidentify thebestapproachforyourfacelift. Whenyourplasticsurgeondesignsa facelift,heorshebringsoutyourmore youthfulfeatures,whiledownplaying youragingsigns.Thisseason,consult withaplasticsurgeon!Afaceliftmay bethebestgiftyoucangiveyourself andlovedones.Thebestpartofaface liftisthattheprocedurecanturnback thehandsoftime.Theideaofmore youthfulnessiswelcominganytimeof year.RL M RAD I AN T LI FE ® Facial Reconstructive Surgery Being Reshaped? 18 Facialreconstructivesurgery maybeoneofthemostdifficult typesofsurgerytoperform.The bones,sinuses,tissuesandother componentsofthemidfacearevery delicateandpronetoinfectionwhen comparedtootherareasofthebody. Thereisalsorepeatedmovements ofthemidfacearea,makingitmore pronetowearandtear,breathing orswallowingdifficulty.Facelift techniquesmustbehighlyrefined toprovideanoptimaloutcomefor peopleinterestedinafacelift. Somepeopleinterestedinfacial reconstructivesurgerymaybepresented withtheoptionofcustommadebone implants,capableofoptimizingshape,fit andfunctionforpeopleinneedoffacial reconstructivesurgery. Traditionally,patientsinneed offacialreconstructivesurgery VOLUME 6 • ISSUE 6 requireboneharvestingfromanother areaofthebody.Yet,TheUniversity ofIllinoisandtheOhioState UniversityMedical Centerfindpromise inartificialbone replacements announced intheJuly editionofthe Proceedings oftheNational Academy ofSciences, usinganapplied engineeringdesign techniquecalledtopology optimization.Currentlythereare cheekimplantsthatmaybeusedas anadjuncttotreatmentintheface liftprocedure.Yet,thesenewbone replacementsappeartomeetthe uniqueneedsforthemidface. First,researchersutilized3-d modelingtodesignthe appropriatestructuresfor requirementsofspace, holesandmaterial. Theapproach integrates framework conceptsfrom medicine, mathematics, mechanics,and computations.These bonereplacements offerflexibilityrequiredfor themidface. Thefindingsrepresentapathway forimprovedtissueengineering methodstoultimatelydevelopliving bonereplacementsthatmaysomeday bemainstream. Wait Until You See What’s In Store! T womenwhohadweightlosssurgery thatareinterestedintheTummyTuck today.Inessence,aTummyTuckmay beappropriateforawomanwhohas lostexcessiveweightandhasexcess skin,thosewithmedicalconditions, suchasarashduetoaprotrusionof theabdomen;andthosewithalower abdominalpouch,suchasaMom. Thereareavarietyofreasonsthat maymakeaTummyTucktheright choice.Fromthestart,itisimportant toidentifywhatisyourhealthygoal weight.Ideally,manyplasticsurgeons recommendthatthetimetogetserious aboutaTummyTuckiswhenyou arewithin25%ofyourgoalweight. Imaginehowmuchyourtummy candeflatebylosing5lbs.,the equivalentofa5lb.bagofsugar. Then,thinkabout10lbs.Losing weightcanmakeabigdifference formanywomen.Plasticsurgeons extendconsultationstowomen withbigroundtummies;bigpouch tummiesthathangoverthebelt; pearshapedtummies;andbanana shapedtummiesafterthebirthof twins.Allofwhichmaybeaided.So,we checkedinwithsomeofthenation’s leadingplasticsurgeonstolearnabout thelatestinTummyTuck Variationsandalternatives toserveourreaders. >> www.radiantlifemagazine.com RAD I AN T LI FE ® ummyTuckvariationsmaymean differentthingstodifferent people.Therightchoicefor theabdomenishighlyindividualized. Duringconsultationwithyourplastic surgeon,heorshemustdistinguish betweenlaxmuscles,superficial fatdepositsandtheextentthereof, andinnerabdominalfatsurrounding intestinalcontentandstoragethatis notsurgicallyremovable.Manymothers from35to45whomayhavechildren almostgrowndecideonaTummy Tuckandoftenabreastenhancement procedure,whichmaybereferredto asaMommyMakeover.Thereisalso asignificantincreasingnumberof F E A T U R E TummyTuckVariations: 19 F E A T U R E RAD I AN T LI FE ® When Is A Tummy Tuck The Right Choice? 20 Abdominalcontouringcanbe accomplishedasanon-invasive, minimallyinvasive,oropensurgical procedure.Thedecisionwhichtohave(or whichcombinationtohave)willdepend onfactors,suchas,recoverytime,cost, and,ofcourse,thegoalsofthewoman interestedintheprocedure.ATummy Tuckisdesignedtotreattheappearance ofaprotrudingabdomenduetolax muscles,suchas,followingchildbirthor excessweightloss.Theprocedurewill alsotreatsaggyskin.It’simportantfor womentounderstandthatthetummy (abdomen)iscomprisedof4components thatcontributetoappearance.Theskin layeristhemostsuperficial,followed bysubcutaneousfat,thenthemuscle (abdominal)wall,andfinallythevisceral fatsurroundingtheabdominalorgans. Plasticsurgerycanaddressthefirst threecomponentsbutthevisceralfat mustbeaddressedwithpropernutrition andexercise.Iftheproblemissimply toomuchfatbetweentheskinandthe abdominalwall,thenLiposuctionandor oneofthenon-invasivebodycontouring VOLUME 6 • ISSUE 6 modalitiessuchasCoolSculptingmay beindicated.Ifthereislaxityinthe skinaboveandbelowtheumbilicus withorwithoutexcessivefatandthe abdominalwall(coremuscles)needto betightened,afullabdominoplastyis required.Mostpatientsunderstandthat afullabdominoplastywillremoveexcess skinandfat,butsomearesurprised tolearnthattheircoremuscleswillbe tightened.Thislatteraspectimproves posture,sometimescanalleviateback discomfort,andalwaysimprovesthe abilitytoexercise. Therehavebeencommon misconceptionsaboutthedecisionfor tummytuckorliposuction.Insome cases,peoplebelievethatliposuctionis therightanswer,buttheymaybebetter candidatesfortummytuck.Conversely, liposuctionmaybetherightchoiceoran adjuncttotheprocedure.Oftentimes, thefinalresultfromatummytuckmay beoptimizedwithliposuctioninthe surroundingareas,suchasthehips, back,andotherareasofthebody.There arealsoothernewerchoices.Checkout theoptionsfortheabdomen! •Liposuction,alessinvasivefat reductionprocedure,permanently removessuperficialadiposefatdeposits. Therearecaseswherebyliposuction alonemaybetherightchoice,ifexcess fatorcontouringistheonlyissue. •CoolSculpting,ultrasoniccool therapy,isevenlessinvasiveforvery smallfatdepositsorbulges.This involvesfreezingthefatwithatargeted coolingprocessthatdestroysthefat cellsunderneaththeskintohaveit naturallydissolveinthebody. •SkinOnlyAbdominoplastymaybe therightsolutionifyouareinterested inremovingexcessskinfollowinga pregnancy. •SmartlipoandSmartlipoTriplexforfat reductionandupto20%skintightening inallareasofthefaceandbody,except theankles. •CellulazeusesSmartlipoTriplex technologytodiminishcelluliteonthe abdomen,waist,back,hips,buttocks, innerthighs,outerthighs,andother areas. What Types of Variations Are Available? Inshort,aTummyTuckisperformedto plicatethemuscles,tighteningthem torestoreaflattenedtummy.The DrainlessApproach:Thisapproachuses progressivetensionsuturesandisalso agoodtechnique,buthaslimitationsin termsoftheamountoflooseskinthat canbecorrected,whichis½to1inchof extraskinwhencomparedtoanamazing resultforthoseinthiscategorywhohave thetraditionalTummyTuckinstead.In addition,thegoalmaybetoforgoa drainandmostofthetimedrainscanbe avoided,butthedownsideofadrain,if necessary,isreallynotabigdealsince womenarehidinginrecoveryduringthis timeperiodandthelidocaineinthedrain isverycomforting. TummyTuckwithAbdominalEtching: Manywomenhavemorelooseskinthan anythingandtheydohaveresultsfrom theirworkoutshiddenundertheirskin. So,selectplasticsurgeonscanetchout someoftheirnaturalcontoursandthey canshowofftheresultsoftheirwork outs,resultinginsixpackabswhile performingtheTummyTuck. EndoscopicAbdominoplasty:Rarely, ifthereisminimalskinand/orfat redundancyandtheproblemisjust stretchingorlaxityofthecoremuscles frompregnancyorweightfluctuation, theproceduremaybeperformedwith anendoscopewhichrequiresaslightly smallerincision. What about Combining Procedures? Liposuctionmaybeperformedtogether withtheTummyTuck,butthisrequires carefulpatientselectionbecause performingprocedurestogether mayincreaserisksunnecessarily. Stagingtheproceduresbyperforming Liposuctioneitherbeforeoraftera TummyTuckmaybebestincertain circumstancesandshouldbediscussed withyourplasticsurgeon.Agood numberofplasticsurgeonssafely combineLiposuctionwiththeTummy Tuckprocedure;notonlyforthetummy, butforthemid-sectionaswell.This mayincludethehips,flanksand outerthighsforoverallimprovedbody contours.InFlorida,likeseveralother states,only1literofliposuctionedfat mayberemovedinanofficebased facility.Thismaybeaconsideration forsomewomenwhorequireremoval ofmorefatforbetterresults;requiring theprocedurebeperformedina hospitalwithsuchstateregulations. LargevolumeLiposuctionisconsidered 4litersoffatormore.Inthiscase, theLiposuctionproceduremaybe performedasafirststageprocedure withtheTummyTuckbeingperformed inoverthreemonths’timeasasecond stageprocedure. Ifawomanishavingahealthrelated procedureinvolvingtheabdomen, suchastuballigationorhysterectomy, thisusuallymakesaterrifictimeto havetheTummyTuck.First,itturnsa negativeexperienceintoapositiveone. Inaddition,bydoingbothprocedures simultaneously,youcansavemoney andbenefitfromonerecovery.Itisnot uncommonforgynecologiststoworkin conjunctionwithplasticsurgeons. RLM www.radiantlifemagazine.com RAD I AN T LI FE ® AvelarAbdominoplastyorLipoTummy Tuck:AvelarAbdominoplastyisaterm thathasbeencoinedafteraplastic surgeonnamedAvelar.Itisanewer lessinvasiveTummyTucktechnique. Theproceduremaybeperformed asleeporAWAKE,dependingupon preferenceandinthehandsofagifted plasticsurgeon.Thebestpartisthat womendonotexperiencepainduring theprocedurewhenawakeandthe recoveryinvolvestheadministration ofPercocetforthefirst48hours; thenoneadayforuptothreedays. WomenwhohavetheAvelarTummy Tuckmaybehouseboundfortwodays, butwhencomparedtoaFullTummy Tuckinvolvingapproximately10days beforereturntowork,theAvelaris advantageousfortherightcandidate. Inessence,thetechniquecombines liposuctionandthetummytuck,while allowingforpreservationofthecore bloodsupplytonourishtheskinvs.the traditionaltummytuckthatonlyallows forarandomizedbloodsupplywhich increasestheriskofwoundbreakdown andpoorhealing.Thisisatremendous improvementintermsofreducingrisks, enhancingrecoveryandimproving recoverytime.Withtheadvantagesof theAvelarAbdominoplasty,therecovery issimilartoliposuctionalone.Women aretypicallywalkingthenextdaywhich reducesbloodclotrisks,thetissueis morenaturalorlessfirm,anddrainsdo nottypicallyremaininplacefornearly aslong,ifatallnecessary.Fortheright candidate,itisawonderfulalternative. MiniTummyTuck:TheMiniTummy Tuckisdesignedtotreattheareafrom thenaveltothepubiclinewhereasthe traditionalTummyTuckfocusesonthe areathatextendsfromtheribcage down.WomeninterestedinaTummy Tuckneedtobeawarethatthereare limitationstoaMiniTummyTuck.Itis importanttonotethatthelongerthe scar,thebettertheresult.Inthisway, atraditionalTummyTuckisoftenthe wiserchoiceformanywomen.TheMini TummyTuckoftenworkswellsandis verycommoninwomenwithaC-section orhysterectomyscartohaveexcess lowerabdominalskinandfatwhichcan beeasilytakencareofwiththis“mini” procedure. F E A T U R E TummyTuck,justlikeallplasticsurgery operations,isnotacookiecutter procedure.Theapproachandprocedure shouldbehighlyindividualizedtoprovide thebestoutcomewithhighestdegree ofsafety.Someofthemostpopular variationsforthetraditionalTummyTuck includethefollowing: 21 F E A T U R E GetWiseaboutFacialAnti-Aging Withmillionsofpeople tuningintoanti-agingforthe face,we’vetunedintotrendingin anti-agingtocheckthepulseon Americanfaces.There’salways somethingnewandinnovative happeninginanti-agingforthe face.Supportingahealthydiet andexerciseroutinewiththe followingadvancedapproaches hasbeenthelatestoverall trend.First,notethatthereare threewaysinwhichafaceages, including:1)skindamagefrom thesunandsmoking;2)volume loss;3)andsagging.Now,it’s timetogetwiseaboutFacial Anti-Aging. RAD I AN T LI FE ® >> 22 VOLUME 6 • ISSUE 6 F E A T U R E The Time to Start Is Now Today,weknowthatmostoftheaging weseeistheresultoflifelongsun exposure.Sincetheeffectsofsun exposurebecomeevidentinadulthood, medicalgradesunprotectionis advisedforallagesatalltimesofyear. Topicaltreatmentisveryimportant atanyadultage,includingthe20’s and30’s.Thisincludestheuseof anti-oxidantsandvitamins,suchas vitaminA,vitaminCandvitaminE. Selectgrowthhormonesforcollagen productiontopromotelongevityinskin firmnessarebeneficialaswell. Forprevention,cosmeceuticalswith growthfactorstostimulatecollagen andnewskingrowthareonthe forefront.Micro-needlingtechniques maybebeneficial,too.Thesecond phaseforthosewhoareyoungeroften includesPeels,Retin-AorRetinol’s andtheuseofaninjectable,suchas, BotoxCosmetic®,DysportorXeomin, totonedownmuscularmovementand preventwrinklesaroundtheeyes,on wonderfulchoices. •Forfacialsagging,thereareless invasivefacelifttechniquesusedbya selectnumberofplasticsurgeonsthat contributetolessdiscomfortandfaster healing. •Forthosewhodonotwishtohave facialsurgeryorforlesssagging, Althuraultrasoundtherapyor ThermiTight™usingaradio-frequency probeofferthemajorityaone-time sessioncommitment;afewmonthsfor resultstobuild;andresultsthatlast oneandahalftotwoyears.Thebest partisthatthesetreatmentsproduce resultsyoucanreallysee. •Forvolumelossoraliquidface liftapproach,thereareinjectables thatmaydooneofthreethings:1) fillupskinfolds;2)propuptissues; and3)thosethatstimulatecollagen production.Theyallhavepassedthe testoftime.What’sexcitingnowis FDAapprovedJUVEDERMVOLUMAXC, whichisbothfillerandre-volumizerthat lastsforatleasttwoyears.Theresults areimmediateandbeautifulforthe cheekandlowereyelids. Ofcourse,therightplanis individualized,butthereareseveral treatmentsweknowworkwellto supportaproperdietandexercise forskinhealth.So,visitanaesthetic professionaltodaytoachievean enhancedappearancetomorrow andallowpreservationofmore youthfulnessintheyearstofollow. RLM www.radiantlifemagazine.com RAD I AN T LI FE ® theforeheadandbetweenthebrows. Forpreventionandagingsigns,anIPL lasertreatmentisjustlikegoingtoyour dentisttopreventcavitiesandobtain whiterteethformany.Onceortwicea year,anIPLlasertonesdownredness, bloodvesselissues,andgetsridof pigmentationproblems.Bythenext day,anyrednessyoumayexperience fromtreatmentisgone.TheIPLisa greatfacialexercise.Asoneages,he orshemaybeinterestedinboththe IPLandResurFXlaser(latestnonablativefractionatedlaser)tostimulate collagenproductionwithoutdamage totheskin.Inthiscase,twiceayearis usuallysatisfactory.Infact,somany peoplehavestayedinsuchgreatshape overtimethatmanyhavetendedto losefatintheirfacewhichcontributes toskinfoldsandsmilelines.Whenin need,facialfillersworkwellforskin foldsand/orJUVÉDERMVOLUMA™ XCtobuildmid-facevolume.The ThermiRF™radiofrequencydevicealso offersadramaticdifferenceforupper eyelid,faceandnecktightening.While radiofrequencytreatmentisnotnew –itsapplicationasanon-invasiveand minimallyinvasivewaytorejuvenate andtightenskinisveryexciting. Theearlieryoucommenceafacial anti-agingroutine,thebetterthe results.Bystartingwiththenoninvasiveandmovingtotheminimally invasivewhennecessary,youaremore likelytoultimatelyobtainthebest possiblesurgicalresult.Togetabit morespecific,checkoutbelow. •Forskindamageandblotchiness, Fraxelpeelstodaydonotmake downtimeanissueandgivegood results. •Forfullnessandtexture,thinkabout theSculptrainjectable. •Forcollagenbuilding,checkintothe Radiesse®facialfiller. •Forbiostimulatoryagents,Voluma, Juvederm,RestylaneandBoleteroare 23 F E A T U R E PlasticSurgery Plastic fortheLittleFacialStuff? Withabit With bitof ofplanning planningand andatad tadof ofrecovery recoverytime, time,you youcan canbe beready readyfor forfun funwith withan anenhancement enhancementthat thatwill willlast last foryears for yearsto tocome. come.There’s There’sagreat greatopportunity opportunityfor foryou youto todo dosomething somethingspecial specialfor foryourself. yourself.If Ifyou youcan canjust justtake take alittle littletime timeto tobreak breakaway awayfrom fromyour yourdaily dailyactivities, activities,it itis islikely likelythat thatthe thePlastic PlasticSurgery Surgeryfor forthe theLittle LittleFacial FacialStuff Stuff willrejuvenate will rejuvenateyour yourconfidence confidencefor forthe therest restof ofmany manydays daysto tofollow. follow.Of Ofcourse, course,it itmay mayseem seemdifficult difficultto toprioritize, prioritize, butknowing but knowingthat thatyou’ll you’lllikely likelybe beable ableto tohave haveall allprocedures proceduresat atthe thesame sametime, time,it itmight mightcertainly certainlybe bejustified justifiedto to spoilyourself spoil yourselfwith withabit bitof ofaMakeover. Makeover.Who Whoknows? knows?You Youmay maybe beone oneof ofthose thosewho whoexperiences experiencesrenewed renewedenergy, energy, enhancedself-confidence enhanced self-confidenceand andamotivating motivatingself-image self-imagefollowing followingsuch suchan anindulgenceindulgence-all allgreat greatassets assetsto tohave havefor for mostanyone. most anyone.Consider Considerthe thefollowing. RAD I AN T LI FE ® Your Eyes and Lids Have It! 24 Ithasbeensaidthattheeyesarethe gatewaytothesoul.Unfortunately, gettingoldandwiseroftenmeansthat youreyesalsotendtolieaboutyour realage,orevenwhatyoufeelorthink aboutyourself.Noonewantstolook olderthanhe/sheactuallyis. TheThermiRF™isanewinnovative radiofrequencydeviceoffersa dramaticdifferenceforuppereyelids withfatdepositsorlooseskin.While radiofrequencytreatmentisnotnew– thisapplicationisaminimallyinvasive waytorejuvenateandtightenskin isveryexciting.Eyelidsurgery,also calledblepharoplastyoraneyelift,is anincreasinglypopularprocedureto dealwithexcessfat,skin,ormuscle; revitalizingyouruppereyelids(for thosewhoarenotcandidatesfor ThermiRF™)andlowereyelidsfor VOLUME 6 • ISSUE 6 amoreyouthfulappearance.Bags begone!Goodbye,droopyeyes! Appearancecanbeenhancedgreatly throughthiscosmeticprocedure. Ofcourse,somepeopleareborn withordevelop“ptosis”(drooping eyelid)fromnervedamage,injury, orgenetics.Somecasesofptosis aresopronouncedthattheyimpair aperson’svision.Blepharoplasty correctsdroopingeyelids.Itdoesn’t addresswrinklesordroopingeyebrows, however.Butdon’tworry,there’shope forthoseissues,too.Browliftsand faceliftsaresometimesperformedin conjunctionwitheyelidsurgerytogive apatientawell-roundedyounger,more vitallook. Eyelidsurgeryhascomeintovogue asthebabyboompopulacehasaged. Astheodometeroflifeclimbshigher, peoplebegintoobserveexcess,saggy skinaroundtheeyes,makingthat facialareaappearold,tired,puffy,and wrinkled.Lotions,creamsandmake-up canonlydosomuchinthecover-up andrejuvenationprocess.That’swhy “goingundertheknife”ofaqualified, skilled,compassionateplasticsurgeon caneraseyears,evenadecade,from theheadquartersofafirstimpression— yourface! Eachcaseisdifferent.So,your plasticsurgeonwillfullyexplainhow heorshewilltackleyourtreatmentfor optimalresults.Surgerytimecouldbe aslittleasonehourtothreehours,and itisperformedonanoutpatientbasis. Mostpatientsreportresumingnormal activitieswithinafewdaysto10days, dependingupontheapproach.People willnoticehowmuchyoungeryou appear—eveniftheycannotputafinger onwhathaschangedwithyou! Ourfacesareknowntobeourfirst impressions.ThermiRase™isamicroinvasiveprocedurethatappliesradio frequencyenergytoselectednerves toreleasecontractionscausingfrown linesbetweenthebrowsandonthe forehead.It’sawonderfulalternative toneurotoxinswithlongevityofmore thanayearfornearly80%ofrecent studyparticipants.Theresultsare immediate. ThermiTight™forSkinTightening usesanovelradiofrequencytreatment devicetotightenlooseskinandtreat smallfatdepositsonthefaceand underthechin.Theresultsbuild overtime.So,acombinationmay berequiredtotreatdifferenttypes ofagingsignsforanaturallymore youthfullook.Solongtothetired, aged,angeredlook.It’sbeentoutedto beagreatminimaldowntime,nonsurgicalfacelift!Inwithhappinessfor yourfacialappearance! F E A T U R E A Happy Appearance First Impression is the Ticket Hairandhatsmaycoverup abnormal-lookingears,butit’snota realsolution.However,thereisaway tosubtlyordramaticallychangethose protrusionsfromthesidesofyour head—otoplasty.Otoplasyisthefancy wordforearplasticsurgeryforadults, teens,andchildrenage4andover. Whygothroughlifebeingsubjectto awkwardlooksorsnickerswhenhelp isavailable? surgeonwillremoveexcesscartilage orskin,andreshapetheearforthe desiredresults.Forpinningbackears intoapositioninwhichtheyarenot stickingoutnoticeably,theplastic surgeonmayusepermanentsutures. Again,everycaseisdifferent,andyour plasticsurgeonwillbehappytotake youthroughtheotoplastyprocedure step-by-stepsoyouknowwhatto expectbothonthetable,inrecovery, andduringthehealingprocessat home.Afterthefact,patientsreport greatsatisfactionwithphysically, mentallyandemotionally,andthey oftenexpressthattheywishtheyhad haditdonemanyyearsbefore. No Need for Smile and Lip Lines No More Dumbo Ears Noses are the Centerpiece Nosereshapingisalsoprovingpopular today.Ifyouhavebeenbotheredbythe appearanceofyournose,youarenot alone.Forexample,inlieuoffull-on www.radiantlifemagazine.com RAD I AN T LI FE ® Whenwefirstlookinthemirror,we oftentendtonoticetheimperfections. Earsthataretoolarge,toosmall, misshapen,pointyordeformed insomewaymayimpacthowwe feelaboutourselves.Manyofyou rememberbeingcalled“Dumbo”or “Spock”inschool,andthosewords maystillsting. Naturally,eachperson’searissues areunique,andyourplasticsurgeon willtreatyourcasewithbothsensitivity andskill.Aninitialconsultation considersyourappearance,goals, medicalhistory,andgeneralhealth. Manyearprocedurestaketwohoursor lessandareaccomplishedunderlocal orgeneralanesthesia.Yourplastic FacialfillerslikeJuvederm®build volumeinthetreatmentareatofillin areasofvolumeloss,suchas,smile lines.ThermiSmooth™stimulates fibroblaststoproducenewcollagen overaperiodoftimewhichsmoothes outlinesintheliptonoseareaand smilelinearea. 25 F E A T U R E RAD I AN T LI FE ® 26 rhinoplasty,manymenarebalancing theirnaturallybignoseswithchin implants(whichhaverecentlygrown inpopularityby71percent,according totheAmericanSocietyofPlastic Surgeons)oroptingtohavetheirnoses smaller. Typically,adultswhohavenose surgerydonotseekouttheprocedure forpurecosmeticreasons.Moreoften thannot,peopleinterestedinnose surgerydesiretoimprovetheappearance ofanimperfectionand/ordifficulty breathing.Ithasbeendocumentedthat peopleinterestedinnosesurgerymay belesslikelytohaveotherformsof plasticsurgerywhencomparedtothe estimated34%thattypicallyreturntoa plasticsurgeon’sofficeforanadditional procedurelateron. Today’stechniquesfornose surgeryarehighlyindividualized,given considerationsnecessaryeverysize andshapeforeachperson’sunique facialfeatures.Today’sapproaches considerthegenuinecharacteristicsof thenose.Thegoalinnosesurgeryisto accommodateforthedesiredheight, widthandprojectionofthenosein relationtothesizeandshapeofeach featureontheface.Nosesurgerymay indeedenhanceinadequatenasal featuresorreducetheappearanceof protrudingfacialfeatures.Thefrontal viewofthenosemaybereframed VOLUME 6 • ISSUE 6 tobringbalanceandharmonyfor nosestraightness,appropriatewidth, suitablenostrilsize,andanosetipsize thatisappropriate.Theskislopeor nosehumpfromthesidesandfront maybeenhancedtoaccommodate formostanyimperfections.Asafocal featureofyourface,yournosemay attractattention.Withrefinement,your nosemayattracttherightattention. Chin Implant Indeed,moreandmoremenin particularareoptingforthechin implantstocreatemoredefinition inthefeatureofyourfacethathas beenknowntoreflectcharacterand leadershipqualitiesinmen.Inaddition, aproportionalchininrelationtoother facialfeaturesisimportanttothe overallbalanceofthefacewhichisvery appealingforbothwomenandmen. Alargeorsmallchinmaycreate aproportionalimbalancewithother facialfeaturessuchastheneck,lips, noseandforehead.Achinthatistoo largeindimensioncanbereduced, andthechinthatistoosmallmay beaugmented.Thesechinsurgical proceduresareoftendoneinconcert withothercosmeticproceduresor canbeperformedalone.Itismost commonforapatienttoseekachin augmentation.Thisisaccomplished byplacinganartificialimplant,or advancingthechinbone.Thetypeof proceduredependsonthedegree ofchinrecessionandthepatient’s individualgoals.Whetheryouare interestedinchinheightreduction, chinroundingbyosteotomy,orchin augmentationusingimplants,achin implantmaybepartofyourgoalsfor enhancingyourappearancewithlong lastingresults. RL M Now,forthesolutiontopreventand treatfaciallines,wrinkles,creases andskinfolds-Injectablesand FacialFillers!Ifyouuseinjectables beforeyourwrinklesarefullyevident, you’llbelesslikelytosufferfrom dynamicwrinkles(thosecausedby movement)becauseinjectablesare neuromuscularblockersthatweaken theabilitytocausewrinkles.Many womenstartinjectabletreatment plansintheirthirtiesforthisreason. Ifyouareconcernedaboutstatic wrinklesandskinfolds,facialfillers canalleviatethesestrains.Thereare severaladvantagestoinjectablesand facialfillers,including: •Immediateresultsthatare significant. •C omfortinknowing thatinjectablesand facialfillersdo notinvolve significant downtime. Theremaybe someminor swellingor bruisingfor afewdays whichcan bemaskedby makeup. •C onservative coststhatareveryreasonable, allowingyoutoreturnformaintenance treatments. •A15minutetimeobligationthat isnotverydiscomfortingatall. The List of Possibilities group,someinGenerationXand above,Sculptura ®isbiocompatible syntheticpoly-L-lacticacidfiller thatimprovesfacial creases,hollowed cheeksandsunken eyes.Threetofive sessionsmay berequiredto achieveresults thatcanlastfor upto2yearsat $1000pervial. Cosmoplast ®and Cosmoderm®:For thoseinthemid-thirties andup,Cosmoplast ®(for slightdamage)andCosmoderm®(for deeperdamage)treatfrownlines, crow’sfeet,foreheadlines,smile lines,verticalliplines,marionette lines,lipborderandselectscars. Thesefillersarederivedfromhuman collagen.Theresultslastforupto4 monthsatacostofabout$500per syringe. Zyderm®andZyplast ®:Zyderm® andZyplast ®,derivedfrombovine (cow)collagen,treatfacialwrinkles, lipbordersandscars.Theadvantage ofthesetwofillersisthattheyoffer thequickestresultswiththeshortest downtime.Thetreatmentrequires anallergyskintest.Theresultslast threetofourmonthsandcostroughly $500persyringe. FatInjections:Forbabyboomers andbeyond,yourownfatmaybe transferredbyinjectiontofillinskin folds,improvefacialcreasesandlift sunkencheekbones.Theprocedure mayneedtoberepeatedtoprovide resultsformorethan3months’time. Bythesametoken,theresultsmay lastalifetimefor$2000to$4000 pertreatment. www.radiantlifemagazine.com RAD I AN T LI FE ® Botox®andDysport ®:Forthirtyyear oldsandup,Botox®andDysport ® significantlyreducewrinklesonthe forehead,crow’sfeet,andbetween thebrows.Theresultslastforupto sixmonthsatareasonablecostof $12-$18perunit. Volumnaisbothfillerand revolumizerthatlasts forovertwoyearsfor womenandmen withsuchneeds. Theresultsare immediateand beautifulfor thecheeksand lowereyelids. Restylane ®, Juvederm ®, Perlane ®,Hylaform®, PrevelleSilk®and Captique ®:Forwomen andmenintheirmidthirtiesand over,thesehyaluronicacidfillers softenfacialfolds.Theproducts maylastanywherefrom threetoninemonthsor more,dependingupon thefillertypeand extentofaging.For example,Juvederm Ultra®treats minortomoderate wrinkles.Juvederm UltraPlus ®allows forbothcontouring andvolumizingfor deeperfacialfoldsand wrinkles.JuvedermUltraXC ® andJuvedermUltraPlusXC ®include lidocainetoeasethediscomfortfrom theinjection.Thecostisupto$600 ormorepersyringeforalltypes. Radiesse ®:Forpeopleintheir mid-thirtiesandup,Radiesse ®is ahydroxyapatitefillerthattreats nasolabialfolds,marionettelinesand thecheeks.Radiesse ®maylastfrom onetooneandahalfyearsforthe costof$600-$800persyringe. Sculptura ®:Forthebabyboomer F E A T U R E Facial Wrinkle Prevention and Treatment 27 W E L L L I V I N G Living Well Today for ENHANCED TOMORROWS L ivingwellhasbeenagoalfor manyduringthecourseoftheir lifetime.Ateveryage,welearn aboutdifferentaspectsofhealthy living.Manystudieshavedemonstrated thebenefitsoflivingwell.Ofcourse, weallknowthebasics.Still,there’sa lotmoretoknow.Forsomepeople,it maymeanwhatyoueat,whenyoueat, andhowyoueat.Thisalsoincludesthe rightdentalregimen.Formanyothers, qualitylifeincludesexercisingthreeto fivetimesaweekwithacombination ofcardiovascularandstrengthtraining exercises.Everyonedreamsofliving alongandhealthylifeandthepathway towardsachievingthisgoalisapopular topiconeveryone’smindtoday. Today’s Diet RAD I AN T LI FE ® Itisquitesimple:adietrichin nutritiousfruitsandvegetables,with enoughproteinsandlesscalories seemstobeoneofthebestwaysto securealong&happylife.Reducing 28 VOLUME 6 • ISSUE 6 consumptionoravoidingsugar altogetherisoneofthebeststeps youcantakeforahealthieryou. Processedfoodsandmeatswhich containsaturatedfatarewisetoavoid asmuchaspossible.Oneshouldalso consumeasmanyfreshsaladsand herbsaspossible.Garlic,tomatoes, oliveoil,beans,herbs,andmoreare staplesthatseemtobesuperfoods ofthesuperhealthy.Withaglassof redwine,you’llbesetuptoexperience theanti-agingbenefitsofferedin Resveratrol.Resveratrolhealthbenefits includeareducedriskforheart disease,prostratecancer,lungcancer, liverdisease,aswellas,protection againstoxidativestressandhighblood cholesterol,anti-oxidantagentsandcell protectorsforthepreventionofdisease andanincreasedlifespan.Afterall, theoldadagegoes,youarewhat youeat!So,makeoutyourshopping listinadvancetofillitupwithfruits, vegetables,fish,wholegrains,oliveoil andthelike.Makeacommitmentto restockyourrefrigeratoratleasttwice aweek.Restaurantstaffmemberswill likelypresentsomeinventiverecipes thatarepleasingtoyourpallet,and ultimatelyyourqualityoflife.Oliveoil, freshvegetablesandfishtopthelist forhearthealthyfoods.Thisisone ofthereasonsforthelowincidence ofcoronaryheartdiseaseamong peopleinthesedemographics.The timingandportionsizeofmealsis important.Wakeupyourmetabolism withahealthybreakfasteachmorning. Considerthatportionsizenolarger thansizeofthepalmofyourhandis important. Staying Active and Relevant Maintainingafitnessroutinethattiesin linewithyourgoalsisvital.Doyouwish tomaintainyourcurrentfitnesslevel ordoyouhavemoreadvancedgoals? Onceyoudecide,it’sbesttostartand buildupslowly.It’salsoimportantto setreasonableexpectationsforyour workouts.Walking,bikingorrunning arelowimpactexercisesthatmayor maynotbeapplicabletoyourphysical abilities.Still,thereareanumberof optionstohelpyoustayinlinewith exercisegoals.Thereismoreofsocial choiceforaerobicsclasses,spinclass, waterexercise,yogaandmore.Youcan bemoreindependentwiththespan ofyourterritoryforagreatescape onabike,strengthenyourmuscles andobtainanaerobicworkoutfor fatburningorweightcontrol.In30 minutes,youcanburn230calories ifyouweigh120poundsandmore L I V I N G farmer’smarketshoppingwhere youcanfindlocallygrownorganic goodsthatarehealthierforyouwhen comparedtodepartmentstoregoods. Enjoy the Arts Theartsarespecialbecause thattakeusawayfromeverydaylife andoffertheopportunitytoelevate ourlifestyles.Infact,research demonstratesthatthemoreculture youexperience,thebetteryour health... •Promotesahealthywork-life balance. •Createsasenseofsatisfaction withlife. •Expandsyourmindandprovides learningexperiences. •Enhancescreativity. •Reducesstress,anxietyand depression. •Enhancesrecoveryfrommedical conditions. W E L L >> Sounds of Music •Shareseasonalmatingritualsby serenadingyourladyormanlove! •Fitdailymusicintoyourroutine! •Beltoutyourfavoritetunesalone! •Takepleasureinaconcert! •Unleashyourvoiceatakaraoke cluborstudio! RAD I AN T LI FE ® caloriesifyouweighmore.You’llalso noticethatyouhaveoverallbetter muscletone,relievestressandmay experiencegreaterenergylevelswhen youfitexerciseintoaregularroutine. Personaltrainersaretheultimate choiceformanytoday.Youcan maintainregularsessionstobefully accountable.Alternatively,youmay choosetofollowupwithcontinued sessionswhenyouplateauinyour goalsorneedmotivation.Manyhealth clubsofferfarmorediversityintheir programswhencomparedtoformer years.Alternatively,alazydayof windowshoppingorabusyshopping spreemaybeallthatyouneedto releasemoodliftingendorphins,boost yourimmunesystem,andhelpkeep yourbrainontopofitsgame.After all,shoppingismentallyengaging, physicallyactiveandsociallyinvolved. Offeringaheightenedsenseof happiness,shoppinghasalsobeen linkedtopromotingpositivethinking withanincreasedactivityintheleft prefrontalcortexandanincreased levelofdopamine,associatedwith sexualclimax,mayoccurbysimply browsing.Ifyouareathrifthunter, checkoutfleemarkets,antique shows,andboutiques.Regardless, don’tmissoutonaweeklyritualof Regardless,researchersatMcGill UniversityinMontrealfoundthat listeningtopleasurablemusictriggers thereleaseofdopaminewhichis knowntomakeyoufeelgood. •Withanupbeat,fasttempo, youmaybebetterequippedto concentrateandfocusondailytasks andbuildyourendurance. •Aslowertempoproducesslow alpha-frequencybrainwavesthatmay besoothingtoreleaseanxietyand stress. •Tuningintooneofyourfavorite songsisknowntohelploweryour heartrate,bloodpressure,painlevels, andimproveyourqualityoflife. WhetheryouselectClassical Music,Country,Rock,Folk,Blues, NewWave,Punk,HipHop,Jazz, Latin,Opera,Soul,Reggae,Ethnic, oranyothermasterpiece,you’ll likelyexperienceanumberofhealth benefits. www.radiantlifemagazine.com 29 W E L L L I V I N G life.Infact,accordingtoresearch, thesensationsassociatedwith movement,position,andsoundare centraltoconsciousnessandthe imaginativeeffectsofmovementmay bemotivating! Rejuvenate in a Spa Visions of Art Createyourownartwork! Prancethroughanartgallery! Enjoyamuseum! Artworkoffersinsightintoyourself, othersandrelationships.Inthisway, youmayimproveyoursocialskills andenhanceyoursociallife.Fromthe healthprospective,arttherapyhas beenknowntoreducepain,aswell as,assistinthetreatmentofmental disorders,cancer,andpost-traumatic stressdisorders.Artworkmayhelp processemotionsandmaybehealing. Artprovidesanescapethatcanbe openandfriendly! Andthechoicesareplentiful forlastingenjoyment,including: drawing,painting,sculpture,carving, modeling,assemblage,construction, architecture,printmaking,electronic media,ceramics,visualdesign, graphicdesign,collage,photography andmore. RAD I AN T LI FE ® Sights, Sounds and Movement of Dance 30 •Dancearoundthehouse! •Teamupwithothersinadance class! •Enjoyadanceperformance! Dancemayenhanceyoursound VOLUME 6 • ISSUE 6 andsightcapabilities.Ifyouare aregularactiveparticipant,you’ll noticethatyouhavegreaterflexibility, increasedmuscularstrength,more endurance,greaterfatburning capability,andanenhancementin well-being.Bothactiveandinactive participantsmayenrichtheircultural experiencesandlikely,theirqualityof Thetimeforpamperingisasoften aspossible.So,prepareforsome specialspatreatments.Generally, spasofferawiderangingmenuof treatmentsfromherbalcleanses, skintreatments,massagesandbody wraps.Instead,youcaninvestigate sparetreatsthatofferaneducational focus,suchas,exercise,nutrition, stressmanagement,weightloss,diet, chronicpainmanagement,behavioral retraining,andlifestylechanges.Inthe end,theideabehindaspadayisto positivelyinfluencephysiologicaland psychologicalchangesinyourbody, mindandsoul.Alldesignedtorelax youanddefyaging,you’llundoubtedly feelrevitalizedafteradayatthespa. Inanycase,you’lllikelybecomforted byglisteningcandles,softmusicand aromatherapy. Walking or Running for a Cause Whetherit’sforhunger, cancer,oranyothergrave need,awalkorruncan giveyouasenseof accomplishmentand offershealthbenefits. Ifyou’rewalking,focus ondistanceandburn 100caloriespermilefor a180-poundpersonand 65caloriespermilefora 120-poundperson.Ifyou’re running,runningburnstwiceas manynetcalorieswhencomparedto walking.Addtothiscardiovascular benefitandincreasedenergythat followsawalkorrun,you’llbewell onyourwaytoenhancingyouroverall L I V I N G W E L L health.Trya10or20milelooparound yourcity.Beenticedbymusicand refreshmentsalongtheway. Going to a Sporting Event Whetheryouattendasportsarenaor watchasportingeventonTV,you’ll havetheopportunitytostrengthen bondswithfriends,createnewfriends, andburnmorethan100caloriesper hour.Accordingtoa2008University ofChicagostudy,sportsfanswatching hockeyeventshadincreasedbrain activityintheareasofplanning, controllingandperforming.So,visit alocalpubforasportingevent,goto yourlocalarenaforone,orgathera groupoffriendsuptowatchasporting eventathome.Justbemindfulofyour beerintakeandgoforlightbeers.Who knows?Seeingthoseathletesmight evenbeinspiring! Escaping with a Getaway Regardlessofthelengthoftime youtakeawayfromyournormal environment,you’lllikelyexperience healthbenefits.Mostpeoplefeel happierafteraminivacation. Couplesmayexperiencegreater maritalsatisfactionfollowingmini vacationsandothersmayfindthese getawaysprovideabuildingblock forcommunication.Minivacations mayalsoimproveyourqualityof life.Takeinthefreshair,escapeby experiencingnaturalwonders,learn fromhistoricallandmarks,orcheck outwildlifepreserves.Ifyouare feelingadventurousandwanttogothe distance,checktheInternetforgreat getawaydiscounts. Visiting a Museum, Attend a Festival or go to an Expo www.radiantlifemagazine.com RAD I AN T LI FE ® Galleriesaregreattovisitanyseason. Onwarmerdays,youcangetyourart fixorfestivalfixoutdoorsforgreat healthbenefits.Museumsarespecial becausethattakeusawayfrom everydaylifeandstress.Museumsand artgalleriesarealsomindexpanding andenhancecreativity,whileproviding uswithagreatlearningexperience. Thearts,ingeneral,offerpainrelief, enhancerecoveryfrommedical conditions,relieveanxiety,loweryour riskofdepression,andcreateafeeling oflifesatisfaction.Youcanfocus onattendingexposlikeGreenExpos andHealthExpos.Youcanattend communityserviceprojectsorfun filledfestivals.Oryoucanstickwith museums!Inanycase,you’lllikely receiveanumberofhealthbenefits. RLM 31 W E L L L I V I N G AskRADIANT LIFE Q:Iheardtherearerulesforpeoplewhosmokethat areinterestedinPlasticSurgery.Canyoutellme more? —JessicaW.,Pittsburgh,PA A:Plasticsurgerywillreshapeyourlifeinmorewaysthanone usually.Plasticsurgerytreatments,suchas,facelift,browlift, foreheadliftandcorebodycontouringproceduresofferdramatic longlastingresults.Yet,therearesomefactorsthatmaynegatively impacttheresultsfromplasticsurgerytreatmentifprecautionsare nottaken.Smokingisoneofthosefactors.Nicotineinhibitsoxygen toyourcells.Inturn,thismayleadtoroughdryskinandinsome cases,skindeath.Therearealsorisksassociatedwithundergoing plasticsurgerytreatmentswhenyouareasmoker.Infact,plastic surgeonsrequirethatcandidatesforplasticsurgerytreatmentquit smokingatleasttwoweekspriortosurgeryinordertoreducethe risksrelatedtosmokingandplasticsurgerytreatment.So,itmight bewisetogetaheadstartonyourplantoquitsmoking.Afterall, therearemanyhealthbenefitsassociatedwithkickingthehabit. Afterplasticsurgery,bearinmindthatsmokingmayaffectthe results,especiallyovertime. Quittingsmokingofteninvolvesamulti-prongstrategy.Thefirst thirtydaysofwithdrawalfromnicotinearethemostdifficult.So, youmaywishtoinvestigatequitsmokingaids,suchasnicotine patches,nicotinegumorotherquitsmokingaids.Therearealso quitsmokinghotlinesthatofferameansforsupportinyourmission toquitsmoking.Themostimportantaspectofquittingsmoking isinknowingthatthereishelp.Checkinwithyourplasticsurgeon and/orphysicianforhisorherrecommendationwellinadvanceof thedateyouplantohaveplasticsurgery.Planningaheadisasafety precautionthateverysmokershouldtakeiftheyareinterested inplasticsurgery.Intheend,quittingsmokingoffersahostof RLM benefits! RAD I AN T LI FE ® Doyouhavequestionsabouttreatments,productsor [email protected] respondtoquestionsindividually,buteachissueofRadiantLife Magazinewillincludeacolumninwhichournetworkofphysicians answerthequestionswereceive. 32 VOLUME 6 • ISSUE 6 VOLUME 6 • ISSUE 5 RA DI AN T LI F E ®