WINTER 2012 REVIVEMAGAZINE.CA
Ben Mulroney e
& Tanya Kim rev -Ove
ran e A l r
TRUTH ABOUT TRAVEL
Enlightens Us Tells Us
with YOGA What to Wear
Learn to Have
AnTI-AGInG & BEAUTY
Look Your Age
BY PETER W. BRAY, MD, MSc, FRcS(c)
Clients often ask about the optimal age Because of this, any set of age related
for their tummy tuck, facelift, or other guidelines is a loose approximation at best.
specific procedure. Such a precise However, there are certainly some basic
prediction remains difficult due to the vast patterns and common treatment options as
spectrum of variability in body shapes, people advance through the decades.
personal histories, and specific concerns.
By this age, many women are dealing with the conse-
quences of pregnancy and childbirth. The breasts and
abdomen are the areas most commonly affected, showing
change in shape, stretch marks, and loose folds of skin.
These changes may also be aggravated by the effects of
gravity, weight fluctuations, and the natural loss of elastic-
ity over time. Consequently, there is an increased interest
in restoring the affected areas to something closer to the
pre-pregnancy state, a set of procedures sometimes termed
the, “mommy makeover”.
Mastopexy (Breast lift) - Descent of the nipples, “drooping”,
loose skin and a deflated breast appearance are all common
consequences of pregnancy and breastfeeding. The goal
of a mastopexy is to raise the nipples to a more youthful
position, tighten loose skin, and improve the overall breast
the teen yeArs Breast Augmentation - Many women seek options to restore
After reaching physical maturity some breast size and fullness commonly lost through pregnancy
teenagers can become uncomfortable with and breastfeeding. Breast augmentation may be performed
certain characteristics. A few of the more the 20’s alone or sometimes in combination with a breast lift proce-
common treatments they may ask for are: dure.
Breast Augmentation- This is a procedure
rhinoplasty- Dissatisfaction with nasal size commonly requested by this age group. Abdominoplasty (tummy tuck) - This procedure remains the
and/or shape often manifests in the teen- Usually, this is a straightforward “gold standard” treatment for tightening the abdominal
age years. Although there is no particular undertaking, and a wide variety of implant muscles after pregnancy, removing loose skin and stretch
age restriction for rhinoplasty, clients often choices are available to allow customization of marks, and
begin to consider this option in mid to late the size and shape. improving the overall abdominal contour. Certain newer,
teens. It can be a reasonable option once energy-based liposuction technologies, such as BodyTite™,
facial development is complete, in a suf- liposuction-There is no age group might be a suitable alternative in some candidates with mild
ficiently mature candidate with reasonable particularly inclined to pursue liposuction. But to moderate skin excess who wish to avoid the long
expectations. body contouring in general often becomes abdominoplasty scar.
of interest in the twenties. Many clients have
gynecomastia (Male Breast Reduction)- attained a healthy, stable weight but have Facial rejuvenation - Although the signs of aging may be
Breast enlargement due to hormonal persistent areas of excess fat or disproportion early and mild, a wide range of rejuvenation options are
changes is a common source of distress in and liposuction is the most popular method to available for those with concerns. These treatments include
teenage boys. Surgical treatments, usually address those issues. laser and light-based skin treatments in addition to a formal
involving liposuction, are a very effective skin-care regimen. Many people seek their first introduction
solution assuming there is no underlying to Botox™ and injectable fillers such as Restylane™ and
medical abnormality. Perlane™, among others.
AnTI-AGInG & BEAUTY
the 40’s AnD 50’s
energy-Assisted liposuction- With advancing age and reduced skin tone the role for
energy-assisted liposuction may be more important than in younger candidates. The
greater skin-tightening achieved with these technologies can help reduce ripples and
loose skin that might otherwise occur with traditional liposuction.
skin-tightening procedures - A number of techniques have been developed to remove,
tighten and reshape the areas of loose, floppy skin. Abdominoplasty and mastopexy
procedures remain the most common procedures, but there are several other options
Brachioplasty (Arm lift)- This procedure addresses the loose skin of the upper arms, “bat the 60’s
wings” to restore a sleeker, tighter appearance.
More people in their senior years are living vibrant, active lives.
thigh lift- The thin skin of the inner thighs commonly becomes loose and saggy. A thigh They want their physical appearance to reflect their lifestyles; they
lift procedure lifts and tightens this area, leaving a scar concealed within the groin crease. want to look good as well as feel good. Seniors are therefore
exploring the option of cosmetic rejuvenation in greater numbers.
Buttock lift - The “Brazilian buttock lift” performed using fat transfer techniques has While any of the treatments listed above may be a reasonable
gained popularity in recent years, but this age group may be better suited to a true but- option, obviously safety-related concerns become more important
tock lifting solution, almost like a tummy tuck for the backside. in the older population. That being said, a healthy senior might
be a better candidate for surgery than a younger person with a
Facial rejuvenation - Greater loss of facial fat, descent and effects of gravity, deterioration chronic illness such as diabetes or hypertension.
from sun damage, and deeper creases and lines of expression effect this age group. I
typically recommend a comprehensive approach to restore volume, tighten and improve With a careful medical history, relevant pre-operative testing, and
skin texture, and lift where necessary. These solutions may be minimally invasive, such as increased availability of minimally-invasive techniques, I expect
fat injections, radiofrequency-assisted tightening with FaceTite™ and NeckTite™ or more that people in their golden years will be better able to look their
invasive such as a full surgical facelift. best for as long as they wish to do so.
AnTI-AGInG & BEAUTY
would have had to have cosmetic plastic
surgery to turn back time, but now years
can be taken off your appearance by
the lAtest in nOn invAsive simple in-office lunchtime procedures with
sKin tightening AnD minimal downtime and risk.
BY DR. IhAB MATTA Whether it’s getting rid of your wrinkles,
restoring youthful volume to your face,
We all want to look our best. Thanks to improving your skin texture and cellulite,
continuing advances in medical tech- eliminating unwanted hair or reducing that
nology, treatments that were once only frustrating “mummy tummy” there
available to the rich and famous are now is a non-invasive affordable solution
accessible to everybody. In the past, one waiting for you.
FACe: restOre vOluMe restoration and lifting. By re-
FACe: eliMinAte WrinKles.
What to do: Use injectable inflating the area, we actually lift
What to do: Reduce sun exposure,
fillers such as Restylane and the sagging skin and improve
don’t smoke, and get treatment with
Radiesse. everything below. Treatment is
Botulinum toxin A.
done at one sitting with results
how it works: For wrinkles created
how it works: Restylane is a safe lasting 6-18 months. There may
by facial expression, such as frown
non-animal stabilized hyaluronic be some swelling or bruising
lines, crow’s feet or forehead
acid that can be injected into after treatment, but this is easily
creases, Botulinum toxin A (known
the face to restore that lost covered by makeup and usually
as Botox) is the most effective
volume. Common areas treated only lasts a couple of days.
treatment. It works by relaxing the
are hollow temples, lips, chin, Cost can range from $500-
muscles that create the wrinkle, so
marionette lines, smile lines $3000 depending on how much
that it no longer forms when the
(nasolabial folds), tear troughs treatment is carried out per
muscles move. You see results in
and most importantly, cheek session.
2-10 days after getting Botox, and
results can last up to four months,
with the results lasting longer as you
have more treatments. In the hands
of a qualified injector, results look
very natural. There is no downtime
and treatments cost anywhere from
$250-$600 depending on how many
areas are treated.
JOWl/Chin/BAtWing AreA integrity of the skin. Results are seen after the first
What to do: Pollogen Maximus treatment with peak results at 6-12 months. Most
Radiofrequency treatment to tighten loose skin on the patients require 6 sessions for optimal results.
neck, arms and below the chin.
The treatment is pain free and any area with skin
how it works: Radiofrequency delivers heat to the looseness can be treated; common areas include
skin and subcutaneous tissue below. By reaching and the jowl, chin, neck, batwings, mummy tummy, hips
maintaining a specific temperature, fat is released from and thighs. There is no downtime and clients can
the underlying fat cells and skin tightening is triggered. resume their normal daily routine immediately after the
The Maximus stimulates collagen production through procedure. Cost is usually $200 per session for face or
deep heating, which helps rebuild the structural neck and $300 per session for body.
AnTI-AGInG & BEAUTY
unWAnteD BODyhAir sun DAMAgeD AreAs
What to do: Laser hair removal. On FACe, neCK, Chest
how it works: Laser hair removal works by What to do: Fractora is a new option for patients
“selective photothermolysis”, in other words, with fine wrinkles, brown spots or sun damage,
the laser looks for colour in the hair shaft broken blood vessels and a general drop in skin
and targets it, destroying its ability to grow quality.
new hair. Treatment is usually performed
every six weeks or so depending on how how it works: Fractora is a fractionated
fast the hair grows. When a new crop of hair Radiofrequency device that delivers heat 0.6
starts to grow, it’s time for another session. mm below the skin’s surface to improve the skin
Most patients describe the sensation as an quality. It has a series of either 20 or 60 tiny
elastic band snapping on the skin, while pins that provide radiofrequency energy to the
some patients (especially those with colour) dermal region of the skin. This energy ablates
may notice a little bit more discomfort. some of the dermal matrix and stimulates a
Most clients require 6-8 sessions to achieve collagen response from the body that results in
an 80% or more permanent reduction new, healthy collagen production.
in hair. Downtime is usually negligible; The procedure feels like a heat sensation and
some patients may notice a small sunburn can be administered without anesthetic on a
sensation for a few hours. Cost depends low setting; but on higher settings, one would
on how large of an area is treated, ranging need topical anaesthetic. The procedure is quite
from $50/session for underarms to several quick and can require between 2-6 sessions
hundred for legs or back. depending on desired outcome, intensity of
treatment and tolerance of downtime. Low
settings have minimal downtime, while higher
settings can be more painful, and have more
swelling. The best areas to treat are crow’s feet,
smoker’s lines, below the eyes, neck, chest
and hands. Cost ranges between $200-500 per
ABDOMen, hips, thighs
What to do: TiteFX from Body Tite, targets fat, cellulite and loose skin.
how it works: The TiteFX delivers radiofrequency energy to the area. Once the
target temperature is reached, it delivers a second energy pulse that actually
kills the fat cell. The treatment is applied to a given area for 5-10 minutes and
the heating effect stimulates collagen production, which helps tighten skin,
while the secondary pulse improves local fat deposits and cellulite. Results are
seen after the first treatment for fat and cellulite, while the tightening effects
take more time and reach a peak at 6-12 months. The best areas to treat
are the abdomen (for mummy tummy), hips and thighs both for cellulite and
fat. Most patients require 6 sessions. There is no downtime. Each treatment
usually costs $300 with packages available for multiple sessions.
f E AT U R E
Laura had already completed most of the Our goal was to reduce these areas of excess fat, tighten the skin, and
difficult work before being seen by me. She had create an overall better proportion between her upper and lower body. I
achieved a stable, healthy, sustainable weight felt these goals would be best achieved with the use of BodyTite™
and was interested in options to improve some liposuction to the areas of the bra-line, mid and lower back, love handles,
resistant trouble-spots. and inner and outer thighs.
These included several areas of persistent, Laura was comfortable with this plan and we went ahead, performing the
excess fat contributing to a somewhat bottom- procedure without difficulty. I used the radiofrequency energy of BodyTite™
heavy appearance. Also of concern to her were to melt and then gently remove fat and also to raise the temperature to
thicker areas of the mid and upper back, tending encourage skin-tightening. We removed approximately 3 litres of fat in total
to form bulges and rolls with her bra or certain from these combined areas and have seen a nice improvement in contour,
types of clothing. proportion, and an overall leaner appearance.
f E AT U R E