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Dr David Kavesteen


									                                         E N C O U R A G I N G O P T I M A L H E A LT H A N D B E A U T Y
                                                   AUGUST / SEPTEMBER 2012



Sizzling selections for late summer

A little gem on the east end of Long

by Maria Orlando Pietromonaco
Welcoming light at the end of the tunnel


A guide to some of the area’s hospitals

A guide to some of the area specialists
and what procedures they offer

Q&A with Eti Bolender
The most effective treatment for hair
                                                                                                            SPECIAL SECTION:
Q&A with Angela Azar, M.D.
                                                                                                            TEEN WELLNESS
New technology for fat reduction
                                                                                                            16 WEIGHT ISSUES ARE TOUCHY FOR TEENS
                                                 34 MENOPAUSE                                               by Jennifer Schwartz & Tzipporah Gruber, CSW
articles                                         by Dorene Marinese, M.D.                                   Raising the issue of weight with your teen
12 TAKING IT ON THE ROAD                         Riding the waves of change
by Donna Halperin                                                                                           18 TEENS AND PLASTIC SURGERY
Having a vision and creating the plan to         38 A WEEKEND IN THE HAMPTONS                               By Andrew Jacono, M.D.
achieve it                                       by Remi Appel                                              The right procedure for the right reasons can
                                                 There’s still time to enjoy an escape out                  be a good thing
14 SAY GOODBYE TO EXCESS FAT                     east
by Kevin Tehrani, M.D., F.A.C.S.                                                                            20 SUDDEN CARDIAC ARREST
New Zeltiq technology allows for non-            42 INTERSTIM THERAPY                                       by David Kavesteen, M.D.
invasive, natural looking results                by Jill C. Genua, M.D., F.A.C.S., F.A.S.C.R.S.             A new test can save lives
                                                 Sacral nerve stimulation for bowel control
26 SECOND TIME AROUND                                                                                       22 SKINCARE FOR TEENS
by Maureen Tara Nelson                           44 CAD/CAM                                                 by Suzanne Sirota Rozenberg, D.O.
Finding true love with a compatible              by Steven Feigelson, D.D.S., F.A.G.D.                      The importance of proper hygiene and protec-
partner                                          The future of dentistry is here today                      tion

30 LOOKING OLD AND TIRED?                        50 SLEEP APNEA AND SNORING                                 24 BEGINNING A NEW CHAPTER
by Mark Schwartz, M.D., F.A.C.S., A.B.PH.,       by Barry Chase, D.D.S.                                     by Kimberly Williams, Psy. D.
R.P.V.I.                                         Alternative treatments for this chronic                    Making the leap from middle school to high
Erase those blue veins under the eyes            medical condition                                          school
                                                                                                            This Issue’s             contributors
Dr. Mark Illan SIlberMan attended Duke University, Georgetown University Medical School, and State University of New York –
Downstate Medical Center. He completed Plastic Surgery training at Downstate Medical Center in New York. He is Board Certified by the
American Board of Plastic Surgery, is a fellow of the American College of Surgeons and a member of the Aesthetic Society of Plastic Surgeons.
Dr. Silberman has been in private practice on Long Island for 24 years, with offices in Great Neck and Rockville Centre, and has clinical po-
sitions at nine area hospitals, including North Shore University Hospital, Long Island Jewish Hospital, and St. Francis Hospital. Dr. Silberman
specializes in cosmetic surgery as well as post-mastectomy breast reconstruction, and lectures frequently on these topics. For more infor-
mation visit or call 516-466-7000
Dr. Silberman serves as the medical advisor to IMaGe Publications.

                       Dr. STeVen FeIGelSOn is a General, Cosmetic, Implant and Sedation Dentist with a thriving state-of-the-art practice located in Commack,
                       New York. He received his training at New York University College of Dentistry and Brookdale Hospital Medical Center, where he became
                       certified in the use of IV and oral sedation. He attained Fellowship in the Academy of General Dentistry and is Associate Clinical Professor,
                       University Hospital at Stony Brook and serves on the Suffolk County Dental Society's Board of Directors. Dr. Feigelson recently appeared
                       on NBC for a medical segment on digital imaging and CAD/CAM dentistry. For more information visit or call

Dr. Suzanne SIrOTa rOzenberG teaches at St. John’s Hospital and Touro College of Osteopathic Medicine. The comprehensive der-
matologic services she offers in her boutique practice, in Woodmere include medical, surgical, and cosmetic dermatologic care. A former
family practitioner, she prides herself on her one-on-one relationship with each patient and has had extensive training in all areas of der-
matology. Her state-of-the-art office, located in Woodmere, NY offers a wide of services including Iso-Laz, Juvederm and Botox, laser resur-
facing, photo facials, skin tightening and rejuvenations, microdermabrasion peels, permanent makeup, electrolysis, facials, massage therapy,
and yoga classes. She also has a nutritionist on staff. For more information call 516-295-5570.

                      Dr. anDrew JacOnO is a Facial Plastic and Reconstructive Surgeon with a thriving practice on Long Island's Gold Coast and in Manhattan.
                      He is Section Head of Facial Plastic and Reconstructive Surgery at North Shore University Hospital in Mahasset; Assistant Clinical Professor,
                      Division of Facial Plastic and Reconstructive Surgery at The New York Eye and Ear Infirmary; Assistant Professor, Department of Head and
                      Neck Surgery at the Albert Einstein College of Medicine; Director of The New York Center for Facial Plastic and Laser Surgery in Great Neck,
                      NY; author of the book FACE THE FACTS: The Truth About Facial Plastic Surgery Procedures that DO and Don't Work; and creator of J PAK SYS-
                      TEMS™, homeopathic remedies to help optimize healing after aesthetic procedures. Dr. Jacono is is one of a small group of surgeons that
                      has achieved Dual Board Certification in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery. Dr. Jacono is one of only
                      37 surgeons in the United States that are Advanced Facial Plastic Surgery Fellowship Training Directors for the American Academy of Facial
                      Plastic and Reconstructive Surgeons. For more information visit or call 516-773-2424

Dr. Mark SchwarTz is a Vein Specialist with more than 20 years experience. He is a Triple Board Certified General/Vascular Surgeon
and Phlebologist, who is also RPVI (Registered Physician in Vascular Interpretation) certified. He is the Medical Director of the North Shore
Vein Center and North Shore Medical Spa, which specializes in the latest treatment of venous disease including varicose and spider veins,
as well as aesthetic procedures for laser hair removal, body contouring and skin rejuvenation. His facility is AAAHC accredited and AAAASF
certified. He is also a member of over 14 different related organizations, including the American Academy of Cosmetic Surgery, the
American College of Phlebology, the American Venous Forum and the American College of Surgeons. For more information, visit or

                       Maureen Tara nelSOn has been a private Matchmaker for over 12 years, with over 1,000 success stories. She has offices in both
                       Long Island and Manhattan, and 1,200 clients who are all looking for a committed relationship. Maureen Tara Nelson Private Matchmaking
                       Inc. has won best Matchmaking Service in Long Island for four years in a row. She is the only Matchmaker that shows photos before
                       setting up a date. She also gives her clients a free singles mixer each month, and offers all singles a complimentary consultation. For
                       more information, you can check out her website at To schedule your consultation, call 516-444-2861. Mention
                       Image Magazine and receive 10% off any of the memberships in her program.
 This Issue’s             contributors

                     Dr. DaVID kaVeSTeen received his Bachelor of Science in Biochemistry from SUNY Stony Brook with Magna Cum Laude and distinction in
                     research award. He pursued his passion in medicine at SUNY Health Science Center at Brooklyn, School of Medicine. He completed his internal
                     medicine internship and residency at the prestigious New York University Medical Center. Dr. Kavesteen continued further education by specializing
                     in cardiovascular diseases and nuclear cardiology. He completed his fellowship training at Maimonides Medical Center. He is board certified in
                     internal Medicine, Cardiovascular diseases and nuclear cardiology. He is a diplomat of American college of cardiology and American Board of Internal
                     medicine. He has received numerous awards and he has published many articles in medicine. He is founder of Heart and Health PLLC located in
                     North Babylon, NY. For more information visit or

Dr. kIMberly wIllIaMS is a Pediatric Neuropsychologist and Clinical Psychologist with thriving practices in Great Neck, NY and Brooklyn,
NY. Dr. Williams received her Psy.D. from the Virginia Consortium Program in Clinical Psychology in 2006. She obtained advanced training
in Adult and Pediatric Clinical Psychology at Cornell Weill Medical College before completing her residency in Adult and Child Neuropsy-
chology at NYU Langone Medical Center Child Study Center. Presently, Dr. Williams provides evaluations and treatment of academic and
learning problems, psychological disorders, and neurologic conditions. Dr. Williams is a leading expert in the field of neuropsychology and
clinical psychology; most recently, she co-founded the Long Island ADHD Consortium where the forerunners in the field will join forces to
bring the most advanced treatment techniques home to LI. For more information call 516-513-1215.

                     Dr. keVIn TehranI is a highly regarded, Board Certified plastic surgeon renowned for his skillfulness and artistry in plastic surgery. He is
                     the founding Director of Aristocrat Plastic Surgery with offices in Manhattan and Great Neck. He is also Chief of Plastic Surgery at SUNY
                     Downstate Medical Center and a member of the prestigious American Society of Plastic Surgeons. Dr. Tehrani earned his M.D. degree at
                     SUNY Downstate Medical Center and completed his general surgery residency at Beth Israel Medical Center in NYC, where he was Chief
                     Resident. He continued his postgraduate training in plastic and reconstructive surgery at Kansas University Medical Center, where he was
                     also Chief Resident. Dr. Tehrani is an outstanding educator and researcher in his field, and has published extensively in leading peer-reviewed
                     medical and scientific journals. For more information call 516-498-9790.

Dr. JIll c. Genua is an attending board-certified colon and rectal surgeon at St. Catherine of Siena Medical Center in Smithtown, NY. Dr.
Genua began her medical career at Albany Medical College. She completed her internship and residency in general surgery at Stamford
Hospital/Columbia University College of Physicians and Surgeons, where she became the general surgery chief resident. She gained her
specialty training in colorectal surgery at Cleveland Clinic Florida, and throughout the past decade, has trained in transanal endoscopic mi-
crosurgery and laparoscopic colectomy techniques. Dr. Genua served as a clinical associate staff member in the Department of Colorectal
Surgery at Cleveland Clinic Florida and then practiced with Colon and Rectal Surgeons of Southern Connecticut. In 2010, she was included
in International Who’s Who of Professional and Business Women.

                    Dr. DOrene MarIneSe is a recent graduate of the Ob/Gyn residency at the North Shore Long Island Jewish Hofstra University School of
                    Medicine. She received her Bachelor of Arts in Biology from Barnard College in New York City. She attended medical school at the SUNY
                    Downstate Medical Center in Brooklyn. She is originally from Long Island, and recently joined Northern Obstetrics and Gynecology, in North
                    Hills, Long Island. She was recently awarded a resident achievement award by the Society of laparoendoscopic Surgeons. Her research was
                    presented at the 2011 American Association of Gynecologic Laparoendoscopic 40th annual meeting. For more information call 516-365-6100.

Dr. barry chaSe is the principal owner of Chase Dental Sleepcare and a practitioner in the field of dental solutions for improving sleep
and breathing. He is dedicated to helping his patients get the sound, restorative, good night's sleep needed to stay healthy. Dr. Chase is a
graduate of Georgetown University Dental School and completed an externship in head and neck cancer at Memorial Sloan-Kettering Cancer
Center. His memberships and associations include the American Academy of Sleep Medicine, American Academy of Dental Sleep Medicine,
American Dental Association, New York State Dental Association, National Sleep Foundation, Advisory Committee for the CoARC accredited
Respiratory Care and Polysomnography Specialty Option at Stony Brook University, and many others. For more information call

                    Dr. anGela azar is a board-certified Dermatologist who practices in Great Neck, NY. She graduated from Mount Sinai School of Medicine
                    in 1996, and completed her Dermatology residency at New York Medical College in 2000. She holds an appointment as Associate Clinical
                    Professor of Dermatology at Columbia University Dept. of Dermatology. She opened her Great Neck office in 2002. Dr. Azar remains true
                    to her basic training, in which she maintains a full-time Dermatologic practice, seeing both pediatric and adult patients, as well as performing
                    cosmetic procedures. She is up to date with the latest technologies in non-invasive image enhancements. For more information call
9/30/12   9/30/12
 Ask the Professional
     have a question about procedures that can help you look and feel your best? Our doctors and other
     professionals are among the best in their fields, and they’ll be happy to provide you with clear, helpful,
                                                                                                                  E N C O U R AG I N G O P T I M A L H E A LT H & B E AU T Y
     authoritative advice and answers to your questions.                                                          EDITOR-IN-CHIEF, C.E.O
                                                                                                                  Donna Halperin
     Visit our website at and click on Ask our Experts. Your questions will be
     answered in the next issue of IMAGE Magazine.                                                                PUBLISHER
     __________________________________________________________                                                   Bruce Jacobson
     Q: Lately there’s been a lot of press about “barefoot running.” It sounds absurd…but I’m actually
     wondering if I should ditch my running shoes. What’s the verdict on this? Is it bad for your feet? Better    MANAGING EDITOR
     for your run?                                                                                                Maria Orlando Pietromonaco

                                                                                                                  ART DIRECTOR
     A: Barefoot running has been a bit of a fad lately, with many people arguing the pros and the cons.          Justin Michaels
     Is it absurd, as the reader asked? Well, some of the barefoot running shoes make you look like a cast
                                                                                                                  ACCOUNT EXECUTIVES
     member of The Flintstones. Aside from that, there is very little evidence-based medicine to prove
                                                                                                                  Jill Cohen
     that barefoot running is better. To the contrary, barefoot running puts you at increased risk of injury      Randi Feldstein
     to your feet, especially in regard to cuts and puncture wounds.                                              Miriam Furman
            As far as the argument that it is more natural and it enables muscles to develop and strengthen
     since they have to work harder without shoe support, there may be some truth to this. Those in the           ADVISORY BOARD
     "pro" camp often reference Abibe Bikila, the Ethiopian runner who won the 1960 Olympic marathon              Dr. Mark Illan Silberman
     in Rome without shoes while setting an Olympic record. What they fail to say is that four years later        PHOTOGRAPHY
     he won the Olympic marathon in Tokyo setting a new record, this time with shoes.                             Richard Liebowitz
            My recommendation is if you are a daily runner, and you feel you need to break the monotony,
                                                                                                                  CONTRIBUTING WRITERS
     try running "barefoot" with the Vibram barefoot running shoes once or twice a week. I believe this is        Remi Appel
     a medically sound compromise.                                            (Answered by Dr. Corey Fox)         Jamie Servellon

                                                                                                                  Edna Drori
     Q: : My daughter is eight years old and starting to get her permanent teeth. I am concerned because
     the teeth are discolored. What is the cause of this? Will they change over time on their own or should       ACCOUNTING
     I be doing something now about it?                                                                           Ilene Wekselblatt
     A: Examination of your daughter's teeth would be necessary to accurately determine the type of               Jamie Servellon
     discoloration and its cause. However, the most common reason why the permanent teeth appear                  Remi Appel
                                                                                                                  Jacob Lewit
     discolored when they first erupt is that the primary, or "baby," teeth are typically much whiter than
     their permanent successors. When a permanent tooth lies side by side with a primary tooth, it will           CIRCULATION
     appear yellow, or discolored, by comparison. This effect becomes less noticeable when the remaining          Creative Distribution
     primary teeth are lost.                                                                                      Matthew Halperin
           Genetics will play a major role in the coloration of the teeth. Other, less common causes of dis-
     colored teeth are: dental fluorosis, which is a brown, speckled appearance due to excessive fluoride         ADVERTISING & ART CONTACTS
     ingestion; staining from certain antibiotics; and malformed enamel.                                          Image Magazine
           If the permanent teeth are uniform in coloration and of normal shape, there is no reason to be         Advertising: 516-307-1110
     concerned. Although your daughter's teeth will not lighten on their own, teeth whitening when she            Email:
     is older is a safe and effective option.                           (Answered by Dr. Steven Feigelson)        Art & Production: 516-307-1109

                                                                                                                  Image magazine is published by LI Image Publications, Inc., 6 times a year.
     Q: I am in my 40s, and I am going through mild periods of depression. How do I know if I have a
                                                                                                                  The contents of Image magazine are copyrighted and may not be repro-
     problem I should seek help for? I am not sure if this is completely normal or something out of the           duced without the written permission of Image magazine. Image magazine
     ordinary.                                                                                                    does not take any responsibility for unsolicited manuscripts or photographs
                                                                                                                  which may be treated as unconditionally assigned for publication. Adver-
                                                                                                                  tisers and contributors assume all liability for the content and photographs
     A: It's quite common for people to experience periods of sadness in their lives. Sadness can be sit-         they supply to Image magazine and assume responsibility for any claims
     uational, related to common life issues such as moving or change in employment, or as a result of            against the publisher and publication arising from their advertisement or
                                                                                                                  editorial and photos that were contributd by them. Photography submitted
     something more significant, like losing a loved one. As we mature, hormonal and physical changes in          to Image magazine must have written consent from the subject and is the
     our body can also lead to a persistent low mood.                                                             contributors responsibility to obtain. Image magazine assumes no liability
           However, extreme sadness that is ongoing and interferes with day-to-day functioning is the hall-       for services advertised in the magazine. The publisher reserves the right to
                                                                                                                  edit, rewrite, or reject editorial material and assumes no responsibility for
     mark of depression. If you are experiencing notable changes in your sleep habits, weight fluctuation,        accuracy, errors or omissions. All artwork including advertisements created
     fatigue, lethargy, feelings of hopelessness, and have lost a desire for things that are enjoyable, you       by Image magazine is the property of the magazine and cannot be repro-
     may have clinical depression.                                                                                duced without written permission from the publisher. Neither the publisher
                                                                                                                  or Image Magazine nor any agency or contractor is responsible for any of-
           Everyone experiences these symptoms to a different degree. I encourage you to contact your physi-      fers, products, services, statements, information and contact expressed
     cian or a psychologist and share your concerns. After a comprehensive review and discussion, they can        within this magazine. Any person or entity that relies on information ob-
     guide you towards strategies to improve your mood and feel better. (Answered Dr. Kimberly Williams)          tained from this magazine does so at his or her own risk. The content is pro-
                                                                                                                  vided as a information service only, and it is the sole responsibility of the
                                                                                                                  reader to investigate and evaluate any and all content provided.

08   •   IMAGE     •   AUGUST / SEPTEMBER 2012                                                                           WWW.IMAGEMAGONLINE.COM
Aug. 7, Aug. 23, Sept. 10, Sept. 11,
                                                 EDITOR’S letter                       August 2012

                                               W               e are midway through our beautiful summer and cher-
                                                               ishing the days that we have left until the air gets
                                                               cooler and the leaves begin to fall. The days begin to
                                                shorten, and the school year is almost underway. I don’t know
                                                about you, but I still get butterflies in my stomach when I see those
                                                back-to-school clothing commercials. That is the absolute indication
                                                that summer is nearing the end.
                                                      With the school year ahead of us, each year we dedicate this
                                                edition to Teens and the issues that can affect them. As a mom of
                                                one child entering 10th grade and one entering college, I am open
                                                to the abundance of knowledge that is thrown my way and use it
                                                to understand what they face each day as children transforming
                                                into adults. Our professional contributors have given us insight into
                                                some common and not-so-common situations that occur with chil-
                                                dren, and the best way to tackle them. Dr. Kimberly Williams offers
                                                us key tips on how to make our children’s transition from middle
                                                school to high school easier with less anxiety. Dr. Suzanne Sirota
                                                Rozenberg reminds us of the importance in teaching our children
                                                how to care for their skin. After all, our skin is the largest organ on
                                                our body and probably the most abused. Much of the skin damage
                                                found later in life is due to the lack of consideration given from a
                                                young age. Dr. Andrew Jacono educates us on the increased use of
                                                cosmetic surgery on teens. He explains the benefits it can produce
                                                under the right circumstances, how it can change a young adult’s
                                                self esteem, and most importantly, if it is right for your teen.
                                                      In the news at least once a year we hear the story of a high-
                                                school athlete who tragically passes away while on the field from
                                                Sudden Cardiac Arrest. Undetected heart conditions are usually
                                                the cause, but by then it is much too late. Dr. David Kavesteen, a
                                                noted Long Island cardiologist, suggests that student athletes
                                                should have an EKG included with their physical. He is now using
                                                brand new technology called the T-Wave Alternans Test, which de-
                                                tects even the smallest microscopic electrical changes in the heart
                                                that can cause Sudden Cardiac Arrest. All very relevant topics for
                                                bringing in the new school year!
                                                      There is still time to catch a weekend in the Hamptons or tour
                                                the wineries on the North Fork, so we have some great suggestions
                                                for lodging, eating, beach going, and more that we have found and
                                                enjoyed, so we thought we would share them with you. Don’t let
                                                this summer go by without a trip out East, since it truly is the best
                                                therapy to be had. If you can get there during the week, even better
                                                since it is less crowded and celebrity sightings are more likely.
                                                      Enjoy the remainder of your summer because you deserve it!

                                               Retraction on page 25 of our June 2012 issue- We were incorrect in
                                               stating that Plastic Surgeon, Dr. Roya Emami is Board Certified. We
                                               apologize for the error.

10   •   IMAGE   •   AUGUST / SEPTEMBER 2012                                       WWW.IMAGEMAGONLINE.COM
September 19th
          by   DONNA HALPERIN

                                                                 TAKING IT ON THE ROAD
                                                                 Leadership – having a vision and
                                                                 creating the path to achieve it,
                                                                 ultimately affecting your life, the lives
                                                                 of your family and friends, your
 Before                               After                      community and the world around you

            AN EMPOWERED
             BREAKDOWN IS
  ACKNOWLEDGING FAILURE                               the knowledge we all now have          by the end of the three month
                                                      and gives us the opportunity to        program.
 BUT BRUSHING YOURSELF OFF                            show our power. It is the most              Leadership is an experience
         AND TRYING A NEW                             supportive environment one             that only the most driven, fo-
                                                      could possibly ever have in life.      cused, hard-working people can
                APPROACH                              Each person is paired with a           relate to. I had learned that I had

                                                      buddy within a small group of          to create my life and not wait
                    n the past two issues I have      four –six people and each group        around until it found me. Lazi-
                    written about the road to         is given a personal coach. All of      ness is not in the vocabulary!
                    Transformation and what I         the coaches are past graduates of      Success does not show up at
                had discovered about myself           the program and have chosen to         your door without vision, pas-
                through the Synergy Education         volunteer their time, doing their      sion, focus, risk-taking, confi-
                curriculum. If you have not read      part by paying it forward to en-       dence and the decision to make
                the two previous articles, you can    sure that we are all successful in     it happen, whatever it takes.
                visit our website or visit Syner-     our goals. The program consists        Leadership for me was the deci-
       and either         of one workshop per week and a         sion to walk through the door to
                click on the last two issues or       phone call each week with your         the rest of my life, no-kidding.
                contact us and we will email the      buddy and your coach. There are             On the first night we all gath-
                articles to you. This is the third    also two incredible weekends,          ered at Synergy, and it was won-
                and final workshop in this three-     one in the middle of the program       derful to see all of the people
                part curriculum. The difference       and one at the end. I will not say     who have chosen to continue on
                between Leadership and the first      anything about these weekends          this journey. The relationships
                two phases is that Leadership is      except that they were the most         we have created through this
                a three-month experience that         memorable experiences of my            process have become “forever
                takes what we have learned            life and truly life-changing.          friendships,” loyal and trust-wor-
                through our past two workshops        Within the first couple of weeks       thy. We all chose a new buddy so
                and puts into practice in our daily   everyone creates what is called a      that we can have a different ex-
                lives. The reason Leadership is       “Letter of Accomplishment” indi-       perience and we were placed in
                three months long is because          cating what we would like to           a small group within the larger
                studies show that habits can be       achieve in every area of our lives,    group. The trainer explained
                broken or created within a three      specifically, relationships, career,   everything that we were going to
                month period. This is where we        health and well being, finance,        do in this final phase and what
                get to walk the walk and talk the     and community. The idea is to          part our coaches play within the
                talk.                                 stretch beyond our comfort zone        process. It all sounded so excit-
                     Leadership is designed to        to create amazing accomplish-          ing and I was already feeling like
                send us out into the world with       ments with measureable results         a pillar of strength. We were

12   •    IMAGE     •   AUGUST / SEPTEMBER 2012                                                          WWW.IMAGEMAGONLINE.COM
asked to think about what we wanted to achieve in each        given up. An empowered breakdown is acknowledging
phase of our lives so that the following week we can cre-     failure but brushing yourself off and trying a new ap-
ate our “Letter of Accomplishment (LOA)”. We were told        proach. This is where my coach was so instrumental and
that whatever we chose to place on that paper was irrev-      how lucky I felt to have someone so extraordinary in my
ocable so I knew that I had to think really hard about        life. If something did not work the way I was approach-
where I was failing or not “playing full out” and choose to   ing it, he would suggest that I try a different way and we
make a difference and work hard to make it even better        would discuss other things I could do to succeed in that
than I ever thought possible.                                 area. It made me realize how narrow my thinking was
      Week two came up quickly and now it was time to         and it opened me up to understand that there is not only
make the commitment to jump in with two feet into the         one way to go about something. This way of thinking is
life I wanted for myself and the people around me. My         imperative in every aspect of life whether it is relation-
coach was not allowing my group to make easy commit-          ships with friends and family, community projects and for
ments. He made us step it up a notch or two from where        me in particular, in business. When my partner and I are
we planned on heading. For instance, if my vision was to      having our brainstorming sessions we come up with sev-
increase my business earnings by a certain amount, he in-     eral different ways to increase our business. We imme-
creased it. Nothing was unrealistic, everything was possi-    diately put into action the ideas that seem like natural
ble but it wasn’t going to be an easy ride. We were all       winners but those ideas don’t always necessarily initially
there to support each other so I knew that if I was dead-     become winners. Instead of pushing the idea to the side
locked in an area I was able to count on my buddy, my         and getting discouraged, we now find another way to pro-
coach, my trainer or anyone else in the group to help me      duce the results we are looking for and try again. Some
through. We learned the difference between empowered          ideas stick and others don’t but not until we have tried
and disempowered breakdowns. A disempowered break-            every way possible to succeed.
down was to accept failure and not get back up again.              The weekly meetings were used to discuss our
Imagine not fulfilling your dreams because you failed the     progress. We were all opened to coaching from each
first time. Think about how many thousands of light bulbs     other as well as our coaches and trainer in order to assist
Thomas Edison must have thrown away before he in-             us in achieving our results. There were also times we in-
vented the one that worked. What if he had given up after     teracted within small groups or pairs to work on our ways
the first or tenth time he had failed? Think about how        of being and communication within relationships. Some
our lives today may have been different if Edison had                                                (Continued on page 43)

  WWW.IMAGEMAGONLINE.COM                                                                   AUGUST / SEPTEMBER 2012 • IMAGE    •   13
            by   KEVIN TEHRANI, M.D., F.A.C.S.

                                                             SAY GOOD-BYE TO
                                                             EXCESS FAT AND BULGES
                                                                 New Zeltiq technology allows for
                                                                 non-invasive, natural-looking results


                                                                  These people feel that they are       body fat cells within particular
                                                                  unable to wear the clothes,           areas of the body. When body
                                                                  swimwear, and beachwear that          fat tissues have been subjected
                                                                  they really love and want to          to coolness for a period of time,
                                                                  wear, and this inhibits their abil-   the fat cells solidify and are gen-
                                                                  ity to do the things that they re-    tly eliminated through the body's
                                                                  ally want to do. Until recently,      normal metabolic processes,
                                                                  the only medical or surgical so-      gradually decreasing the actual
                                                                  lution for meaningful fat reduc-      width of the body fat layer.
                                                                  tion was liposuction. Thanks to            There are many advantages
                                                                  advanced non-invasive Zeltiq          of the Zeltiq procedure. There
                                                                  Coolsculpting technology, we          are no long-term or significant
                                                                  can now achieve visible, natural-     side effects and it does not
                                                                  looking results without surgery       cause harm to the skin. The
                                                                  and needles.                          treatment is also virtually pain-
                                                                       Zeltiq technology employs a      less – there are no needles, no
                                                                  unique cooling technique that         lasers, and no knives. It is totally
                        ZELTIQ TECHNOLOGY                         works on fat cells, which are nat-    non-invasive and is performed
                         EMPLOYS A UNIQUE                         urally more vulnerable to cold        as the patient sits in a comfort-
                                                                  compared to surrounding tis-          able chair or lies on a treatment
                       COOLING TECHNIQUE                          sues. The mechanism behind            bed. In addition, it may de-
                             THAT WORKS ON                        Zeltiq's fat-reduction treatments,    crease the scale of the body fat
                                   FAT CELLS                      called cryolipolysis, is a method     layer by up to 40 percent. Re-
                                                                  patented by professionals at Har-     sults can be seen in most pa-

                                                                  vard-affiliated medical centers.      tients within a few weeks or up
                                  eople from all walks of life    The science behind cryolipolysis      to four months.
                                  – including, but not limited    is fueled by evidence that fatty           Although most people who
                                  to, new mothers, profes-        tissue is very susceptible to the     undergo Zeltiq are women,
                           sionals, active men and women,         effects of cold temperatures, and     some male patients have under-
                           students, and others who have          can be manipulated to cause fat-      gone this procedure. Men gen-
                           difficulty finding the time to ex-     cell reduction and elimination on     erally have it done to reduce the
                           ercise or take good care of their      certain body areas.                   fat around the chest, arms, and
                           bodies – may desperately want               During the Zeltiq procedure,     upper thighs. This procedure is
                           to get rid of their excess fat and     a non-invasive device called an       particularly effective for love
                           bulges. Particular areas of con-       Applicator with cooling plates is     handles. Women generally have
                           cern often include the waist,          used to provide managed cool-         Zeltiq performed for abdominal
                           arms, buttocks, and thighs.            ness to focus on and remove           areas, flanks, bra roll, arms,
14   •   IMAGE    •   AUGUST / SEPTEMBER 2012                                                            WWW.IMAGEMAGONLINE.COM
inner thighs, buttocks, and “The 40 fold.” Zeltiq is ideal   CoolSculpting procedures with excellent results; in
for the person who is fit but struggles with localized       fact, Zeltiq CoolSculpting has rapidly become one of
bulges of fat. We have performed hundreds of Zeltiq          our most popular procedures.
                                                                  The procedure ranges from $750 for a small area
                                                  Before     to $1,500 for a large area. The cost for incremental
                                                             areas can be lower and this is determined during the

                                                             THIS PROCEDURE IS PARTICULARLY
                                                             EFFECTIVE FOR LOVE HANDLES

                                                             complimentary consultation. In some cases patient fi-
                                                             nancing is available. If necessary and as mutually de-
                                                             termined by both the patient and physician, the
                                                  After      treatment can be repeated in the future to enhance
                                                             results and outcome.                          IMaGe


                                                             Dr. Kevin Tehrani of Aristocrat Plastic Surgery &
                                                             MedSpa is a board-certified plastic surgeon with
                                                             offices in Manhattan and Long Island. If you wish to
                                                             schedule a complimentary consultation and find out
                                                             if Zeltiq CoolSculpting is right for you, you may call
                                                             his office at (516) 498-9790 or e-mail his staff at

WWW.IMAGEMAGONLINE.COM                                                                  AUGUST / SEPTEMBER 2012 • IMAGE   •   15
                                                             by JENNIFER SCHWARTZ, Nutrition Specialist, Holistic Health Coach
                                                             and TZIPPORAH GRUBER, LMSW

                                               WEIGHT ISSUES ARE TOUCHY FOR TEENS
                                               Raising the issue of weight with your teen

                                                         hildhood obesity has tripled since the early 1970s. More than one in five
                                                         children between the ages of 6 to 17 are now considered overweight.
                                                         Childhood obesity has been linked to diabetes, high blood pressure, and
                                                 anxiety, which may result Afterpoor academic performance.
                                                      Many adolescents who are not morbidly obese, but need to lose excess
                                                 weight and who are unhappy with their weight, are more likely to have self es-
                                                 teem issues, social withdrawal, and lack of self confidence. Many behavioral is-
                                                 sues stem from poor self esteem.
                                                      Pressure to be thin may result in extreme behaviors such as bulimia and
                                                 anorexia. Here are statistics that verify these behaviors: 90% of women with eat-
                                                 ing disorders are between the ages of 12 and 25. Currently, approximately 11%
                                                 of high-school students have been diagnosed with an eating disorder.
                                                      Parents with the best intentions may also have a difficult time raising the
                                                 issue of weight with a teen. Talking about weight can be a very sensitive topic,
                                                 no matter what the age, and may produce a negative reaction. It is important,
                                                 however, to offer healthy eating choices and a physical activity that the teen may
                                                 enjoy and excel in. No matter how much we may want our teens to find them-
                                                 selves at a comfortable weight, the decision to change their eating habits is ulti-
                                                 mately theirs alone. It is only then that weight loss will occur. It is also important
                                                 that when the teen does make that decision to go on an eating plan, the parents
                                                 be supportive; but we do encourage the parents not to be too involved.
                                                      Working with teens differs from working with adults. A teen’s school sched-
                                                 ule differs from an adult’s schedule. A teen’s social life revolves around parties,
                                                 going to the movies, and eating out. We know that pizza and frozen yogurt are
                                                      The most important element in the relationship with the teens in our prac-
                                                 tice is the establishment of trust. We talk about what is going on in their lives
                                                 and how can we incorporate our plan into their busy schedules. All eating plans
                                                 can work if you can live with them. Diets are a temporary experience – we go on
                                                 and off a diet. We can do this countless times, and usually we do. We emphasize
                                                 that what we offer is not a diet, but a plan you can live with.
                                                      We see our teens weekly, and since texting has become the new phone
                                                 conversation, we are regularly texting our teens to see how they are doing,
                                                 and we encourage them to be in touch with us as often as they like. They may
                                                 have questions, such as what to eat at a particular restaurant or at a party. We
                                                 make ourselves available to our teens seven days a week.                       IMaGe

                                                To schedule a consultation for your unique nutritional guidance at T.G. Diet
                                                Counseling, call 516-248-6309. We are located at 471 Willis Ave, Williston
                                                Park, New York 11596

16   •   IMAGE   •   AUGUST / SEPTEMBER 2012                                                             WWW.IMAGEMAGONLINE.COM
                                                                                                             by   ANDREW JACONO, M.D.

                                                               TEENAGE PLASTIC SURGERY
                                                               The right procedure – for the right reasons –
                                                               can make all the difference in your teen’s
                                                               social and emotional development
         Before                            After

              A YOUNG PATIENT MUST                             of perceived physical flaws. Con-        need to know? First, you need to
                                                               sider these examples: A 13-year-         be accepting of the importance
             REACH FULL GROWTH —                               old boy with prominent ears was          that a plastic surgery procedure
           USUALLY AGE 16 FOR GIRLS                            failing in school and had difficulty     may play in the development of
                                                               socially with friends. According to      your child as a whole and confi-
                   AND 17 FOR BOYS                             his mother he was bullied and            dent adult. Being supportive and
                                                               teased at school. The repeated           understanding can make this al-
                                                               events led to reclusive behavior.        ready anxiety-ridden process that

                      S     o your teenager wants plastic
                            surgery? It seems all you
                            hear about in the media is
                      that this is a new, explosive phe-
                      nomenon. The current crop of
                                                               Another example in my practice
                                                               was a 15-year-old girl who was os-
                                                               tracized because of her overly
                                                               large nose, which was significantly
                                                               disproportionate to her other fa-
                                                                                                        much easier for your child. In my
                                                                                                        practice, I focus exclusively on fa-
                                                                                                        cial plastic surgery procedures, so
                                                                                                        I will focus on the discussion of
                                                                                                        these procedures.
                      teenagers have been exposed to           cial features. She refused to go to           Many procedures are timed
                      plastic surgery more than previous       school.                                  so that they are performed at crit-
                      generations as a result of the                 Even parents, subconsciously       ical social milestones: between
                      media’s focus on plastic surgery;        or consciously, impart values and        high school and college, and be-
                      young celebrities having nose            judgments on their children based        tween middle school and high
                      jobs, breast augmentation, and           on physical appearance. There is         school. The reason for this is to
                      other procedures are documented          no denying this fact, as even in a       minimize the social and psycho-
                      in magazines such as US Weekly           newborn nursery, the more attrac-        logical impacts on the patient and
                      and other celebrity-centric publi-       tive babies are placed in the front      to allow for a smooth emotional
                      cations, not to mention countless        by the window, and in nursery            transition.
                      stories of young starlets having         school, teachers afford the more              One of the most important
                      surgery on the internet. It seems        attractive students extra time, at-      factors to consider is who you will
                      as though the focus has moved            tention, and tolerance.                  trust to perform your teen's pro-
                      from the “baby-boomers” to                     The truth is that the right pro-   cedure. Review a facial plastic sur-
                      young adults and teenagers. Fur-         cedure for a teenager, for the right     geon's credentials, training,
                      thermore, you as a parent may            reasons, at the right time, can be       experience, and practice to ensure
                      have had plastic surgery as a child      invaluable and not necessarily a         that your teenager is receiving the
                      or an adult, or currently undergo        byproduct of our overindulgent           highest quality of surgery and
                      routine laser, Botox, or filler injec-   society. Plastic surgery has been        care. I usually suggest that pa-
                      tions.                                   around for a very long time and          tients go on multiple consultations
                           With younger patients, their        provides people of all ages, even        with doctors who are board certi-
                      central focus is body image, peer        teenagers, with self esteem – but        fied by the American Board of Fa-
                      pressure, and peer acceptance. As        specifically in children’s emotional     cial Plastic and Reconstructive
                      plastic surgeons, we know about          growth and development.                  Surgery or American Board of
                      the negative psychological impact              So as a parent what do you         Plastic Surgery, and primarily per-

18   •   IMAGE    •   AUGUST / SEPTEMBER 2012                                                                WWW.IMAGEMAGONLINE.COM
form facial surgery over all other procedures.                  cations of having surgery. While a teen will heal quicker
     The procedures we most commonly deal with in               than an adult and their elastic skin may show results
teenagers is ear surgery, to reduce the size of prominent       sooner, the final results may take one year. Activities will
ears (”ear pinning”); rhinoplasty (“nose job”); and chin        be limited initially; I do not let my patients exercise for
augmentation for a weak chin. Ear-pinning surgery can           three weeks, and I have them avoid sporting activity for
be performed as early as age six, when the ears have de-        four weeks (with protective headgear for the next
veloped to 80% of their adult size. Before the nose is al-      month). Take the time to discuss all of these aspects with
tered, a young patient must reach full growth — usually         your teen before making the initial appointment with
age 16 for girls and 17 for boys. The reason for this is that   your facial plastic surgeon. Your support and assistance
if the nose grows after surgery, the result may change,         in going through the process are crucial for success.
requiring some touch-up surgery.                                     The consultation appointment is an excellent time to
      Exceptions can be made on a case-by-case basis, es-       discuss with an expert if getting a plastic surgery is right
pecially if the surgery is to improve breathing. If a child     for your teen. Get to know your surgeon, the practice,
matures early, and goes through their puberty at an early       and those that will be participating in their care. This will
age, I will perform rhinoplasty earlier, at 14 or 15. Also,     help you and your teen feel more comfortable and as-
there are times where the appearance is so distressing to       sured in the decision to have surgery.
the child’s emotional and social growth that we will per-            The facial plastic surgeon will perform a thorough
form it earlier and not wait. Chin augmentation for a           medical exam and discuss your teen's medical history.
retrusive chin is often done in combination with rhino-         Skin type, ethnic background, and age will also be dis-
plasty, so the same timing applies. This is usually per-        cussed. Don't be afraid to ask questions. Encourage your
formed with an implant.                                         teenager to bring a list of concerns and to keep asking
      Rhinoplasty is the most complex surgery of all plastic    until he or she feels completely at ease about the treat-
surgery and takes a lot of study and dedication to master.      ment plan. Responsible, board-certified facial plastic sur-
I also think it is important for the doctor to use digital      geons will look at the individual patient and make an
morphing sessions to show what the nose will look like          informed decision based on the risks, benefits, and out-
after the surgery, so that you can be sure that your aes-       comes of surgery. The surgery must be appropriate and
thetic matches with that of the doctor. This avoids get-        necessary.
ting the “cookie cutter” nose job.                                   Making the decision to undergo surgery is one of the
     Some teenagers may not realize the practical impli-                                                (Continued on page 57)

WWW.IMAGEMAGONLINE.COM                                                                       AUGUST / SEPTEMBER 2012 • IMAGE     •   19
           Q&A             WITH   DAVID KAVESTEEN, M.D.
           It was rumored that a young college basketball player was a po-               causes of sudden cardiac death in
           tential top pick in the professional basketball draft. During a game          young athletes, but the most com-
                                                                                         mon is undetected hypertrophic
           midseason, he experienced arrhythmias (irregular heartbeat).                  cardiomyopathy (a condition
           After the symptoms occurred, he was immediately removed from                  where the heart muscle thickens).
           the game and was treated. Tragically, three months later during a             Athletes with a thin, compliant
                                                                                         chest wall are at risk of common
           tournament, he collapsed and died. The cause of death was sud-                cordis (sudden cardiac arrest from
           den cardiac arrest.                                                           a blunt, non-penetrating blow to
              Dr. David Kavesteen sheds some light on this frightening condi-            the chest), even when there is no
                                                                                         cardiovascular disorder present.
           tion that can affect almost anyone, even unsuspecting youthful                The blow could result from sports
           athletes who seem healthy and in optimum physical condition.                  with baseballs, softballs, lacrosse
                                                                                         balls, hockey pucks, or even a di-
                                                                                         rect blow in boxing.
           IMaGe: what is sudden cardiac         anyone, and especially athletes
           arrest? and why has it taken the      with pre-existing heart conditions.     IM: are younger athletes at
                                                 The athlete may or may not have         greater risk of cardiac arrest?
           lives of such strong, fit athletes?
                                                 diagnosed heart disease. The time
                                                 and mode of death are unex-             Dr. K: Since the diseases that do
           Dr. Kavesteen: Sudden cardiac ar-
                                                 pected, usually occurring minutes       cause the condition are expressed
           rest will usually result from an
                                                 after symptoms happen.                  earlier in life, younger athletes do
           abrupt loss of heart function. Sud-
                                                                                         have a greater chance of experi-
           den cardiac arrest can occur in
                                                                                         encing sudden cardiac arrest. For
                                                 IM: what causes sudden cardiac          instance, high school students are
                                                 death?                                  at much greater risk than colle-
                                                                                         giate athletes, who are at greater
                                                 Dr. K: All known heart diseases         risk than professional athletes.
                                                 can lead to cardiac arrest and sud-
                                                 den cardiac death. During intense       IM: can anything be done to pre-
                                                 physical or athletic activity, adren-   vent sudden cardiac arrest?
                                                 aline is released and it often acts
                                                 as the trigger for sudden cardiac       Dr. K: A simple EKG as part of a
                                                 death, but only when these condi-       high school athlete’s physical ex-
                                                 tions are present. There are many                        (Continued on page 39)

20   •   IMAGE   •   AUGUST / SEPTEMBER 2012                                                    WWW.IMAGEMAGONLINE.COM
                                                                                      by   SUZANNE SIROTA ROZENBERG, D.O.

                                                                            CARING FOR OUR SKIN
                                                                            The importance of proper
                                                                            hygiene and protection

                 BY THEIR MID TEENS,
                 MORE THAN 40% OF
             ADOLESCENTS WILL HAVE                        adults aren’t aware of the cor-     skin cancer and premature
                                                          rect approach to skin care.         aging.
                ACNE, PRIMARILY ON                        Many of us are buying inexpen-          Dermatologists       recom-
               THE FACE, CHEST, AND                       sive face and body washes as        mend the following precau-
                               BACK                       well as greasy moisturizers that    tions:
                                                          can clog our pores. This can        • Avoid midday sun
                                                          lead to unnecessary skin condi-     • Apply broad-spectrum sun-
                                                          tions, or can aggravate genetic     block with UVA and UVB pro-

                     S     kin is the largest organ on
                           the body, so it is important
                           to respect that and keep it
                     healthy. It is important to keep
                     it clean, safe from sun expo-
                                                          skin disorders.
                                                               Gently washing and mois-
                                                          turizing our face and body with
                                                          the right products helps to keep
                                                          the skin intact and clean. Over-
                                                                                              tection with SPF of 30 or higher
                                                                                              • Reapply sunblock every two
                                                                                              • Wear protective, tightly
                                                                                              woven clothing
                     sure, and free from skin condi-      washing, scrubbing, or picking      • Protect your lips
                     tions that can lead to low self      all break down the skin barrier     • Seek the shade
                     esteem and even physical pain.       and can lead to infection and       • Avoid reflective sunglasses
                     As parents and dermatologists,       scarring. It is important to        • Avoid tanning beds – they are
                     we need to encourage good            know ourselves and teach our        a known cause of skin cancer
                     skin habits for our teens, which     children proper skin mainte-
                     will lead to a life of youthful,     nance at an early age.              acne
                     clear, wholesome skin.                                                        Acne is the most common
                                                          Sun Protection                      skin condition, affecting 40-50
                     Skin hygiene                              First and foremost, teach      million Americans each year,
                         Skin hygiene is essential.       your children about sun protec-     80% between the ages of 11
                     From the time our children ob-       tion. Sun damage accumulates        and 30. By their mid teens,
                     tain their first baby teeth, we      over your lifetime, so it is im-    more than 40% of adolescents
                     teach them the importance of         portant to stress the impor-        will have acne, primarily on
                     brushing twice a day. Bathing        tance of sunblock from an early     the face, chest, and back. In
                     and showering are a must every       age. Over-exposure to the sun       most cases, it is recom-
                     day, but many times we do not        will ultimately lead to increased   mended to visit a dermatolo-
                     educate our children on the          wrinkling of the skin. Unpro-       gist to evaluate and prescribe
                     proper way to care for their         tected sun exposure is also the     the best regimen for acne con-
                     skin. As a matter of fact, most      leading risk factor in developing   trol. This may include special

22   •   IMAGE   •   AUGUST / SEPTEMBER 2012                                                       WWW.IMAGEMAGONLINE.COM
cleansers and creams as well as certain diet restric-              Acne Care and Treatment for at-home
tions, as there are foods that may exacerbate the              maintenance:
condition.                                                     • To avoid scarring, do not pick or squeeze pimples
    The following list can encourage the onset of acne         • Seek treatment early for acne that does not respond
or worsen it:                                                  to over-the-counter remedies
• Hereditary factors                                           • Gently wash affected area twice a day with a mild
• An increase in male hormones found in both males             cleanser and warm water
and females                                                    • Shampoo hair often, daily if it tends to be oily
• Menstruation                                                 • Buy only oil-free moisturizer, cosmetics, and sun-
• Emotional Stress                                             screens for you and your teen
• Oil from cosmetics or skin care products                     • Avoid astringents, as they contain alcohol and dry
                                                               the skin
    As a parent you must be aware of your child’s skin         • Antibiotics, topical medications such as retinols, and
condition. If you notice that he/she is breaking out           benzoyl peroxide can be prescribed by your dermatol-
regularly or there is a reaction to the products your          ogist
child is using, it is in the best interest of your child not   • Isotretinoin may be used by your dermatologist for
to diagnose and treat him/her without consulting with          severe cystic acne, the most severe form of the dis-
your dermatologist. You wouldn’t treat your child’s            ease
toothache or sore throat on your own, and every in-                If there is any change in your child’s skin appear-
dividual has their own unique diagnosis and treat-             ance, such as moles, birth marks, breakouts, rashes,
ment.                                                          etc., please visit your dermatologist for access to the
    When diagnosing a skin condition, your dermatol-           proper diagnosis and treatment.                  IMaGe
ogist may suggest microdermabrasion, which resur-              __________________________________________
faces the skin, changing the texture and appearance
of the skin as well as stimulating new cell renewal.           Dr. Suzanne Sirota Rozenberg is a board-certified der-
Laser and light techniques such as IPL or Acleara work         matologist with a full-service medical practice that in-
for mild to moderate cases when used in multiple ses-          cludes spa services as well. Visit her website at

WWW.IMAGEMAGONLINE.COM                                                                   AUGUST / SEPTEMBER 2012 • IMAGE   •   23
                                                                                                   by   KIMBERLY S. WILLIAMS, PSY.D.

                                                         BEGINNING A NEW CHAPTER
                                                        Tips for the Middle School to High School

            RESEARCH SUPPORTS THAT                           personal identity and purpose,             schedule, walk through of all the
                PARENT INVOLVEMENT                           negotiate the politics of their so-        classes or stop in to meet some of
                                                             cial group, and handle peer pres-          the teachers.
         PROMOTES STUDENT SUCCESS                            sure. Dating, driving, college
                                                             preparation, planning for life after       know your child’s Potential
                                                             high school, and still being part of            Parents must have an aware-
                                                             a family, can make this a daunting         ness of their child’s developmen-

                                                             balancing act.                             tal level. Rate of development,
                           he building anticipation of             As recent middle-school grad-        culture, personality, and environ-
                           high school finally comes to      uates beam with excitement, they           ment all influence academic po-
                           an end! This passage to           still worry about feeling lost and         tential, problem-solving skills,
                     adulthood yields excitement, in-        confused. They will miss old               social maturity, and high-school
                     dependence, novel experiences,          friends, may initially feel lonely, and    success. Make sure your new
                     and the responsibility to forage        will have concerns about not fitting       freshman is not taking on more
                     one’s own destiny. The middle           in. Academically, teachers, peer           than he can handle, or is carrying
                     schoolers of yesterday are now          competition, and parental expecta-         too light of a load. Help your teen
                     preparing for their high-school         tions challenge them. Although it’s        by being aware of the many edu-
                     journey… .                              now the time for parents to shift,         cational options in high school.
                          However, many parents are          supporting their children rather           Rather than follow the path of
                     less exhilarated. It seems as if only   than pulling them along, moms and          your child’s siblings or friends, dis-
                     a few weeks ago, their middle           dads are still encouraged to step in       cuss options as a family and enlist
                     school student’s survival de-           to help their new high-school fresh-       the school guidance team to cre-
                     pended upon navigating the cor-         man make a smooth and successful           ate a plan that fits your teen’s
                     ridors, managing a locker,              transition. Here are some helpful          needs, learning styles, and post
                     maintaining friendships while           strategies.                                high-school goals.
                     avoiding cliques, as well as com-
                     pleting schoolwork and joining          Visit the new School                       balance your Involvement
                     clubs, all between bursts of pu-             It’s best to start early. Find             Research supports that par-
                     berty.                                  out if your child can visit the high       ent involvement promotes stu-
                          Today, many parents can’t be-      school in the spring, perhaps to           dent success. However, do so
                     lieve how swiftly those middle-         spend that day with a high school          from a distance. Rather than hov-
                     school rigors have blown by, and        student or attend a presentation           ering over your teen, parents can
                     their child will be presented with      by a high school student or panel          stay informed about school poli-
                     a new set of pressures. The focus       of students. If time does not per-         cies and student expectations by
                     is now on earning top-notch             mit this, during the summer, con-          speaking with faculty and other
                     grades and prioritizing the jungle      tact the school and arrange a              parents. Take time to attend par-
                     of Regents exams, Honors and AP         walk-through to familiarize your           ent teacher conferences and join
                     courses, sports teams, and extra-       child with the layout and identify         school-based parent organiza-
                     curricular activities. Mingled with     areas such as the bathrooms,               tions.
                     these stressors, high-school stu-       lockers, cafeteria, and main of-           allow your child to Fit In
                     dents will also struggle to find        fices. If your child has their class            Reassure your teenager that

24   •   IMAGE   •   AUGUST / SEPTEMBER 2012                                                                  WWW.IMAGEMAGONLINE.COM
it is normal to feel like an outsider when going into a new        The majority of youngsters who make the transition
environment. Remind them that most others will be feel-       from middle school to high school adapt very well. But
ing the same way. Give your teenager as much control as       occasionally even the most well-adjusted teen experi-
you can allow over their appearance. Understand that          ences difficulties during this change. Parents should be
teens need to be individuals and feel connected to a          aware of signs that a child needs professional support to
group. With reasonable caution, let them follow the           help him through the challenges. Your teen may show
hairstyle and wardrobe trends of their peers. Reassure        stress in some of the following ways:
your teen that he already knows how to make friends be-       • Irritable, Short-Tempered, Cries Easily
cause of the friendships made in the past.                    • Changes in Sleeping and Eating Patterns
                                                              • Complaints of Fatigue, Headache, Stomachache
Provide routine and Structure                                 • Makes Excuses to Be Absent from School
     Despite what students say, they thrive on structure.     • Extreme Changes in Behavior
Make sure your child has a reasonable and manageable          • Notable Decline in Grades or Activity Performance
daily schedule that includes time for breakfast and dinner         If these symptoms persist beyond the first few
and specific time to start homework, as well as down          weeks of school, parents should immediately speak to
time for electronics, social media, and games. Don’t hes-     their school team and contact their pediatrician or psy-
itate to enforce household rules, timelines, and curfews      chologist to address the source of the stress.
by creating reasonable restrictions when problems occur.           Your child has several years of growth and opportu-
                                                              nity ahead, each building on the prior year’s lessons.
listen – Don’t rescue                                         Transitions do not have to be difficult. Set a positive tone
      It’s important for your child to know they can talk     by understanding your child, being involved, recognizing
and you will listen without immediate judgment or criti-      the social pressures, establishing a routine, and listening.
cism. Try not to overreact to what your child is saying,      Take an active role to ensure an exceptional new year for
or be too quick to offer a resolution to your child’s con-    your child.                                          IMaGe
flict. Instead, promote a dialogue about the situation that   _________________________________________
encourages ideas and problem-solving strategies to
emerge. Always respect that your child may have an            Dr. Kimberly Williams, Psy.D. is a Clinical Psychologist
opinion that is different from yours. High-school stu-        & Pediatric Neuropsychologist. Her offices are
dents are going to make mistakes, but from them will          located in Great Neck, LI and Brooklyn. For more
gain the resiliency needed to resolve future conflicts        information you can visit her website at
rather than rely on parental quick fixes.           
WWW.IMAGEMAGONLINE.COM                                                                       AUGUST / SEPTEMBER 2012 • IMAGE   •   25
          by   MAUREEN TARA NELSON

                                                                 THE SECOND TIME AROUND
                                                                  How to find true love with a
                                                                  compatible partner

                 THE MOST IMPORTANT
                     ASPECT OF BEING                       the world as “half empty.” Another      ready to start dating again. So
                                                           sign to look for is to make sure you    where to find that perfect mate?
               COMPATIBLE IS TO HAVE                       both have the same demeanor.            Here are some simple tips on how
                THE SAME INNER CORE                        Those are the only traits you can       to find someone the second time
                                                           really tell soon in a relationship.     around, especially during the fall
                              VALUES                       The rest you will eventually see as     months. These suggestions are for
                                                           time goes on. Unfortunately, op-        both men and women.

                                                           posites attract in the dating world.    1. Join an indoor volleyball league
                                                           However, a partner who is oppo-         or take golf lessons. Doing any-
                        ove is hard enough to find the     site is not compatible with you.        thing physical is a benefit in many
                        first time. Typically, the major        As you start dating the second     ways.
                  reason why people get divorced           time around you need to go into         2. Walk the Jones Beach #6 board
                  the first time around is because         the dating scene with your eyes         walk. This is a very relaxing and
                  they were not compatible in the          wide open. Studies show the di-         fun way to meet someone without
                  first place. Compatibility and           vorce rate is actually higher the       any pressure, while you enjoy the
                  chemistry are the two most impor-        second time! However, here are          exercise and atmosphere.
                  tant ingredient in a loving, lasting     some tips to help you be more suc-      3. Join a cooking class. Cooking is
                  relationship. Couples usually don’t      cessful in your search.                 “hot” this season. You will always
                  realize the importance of compat-             You first need to start with       find many singles taking cooking
                  ibility the first time. Singles that     yourself, before you begin stepping     lessons now. Even if you never
                  are now dating the second time           into the dating world again. Take       liked to cook before, this is a per-
                  around are more aware of the im-         an honest look in the mirror and        fect time to learn.
                  portance of this fact.                   see if there are any improvements       4. Can you ballroom dance? This
                        How do you know if you are         you can make about yourself.            is a perfect place to meet singles,
                  compatible with someone you first        Then you need to take a deep look       any time of year.
                  meet? Unfortunately, it does take        “inside.” This is actually the harder   5. The new way to meet people is
                  approximately six months to get to       task of the two. I recommend be-        to have a singles party at your
                  know your partner to the extent of       fore you begin a relationship, you      home. Have a pot-luck dinner
                  knowing if you both are compati-         need to be both physically and          party and ask all of your single
                  ble with one another. Can you            mentally healthy. Ask yourself the      friends to come and bring a single
                  speed up that process, many peo-         following questions:                    friend. This is becoming a very
                  ple ask? The answer is yes.              1. Am I happy with myself?              popular way for singles to meet.
                        You could either consider          2. What are some of the positive        At the very least, you will meet
                  going to a Matchmaker that spe-          traits about myself that I can offer    more “friends.”
                  cializes in compatibility, or you        someone?
                  could try to tune into your intu-        3. Am I in a good place in my life           Now, here are some helpful
                  ition and look for certain signs in      in all these areas – mentally, phys-    suggestions for your first date.
                  your partner. For example, the           ically, and spiritually?                Dating the second time around is
                  most important aspect of being           4. Am I content in my life with my      a little harder than it used to be.
                  compatible is to have the same           family, friends, and career?            Hopefully these suggestions will
                  inner core values. Also, if you are                                              help build your confidence. Confi-
                  a person who views the world as              If the answer is yes to all of      dence in yourself is probably the
                  “half full,” your partner can’t view     these questions, then you are                           (Continued on page 54)

26   •   IMAGE    •   AUGUST / SEPTEMBER 2012                                                          WWW.IMAGEMAGONLINE.COM
                                                         LASER HAIR REMOVAL
                                                         THE MOST EFFECTIVE TREATMENT FOR HAIR REDUCTION
                                                         Q&A           WITH   ETI BOLENDER
         Do you have unsightly or excessive body hair? Are you looking for                     The treatment causes only minimal
         an effective way to get rid of it? Laser hair removal is an advanced                  discomfort. Patients often say it feels
                                                                                               similar to a snap of a rubber band.
         technique used in the medical field to remove unwanted hair from                      Slight redness or localized swelling
         the body. Eti Bolender of AHS Laser Salon explains exactly what                       can occasionally occur, but this usu-
                                                                                               ally subsides within the first 24 hours
         laser hair removal is, how it works, and what can be expected be-                     after treatment.
         fore and after treatment.
                                                                                               IM: how many laser treatments will
                                                                                               I need and how far apart are they

         IMaGe: what exactly is laser hair          IM: how do I know if I’m a candi-          Eti: Typically, patients will see results
         removal?                                   date for laser hair removal?               in 4-6 treatments, though this num-
                                                                                               ber will vary based upon skin tone,
         Eti: Laser hair removal is a procedure     Eti: If you are concerned about un-        hair color, and several other factors.
         by which hair is removed from the          wanted hair, you are probably a good       A treatment is done once every four-
         body utilizing a long pulse laser.         candidate for hair removal with the        eight weeks apart.
         Lasers are developed and designed          Cynosure laser. The most dramatic
         from years of research. The laser pa-      results occur for patients with light      IM: are there any side effects I
         rameters are carefully defined by          skin and dark hair, but it is possible     should be aware of?
         studying the anatomy of the hair fol-      for patients with darker skin to ben-
         licle and precisely matching the laser     efit from the procedure as well.           Eti: While laser hair removal is one
         light and pulse duration to the follicle   Other factors can influence the treat-     of the safest cosmetic procedures
         size, depth, and location to inhibit the   ment process, and are evaluated dur-       currently available, it would be re-
         regrowth of the hair.                      ing your initial consultation.             miss to say that it is totally risk-free.
               The laser works by disabling              Laser hair removal can be ap-         The good news, of course, is that
         hairs that are in their active growth      plied to all areas of the body and all     major negative side effects are rare,
         cycle at the time of treatment. Since      types of skin (even tanned or dark).       and most of the risk can be mini-
         other hairs will enter their growth        Typically, laser hair removal works        mized with proper preparation and
         cycle at different times, several treat-   best for darker hair as it can absorb      treatment. Still, these risks DO exist,
         ments are necessary to disable all of      the energy better than light hair.         and it is important for potential laser
         the follicles in a given area. Excessive   Laser does not read light brown, red,      hair removal patients to be aware of
         or unsightly body hair can be upset-       or grey hair.                              them. A rarer, but still possible risk of
         ting for both men and women, and                                                      laser hair removal is hyper or hypo
         difficult or inconvenient to remove.       IM: how does laser hair removal            pigmentation where irritation of the
         There are many methods to remove           work? Is it painful?                       melanin in the skin causes long-term
         unwanted hair, and none are perma-                                                    discoloration. The risk of discol-
         nent.                                      Eti: It works on the principle of a pul-   oration is greater with dark skin.
               Laser hair removal is the most ef-   sating beam of light emitted from a
         fective treatment available. It is a       laser device. The intense heat of the      IM: what does laser hair removal
         rapid yet gentle way of removing un-       laser beam completely removes the          cost?
         wanted hair, and is medically proven       hair follicle, thereby inhibiting future
         to give you permanent hair reduction.      hair growth.                               Eti: The cost of laser hair removal is

28   •   IMAGE   •   AUGUST / SEPTEMBER 2012                                                            WWW.IMAGEMAGONLINE.COM
dependent on a number of factors.         skin's negative response to the pro-     developing new hair after treatments
The size of the area treated is the       cedure.                                  are completed.
biggest factor; more area treated                                                      Women with facial male-pattern
takes more laser pulses and more          IM: what are the causes of excessive     growth are advised to see an endocri-
time, therefore costing more. For ex-     hair growth? how can they impact         nologist to explore the possibility of
ample, in our practice the price          my treatment?                            PCOS or elevated testosterone levels.
ranges from $50 for a single small fa-                                             Men experiencing excessive growth
cial area to $250 for legs. Please be     Eti: The causes of excessive hair        can get tested for insulin resistance.
aware that most areas require multi-      growth are many and varied, includ-
ple treatments to completely remove       ing:                                     Although your complete treatment
the hair.                                 • Heredity                               will require standard multiple visits,
                                          • Pregnancy                              generally, after the very first treat-
IM: what should I expect before and       • Glandular and/or hormonal              ment you will notice a significant dif-
after a laser treatment?                     imbalances, including diseases        ference as a portion of your hair will
                                             causing these effects (i.e. PCOS      be permanently removed and you will
Eti: After your laser hair removal ses-      condition in women)                   become closer than ever to the
sion, it is not uncommon for you to       • Insulin resistance issues              smooth, silky skin you desire. More-
experience a small amount of dis-         • Thyroid problems                       over, laser hair removal procedures
comfort. In fact, it is normal for the    • Reactions to certain medications       not only remove hair above the skin,
targeted hair follicles to respond to     • Normal aging processes                 but additionally make sure you no
the treatment with temporary              • Excessive temporary hair-removal       longer see the dark hairs beneath the
swelling and for the skin in the area        methods that impact the root (like    skin's surface, sometimes known as
of the treatment to be red, inflamed,        waxing and tweezing)                  the five o' clock shadow.     IMaGe
and/or hyper-sensitive. These side ef-         Before starting laser treatments,   _____________________________
fects usually subside within 24-48        patients with excessive hair growth
hours. Alternately, patients may be       on uncommon areas should explore         AHS Laser Salon in Great Neck pro-
advised to avoid direct sunlight, the     possible underlying medical reasons      vides the latest laser hair removal
use of exfoliants, and/or the use of      for it. Hair removal methods can only    techniques. For more information or
products containing salicylic acid,       impact hair that’s currently growing.    free consultation visit their website at
which may exacerbate or prolong the       They cannot prevent the body from

WWW.IMAGEMAGONLINE.COM                                                                    AUGUST / SEPTEMBER 2012 • IMAGE   •   29
               by   MARK SCHWARTZ, M.D., F.A.C.S., A.B.PH., R.P.V.I.

                                                                                           UNSIGHTLY VEINS
                                                                                           MAKING YOU LOOK
 BrigHt eyeS

                                                                                           OLD AND TIRED?
                                                                                           Erase those blue veins
                                                                                           under the eyes forever

                      THE HEAT INSTANTLY
                 COAGULATES THE BLOOD
                                                                 upper chest, and around the         formed by an experienced
               AND COLLAPSES THE VESSEL                          eyes or on the eyelids.             physician, these treatments
                     WALL WHICH IS THEN                               Particular areas of concern    have a very strong track record
                                                                 for most people are those un-       for safety, and side effects are
                  ABSORBED BY THE BODY                           sightly blue veins around the       rare and generally temporary.
                                                                 eyes. The skin around your eye      These unsightly veins can be
                                                                 is the thinnest on your entire      eliminated with no downtime
                                                                 body. This allows these veins,      and minimal risk. You will no-

                           U       nsightly blue veins giv-
                                   ing you the appearance
                                   of dark circles? Can’t
                           conceal the signs of aging any
                           longer? While not medically
                                                                 which are already quite super-
                                                                 ficial, to become easily visible.
                                                                 They are frequently found on
                                                                 the lower portion of the eyelid
                                                                 and extend over the cheek-
                                                                                                     tice their complete and instant
                                                                                                     elimination in a short 10-15
                                                                                                     minute treatment session. Usu-
                                                                                                     ally, just one treatment is re-
                                                                                                     quired. You can return to work
                           problematic, these blue veins         bone. They can often give the       or regular activities the same
                           can be bothersome, cosmeti-           appearance of dark circles          day. Discomfort is minimal, as
                           cally unappealing, and difficult      under the eye.                      these advanced laser treat-
                           to conceal, especially if they are         There are many reasons         ments have outstanding con-
                           on the face or eye area. How-         why the veins beneath the eyes      tact cooling mechanisms.
                           ever, new advancements in             become even more prominent,            • VeinGogh uses a process
                           treatment allow for a safe and        including repeated exposure to      known as Ohmic Thermolysis to
                           virtually painless removal of         the sun and advancing age.          treat a variety of vascular le-
                           these veins, especially in sensi-     Over time, the delicate skin        sions, including facial veins. The
                           tive areas such as around the         under the eye becomes even          power generator produces a
                           eye.                                  thinner and the veins become        “microburst” of high-frequency
                                Visible facial veins are actu-   ever more apparent.                 energy to the tip of a hair-thin
                           ally dilated blood vessels. Visi-                                         probe. This microburst dissi-
                           ble veins are most commonly           Treatment Options                   pates so quickly that only heat
                           seen in fair-skinned individuals,         Larger blue veins around        is generated. The heat instantly
                           and usually appear in the 40s         the eyes can now be effectively     coagulates the blood and col-
                           and 50s. For the most part,           treated with a number of differ-    lapses the vessel wall, which is
                           these veins are not necessary         ent modalities, including laser     then absorbed by the body. Be-
                           from a functional standpoint –        vein treatments, VeinGogh           cause the needle directs the
                           it is the deeper veins that are       therapy, and traditional scle-      heat downward toward the
                           primarily responsible for re-         rotherapy. Each of these treat-     vessels the outer layers of the
                           turning blood to the heart.           ments is indicated for specific     skin are unaffected, which re-
                           They are usually found on the         combinations of skin complex-       sults in very little trauma to the
                           forehead, nose, cheeks, neck,         ion and size of veins. When per-    surrounding tissue and minimal

30   •    IMAGE       •   AUGUST / SEPTEMBER 2012                                                         WWW.IMAGEMAGONLINE.COM
 visible blemishes. Generally only one treatment is             • Foam sclerotherapy is a treatment for the larger
 necessary. However, depending on the specific condi-           blue veins on the face and around the eyes. This is an
 tion, a follow-up treatment may be required.                   in-office procedure where veins are injected with a
   • The Nd:YAG (1064 nm) laser uses the theory of se-          solution, using small needles, which causes them to
 lective photothermolysis, which allows the laser light         collapse and fade from view. The procedure normally
 to pass safely through the skin. The selective absorp-         takes about 15 minutes when treating the face. Since
 tion of blood vessels converts the laser light into heat       the injection needle is so small, patients often feel lit-
 energy. Heat is conducted to the lining of the vessel          tle pain and do not require anesthesia. Sclerotherapy
 wall, leading to its injury. All of this happens selec-        is the most popular choice for doctors and patients
 tively and without damage being done to the skin or            for larger facial veins because it is more effective, less
 surrounding tissue. Patient response can vary after a          expensive, and less painful than any other treatment
 vein removal treatment. Erythema (redness) and                 available. A thorough knowledge of venous anatomy
 edema (swelling) around the treated vessels are usu-           is essential, as some facial veins are not amenable to
 ally noted within a few minutes after the completion           treatment with foam.
 of the procedure and typically have a “cat scratch” like            These prominent blue veins can present a sig-
 appearance. A sunburn sensation and a slight feeling           nificant cosmetic problem because they are diffi-
 of soreness in the area treated are also normal and            cult to cover up with makeup and tend to make
 expected. These reactions tend to subside within 24-           one look tired and old. Thus, many patients are
 48 hours after the treatment.                                  seeking a more permanent solution. Due to the
   • Intense pulsed light therapy is similar to laser ther-     sensitivity of the eye area, it is important to con-
 apy, except broadband light is used instead of focused         sult with a practitioner who is very experienced in
 light. The procedure itself is similar to lasers. The          treating under-eye veins. In most cases the eyes
 BBL/IPL Non-Ablative Vascular/Skin Treatment Proto-            must be protected with eye shields that are in-
 col is effective for treating redness, flushing, blushing,     serted into the eye during the procedure. IMaGe
 rosacea, red scars, and broken capillaries. In contrast        –––––––––––––––––––––––––––––––––––––––––––
 to the 1064 laser, it is typically more effective for finer,   Dr. Mark Schwartz is the Medical Director at the North
 red vessels that occur on the cheeks and nose. Its ef-         Shore Vein Center. For more information, call the North
 fectiveness in treating larger, blue veins is           lim-   Shore Vein Center at 516-869-VEIN (8346) to schedule
 ited.                                                          a free consultation or visit

WWW.IMAGEMAGONLINE.COM                                                                      AUGUST / SEPTEMBER 2012 • IMAGE   •   31
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  WWW.IMAGEMAGONLINE.COM                                                               AUGUST / SEPTEMBER 2012 • IMAGE   •   33
             by   DORENE MARINESE, M.D.

                                                                IT’S GETTING HOT IN HERE

                                                                Riding the waves of change

                      SMOKING CESSATION,
                                                                erally speaking, by age 58 in this     by two or more missed menses,
              EXERCISE, DIETARY CHANGES,                        country, 97% of women have             and at least one interval of 60
                  WEIGHT LOSS, AND STRESS                       gone through menopause.                days where there is no menses.
                                                                                                       There is a marked decrease in egg
             REDUCTION, CAN ALLOW FOR                           what is Menopause?                     production at this stage.
                       BETTER CONTROL OF                              A woman is in menopause               In addition to the natural
                                                                after she has not had a period for     menopause process, surgical
                               SYMPTOMS                         more than one year. A woman is         menopause can occur at any age
                                                                post-menopausal in the years           after the surgical removal of both

                                                                following that point. The              ovaries. Surgical menopause re-
                                  s life expectancy world-      menopausal transition is a pro-        sults in more immediate symp-
                                  wide increases to beyond      gressive continuum. It takes re-       toms, and since the change is
                                  the eighth decade, an in-     productive-aged women with             sudden, the symptoms may be
                           creasing proportion of the female    regular, predictable menses that       more severe. Premature ovarian
                           population is postmenopausal.        are characterized by the monthly       failure refers to the cessation of
                           The average age of menopause in      release of an egg from the ovary,      menses before the age of 40, and
                           the United States is 51 years old,   to a final menstrual period asso-      can be associated with one of
                           and thus more than one third of      ciated with ovarian senescence.        several possible causes, including
                           most women’s lives in this coun-           Pre-menopause is the time        genetic inheritance, immunologic
                           try are spent after menopause.       of life in which women have reg-       causes, or enzymatic causes.
                                The age of menopause is a       ular menstrual and ovulatory (egg
                           genetically programmed event         releasing) cycles. Perimenopause       common Symptoms
                           thought to be affected by several    refers to a variable time begin-            There are several symptoms
                           outside factors. For example,        ning a few years before and con-       that are common to the peri-
                           women that give birth to more        tinuing after the last menstrual       menopausal/menopausal period.
                           children than average are found      period until menopause occurs.         These may include vasomotor
                           to experience menopause at a         During this time, women often          symptoms, headaches, insomnia,
                           later age. Smokers tend to go        notice      varying      menstrual     mood        changes,      cognitive
                           through menopause one to two         changes, and may or may not            changes, decreased libido, painful
                           years earlier than average           have other common peri-                intercourse, vaginal dryness
                           women. In the U.S., some ethnic      menopausal symptoms.                   and/or discomfort, dry or itchy
                           differences in the onset of                In the early menopausal          skin, weight gain, urinary issues,
                           menopause have been observed.        transition, women’s cycles tend        and stiff or aching joints. In addi-
                           Black and Hispanic women have        to stay regular, but intervals be-     tion to unwanted symptoms,
                           been found to have menopause         tween cycles may be altered by         some health issues associated
                           about two years earlier than Cau-    seven or more days. During some        with menopause include osteo-
                           casian women. Chemotherapy or        of these cycles, there is no egg re-   porosis and changes in one’s cho-
                           pelvic radiation can lead to an      leased from the ovary. The late        lesterol profile.
                           earlier age of menopause. Gen-       menopausal transition is marked             Vasomotor symptoms, which

34   •      IMAGE   •   AUGUST / SEPTEMBER 2012                                                            WWW.IMAGEMAGONLINE.COM
 some refer to as hot flashes, hot flushes, and night         tion in a unique manner. Treatment should be based on
 sweats, are the most common medical complaint of             type and severity of symptoms. The risks and benefits
 women during the menopausal transition. About 50%            of all treatment must be considered. One option is to
 to 90% of perimenopausal women have them, and they           do nothing, which could work for women with very mild
 can begin about two years before the final menstrual pe-     symptoms. Lifestyle changes, such as smoking cessation,
 riod. After menopause, 85% of women who experience           exercise, dietary changes, weight loss, and stress reduc-
 vasomotor symptoms will continue to experience them          tion, can allow for better control of symptoms. For hot
 for one year, 25-50% will continue to have them for five     flushes, it is advisable to dress in layers, use a fan often,
 years, and 15% may experience them for more than 15          and keep rooms in which you spend the most time cool,
 years. Hot flushes generally last from one to five min-      especially for sleeping. Avoid triggers of hot flushes such
 utes, and are often experienced as a sudden wave of          as red wine, peanuts, hot beverages, caffeinated bever-
 heat spreading over the body, starting on the upper          ages.
 body. Night sweats can lead to sleep disturbance and              Some over-the-counter remedies used by women
 daytime tiredness. Despite their prevalence, their cause     with varying success include vitamin E, evening primrose
 is not yet clearly understood, but is thought to be caused   oil, and black cohosh. Herbal preparations in the U.S.
 by dysfunction of thermoregulatory centers in the brain.     are not regulated by the FDA, and thus it is difficult to
      Due to the decreased availability of estrogen, lower    know exactly what composes an herbal supplement.
 reproductive tract changes are common during the             Black cohosh has no known contraindications, but its
 menopausal transition. The vagina loses collagen and         mechanism of action is not completely clear. It is
 fat tissue, and can no longer retain water as well. The      thought to have estrogenic effects. Evening primrose oil
 walls of the vagina shrink, become thinner, and bleed        is considered a benign treatment, but is contraindicated
 more easily. As a result, women often experience symp-       in women taking seizure medications because it lowers
 toms of vaginal dryness, irritation, painful sex, and more   the seizure threshold.
 frequent urinary tract infections.                                Some non-hormonal prescription medications can
                                                              help with vasomotor symptoms. Clonidine is a blood
 what are some treatment options for symptomatic              pressure medication that is very effective for some
 women?                                                       women. It can be applied as a patch to the stomach,
    Every woman experiences the menopausal transi-                                                    (Continued on page 57)

WWW.IMAGEMAGONLINE.COM                                                                      AUGUST / SEPTEMBER 2012 • IMAGE    •   35
                        SPOTLIGHT ON                SPAS

                       ARBOR VIEW HOUSE
                       BED & BREAKFAST

                      by   JAMIE SERVELLON

                     A        s summer is coming to an end, and fall just
                              around the corner, many want to get away from
                              their hectic work schedules to relax and enjoy
                     the final days of the season. If you are seeking a luxu-
                     rious place to be pampered and have your stress melt
                                                                                 offer exceptional dining service, and couples have a
                                                                                 variety of choices to choose from, such as Indian,
                                                                                 Mediterranean, and Vegetarian cuisine.
                                                                                      What makes the Arbor View stand out from the
                                                                                 other B&Bs in the area is its extraordinary spa. The
                     away, then the Arbor View House Bed & Breakfast is          Arbor View strives to make couples feel relaxed and
                     the place for you. Originally built in the late 1700s,      have their stress melt away with their many choices
                     Arbor View is located near Greenport Village in East        of spa packages. Unsure of which one to choose?
                     Marion, NY, just miles from the Hamptons on the East        Massage therapists are on hand to help you decide
                     End of Long Island. Though still a work in progress,        between Shiatsu, Reiki, Thai, Therapeutic Focus, and
                     the inn was refurbished in 1999, restoring what was         Swedish massage, just to name a few. For a more re-
                     in disarray while retaining its Victorian essence and ar-   laxing massage to arouse all the senses, then the Aro-
                     chitecture. Part of the The Arbor View’s charm is that      matherapy massage is perfect to de-stress and relax
                     it is situated in the heart of wine country, a beloved      the body. Therapists use pure essential oils designed
                     addition to the North Fork in recent years and a won-       to help the body detoxify, energize, and relieve tired
                     derful place to take in a weekend.                          sore muscles. Looking to have a great workout while
                           The Arbor View’s objective is simple: to offer you    on vacation? The Arbor View also offers yoga classes
                     the finest accommodations with the comfort of being         and has access to a local gym to get your fitness in.
                     home away from home. There is a selection of four                Want to surprise your significant other on that
                     room choices at the Arbor View, such as the Cham-           special occasion? The Romantic Getaway packages
                     pagne Suite, the largest room in the B&B. The Suite         are a perfect way of creating a magical night to re-
                     allows couples to step into the past with period décor      member. The Lover’s Magic package includes
                     of muted garden florals that reflect the authenticity       overnight accommodations in any room, fresh flow-
                     of the Victorian Bed and Breakfast, and there is ac-        ers, gift baskets, dinner at the Frisky Oyster or Noah’s
                     cess to a private deck upon request. If couples are         in Greenport, and a Romantic Aromatherapy bath for
                     looking for a more romantic room, the Rose Room is          you and your loved one. In the Holiday Magic pack-
                     an excellent choice, with its lace curtains and arts &      age, couples can indulge in a two massages (couple’s
                     crafts style, overlooking the landscaped gardens and        massage is optional), enjoy a horse-drawn carriage
                     a grape arbor.                                              winery tour to the Martha Clara Vineyard, a two-
                           Though it captures the spirit of years gone by,       night stay with all the amenities the B&B offers, and
                     The Arbor View keeps their bed and breakfast mod-           a delicious four-course breakfast/brunch in their for-
                     ern by including flat screen televisions in each room       mal dining room or al fresco.
                     along with iPod docks, air conditioning, and free Wi-            When thinking of going out East, the first thing
                     Fi service for couples bringing their laptop. They also     that comes to mind are the wineries. While enjoying

36   •   IMAGE   •   AUGUST / SEPTEMBER 2012                                                             WWW.IMAGEMAGONLINE.COM
your stay at the Arbor View, take a romantic wine tour at
Raphael, where you and your loved one can indulge in
great wine while having your own private banquet in their
Renaissance Room that provides a beautiful view of the
vineyards. If you enjoy the outdoors and prefer to be
among the vineyards, Peconic Bay Winery is the place to
be. At the Peconic Bay Winery, couples can enjoy the
scenery while sipping their favorite wine and having an
outdoor picnic. There’s usually live music as well.
    The Arbor View House Bed & Breakfast’s goal is to
make every experience on the East End unforgettable.
Whether you want to get a break from work or just simply
spend “alone time” with that special someone, The Arbor
View House Bed & Breakfast is just the place to escape this
summer.                                             IMaGe

 For more information visit the Arbor View’s
 website at

WWW.IMAGEMAGONLINE.COM                                        AUGUST / SEPTEMBER 2012 • IMAGE   •   37
There’s Still Time to Enjoy a
Weekend in the Hamptons
This Summer                                                                by REMI APPEL
                                                                                                          The Enclave Inn, Bridgehamptom

         I  f you haven’t made your trip to the
            Hamptons yet this summer, it’s not
            too late. The Hamptons is the per-
         fect getaway to enjoy with your
         friends, family, or a relaxing time
                                                       If you are looking to refresh your-
                                                  self before dinner, you should check
                                                  out The Salon Bar of East Hampton.
                                                  Christina Savescu, owner of Salon
                                                  Bar, has been in the beauty business
                                                                                             also people watch on the chic out-
                                                                                             door dining patio.
                                                                                                   After you enjoy a nice meal you
                                                                                             should definitely make your way over
                                                                                             to Long Island’s premier multimedia
         alone. It doesn't matter if you're a     for over 20 years and is a certified       production and event venue, the East
         shopper, a runner, or just a person      cosmetologist. Her husband, Dr.            Hampton Studio, for one of their
         looking for some serenity on the fa-     Napolean Savescu, conducts anti-           great concerts or star-studded
         mous beaches. You can find it all right   aging procedures there this summer.        events. Owner Michael Wudyka re-
         here.                                    This elite spa, with a chandelier en-      cently partnered with top event com-
              Rated among the top ten in the      trance and Swarovski crystal through-      panies to offer the best all-in-one
         world by National Geographic, the        out, offers luxurious services             production services from leaders in
         most celebrated part of the Hamp-        including manicures, pedicures, hair-      the industry.
         tons is its fabulous beaches. Some       cuts and color, blowouts, and more.               The facility has hosted numer-
         hotspots include Main Beach in East           Now, what would a vacation get-       ous events such as the International
         Hampton, which is close to the town      away be without first-class dining?        Film Industry events; Hamptons
         and the perfect place for swimming       The Hamptons are home to amazing           Rocks for Charity featuring Crosby,
         or lounging on the sand; Ditch Plains    restaurants where food comes fresh         Stills and Nash; Fran Dreshcer’s Can-
         in Montauk, best known for its waves     from family farms and seafood is           cer Schmancer 2011; The Creative
         and the huge cliffs; Sagg Main Beach     caught daily from local waters.            Coalition; Wings over Haiti; and The
         in Sagaponack, which is low-key and           One restaurant in particular you
         the place for spotting famous faces;     should definitely check out is 75 Main
         and finally the famous Coopers Beach     in Southampton, a local favorite for
         in Southampton, which gets very          more than twenty years. This
         crowded on sunny summer days.            celebrity hotspot offers contempo-
              If you are looking to stay the      rary American fare with a variety of
         night, you should definitely check out   choices. Diners can begin their day
         The Enclave Inn for a beautiful sea-     with a traditional breakfast or enjoy
         side escape. There are three loca-       a midday lunch with a choice of se-
         tions including Bridgehampton,           lections such as salads, hamburgers
                                                                                                            East Hampton Studio, Wainscott
         Southampton and Wainscott. Each          and pasta. The dinner menu includes
         are just minutes from the Atlantic       delicious entrees like calamari fritti,    Hamptons Jams Concert Series fea-
         Ocean and set on landscaped, se-         veal milanese, smoked salmon with          turing Blue Coupe. East Hampton
         cluded wooded grounds, providing         fettuccini, and soft shell crab.           Studio also recorded a live album for
         guests a central location while main-         Some celebrities who savor this       Jimmy Buffet, who also prepped for a
         taining a serene and private setting.    delectable menu include Gossip Girl’s      tour at the studio.
                                                  Ed Westwick, actress Jodie Foster,             There is a little something for
                                                  Californication star Madeline Martin,      everyone in your family to enjoy in the
                                                  Vice President Joe Bidin, Real House-      Hamptons. Once people go there
                                                  wives of New York City’s Sonja             once, they keep coming back weekend
                                                  Tremont-Morgan, E!’s The Spin              after weekend, and even year after
                                                  Crowd’s Jonathan Cheban and Keep-          year. It is conveniently close, yet far
                                                  ing Up with the Kardashians’ Kourt-        away enough that you really feel like
                                                  ney Kardashian. Fabulous artwork by        you’re on vacation. If you haven’t
                                                  famous artist such as Chris Brown          made your trip yet, definitely book it
                                                  and Raphael Mazzucco add to the            soon before you miss out on a truly
                                                  fabulous ambiance, and guests can          amazing weekend experience.IMaGe
 75 Main Restaurant, Southampton

38   •   IMAGE    •   AUGUST / SEPTEMBER 2012                                                         WWW.IMAGEMAGONLINE.COM
SUDDEN CARDIAC ARREST Dr. K: Now there's a test that's
__________________________                                                   heart that increase the risk of sud-
(Continued from page 20)
                                        better than the traditional stress   den cardiac death. The T-Wave
                                        test -- pinpointing dangerous        Alternans Test is performed using
                                                                             a treadmill. The cardiologist ap-
 amination could locate between
                                                                             plies electrodes to the patient’s
 fifty to seventy percent of athletes
                                                                             chest and back, and the patient
 at risk. Also, people could be
                                                                             walks on the treadmill for 8-10
 screened more effectively with a
                                                                             minutes to gradually raise the
 more simple and inexpensive test
                                                                             heart rate. This test can be very
 known as an echocardiogram. It
                                                                             useful in identifying and treating
 is important to teach athletes
                                                                             patients who could be at risk for
 good conditioning techniques. Ed-
                                                                             sudden cardiac death. If the
 ucating athletes about the signif-
                                                                             test is negative for the micro-
 icance of cooling down after
                                                                             scopic changes, then the risk of
 working out is extremely impor-
                                                                             sudden cardiac death is almost
 tant. When you are active you will
                                                                             zero!                       IMaGe
 generate more wastes that need
 to be removed from the tissues.
 Schools, colleges, and profes-
 sional teams should at least have
 personnel trained in CPR and a
                                                                             Dr. Kavesteen utilizes the T-Wave
 portable defibrillator nearby in
                                                                             Alternans test at his offices at
 case an arrest strikes. At the very
                                                                             Heart and Health PLLC, located at
 least, all athletes should receive
                                        heart problems once considered       1350 Deer Park Avenue in North
 pre-participation exams.
                                        too small to see. The Microvolt T-   Babylon (631) 482-1355. Further
                                        wave Alterans test detects micro-    information is available on the
 IM: what are the new discoveries
                                        scopic electrical changes in the     website
 and advances?
WWW.IMAGEMAGONLINE.COM                                                              AUGUST / SEPTEMBER 2012 • IMAGE   •   39
                                               Catherine The Great
                                               Welcoming Light at the End of the Dark Tunnel
                                                                    By Maria Orlando Pietromonaco

                                                   S     ome celebrities seem to have it all together – looks, success,
                                                         talent, and wealth – which most of us calculate as pure bliss
                                                         leading to the perfect life. So last year when it came out that
                                                   Catherine Zeta-Jones was battling depression, most of us audibly
                                                   gasped. How could this sexy, confident starlet have a weakness,
                                                   a dark side? Easy. She is human.
                                                        Catherine’s life has been dotted with triumphs, from her
                                                   breakthrough role playing the blazing Elena in The Mask of Zorro
                                                   in 1998, to her knockout stint as Velma Kelly in Chicago (Cather-
                                                   ine is actually a trained singer and dancer). She has been chosen
                                                   one of the “Most Beautiful People” by People Magazine, is a
                                                   spokesperson for Elizabeth Arden Cosmetics, and won a Tony
                                                   Award for Best Leading Actress in a Musical in 2010 for her por-
                                                   trayal of Desiree in A Little Night Music. So far so good.
                                                        The 42-year-old met the love of her life over 12 years ago,
                                                   and in November 2000 married actor Michael Douglas, having
                                                   two children together, son Dylan Michael, 12, and daughter
                                                   Carys Zeta, 8.
                                                        Everything was status quo for a long time – until the walls of
                                                   light around her suddenly began to come down, letting in times
                                                   of trouble. Michael was diagnosed with Stage-Four throat cancer.
                                                   He had not been feeling well, and had been undergoing numer-
                                                   ous tests. This triggered an enormous amount of stress, which in
                                                   turn ignited a battle with depression. One of the first indications
                                                   to the public that something was amiss was her perplexing
                                                      speech at last year's Tony Awards, where she made irrational
                                                        comments that haunt her till this day. Catherine also showed
                                                           signs of an emotional struggle when she broke down last
                                                              September at the Ryder Cup Welcome to Wales concert
                                                                at Cardiff Millennium Stadium.
                                                                        To add to her woes, Douglas' adult son
                                                                       Cameron, from his marriage to Diandra, was
                                                                          sentenced to prison two years ago on drug
                                                                                        Catherine checked into Silver
                                                                                      Hill psychiatric hospital in Con-
                                                                                       necticut for treatment last April,
                                                                                        admitting she often struggled
                                                                                        to 'snap out' of her darkest mo-
                                                                                         ments, according to www.dai-
                                                                                Afraid that it is
                                                                                         affecting those around her, she

40   •   IMAGE   •   AUGUST / SEPTEMBER 2012                                              WWW.IMAGEMAGONLINE.COM
says “It's like a dark cloud. Uh oh, here we go, and
have to snap out of it.”
      She told the UK's Sunday Times newspaper
last year that “the public perception that I am a
strong and confident woman is often incorrect.”
She said: “I am strong-willed, which can be annoy-
ing sometimes… And from that I think people as-
sume I have confidence and Hollywood glamour
and all that stuff, when actually, in my personal
life, sometimes I'm just a goofball.”
      Medical experts said that she had been suffer-
ing from mental illness for some time. But coming
out publicly and acknowledging she has a problem
is good for both her and the masses. Vicki Prowt,
of the mental health charity Mind, said: “Mental
health is one of the last taboos. People find it diffi-
cult to talk about and don’t know how to react to
it. When people like Catherine come out and say,
‘This is me, I’ve got bipolar’, it’s a good thing...peo-
ple are learning more about it. People can see it’s
not the end of the world, it won’t change who she
is and she will get back to normal.”
      Mark Davies, from the charity Rethink Men-
tal Illness, said “She deserves great credit. There
is still a lot of stigma around mental health
which often means that people stay silent and
try to fight the illness on their own. When peo-
ple such as Catherine Zeta-Jones speak out it
makes a big difference to the millions of others
facing mental illness. It shows them they are not
alone and that mental illness can affect any-
      Symptoms of the disorder are hard to recog-
nize, as they present themselves through highly
functioning behavior. They include transitions
through depressive episodes punctuated by manic
episodes, marked by prolonged periods of “nor-
mal” moods, making it difficult to detect. The
causes are actually unknown, though most believe
it is inherited.
      There is light at the end of this tunnel, and ac-
cording to her spokesperson Catherine is now
'feeling great' and has returned to work. Michael
is also free of cancer, following six months of gru-
eling treatment.
      Catherine appeared on "The View" this past
June promoting her movie "Rock of Ages." She
spoke openly about her bipolar disorder and
Michael’s health issues, even mentioning that she
is still embarrassed by her offbeat acceptance
speech at the Tony Awards.
      It has been a rough road the past couple
of years, but she is on her way to emotional
recovery, looking forward to brighter days
ahead.                                          IMaGe

 WWW.IMAGEMAGONLINE.COM                                    AUGUST / SEPTEMBER 2012 • IMAGE   •   41
FeCaL inContinenCe    by   JILL C. GENUA, M.D., F.A.C.S., F.A.S.C.R.S

                                                                   INTERSTIM THERAPY
                                                                       Sacral Nerve Stimulation for Bowel Control
                                                                       is now an option

                       PELVIC FLOOR DISORDERS
                       ARE SERIOUS AND MUST BE
                                                                       conditions, including severe consti-    are currently experiencing a poor
                     TREATED WITH COMPASSION                           pation, spinal cord injury or stroke.   quality of life.
                                 AND EXPERTISE                         Additionally, fecal incontinence can          Fecal incontinence is a tremen-
                                                                       also be drug-induced, by overusing      dous medical problem that is grow-
                                                                       laxatives which can cause uncon-        ing at an unprecedented rate due

                                                                       trollable diarrhea.                     to the increasing aging population.
                                    ecal incontinence, also known           Sacral nerve stimulation is a      These patients often suffer in si-
                                    as the inability to control the    minimally invasive, reversible treat-   lence for many years. This proce-
                                    bowels, can be devastating;        ment option for patients with           dure will offer them a major
                              and in many cases, severely dis-         bowel control problems who have         improvement in quality of life.
                              rupts a person’s ability to function     undergone conservative treatment              The Colon and Rectal Program
                              and enjoy daily life. Some people        options unsuccessfully, such as be-     at St. Catherine of Siena Medical
                              begin to avoid situations such as        havioral therapies and medica-          Center is staffed with board-certi-
                              traveling, attending concerts, and       tions. Sacral nerve stimulation         fied colorectal surgeons, both male
                              going to the gym. Others may with-       involves electrical stimulation for     and female, who are experts in the
                              draw from all social encounters.         the nerves that control the bowl. A     use of minimally-invasive tech-
                                   Pelvic floor disorders are seri-    neurotransmitter device is im-          niques to treat colon and rectal dis-
                              ous, especially fecal incontinence,      planted under a patient’s skin in       orders. The minimally invasive
                              and must be treated with compas-         the upper buttock area and trans-       options available through the pro-
                              sion and expertise. A therapy call       mits mild electrical impulses           gram include laparoscopic surgery,
                              Interstim is now available and uses      through a lead wire to close the        single incision laparoscopic surgery
                              an implantable system to deliver         sacral nerve. This stimulation aims     (SILS), and transanal endoscopic
                              electrical impulses that stimulate       to reduce or eliminate bowel con-       microsurgery (TEM). As of March
                              the sacral nerves and improve the        trol problems by influencing the        2012, The Colon and Rectal Pro-
                              function of the pelvic floor. The sys-   sphincter and pelvic floor muscles.     gram began offering minimally in-
                              tem has been used for over a             The pacemaker-like device has           vasive robotics surgery performed
                              decade to treat overactive bladder.      been approved by the FDA and has        with the da Vinci ® Surgical System.
                              Less than one year ago (in 2011),        shown an 80% success rate in im-        The da Vinci® Surgical System en-
                              the system received FDA approval         proving bowel control in the latest     ables surgeons to perform delicate
                              for use in patients with chronic         study published in Annals of Sur-       and complex operations through a
                              fecal incontinence.                      gery.                                   few tiny incisions with increased vi-
                                   Though fecal incontinence af-            This is a new and innovative       sion, precision, dexterity, and con-
                              fects more about 1 in 12 adults,         technique now available to the pa-      trol.                          IMaGe
                              predominately women, it should           tients of eastern Long Island. Until
                              not be accepted as a normal part         this time, there has been a gap in      ––––––––––––––––––––––––––
                              of the aging process. This unnatural     the available treatments for fecal      For more information about
                              process can be attributed to many        incontinence – the choices were ei-     colorectal cancer or the Colon and
                              factors, such as muscle or nerve         ther not effective or too invasive      Rectal Program at St. Catherine of
                              damage in the rectum caused by           for some patients. This new device      Siena Medical Center, please call
                              childbirth or other pelvic health        offers hope for many people who         (631) 862-3600.

42            •      IMAGE     •   AUGUST / SEPTEMBER 2012                                                           WWW.IMAGEMAGONLINE.COM
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                                                                                       staffed and mentored in both the Teen Basic and Teen Lead-
__________________________________________                                             ership programs. I am a firm believer that if young people
(Continued from page 13)                                                               were to have this opportunity now as opposed to at 40 or
                                                                                       50 years old, they will have an amazing head start in every
weeks my head was spinning, knowing that I was to accom-                               aspect of their lives. It is our goal to bring this program into
plish so much in a limited amount of time but at the end of                            schools around the country so that every child “gets to go”
the three months I understood that I can achieve so much                               and create the life they declare for themselves.
in my life as long as I was committed to creating a plan for                                 Now it is a year since I have completed Leadership and
my visions and working hard to crank out the results. Noth-                            there is not a day that goes by that I do not ground myself
ing in life that is worth anything comes easy and I acknowl-                           in who I am and what I am capable of. There will always be
edge that now. In life you have to “Play to Win” and you                               times that seem difficult whether it pertains to my personal
will come out a winner and a leader.                                                   or professional life, or days that do not always go the way I
     The last weekend of Leadership is used to reflect on                              anticipate but now I have the strength and knowledge to
everything we had learned throughout this three month ex-                              move forward and make the next moment greater. I have
perience, how we have transformed by giving up what was-                               embraced the power I have established within my heart and
n’t working and stepping into the ways of being that allow                             soul and use it to enhance every aspect of my life, every
us to succeed in our everyday lives. It was also a celebration                         day. If all people were able to experience this curriculum
to acknowledge all that we have accomplished as a group                                and live by it, boy, the world would be a much better place.
as well as our individual results. On the last day we all got                          It is difficult to explain but when you graduate, you are on
to declare what was next for each of us. One of the decla-                             fire! One can always choose to stay in the work by staffing
rations I made was to be involved with Synergy Youth Em-                               or taking post-graduate courses. Those opportunities are a
powerment, a non-profit leadership program for children                                great way to stay on the road and keep looking ahead,
and teens. It is an age appropriate program offering young                             never losing what you have learned to stay in committed
people the necessary tools to declare the life they envision                           action.
for themselves, to empower them and make them under-                                         If you would like to find out more about Synergy Edu-
stand the importance of being responsible and giving back                              cation or Synergy Youth Empowerment please visit their
to their community and the world around them. I have                                   website at                 IMaGe

 WWW.IMAGEMAGONLINE.COM                                                                                                    AUGUST / SEPTEMBER 2012 • IMAGE        •   43
                        by   STEVEN R. FEIGELSON, D.D.S., F.A.G.D
 HigH-teCH dentiStry

                                                                          The Future of Dentistry is Here Today

                              EVERY ASPECT OF THE
                              RESTORATION CAN BE
                          CREATED VIRTUALLY, FROM                         veneers, inlays, onlays, and im-      puter, your dentist can then cre-
                                                                          plant abutments.                      ate a virtual rendering of your
                        THE DEPTH OF THE GROOVES                                                                restoration. This 3-D simulation
                         IN MOLARS, TO THE LENGTH                         how is it done?                       can be modified and customized
                                                                               The procedure by which your      to precisely replace the part of
                       AND WIDTH OF THE INCISORS.                         dentist fabricates a CAD/CAM          your tooth that is missing. In fact,
                                                                          restoration will start in much the    some systems allow your dentist
                                                                          same manner as with conven-           to clone the original tooth to cre-

                                   I   magine that you are getting
                                       ready to go on your dream va-
                                       cation - a two-week Mediter-
                                   ranean cruise - and while eating
                                   breakfast that morning, you hear
                                                                          tional restorations. They will gen-
                                                                          tly numb the area, then prepare
                                                                          and shape the tooth. This is
                                                                          where the processes differ. In-
                                                                          stead of taking impressions of
                                                                                                                ate its exact replica in situations
                                                                                                                where you like the shape of a
                                                                                                                tooth, but are unhappy with its
                                                                                                                color. Every aspect of the restora-
                                                                                                                tion can be created virtually, from
                                   a "crack." You feel something          your tooth, fabricating a tempo-      the depth of the grooves in mo-
                                   sharp against your tongue and          rary crown, and returning two to      lars, to the length and width of
                                   look in the mirror, only to discover   three weeks later to cement the       the incisors.
                                   that you had broken your molar. In     permanent restoration, the pre-            Once your dentist is satisfied
                                   the past, your only option was for     pared tooth is scanned into a         with the design of the virtual
                                   your dentist to place a temporary      computer.                             crown or veneer, the permanent
                                   crown on that tooth until you re-           The method by which the          one is ready to be milled. Often, in
                                   turned. You would then have to         tooth is scanned differs depend-      my practice, my patients like to
                                   spend the next two weeks avoid-        ing on the system used. Some          get involved in the design process
                                   ing any food that could potentially    systems use an optical scanner,       of their restoration. They find it
                                   dislodge the temporary - certainly     which requires the use of a pow-      fascinating to see their new tooth
                                   not a good way to enjoy your va-       der to coat the teeth to be im-       taking shape on the computer
                                   cation.                                aged. Others use a harmless,          screen.
                                         Fortunately, with the advent     high-speed laser, similar to those
                                   of CAD/CAM technology in den-          used at supermarkets to read bar      The milling process
                                   tistry, you would be able to get a     codes, which digitally scan the            As with any dental restoration
                                   beautiful, all-porcelain restoration   teeth to produce detailed, three-     that is placed, it is critical to get a
                                   fabricated and permanently             dimensional images. These newer       good shade match to the adjacent
                                   bonded in place, that same day.        scanners can result in restorations   teeth. Cosmetic dentistry is all
                                   CAD/CAM is an acronym for Com-         with a marginal fit and accuracy      about blending in. If the final
                                   puter-Aided Design/Computer-           that rivals or exceeds that of con-   restoration does not match seam-
                                   Aided Manufacturing. Although          ventional methods. This is the        lessly with the natural teeth, then
                                   the technology has been around         one I prefer, and utilize in my of-   the overall objective of restoring
                                   for decades in the manufacturing       fice. These scans, also referred to   form, function, and esthetics has
                                   industry, it is only within the last   as "digital Impressions," are then    not been met.
                                   few years that CAD/CAM has be-         processed by the computer using            Fortunately, the blocks of
                                   come a viable option in the field      proprietary software.                 porcelain used to create your
                                   of dentistry. It can be used to fab-        Once the 3-D images of your      restoration come in many shapes,
                                   ricate milled, all-porcelain crowns,   tooth are displayed on the com-       sizes, and types. Some porcelains

44        •        IMAGE       •   AUGUST / SEPTEMBER 2012                                                           WWW.IMAGEMAGONLINE.COM
are softer, but mimic the appearance of dental enamel          restoration feels and thrilled with the way it looks, it is
very well. These porcelain blocks are ideally suited for       time to bond it in place. This is a process whereby the
the front teeth, where esthetic requirements are very de-      inside of the crown, veneer, or inlay is etched with an acid
manding, but the stresses placed by chewing are minimal.       solution, then thoroughly rinsed. A bonding agent is
The back teeth, however, are subject to a great deal of        placed within the restoration and tooth so that the resin
stress over time, so a harder porcelain, such as a zirconia,   cement can bond the two together. The bond between
would be used since its strength is unparalleled. In fact,     the tooth and porcelain is extremely strong. Once fin-
the porcelain blocks are so strong that the milling ma-        ished, you can expect many years of trouble-free chewing
chine requires two diamond burs just to cut into it!           from your new tooth, completed all within that day.
     Once the appropriate porcelain block is placed in the
mill, the digital information needed to create the final       Special considerations
restoration is wirelessly sent from the CAD computer to              CAD/CAM dentistry is not for every situation. Al-
the mill. The time it takes to mill the restoration depends    though the technology is improving by leaps and bounds,
on several factors, and generally takes between 10 and         it still can only be used for individual all-porcelain restora-
20 minutes.                                                    tions - not bridges. If you are missing one or more teeth
     At this point, the finished restoration is fitted and     and need a bridge, then you will still need to have it fab-
checked. Although it is now ready to be cemented, I pre-       ricated at a lab.
fer to finish it by custom staining and glazing. Here is             Typically, the fees for CAD/CAM restorations are the
where same-day dentistry really is a powerful tool - when      same as those for conventional all-porcelain restorations,
I can custom stain and glaze a restoration so it perfectly     and they are, similarly, covered by your insurance.IMaGe
blends with the teeth alongside it. No longer do I need
to send my patients to the lab for difficult shade matches,    ––––––––––––––––––––––––––––––––––––––––––––
as it is all done that same day.                               Steven R. Feigelson, DDS, FAGD, PC, provides General,
                                                               Cosmetic, Implant and Sedation dentistry in Commack,
before you leave                                               NY. For more information visit his website at
    Now that you are comfortable with the way the     or call 631-462-1470.

WWW.IMAGEMAGONLINE.COM                                                                       AUGUST / SEPTEMBER 2012 • IMAGE   •   45
                                                       INTRODUCING i-LIPO
                                                       NEW TECHNOLOGY FOR FAT REDUCTION
                                                       Q&A          WITH   ANGELA AZAR, M.D.
         i-Lipo is the latest in cutting-edge technology for body contouring,
         offering you a way to decrease inches and reduce fat with no pain,
         no needles, and no down time. The application is painless, safe, Dr. Azar: An i-Lipo laser treatment
                                                                              takes just 20 minutes.
         and can be used on all skin types and body areas. Dr. Azar describes
         the process for us and explains how it works.                        IM: how many treatments will I

                                                                                          Dr. Azar: The course of treatment
                                                                                          should be eight sessions, per-
                                                                                          formed twice a week, so body re-
         IMaGe: what is i-lipo?                   lifestyle to maintain your results,     shaping can be complete in four
                                                  typically just simple diet and exer-    weeks. Only one area is treated
         Dr. Azar: i-Lipo is a new, revolution-   cise.                                   per day in order to maximize the
         ary system that uses low-level                                                   burning off of the contents. Once
         lasers for cellulite smoothing, fat      IM: Is it safe?                         a patient has completed a course
         reduction, and body shaping treat-                                               of treatments, they need to main-
         ments. The i-Lipo uses photobio-         Dr. Azar: Yes. Independent clinical     tain a healthy lifestyle to keep
         modulation to stimulate the body’s       studies have shown i-Lipo to be         their results.
         natural process for releasing stored     completely safe with no side ef-
         content in the adipose (fat) cells.      fects.                                  IM: when will I see results?

         IM: how does i-lipo work?                IM: Is it suitable for everyone?        Dr. Azar: Usually the results are
                                                                                          seen immediately and improve
         Dr. Azar: Every day, the human           Dr. Azar: Both men and women            with every treatment.
         body is storing excess calories from     can benefit from this technology.
         your diet in the adipose (fat) tissue.   As with any treatment, people           IM: how long will the results last?
         The brain is in control of when the      with certain medical conditions
         contents are released, and they are      should not use i-Lipo. The practi-      Dr. Azar: Results are long-term,
         then metabolized into energy. You        tioner will go through a full           provided your caloric intake and
         can compare the adipose cells to a       medical questionnaire and consul-       eating plan is stable, and you en-
         re-chargeable battery – sometimes        tation prior to treatment to con-       gage in regular exercise. Further
         used and sometimes stored up –           firm suitability.                       treatments can be performed to
         depending on diet and exercise. i-                                               correct diet indulgence or target
         Lipo is used to trigger the release of   IM: Is it comfortable?                  another body part.         IMaGe
         content, without exercise, and is
         able to target the precise stubborn      Dr. Azar: Most people feel very lit-    ____________________________
         areas. i-Lipo is non-invasive, with      tle during the treatment. The typi-
         no pain, no needles, and no down-        cal sensation felt is a slight warmth   Dr. Azar is a Board Certified
         time. Patients can expect results of     where the treatment pads are in         Dermatologist, Adult and Pediatric,
         losing one to two dress sizes during     contact with your skin.                 and Cosmetic Surgeon. For more
         their course of treatments. i-Lipo is                                            information      please       visit
         best paired with a change in             IM: how long is each treatment?

46   •    IMAGE    •   AUGUST / SEPTEMBER 2012                                                     WWW.IMAGEMAGONLINE.COM
ManhaTTan                          South nassau communities
beth Israel Medical center         hospital
1st Avenue at 16th Street          One Healthy Way
New York, NY 10003                 Oceanside, NY 11572
212-523-7772                       877-SOUTHNASSAU
Complete Care                      Complete Care

hospital for Special Surgery       St. Francis hospital
535 East 70 Street                 The Heart Center
New York, NY 10021                 100 Port Washington Blvd.
212-606-1000                       Roslyn, NY 11576
Specialize in Orthopedics,         516-562-6000
Rheumatology, Neurology            Specialize in Heart Health

Memorial Sloan-kettering can-
cer center                         Mercy Medical center
1275 York Avenue                   1000 North Village Avenue
New York, NY 10065                 PO Box 9024
646-227-3634                       Rockville Centre, NY 11570
Specialize in Cancer Treatment     516-626-3729
                                   Complete Care
Metropolitan hospital center
1901 First Avenue                  winthrop university hospital
New York, NY 10029                 259 First Street
212-423-8162                       Mineola, New York 11501
Complete Care                      516-663-0333
                                   Complete Care
nyu langone Medical center
550 First Avenue                   brookhaven Memorial hospital
New York, NY 10016                 Medical center
212-263-7300                       101 Hospital Road
Specialize in Orthopedics, Reha-   Patchogue, NY 11772
bilitation and Rheumatology        631-654-7708

Manhattan eye ear and Throat       Stony brook university hospital
210 E 64th St                      & Medical center
New York, NY 10021                 101 Nicolls Road
212- 838-9200                      Stony Brook, NY 11794
Specialize in ophthalmology,       631- 689-8333
otolaryngology and plastic sur-    Complete Care

Mount Sinai Medical center         St. catherine of Siena Medical
One Gustave L. Levy Place          center
New York, NY 10029-6574            50 Route 25A
Complete Care                      Smithtown, NY 11787
                                   631 862-3000
north Shore/lIJ lenox hill hos-    Complete Care
100 E 77th St
New York, NY 10075                 huntington hospital
212-434-2000                       270 Park Avenue
Complete Care                       Huntington NY 11743
                                   (631) 351-2000
lOnG ISlanD                        Complete Care
north Shore university hospital
300 Community Drive
Manhasset, NY 11030                South hampton hospital
516-562-0100                       240 Meeting House Lane
Complete Care                      Southampton, New York 11968
long Island Jewish                 Complete Care
270-05 76th Avenue
New Hyde Park, NY 11040            Peconic bay Medical center
516-470-7000                       1300 Roanoke Avenue
Complete Care                      Riverhead, NY 11901
                                   Complete Care

     WWW.IMAGEMAGONLINE.COM                                          AUGUST / SEPTEMBER 2012 • IMAGE   •   47
                                                          Professional Profiles
                                                                     The North Shore Vein Center
                                                           One Hollow Lane, Suite 210, Lake Success, NY 11042
                                                                          516-869-VEIN (8346)
                                                                r. Mark Schwartz is the Medical Director of The North Shore Vein

                                                       D        Center — Long Island’s largest, comprehensive vein treatment
                                                                center specializing in the treatment of venous diseases, including
                                                        varicose and spider veins. He is the only triple board certified vein spe-
                                                        cialist in General Surgery, Vascular Surgery and Phlebology (a specialty
                                                        in the study of venous diseases). FREE Vein Screenings are provided so
                                                        that state-of-the-art treatments can be customized to the individual
                                                        needs of his patients. These office-based procedures are all ambulatory
                                                        and require no I.V. anesthesia or hospitalization. These include: Ultra-
                 Dr. Mark Schwartz                      sound-guided sclerotherapy, Ambulatory MicroPhlebectomy, Vein-
                                                        Gogh/Laser therapy (As seen on The Doctors), and CoolTouch
                                                        Endovenous Laser Ablation (EVLA).

                           1129 Northern Blvd. Ste 305, Manasset NY 11030

               NDOCRINOLOGY is a branch of medicine dealing with disorders of
               the endocrine system, and its specific secretions called hormones. En-
               docrine abnormalities are often quite complex and may have a sig-
          nificant effect on your quality of life. Restoring the body's hormonal
          balance often requires a multifaceted approach, and will make you feel
          young again physically, mentally, and sexually.
                It is easy to write off low energy and fatigue as just part of the natural
          aging process. However, aging itself is only a manifestation of metabolic
          and hormonal changes your body undergoes as the years pass. Many of
          these changes can be halted, and sometimes even reversed. Dr. Kaloudis                     Dr. Nicholas C. Kaloudis
          will provide the most advanced metabolic evaluation possible, and help
          you achieve a healthy and active lifestyle. He works with each patient
          closely to diagnose and treat endocrine abnormalities, using the latest
          medical guidelines and the utmost care.

                                                                      Dr. David Kavesteen
                                                    1350 Deer Park Ave, Suite 4, North Babylon, NY 11703
                                                 Cardiovascular Care

                                                    he knowledgeable staff at Heart and Health PLLC, provides personalized atten-
                                                    tion and excellence in family medicine and cardiovascular care to fit the needs
                                                    of each patient. Our cardiologist and family physicians can see to all of your
                                                health care needs. Heart and Health delivers comprehensive and compassionate
                                                health care to patients all across Long Island.
                                                      The practice administers Carotid Doppler, Echocardiogram, Radiation Free
                                                and Nuclear Stress Testing, Holter and Event Monitoring, Metabolic Testing, The T
                                                Wave Alternans Test, and Peripheral Vascular Studies in our convenient North Baby-
                                                lon NY office, conveniently located in central Long Island.
                                                      Heart and Health works along with your primary care physician to help care for
            Dr. David Kavesteen                 your heart and your overall well-being for a longer and healthier life. Heart and
                                                Health has won the Patient Choice Award in 2008, 2009 and 2010. Dr. Kavesteen is
                                                recognized as a “Leading Physician of the World” and the “Top Cardiologist in
                                                Babylon, NY” by the International Association of Cardiologists, and as “One of
                                                America’s Top Cardiologists 2010 by the Consumers’ Research Council of America.

                                                           Special Advertising Section

48   •   IMAGE    •   AUGUST / SEPTEMBER 2012                                                                    WWW.IMAGEMAGONLINE.COM
                          St. Catherine of Siena Medical Center
                                  50 Route 25A, Smithtown, NY 11787
                         631.870.3444 •

 Minimally Invasive Robotic Surgery Program

                                                             t. Catherine has acquired the most up to date

                                                        S    model of the da Vinci Surgical System® and
                                                             launched a minimally invasive surgical program.
                                                        Armed with the robot, our physicians can offer the lat-
                                                        est in surgical technology and allows patients alterna-
                                                        tives for the treatment of bariatrics, urological,
                                                        colorectal and gynecological disorders, including gen-
                                                        eral surgery procedures. This state-of-the-art tool allows
                                                        our surgeons to utilize the same small incisions as con-
                                                        ventional laparoscopy and thoracoscopy; but with im-
                                                        proved control, precision and visualization. The robotic
                                                        option benefits patients through smaller incisions,
                                                        which translate to minimal scarring, reduced blood loss
                                                        and minimized need for transfusion, reduced post-op-
                                                        erative pain and shorter hospital stays.
     Trichy Arumugam, MD, Robotic Surgery                     Recovery is faster than traditional open surgery
                                                        and many patients return to daily activities much
      Program Co-Director Nick Gabriel, DO,             faster.
  Robotic Surgery Program Co-Director Alexander
  Epelbaum, MD, Brian McKenna, MD, David E.
 Rivadeneira, MD and Thomas G. Harrington, MD

                                      Dr. Kimberly Williams
                             935 Northern Blvd. Suite 203, Great Neck, NY 11021

 Pediatric Neuropsychology

                                                   r. Kimberly Williams is a pediatric neuropsychologist and

                                            D      clinical psychologist with thriving practices in Great Neck,
                                                   NY and Brooklyn, NY. Dr. Williams received her Psy.D.
                                            from the Virginia Consortium Program in Clinical Psychology in
                                            2006. She obtained advanced training in Adult and Pediatric
                                            Clinical Psychology at Cornell Weill Medical College before
                                            completing her residency in Adult and Child Neuropsychology
                                            at NYU Langone Medical Center Child Study Center. Presently,
                                            Dr. Williams provides evaluations and treatment of academic
                                            and learning problems, psychological disorders, and neuro-
                                            logic conditions. Dr. Williams is a leading expert in the field of
                                            neuropsychology and clinical psychology; most recently, she
                                            co-founded the Long Island ADHD Consortium where the fore-
                                            runners in the field will join forces to bring the most advanced
                                            treatment techniques home to LI.

          Dr. Kimberly Williams

                                                  Special Advertising Section

WWW.IMAGEMAGONLINE.COM                                                                AUGUST / SEPTEMBER 2012 • IMAGE   •   49
                       by   BARRY CHASE, D.D.S.
SLeeP diSorderS

                                                                    SLEEP APNEA AND SNORING
                                                                    Alternative treatments for this chronic
                                                                    medical condition

                            WHEN USED CORRECTLY,
                             THE CPAP CAN BE VERY
                              EFFECTIVE AT TREATING                 sils and tongue to shift back-       place. A tube connects the
                                       SLEEP APNEA                  wards. This can make the air-        mask to a motor, which releases
                                                                    way narrow and result in the         pressured air into your airways.

                                                                    turbulence of airflow as it force-   When used correctly, the CPAP
                                    leep apnea is a chronic         fully tries to push through. The     can be very effective at treating
                                    medical condition that has      force of air through the block-      sleep apnea. However, over
                                    been gaining an enormous        age is the unattractive sound        70% of CPAP patients have dif-
                               amount of attention in the           that we all know as snoring.         ficulty using it due to the many
                               media and medical world. The         Snoring is not only a serious        issues associated with it such as
                               most common type of sleep            medical condition for the indi-      sore throats, nosebleeds, skin
                               apnea is Obstructive Sleep           vidual, but it can be an extreme     irritation, chest discomfort, dif-
                               Apnea (OSA). Obstructive Sleep       disruption for a bed partner.        ficulty exhaling, and excessive
                               Apnea often goes undiagnosed.        This can result in a couple          noise from the motor.
                               Most are unaware that they           sleeping in separate rooms.               Luckily, the CPAP is not the
                               have it because the events re-            Medical researchers are         only option for people suffering
                               lated to the condition occur         continuously studying the ef-        from sleep apnea. There are al-
                               during sleep. It is a condition in   fects of sleep apnea and snor-       ternative treatments available.
                               which someone has a blockage         ing. There have been proven          For example, there is an oral ap-
                               in the airway (usually at the        links to diabetes, early onset of    pliance that exists and has been
                               back of the throat) that results     Alzheimer’s, lowered metabo-         successfully providing relief to
                               in one or more pauses or shal-       lism and testosterone, daytime       patients who are non-compliant
                               low breaths during sleep. These      fatigue and drowsiness, sudden       with the CPAP device, as well as
                               pauses can last from several         cardiac death, and even cancer.      new patients who are just be-
                               seconds to minutes, and can          If left untreated, sleep apnea       ginning to treat their sleep
                               occur numerous times within          can have irreversible or even        apnea. Oral appliances are plas-
                               an hour. Normal breathing            deadly results.                      tic devices that fit in your
                               eventually resumes, often with            Often times, when some-         mouth during sleep. They often
                               loud snoring.                        one is diagnosed with sleep          resemble an orthodontic re-
                                   An estimated 30% - 50% of        apnea, they are prescribed to        tainer or a sports guard for your
                               people snore. Contrary to pop-       wear a CPAP (continuous posi-        mouth. They vary in design and
                               ular belief, snoring is NOT nor-     tive airway pressure) device.        color, but your physician will as-
                               mal. When we are at rest, we         This device is equipped with a       sist in choosing the best device
                               are usually lying down. Gravity      mask that fits over your mouth       for you.
                               creates pressure on the tissues      and nose, with straps that go             These devices slightly ex-
                               of our bodies, causing our ton-      around your head to keep it in       tend your lower jaw forward

  50              •   IMAGE    •   AUGUST / SEPTEMBER 2012                                                      WWW.IMAGEMAGONLINE.COM
into a position that will allow for an open airway and       trachea, and a tube is usually placed through this
stabilize the soft tissues in place. It also gives the       opening that allows breathing through the tube
tongue added muscle tone, which makes it stay in             rather than the nose or mouth. To many patients, sur-
place rather than relaxing to cause an obstructed air-       gery is an enticing alternative to a lifelong commit-
way. If choosing to try oral appliance therapy, it is best   ment to a CPAP mask. However, it is important to
to opt for the custom-made devices rather than the           keep in mind that this procedure has only a 25% - 30%
over-the-counter versions. The custom-made oral ap-          success rate, and complete elimination of symptoms
pliances are made specifically for you by an impres-         is not guaranteed.
sion/dental mold. It usually takes a few weeks for
production, but once completed, adjustments can be
made by your physician until you are completely sat-         CONTRARY TO POPULAR BELIEF,
isfied and achieve maximum comfort. Most patients            SNORING IS NOT NORMAL
using this form of therapy find it rather comfortable,
convenient, and user friendly. Oral appliance therapy
has been recognized by the Academy of Sleep Medi-                Again, snoring is NOT normal. If you or someone
cine as a legitimate treatment for patients with sleep       you love is suffering from sleep apnea, it is vitally im-
apnea and for those who are unable to wear the CPAP          portant to consult a sleep specialist and discuss any
machine.                                                     types of suitable treatments. The evident health risks
     Although the most common treatments for sleep           associated with sleep apnea can be life altering and
apnea and snoring include CPAP machines and oral             possibly deadly.                                 IMaGe
appliances, a surgical procedure called a tra-
cheostomy may be the only option for those with ex-          ––––––––––––––––––––––––––––––––––––––––––––
treme cases of the condition. A tracheostomy is an           Dr. Barry Chase practices general dentistry at Chase
open air passage to help someone breathe when                Dental Health in Melville. You can visit his website at
there is an evident obstruction. A hole is surgically for a comprehensive list-
created from the anterior aspect of the neck to the          ing of services.

WWW.IMAGEMAGONLINE.COM                                                                   AUGUST / SEPTEMBER 2012 • IMAGE   •   51
                                                                      image events
IMaGe Magazine’s 3rd
annual Summer Soiree
 carlyle at the Palace was this
year’s venue for our 3rd annual
Summer Soiree, honoring the
health and wellness profession-
als in our community and it was
an amazing success. Over 300
of New York’s top medical pro-
fessionals mingled with friends
and colleagues over a plethora
of assorted hors d’oeuvres pre-
sented magnificently, hot gour-                      Dr. Steven Rucker                  Ms. Sarina Young           Mark Landesman, Jo-ellen Landesman,            Dr. Michael Feldstein
met stations and open bar. Live                     Mrs. Susan Rucker                  Dr. Wayne Luo              Bruce Jacobson                                 Mrs. Randi Feldstein
music and club seating set the
ambiance for this year’s event.
We thank our attending ven-
dors, Clarisonic, Ultherapy,
Cynosure, Topix, Screen, Inc.,
Palomar and David Lerner and
Associates for their contribution
and providing us with the items
for our give-away bags and door
prizes. Famed caterer and
restaurateur Mr. Steve Carl of-
fered tremendous support by
going above and beyond, mak-
ing us truly proud to have part-                  Mrs. Donna Schlessinger                Mr. Jeffrey Levine, Mrs. Dana Sherwin,        Ms. Lori Meltzer,            Angela Cruz, Daryl Katz,
nered up with Carlyle Caterers.                   Dr. David Schlessinger                 Mr. Stuart Almer                             Mr. Bruce Farber             Tina Giordano

    Dr. Alan Gibbs, Dr. Charles Frankel            Jerry Jalazo, Ethan Hurt, Bruce Jacobson,                AnnaMaria DeMaria                         Jill Cohen, Miriam Furman,
                                                   Peter Wolin, Marshall Greenberg                          Ina Lutin, RN, Donna Halperin             Maria Orlando Pietromonaco

Kathy Scutakes, Dr. Eunice Park           Mikey Jacobson, Justin Jacobson, Susan Benyamin,      Donna Schlessinger, Donna Halperin,         Mrs. Suzanne Feigelson, Dr. Steven
                                          Edna Jacobson, Bruce Jacobson                         Elyse Schuster, Tracy Levy                  Feigelson, Dr. Eric Diamond

     52    •   IMAGE     •   AUGUST / SEPTEMBER 2012                                                                                  WWW.IMAGEMAGONLINE.COM
                                                                                                aMerIcan cancer SOcIeTy -
                                                                                                chOOSe yOur luncheOn
                                                                                                     On Wednesday, May 16, 2012 the American
                                                                                                Cancer Society honored Rebecca Hollander, Mar-
                                                                                                keting Director for the Americana Manhasset &
                                                                                                Wheatley Plaza and Dr. Cheryl Berger Israeloff,
                                                                                                American Cancer Society volunteer for their com-
                                                                                                mitment to the fight against cancer at the Choose
                                                                                                You Luncheon at the Carlyle on the Green in
                                                                                                Farmingdale. The luncheon keynote was pre-
                                                                                                sented by Dr. Sapna Parikh, Eyewitness News
                                                                                                Medical Correspondent for ABC channel 7. The
                                                                                                American Can-
                                                        liquid laser lift & Sculptra
                                                                                                cer Society’s
 Donna Halperin               Dr. Robert Kornfeld,      event
 Cat Borkowski                Mrs. Amy Elias Kornfeld                                           Choose You
                                                        It was quite the event when 30
                                                                                                Movement en-
                                                        invited guests, both male and fe-
                                                        male attended Dr. David Sch-
                                                                                                women to put
                                                        lessinger’s “Liquid Laser Lift &
                                                                                                their health first
                                                        Sculpture” seminar. This was an
                                                                                                and be healthy Deborah Ryan, Ellen Cleary, Susan
                                                        opportunity for prospective pa-
                                                                                                role models for MacDonald, Camille Morrison
                                                        tients to learn the benefits of
                                                                                                those around
                                                        non-invasive facial rejuvenation
                                                                                                them. One in
                                                        as well as receive a one-on-one
                                                                                                three American
                                                        complimentary private consulta-
                                                                                                women, 35 mil-
                                                        tion with Dr. Schlessinger. The at-
                                                                                                lion in total, will
                                                        tendees witnessed an actual
                                                                                                get cancer in
                                                        presentation of a BOTOX treat-
                                                                                                her lifetime,
                                                        ment which eliminated any fears
                                                                                                however, about Hillary Needle, co-chair; Rebecca
          Judee Mantel,             Monica Fulcher      or apprehension. The extensive
                                                                                                50% of all can- Hollander, honoree; Dr. Caryl B.
          Paula Brandwine           Donna Halperin      question and answer session was
                                                                                                cer deaths          Israeloff, honoree; Ivy Algazy, co-chair
                                                        extremely informative in regard
                                                                                                could be pre-
                                                        to injectable fillers, BOTOX, Sculp-
                                                                                                vented if peo-
                                                        tra as well as the surgical proce-
                                                                                                ple avoid
                                                        dures that Dr. Schlessinger
                                                                                                tobacco prod-
                                                        performs at his office. The before
                                                                                                ucts, maintain
                                                        and after photos were certainly
                                                                                                a healthy
                                                        convincing to the crowd that non-
                                                        invasive procedures can turn back
                                                                                                through diet        (back row) Michelle Maugeri, Debbie
                                                        the hands of time. At the conclu-
                                                                                                and regular         Colgan, Gayle Rosenberg (front row)
                                                        sion of the event, everyone                                 Liz Cappa, Jacqui Scover, Maureen
                                                                                                exercise, and
                                                        parted with a goody bag filled                               Starr
                                                                                                get recom-
                                                        with samples of skincare prod-
                                                                                                mended cancer screenings.
  Linda and                  Steven Halperin, Matt
  Michael Klein              Halperin, Donna Halperin

                                                        The navel expo at the
                                                        huntington hilton
                                                        This bi-yearly consumer
                                                        health fair brings in over
                                                        2000 attendees each
                                                        year all seeking cutting
                                                        edge information and
                                                        resources that help create the foundations for a lifestyle that is
                                                        fertile with health, wealth and beauty. The Expo highlights over
                                                        100 top wellness oriented physicians, bestselling authors,
                                                        celebrity activists and professional quality products and supple-
                                                        ments, as well as health conscious restaurants and top NY come-
Monica Mennier, Vicki            Mr. Alex Lubarsky,     dians (cause laughter is the best medicine!) Do not miss the
Gilman, Patricia Lettieri,       Dr. David Kavesteen
Phyllis Shapiro
                                                        next NAVEL Expo held on November 18, 2012.                                    Alex Lubarsky and
                                                                                                                                      Donna Halperin

             WWW.IMAGEMAGONLINE.COM                                                                           AUGUST / SEPTEMBER 2012 • IMAGE     •   53
                                                                        SECOND TIME         selves and their interests.
                                                                                            Look for something you
                                                                        ___________________ have in common and try to
                                                                        (Continued from page 26)       follow up the conversation
                                                                                                       with a second date.
                                                                                                       3. Relax. Because this is
                                                                        best way to ensure that        only your first date, make
                                                                        you have a great first date.   sure your expectations are
                                                                        Some other key ingredi-        not too high. It typically
                                                                        ents for your first date are   takes three to five dates
                                                                        to make yourself have fun      before people usually
                                                                        and share good conversa-       relax enough to get to
                                                                        tion.                          know each other’s true
                                                                        1. Dress for success. The      personality. Most impor-
                                                                        clothes you choose are         tant, do your best to be
                                                                        going to say a lot about       yourself. If it is a match,
                                                                        you. Concentrate on mak-       then men ask for a second
                                                                        ing a good impression by       date, and ladies, accept
                                                                        dressing with class and        the offer for the second
                                                                        style.                         date. Hopefully, it will
                                                                        2. Pay attention to your       lead to more…
                                                                        date. Make sure you make            If these tips and sug-
                                                                        your date feel important       gestions on how to date
                                                                        by showing genuine inter-      successfully the second
DeFranco Spagnolo takes 1st place for Best Theme and Hairstyle Award    est in their thoughts and      time around take longer
On June 25th, Anthony DeFranco, Rene Spagnolo and staff partici-        ideas. Spend more time         than six months, then I
pated in the Creative Hair and Fantasy Competition that took place      listening to your date than    suggest you contact a pro-
at Four Food Studio in Melville, LI. Their presentation was a tribute   talking about yourself.        fessional. Good luck in
to the late great Vidal Sassoon, a visionary and creative genius,
emulating the innovative short cuts that made Sassoon famous.
                                                                        Keep it light and fun. Peo-    your search “the second
                                                                        ple like to talk about them-   time around.”        IMaGe

 54   •   IMAGE     •   AUGUST / SEPTEMBER 2012                                                        WWW.IMAGEMAGONLINE.COM
                                                                   women with a uterus, a progestin should be used along with
__________________________________________                         estrogen to lower the risk of uterine cancer. Combined es-
(Continued from page 35)                                           trogen and progestin products are available in oral or trans-
                                                                   dermal (skin patch) form. Estrogen is contraindicated in
arm, or buttocks. Some common side effects may include             women with known or suspected breast cancer, and estrogen
dizziness, local irritation, dry mouth, constipation, or drowsi-   dependent cancer, abnormal vaginal bleeding, a history of a
ness. Other non-hormonal prescription medications that can         blood clot (DVT), known or suspected pregnancy, and those
be helpful are SSRIs/SNRIs like Effexor or Prozac. The mech-       with active liver disease.                           IMaGe
anism of effectiveness remains unclear for these medications.      –––––––––––––––––––––––––––––––––––––––––––––––––
They are relatively safe to use, must be taken daily, and may      Dr. Dorene Marinese is an Ob-Gyn at Northern Obstetrics
cause side effects such as weight gain and decreased libido.       and Gynecology, in North Hills, Long Island. You can contact
Neurontin can help relieve hot flashes, and common side ef-        her at 516-365-6100.
fects of its use include dizziness and drowsiness.
     Based on current literature, hormone therapy (HT) is in-
dicated only for treatment of vasomotor symptoms and vagi-
nal atrophy, and for osteoporosis prevention. As a result of       TEEN PLASTC SURGERY
many studies, including the Women’s Health Initiative (WHI,        (Continued from page 19)
2002), it is generally agreed that combined HT is associated
with an increased risk of heart disease in older, post-            most important decisions that can be made, especially when
menopausal women, and an increased risk of breast cancer,          it comes to your child. An improved facial appearance may
stroke, venous thromboembolism (blood clots), and gall blad-       help your teen feel better about his or herself, which in turn
der disease. Breast cancer is only a risk factor with long-term    can boost self esteem and confidence to carry them on into
(>5 years) use of combined HT. Several benefits of HT use in-      adulthood.                                             IMaGe
clude increased bone mineral density, decreased vasomotor          ______________________________________________
symptoms, better mood, better sleep, decreased vaginal dry-
ness, and decreased rates of fracture and colorectal cancer.       Dr. Andrew Jacono, a board certified plastic surgeon,
     The need for continuing HT should be reevaluated every        practices at the New York Center for Facial Plastic & Laser
6-12 months. Hormone therapy should be prescribed in the           Surgery with offices in Manhattan and Great Neck. For
lowest effective dose, for the shortest amount of time. For        more information call 212-570-2500.

 WWW.IMAGEMAGONLINE.COM                                                                       AUGUST / SEPTEMBER 2012 • IMAGE   •   57
                                                                                                                                                                                          y                                                                       y                   y                 a
reconstructive plastic/cosmetic surgery
                                                                                                                                                                ry                  ger                                                                     ger                r ge r              asti       uck        l e rs                                             tion
                                                                                                                                                     id S                     Sur                       Lift              di    -spa                 Sur                   t Su               c o m m m y T c i a l F i l t ox                                        suc                      elif
Name                                       Address                     Town                   Phone                                             Eyel                  nos
                                                                                                                                                                                                                       Me                   Han
                                                                                                                                                                                                                                                                      breas             G yne             T u   F a Bo                                         lipo                     Fa c
Schlessinger eye & Face              75 Froehlich Farm Blvd.         Woodbury                 516-496-2122                                        X                       X                         X                       X                                                                                                        X                                                      X
                                     1455 Veterans Highway           Hauppauge                516-496-2122
dr. Martin Kessler                    650 northern Blvd              great neck               516-466-7000                                        X                       X                         X                                               X                       X                      X                   X             X                                X                     X
                                      242 Merrick rd. Ste. 302       rockville Centre         516-536-5858
dr. Mark illan Silberman              650 northern Blvd              great neck               516-466-7000                                        X                       X                         X                                               X                       X                      X                   X             X                                X                     X
                                      242 Merrick rd. Ste. 302       rockville Centre         516-536-5858
dr. andrew Jacono                     440 northern Blvd.             great neck               516-773-4646                                        X                       X                         X                       X                                                                                                        X                                                      X
dr. James Marotta                     267 e. Main St. Bldg.B         Smithtown                631-982-2022                                        X                       X                         X                                                                                                                                X                                                      X
dr. donald roland                     52 e. 72 St.                   nyC                      212-744-9400                                        X                       X                         X                                               X                         X                    X                   X             X                                X                     X
                                      80 Wall St. Ste.615            nyC                      212-952-0200
dr. Kevin tehrani                     560 northern Blvd.Suite 109    great neck               516-498-9790                                        X                       X                         X                       X                       X                       X                      X                   X             X                                X                     X
                                      521 Park avenue                nyC                      212-439-9900
dr. roger Katz                       239 Jericho tpke.               Syosset                   516-496-9797                                       X                       X                         X                       X                       X                       X                      X                   X             X                                X                     X
dentistry                                                                                                                                                                                                                                                                                        ry                                            ges
                                                                                                                                                in tion s      ing   ts    g                                                                            n              s
                                                                                                                                                                                                                                                    alig ental traction ser
                                                                                                                                                                                                                                                                                             tist                   n                      brid s          pne
                                                                                                                                            cela tora eer hiten mplan ondin                                                                                                                                    atio                  ,
                                                                                                                                                                                                                                                s                                         Den                               y ntistry wns & nture        pa
                                                                                                                                         Por res Ven                                                                                       Invi                                                             ed           il
                                                                                                                                                          w        I    b                                                                                 D ex           la                            IV S           Fam De           cro  De      Slee
   dr. Steven Feigelson                         69 Veterans Memorial Highway        Commack               631-462-1470                        X                   X              X                       X               X                                            X               X                    X               X             X                      X
   north Shore Prosthodontic associates         3 Bond St.                           great neck           516-482-5416                        X                   X              X                       X               X                  X                                          X                   X               X             X                      X
                                                800 Woodbury rd. Ste.H               Woodbury             516-364-2333
   dr. Barry Chase                              324 South Service road               Melville             631-393-6888                        X                   X              X                       X               X                                            X                X                                   X             X                      X                  X

nutrition / natural medicine                                                                                                                                                                        x
                                                                                                                                                                              s           loss Boto es                                                                                                                                                     n
                                                                                                                                                                     ed gram         ight      s&     i ss u                             lar                                                                                                          atio
                                                                                                                                ing tional icine onal lation idualizional Pro ical we l Fil er Health gies                une         scu                                                                                                       su l t
                                                                                                                              Ag                                                                                       imm ses    iova th                                                                              icity           e Co
                                                                                                                         Anti- Func Med horm evau Indiv Nutrit               M  ed      Facia Men's          al er Auto Disea card heal                                                                            Tox              Fre
   dr. roxanne Carfora                    301 Maple avenue                   Smithtown                 631-265-9355            X            X                        X                X                  X                X                  X                        X                    X                       X
   tg diet Counseling                  471 Willis avenue                     Williston Park            516-248-6309                                                  X                                                    X                                                                                                             X

podiatry                                                                                                                                                                                                                  t                ve ry
                                                                                                                                                             nt o
                                                                                                                                                                                         Toe s                        Foo       c & ructi rge              rger
                                                                                                                                                                                                                                                                y     rch     ily e
                                                                                                                                                          tme arts chil es roblem ail and roblem orts juries eriatric are osmeti econst oot Su                      da
                                                                                                                                                       rea w                                                                                           r Su eel an ain tal Fam ot Car
                                                                                                                                                      T            A p             N P           Sp In G C                  c r F                L as e           h P To Fo
  Massapequa Podiatry dr. Corey Fox             4160 Merrick rd.               Massapequa                516-541-9000                                  X                                  X                             X                               X                         X                            X                    X                                  X                         X

vascular surgery                                                                                                                                                    r s             or s                                                                                                       py
                                                                                                                                                                t fo Vein       nt f ein                                                  uch                                     nd        era                                      g
                                                                                                                                                             men ous          me er V                                                 l To r                                   sou d oth                                   Vein enin
                                                                                                                                                        Treat Varic       Trea Spid                                              C o o L as e                             ultra Guide Scler                            Free Scre
   dr. Mark Schwartz                           1 Hollow Lane                   Lake Success              516-869-8346                                       X                                    X                                X                                            X                                    X

dermatology /medical spas
                                                                                                                                                      l ifts                                                                                                al i o n
                                                                                                                                                                                                                                                                                            sion t fo ase
                                                                                                                                                  gica cel          air al                                       ein nt                              g
                                                                                                                                                                                                                                                 urin aci nat
                                                                                                                                                                                                                                                                                is                             t
                                                                                                                                                                                                                                                                            olys cro- rmabra atmenin Dise manen keup                                                                                     atio
                                                                                                                                               Sur Fa           er h ov                                      er V atme                   dy conto Laser F Rejuve       ectr                                                                                                                         r tor
                                                                                                                                           Non- Li qui d     las rem                                     Spid Tre                      bo                            el            Mi De Tre Sk           Per Ma                                                                                 Hai Res
 dr. Suzanne Sirota rozenberg               11 irving Place                       Woodmere             516-295-5570                                   X                           X                              X                              X                          X                   X                   X                     X                                X                               X
 Vita ageless Medical aesthetics            1500 old northern Blvd.               roslyn               516-626-6800                                   X                           X                              X                              X                          X                                       X                     X                                X
 the north Shore Medical Spa                1 Hollow Lane                         Lake Success         516-441-5110                                   X                           X                            X                                X                          X                                           X
 dr. angela azar                             287 northern Blvd.                    great neck          516-482-3496                                   X                                                        X                                X                          X                                           X                 X                                                                X
 natural Beauty derma Spa                   1350 deer Park avenue                 north Babylon         631- 940-8606                                 X                           X                              X                              X                          X                                           X
 Women’s Health & Wellness                  55-15 Little neck Pkwy.               Little neck          718-281-1800                                   X                           X                                                              X                         X                                           X                                                  X
                                            155 Froehlich Farm Blvd.              Woodbury             516-921-5900
 aHS Laser Salon                            5 great neck rd                       great neck            516-495-4908                                  X                           X                              X                               X                         X                       X                   X                 X
 olga Lucia Permanent Makeup                99 Powerhouse rd.                      roslyn Hts.           516-626-6616                                                                                                                                                                                                                                                     X
fitness/physical therapy                                                                                                                                                                                                                                    g                                                                                                                      es
                                                                                                                                                            al                                          cs                               n ling     h oni n                                                        box
                                                                                                                                                                                                                                                                                                                       ing                 l y                                 lass
                                                                                                                                                         son iner tes                                obi oga                        ritio nse trengt onditi ore raning                                                                 sica rap                            c
                                                                                                                                                      Per Tra Pila                               aer       Y                     nut cou        S C           C T                                              kick                 Phy The                           Spin
    Sid Jacobson JCC                        300 Forest drive                        east Hills           516-484-1545                                   X                    X                 X               X                  X                          X                             X                   X                     X                           X

allergies/asthma                                                                                                                                            car                                             ng        rap
                                                                                                                                                                                                                         y                                                                         tric        f
                                                                                                                                                      sis & thma                                       esti        the              ing                                                        edia nt     nt o          tis                                                                     al       ns
                                                                                                                                                   gno s                                           gy T ergen muno              t St y                                                    t / P eatme eatme zema, ermiti                                             es                       son rgy ctio
                                                                                                                                                Dia of a                                      Al er Al Im                  Insec al erg                                               Adul Tr           Tr ec D                                                  Hi v                      Sea al e Inje
     dr. gadi avshalomov                   560 northern Blvd                        great neck            516-487-6200                                X                                                  X                                              X                                      X                                X                                   X                                     X
     175 Jericho tpke., Syosset, 516-921-6780 / 2084 e. 67 St., Brooklyn, 718-444-8014

parkinson's disease                                                                                                                                                           nt ic
                                                                                                                                                                       rea n's hron                                                                                                                                                 e
                                                                                                                                                                   ed T rkinso se & C s                                        ture                          ath
                                                                                                                                                                                                                                                                                                   y                          d ctur
                                                                                                                                                                own Pa a es                                                unc                           eop                                 eop                           nce un
                                                                                                                                                             Ren for Dise Il n                                         acup                          H om                                 Ost                          Adva Acup
     the Werth Parkinson Centre               448 Highcliffe drive                Vaughan , ontario, Canada       905-889-4462                                       X                                             X                                X                                 X                                    X

otolaryngology                    (ear, nose & throat)                                                                                                                            y                                     n
                                                                                                                                                                          oat ger                                   l oo                               my                                s                                                     h&
                                                                                                                                                                       Thr S ur                                 t ba ty                                                               ion                                                   eec ng                                               c nt
                                                                                                                                                                    ose d Neck                               ren uplas                        ion ecto                            fect            &
                                                                                                                                                                                                                                                                                              ring ance orde
                                                                                                                                                                                                                                                                                                            rs                          , Sp l owi orders                             lts & iatri tme
                                                                                                                                                                Ear an
                                                                                                                                                                                                        acc Sin                        Co blat Tonsil                       ear In         Hea Bal Dis
                                                                                                                                                                                                                                                                                                                                  Voi Swa Dis                                      Adu Ped Trea
         Li otolaryngology associates    560 northern Blvd.            great neck         516-487-6200                                                            X                                      X                             X                                  X                           X                                  X                                                 X
         175 Jericho tpke., Syosset 516-921-6780 / 5505 nesconset Hwy., Mount Sinai, 631-509-5250

women’s healthcare                                                                                                                                                                                           sity
                                                                                                                                                                                   s          cs     gic                                                                                       hic          nt        sal             gic
                                                                                                                                                                               tric  risk etri   colo ces Den g                                                                             rap es       sce cine  pau ine         olo ry
                                                                                                                                                                         O bste high Obst Gyne Servi bone Testin                                                                      So nog Servic adole Medi Meno Medic a l Gynec Surge
    northern obstetrics & gynecology, P.C. 3111 new Hyde Park road           north Hills           516-365-6100                                                          X                      X                           X                           X                                  X                           X                           X                                   X
    eileen Krim, Md, Brian S. Cooperman, Md, Wendy Fried, Md, Hetty Chung, Md, Julie Shih, Md, doreen Marinese, Md

                                                                                                                                                                                                     ent                                 ne
                                                                                                                                                                                                                                                                      ent                    tion
                                                                                                                                                                                   and alth                                         c Bo       osis       ol                      sive
                                                                                                                                                            tes roid orders rtility ual He ight nagem enal orders cium orders taboli ease eopor id/ lester rmone lacem rapy n-inva ial uventa
                                                                                                                                                      Di abe Thy Dis Infe Sex               we Ma Adr Dis cal Dis Me Dis Ost Lip Cho ho rep The No Fac Rej
      endo Health Md. dr. nicholas Kaloudis       1129 northern Blvd         Manhasset            516-365-1150                                         X                  X                         X                        X                      X                           X                      X            X                X                           X                                        X

mental health                                                                                                                                                                     ical                                                        on res
                                                                                                                                                              n               log                             y     y                     tati ctu
                                                                                                                                                        li dre dults sycho ions             l ns           rap herap ral tions onsul ops/Le
                                                                                                                                                      Ch s/A                             ona i o     al he                    n
                                                                                                                                                           n           rop luat ducati aluat dividu sychot mily T ehavio terve hool C orksh
                                                                                                                                                      Tee           neu eva            E Ev      In P          Fa    b In       Sc W
       dr. Kimberly Williams      935 northern Blvd. Ste. 203        great neck                   516-513-1215                                            X                   X                              X                          X                             X                    X                           X
                                  44 Court St. Ste. 800              Brooklyn

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