Pro Advice
May 28, 2018

6 Yoga Moves that Will Make You Look Younger and Beautiful

Having beautiful, glowing, and flawless skin can be a dream for many. Luckily for you, this article will reveal some super-stretching and anti-aging yoga poses that will make you look younger and beautiful. Please note, it’s the easiest, cheapest, and natural way to get a clean, healthy, and glowing skin. 

The air pollution, fluctuating weather, hormonal imbalance, and UV rays can deeply affect your skin and make it appear dull and gloomy. Plus, as we age, our skin suffers from various problems like wrinkles, fine lines, and dark circles. All of these problems can be tackled with some specific yoga poses. These yoga moves will not only strengthen your core, but also, they’ll flush out toxins, improve blood circulation, and make you look younger and attractive. 

So, before using cosmetic creams and lotions or undergoing expensive treatments, please follow these six-simple yoga moves to look younger and beautiful.

1. Plow

This is an advanced and tricky yoga pose that stimulates internal organs, calms your mind, stretches the hamstrings and shoulders, activates the thyroid, and stretches your skin. Here are step-by-step instructions on how to perform a plow pose.

i) Rest on your back and then place your palms beside you.

ii) Deeply inhale and slowly lift off your feet until they are forming a 90-degree angle with the floor.

iii) Support your lower back and hips with the help of your hands as you’re trying to further lift off your feet.

iv) Continue to lift off your feet and rest them above your head. Now, firmly press your toes on the mat and create a space between your chest and chin. 

2. Vertical wrinkles

Vertical wrinkles make you look old, aged, and haggard. These unwanted wrinkles can negatively impact the actual appearance of your face, especially when they appear right under our eyes. To overcome them, please practice the following facial yoga poses.

i) Widen your eyes as much as you can (until your eyes become teary or watery).

ii) Next, take a deep breath through your mouth, hold it just like a bullfrog, and then release. 

3. Sphinx and child’s pose

These yoga poses can excellently improve your posture. Furthermore, they will stretch and strengthen your chest, back, and arms. The best part is — both of these two yoga poses are easy to perform.

To practice a Sphinx pose, lie on a mat (with your face down and legs together). Your hands and forearms should be pointing forward. Take a deep breath, press palms down, and gently lift your chest and head. Hold this pose for around 15 – 30 seconds.

To practice a Child’s pose, slide hands beneath your shoulders, bend your knees, & sit on your heels. Now, lower your chest down in order to keep your head and thighs towards the floor. Stretch your arms to the front. Hold this position for around 30 – 60 seconds.

4. Shoulder stands

To perform a shoulder stand, please perform six simple steps (as described below)

i) Lie on your back (on a yoga mat or directly the floor).

ii) Now, try to lift your legs towards the ceiling & then over your head (just like the plow pose).

iii) Now, place your hands on the lower back and stretch your fingers wide. 

iv) Slowly lift the legs towards the ceiling.

v) Keep your body straight as much as you can when you’re lifting your legs. Use your hands to support your back and shoulder blades. 

vi) Hold this pose for 1 – 2 minutes and then release. 

5. Fish Pose

This is another effective yoga pose that helps you look beautiful and young. For the best results, practice this yoga pose along with a vegan diet. That’s because — a vegan diet can drastically improve your overall health and fitness.

To perform a fish pose, simply lie down on the floor (on your back). Next, place your palms and hands under your bottom. 

Press your elbows on the floor and try to lift up your chest towards the ceiling. Ensure that your back is now forming an arched position. Now, gently rest your head on the floor. 

6. Reclining Angle

Sit on a mat (please ensure to bend your knees and keep your feet flat). Now, place a pillow behind your tailbone. Grab another pillow and place it on each side of your knees. 

Your head and spine should now be resting on the pillow. Stretch your arms to the sides. Close your eyes, deeply breathe for a minute, relax and release the position. Practice this simple yoga pose on a regular basis to get a beautiful skin.

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May 21, 2018

Top 5 SkinCare Tips To Tighten Your Skin Safely And Effectively

Loosening of the skin is one of the most visible signs of aging. As a person ages, the skin progressively looses elasticity, a condition that results in sagging features around the face as well as on the neck. In order to maintain a tight and healthy skin, the following are five top notch natural treatment methods that you can apply.

Avoid the sun as much as possible

Much of photoaging results from over exposure to the sun. Research has proven that the best method to avoid skin cancer and the general degradation of the skin is to keep away from direct sunlight. The sun contains two harmful ultraviolent radiations:

• UVA rays.
• UBV rays.

Exposure to these rays lead to the damage of the skin, whereby collagen loss by the body is sped up, thus increasing one’s chances to contacting cancer. Although most sun rays are beneficial to the body, you should carefully avoid much exposure so as to contain development of these health conditions.


You will be surprised by how much facial exercises can do to maintain your skin in a tight, young and healthy condition. As you exercise, unused muscles, which normally sag, are tightened. These muscles then maintain their tight, health form, which translates to the whole body looking good. You ought to learn some simple exercises that need to be practiced routinely, preferably on a daily basis. This is another simple and easily available remedy for keeping the skin in appealing conditions even with age beckoning.

Eat a healthy diet

What you eat directly translates to your physical condition. If you eat healthy foods, your body will remain healthy, and your skin will also look more appealing as it is properly nourished. Make certain that you eat enough vegetables and fruits, especially colored fruits. These contain high quantities of vitamins and are antioxidant rich. Berries as well as proper amounts of proteins and omega-3 fatty acids are also good in maintaining a healthy skin.

Consume a lot of water

Water is well known for tightening of the skin alongside the many other benefits. A person should drink between 10 and 12 glasses of pure water every day. This ensures that the body is properly hydrated at all times, and the skin maintains a firm, tight and moisturized condition. It is also a well known phenomenon that water helps in eliminating toxins that are harmful to the body. You should then make a point of having a glass of water every now and then as it is easily accessible and also beneficial.

Natural creams and oils

These are natural products that could be used in keeping your skin in check. Some notable skin oils include grape seed oils and avocado oils, which have properties that facilitate the elimination of wrinkles and skin sags. There are also various natural creams that help to keep the skin healthy and tight. However, before using any oils and creams, get professional advice on the right products and those with no side effects.

It is important to know what are the top collagen pills to use. This is important in helping you to tighten your skin in the healthiest way.

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May 17, 2018

Coffee Concerns: Q&A With Dr. Ehsan Ali, Concierge Doctor to the Stars


Does coffee actually have an effect on your mood?

Yes, coffee is a stimulant, which typically elevates your mood, making you feel good. However, with some patients, overstimulation of the nervous system can cause a boost in adrenaline, leading to anxiety.

Why does coffee make some people’s stomach hurt?

For the same reason it boosts adrenaline, coffee’s stimulant effect causes the stomach to contract and squeeze. In large amounts, this can cause stomach pain. Also, coffee increases the acidity in stomach, which can be painful for those with acid reflux.

If you’re like us, you can’t get by without that cup! Is there a way to drink coffee that’s easier on the stomach?

Absolutely! Drinking it very slowly – and with small sips – can make it easier on your stomach. Taking an antacid prior may also help.

Is there any other beverage that could wake you up that wouldn’t hurt your stomach as much?

Tea, especially green tea, is much milder and less likely to cause stomach issues. Matcha lovers, rejoice!

Does a regular coffee habit affect your sleep habits over time?

Regular caffeine users can develop tolerance over time, so though it might not immediately affect your sleep, you will find yourself needing more and more cups! However, caffeine can cause insomnia in some patients.

About Dr. Ehsan Ali: 

A house-call specialist to the stars, Beverly Hills Concierge Dr. Ehsan Ali is board certified in Internal Medicine and fellowship trained in Geriatric Medicine. Recognized as a Top Health & Wellness Expert byAngeleno Magazine, Dr. Ali has been named to several ‘Best of Beverly Hills’ lists and has appeared on Khloe Kardashian’s Revenge Body, as well as The Real Housewives of Beverly Hills. Dr. Ali  has active hospital privileges at Cedars-Sinai Medical Center in LA. He also spends his spare time volunteering at free medical clinics in the area.

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May 8, 2018

Nail Biting, Skin Picking, Hair Pulling: More Than Just Bad Habits

Sometimes it can be hard to explain why we do the things we do. It is common to experience stress, anxiety or frustration in our lifetime, but what we do to cope with these things matters the most. There are times where you may catch yourself biting your nails, picking at your skin, or even avoiding physical interactions due to germs. But how far is too far? Dr. Sanam Hafeez, a NYC based neuropsychologist and Teaching Faculty Member at Columbia University Teacher’s College, gives insight on behaviors that are more dire than merely bad habits.   

Onychophagia (Nail Biting)

Nail biting is an oral compulsive habit and that can develop from stress, nervousness, or excitement. A study published this year in Scientific American puts nail biting in another realm of behavior: body-focused repetitive disorders, like scratching or patting your own hair. And it seems to tie into one particular personality type that has a higher potential for boredom, stress, and anxiety than many others: perfectionists. Excessive nail biting can lead to infections, inflammation, and even tooth problems. The usual method for beating this habit? Dr. Hafeez says, “Override your old habit with a new one by “tricking” your brain using rewards, awareness exercises, and other methods. A typical strategy is to get subjects to note whenever they feel the urge to bite their nails, a feeling called a “cue,” and reward them with something else whenever they feel it, like stroking one’s hands.”


President Trump is an admitted germaphobic and has confessed that he dreads shaking hands. Germaphobia, also known as Mysophobi , is a fear of contamination and germs. This is a form of obsessive compulsive disorder. You may feel the need for excessive washing and cleaning, constantly focusing on a way to sanitize everything you come in contact with. Germaphobia can lead to irritated skin and discomfort over time. Dr. Sanam Hafeez suggests medication that moderates serotonin in the brain known as SSRIs or Cognitive Behavior Therapy. 

Excoriation (Skin Picking)  

Skin picking is a repetitive “Self-grooming” behavior. This disorder can develop in two ways, through stress and after some kind of rash or minor injury. Skin picking can lead to tissue damage, infection, and even scarring. Dr. Sanam Hafeez suggests exercising as a way to distract yourself and improve your mood. “Taking care of any scars you have already with essential oils will also lessen the urge.”

Trichomania (Hair Pulling)

Trichotillomania is a disorder that urges individuals to pull out body hair. This is usually triggered by anxiety and can provide a feeling of temporary satisfaction. “The exact cause of trichotillomania isn’t known. It may be related to abnormalities in brain pathways that link areas involved in emotional regulation, movement, habit formation, and impulse control,” says Dr. Hafeez.  Excessive hair pulling from the scalp, eyebrows, and eyelashes can lead to patches and bald spots. ”Distract yourself with sensory toys which allow your body to focus on other things.” Adding petroleum jelly to problem areas will allow you to be less likely to put the hair because it is slippery,” says Dr. Hafeez.  The main treatment for trichotillomania is a type of behavior therapy called habit reversal training. Basically, this means replacing a bad habit with something else that’s not harmful. 

About the Doctor:

Dr. Sanam Hafeez PsyD is a NYC based licensed clinical psychologist, teaching faculty member at the prestigious Columbia University Teacher’s College and the founder and Clinical Director of Comprehensive Consultation Psychological Services, P.C. a neuropsychological, developmental and educational center in Manhattan and Queens. 

Dr. Hafeez masterfully applies her years of experience connecting psychological implications to address some of today’s common issues such as body image, social media addiction, relationships, workplace stress, parenting and psychopathology (bipolar, schizophrenia, depression, anxiety, etc…). In addition, Dr. Hafeez works with individuals who suffer from post-traumatic stress disorder (PTSD), learning disabilities, attention and memory problems, and abuse. Dr. Hafeez often shares her credible expertise to various news outlets in New York City and frequently appears on CNN and Dr.Oz.

Connect with her via twitter @comprehendMind or


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April 27, 2018

5 Ways to Set Your Website Apart from the Competition

Whatever niche or genre your website falls into, whether it is a personal project, or part of a business venture, you will be competing against numerous other websites for precious traffic and attention in the online space. While it is now possible for anyone who wants to make a website to do so, actually mastering the art of web design is a much more difficult task.

Even once you’ve learned the nuts and bolts of it all and you understand how to put the website together, you still need to work out how you are going to make it unique and appealing. If your website looks and feels just like your competitors, how are you going to distinguish yourself? Even if you produce better content than your rivals, if you can’t step out of their shadow in terms of your design, your business will stand out as lacking innovation.

The good news is that by adopting a few relatively simple design principles and practices, you can effortlessly produce websites which manage to maintain the standards that internet users have come to expect, while also being unmistakably unique to you.

Logos and Banners

The easiest and quickest way to mark a webpage as your own is to make sure that your business logo and name are prominently visible. Remember, just because they are prominent does not mean that they have to be huge and take up the whole page. An eye-catching design will draw the eye even if it isn’t the largest thing on display.

Experiment with Layout

There are endless possible ways of laying out your website. Different types of websites will benefit from different design principles and practices, so think carefully about what you want to show the user and how you can most effectively show it.

Produce Unique Content

Note that there is an important difference between good content and unique content. Content that is unique is not necessarily good, and vice-versa. This is why it is important for you to be producing original and unique content that will also be of interest to the target demographic of your website.

For example, if you run a website for history buffs, you could throw in an article about the most famous thieves in history.

Affiliate with Others

Affiliating with another website means that you will both advertise one another’s existence to your respective visitors for your mutual benefit. Affiliate marketing is an excellent way of building up a network of contacts and other, friendly websites. You never know when these people might be able to help you in the future.

Make Sure to Proof!

Proofreading is a critically important step in the writing process. This is essentially where you check your work for any spelling or grammar mistakes. Just as you would when visiting another website, visitors to your site will expect everything to be written correctly and for the work to have been checked for mistakes.

Designing a website is easy, getting it noticed amongst all the competition is the difficult bit. At every stage of your website design and building process, ask yourself how you can put your personal flair on it. Just make sure not to overly complicate your design.

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April 23, 2018

Timothy R. Jennings, M.D, Keeping A Beautiful Mind and Body Health

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Psychiatrist and international speaker Timothy R. Jennings, M.D reminds us that
growing older is inevitable, but many of the afflictions associated with older age, including dementia, disability and increased dependence on others, don’t have to be.

“Aging has a wonderful beauty and we should have respect for that.” Eartha Kitt

Dr. Jennings has some insights. Dr. Jennings prescribes simple, everyday actions we all can take to promote vitality, and prevent dementia and late-onset Alzheimer’s. “The choices we make now can help us to keep our minds sharp and maintain our independence as we age,” says Jennings.

An easy-to-use guide to maintaining brain and body health throughout life, The Aging Brain, is based on solid, up-to-date scientific research, and the interventions discussed may help prevent progression toward dementia, even in those already showing signs of mild cognitive impairment. The recommendations also may help reduce disability and depression.

“This book isn’t just for people hoping to slow the aging process,” says Jennings. “It’s also for anyone who is a caregiver to someone at risk of or already beginning to suffer from dementia. It offers a hopeful, healthy way forward.”

“I take comfort that aging happens to everybody. It’s part of life. Aging offers great lessons in dignity, since the indignity wins in the end. Yes, it bothers me when I have lines or puffiness or droops. But it connects me with the human race. Like weather bringing people together, aging brings people together.” Diane Lane

Jennings, who maintains a private practice in Chattanooga, TN, has authored several books, including The God-Shaped Brain and The God-Shaped Heart. He has spent more than two decades researching the interface between biblical principles and modern brain science. A Distinguished Fellow of the American Psychiatric Association and Life Fellow of the Southern Psychiatric Association, Jennings is president and founder of Come and Reason Ministries.

For more information about Dr. Jennings and to hear his lectures, please visit the website:

Book Release Date: June 19, 2018

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April 19, 2018

5 Ways to Learn Fast and Retain More

The sooner you realize that learning never ends, the more willing you’ll be to expand, elevate in your profession, thrive in your life and even generate more income. Learning and studying can be difficult once we are long past our college years.  For all the old dogs who might be reluctant to learning new tricks, we tapped the expertise of Dr. Sanam Hafeez, a New York based Neuropsychologist and Teaching Faculty at Columbia University to share 5 ways to learn fast and retain more so we can quickly grasp new concepts, technologies, business strategies and up-level our willingness to learn. 

Independent learning is the hot new brain trend. Thanks to digital media, we see a new renaissance when it comes to learning. On the professional side, nearly two-thirds of U.S. workers have taken a course or sought additional training to advance their careers, according to a March 2016 study by Pew Research Center.  On the personal development side, a simple Google search can lead anyone to a plethora of courses on everything from mastering personal finances, parenting, our relationships, nutrition, cooking, designing clothes, home organization and design.

“The key to longevity is the learning and application of new things. When we stop learning, we stop growing and that is a slow death to our brains and bodies. Luckily today there are online seminars and other ways to learn that speak to our interests. It’s also incredibly convenient to learn,” explains Dr. Hafeez.

What are the best ways to learn new things quickly? Dr. Sanam Hafeez offers the following 5 ways to learn fast and retain more.

  1. Learn in quick sprints.There’s a sweet spot for learning in the 30-50 minute timeframe. Dedicate that amount of time to learning and then take a 10 to 15-minute break to end a learning segment before starting a new task. “You’re more likely to retain more when you focus for a shorter amount of time at once,” explains Dr. Hafeez who helps people with ADHD to enhance their ability to focus and learn. “Using tools like notecards with quick points helps the brain absorb concepts even more,” she adds. Which leads to…
  1. Take written notes and use color!Ditch the laptop and go old school with a pen and paper. Outline important points with a different color pen or highlighter and if you can draw a concept out in the margin, go for it. Writing fuels comprehension and enhances listening skills. Studies out of UCLA and Princeton found students who took notes on laptops didn’t perform as well as students who wrote by hand. “When we handwrite notes we listen then process the information before writing. When we type on a laptop, we transcribe what we hear without any self-interpretation which is where the actual learning comes into play,” offers Dr. Hafeez.
  1. Give your brain time to rest and recharge with sleep.People brag that they work so much and sleep so little. Arianna Huffington’s book, “The Sleep Revolution,” and choice to add nap rooms at her Huffington Post offices turned the light onto sleep as a performance enhancer. “People who get a full 8 hours of deep uninterrupted sleep retain what they learn and have bandwidth to grasp more information quicker. We often feel tired after a course or following instructions. This is because focusing requires energy. Naturally, when we rest we get to reboot the brain,” says Dr. Hafeez.
  1. Read out loud, record, replay.Research has shown that reading out loud engages both senses of sight and sound which heightens retention.“Recording yourself reading and elaborating with your own idea of how the concept resonates then replaying the recording a day or two later, is a great technique that fires up the part of the brain that processes concepts like a computer filing information for later use,” explains Dr. Hafeez.
  1. Break things down and relate it to what you already know.We all heard of the math teacher who used the example of rock concert ticket sales to get kids to grasp algebra. According to Dr. Hafeez, “when we take a concept and link it to something we already know about or have genuine interest in, we retain that concept. Anytime we can internalize a concept is has resonance. It sticks.”

About the Doctor:

Dr. Sanam Hafeez PsyD is a NYC based licensed clinical psychologist, teaching faculty member at the prestigious Columbia University Teacher’s College and the founder and Clinical Director of Comprehensive Consultation Psychological Services, P.C. a neuropsychological, developmental and educational center in Manhattan and Queens. 

Dr. Hafeez masterfully applies her years of experience connecting psychological implications to address some of today’s common issues such as body image, social media addiction, relationships, workplace stress, parenting and psychopathology (bipolar, schizophrenia, depression, anxiety, etc…). In addition, Dr. Hafeez works with individuals who suffer from post-traumatic stress disorder (PTSD), learning disabilities, attention and memory problems, and abuse. Dr. Hafeez often shares her credible expertise to various news outlets in New York City and frequently appears on CNN and Dr.Oz.

Connect with her via twitter @comprehendMind or 

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April 16, 2018

Fat Grafting 101: Your Guide To Facial Fat Transfer


Most people want to appear more youthful as they age, but time often tends to take a toll on someone’s face. The phrase “fat transfer” may sound unusual, but the fact is that it’s a healthy amount of facial fat that gives your face a youthful look. Whether you find yourself aging or have lost weight, you may discover that your cheeks or temples appear sunken, or that your face is lacking the youthful roundness it once had. If this sounds like you, you might be a candidate for fat transfer.

How Does Fat Transfer Improve Your Appearance?

In a culture where fat loss is a focus, it may seem strange to say that transferring fat to your face is a good idea. However, when you are young, facial fat is what’s responsible for smooth contours and the youthful “glow” that many young people have. As you age, these contours become less smooth. This is often due to a variety of factors. These factors include a number of things, including weight loss and gravity.

While getting a leaner-looking face as you age may sound appealing, the fact is that a rapid loss of facial fat will often lead to sunken-looking cheeks, circles under the eyes, and hollowed-out temples. With fat transfer, you can improve hollows in your face and smooth out the overall look of your complexion, making yourself look younger and more full of energy.

Where is the Fat Taken From?

This procedure is called “fat transfer,” but before you commit to undergoing it, you likely want to know where the transferred fat is coming from. The fat is transferred from another area of your body, typically from the thighs or stomach. This may sound off-putting, but the fact is that facial fat transfers generally involve small amounts of fat. Thus, while you will have two areas to heal–the site of the initial fat harvest and the transfer site–each area will be relatively small.

The harvesting of fat is typically done very inconspicuously, so you can expect little to no scarring from the procedure. Of course if you are concerned about scarring, be sure to talk to your surgeon–he or she may be able to help ensure that you have as little scarring as possible. And because the amount of fat taken from a different area of your body tends to be very small, you likely can work with your doctor to choose from a variety of areas of your body.

How Does the Procedure Work?

Facial fat transfer is a two=step procedure. In the first step, fat is taken from another area of your body, typically the thighs or stomach. This fat removal is accomplished through liposuction, in which a cannula, or slender tube, is inserted beneath your skin. The cannula then essentially vacuums fat from beneath your skin. Because the only incision in liposuction is the tiny hole the cannula makes, you likely will have either very little scarring or no scarring at all once the incision has healed. And because the amount of fat removed is very small, you also are not likely to notice a major difference in your body contours.

The second phase of the procedure is the transfer of the harvested fat to your face. The fat transfer involves injecting the collected fat under your skin. First, though, the fat is purified. Once it is injected, your surgeon will make sure that it’s spread evenly under your skin to ensure maximum smoothness and best results. And because the injection sites are so small, you won’t experience any lasting scarring.

This procedure is popular with those who want to look younger, but who don’t necessarily want to pursue major surgery on the bones of the face. Because it doesn’t involve your bones, recovery time is generally shorter than the recovery time for rhinoplasty or other major surgeries.

How Permanent Are the Results?

One of the main draws of facial fat transfer is the fact that it’s permanent. Barring extreme weight loss, the contours created by adding a bit of fat to your face are there to stay.

Therefore, facial fat transfer tends to be a preferred method compared to other methods of facial rejuvenation. Other methods tend to focus just on the surface level of your face, but this one works at a level below the skin to help ensure lasting results.

How Can I Choose a Surgeon?

If you have decided facial fat transfer is for you, or if you want to schedule a consultation to see if it’s the right option, your next big step is finding a surgeon.

However, this can often prove to be a difficult task. For many people, distance is understandably a limiting factor, as nobody has unlimited time and resources to travel thousands of miles to see a surgeon. If you have the finances and ability to travel far, though, it may be helpful to also search outside of your immediate geographic area.

You also will want to look at several examples of each surgeon’s work. You may find that, across even many types of patients, a given surgeon’s before and after pictures catch your eye. If this happens, it’s well worth giving this surgeon a closer look.

And lastly, as you search for surgeons, keeping your budget in mind is useful. Some offices may offer payment plans, and others may be able to refer you to a medical credit agency that can help you manage debt from the procedure.

Ready to Get Started?

If you miss your youthful facial contours and are ready to pursue fat transfer, you may be eager to find a surgeon. If you are in or near the Miami area, Dr. Bustillo may be a good choice for you. Andres Bustillo, M.D. is board-certified and well known for his expertise in various forms of facial surgery and other cosmetic procedures, including fat transfer.


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April 12, 2018

Breast Reduction for Men

When you think of cosmetic procedures, you may imagine a breast augmentation, in which the breasts are enlarged. However, breast reductions are also done, albeit less commonly. These are usually done for women whose breast size causes back issues and other problems.

Breast reduction can also be done on men. Some men–and even boys going through puberty–may find that they start to develop breast tissue. This condition is known as gynecomastia. While it has several possible causes, it often requires surgical intervention.

What Causes Gynecomastia?

All men have some amount of breast tissue, but gynecomastia causes this tissue to swell. This often results in the appearance of breasts (sometimes called “man boobs”). While gynecomastia is sometimes only an appearance issue, it causes pain and tenderness in some cases.

It is important to understand that gynecomastia is more than just an accumulation of fat. Excess weight may cause you to look like you have gynecomastia, but true gynecomastia is caused by an imbalance of the hormones testosterone and estrogen. Every man has both testosterone and estrogen, but when testosterone is too low and estrogen too high, health problems can result.

High estrogen in men tends to lead to loss of muscle mass, fat gain, and fatigue, and it also can lead to gynecomastia.

There are several possible causes of high estrogen in men. The use of street drugs and alcohol may increase estrogen and lower testosterone, and anti-androgens used to treat prostate cancer and other illnesses may contribute. Anabolic steroid use also frequently causes gynecomastia, especially in those who do not also use anti-estrogen therapy.

Gynecomastia also affects some adolescent boys. As they go through through puberty, hormonal fluctuations may lead to a temporary overbalance of estrogen. Puberty-related gynecomastia typically goes away on its own, although it make take up to two years.

More rarely, other health conditions, including kidney failure and some tumors, may contribute to gynecomastia. If you find yourself experiencing gynecomastia symptoms, it’s important to talk to your doctor to make sure there isn’t a dangerous underlying cause.

How Do You Know if You Have Gynecomastia?

The main symptom of gynecomastia is swollen gland tissue in the breast region. However, many men with this condition also have pain and tenderness. In some cases, discharge may come from one or both nipples.

If you are unsure whether your symptoms are simply weight gain or gynecomastia, be sure to talk to your doctor. Your doctor can tell you whether you have this condition, and he or she also may be able to help you pinpoint the cause.

What Can You Do About Gynecomastia?

In some cases, though not all, gynecomastia goes away on its own. However, this medical condition is often embarrassing and sometimes very painful. If your doctor has told your your symptoms may be permanent, or if you don’t want to wait for symptoms to go away, pursuing breast reduction for men may be a good option. In this surgery, the glandular tissue that swells when gynecomastia is present is removed. Depending on how much is removed, a male breast reduction may prevent you from having to deal with this medical condition again.

How Does Male Breast Reduction Work?

There are two possible surgery types for gynecomastia. For less severe cases, liposuction is typically used. In liposuction, your surgeon will insert a cannula, which is a hollow metal tube, beneath the skin. Then, gland tissue and fat is suctioned out, helping to create a flatter chest. The cannula only makes an extremely small incision, so this option typically results in the least amount of scarring. After you are completely healed, you may not even see a scar at all.

If you have a severe case of gynecomastia, however, your surgeon may need to use a method called tissue excision. While this method is slightly more invasive, it is often necessary in cases with excessive tissue swelling, or where the swelling is enough to cause stretching of the skin. Tissue excision results in the removal of more tissue, but it often provides permanent or near-permanent results.

While tissue excision may result in some scarring, plastic surgeons are skilled with the placement of incisions. After healing is complete, you likely will notice little to no scarring.

How Much Downtime Can I Expect?

Male breast reduction is not quite as invasive as some forms of plastic surgery, but it does require some downtime. Many men are able to return to work in a few days, although vigorous physical activity should be avoided for a few weeks. Your surgeon will likely give you a compression garment to wear after the surgery as well. This garment will help minimize swelling and reduce pain. Post-surgical pain is usually minimal, especially with the liposuction option, and you may even find that over-the-counter pain medication is enough to manage it.

Healing times will vary depending on both the surgical method used and your individual physiology. At your consultation, be sure to discuss healing time with your doctor. Your doctor can take into account your symptoms and preferences, and he or she can then decide on an appropriate treatment plan for you.

Are You Ready to Get Started?

Gynecomastia can be painful and embarrassing, but you don’t have to let it hold you back. If you are ready to get started on improving your life, the first step is setting up a consultation with a surgeon who performs male breast reduction. At your consultation, your surgeon will examine you and discuss your symptoms to start formulating a surgical plan. And if you are near New York, NY, Madison Plastic Surgery may be the practice you need. This established surgical practice is known for a variety of cosmetic procedures, including male breast reduction. It is the home of Dr. Robert Tornambe, one of New York’s top plastic surgeons.

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April 11, 2018

What are my Long-Term Lip Augmentation Options?

Lip augmentation is a superficial procedure that is performed to offer the patient fuller, plumper lips. Recently, most people are going for dermal fillers, which get injected into their lips and around the mouth. Most of these fillers are comprised of hyaluronic acid. This is a substance that occurs naturally in the body and helps in increasing the lips’ volume.

Another option that was used in the past was collagen. This substance used to be common dermal filler, but today, doctors prefer to use safer methods whose effects last longer. Also, doctors use fat injections and implants for lip augmentation. However, not many people prefer these options due to the risks involved.

Who Qualifies for Lip Augmentation?

Many women feel concerned about their thin lips, and it is the reason they opt for augmentation. This procedure helps them get fuller lips that don’t show lipstick lines by filling the creasing that appears along the lip border as a woman ages. The ideal lip augmentation candidates include:

  • Any adult regardless of age
  • Any patient with extremely thin lips or persons who have suffered age-related lip volume decrease
  • People wishing to undergo this procedure should be medically fit and have measurable expectations of the results

What are the Medical Considerations?

Since it is possible for a patient to suffer from an allergic reaction to the material used during the procedure, it is important for all candidates to let the surgeon know whether they have any existing allergies. If the patient is considering undergoing a lip implant, the surgeon should be made aware of any respiratory issues that could be compromised by the anesthesia.

There are numerous dermal fillers and implants available out there to help with lip augmentation and not all of them are safe for every patient. Before going for lip augmentation, select a highly qualified cosmetic surgeon you can put all your trust in. Also, make sure that the doctor uses FDA approved products. Make certain that the method he chooses is ideal for all your cosmetic and medical needs.

Using Hyaluronic Acid Fillers

This substance can help improve your lips’ appearance through their volume, shape, and structure.

Its results last for up to six months after which you will need to go for more injections if you want to maintain the volume of your lips. There are many hyaluronic acid fillers in the market which are used in the same way and yield the same results too. Some of them even come with lidocaine which is a local anesthetic.

The Benefits of Hyaluronic Acid Fillers

Its benefits include:

  • The slow pace of treatment- the injections don’t have to be applied all at once. They can be done gradually until the patient attains the desired results
  • More control over the lips volume- it is easy to control the amount of substance to be injected, which means that the surgeon controls how much lip volume to create for a patient
  • Dissolves easily- the lumps that the gel creates dissolve very easily
  • Reasonably longer results- the hyaluronic acid fillers results last longer although they are not permanent
  • Less bruising- this kind of filler comes with less bruising, unlike the other alternatives.
  • Unlikely allergic reactions- since the fillers are made from substances that resemble those found in our bodies, it is not likely for a patient to get an allergic reaction. However, any patient who is allergic to lidocaine should let the surgeon know before the procedure.

Lip Augmentation with Fat Transfer

Any patient with the desire to get fuller lips but afraid of having foreign substances injected into their bodies can opt for a fat transfer. Since most lip fillers like collagen come from animal or human donors, fat transfer is different. This is because it uses the patient’s own body tissue thus, yielding a soft and natural-looking outcome.

The procedure involves the transfer of fat from a certain area of the body and injecting it into the patient’s lips. During the process, only the patient’s body natural tissue get used, which means that there are no chances of rejection or allergic reactions occurring. Once the surgery is done, the patient will have soft and natural-feeling lips that will last for at least six months and up to more than a year.

The Procedure

The doctor first removes fat from a specific location, usually from the thighs or abdomen through liposuction. This procedure is unlikely to affect the removal area unless the patient is also undergoing a body liposuction surgery. The fat gets injected into the lips using a syringe and a blunt needle, leaving tiny prick marks only.

This type of augmentation is usually done under local, or if need be, light general anesthesia as per the surgeon or the patient’s preference.

What are the Benefits and Risks Associated with Fat Transfer?

This procedure is considered to have relatively low risks. However, any surgical treatment comes with possible side effects. In this case, they might affect the injection area or where the fat was removed. The risks include infections, inflammation, bleeding, and slight discomfort.

However, there is one problem that surgeons are striving to rectify. Some of the fat cells die during the transfer. Any highly-qualified surgeon will, however, avoid this from happening by injecting the fat at intervals as opposed to doing it all at once.

One of the benefits related to this procedure is that it is unlikely for a patient to develop an allergic reaction. Also, the chances of the body rejecting the tissue are minimal since it is from their own body. The results are usually natural-looking.

This is a simple procedure that is usually treated as an outpatient case. Besides, it only requires a couple of hours for patients to recover and go home where after which they can resume their daily activities.

What are the Benefits and Risks of Permanent Lip Surgery?

As compared to other surgeries, lip augmentation is relatively a low-risk procedure. However, every patient should know the possible risks and be prepared. Some of these risks include:

  • Scarring
  • Implant rejection and migration
  • Infection
  • Lip stiffness

The good news is that the risks can be reduced if the procedure is done by a qualified surgeon. This type of lip augmentation comes with one main benefit; it offers permanent results, unlike in the use of temporary fillers.

If you are looking for a cosmetic surgeon to carry out lip augmentation for you, consider Dr. Agarwal of the Aesthetic Surgery Center. Anurag Agarwal, MD FACS is an expert on this field and can be reached at (239)-594-9100 at his office in Naples, Florida. His great work goes beyond surgery as he loves giving back to the society through pro bono humanitarian work.

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