Pro Advice
May 18, 2017

Safe Solutions for 6 Common Beach Body Concerns

Summer is approaching! It’s the time of year met with mixed emotions. On one hand you’re excited for the warmer weather, open toe shoes and weekends at the beach or pool. On the other hand you dread revealing the stubborn cellulite, dull skin, stretch marks, scarring from breakouts on the chest shoulders or back not to mention coarse hairs.

Dr. Kirk Brandow, founder and director of the Brandow Clinic for Cosmetic Surgery in Philadelphia who has appeared on national programs such as Good Morning America and 20/20, offers some insights and tips on these top 6 beach body concerns.

  1. My skin is so pale!

It’s been way too long since you have seen a glimmer of sunshine and realize how your skin matches the white of your office walls. You want to avoid tanning beds and load up on sunscreen. “Opt for a bronzing cream or spray tan instead of tanning beds. Many of the women who come to me for facial procedures including Botox, fillers and laser treatments could have slowed down the aging process by being vigilant about sun protection and avoiding tanning beds,” cautions Dr. Brandow.

  1. I have acne scarring on my shoulders and chest.

The quickest and most permanent way to remove these infuriating scars is with a laser. “Lasers are a very efficient way to remove scars and improve over all skin texture with minimal side effects. Patients are pleased with the fast results, which can be seen after the first treatment with optimal results by end of a treatment cycle based on your own needs,” explains Dr. Brandow.

  1. I exercise but there still that little bit of tummy flab.

Stubborn tummy flab won’t disappear even with all of that exercising and dieting. Some people who have had children even consider a full tummy tuck. “It is very important to find a doctor who understands all options and can recommend one that will address your specific concern. Some pricey non-invasive body contouring procedures will offer a temporary result making it necessary to repeat them,” advises Dr. Brandow whose specialty is the Jersey Shore Tummy Tuck given his practice’s proximity to the Jersey Shore.

  1. Cellulite.

There is no easy way to remove cellulite; you are either using a coffee scrub or going in to see the doctor for a laser procedure. Dr. Brandow recommends the professional treatment called Smartlipo, which is a small laser that goes into the skin and melts the fat away. Smartlipo is a less invasive procedure than liposuction, is costly and time consuming but the results can last up to five years.

  1. Stretch Marks.

An inevitable result of weight fluctuation, are stretch marks.

Coolbeam laser is a new hit to eliminate stretch marks thanks to Kim Kardashian, who posted on her Snapchat about the procedure. Dr. Brandow explains, “lasers are far less invasive than a surgical procedure, which has a much longer recovery time.” Another option for stretch marks that Dr. Brandow recently spoke of on a recent TV segment is using PRP (platelet rich plasma), which involves pricking the scarred region with a special roller instrument then using the body’s own plasma to stimulate healing and collagen regrowth. “This is the same thing as the ‘Vampire facial’ but done on stretch marks. Results are incredibly impressive,” he says.

  1. Unwanted body hair.

Hair removal is always a beach season battle. For a more effective long-term hair removal option, Dr. Brandow highly recommends investing in laser hair removal. “Laser hair removal is the most permanent way to remove unwanted body hair. It takes ups to 6-12 treatments offering the best results.” Waxing is a popular option, which can last up to 3-6 weeks depending on how your hair grows. It is the quickest and long-lasting hair removal technique that doesn’t require any laser and it can be done at home.

Dr. Brandow also reminds people to check with their dermatologist for an annual skin screening before exposing themselves to another season of sunshine.

About Dr. Kirk Brandow

Dr. Kirk Brandow, founder and director of the Brandow Clinic for Cosmetic Surgery is a plastic surgeon with 2 locations in the Philadelphia metro area and a 3rd one at the jersey shore. Named a “Top Doc” in Plastic Surgery by Philadelphia Magazine as well as nationally recognized for one of America’s “Best Plastic Surgeons” of this decade, Dr. Brandow is a trusted expert who has developed many innovative, minimally invasive procedures for the face, body and skin. He has been featured on local, national and international television programs including 20/20, CNN’s Headline News, Good Morning America.

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May 17, 2017

10 WAYS STRESS IS WRITTEN ALL OVER YOUR FACE

www.comprehendthemind.com

 

FROM THE PROS: According to Dr. Sanam Hafeez Psy. D, Colombia University Professor and Founder of Comprehensive Consultation Psychological Services in New York City; stress is written all over our face and can result in looking years older when stressed for prolonged periods of time.

 

Dr. Hafeez whose expertise is in understanding neural pathways as they respond to anxiety, stress and trauma explains that how we think directly impacts how we age and how youthful we appear. The routine stressors in our lives really impact how fast or slow we age. When stressed, we see it in our skin tone, texture, elasticity, and over all glow.

 

“When someone is under stress they can appear up to 5 years older, 10 years if they don’t manage stress or make changes to their lives. Stressful relationships and careers age people. I have seen patients end relationships or get new jobs and look 10 years younger within days.  People are spending money on creams, facials and cosmetic procedures but if the stress is still there it will still show in their face,” offers Dr. Hafeez.

 

Here are Ways Stress is Written All Over Your Face

 

  1. You have dark circles. Stress results in blood flow to main organs plus capillaries under eyes are fragile and break under stress leaving your face looking sallow and tired. Dark circles seem more apparent.
  2. Mini-Menopause

The jury is still out on exactly how or if this is possible, but it appears that the constant flow of cortisol that goes along with chronic stress causes a dip in estrogen, one that mimics, on a smaller scale, the dip that occurs during menopause. Less estrogen means less collagen and less moisture. So, while estrogen levels may not drop enough to shut down your period, stress may make them dip enough to make your skin look dull and dry.

  1. You notice more wrinkles. Life’s stress due to divorce, death of loved one, job-loss, financial concerns; impacts our brain chemistry. When we feel sad or anxious, are crying or not sleeping well it’s common to see deeper lines around the middle of the eyes, forehead, under eye area and mouth.
  2. You itch, flake and even have hives.  Stress leads to inflammation which may lead to rashes, rosacea, eczema flare ups and changes in skin moisture.
  3. People ask if you’re feeling okay. When the Starbucks barista or guy at the dry cleaners asks if you’re feeling okay, pay attention. These people may not know the details of your life but they know how you look because they see you quickly.

 

  1. Under-Eye Bags: Tomorrow’sto-do list can weigh on your mind, keeping you from getting enough beauty sleep. This can cause fluid to pool below your lower eyelid area, and what you end up with is a puffy mess in the a.m. Stomach sleepers, bad news: You can expect the puffiness of your under-eye bags to be even worse because of gravity.

 

  1. Increased jaw size– Heavy jaw

Grinding teeth and clenching of the jaw are common symptoms of stress. Unfortunately, these habits can cause the jaw muscles to work overtime. This can result not only in damaged teeth, but also a heavier than usual jawline, as the muscles become larger with the grinding action.

 

8.Hair Loss

Stress can cause sudden hair loss by literally flipping the switch on the hair follicle’s growth stage from an active to a resting phase. Once the follicle enters this resting phase prematurely, it stays there for about three months, after which time a large amount of hair will be shed. When you experience an overall shedding of hair, you must cast back a few months to find the trigger. Rest assured that in most women, this hair will grow back.

 

  1. Adult Acne

Acne isn’t just for hormonally crazed teenagers. Many adults can’t seem to outgrow it because of stress hormones. What makes it worse is that tense people often can’t leave pimples alone. Squeezing, poking and picking at them becomes an almost obsessive way to release tension, but it also makes breakouts worse, exacerbating the inflammatory response, and you’re left feeling a bit more stressed. So no picking

 

  1. Hormonal Mood Swings

There is a lot of interaction between hormone physiology and mood that works both ways. Our mood can impact our physiology, and our physiology can influence the balance of our hormones. If stress can sit at the top of a cascade of events that lead to undesirable hormonal changes in the body (like those that trigger insomnia, insatiable hunger and weight gain, and collagen breakdown), then what we want to do is find ways to gain the upper hand on our stress level and ensure that we keep all those hormones in check.

 

 

According to Dr. Hafeez, “The good news is that we can get to the root cause of our stress and manage it. When you notice changes in your facial appearance take inventory of what is going on in your life and what may be stressing you out. Simple things like sitting quietly for 10 minutes focusing on breathing, writing in a journal, exercising or taking a walk outside, reading, baking, painting, listening to music and reaching for an activity that takes focus off the stress is helpful. If you find yourself reverting back to the stressful issue consider therapy. Clearly there is a connection between how we look and how we feel and think.”

 

 

About Dr. SanamHafeez: 

Dr. Hafeez  is available to speak to media on a plethora of topics that connect stress, anxiety and depression and its negative impact on our wellbeing and physical appearance. She provides neuropsychological educational and developmental evaluations in her practice.  She also works with children and adults who suffer from post traumatic stress disorder (PTSD), learning disabilities, autism, attention and memory problems, trauma and brain injury, abuse, childhood development and psychopathology (bipolar, schizophrenia, depression, anxiety, etc…) In addition, Dr. Hafeez serves as a medical expert and expert witness by providing full evaluations and witness testimony to law firms and courts.

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April 26, 2017

7 Do’s for a Sexy Décolletage

From the PROS: For women of all ages, sallow, dull, or crepey skin can make the chest area or décolletage appear older than it is. Factor in side-sleeping where for hours at a time, your breasts are at battle with gravity leading to deeper lines in the neck and chest. Luckily, there are advancements and solutions available to bring back the glow to the beautiful feminine décolletage. Dr. Lenny Hochstein, world renowned board-certified plastic surgeon based in Miami, Florida and owner of the city’s newest state-of-the-art Hochstein MedSpa, and his team of licensed aestheticians, offer insights on how to achieve and maintain a sexy décolletage.

  1. Go topical.

There are plenty of things women can do to prevent chest area skin from aging such as applying high-quality, medical-grade skin care products. There are plenty of wrinkle creams on the market. The key is to look for ones with alpha and beta hydroxy acids, retinol, Vitamin C and E, and growth factors. These will reduce the appearance of wrinkles. “This is great for prevention and maintenance. Using creams in your 20’s and 30’s really does help skin retain elasticity and its ability to produce collagen,” explains Larisa Belyakova, Hochstein MedSpa licensed aesthetician.

  1. Consider lasers.

Lasers will certainly offer that healthy glow, since they are the most powerful tool to address both discoloration and texture imperfections.

“One of the lasers we have had success with in the chest region is the HALO treatment, the world’s first hybrid fractional laser. It’s strong! Results to skin tone and texture are visible after the first treatment,” explains Dr. Lenny Hochstein who prides himself on being incredibly selective about the results-driven treatments he offers. “The HALO is a type of a fractional laser which allows us to obtain optimal results with reduced healing time,” he adds.

There are other options as well. “The other device used for chest rejuvenation is called BBL (broad band light). This treatment is the most effective on the market for clearing up sun damage spots and reducing redness,” adds Jenya Titova, Hochstein’s certified Physician’s Assistant who vast expertise in lasers spans 12 years.

An issue of concern to women are stretch marks to the breast area. “Another laser often used on the chest area is E-matrix. This technology reduces the appearance of scars and stretch marks on the breast,” Jenya adds.

  1. Try a chemical peel and/or a microdermabrasion.

If the skin itself is supple, microdermabrasion could work very well to address skin elasticity, texture, tone and overall appearance. It’s a less expensive option than lasers. Chemical peels work at the cellular level, smoothing the fine lines in the chest area with very little downtime. There are varying strengths available so it is very important to have an experienced person administer peels. Microdermabrasion and peels are usually recommended in packages of 3 or 4, performed several weeks apart.

 Hydrafacial

 This is of the newest treatments that brings out the healthy radiance and glow to the skin of the décolletage area. “It is a high- tech equipment operated procedure that includes several steps, such as deep cleansing, exfoliation, antiaging light treatment and application of powerful antioxidants. Well hydrated and nourished skin on the chest is the immediate and lasting result of this treatment,” explains Hochstein MedSpa Licensed aesthetician, Capri Colello.

  1.  Micro-needling

Micro-needling is a process where a small roller is rolled over the skin creating tiny punctures in the top skin layer. This phase of the treatment triggers a wound healing response in the body. Collagen levels are boosted as the skin regenerates itself leading to skin thickening, scars fading and smoothing of fine lines. Peptides and antioxidant serums are applied and massaged into the skin at the end. “What’s interesting to note about micro-needling is that the skin is essentially put into a healing, rejuvenation mode lasting for several months after the first session takes place. Skin looks better over time. To maintain results it’s advised to repeat the treatment at least 3-4 times,” advises Hochstein.

  1. PRP (Platelet Rich Plasma)

Microneedling described above, can be enhanced with a very powerful collagen building treatment using your own plasma. “The treatment requires that we draw a small blood sample to extract the concentrated platelet cells out of it. These cells have a natural ability of healing by building new elastic and collagen layer. Fine lines and wrinkles on the chest respond wonderfully to this procedure, with no discomfort, side effects or downtime” says Dr. Hochstein.

  1. Get smart about sunscreen.

Regardless of what treatment option you choose optimal skin protection is key. “You go through a series of treatments. The last thing you want to do is damage skin and get into this cycle of damage, treat, damage treat,” explains Dr. Hochstein. “You can’t invest $6000 on skin treatments and think a $9.00 bottle of basic sunscreen is going to protect you,” he adds. Any physician will suggest using a sunscreen that offers broad spectrum UVA and UVB protection. “The best results are found when the patient ‘protects the procedure’ and takes preventative measures recommended by their skin care professional,” he recommends.

About the experts:

Dr. Lenny Hochstein is a board certified plastic surgeon in Miami, Florida. World renowned for his meticulous attention to detail, symmetry and overall excellence, including published scientific papers, awards, early entry directly into medical school where he graduated valedictorian; Dr. Hochstein has two decades of experience, over 12,000 surgeries with breast augmentation as his main specialty. His dual accreditation of American Board of Plastic Surgery and American Society of Plastic Surgeons speaks to his high standards and reputation of providing exceptional care to all his patients. In 2017, Dr. Lenny Hochstein added Hochstein MedSpa to his Miami practice to offer lesser invasive treatments and anti-aging solutions adhering to the same values of high standards and quality. Anyone selected to be on his team must be exceptional, credentialed and committed to offering excellent care.

Jenya Titova, board certified Physician Assistant with 12 years of experience in aesthetic field, is Dr. Hochstein’s right hand at Hochstein MediSpa. She is highly skilled in areas of laser medicine and injectable treatments. His wonderful licensed aestheticians, Larisa Belyakova and Capri Colello are also great assets of his skin care team, delivering personalized, quality-driven approach to their patients.

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April 21, 2017

Restonic Sleep Survey Shows Electronics and Exercise Have the Greatest Impact on Sleep Quality

Leader in Handcrafted Mattresses Seeks to Raise Awareness on Key Lifestyle Issues That Affect Sleep Habits

Buffalo, NY (April 21, 2017) – Restonic, leader in handcrafted mattresses and high-quality sleep products since 1938, today released findings from its 2017 Sleep Survey showing that people report the use of electronics and lack of exercise have a significant impact on their quality of sleep. The company is making the insights available to help increase public knowledge about the importance of quality sleep, and common factors that plague many consumers’ sleep habits.

The Restonic Sleep Survey shows that only 14 percent of people feel they get enough sleep, with use of electronics, like smartphones and tablets, negatively affecting sleep quality. Only six percent of people who use electronics in bed say they get enough sleep. Those who limit the use of their smartphones and other electronics in bed say they get enough sleep at more than double the rate of those who don’t.

The new survey findings also revealed a clear connection between lack of exercise and sleep quality. Only 11 percent of people who don’t workout think they get enough sleep. The type of exercise also impacts sleep, as those who participate in high-impact activities like cardio, running and CrossFit report getting enough sleep at double the rate of those who engage in low-impact exercises like yoga (22 percent for CrossFit and 18 percent for cardio and running, versus only 10 percent for yoga).

“Through our Sleep Survey, we wanted to get to the heart of the factors in people’s lives that are impacting the quality of their sleep,” says Julia Rosien, brand director for Restonic. “Sleep is one of the most important things we all need biologically to recharge and help our bodies repair. While awareness is growing about how critical a restful night of sleep is, most people are still not getting enough. We hope the findings of our survey put a spotlight on those key lifestyle issues that are preventing people from getting a better night’s rest.”

The Restonic Sleep Survey polled more than 1,000 people on their sleep habits. Additional findings include:

  • Ninety-one percent of people surveyed say they wake up at least once during the night.
  • Nearly two-thirds of people (63 percent) would give up coffee or alcohol for the rest of their lives in exchange for a better night’s sleep.
  • Thirty-eight percent of women report feeling like they don’t get enough sleep compared to only 20 percent of men.
  • Women wake up more frequently in the middle of the night because of kids or pets than men (23 percent of women, versus 12 percent of men).

According to the Centers for Disease Control and Prevention, inefficient sleep is an important public health concern, especially as unhealthy sleep patterns and self-reported sleep difficulties continue to rise. Sleep insufficiency has been linked to car accidents, industrial accidents, medical errors, and can even contribute to chronic diseases such as hypertension, diabetes, depression and obesity.

Restonic was founded in 1938 to bring high-quality mattresses with better materials and greater attention to detail to consumers everywhere. Restonic mattresses can be found in fine retail stores across the nation as well as internationally. Learn more at www.restonic.com, and visit Restonic’s Sleep Blog.

About Restonic

Founded in 1938, Restonic is guided by the principle that getting a healthy night’s sleep is a right, not a privilege. This means that every Restonic mattress is crafted with better quality materials and greater attention to detail than comparably priced mattresses from competitive brands. Restonic mattresses can be found in fine retail stores nationwide, and internationally. Visit Restonic’s Sleep Blog and learn more atwww.Restonic.com, and follow Restonic on Facebook, Twitter and Instagram.

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April 12, 2017

7 SMART NATURAL METABOLISM BOOSTERS

It’s a frustrating scenario. You eat right and exercise yet you have gained weight or cannot shed weight. You may have inherited your mom’s slow-motion metabolism, but the good news is; you’re not stuck with it. Research shows you can trick your body into burning calories more efficiently, especially if you hit the gym. “By strength-training just a couple of times a week, for example, you’ll reverse 50% of the seemingly inevitable metabolism slow-down that comes with age, says Dr. Christopher Calapai a New York City Osteopathic Physician board certified in family and anti-aging medicine. Here Dr. Calapai shares 7 Metabolism boosters that don’t require a visit to an endocrinologist or a prescription.

  1. Value food as fuel and eat.

If you want to weigh less, you’ve got to eat less, right? Wrong! If you take in too few calories, it can cause your body to lose muscle mass and decrease your metabolic rate. Plus, when you skimp on calories, your body slows the calorie burn rate to conserve the fuel it’s got. “Under-fueling is just as risky as over-fueling,” says Dr. Calapai. “In an attempt for quick, noticeable weight loss, many people wrongfully believe that eating as few calories as possible is the best solution. Not only can this lead to numerous nutritional deficiencies as the body is getting less food overall, it can actually have the opposite effect on weight loss.”

  1. Mix up your workouts.

When it comes to the best workouts for weight loss, neither weights nor cardio can completely move the needle on their own. Interval training is the best way to shed pounds, increase your metabolism, improve your cholesterol profile, and improve insulin sensitivity. Turn your favorite aerobic exercise, (running, biking, even walking) into an interval workout by adding periods of intense speed (start with 30 to 60 seconds) followed by periods of rest (normal speed) for the same amount of time. Do this six to 10 times to complete a fat-slashing workout. As you get better, slowly increase the amount of time of increased intensity.

  1. Become best friends with breakfast.

Commit to starting the day with a good breakfast. What should you be having? Morning munchies that are slow to digest and leave you feeling fuller longer. Try a mix of lean protein with complex carbohydrates and healthy fats. Fresh fruit, egg whites, steel cut oatmeal, Greek yogurt, fiber rich cereals are things to grab for. “You’re not kick starting your metabolism if you have coffee for breakfast. Skipping breakfast puts the body in starvation mode slowing your metabolism to a crawl to conserve energy,” says Dr. Calapai.

  1. Spice up your diet.

It turns out capsaicin, the compound that gives chili peppers their mouth-searing quality, can also fire up your metabolism. Eating about one tablespoon of chopped red or green chilies boosts your body’s production of heat and the activity of your sympathetic nervous system (responsible for our fight-or-flight response), according to a study published in the Journal of Nutritional Science and Vitaminology. The result is a temporary metabolism spike of about 23 percent. Stock up on chilies to add to salsas, and keep a jar of red pepper flakes on hand for topping pizzas, pastas, and stir-fries.

  1. Drink green tea.

If you always opt for coffee over tea, you could be missing out on a major metabolism boost. In a recent 12-week study, participants who drank 4-5 cups of green tea daily, then did a 25-minute workout, lost an average of two more pounds and more belly fat than the non-tea-drinking exercisers. What’s is its magic? The brew contains catechins, a type of antioxidant that triggers the release of fat from fat cells and helps speed the liver’s capacity for turning fat into energy.

  1. Snack smart all day.

It sounds counterintuitive. Why would you eat continually if you wanted to lose weight? Eating five to six mini meals, portioned to fit on the size of a salad plate, rather than three larger meals every day, keeps your metabolism going. “Snacking every 2 hours will also prevent you from going without food so long that you become so hungry that you overeat,” says Dr. Calapai. “Try not to let more than 4 hours elapse between meals and make sure each meal includes protein, for an extra metabolic boost,” he adds. If you eat a high-fiber breakfast of cereal and fruit first thing, for example, have a midmorning snack, such as yogurt and fruit; for lunch (try four ounces of chicken or fish on top of a leafy green salad); then another snack late afternoon, like a banana and a piece of low-fat cheese. Dinner is then a lighter meal for example four to six ounces of turkey, salmon, or another lean source of protein with steamed veggies.

  1. Get a good night’s sleep.

Lack of sleep is linked to a major increase in the risk of obesity. This may partly be caused by the negative effects of sleep deprivation on metabolism. Lack of sleep has also been linked with increased blood sugar levels and insulin resistance, which are both linked to a higher risk of developing type 2 diabetes It’s also been shown to boost the hunger hormone ghrelin, and decrease the fullness hormone leptin This could explain why many people who are sleep deprived feel hungry and struggle to lose weight.

About the Doctor:

Dr. Christopher Calapai, D.O. is an Osteopathic Physician board certified in family medicine, and anti-aging medicine. Proclaimed the “The Stem Cell Guru” by the New York Daily News, Dr. Calapai is a leader in the field of stem cell therapy in the U.S. His stem cell treatments have achieved remarkable results in clinical trials on patients with conditions as varied as Alzheimer’s, arthritis, erectile dysfunction, frailty syndrome, heart, kidney and liver failure, lupus, MS and Parkinson’s. He has worked with Mike Tyson, Mickey Rourke, Steven Seagal, and Gotham’s, Donal Logue; and as a medical consultant for the New York Rangers. Connect with him via twitter @drcalapai or at www.drcal.net

 

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March 23, 2017

From the Pros: Stretch Mark Solutions…What Can Be Done Safely?

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Women of all ages regardless of height, weight, or parental status are susceptible to stretch marks. This is a simple fact. Another fact, which will hopefully make you feel a bit better, is that supermodels yes, the bikini models you see in Sports Illustrated and Victoria’s Secret, have stretch marks. If you’re like the 95% of the women out there you prefer them gone. Dr. Kirk Brandow, founder and director of the Brandow Clinic in for Cosmetic Surgery in Philadelphia who has appeared on national programs such as Good Morning America and 20/20 offering insights on cosmetic surgery, shared the real deal on stretch mark solutions with several facts on popular procedures and topical options to prevent and remove stretch marks. Here’s what he has to say.

Option #1: Topical Creams & Preventative Foods

“There are a variety of topical treatments, the ones with cocoa butter are the trend, but they won’t do much if anything to improve severe stretch marks. These creams and oils perform better when used as preventive measures because fully developed stretch marks are rarely skin-deep,” explains Dr. Brandow.

Gelatin powder has been suggested as a great way to get more collagen into your system. Coconut oil mixed with beeswax is said to prevent stretch marks especially when applied throughout the day. Eating foods rich in vitamin C can help prevent stretch marks from the inside out. Adding things like red peppers, parsley, broccoli, kale, Brussels sprouts are good bets.

Option #2: Lasers

Many women who have post pregnancy stretch marks turn to lasers to eliminate this unwanted scarring. Kim Kardashian recently announced via her Snapchat that she would undergo laser treatments to rid her stretch marks. The Coolbeam laser, which is the one Kim Kardashian is going with, requires up to 5 treatments at around $5,000 per treatment which adds up to $25,000. Lasers are known for high level of safety and efficacy and most patients come away very pleased with the result. The treated area heals rather quickly, within a week to three week

“Lasers are far less invasive than a tummy tuck, which has a much longer recovery time. Lasers do have some risk in that they can burn the skin or cause tissue damage. Therefore, it’s very important to choose a doctor who knows what they are doing,” advises Dr. Brandow.

Option #3: Platelet Rich Plasma with Micro-needling

Platelet Rich Plasma (PRP) has been around for the past two decades and used to help athletes like Tiger Woods and Alex Rodriquez recover from injury. A few years ago, the “Vampire Facial” made headlines when Micro-needling was added to the procedure offering a vibrant, smooth, flawless complexion. The results were so great that cosmetic surgeons started to explore other parts of the body such as stretch marks on the buttocks, breast, arms, thighs and abdomen.

This calls for blood to be taken from the patient then put into a machine that separates the platelet rich plasma from the blood. It is then spread over the face after the micro-needling is completed. The micro-needling is a process where a pen-like tool with several tiny needles at the tip is carefully guided over the affected area making microscopic holes on both the outer and inner layers of skin. These holes are so small that they heal within a few hours. The process triggers a healing response in the dermis layer which is what causes the fast fading of stretch marks. Doctors recommend micro-needling with PRP over any other treatment because the results are significant and the cost is about $1000 per session. “Micro-needling with PRP is a combination that offers a fast, in office option, with excellent results and is less costly than lasers,” explains Dr. Brandow who was recently on TV speaking of the procedure.

Dr. Brandow adds that the advantage of micro-needling with PRP for stretch marks over lasers is a lesser chance of scarring and skin discoloration. “Skin on the body is more susceptible to hyperpigmentation than on the face making Micro-needling is a safer option for ethnicities with varying skin tones. This is a big advantage over cool beam lasers, IPL or chemical peels,” he explains.

Option #4: The Tummy Tuck

This is the gold standard offering the best results however it’s invasive and the recovery time is longer. Known as abdominoplasty, the procedure removes excess skin in the abdominal region and tightens the muscles. The stretch marks below the belly button are discarded along with the excess skin. “The tummy tuck is a surgical procedure that comes with risk so typically candidates must be non-smokers in good physical health as certain they will not want more kids after surgery. It’s is the only option for complete and permanent stretch mark removal. Recovery time can be up to 6 weeks and again it is critical that one chooses a reputable doctor. A botched tummy tuck can lead to off-centered belly buttons, long thick scars, and dangerous infections,” warns Dr. Brandow.

Ultimately stretch marks are an unfortunate reality that comes with pregnancy, puberty and any other weight or muscle gain where the skin is stretched. There are preventative measures one can take. Be very weary of anything that seems too good to be true and always consult with a credentialed doctor when considering any kind of cosmetic procedure. 

About the Doctor:

Dr. Kirk Brandow, founder and director of Brandow Clinic for Cosmetic Surgery is a plastic surgeon with 2 locations in the Philadelphia metro area and a 3rd one at the jersey shore. Named a “Top Doc” in Plastic Surgery by Philadelphia Magazine as well as nationally recognized for one of America’s “Best Plastic Surgeons” of this decade, Dr. Brandow is a trusted expert who has developed many innovative, minimally invasive procedures for the face, body and skin. He has been featured on local, national and international television programs including 20/20, CNN’s Headline News, Good Morning America.

 

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March 17, 2017

Aesthetic Nurse, Jill Caruso Shares 5 Terrific Winter to Spring Tips

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FROM THE PROS:

As we say goodbye to the Winter season and hello to Spring, there are important beauty tips and tricks to keep in mind to ensure your beauty regimen continues to thrive through the transitioning seasons. New York City based Beauty Expert Jill Caruso of Fox Vein Care, has come up with the perfect Winter to Spring beauty tips to ensure vibrant skin.

Harsh weather conditions in the Winter can bring anyone’s skin woes, so as the first bud of spring blooms there are a few things to keep in mind. Jill is a Board Certified Aesthetic Nurse Specialist and her distinctive background in medicine, design, and skin esthetics gives her a unique approach when analyzing a patient’s face and determining an individual treatment. She suggests the following for Winter to Spring flawless skin:

Do not forget your sunscreen – This is not an option, but an essential everyday necessity, regardless of weather, to protect your skin from UV radiation. Also, contrary to popular belief, SPF ratings higher than 30 do not offer more protection and no sunscreen can block more than 97 percent of UV rays.
Be sure to moisturize daily – Moisturizing your face will help you to look and feel younger, resulting in softer, more elastic skin… not to mention it will keep your skin hydrated.
Wash your face every night – This is vital, as it removes not only makeup, but the dirt and dust that accumulates throughout the day. Outside elements as well as makeup clogs your pores with dirt, dust, smoke, etc., however, Jill suggests that soap-less cleansers are okay occasionally as they can act as cleansers with nondrying agents.
Light Chemical peels can be great for the season change – There are lower UV levels during the winter, making it optimal for recovery and an ideal time to prepare your skin for the forthcoming spring season.
Lastly, when it comes to makeup, less is more – People often tend to overdo it on the winter. Heavy foundation, mascara, and lipstick often ages women.

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February 13, 2017

From the Pros: What does Organic Skincare Really Mean?

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Organic has gone mainstream! Everyone these days prefers organic products thinking they’re sparing themselves harmful chemicals. This is especially true in beauty products. While the FDA maintains that chemicals are safe and in small doses many are; these chemicals add up. The average woman uses 10 to 16 cosmetic products daily creating a chemical cocktail in our bodies. The hidden danger is that no one is testing how these chemicals react together. To err on the safe side, more women are choosing organic products. Problem is how can you tell if a product is really 100% organic, what does that really mean, and how is that relevant to your skincare routine?

Dr. Spiezia, Co-founder and formulator of Inlight Organic Skincare is considered to be the global expert in organic skin care. He’s the father of the organic beauty movement in Britain and was voted one of the top 25 “Who’s who in natural beauty” in 2012, 2013 and again in 2015.

Dr. Spiezia explains, “the word organic is a labeling term. It means that the product was produced adhering to very specific and approved methods. It also means that it met the criteria of a third party source. Simply put, for a product to be truly organic it must go through a specific creation process that leaves out certain “chemically based” ingredients. This complex process is what leads to a product you can trust to be free of chemicals.”

Where things get confusing is when we look at the FDA and the USDA. The FDA doesn’t have a formal definition or criteria of what constitutes “organic.” When a cosmetic product claims it’s organic and is labeled as such, it means that it complies with both the USDA and the FDA. However, the USDA standard is clear about organic food, not necessarily beauty products. So in the US there’s no real standard specifically for cosmetics and beauty products. The argument becomes, if it can’t be measured, does it really work and is it all hype.

So why pay extra for organic skincare? Simply put, there are 2 reasons. The good organic skincare products work better, and they are better for you. The challenge is that the smaller companies creating organic products lack the advertising dollars that the non-organic cosmetics giants have. Thanks to the internet, people are able to search on their own for organic brands. Once they find organic products that are top quality and deliver significant results they become loyal.

“When I created Inlight I knew that the terms ‘organic’ and ‘natural’ are so often interpreted in different ways,” explains Dr. Spiezia. The key is really in the accreditation. Consumers need to look for “certified organic” labeling. That ensures that it product meets standards set by a neutral third party resource,” adds Dr. Spiezia.

Inlight has a 100% accreditation from the Soil Association and also proud to be the very first UK skincare company accredited under the new European-wide standard, Cosmos, streamlining the various national standards under one umbrella. Inlight 100% organic skincare is now available in the USA, which gives consumers a product line that they can trust.

The key as with any beauty regime is to understand your skin and how it reacts to what you currently use. The fewer chemicals used, the better. An organic cleanser, moisturizer and treatment serum along with body lotion could be enough to see a fast improvement to skin texture and tone.

For more information on Dr. Spiezia visit the US Distribution Website for Inlight Skincare.

www.hugyourskin.com

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February 8, 2017

From the Pros: Plastic Surgeon With Red Flags on Plastic Surgery Procedures

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The name of the game today in cosmetic surgery is fast and non-invasive. The reasons are obvious. Nobody wants to be bedridden out of work and off the social grid as they recover. Fast results of a thinner, tighter, younger look within an hour is very alluring. How many of these seemingly miracle procedures actually do what they claim to? We turned to board certified Philadelphia plastic surgeon Dr. Kirk Brandow to breakdown cosmetic surgery hype; which procedures are zeros not heroes.

Kybella

This injection is made of deoxycholic acid, which is actually produced by the body naturally to absorb fat. The synthetic version is a fat cell destroyer injected into the pocket of fat below the chin. So far this is the only location on the body for which Kybella is FDA-approved. Dr. Brandow cautions, “Kybella may shrink fat but it’s also an acid which could burn the skin and cause an abscess or an open wound if placed too close to the skin. Equally important is that it can also destroy the deeper tissues as well which could lead to a dent just under the chin.” Another issue with Kybella according to Dr. Brandow is potential for ‘redistribution of fat’ to other areas of the neck when people gain weight, over time. “The loss of fat in this focused, Kybella, injected spot will look odd when areas around it are heavier looking.”

Instabreast

If you’ve ever considered a breast augmentation, it’s not hard to understand the appeal of “test-driving” a pair of implants for a day. This “try it before you buy it” procedure called Instabreast takes about twenty minutes in office. A saline solution is injected into the breasts until they are enlarged to the desired size. Surgeons who offer the procedure claim that it takes the guesswork out of planning an augmentation by providing patients with 24 hours of experience with larger breasts.

“This is crazy!!” says Dr. Brandow. “How do you anesthetize the breast before you shoot in the saline? Wouldn’t this hurt? Just the thought of it would scare off my patients. Additionally, implants on top of the muscle versus under the muscle look different and the size you use on top looks totally different from the one you would use under the muscle.” Dr. Brandow questions the safety of injecting saline under the muscle in office with a local anesthetic. “I would say it’s a recipe for a punctured lung! Additionally, I would love to know how a surgeon inflates a young, tight skinned, A- cup woman who wants a full C- cup, without causing a lot of pain during that injection.”

Mesotherapy and Lipodissolve as a Fat Dissolver

Several cosmetic surgeons and dermatologists agree that if there is one procedure to avoid when shopping for a slimmer look, it’s one called lipodissolve, a shot that claims to dissolve away stubborn fat deposits. This shot is often part of “mesotherapy;” a shallow injection of a cocktail of substances using a fine needle. “There is really not a single scientific study to show that it definitely works,” says Dr. Brandow. Are these chemicals safe when injected into fat? What happens to this fat? Where does it go? Dr. Brandow feels lipodissolve is an ill-advised treatment. “This is a non-FDA approved use of a material called lipostabil, which can dissolve fat and other structures however, it can cause pain, swelling, hard lumps, ulceration of the skin, and contour irregularities. None of the pharmaceuticals used for injection are FDA approved.”

Laser Liposuction

It seems like everything that has the word “laser” in it today is perceived as a state-of-the-art breakthrough, but in this case, using laser to assist in liposuction is not necessarily so. Laser liposuction uses lasers to liquefy the fat before it is removed, making it easier to vacuum out and they may also stimulate the production of collagen and elastin, which results in firmer, tighter, and smoother skin. Lasers may also coagulate small blood vessels in the area, which translates to less bruising. What’s the downside? Dr. Brandow points out that, “There is greater risk of burning and therefore, pain. Laser liposuction, Smartlipo and similar procedures add both time and money to the typical technique.”

About Dr. Kirk Brandow

Dr. Kirk Brandow is a board certified plastic surgeon with practices in the Philadelphia metro area. Named a “Top Doc” in Plastic Surgery by Philadelphia Magazine as well as nationally recognized for one of America’s “Best Plastic Surgeons” of this decade, Dr. Brandow is a trusted expert who has developed many innovative, minimally invasive procedures for the face, body and skin. These procedures include the Boomer Lift™, the 48 Hour Facelift™, the Scarless Breast Implant, the Multilayered Micro-Lipo Augmentation, the Tumescent Technique for Liposuction and the CO2 Laser Blepharoplasty.

He has been featured on local, national and international television programs including 20/20, CNN’s Headline News, Good Morning America, ABC Action News, TV Globo and Telemundo to provide updates and opinions on the latest trends in cosmetic surgery. Dr. Brandow where he has spoken out on the controversial issues of cosmetic surgery, advising viewers to take a more responsible and more realistic approach to the latest fads and gimmicks in Cosmetic Surgery.

Dr. Brandow served as an Associate Editor of the International Journal of Aesthetic and Restorative Surgery as well as a preceptor for many live surgical training conferences where he helped teach other doctors advanced techniques in Cosmetic Surgery.

Connect with Dr. Brandow via www.brandowclinic.com

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February 7, 2017

From the pros: 9 Things Your Dentist Wants You to Know

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Dr. Caitlin Grimes

Most of us don’t exactly get fired up about a visit to the dentist. Often, we let those bi-annual appointments slide and wait to visit the dentist until we have a more serious problem. What many people don’t realize, however, is that regular dental visits and maintaining oral hygiene are closely tied overall health. You wouldn’t skip a visit to the cardiologist if your heart was bothering you, right? Well, the same goes for your dentist.
Dr. Caitlin Grimes at StoneCreek Dental Care has compiled a list of nine important things your dentist wants you to know so that you can achieve optimal oral and overall health:
1. Your mouth is full of bacteria — you MUST brush your teeth. It’s not something we like to think about, but our mouths are full of bacteria – some of which can be harmful to our teeth and overall health. Harmful bacteria erode teeth and contribute to periodontal (gum) disease, which is why brushing your teeth at least twice daily for two minutes is absolutely essential. Remember – brushing is vital, but if you overdo it you may damage your gums. Brush gently at a 45-degree angle to effectively remove the bacteria that causes plaque buildup and decay.

2. Flossing isn’t optional either. If you’re not flossing regularly, you really should be (and your dentist can tell if you aren’t). Flossing removes food debris and bacteria that gets stuck between teeth. Be sure to check with your dentist to make sure you’re flossing correctly!

3. Your dentist can detect issues early. This might seem overly obvious, but the best way to prevent dental pain is to visit your dentist. Many dental issues are not painful initially, so when you visit your dentist he or she can detect any minor issues before they turn into major ones. Your dentist can fill a small cavity, for example, before it has the chance to get infected and cause a painful tooth abscess.

4. Poor oral health contributes to poor overall health. Did you know that if you have gum disease you are much more likely to have a heart attack or stroke? This risk increases when those harmful bacteria travel through the bloodstream to the rest of the body and increase inflammation. Oral health can greatly impact your overall health, and vice versa.

5. Smoking will ruin your teeth. Aside from yellowing your teeth, smoking contributes to bad breath, receding gums and a dry mouth. A dry mouth is much more prone to harboring bad bacteria, leading to plaque buildup and tooth decay. Smoking also decreases your body’s ability to fight off infection in the mouth, and contributes to the development of oral cancer. The bottom line – kick that habit ASAP!

6. Change your toothbrush every three months. Over time, your toothbrush loses its effectiveness. The bristles become frayed and do not work as well as they once did, and the bad bacteria that lives in your mouth builds up on your toothbrush. If you have gum disease, you need to change your toothbrush more often — every four to six weeks. If you’ve been sick, it’s especially important to change your toothbrush afterwards to get rid of any germs.

7. Bleeding gums are usually not “normal.” Bleeding gums can be the result of several factors. You might be using a toothbrush with hard bristles and brushing too vigorously. Bleeding gums may also signal an improper flossing technique. At worst, bleeding gums are a sign of gum disease. Regardless of the cause, if your gums are bleeding be sure to ask your dentist about it!

8. There’s more to that regular dental visit than cleaning. Your dentist isn’t just there to clean your teeth and give you a brighter smile. During your regular dental visit, he or she will also check your mouth for signs of tooth decay, gum disease and oral cancer. These issues are much easier to treat if found early.

9. Your dentist is here to help you, not judge you. Some people do not visit the dentist because they are embarrassed about their teeth or an issue with their mouth. Don’t worry — your dentist has been highly trained in treating a variety of issues, and will be able to talk through any concerns you may have and discuss the appropriate treatment options.

With these nine things in mind, be sure to make and keep your regular dental appointments so you can take control of your dental and overall health. Every patient is different, so your dentist will work with you to address your individual needs and ensure you have the healthiest smile possible!

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