~ Plastic Surgeon Gets Real on Secrets Most Keep Under Wraps ~

With popular TV shows such as “Botched” and the old favorite NipTuck, plastic surgeons are seen as the perfect specimen of looks, wealth and a fabulously crafted and curated lifestyle. They’re impeccably dressed, have gregarious personalities and their significant others are the epitome of perfection. Is there more to the story? Are there practice secrets that are kept more confidential than the facelift of a 50-year-old socialite? Dr. Stanley Poulos, a San Francisco Bay area board certified plastic surgeon gets real on secrets many plastic surgeons prefer to keep under wraps.

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1)Sometimes you will have more than just “a little discomfort” managed with some light dosage of pain medication.

 Everyone has a different pain threshold and post-op bruising and swelling vary so certain procedures will take longer to recover from. Abdominoplasty, body lifts, and combination surgeries like “mommy makeover” are just a few examples of procedures where recovery may be extended.

 Many people who have had procedures can think of a time a few days post op where they wanted to curse their surgeon or ask “why in the world did I do this?”

 Just because it’s an elective aesthetic surgery doesn’t make it any less of an operation. Dr. Poulos explains that there are two very important things you want to get clear on, the actual level of pain and recovery time. Recovery time to return to ranching or running marathons may be a lot different than being able to drive or get out.  He advises speaking to a few friends or references who had the same procedure. Just remember that like childbirth as time goes by the experience may seem easier than it was.

 “You need to know so you can make necessary arrangements with work and childcare or elder care if need be. Some procedures can take at least a week or two before resuming normal activity so the more realistic the expectations the better,” adds Poulos.

 2) There may be more than just “minimal scarring.”

 “Scarring has nothing to do with the surgeon’s skill and everything to do with the patient’s genetics,” clarifies Dr. Poulos. He goes on to explain that a highly skilled plastic surgeon can do the same exact procedure with closure on two different people. One will have minimal scarring while the other will not.” People with darker complexions should consider this before deciding to do a procedure and certainly consult with your doctor’s team who can recommend remedies that help with scarring.

 3) Cellulite removal isn’t just easily “zapped away” with a laser.

Today there are many options available, each claiming to treat cellulite effectively. Some are a bit more invasive. Cellulaze, for example, is a highly promoted actual surgical procedure using an invasive laser that must be threaded under the skin. “Even though this is considered minimally invasive, it’s not an easy zap. Even with the improvement the results often will not meet expectations so be realistic.

 4) There’s an expiration date on results due to the aging process.

We see celebrities who desperately battle mother nature. Aging is inevitable. The average “shelf life” of a facelift is about 10 years. “A facelift is a large financial investment along with significant recovery time. The better the skin elasticity the closer to a decade you’ll get. Odds are even better you’ll have a more enduring result if you don’t smoke or sun-worship,” says Dr. Poulos. He goes on to say that he believes it’s really important to lay out the real expectations given skin texture and volume. Some people may notice the lower quadrant of their faces aging just a few years post facelift. While a person will still look youthful post facelift, it’s not going to prevent aging. 

 About the Doctor:

Dr. Stanley Poulos is a Board-Certified Plastic Surgeon and Co-Founder with Yngvar Hvistendahl, M.D of Plastic Surgery Specialists recognized as one of the premier aesthetic surgery clinics in Northern California, with over 30-years’ experience in aesthetic procedures, and mastery of facial and body symmetry. Dr. Poulos offers weight loss procedures such as the gastric balloon that allow patients to achieve optimal health and when combined with exercise and proper nutrition, and ongoing consultation with a specialist (an option few surgeons offer before considering surgery) the results have been exceptional.

 

A graduate of the University of Texas Medical School, Dr. Poulos completed his internship and residency at UC San Francisco. He completed surgery and plastic surgery training in San Francisco prior to entering private practice in Marin County where he co-founded PSS (www.psspecialists.com)

~ Nail Care 101 by Celebrity Manicurist Skyy Hadley ~

Taking good care of your hands and nails is vital and celebrity manicurist and owner of As U Wish Nail Spa, Skyy Hadley is giving you the ultimate guide to nail care. Learn how to care for your nails with her tips and tricks as well as proper care essentials for keeping your nails healthy and beautiful.
1.      Cuticle Oil: Always use cuticle oil as it doesn’t just keep your feet soft and moisturized, it also keeps your nail polish from chipping.
Sally Hansen products to use to keep hands/cuticle moisturized:
Sally Hansen Vitamin E Nail & Cuticle Oil
Sally Hansen Color Therapy Nail & Cuticle Oil
2.      Let Your Cuticles Be: Trimming or cutting cuticles during a manicure is purely cosmetic and sometimes doesn’t benefit the nail in any way. The cuticle is the barrier to protect the surrounding skin and help develop the nail from infections. (Bacteria)
3.       The Proper Way to Cut Your Nails: The best way to cut your nails is to make sure you clean under the nail otherwise bacteria could form. Use fingernail clippers for your fingers, and use toenail clippers for your toes. If you are unsure of what shape your nails should have, just look at your cuticles. The U-shape of the cuticle should be reflected (upside down) by the top of your nail. The primary goal is to mirror the shape.
4.      All About The Base: Don’t forget your base coat, it helps to give the color something to sink into besides your actual nails.
5.      Don’t Forget Your Top Coat: This is a majorly important step if you want your nails to maintain high shine and luster. You can always keep reapplying topcoat every 2-3 days to continuously add strength and shine.

~ Cosmetic procedures: Red Flags Not To Ignore ~

COSMETIC PROCEDURES: RED FLAGS NOT TO IGNORE

www.psspecialists.com

imageAs more and more cosmetic procedures become readily available and mainstream, it seems as if everyone is having something done. However, easy access to treatments and procedures comes with concerns. As captured on the popular TV show “Botched,” things can go very wrong with serious, even life-threatening consequences. Anyone conducting cosmetic procedures can call themselves a “cosmetic surgeon.” However, to be considered a plastic surgeon one must be certified by the American Board of Plastic Surgery. Dr. Stanley Poulos, a Board-Certified San Francisco area Plastic Surgeon offers the following red flags not to ignore when selecting a plastic surgeon, dermatologist, aesthetician or anyone else you plan to trust your body with.

 

  1. They offer discount coupons.

Discount coupons make sense if you’re looking for a haircut or a massage, not for plastic surgery. “Don’t bargain shop when it comes to something serious like surgery. You want to make sure you research the average prices and if something seems too steep of a discount, beware;” Dr. Poulos says.

 

  1. The surgeon is not Board-Certified.

Look for credentials, someone who is Board-Certified in plastic surgery by the American Board of Plastic Surgery. If they are they usually have this credential prominently visible in their office and on their website. This means the surgeon has had at least six years of surgical training with two or three years devoted specifically to plastic surgery, has passed rigorous oral and written examinations and has demonstrated safe and ethical surgical practice.

 

  1. They make lofty promises.

Dr. Poulos states that, “Any surgeon that promises to make you look like a celebrity or says he can make you look 30 years younger, is over-promising. A skilled surgeon knows the potential and limitations of surgery and will be clear about this from the start. A good surgeon will want you to look like an improved version of you, not someone else.”

 

  1. The surgeon’s operating facility is not accredited.

Often plastic surgery is performed in an ambulatory care center or the surgeon’s office-based surgical facility. “Either way, “you want to make sure the facility is properly accredited. Accreditation ensures that strict standards are met for proper equipment, safety, surgeon credentials and staffing,” stresses Dr. Poulos.

 

  1. They try to “up-sell” potential patients.

An initial consultation with a plastic surgeon should be a collaborative effort in which doctor and patient come to an agreement about which course of treatment is best.  It’s reasonable for the surgeon to suggest alternative approaches, but that it’s worrisome if he/she uses high-pressure tactics. “Your surgeon may suggest  consideration of more or different  procedures than your initial request but should have sound reasons why this is his/her advice,” says Dr. Poulos.

 

  1. The consultation is short and lacks professionalism.

The first visit with a plastic surgeon must be a thorough, get-to-know-you session in which both patient and doctor determine if they can work together. Also trust how the overall consultation experience feels to you. Is the staff friendly and welcoming? Was your phone call handled professionally? Did they follow through on getting your promised information? Are they clear about all costs and how the procedure will go?

 

  1. They’ve been censured or sued several times.

“Just because a surgeon has faced a malpractice lawsuit doesn’t mean they are incompetent. In today’s medical climate, even first-rate surgeons are sometimes sued. However, “be wary of a surgeon who has been sued more than a few times or have been censured by the state medical board,” says Poulos.

 

  1. They don’t provide before and after photos. If you’re interested in a procedure, you should see what the physician can do for you. One of the best ways to see the quality of work is to view before and after photos of their actual patients. If they won’t show you any, they may not have enough experience, or success in that particular procedure.

 

  1. When to Consider a Different Aesthetic Surgeon

Dr. Poulos says that, “Searching for a cosmetic surgeon is more manageable when you use a clearly defined system to make the choice. Consider all options and weigh them cautiously. If you’re consulting with a cosmetic surgeon and any of the above red-flags come up, consider looking for a different surgeon.”

~ Anti- Aging products: Seperating the skincare heroes from the zeroes ~

ANTI -AGING PRODUCTS AND INGREDIENTS: DON’T GET CREAMED BY FALSE HOPE IN A JAR.

SEPARATING THE SKINCARE HEROES FROM THE ZEROES

www.DrManishShah.com

 Here’s what is certain: There are no firming or tightening products whose results can duplicate what you derive from in-office procedures such as dermal fillers, Botox, lasers, or cosmetic surgery. Board– Certified Denver plastic surgeon Manish Shah says, “There are anti- aging products or ingredients that do perform significantly better than others and can make a profound difference in the skin’s appearance while others are simply “false hope in a jar.”

 Why don’t most products work the way they claim? Almost without exception, when you buy a product claiming to tighten skin, its effects, if any, are due to ingredients such as film-forming agents. Just like the name states, film-forming agents form a film on the skin, and that can make the skin “feel” tighter. The effect is temporary and you won’t see noticeable lifting of sagging skin, but the sensation is often enough to convince women that the product is working. Dr. Shah stresses that, “Skin “feeling” tighter is not the same as making a real change for the better in the tone or laxity of your skin. Using what really works will get you closer to the results you want.”

 THE HEROES

Dr. Shah says, “Sunscreen SPF 30 or above is the best antiaging cream you can use.  It prevents skin cancer as well as UVA rays that cause loss of collagen and wrinkles in the skin.  Reapply every 2 hours, use a powder sun block and carry in your pocketbook for quick and easy sunscreen touchups.  My favorite powder sunblock is Colorescience, and my favorite base sunscreens have titanium or zinc oxide in them as active ingredients.”

Retinoids work great to reduce fine lines and wrinkles and help boost collagen production,” says Dr. Shah.”  He adds, “Over the counter retinols are good, Neutrogena makes a good one, or prescriptions such as Retin- A.”

Glycolic acid also reduces fine lines and wrinkles and helps fade pigmentary damage from the sun.  “I often have patients alternate nights with retinoid and glycolic,” says Dr. Shah.

Vitamin C is a great antioxidant which reduces free radical damage and is great for anti-aging and helps brighten the skin.  Dr. Shah often recommends it in the morning, underneath sunblock, or at night if patients are too sensitive to tolerate retinoids and glycolic acid.

 Ceramides are a type of lipid found in the membrane of cells. Dr. Shah states that, “They help hold skin cells together, forming a protective layer that plumps the skin and retains moisture. Ceramide levels decrease as we age which leads to loss of hydration, less skin turnover and dryer, more damaged skin. Replenishing the skin’s ceramide levels will help restore moisture and fortify the skin’s natural barrier, helping skin look and feel younger.” So use a ceramide containing moisturizer for your whole body daily.

Hydroquinone works to even out sun spots, blotches, and mottled skin. A little hydroquinone goes a long way. “It’s the most effective ingredient for bleaching skin,” says Dr. Shah.  Hydroquinone fades hyperpigmentation by blocking the enzyme that triggers melanin production in the skin.

Green Tea Extract is loaded with nutrients called polyphenols, which have been shown to fight free radicals. It is an amazing antioxidant. Studies have found that ingredients in green tea can reduce sun damage and may protect against skin cancer when applied topically. Dr. Shah offers that, “Using green tea extract under sunscreen can provide an extra dose of protection. Polyphenols in creams and lotions may help slow signs of aging, reduce sagging skin and decrease wrinkles.”

THE ZEROES

The majority of anti-aging creams are still based on moisturizers such as mineral oil.  Wrinkles look worse when they are dry, so any kind of moisturizer helps, but it’s only temporary and doesn’t address the root cause of the wrinkles such as collagen loss, free radical damage, sun damage and environmental factors.  Don’t be fooled by the anti-aging labels.  Unless there is an actual “active ingredient” such as retinol, the benefit is just moisture but nothing else.

B Vitamins Many forms of vitamin B (like B12) can only be absorbed in the small intestine, so no matter how much is loaded into your moisturizer or serum, it’s not going to make a difference. “Vitamins like niacin can have an effect on the skin’s texture and color, but your skin can’t absorb them,” Dr. Shah explains. If you really want to tap into the power of vitamin B to improve your skin’s glow and appearance, stick to eating leafy greens like spinach, asparagus, beans, and peas.

Caffeine.  Much like a Starbucks Latte for your brain, caffeine in skin creams can give a boost to your skin, too. Until it wears off.  “Caffeine can temporarily reduce puffiness, especially around your eyes,” explains Dr. Shah.  “But don’t expect permanent results.”

Botanical extracts are ingredients extracted from plants (flowers, roots, stems, trees, etc.) for use in skin care for everything from healing blemishes to reducing fine wrinkles. They have been used for centuries and have anecdotal purposes in many cultures. The issue: Botanical extracts need to remain on your skin in order to work. Dr. Shah explains that, “In cleansers, there is simply not enough contact time on your skin for any true anti-aging benefit to take place. Another issue is that most botanical extracts are water soluble, which means that the moment you wet your skin and begin to wash your face, they’re watered down and rendered useless.”

Collagen and elastin in anti-wrinkle products. Collagen and elastin in skin-care products can serve as good water-binding agents, but they cannot fuse with your skin’s natural supply of these supportive elements. In most cases, the collagen molecule is too large to penetrate into the skin. But even when it is made small enough to be absorbed it cannot bind with the collagen existing in skin, and there isn’t any research indicating otherwise.

 

About Dr. Manish Shah

Plastic Surgeon Colorado | Dr. Manish Shah, M.D. | Denver https://drmanishshah.com/

Manish Shah, M.D., F.A.C.S. is board-certified by the American Board of Plastic Surgery and member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery and the International Society of Aesthetic Plastic Surgery. After completing his formal plastic surgery training in Plastic and Reconstructive Surgery at the Univ. of Tennessee College of Medicine, he moved to New York City and was selected for the prestigious Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital. He underwent extensive, advanced training in aesthetic surgery of the face, breasts, and body at the hands of some of the most renowned cosmetic surgeons in the world. Dr. Shah is one of only a select few plastic surgeons in the country who have undergone formal post-graduate training in aesthetic surgery.

Dr. Shah’s specialties include revision facial aesthetic surgery, rhinoplasty (“nose reshaping”), and aesthetic surgery of the breast (breast augmentation, breast lift, breast reduction). He is, however, well-trained in all areas of aesthetic surgery. Dr. Shah’s aim is to obtain a natural appearing transformation that complements the real you!

 

~ struggling with wicked skin issues? The Bioré Witch Hazel Collection is here to help ~

Available for $6.49 at www.biore.com

~ Google’s 2018 Top 10 Trending Beauty Inquiries – And How to Solve Them! ~

 

I don’t know about you, but I find myself on Google about 100 times a day, looking up how to do things, what things are, etc. For the beauty enthusiast, Google can be a resource full of information and magical tutorials that make you believe you can do it. The company recently released its 2018 Year in Search report, and included were the top 10 top trending beauty inquiries. See below for the list – I know I’ve definitely Googled a few of them! I wanted to share some solutions to the inquiries from a variety of my brands, and I’ve included details and info below!

  • #10: What Concealer to Use
  • #9: How to Fix Cakey Makeup
  • #8: How to Glue Down Eyebrows
  • #7: How to Apply Aloe Vera
  • #6: How to Take Off Makeup Without Makeup Wipes
  • #5: How to Do a Cat Eye
  • #4: What Hair Color Looks Best on Me?
  • #3: How to Remove Individual Eyelashes
  • #2: What Is a Lash-Lift?
  • #1: How to Apply Magnetic Lashes

How to Do a Cat Eye – instead of automatically getting your eye flick on point, correct it after!

BROWFOOD Chamomile Makeup Eraser Pen ($18.00, Ulta): ($18 at https://lashfood.com/ & will be launching in Ulta NATIONWIDE on October 21st!): Ideal for instantly perfecting brow and eyeliner mistakes, the Eraser Pen is strong enough to remove waterproof formulas, but infused with chamomile and vitamin E to soothe sensitive skin.

 

How to Take off Makeup without Makeup Wipes – pre-cleanse skin always, it’ll take off makeup way easier than just using a cleanser!

 

Dermalogica PreCleanse Balm ($45 on Dermalogica.com) Deep-cleansing balm-to-oil melts away impurities and make-up from skin. Achieve cleaner, healthier-looking skin with the Double Cleanse regimen that begins with PreCleanse Balm. This water-activated, balm-to-oil version of our top-selling oil cleanser deconstructs layers of excess sebum (oil), waterproof make-up, environmental pollutants and residual product buildup on skin. Use the included Cleansing Mitt to thoroughly cleanse debris from the skin’s surface, allowing your recommended Dermalogica Cleanser to deliver more effective cleansing results.

 

 

La Roche-Posay Micellar Water Ultra ($19.99 for 400ml, CVS, drugstores nationwide): A new and improved formula designed to cleanse the skin better than ever. With benefits of traditional Micellar Water plus new key ingredients, the new Micellar Water Ultra deep cleans the skin of impurities, including microscopic pollution particles, and removes even the toughest makeup while leaving the skin perfectly cleansed without rinsing. Now formulated with Glycerin, a moisturizing agent that naturally attracts water to the skin, the gentle cleanser actually hydrates skin while dirt-encapsulating micelles naturally lift oil, pollution and even 99% of 24 hour foundations. The new water-like formula is oil-free and non-comedogenic so it won’t cause breakouts.

 

 

How to Fix Cakey Makeup – spritz on a refreshing mineral water before and/or after applying foundation (it’ll help keep it in place and keep it from caking!)


La Roche-Posay Thermal Spring Water
($12.99) The Thermal Spring Water is at the heart of most of La Roche-Posay’s products. Refreshes, soothes and tones skin. Its unique combination of mineral salts and trace elements has been scientifically demonstrated for its soothing properties and used in Europe for centuries. Contains a high concentration of Selenium, a powerful natural antioxidant. Mineral-rich micro-droplets provide immediate, intense soothing.

 

How to Glue down Eyebrows – instead of a scary permanent glue, use a gel that can keep brows in place!

BROWFOOD BROW ENHANCING GELFIX ($24, Sephora.com): A multitasking brush-on gel to define, thicken, tint, groom, condition, and hold brows perfectly in place instantly while providing long-term nourishing benefits. Receive a natural-looking finish with this brush-on gel, featuring thickening microfibers to create lush brows. Infused with a Nano-Peptide Complex, a powerful peptide blend to support brow rejuvenation, the lightweight, flexible formula locks in color for up to 12 hours and can work alone or over brow pencils without flaking or hardening. *available in 4 colors and clear

~ Vitamins are essential in our daily routine ~

Vitamins are essential in our daily routine, but how do you know what you should be taking in your 20’s compared to your 40’s, or 60’s?

Dr. Christopher Calapai D.O., a New York-based Osteopathic Physician board-certified in family and anti-aging medicine, is sharing his top recommendations for vitamins you should be taking through the generations:

 

  • Your 20’s –In our 20’s, we’re super active, so Vitamin B is really important. Vitamin B will keep you energized throughout the day and prevent you from crashing. Vitamin C is another important vitamin that will boost your immune system and slow down the skin’s aging process.

 

  • Your 30’s – Our 30’s require a lot of vitamin D, which helps strengthen bones and keep your teeth healthy. Vitamin D deficiencies can cause health issues such as bone abnormalities and increased bone tenderness, which can lead to osteomalacia. This is especially important in the winter months as Vitamin D levels from the sun are harder to absorb.

 

  • Your 40’s – Once you reach 40, be sure to get a lot of calcium and potassium. You should also be taking a multivitamin daily. A multivitamin helps with memory loss and lowers the chance of cancer.

 

  • Your 50’s – In our 50’s, Omega 3 is a key vitamin in your 50’s since it lowers blood pressure and prevents heart disease. There are three types of Omega-3’s, one being DHA, that improves eye health. These fatty acids can also fight off inflammation in the body.

 

  • Your 60’s – Come 60, Vitamin B12 is known to keep nerve and blood cells at its healthiest, while also preventing anemia, making you tired or weak. Iron maintains healthy muscle function as well, so this is a must.