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					                                                                               Long IsLand




December / January 2010        volume one      issue two
                                                              IMAGE
                                                               T H E m aga z i n E f o r E n H a n c E d b E au T y & W E L L n E S S




contents
departments                                                58 IMAGE EVENTS

8 LETTER FROM THE EDITOR                                   66 IMAGE DIRECTORY
                                                           A guide to some of the area specialists and what
10 THE DOCTOR IS IN                                        procedures they offer.
Our panel of experts answers your questions
about health and beauty.

15 FITNESS MADE SIMPLE                                     interviews
by John Basedow
Keeping your New Year’s fitness resolutions.               44 STUNNING AND DOWN TO EARTH - Brooke Shields
                                                           By Mara Siegler
28 BOOK REVIEW: THE WEIGHT LOSS PLAN FOR                   How this striking celebrity balances life and beauty.
BEATING DIABETES
by Maria Orlando Pietromonaco                              46 SCLEROTHERAPY
                                                           Q&A with Dr. Suzanne Sirota Rozenberg
40 SPOTLIGHT ON SPAS: TOPNOTCH RESORT & SPA                Treatment for unsightly varicose and spider veins.
A New England winter retreat nestled in the
mountains of Stowe, Vermont.                               48 CELEBRATE THE SEASON
                                                           Q&A with the Radio City Rockettes
                                                           The dancers share their secrets for beauty and
                                                           stamina.

                                                           62 HAIR TRENDS
                                                           Q&A with celebrity stylist Rodolfo Valentin
                                                           Unique is chic – finding your own sense of style.


                                                           SPECIAL SECTION;
                                                           New Year, New You!
                                                           24 DRINK YOUR WAY TO BEAUTY THIS COMING YEAR
                                                              SEEING RED: MAKEUP TRENDS FOR 2010
                                                              START THE NEW YEAR STRESS-FREE
Contents
                                                       26 WINTERIZE YOUR SKIN
                                                       By Kelly O’Malley Mattone, M.D.
                                                       Keeping it soft and smooth this season.

                                                       30 THE MACS FACELIFT
                                                       By Peter T. Korn, M.D., F.A.C.S.
                                                       Obtaining a natural result in facial rejuvenation.

                                                       36 SOUND THERAPY FOR THE SOLE
                                                       By Pedram Hendizadeh, D.P.M. F.A.C.F.A.S.
                                                       Healing your painful heels with lifestyle changes and
                                                       non-surgical treatments.

                                                       39 MOMMY MAKEOVER
                                                       by Steven Katz, M.D.
                                                       Cosmetic procedures designed for today’s hectic
                                                       moms.

articles                                               42 INTERCEPTING THE AGING PROCESS
                                                       By Gregory J. Diehl, M.D., F.A.C.S.
12 ETHNIC COSMETIC SURGERY                             Preserving facial youthfulness while balancing facial
by Frederick N. Lukash, M.D.                           animation and wrinkle removal.
From cultural anonymity to cultural beauty. An ex-
cerpt from his book Beautiful Beginnings.
                                                       50 KETTLEBELLS ARE BACK
                                                       By Gwen Starr
18 BODY SCULPTING                                      A fitness trend turns competitive in the U.S.
by Ian Bourhill, M.D., F.A.C.S.
Reshaping the body for a lean, toned look. New
techniques expand the possibilities.                   52 COPING WITH SEVERE HIP PAIN
                                                       By Elton Strauss, M.D., F.A.C.S.
                                                       Causes, treatment and management of this debili-
20 ADULT ORTHODONTICS                                  tating condition.
By Seth Newman D.D.S.
More and more adults are seeking orthodontic treat-    54 DOCTORS GO DIGITAL
ment. It’s never too late to go straight!              By James C. Marotta, M.D.
                                                       Previewing your surgery for a “virtual after.”
22 PROSTATE CANCER
By David B. Samadi, M.D. and Hugh J. Lavery, M.D.      60 SURVIVING THE SEASON ARBONNE STYLE
Shedding light on this perplexing disease, including   By Ina Lutin, RN,CPCP, FAAM
groundbreaking treatment using robotic technology.     Keeping your skin in top shape.
                                                                                                                                  IMAGE

                                                                                                        This Issue’s              contributors
Dr. Peter Korn is a Great Neck plastic surgeon certified by the American Board of Plastic Surgery. He performs innova-
tive facial aesthetic surgical procedures, such as transconjunctival blepharoplasty and the MACS (Minimal Access Cranial
Suspension) facelift, both of which provide effective and natural appearing facial rejuvenation. Dr. Korn is also experienced
in body and breast contouring procedures, including silicone gel breast augmentation. Dr. Korn is experienced in advanced
microsurgery techniques, including DIEP (deep inferior epigastric perforator) flap breast reconstruction. He received his
training in Surgery at the Cornell University / New York-Presbyterian Hospital and completed his Plastic and Reconstruc-
tive Surgery training at the combined program of Cornell and Columbia Universities. He gained further expertise at the Me-
morial Sloan-Kettering Cancer Center and Hospital for Special Surgery in New York City, as well as the University Hospital
Gent in Belgium.


Dr. elton StrauSS has been Chief of Orthopaedic Trauma and Adult Reconstruction at Mount Sinai Medical Center
since 1986. He currently holds the rank of associate professor of Orthopaedics and Geriatrics in the School of Medicine.
Dr. Strauss was mentored by Howard Rosen in Orthopaedic Trauma and Mark Lazansky in Joint Replacement. He is a
member of the Orthopaedic Trauma Association, Association of Hip and Knee Surgeons, and the Academic Orthopaedic
Association. He is past Chairman of the Committee on Aging as well as a member of the Council on Education of the
American Academy of Orthopaedic Surgeons. His clinical interests are in Reconstruction of the failed total joint as well
as malunions and nonunions of fractures. As a tertiary referral physician he has gained a local and national reputation
in these fields. Dr. Strauss is mentioned in the Castle Connolly Best Doctors Guide for Orthopaedics annually.


DaviD B. SamaDi, m.D. is the Chief of Robotics and Minimally Invasive Surgery at Mount Sinai School of Medicine in
New York City. He is one of the very few urologic surgeons in the United States trained in oncology, open, laparoscopic,
and robotic surgery. To date, Dr. Samadi has performed over 2100 robotic laparoscopic prostate surgeries. Additionally,
over the past 7 years, Dr. Samadi has been actively involved in training and proctoring urologists across the country and
internationally. Dr. David B. Samadi is a board-certified urologist and a specialist in the diagnosis and treatment of uro-
logic diseases, kidney cancer, bladder cancer, and prostate cancer. He performs many advanced minimally invasive treat-
ments for prostate cancer, including laparoscopic radical prostatectomy and laparoscopic robotic radical prostatectomy.
You can learn more about Dr. Samadi at www.roboticoncology.com or by calling 212-241-8779.

Dr. K elly o’malley mattone is a Mount Sinai trained physician and anatomy expert, who specializes in non-surgi-
cal cosmetic procedures of the face and body. Her cosmetic practice, Aesthetic Medical Studio, located in historic Great
Neck, NY, is as unique as the procedures she offers. Dr. O’Malley Mattone was the first physician in New York to pro-
vide InvisiLift (TM), a non-surgical facelift, and instrumental in bringing MicroCurrent Facial Sculpting, courtesy of Oprah,
to Long Island. As a master level injector, she is one of first physicians in New York to be certified in the Injectible Thread
Lift™. Dr. O’Malley Mattone is a mother of four and an over 40 model. She has been featured in More Magazine, and
has appeared on the Today Show and CW 11 PIX News. She is the medical expert on national infomercials for Bare Es-
centuals Bare Minerals Make-up and ThermaClear, anti-acne device. She currently appears on John Basedow’s Fitness
Made Simple national commercial and look for her as the medical beauty correspondent on the new syndicated TV show,
Live It Up!with Donna Drake and Fran Capo.

Dr. PeDram HenDizaDeH is board certified in foot surgery by the American Board of Podiatric Surgery and
is a fellow of the American College of Foot and Ankle Surgeons. Dr. Hendizadeh graduated as an honors scholar
from the University of Connecticut and has a degree in molecular and cell biology. He attended the New York Col-
lege of Podiatric Medicine and then went on to Michigan to do an intensive surgical training program. As chief
resident, Dr. Hendizadeh gained experience in all aspects of foot and ankle surgery, including reconstruction and
cosmetic foot care. He also completed an extensive program in London, England. He has been in private practice
for nine years and is a member of the APMA, ADA, ACFAS, and the Aesthetic Foot Institute. He is certified in laser
therapy for onychomycosis. Dr. Hendizadeh maintains a practice in Huntington and Roslyn.

Dr. SetH newman is a board-certified specialist in orthodontics with a private practice in Roslyn Heights. He
is a graduate of Binghamton University and SUNY Stony Brook School of Dental Medicine and continued his post-
graduate education in orthodontics at the New York University College of Dentistry. His memberships include the
American Association of Orthodontists, American Dental Association, and the Nassau County Dental Society, and
he is a diplomate of the American Board of Orthodontics. Dr. Newman’s treatment philosophy incorporates
proven state-of-the-art orthodontic technology to provide patients with the most gentle and efficient care pos-
sible. Dr. Newman maintains a special interest in adult orthodontics and the utilization of visible and invisible ap-
pliance to help patients achieve an exceptional smile.

Dr. FreDeric J. vagnini is a board-certified cardiovascular surgeon. After graduation from St. Louis Univer-
sity School of Medicine in 1963, Dr. Vagnini underwent 8 years of post-doctorate internship and residency at the
Downstate Medical Center in Brooklyn and Columbia Presbyterian Medical Center in New York. Dr. Vagnini has
operated on thousands of patients with heart and blood vessel disease, and during his career he became inter-
ested in Health Education, Preventive Medicine and Clinical Nutrition. He is a frequent guest speaker and has ap-
peared numerous times on local and national radio and television. He presently hosts a live call-in show called
"The Heart Show" on WOR 710 AM from 4-5 PM on Sundays. Dr. Vagnini has written hundreds of articles in the
lay literature and has numerous scientific publications. He is certified by the American Board of Surgery and the
American Board of Thoracic Surgery.
Dr. Steven Katz is certified by the American Board of Plastic Surgery. He completed both his general surgery and
plastic surgery residencies at Montefiore Medical Center/Albert Einstein College of Medicine. He then went on to pur-
sue a fellowship in microsurgery and breast reconstruction at M.D. Anderson Cancer Center in Houston, Texas. His pri-
vate practice is in Huntington, and he also practices as part of the division of Plastic Surgery at Stony Brook University
Medical Center Hospital teaching surgery residents and medical students. An active member of the American Society
of Plastic Surgeons and a Fellow in the American College of Surgeons, he is affiliated with hospitals in both Nassau and
Suffolk counties. Dr. Katz offers seminars on procedures to reshape the breast and body, in addition to discussing new
developments in surgical and non-surgical rejuvenation of the face. Dr. Katz specializes in reduction mammplasty and
"Mommy Makeover" Visit www.KatzPlasticSurgery.com or call 631.423.9742
       IMAGE
This Issue’s   contributors
               Dr. FreDericK n. luKaSH, is a board certified senior plastic surgeon. He is on staff at Long Island Jewish/North Shore
               University Health System and Lenox Hill Hospital. Dr. Lukash is a Fellow of the American College of Surgeons and the Amer-
               ican Academy of Pediatrics. A well-known and respected physician, he is active in many professional organizations, broadly
               published in academic papers, leading textbooks, national magazines and lends his expertise on television. In addition to writ-
               ing and speaking engagements, Dr. Lukash curates an ongoing exhibit at children's museums around the country called "Op-
               eration Art", showcasing the range of children's emotions before and after undergoing plastic surgery. Dr. Lukash served as
               a consultant to several professional sports teams and volunteered his service to the United States Summer Olympics. He has
               offices in Manhasset and New York City. Dr. lukash serves as an advisor to long island image.

               Dr. KennetH l. HalPern is an oral and maxillofacial surgeon and dental implant specialist in Roslyn Heights. He received
               his dental degree at Georgetown University Dental School, where he later completed the advanced residency training pro-
               gram in oral and maxillofacial surgery. Dr. Halpern has been practicing in the New York metropolitan area for 35 years and is
               an attending surgeon at the North Shore-Long Island Jewish Hospital. In 1994, he developed the surgical techniques involved
               in minimally invasive implant placement. These advances allow the surgery to be performed without incisions or sutures,
               thus eliminating the discomfort and swelling typically associated with dental implant placement. His newest developments
               allow for minimally invasive bone grafting and sinus lift procedures as well. In 2007, Dr. Halpern was honored by the North
               Shore-Long Island Jewish Health System and UJA as Doctor of the Year. Dr. Halpern serves as an advisor to long island image.

               Dr. JameS marotta is a dual board-certified facial plastic surgeon and has attained his education and training at some
               of the finest institutions in the world. He attended Columbia University and graduated as president of the medical honor
               society at SUNY Stony Brook School of Medicine. He trained at Yale University in head and neck surgery and was consis-
               tently recognized as the top head and neck surgeon in the program. Dr. Marotta then completed additional subspecialty
               training as a fellow in facial cosmetic and reconstructive surgery at one of the leading facial plastic fellowships in the
               country. He is board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board
               of Head and Neck Surgery.

               Dr. gregory J. DieHl earned his medical degree from the Washington University School of Medicine in St. Louis, Mis-
               souri in 1986. General Surgery and Plastic Surgery Residencies were completed at Washington University Barnes-Jewish
               Hospital in St. Louis. Further training during fellowships in both Cosmetic Surgery and Reconstructive Surgery at Barnes-
               Jewish Hospital in St. Louis, where he was an Instructor in Surgery at Barnes Hospital before relocating to Long Island in
               1992. Board Certified by the American Board of Plastic Surgery and a Fellow on the American College of Surgeons, he
               has practiced on Long Island for 17 years. His practice focuses on cosmetic surgery, with a special interest in breast aug-
               mentation, abdominoplasty, liposuction, rhinoplasty, face and eye lifts. Surgery is performed in his own cosmetic surgi-
               cal facility, accredited by the AAAASF (American Association for the Accreditation of Ambulatory Surgical Facilities).
               Presently, Dr. Diehl is an active staff member at John T. Mather Hospital and St. Charles Hospital in Port Jefferson.

               Dr. ian l. BourHill, a cosmetic surgeon in Huntington, New York, became board certified as a General Sur-
               geon before becoming board certified in Plastic Surgery. He has been in private practice for the past 13 years
               on Long Island with a special interest in breast surgery and body contouring. Patient safety and compassion-
               ate care are priorities which are emphasized in both office-based and hospital settings. Minor procedures are
               performed in the office under New York State DOH guidelines. More involved procedures are performed in a
               hospital or Surgicenter setting. He has held his plastic surgery practice in Long Island for over 9 years. His res-
               idency training for plastic surgery was performed at SUNY Stony Brook (Surgery) and the LIPS Plastic Surgery
               Program, through Nassau County University Hospital, with affiliations at North Shore and Winthrop.

               Dr. Suzanne Sirota rozenBerg teaches at St. John’s Hospital and Touro College of Osteopathic Medicine.
               The comprehensive dermatologic 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 re-
               lationship with each patient and has had extensive training in all areas of dermatology. Her state-of-the-art of-
               fice offers a wide range of services including Smart Lipo, Iso-Laz, Juvederm and Botox, laser resurfacing, photo
               facials, skin tightening and rejuvenations, microdermabrasion peels, permanent makeup, electrolysis, facials,
               massage therapy, and yoga classes. She also has a nutritionist on staff.

               ina lutin, RN,CPCP, FAAM has been involved with women’s health for more than 25 years as an OB/GYN nurse,
               both in private practice and at Long Island Jewish Hospital. She graduated from Stonybrook University with a
               BSN degree in nursing. Her background in women’s health and her interest in beauty and skin care were the
               catalysts in pursuing an esthetics career. A board-certified permanent cosmetics specialist, Ina received her
               training at the world-renowned Beau Institute of Permanent Cosmetics and later at the Gustefella Institute. She
               is a member of the Society of Permanent Cosmetic Professional Specialists, the American Academy of Mi-
               cropigmentation, as well as the Aesthetic Nurses Association. In addition she has received certification in mi-
               crodermabrasion, advanced IPL procedures and rejuvenation of the skin, and advanced certification in Botox,
               Restylane, Radiesse and other injectables. Ina’s approach has been to work with clients on a personal basis
               and develop treatments and procedures that best serve their needs.
               JoHn BaSeDow author of Fitness Made Simple: The Power to Change Your Body & Life and the creator of the
               Fitness Made Simple video series. His motto being “believe in yourself and you can accomplish anything”, John
               has achieved international recognition and has been called a“pop culture icon” by the media. Being featured
               on TV and radio shows as well as in print ranging from the Los Angeles Times to the National Examiner. The
               New York Times places him alongside NASCAR and figure skating in the contemporary pantheon of “great Amer-
               ican television phenomena”. John is a frequent guest on FOX News Channel, a regular on the popular Sirius/XM
               Radio program Covino & Rich, the star of the web series JohnBasedow.tv, a new personality on the national
               cooking series Taste This TV, and a spokesperson for Chamonix Skincare. He also works with various charities,
               including the American Heart Association and the American Diabetes Association, for which he received an
               award and was the Honorary Spokesperson at their StepOut Walk To Fight Diabetes. To learn more about John,
               visit FitnessMadeSimple.com and follow him on Twitter.com/JohnBasedow. John also writes a regular fitness
               column in Long Island Image.
T
                                                         EDITOR’S letter

                     he leaves have fallen and the cold, crisp air of winter is
                     here. 2010 is upon us, so it is only natural that we reflect
                     on the past year and look forward to the things we
would like to do differently. Our New Year’s resolutions are written on
paper, and we wonder how many of them we will actually start and stick
with.
                                                                                   image Publications, Bruce Jacobson and
    In this issue, we give you some insight as to what the trends are for the      Donna Halperin along with their team,
new year–color, style, nutrition, fitness, advice on keeping on top of your        imageine life without cancer walks at
                                                                                   Jones Beach for making Strides against
health and wellness, and of course, new cosmetic enhancement proce-                Breast cancer
dures available to you.
    IMAGE Publications had a very busy fall season. We are so proud to an-
nounce that with the help of our friends and fans, we exceeded our team
goal in the fight against breast cancer. Our team “IMAGEine Life Without
Cancer” walked on Sunday, October 18th with the rain pouring down on us
and thousands of supporters for Making Strides Against Breast Cancer at
                                                                                   Dr. Peter Korn, Dr. ron israeli and Dr.
Jones Beach. The rain was falling but all spirits were high as people walked       randal Feingold were sponsors at
with their young children, pets, co-workers and schoolmates. Nothing               the premier cancer event

could have stopped the enthusiasm and drive that was filling the air and as always, it was a great success.
We give our thanks to all who sponsored the event with a donation and the people who walked with us.
    Our cover story this issue is the one and only Brooke Shields, who I was fortunate enough to interview.
As you might guess she is a very grounded woman, and even though she has been in the limelight since in-
fancy she is just like any one of us. She is a working mom with two girls that keep her very busy and tries to
maintain normalcy while juggling all facets of her life. We talk about how she is able to do all that and what
she does to remain as fit and beautiful as the day we heard her say, “Nothing comes between me and my
Calvins.”
    For me, the best part of winter is the Christmas season since it always lights up New York City. People
are friendlier this time of year, the bells are ringing, the tree at Rockefeller Center is lit, the store windows
are dressed with fascinating Christmas scenes and tourists rush here to see none other than the Radio City
Christmas Show featuring the legendary Rockettes. LEGGZ Dance Studio in Rockville Centre was the host for
a couple of Radio City Rockettes who taught a dance class to a group of young dancers at the studio. After
the class, we all had an opportunity to talk with them and we got to find out what they do to maintain their
beautifully fit figures as well as how they keep their energy level going to be able to dance as much as three
shows a day during the Christmas season.
    In the Spirit of Giving, we invite you to visit our website at www.liimagemag.com for holiday specials of-
fered by our advertisers. If you would like to know how you can make a difference this season, click on the
heading, You Get What You Give for a very special charity event where your dollars can make a difference in
someone’s life.
    From all of us at IMAGE Publications, we want to wish you a healthy, joyous holiday season and a very
Happy New Year!




                                                                                    Editor-in-Chief, CEO
                                                                                                         Long IsLand

                   The Dr. Is In
                    YOUR QUESTIONS ANSWERED                                                      IMAGE
                                                                                                  THE magazinE f or EnHan cEd bEauT y & WELLnESS




                                                                                                 EDITOR-IN-CHIEF, C.E.O




{
     got a question about procedures that can help you look and feel your best? Long
     Island Image wants to help. Every issue, in this space, we’ll run as many of your ques-     Donna Halperin
     tions as we have room for, with answers from a panel of experts. Our doctors and
     other professionals are among the best in their fields, and they’ll be happy to provide     PUBLISHER
     you with clear, helpful, authoritative advice and answers to your questions.                Bruce Jacobson
     Send your questions to: Donna@LIimagemag.com and please mark the subject line
     ASK THE DOCTOR. Thanks! We’re happy to help you.                                            MANAGING EDITOR
     ___________________________________________________________                                 Maria Orlando Pietromonaco

                                                                                                 ART DIRECTOR
Q: I was always a 34B and was very happy with that. After I had given                            Justin Michaels
birth to two children my breasts turned into pancakes. The skin is still
there but they have lost their fullness. I don't want to be larger, I just want                  ACCOUNT EXECUTIVES
my breasts back. Do I need implants or can they just be lifted back in                           Randi Feldstein
place?                                                                                           Joanne Heenan
                                                                                                 Linda Klein
A:Fixing the problem you describe depends on various factors. At your                            CONTRIBUTING WRITERS
consultation a determination is made about where your breast tissue and                          John Basedow
nipple lie in relation to the breast fold. If you look in the mirror in a side-
ways position you can check this yourself. If the nipple is at or below the                      ADVISORY BOARD
fold then some form of direct lift is necessary to reposition the nipple to                      Dr. Frederick N. Lukash
its pre-pregnancy state. The incisions are on the breast and around the                          Dr. Kenneth Halpern
nipple generally in a lollipop shape.
     Next, we look at the shape of the breast and the quality of the breast                      PHOTOGRAPHY
envelope. If the nipple is above the breast fold and all you have lost is some                   Bruce Cotler
volume in the upper pole then an implant can be considered to restore
this volume and fill out the tissue envelope. This is similar to breast aug-                     WEBMASTER
mentation. The size of the implant is chosen based on your breast meas-                          Keith Feltenstein
urements and how large you would like to be.
     Finally, a consideration is given to use combinations of the procedures                     ADMINISTRATION
if there is loss of volume and the nipple lies below the breast fold. This                       Edna Drori
repositions the nipple above the fold and adds the lost volume behind the
                                                                                                 CIRCULATION
nipple. This type of surgery is more complex as there are basically two sep-
                                                                                                 Creative Distribution
arate procedures being done. (Answered by Dr. Ian Bourhill)
                                                                                                 Matthew Halperin

                                                                                                 ADVERTISING & ART CONTACTS
                                                                                                 Long Island Image Magazine
Q: I read the article on the advances of dental implants in the October                          Advertising: 516-581-4941
issue. My question is, does anyone qualify for this method and is it more                        Email: Donna@LIimageMag.com
costly than traditional implants? Also, does insurance take care of any of                       Art: 516-801-2126
the cost?                                                                                        Email: BYJ1@optonline.net

A:Yes, all patients who are candidates for dental implants can have the                         LI Image magazine is published by LI Image Publications, Inc. 6
                                                                                                times a year. The contents of LI Image magazine are copyrighted
procedures done minimal invasively. Although these procedures greatly                           and may not be reproduced without the written permission of
lessen post-operative discomfort and swelling, the fees are no higher than                      Image magazine. LI Image magazine does not take any responsi-
                                                                                                bility for unsolicited manuscripts or photographs, which may be
the traditional treatment approaches. In many cases, dental insurance will                      treated as unconditionally assigned for publication. Advertisers and
further reduce the fees or contribute to the overall payment, but these                         contributors assume all liability for the content and photographs
factors depend on the individual's insurance plan. (Answered by Dr. Ken                         they supply to LI Image magazine and assume responsibility for any
                                                                                                claims against the publisher and publication arising from their ad-
Halpern)                                                                                        vertisment or editorial(photos) that was contributd by them. Pho-
                                                                                                tography submitted to LI Image magazine must have written
                                                                                                consent from the subject and is the contributors responsibility to
                                                                                                obtain. LI Image magazine assumes no liability for services adver-
                                                                                                tised in the magazine. The publisher reserves the right to edit,
Q: I have been diagnosed with TMJ and I was referred to a physical ther-                        rewrite, or reject editorial material and assumes no responsibility
                                                                                                for accuracy, errors or omissions. All artwork including advertise-
apist to help relieve the pain. I also find myself taking Advil more often                      ments created by LI Image magazine is the property of the maga-
than not. Is there anything I can do to permanently get rid of TMJ?                             zine and cannot be reproduced without written permission from
                                                                                                the publisher.

                                                                      [Continued on page 57}]


10 IMAGE                                                                                                                 December/January 2010
   C U L T U R A L            D I F F E R E N C E S




   ETHNIC COSMETIC SURGERY
   From Cultural Anonymity to Cultural Beauty

   An excerpt from his upcoming book Beautiful Beginnings

   BY FREDERICK N. LUKASH, M.D.




                                   T
                                         he world is getting smaller and smaller day by day. No longer are cul-
                                         tures and people separated and isolated. Societies have blended,
                                         races have blended and ethnic groups are now a part of the melting
                                   pot that is the world today.
                                        Plastic surgery has felt the impact of ethnic identity and is to this day,
                                   responding to the needs and desires of the clientele it serves. Historically
                                   this surgery was meant to eliminate the “negatives” that defined a person;
                                   today surgery is intended to bring out the “positives” to refine a person.
                                        As the melting pot is stirred a hybrid composite of beauty has devel-
                                   oped where individuals want the best of all worlds. It is the culture of
   It is the culture of            beauty that defines acceptance, not the culture of ethnicity. If there is a
   beauty that defines             prejudice, it is based on deviations from arbitrary standards of beauty
                                   rather than race or national origin.
   acceptance, not                       This article will look at what has happened through the generations
   the culture of                  and explore the desires as well as the benefits, risks and outcomes of sur-
   ethnicity.                      gery on different ethnic groups.

12 IMAGE                                                                               December / January 2010
ethnic Surgery – the Beginning                               Beauty has become a hybrid mix – people want the best
     “Ethnic surgery,” in the beginning, had its roots in    of everything!
cultural assimilation and anonymity. Early American                In 2008, in spite of an overall 2% decline in cos-
identity was that of the Northern European. Anyone           metic surgery, there was an increase of 18% in Hispan-
looking different was perceived as different. Prejudice      ics, 5% in Asians and 10% in African Americans - totaling
was defined by appearance deviation, and plastic sur-        more than 3 million procedures. Since 2000 surgery on
gery was quickly seen as a way to change rather than         ethnic groups has increased 215%. There has been an
cope and to alter rather than endure.                        evolution where individuals “cherry pick” enviable fea-
     Early plastic-surgical records are replete with cases   tures and request surgery for them.
of the Jewish nose, the Italian nose and the Greek nose.
This was the most identifiable feature of these immi-        ethnic Surgical Preferences
grant groups and was the first structure to change as        Middle Eastern/ Mediterranean – Rhinoplasty
they became Jewish Americans, Italian Americans and               Peoples from this background can have very defin-
Greek Americans.                                             ing noses. They not only are large by Western standards,
     The next wave of plastic surgery for ethnic assimila-   but they often suffer from drooping nasal tips. The idea
tion was with Asian war brides, where operations to west-    that a nose could be made smaller and a tip elevated
ernize the “oriental” eye became popular. This was           and refined has made this one of the most sought-after
followed by African Americans trying to avoid the ravages    procedures. This diaspora of refinement has not been
of racial bigotry by intuitively trying to “Westernize.”     limited to America. Global beauty has made rhinoplasty
                                                             the number one plastic surgical procedure in Iran today.
ethnic Surgery today                                         More nose jobs were performed there than anywhere
     The desire for ethnic assimilation and anonymity        else in the world.
has faded as most individuals today considering plastic
surgery want to improve rather than drastically change       Asian – Blepharoplasty (eyelid surgery), Rhinoplasty,
– Michael Jackson was the exception to the rule. Indi-       Breast Augmentation
viduals still want to retain “clan identification” and re-        Traditionally, Asian or Oriental features have con-
main bonded to their family. The standards of the day        sisted of slight bodies with small breasts and distinctive
are more driven by ideals of beauty as opposed to eth-       eyes with what is called a single lid with a fold that ex-
nic erasure.                                                 tends into the inside corner of the eye. These hallmarks
     Individuals seeking surgery are not denying a her-      of this group have changed in some individuals as in-
itage but responding to the shifting standards of beauty.    termarriage has hybridized looks. Some individuals here

December / January 2010                                                                                        IMAGE 13
desire a more melting-pot appearance and seek out surgi-         keloids.
cal correction.                                                        Part of the genetic structure of the individual of African
     Many Asian noses are flat, lacking bony height in the       descent can be a flatter, broader nose, with a prominent
bridge. Surgery to refine this involves the addition of struc-   upper jaw and a smaller lower jaw. Surgical alteration here
tural support in the form of bone and cartilage. These tis-      frequently involves orthognathic surgery to reposition the
sues are “borrowed” from the nasal septum, the ear, the          upper and lower face in conjunction with orthodonture
rib and/or the hip. They are onlaid to create a stronger and     (braces). Those not desiring such extensive surgery have
more projecting nose.                                            opted for chin and nasal augmentation. The chin is ad-
     Breast issues, discussed in a previous chapter, are a       vanced, and the nose requires similar techniques to the
“sine quoi nom” for femininity. Many females of Asian de-        Asian nose where the projection is increased to create the
scent have seen friends who either by nature or surgery are      illusion of a narrower base. Wide nostrils are narrowed to
more endowed. As they move further away from their roots         complete the look.
the desire for larger breasts increases. One of the most pop-
ular operations in this group is the breast augmentation.        Hispanic- Breast Augmentation, Liposuction, Nasal Surgery
                                                                      This latest ethnic group to enter the arena of plastic
African American – Breast Reduction, Nasal Augmentation,         surgery has become the most prevalent. Their goals are di-
Chin and Jaw Surgery                                             verse. Many seek body contouring to augment the top and
     Features on black individuals can be very varied based      reduce the bottom. Breast augmentation and liposuction
upon their background. Since historically there has been a       are two of the most popular procedures performed. Addi-
mixing of the races, many blended features are part of the       tionally, many seek out nasal surgery to create a more re-
genetic make-up. Where once “mixed featured” individu-           fined profile.
als were ostracized many are now adored for their refined
appearance. As such there has been an increase in Ameri-         risks
cans of black heritage seeking surgery for certain features.         The risks in ethnic surgery can be broken down to the
      Many black women are too well endowed in the breast        physical and the psychological. As with any surgery each
area and desire a proportional correction. Breast reduction      procedure carries its own issues. Body surgery and breast
is a very popular procedure. The procedure is the same as        surgery involve incisions and therefore scars. Individuals of
for all other individuals with macromastia. The only caveat      darker complexions can have darker and thicker scars. This
is the possibility of increased scarring, since some black in-   must be evaluated in the context of the desired procedure.
dividuals have a tendency towards hypertrophic scars and                                                   (Continued on page 63)

14 IMAGE                                                                                              December / January 2010
Fitness Made Simple
THE SKINNY ON HEALTHY FATS & SATISFYING YOUR CRAVINGS
                                                   by John Basedow

First of all, I’m thrilled to be part of the Image Magazine fam-
ily. At Fitness Made Simple, we’re all about giving you the
tools to improve your body and life, both inside and out, so that you can achieve
all of your goals. That’s a mission statement shared by Image. In my column, I
want us to have some fun while learning ways to make us better, stronger, and
healthier as I help answer your questions on exercise, nutrition, motivation, and
whatever else you need to know. Email me at JB@FitnessMadeSimple.com and
you might see your query pop up in a future issue. For this edition, however, my
good friend, Donna Halperin, asked me to provide some tips for getting fit in the
new year. Since Donna is also the Editor-in-Chief of this magazine, I obliged.

               How to KeeP your FitneSS reSolutionS:
                 5 Keys to Shaping Up in the New Year

W
            ell, it’s that time of year again. The festive and decadent holiday season is
            upon us like a whirling tornado, and will leave in its wake the physical devas-
            tation of expanded waistlines, bloated stomachs, and seam-splitting weight
gain. To combat the effects of culinary overindulgence many people routinely resolve
to get fit in the new year, only to lose this determination a week or two later.
      It’s a futile cycle that’s often repeated year after year and the demoralizing effects
of it were made crystal clear to me by a poignant letter. I’ve actually received dozens
of letters from readers asking for help in sticking to their New Year’s resolutions, but this
particular one from a lady named Ronnie, who just got the Fitness Made Simple book
and nutrition/workout DVD combo package, really hit me.
      To make a long story short, Ronnie recently started watching what she was eating
and had plans of joining a neighborhood gym. Then Thanksgiving and multiple holiday
parties led to an unwanted eight pounds and subsequent feelings of frustration and
failure. Unfortunately, this scenario is very familiar to Ronnie and she was reaching
out for help in making this year different. Since I was in this same predicament not
too many years ago I can relate very well to what Ronnie and so many other well-in-
tentioned ‘resolutionists’ are going through.

#1. maKe FitneSS a Priority anD re-aDJuSt your minDSet
With today’s busy lifestyles just about everybody complains about time limitations. How
often do you hear someone (or yourself) justify not working out or eating healthy by say-
ing ‘I don’t have time’? If this is the case then you have to make the time. It’s not that
hard to do.
      First of all, think of fitness as something that must be scheduled in, like going to work
and paying bills. Then, take a moment to list all the things you’re doing now that you
make time for and ask yourself how important they are to your happiness. Are they more
important than creating the body you want? Are they more important than your current
and future health?
      When I used this simple technique I couldn’t believe how many ridiculous habitual
things I was unknowingly filling my days with and putting ahead of my fitness pursuits. To
further solidify my commitment to improving my body I also found it helpful to write
down my short- and long-term goals as well as what I planned to do to accomplish them.
Remember, failing to plan is the same as planning to fail.

#2. give yourSelF SometHing tangiBle to FocuS on
Ronnie’s ordering the Fitness Made Simple program, for example, is a great start to her
fitness routine from both a mental and physical standpoint. Mentally, the book and DVD
are something she can see, feel, touch, and hear, and it represents her commitment to
putting ideas into practice. Most of us have amazing thoughts everyday but only a select
few ever act on them. You’ll notice those few are usually the most successful.
     Physically, Fitness Made Simple provides the exact time-conserving workout routine
and nutritional meal plan thousands of women and men, including myself, have used to

  December / January 2010                                                                         IMAGE 15
  attain their fat-burning and lean muscle-building goals. I’ve         to go out for it.
  been told it’s like having a personal trainer on hand 24 hours a            Life’s too short for deprivation and if I constantly deny my-
  day providing you with the complete blueprint for creating a          self, my preoccupation with food cravings can lead to an even
  toned, defined physique. In just 8 weeks of following this pro-       worse binge later down the road. Knowing I have to do my
  gram I developed the tight six pack of abs I’d always wanted          “cheat” eating outside of the house stops me from acting on
  but never was able to see before...despite years of trying. An-       impulse. Instead, it gives me that necessary moment to think
  other tangible manifestation of your resolution could involve         and make a conscious decision as to whether or not it’s worth
  joining a gym or purchasing some inexpensive home exercise            the trip. Also keep in mind that as long as you make good eat-
  equipment, like free weights and a bench.                             ing the rule and cheating the exception, one day of indulgence
                                                                        should have little to no visible negative effect.
  #3. taKe PHotoS
  No matter how out of shape you think you are, take a ‘before’         #5. try a SuPPlement
  photo prior to beginning your workout regimen and schedule            Unless you already have the basic building blocks of an effec-
  to take additional snapshots every two weeks until you reach          tive workout and meal plan in place I really don’t recommend
  your goal. This practice can be nerve-racking, but nothing            jumping on the heavily advertised supplement bandwagon.
  beats it when it comes to keeping your mind on your goal. It          Keep in mind that supplements are just that - ‘supplements’ -
  provides a starting point and bi-weekly reminder of your              and not ‘substitutes’ for a proper training and nutrition pro-
  progress. I find it difficult to notice improvements on a day to      gram.
  day basis, which wreaks havoc on my motivation. When I com-                Think of building your body like building a house. Your
  pare periodic photos and notice the benefits of my efforts,           workout and nutrition programs are your ‘foundation’ and
  however, I feel much more satisfied and strengthen my resolve.        ‘walls.’ Supplements represent your ‘accessories’ furniture,
                                                                        paintings, etc. You can’t hang a painting before you first erect
  #4. get leFtoverS & Binge FooDS out oF tHe                            a wall. Remember that analogy. It’s one thing I came up with
  HouSe                                                                 that really keeps my focus in the right place. If you’ve been fol-
  The new year is a perfect time for a little pantry cleaning - out     lowing a results-producing fitness lifestyle for a while now and
  with the old and in with the new. If you have lots of high-carb       have reached a plateau in your current routine, however, the
  and high-fat holiday goodies still lingering around, carry a little   addition of a fat-burning and/or muscle-building supplement
  Christmas generosity into the new year and donate them to             may renew your enthusiasm and help maximize the results of
  the needy. Knowing these treats are at arms reach can make            your gym and kitchen efforts.                             image
  late night refrigerator raids too tempting. If you have a craving
  for something that’s not part of your new fitness program I still     Please vote for John as ‘Best TV Personality’ in the Best Of
  recommend you satisfy it and get it over with...just make sure        Long Island 2010 Awards at http://bit.ly/1x1Wsg.
16 IMAGE                                                                                                     December / January 2010
  B O D Y         S Y M M E T R Y




  BODY SCULPTING
  Reshaping the Body for a Lean, Toned Look


  BY IAN BOURHILL M.D., F.A.C.S.




                                   T
                                         he demands and rigors of a modern lifestyle can leave you with some
                                         areas of your body that you are not happy with despite dieting and ex-
                                         ercising like a dervish. Body sculpting and contouring are medical so-
                                   lutions to solve this dilemma. Fortunately there are numerous options for
                                   most people that allow flexibility in this pursuit. The goal is to reshape the
                                   body for a lean, toned look that diet and exercise alone do not provide.
                                        Liposuction is the most common form of body sculpting and has
                                   evolved tremendously over the last four decades. In essence, it is the re-
                                   moval of fat cells by suctioning with a thin cannula. The latest technologies
  Evolution in
                                   incorporate lasers to liquefy the fat before it is suctioned. This minimizes
  technique and                    bruising and pain and allows for even smaller incisions.
  technology allows                     Another technique is to use ultrasonic waves to help break up the fat
  new procedures                   cells combined with suctioning (older but still effective). The actual suc-
                                   tioning can be done with a thin, powered cannula that minimizes the me-
  and sites to be                  chanical suctioning allowing more precision for the surgeon. The portals
  attempted that                   used for the suctioning are placed in inconspicuous or hidden sites and can
  might not have                   be remote from the target area.
                                        Skin elasticity is a large component in the final result and sometimes the
  been deemed                      excess skin needs to be removed in order to achieve the best results. This
  possible in the past.            is particularly true where the skin has been overstretched. The obvious

18 IMAGE                                                                               December / January 2010
trade-off here is larger incisions that are harder to hide.
The fat cells never return after suctioning but remain-
ing cells can enlarge or other areas may become pref-
erential repositories for extra calories. So maintaining
your weight afterwards is important to preserve the re-
sults.
     Liposuction can also be used to remove small
amounts of very subcutaneous fat to accentuate mus-
cles (like the ‘six pack’) or to clean up a site like the neck-
line. Small bulges around the bra-line or ‘muffin tops’
are also tempting targets for discreet suctioning as is the
underside of the upper arms. Recently interest has been
generated to shape thick, unsightly ankles.
     Liposuction is very effective as a stand-alone pro-
cedure to permanently remove unwanted fat cells, but
can also be used in combination with other forms of
body contouring. It is very versatile and can be used for
large volume reduction in a hospital setting or for
smaller areas in an office with less downtime. Recovery
is generally relatively quick, but conforming pressure
garments are often used to speed the outcome.


      MAINTAINING YOUR WEIGHT
    AFTERWARDS IS IMPORTANT TO
           PRESERVE THE RESULTS

      Other methods of body sculpting such as Velashape
involve infrared radio waves and massage in an attempt
to sculpt areas noninvasively. This is not permanent and
involves several sessions in a spa-like setting. Another
approach is to inject areas with dissolving solutions to
try and melt the fat. This method is called mesotherapy
and lipodissolve. The concept is attractive for spot areas
because there is no suctioning involved, but there are
concerns about the solutions used and effectiveness of
the approach.
      More traditional forms of body sculpting include
tummy tucks, thigh lifts, arm lifts and breast lifts. What
all these procedures aim to do is remove excess tissue,
tighten underlying structures in various degrees and
reposition the overlying skin.
      Contour change can also be accomplished by sup-
plementing or augmenting tissue with implants or even
structural fillers. Fillers can be used as structural agents
to supplement hollow cheeks or accentuate brows as
part of a liquid facelift. The short recovery and limited
downtime make this popular, but it is not permanent
and should be a consideration.
      Transfer of fat as a permanent transplant is another
variant along these lines. Implants can be used for larger
structural augmentation in areas like the breast, calf and
buttock. The implants have to be placed in pockets cre-
ated for them in the relevant site.
      A different problem arises for patients who have
lost a lot of weight. With massive weight loss, the fat
                                         (Continued on page 64)

December / January 2010                                           IMAGE 19
  S T R A I G H T         S M I L E S




  ADULT ORTHODONTICS
  Just because you didn’t have braces in your adolescence, it’s never too
  late to go straight!


  BY SETH NEWMAN D.D.S.




                              I
                                 f you think that you are too old for braces, think again. More and more
                                 adults are getting them, including celebrities. Professional athletes, pop
                                 stars and actors such as Tom Cruise, singer Gwen Stefani and San Antonio
                              Spurs player Manu Ginobili have all recently undergone orthodontic treat-
                              ment to improve their smiles.
                                   Dentistry has become more cosmetically focused to meet the changing
                              needs and desires of our patients. Sophisticated, cosmetically driven patients
                              realize that straight teeth are perhaps the most dramatic way to enhance our
                              smiles. Once only seen in children and teenagers, it is now common for adults
                              to seek orthodontic treatment.
  Once only seen                   Another factor that has encouraged many adults to straighten their smile
  in children and             is that current orthodontic technology has made significant recent advance-
  teenagers, it is            ments. We now have available effective, efficient visible and invisible treat-
  now common                  ment options that are able to straighten teeth. Further, these modern
  for adults to seek          orthodontic appliances are less obtrusive and offer faster treatment time,
                              fewer treatment visits, and less discomfort than ever before.
  orthodontic                      Those who think that they may feel odd or out of place seeking ortho-
  treatment                   dontic treatment as an adult will be happy to know that they are not alone.
20 IMAGE                                                                           December / January 2010
It is estimated that up to 25 percent of those patients cur-    from chewing properly and lead to jaw joint problems. A
rently wearing braces are adults. Of this high number,          healthy bite not only allows us to chew correctly and
men make up approximately 30% of these patients while           enjoy our food, it will also decrease the amount of wear
women are still in the majority.                                teeth endure and reduce the likelihood of fractures.
      As men are finding out that healthy teeth and an at-      Finally, straight teeth are healthy teeth and much easier
tractive smile can be very beneficial in the business world     to keep clean. Therefore, they are less likely to have
as well as their social lives, more and more are seeking
treatment. This trend is truly international as well. The
British are famous for having crooked teeth. However,
according to the British Society of Orthodontists, Britain      THE REASON TODAY’S
is experiencing a significant rise in the number of adults      ORTHODONTICS IS SO EXCITING IS
seeking orthodontic treatment.
      There are some real advantages to having ortho-           THAT WE NOW HAVE MORE VISIBLE
dontic treatment as an adult. First of all, adults tend to be
more compliant in their treatment. They tend to follow          AND INVISIBLE OPTIONS THAN
orders more fully and this can make a big difference in         EVER BEFORE.
the outcome of their orthodontic work. Adults also tend
to take better care of their appliances and follow the rules
of good oral hygiene.                                           plaque accumulation, which can ultimately lead to sig-
      There are several other benefits of orthodontic treat-    nificant gum problems.
ment worth considering. The first and most obvious is the           Although there are few, if any, real contraindications
esthetic appeal of a straight, beautiful smile. Crooked         to adults undergoing orthodontic treatment there are
teeth affect your appearance and most people want to            some limitations worth mentioning. Dental issues such as
look their best at any age. People with unattractive teeth      restorative needs or periodontal (gum) disease need to
are often too embarrassed to smile. Orthodontic treat-          be addressed prior to braces being placed on. The bones
ment enables you to smile with confidence. Looking bet-         of an adult, unlike those of a child, are no longer growing.
ter can also make you feel better about yourself, and can       Consequently, bony support of adult’s teeth is firmer and
increase your self-confidence.                                  is naturally more resistant to tooth movement. Though
      Another important benefit is having a good func-          this is a hindrance, it isn’t a deterrent. As long as the
tioning occlusion or bite. Crooked teeth can prevent you                                                (Continued on page 63)

December / January 2010                                                                                            IMAGE 21
  I M P O R T A N T          A N S W E R S




                         CANCER
  PROSTATEPerplexing Disease
  Shedding Light on This


   BY DAVID B. SAMADI, M.D. AND
   HUGH J. LAVERY, M.D.




                            P
                                 rostate cancer has been all over the news recently, seemingly generating
                                 more questions than answers. Should those without prostate cancer get a
                                 PSA blood test? How high of a PSA is too high? After being diagnosed with
                            prostate cancer, should it be treated? If so, how? Surgery or radiation? Robotic
                            or open surgery? External beam radiation or seed implants? The options are con-
                            fusing to most doctors, let alone patients. We hope to answer some of these ques-
                            tions to give you a better understanding of the disease and its treatments.

                            overview of Prostate cancer
                                 The prostate gland is a walnut-sized organ found only in men, between the
                            bladder and the penis. Its only function is to make components of semen. Can-
                            cer develops in the prostates of many men as they age. Currently, prostate can-
                            cer is the most common non-skin cancer in men, and the second leading cause of
                            cancer-related death. One in every six men will be diagnosed with prostate can-
                            cer in their lifetime.
                                 The main risk factors for prostate cancer are age, race and family history. Risk
                            of prostate cancer increases every year starting at age 40. African-Americans are
   Prostate cancer          at a higher risk than any other race, and Asians appear to have lower risk than oth-
                            ers. The more relatives in a man’s family that have prostate cancer, the more likely
   is cured in 96%          he is to develop it.
   of patients who
   are diagnosed            How Prostate cancer is Diagnosed
                                Prostate cancer is diagnosed in one of two ways: the prostate-specific anti-
   with it by the           gen (PSA) blood test or a rectal exam. Both are usually done by your husband’s pri-
   PSA blood test           mary-care physician. The current recommendations are to start getting these tests

22 IMAGE                                                                              December / January 2010
starting at age 40, and then every one to three years after       trols the robotic arms from a console nearby. As the inci-
until age 75. What constitutes a “high” PSA is a complex          sions are smaller, patients tend to have less pain and re-
issue, as it changes depending on a man’s age and race,           cover more quickly.
but 2.5 is usually a standard number. If his doctor is con-
cerned about his PSA or rectal exam, we would recom-              Active Surveillance
mend that he is referred to a urologist, the specialist who            Older patients or those with other medical problems
deals with prostate cancer. If the urologist shares your doc-     may want to pursue “active surveillance,” where the can-
tor’s concern, he will likely proceed with the next step in di-   cer is closely monitored without treatment. Should the
agnosis, which is the biopsy.                                     cancer appear to be growing, surgery or radiation could be
                                                                  employed at that point.
options for treatment of Prostate cancer
     Fortunately, when prostate cancer is caught early, it is     Radiation
extremely curable. Prostate cancer is cured in 96% of pa-              Another option is radiation, where the prostate is
tients who are diagnosed with it by the PSA blood test.           killed inside the body by radioactive particles. The radia-
There are several options for treating prostate cancer.           tion can either be delivered from the outside (known as
                                                                  IMRT) or from within (brachytherapy, or seeds). Seed im-
Radical Prostatectomy                                             plants are also performed in the operating room; patients
     The most popular treatment choice is surgery, the re-        go home the same day. They are usually back to their nor-
moval of the prostate and (sometimes) the lymph nodes             mal activities in a few days. IMRT is performed in a clinic
nearby, known as a “radical prostatectomy.” It is per-            setting with a short treatment once every day for about a
formed in the hospital and requires an overnight hospital-        month. Both radiation and surgery work equally well at
ization. Patients are back to their normal activities in a few    curing cancer; the difference is in the procedure itself and
weeks. Over 85% of prostatectomies in the United States           the side effects.
are performed robotically using the daVinci surgical robot.
Robotic prostatectomy is associated with a much shorter           Side effects of treatment
hospital stay and less blood loss, resulting in fewer blood           Any treatment for prostate cancer can result in impo-
transfusions, than open surgery.                                  tence (the inability to get erections) or incontinence (in-
     Contrary to popular belief, the daVinci robot does not       voluntary loss of urine). Surgical techniques have been
operate on its own. Rather, it is a tool a surgeon uses to im-    developed to protect the nerves that are responsible for
prove on laparoscopic (or key-hole) surgery. The surgeon          these functions, helping to improve the rates of potency
connects the robot to the patient via small ports, then con-                                              (Continued on page 63)

  December / January 2010                                                                                           IMAGE 23
   drink your way To BeauTy This                                      the skin from accelerated aging. Nutricosmetics can pro-
   CoMing year                                                        vide critical nutrients and antioxidants proven to optimize
   Q & a witH Paula SimPSon                                           skin cell turnover and protect the skin from free radical
                                                                      damage.
        Nutrient-rich beauty drinks are the latest trend in
   celebrity skin care. Stars like Drew Barrymore, Kim Kar-           image: can you tell me more about gliSoDin Skin nutri-
   dashian, Gwyneth Paltrow and Kellie Pickler are indulging          ents?
   in these “nutricosmetics” to help improve their skin and
   give them a youthful, healthy glow. These fruity concoc-           PS: It is a professional nutricosmetic line developed by nu-
   tions are supplements you add to your water that contain           tritionists and dermatologists, targeted to promote
   vitamins, electrolytes, and other nutrients, and apparently        healthy, beautiful skin and enhance the effects of medical
   are absorbed by the skin 100 times better than drinking            aesthetic procedures. Oral supplementation with GliSODin
   water by itself. Here to tell us more about this new craze         has been shown scientifically to offer a therapeutic means
   is nutritionist and skincare expert Paula Simpson.                 for the prevention and treatment of many conditions asso-
                                                                      ciated with increased oxidative stress and inflammation
   image: what are nutricosmetics? How are they benefi-               (including skin.)
   cial for overall health?
                                                                      image: what can be treated by taking nutricosmetics?
   PS: Nutricosmetics are natural health products that may
   contain botanical extracts, vitamins, minerals, antioxi-           PS: Depending on the product ingredients and formula-
   dants, amino acids, and/or essential fatty acids and are           tion, nutricosmetics can help to hydrate the skin, promote
   taken orally to nourish the skin. They do this by promoting        evening of skin tone, support firmness and elasticity, help
   the production of healthier new skin cells and protecting          to reduce blemishes, and heal dry, inflamed skin condi-


Makeup Trends for The holiday
season and The new year ahead                                       used as a stain and can be blurred out. While lip liner has
Q&a witH ricHarD granDinetti                                        been out of style for a while, now with the darker colors, it
                                                                    may come back. It helps reduce mistakes and makes a
     Richard Grandinetti has been a makeup artist for over two      more precise line.
decades, working with a number of prestigious brands. His ex-
pertise has been seen on the red carpet and in magazines on         image: what is the new trend for skin?
the faces of such high-profile stars as Carmen Electra, Jennifer    RG: This season is all about warmer tones on the cheek
Love Hewitt, Christy Brinkley, and the forever-in-style Yoko Ono.   and very natural skin tones. It’s really all about shine and
                                                                    using a product that creates a glow.
     Always on the cutting edge of trends, Richard breaks down
the must-haves for the holiday season.
                                                                    image: and for eyes?
                                                                    RG: Lashes, lashes, lashes! This means lots of mascara
image: what are the top color trends for the holidays?              and even the use of fake lashes. Eyeliner is bigger than
RG: For lips, it’s all about red. This is a color that’s really     ever. To get the right look, just rim the inside of the eye on
being pushed on the runway. I think it will translate in            the bottom and top. You can do a thin line or you can go
everyday wear to a plum or berry lip stain, which are the           into a smoky eye. This gives beautiful definition and can
most wearable. Nudes will always be popular because                 make lashes look thicker. This is a trend that is conducive
people are comfortable with them. You have to find some-            to all skin tones. It looks more aggressive on paler skin
where in between that fits your individual personality.             and less on darker skin, but works for either.

image: red can be tricky to apply. what is the trick for            IMAGE: This all seems very bold. How does someone
putting it on?                                                      know how much is too much?
RG: There are brown reds and burgundy reds; the shade               RG: It depends on the fullness and thinness of a lip or
you choose has to do with your natural lip color. Put the           face. On a thin face, it can look like too much furniture in
color in the center of your lip. Next, take a little clear gloss    a small room. The fuller the face, the more makeup you
and interfuse it along your whole lip. This way it’s just           can apply. This is more the issue than the color itself.
24 IMAGE                                                                                                December / January 2010
tions. They may also protect the skin from en-       sTarT The new year sTress-free
vironmental stressors that accelerate skin
                                                     By Dale weinert, Pt
aging.

image: what role, if any, do nutricosmetics
play in weight loss?
                                                     A    re you feeling overwhelmed by the thoughts of the holiday
                                                          season upon us? Gift giving ideas leaving you sleep deprived?
                                                     Is it hard to concentrate? These symptoms may be related to
                                                     stress. A vacation would be a rejuvenating treat, but many of us
PS: Cleansing/detoxification programs can            can’t seem to break away. Here’s a thought: book an inner vaca-
work very well by eliminating toxins and bac-        tion.
teria that build up in our system. If the key fil-         There’s no need to leave your home or office. There are no
ters in the body (liver, digestion) are              restrictions, black-out dates or expenses. An inner vacation is a
supported properly then toxins will be neu-          mind-body tool for sustaining powerful, radiant inner energy. Tak-
tralized and removed from the body before            ing a break with a short inner vacation encourages creativity to
they are stored in our fat tissue, in our skin,      flow freely with renewed focus and productivity. Tap into your
hair or nails. This is also critical to help main-   inner power to better manage life’s daily challenges.
tain a healthy weight.                                      Einstein once said “a problem can’t be solved with the same
                                                     mindset that created it.” When feeling anxious or out of focus,
image: what role does skin health play in            “stop, breathe and reframe” with an inner vacation. A mindful
one’s overall health?                                shift of perception stimulates new possibilities. Refresh your spirit
                                                     with these inner vacation suggestions:
PS: The skin is the largest organ of the body
and therefore places incredible demands for          revitalize in nature. Breathe in the healing air of the ocean,
optimal growth and repair. The physiological         explore a scenic park path, watch the miracle of the sunset
functions of the skin include protection (the        or sunrise, or escape to the majesty of the mountains. Take
skin is the main barrier from the external en-       notice of how you feel when you are surrounded by the
vironment), fluid and electrolyte balance,           restorative power of nature’s radiance.
thermoregulation, detoxification, and regula-
tion of immunological processes. As we               absorb the therapeutic vibrations of music. Studies report that
age, these functions can be dramatically             listening to music for one hour a day can significantly reduce pain
compromised.                                         and depression. Singing can prompt a healthy release of emo-
                                                     tions. Music also stimulates the learning centers of the brain. Fill
                                                     your home or office with inspiring music.
 image: How does one take this look
 from day to evening?                                write in a daily gratitude journal. Every evening, record five
 RG: In the daytime, keep things softer              “things” that you are grateful for in your life. Make the list
 and choose a feature to highlight. If               short and stress free. A gratitude journal helps you to focus
 you do a bright lip, use a bronzer on               on what is good in your life. This is especially helpful in the
 the cheek and go light with mascara                 evening as you prepare for a restful night’s sleep.
 and liner. At night you can use more.
 If you wear a paler lip, use more eye               take a walk with an optimistic friend.
 color and more bronzer on the cheek.                Exercise is a natural stress buster.
 You can highlight two features.                     Endorphins, the “feel good” neu-
                                                     rotransmitters, are released
 image: are there any brands that                    during exercise. Walking is an
 you recommend?                                      effective way to strengthen
 RG: There are so many good products                 your heart, lungs, bones
 out there, it’s really about experi-                and muscles. Add the
 menting and finding out who you are.                positive benefits of exer-
 It’s personality and finding out what               cise and supportive
 works best for you.                                 friendship to your life
                                                     for a healthy win-win
 So this year have a little fun and ex-              combination.
 plore these fresh color and makeup
                                                     Dale Weinert, PT, pub-
 trends. Venture out of your comfort
                                                     lished author, lecturer
 zone just a bit, and don’t be afraid to
                                                     and founder of Inner Va-
 try new shades and application tech-
                                                     cation Tool Kits, is a rec-
 niques. You may just discover a new
                                                     ognized leader in the use
 look that suits you. Remember, it’s a
                                                     of empowerment tools for
 new year, new you!
                                                     peace and wellness.
       December / January 2010                                                                                IMAGE 25
   C O L D       W E A T H E R               S K I N          C A R E




  WINTERIZE YOUR SKIN
  Effective Techniques to Keep Your Skin Soft and Smooth This Winter

   BY KELLY O’MALLEY MATTONE, M.D.




                                W
                                          inter is beauty’s enemy, and your skin is its main target! Danger lurks in
                                          the air all around you. That crisp, dry, cold outdoor air that makes your
                                          hair look so great is sucking the life (moisture) right out of your skin, and
                                so is that soothing, warm dry air in your house and workplace.
                                     Winter air lacks humidity; compound that with forced heat, fireplaces, frigid
                                temperatures, blustery winds, long hot showers, and your skin, the largest organ
                                in the body, has entered the human drought zone. No water, no life! Your best
                                bet for keeping your skin soft, supple, smooth and beautiful during the cold
                                weather months is to learn some easy and effective winterizing strategies that
                                will help you survive the season in style. Remember, the goal is to restore and re-
                                tain moisture.

                                KeeP yourSelF HyDrateD anD nouriSHeD
                                     Drink at least eight 8-ounce glasses of water a day. Water benefits your over-
                                all health and helps hydrate your skin from within. Limit your intake of diet soda,
                                caffeine and alcohol, as they are diuretics, substances that encourage the body to
  Exercising                    lose water and further dehydrate the skin. Eat foods rich in omega-3 fatty acids
  regularly is also             (fish, nuts, and flax seed). Consider supplementing your diet with Vitamin D, 800-
  essential for                 1200 IU per day.

  healthy skin; stay            HyDrate your Home
  fit and keep your                  Of course hydration from the inside out is always important but in winter, it
                                is essential to replace moisture in the air in which you live and breathe. The added
  circulation                   moisture in the air will relieve dry skin, chapped lips and sore throats. Central
  moving                        heating systems and fireplaces can dry indoor air to as low as 10% humidity. Add

26 IMAGE                                                                                    December / January 2010
a humidifier to the furnace or use a humidifier in the room
you frequent most (e.g. bedroom). Aim for moisture levels
of 30-50% humidity and keep filters clean.
     Don’t have a humidifier? Don’t want one? No prob-
lem. Here’s a simple decorative solution: place a bowl of
water (put in some rose petals, optional, but looks pretty) in
strategic rooms throughout your home or office.

wear SunScreen
      UV rays don’t take a break in winter, and remember,
no matter the season, UVA goes through glass! The sun’s
rays are still damaging, sometimes even more so when they
are reflected off a layer of snow or at higher altitudes. Wear
a minimum of SPF 15 every day, even if it’s snowing, raining
or just plain overcast.
     For sunscreens to be effective, i.e. protective, they
should always be separate from your moisturizer or makeup.
Sunscreens containing zinc and titanium provide the best
UV shield, and conveniently come in a powder form in an
easy to use retractable brush that fits in your purse, making
reapplication throughout the day a breeze.
     Don’t neglect your hands or lips! Moisturizing lip balm
with SPF 15 applied liberally throughout the day will keep
your lips soft and kissable to warm up those cold winter
nights. If your lips are dry, resist the urge to lick them. That
will only make them worse. To replace moisture when
there’s nothing else around try this: Rub your pinky on your
forehead or side of your nose, where you’re bound to find
some oil, and apply it to your lips. Though it sounds strange,
it does the trick. I know because I’ve done it myself, espe-
cially on the ski slopes.

KeeP SHowerS SHort anD warm
     Long, hot showers strip your skin of natural oils. To
minimize dryness, shower no longer than 10 minutes and
keep water temp below 90 degrees. Use a mild cleanser;
avoid harsh soaps and products containing alcohol, which
are drying and irritating.
     Before you get out, while you are still wet, massage in
a light coat of oil (sesame, extra virgin olive, or baby) to lock
in the moisture. Gently pat yourself dry with a soft towel,
avoid rubbing the skin; this is not the time to exfoliate. Be-
fore putting on clothes, slather on an oil-based moisturiz-
ing cream, paying close attention to hands, elbows, knees
and heels.
     It is best to exfoliate your skin before showering, while
dry. Using a natural-bristle body brush, start at your feet
and continue towards the head in gentle circular motions.
This is great for lymphatic drainage and increasing blood cir-
culation, and also takes the itch out of dry skin.

Face regimen
     Never wash your face more than twice a day. In the
winter it’s best to just wash at night. In the morning splash
your face with tepid water, never hot. Invest your money
and time in a Clarisonic skin brush. The gentle oscillating
movements will thoroughly cleanse pores of debris, pollu-
tion and make-up. It will help to diminish fine lines, wrinkles
and dry patches while preparing your skin to absorb mois-
                                            (Continued on page 64)


   December / January 2010                                           IMAGE 27
 B
                                                                   betes,” a high enough blood sugar level
                                                                   that indicates the possibility of the dis-
                                                                   ease in the future. Living with diabetes
                                                                   can be a grueling experience, and many
                                                                   of those afflicted are not equipped with
                                                                   the knowledge to deal with it and ulti-
                                                                   mately beat it.
                                                                        Dr. Frederic Vagnini, a board certified
                                                                   surgeon and the medical director of the
                                                                   Heart, Diabetes & Weight Loss Centers of
                                                                   New York collaborated with Lawrence D.
                                                                   Chilnick on a “how to” guide on diabetes
                                                                   management and prevention called “The
                                                                   Weight Loss Plan for Beating Diabetes.”
                                                                   This reference book is not simply another
                                                                   diet book; instead, it covers all essential
                                                                   angles in the quest to conquer the dis-
                                                                   ease.
                                                                        Dr. Vagnini has dedicated his career
                                                                   to the health and education of those with
                                                                   cardiovascular disease and diabetes. But
                                                                   this book comes from firsthand knowl-
                                                                   edge as well, as Dr. Vagnini has overcome
                                                                   his own personal battle with diabetes and
                                                                   shares his story. “Growing up in an Italian
                                                                   family, life was all about food,” he con-
                                                                   fesses in his introduction. “Three things
                                                                   were important: food, food and food all
                                                                   of the time.”
                                                                        He goes on to illustrate his struggle


  THE WEIGHT LOSS                                                  with food obsession and addiction, how
                                                                   it affected his health in years to come,
                                                                   and how he decided it was time to change
                                                                   for his life’s sake. He began to study vari-


  PLAN FOR BEATING
                                                                   ous diets and discover what worked and
                                                                   did not work. He also incorporated exer-
                                                                   cise into his plan and realized the impor-
                                                                   tance of a healthy weight and build. Now,


  DIABETES
                                                                   Dr. Vagnini shares his years of knowledge,
                                                                   wisdom and experience to enlighten and
                                                                   inspire readers.
                                                                        This book gives readers a 5-step pro-
 BY MARIA ORLANDO PIETROMONACO                                     gram for losing pounds the healthy way;
                                                                   this plan includes diet, specific nutritional
                                                                   supplements, exercise regimens, lifestyle
                                                                   modification, and medication. Dr. Vagnini
                                                                   explains the dangers of processed food,


  M
          illions of Americans are battling and trying to cope     foods high in sugar, chemicals, food addi-
          with diabetes, which has become an epidemic here in      tives, trans fats, artificial sweets and
          the United States. Though there are 24 million people    more. There is a healthy balance of pro-
  who actually have been diagnosed with diabetes (there are mil-   teins, fats, and carbohydrates that should
  lions more who are not even aware they have it), 60 million      be attained in the diet, with variations oc-
  others may be on their way with a condition called “predia-      curring in each food type that are vital as
28 IMAGE                                                                                December / January 2010
well. The book also explains the unique meta-
bolic challenges readers face as diabetics, as they
have special nutritional concerns that directly af-
fect glucose levels and insulin.
     Complete with charts, tables, recipes, and
meal plans, this book’s purpose is to show dia-
betics the way to optimum wellness. It helps di-
abetics understand that they do not have to be a
victim and succumb to this disease. Diabetes can
be defeated with the right plan of action. One
specific way this particular book is helpful is that
it prepares readers for a lifestyle change and
helps them commit to certain fitness goals and
dietary habits. There are questions the reader is
encouraged to ask his or herself such as: How
do you deal with stress? Are you mentally
ready to change? What are your motivations
for changing?
     Although this book was designed to help
those with the disease, it also places an empha-
sis on prevention. Throughout the book pages are
dedicated to defensive methods and staying dia-
betes-free. The field of medicine inherently grap-
ples with health problems after the fact, with
fascinating technology and brilliant doctors ready
to heal and cure. But we can halt many diseases
before the onset, and in this case the authors il-
lustrate the power of nutrition and a wellness
regimen to avoid the risk of becoming a diabetic
and maintaining healthy blood sugar levels.
     There is also a chapter that explores the mul-
titude of diabetes medications available, identi-
fying the generic and commercial names and
explaining how they work. It gives patients the
background and information necessary to help
with treatment options and decisions.
     Other relative points of interest in the book
include women and heart disease, bio-identical
hormone therapy, and practical advice on shop-
ping for diet-friendly foods.
     The information presented in this book along
with its concise, clearly-written language make it
a useful tool for those trying to navigate diabetes
as well as those trying to avoid it.        image


     Frederic J. Vagnini, M.D., F.A.C.S. is a board-
certified cardiovascular surgeon and the medical
director of the Heart, Diabetes & Weight Loss
Centers of New York.
     Lawrence D. Chilnick is an award-winning au-
thor, publisher, and editor. He is co-creator of the
New York Times bestseller, The Pill Book.

December / January 2010                                IMAGE 29
F A C I A L      R E J U V E N A T I O N




                      THE MACS FACELIFT
                      Obtaining a natural result in facial rejuvenation

                      BY PETER T. KORN, M.D., F.A.C.S.




  During the last     History of the Facelift


                      F
                           acelift surgery dates back to the early 1900s. The procedures performed at this
  decade the
                           time consisted of skin excision and primary closure, resulting in tightening of the
  pendulum                 skin and flattening of skin wrinkles and creases. It was not until the 1970s that
  swung back to       plastic surgeons addressed the deep tissue planes of the face and techniques to tighten
  less invasive       them.
                           In the following years the trend in facelift surgery consisted of more invasive ap-
  procedures,         proaches involving more extensive and deeper tissue mobilization to improve the long-
  including           term outcome. During the last decade the pendulum swung back to less invasive
  various forms of    procedures, including various forms of “mini-facelifts,” in order to maximize the safety
                      and minimize the downtime of the procedure. Typically, such mini-facelifts follow the
  “mini-facelifts,”   same principles as full facelift procedures, though to a lesser extent with less dramatic
  in order to max-    results.
  imize the safety         More recently, a significant paradigm shift to facelift surgery occurred with the in-
                      troduction of the Minimal Access Cranial Suspension lift (MACS Lift). The MACS lift pro-
  and minimize
                      vides a novel and intuitive technique developed by plastic surgeons Patrick L. Tonnard
  the downtime        and Alexis M. Verpaele in Belgium and is enjoying increasing popularity in the United
  of the              States.
  procedure
                      Understanding the Aging Face
                      Facial aging is caused by gravitational pull, sun damage, loss of soft-tissue volume, and
                      tissue laxity; it involves both the skin and the underlying soft tissues. Loss of skin elas-
                      ticity and tone results in fine wrinkles. More dramatic changes occur due to gravita-
                      tional descent of the facial soft tissues, especially the gradual descent of the cheek
                      pad, which results in many of the telltale signs of facial aging.
                            As the cheek droops it forms and progressively deepens the nasolabial fold, ex-
                      tending from the side of the nose to the angle of the mouth. In the lower face the
                      drooping tissues form the marionette lines, giving the mouth a saddened appearance,
                      as well as jowls. The jawline becomes blunted and the neck more obtuse. This volume
                      redistribution results in the more square shape of the aging face as opposed to the in-
                      verted triangular shape of the youthful face. In the midface the upper cheek loses its
                      youthful fullness, and the junction between baggy appearing lower lids and hollow
                      upper cheeks becomes more apparent.

                      Goals in Facial Rejuvenation
                      Reversing the effects of aging conceptually requires soft tissue elevation in a verti-
                      cal manner, reversing the sequelae of the gravitational descent, and stabilization in
30 IMAGE                                                                               December / January 2010
a more youthful position. The skin needs to be re-
draped and tightened to obliterate wrinkles. The ideal
facelift procedure should accomplish those objectives
with a natural appearing and long-lasting result,
avoiding any telltale signs of facelift surgery, such as a
windswept look, altered position of the temporal hair-
line, scar formation (which is common behind the
ear), or facial disharmony.

The MACS Facelift
The MACS lift was designed to more directly reverse the
signs of aging caused by the gravitational descent of fa-
cial soft tissues. As opposed to more traditional facelift
techniques that pull the skin up and backwards towards
the ear, the MACS lift pulls in a purely vertical direction.   Before                     after
This also includes an efficient lift of the midface (cheek)    pension, only a limited area of skin needs to be elevated
area that is not well addressed in traditional facelifts.      off the cheek and neck. The skin is redraped vertically
     Several technical innovations are crucial to allow        with minimal tension and any excess is trimmed at the
such a vertical anti-gravity lift. The upper aspect of the     temporal hairline and a lower eyelid incision that typi-
incision is blended into the temporal hairline without dis-    cally heals with a barely visible scar. The MACS lift is
placing it, and designed in a way to eventually allow hair     safely performed as an outpatient procedure using local
growing through the incision line. The traditional facelift    anesthesia and light sedation, allowing for a quick re-
incision behind the ear that is often associated with poor     covery.
scarring is unnecessary in a vertical lift.
     A series of three suspension sutures allow the            Adjunctive Procedures
droopy soft tissues to be repositioned upwards and sta-        To achieve more harmonious facial rejuvenation several
bilized in a more youthful position. This tightens the         adjunctive procedures are often desirable to address
neck, defines the jawline, and elevates the cheeks, re-        areas not affected by the facelift. These procedures help
sulting in a smooth lid-cheek junction and decreased na-       avoid any disharmony that may result when various parts
solabial folds. The suspension sutures ultimately dissolve     of the face show disproportionate signs of aging.
after the result has solidified.                                    Liposuction of the neck and a lower blepharoplasty
     As the lift is mainly affected by the soft tissue sus-    (lower eyelid surgery) are routinely performed concur-
December / January 2010                                                                                         IMAGE 31
                              rently with the MACS lift. Liposuction facilitates tightening
                              of the neck skin and allows creation of a well-defined jaw-
                              line. A lower blepharoplasty complements the vertical
                              cheek lift, as it allows trimming any excess lower lid skin
                              that may be gathered by the lift, and provides a smooth lid-
                              cheek junction.
                                   Because the improved upper-cheek fullness provided
                              by the MACS lift supports the lower lid, the volume of the
                              lower lid, which is typically reduced in a traditional ble-
                              pharoplasty, can be preserved, avoiding a hollow appear-
                              ing lower lid. An upper blepharoplasty that removes excess
                              skin and a small amount of fat from the upper lid is often in-
                              dicated.
                                   As the area around the eyes is the focal point of the
                              face and typically the first to reveal signs of aging, upper
                              and lower blepharoplasties are an essential part and one
                              of the most efficient procedures in comprehensive facial re-
                              juvenation. A temporal brow lift may be done selectively in
                              patients who have a lowered brow position. It comple-
                              ments the MACS facelift well as it extends the vertical lift to
                              the upper face.
                                   Fat injection, using small fat particles obtained from li-
                              posuction of the belly, may be helpful to restore the youth-
                              ful fullness of the cheeks when volumetric loss of cheek fat
                              has occurred in addition to gravitational descent. Fine wrin-
                              kles around the mouth are not affected by any facelift pro-
                              cedure, and may be addressed with laser resurfacing at the
                              time of the procedure. All these adjunctive procedures are
                              indicated selectively based on individual patient’s facial
                              analysis, and can be combined safely and efficiently with
                              the MACS lift.

                              Outcome
                              The MACS lift offers effective and natural-appearing facial
                              rejuvenation based on a vertical skin tightening and a novel
                              soft-tissue “anti-gravity” lift. It is a safe and less invasive
                              procedure with a shorter recovery time compared to tradi-
                              tional facelift procedures.
                                     However, even though the incision is shorter and the
                              skin elevation is more limited, the MACS lift is not a mini-
                              lift. The effects of the vertical soft tissue suspension are re-
                              markable and have been shown to be durable. In addition
                              to the lower face and neck, the cheek and lid-cheek junc-
                              tion are improved more efficiently than with traditional
                              techniques; therefore the MACS lift may offer a more har-
                              monious and comprehensive result.
                                     As the direction of the lift is vertical, not toward the
                              ear, a typical “operated look” is avoided. In patients with
                              very loose neck skin, however, a traditional facelift design
                              including an incision behind the ear may allow more signif-
                              icant skin tightening in the neck. An extension of the inci-
                              sion behind the ear may therefore be incorporated into the
                              procedure based on the individual patient’s presentation.
           January 30, 2010          As with any procedure, obtaining the most favorable
                              result depends significantly on a careful facial analysis
                              and individualized treatment approach with meticulous
                              attention to detail. In the author’s experience, the MACS
                              lift offers a compelling tool to efficiently reverse changes
                              of facial aging and allow for a natural and harmonious re-
                              sult.                                                   image

32 IMAGE                                                         December / January 2010
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  H U R T I N G          H E E L S




  SOUND THERAPY FOR THE SOLE

  BY PEDRAM HENDIZADEH D.P.M., FACFAS




                               D
                                       o you wake every morning to a sharp pain in your heel? When you stand
                                       up after sitting down for any length of time, do your feet always ache? If
                                       these symptoms sound familiar, you are not alone.
                                     Plantar fasciitis is a common problem where the fibrous band of tissue – a lig-
                               ament called the plantar fascia - that runs across the bottom of the foot between
                               the heel and toes becomes inflamed and taut. This ligament is very similar to a
                               rubber band, and its elasticity is essential for the normal function of the foot with-
                               out pain.
                                     As we grow older or gain weight, more stress and strain are put on the liga-
                               ment and the band becomes less elastic, similar to an old rubber band. The pain
                               occurs in the sole under the heel or arch and is usually at its worst when the feet
                               first touch the floor in the morning. This pain is sometimes relieved by walking
                               as this motion stretches the band. The discomfort may increase towards the end
                               of the day as more pressure accumulates on the tight ligament.
                                     Plantar fasciitis occurs in the general population, particularly between the
                               ages of 40 and 60. In a recent American Podiatric Medical Association survey,
                               approximately 40% of people were found to suffer from plantar fasciitis. The pain
                               and discomfort associated with this condition can dramatically affect physical
                               mobility and may continue for months or even years. However, all hope is not
   The good news is            lost. There are many ways to significantly decrease the pain and help pain-proof
   that 98% of the             your heels.
   time heel pain can
                               Pain-Proof your Heels:
   be treated without
                                   Plantar fasciitis can stem from a variety of lifestyle factors that when
   surgery                     changed, can decrease the pain. For example, exercising in an old pair of

36 IMAGE                                                                                  December / January 2010
sneakers contributes to the problem. Worn soles can               treatment options
cause a significant reduction in shock absorbency, causing             There are many different treatment options depending
pain in the heel. For runners and active walkers, shoes           on the severity and cause of the problem. These include
should generally be replaced every 350-500 miles (about           stretches, nightsplints, ice, anti-inflammatory medication,
every 3-5 months). Replacing your sneakers when they be-          physical therapy, cortisone injections, orthotics, shockwave
come worn will give your feet the support they need for           therapy, and surgery. The good news is that 98% of the time,
daily activity.                                                   heel pain can be treated without surgery.
      Another type of shoe that contributes to the problem
is a flip-flop. As a summer and flip-flop lover myself, I know    Stretching and nightsplints:
that the flip-flop is the perfect shoe for 90-degree weather.           Home remedies to reduce heel pain include stretching
But the truth is, the lack of arch and heel support in flip-      exercises or use of a nightsplint, which allow for increased
flops puts a tremendous strain on the fascia and Achilles         elasticity of the tightened plantar fascial ligament. Flexibil-
tendon. For people who simply must wear open-toed shoes,          ity is the key to plantar fasciitis treatment. According to a
it is recommended that they wear sandals with arch sup-           study performed by The American Academy of Family Physi-
port that also bend at the ball of the foot. This allows for a    cians, 83% of patients involved in stretching programs
normal stride. Additionally, plantar fasciitis may be aggra-      demonstrated significant improvements.
vated by high-heeled shoes, which when worn, shorten the                Stretching the plantar fascia provides valuable benefit
plantar fascia.                                                   because it helps correct risk factors and the weakness of in-
                                                                  trinsic muscles of the foot. Recommended stretches include
other causes:                                                     wall stretches and curb or stair stretches, all of which focus
     One of the greatest risk factors associated with plantar     on stretching the Achilles tendon. Also, rolling the foot over
fasciitis is obesity. Those with high body mass or occupa-        a tennis ball helps stretch the plantar fascia. Cross-friction
tions with prolonged weight-bearing conditions are known          massage above the plantar fascia upon waking can be ben-
to have heel pain due to the load factor.                         eficial, stretching and warming up the fascia before taking
     Another condition that can present a problem is flat         the first steps of the day.
feet. Simply due to the mechanics of their anatomy, flat feet
can cause a constant stretch and tug at the site where the        arch Support and orthotics:
plantar fascia inserts into the bottom of the heel. On the flip        Though there are many simple things that can be done
side, high arches can pose a threat due to poor distribution      at home to decrease the pain, sometimes further interven-
of pressure while walking, concentrating a large proportion       tion is required. Arch supports and orthotics may be the ap-
of the weight onto the heels.                                     propriate ingredient in your pain management plan. These

  December / January 2010                                                                                           IMAGE 37
           devices are designed to stabilize the plantar fascia liga-
           ment, redistribute the heel’s natural fat pad, provide a
           bio-structural reinforcement, and properly align the
           bones in the heel. Orthotics are custom made to fit your
           feet and accurately target the specific areas that are caus-
           ing the pain. The types of orthotics used for heel pain in-
           clude rigid orthotics, soft orthotics, and semi-rigid
           orthotics.
                Rigid orthotic devices are designed to control func-
           tion and are used primarily for walking or dress shoes.
           They are typically composed of a firm material, such as
           plastic or carbon fiber. Soft orthotics are generally used
           to absorb shock, increase balance, and take pressure off
           of uncomfortable or sore spots. They are usually effective
           for elderly, diabetic, arthritic, and deformed feet. Semi-
           rigid orthotics provide foot balance for walking or partic-
           ipating in sports. The typical semi-rigid orthotic is made
           up of layers of soft material, reinforced with more rigid
           materials.

           extracorporeal Shockwave therapy:
                 Extracorporeal shockwave therapy (EWST) is an al-
           ternative treatment for plantar fasciitis. This modality has
           been used here in the States for approximately 11 years
           for this problem. It has been used in Europe for plantar
           fasciitis and for kidney stones for much longer. A major
           advantage of this technique is the fact that no incisions
           are required for this treatment and it is done under local
           anesthesia in the office with most patients returning to
           their regular activities the very next day. Studies have
           shown an 82% improvement in most patients who un-
           dergo this procedure for chronic heel pain.
                 Prior to undergoing ESWT treatment, the patient
           must have been diagnosed with chronic plantar fasciitis
           for at least six months. Only after the patient’s symptoms
           fail to respond to three conservative treatments should
           ESWT be administered. In years past, surgical interven-
           tion for chronic plantar fasciitis was required when these
           other treatments had failed.
                 During shockwave therapy, lithotripsy sound waves
           under ultrasound guidance are focused on the precise site
           of the problem. The soundwaves change the chronic in-
           flammation to acute inflammation allowing the body to
           use different chemical pathways to cure itself. Just like
           most injuries that heal themselves, shockwave therapy
           allows this transformation, which in turn activates the
           body’s natural healing response. This healing response
           causes blood vessel formation and increased delivery of
           nutrients to the affected area, resulting in reduced in-
           flammation and subsequent relief of pain.
                 The FDA first approved shockwave therapy for the
           treatment of plantar fasciitis in the year 2000. Since then,
           it has become a popular choice for difficult cases of heel
           pain because it has demonstrated lasting pain relief.
                 If the above outlined treatments do not provide re-
           lief, then medication, physical therapy, cortisone injec-
           tions, or even surgery may be inevitable. Visit your
           podiatrist to determine which option is best for you and
           your lifestyle. Consider visiting these websites for more
           information: www.GreatFootCare.com or www.LIFoot-
           Care.com.                                           image

38 IMAGE                                    December / January 2010
                                                                   These procedures tighten sagging breast skin and restore its
IS A “MOMMY                                                        fullness.
                                                                         This can be combined with a tummy tuck, which can be
MAKEOVER” FOR YOU?                                                 accompanied by liposuction. The tummy tuck tightens sag-
                                                                   ging skin and eliminates unsightly stretch marks. Liposuction
By Steven Katz, m.D.
                                                                   recontours the abdomen by removing pregnancy-acquired
                                                                   fat. New techniques are available using laser-assisted lipo-
Chances are the ravages of childbearing                            suction that can remove unwanted fat and tighten the skin.
have left you looking older than you feel                               What many mommies may overlook is the appearance
                                                                   of their face. Although you are still young, pregnancy-in-


F
      or mommies, life is always hectic. Between chasing after     duced hormonal changes and many sleepless or sleep-de-
      the little ones and chauffeuring your teenager to social      prived nights combined with the stress of raising a family
      or sporting events, there isn’t a moment to spare.           can all take its toll on your face. You may have developed
Wouldn’t it be nice if all the energy you devoted to keeping       acne while pregnant, which never completely resolved.
your family healthy and happy kept you slim and fit?                Many women find that an important part of their Mommy
      Chances are, despite all your energy and enthusiasm,         Makeover is going for medical spa treatments. Physician-di-
the ravages of childbearing have left you looking older than       rected medical spas or skin care centers offer procedures to
you feel. What if you could take the time to do something          treat active acne and acne scarring. When these are com-
great for your appearance and still be a magnificent mommy?         bined with facials, microdermabrasion or gentle peels your
Years ago, there wasn’t much a woman could do except per-          skin can regain its blemish-free, youthful appearance.
haps wear baggier, less form-fitting clothing to cover her less          If you have noticed new wrinkles, injectable filler treat-
shapely body. Even going to the gym every day did not al-          ments are available to alleviate them. An important part of
ways do enough. But more recently plastic surgeons have            your visit to a medical spa should include a consult with a staff
begun to offer a set of cosmetic procedures specifically de-         member who can help you create a skin care program de-
signed to restore a mommy’s youthful appearance. These are         signed especially for you. This would include not only spa pro-
called the “Mommy Makeover” procedures.                            cedures but recommended skin care products to keep your
      Each Mommy Makeover is different for each woman but           skin looking great.
all are designed to restore and enhance your appearance after           The excitement and exhaustion of raising a family
childbearing and motherhood have taken its toll. It usually in-    may have taken a toll on your appearance but much can
volves a breast lift with or without breast implants, to counter   now be done to restore your youthful vitality. You can
the effects of involutional atrophy of the breasts that can re-     care for your family and keep your body beautiful at the
sult from multiple pregnancies followed by breastfeeding.          same time!                                              image

   December / January 2010                                                                                            IMAGE 39
 spoTlighT on spas



  a New eNglaNd retreat
  TOPNOTCH RESORT & SPA




W
         ho couldn’t use an invigorating yet relaxing escape from
         the doldrums of the coldest, most dreary months of the
         year? What about a getaway that combines a little bit of
pampering, a lot of relaxing, a sprinkling of outdoor adventure
topped off with breathtaking scenery?
     Topnotch Resort & Spa is all that and more. Just hours away,
nestled at the base of Mt. Mansfield, Topnotch Resort & Spa is an
exclusive vacation destination in Stowe, Vermont. This rustic yet
luxurious retreat is set on a 120-acre estate and surrounded by a
mountainous landscape, offering breathtaking vistas and a sense
of serenity.
     One of the highlights of the resort is its 35,000-square-foot
world-class spa. Recently renovated, it was rated Top 10 Resort
                                      Spas in America by Spa Finder and the #10 Resort Spa in North America by the read-
                                      ers of Condé Nast Traveler on the 2007 Spa Poll. The spa, encompassing an impressive
                                      30 treatment rooms, offers more than 120 rejuvenating treatments and services in-
                                      cluding massages, facials, body treatments, acupuncture and more.
                                           The spa’s overhaul and expansion allowed for many other enhancements includ-
                                      ing a state-of-the-art fitness center and a solarium complete with a whirlpool, cas-
                                      cading waterfall massage, lap pool, sauna, and steam rooms.
                                           Topnotch caters to every taste and fancy with a variety of accommodations to
                                      choose from. There are 68 spacious guest rooms and suites done in a “European Coun-
                                      try Manor” flair with modern amenities and most with exceptional views of the lush
40 IMAGE                                                                                        December / January 2010
For the wiNter SeaSoN                          This winter Topnotch Resort and
                                          Spa is offering new packages and
                                          classes for athletes and spa-goers to
                                          get in shape for the snowy season.
                                          Special fitness classes are designed
                                          to get visitors perfectly “tuned” for
                                          ski and snowboard season – or any
                                          other fitting sport.

                                                Ski conditioning classes: These
                                          circuit-style classes are designed to         The Subtle Energies: The perfect
                                          increase stamina and strength and         cure for the adventurer after a day
                                          feature 12 to 15 stations set up with     outdoors, this package provides relief
                                          fitness methods to challenge              from tension and muscle pain. This
                                          strength, balance and agility, with       treatment includes a 50-minute pri-
                                          time spent at each station progress-      vate yoga class, a 50-minute Thai
                                          ing as the weeks go on. Classes are       massage and a Red Flower Hammam
                                          $15 each, or 10 for $120.                 Foot and Leg Ritual. $300.
                                                Pilates for Skiers: This mat-
                                          based program is designed to get               After a day in the spa, on the
                                          skiers in the perfect shape for schuss-   slope, or shaping up at one of the fit-
                                          ing down the slopes. It also incorpo-     ness centers, you can take in an
                                          rates standing Pilates movements          evening at Norma’s Restaurant, serv-
                                          focusing on leg strength and balance,     ing up “eclectic cuisine” in a laid-back
                                          all formulated to improve stability on    atmosphere – just what the doctor
                                          the mountains. Classes are $15 each,      ordered for a tired, hungry vaca-
                                          or 10 for $120.                           tioner. Chef Mark Timms has used his
                                                Sport Specific personal training    creative culinary skills to craft a menu
                                          sessions: 80-minute classes that pro-     of healthy and delicious selections in-
                                          vide a more comprehensive ap-             tended to heighten flavor and elimi-
 Green Mountains. They also have a        proach to fitness, including proper       nate guilt. Guests can sample
 selection of 40 well appointed one-,     stretching techniques, these sessions     Jamison Farm rack of lamb, spring
 two- and three-bedroom resort            deliver an opportunity to achieve a       beet carpaccio, herb roasted chicken,
 homes for added privacy and tran-        personal sports goal. Programs can        and more.
 quility. These New England inspired      be tailored for any sport, with the            Winter rates at Topnotch Resort
 dwellings boast bucolic stone fire-      most popular being tennis, golf and       and Spa start at $195/night. For more
 places and cozy décor. Each is unique    skiing. $100 per session.                 information or to make reservations,
 and extends full resort privileges                                                 contact (800) 451-8686 or visit
      For those who love the great              To complement the rigorous          www.topnotchresort.com.
 outdoors, the resort is home to limit-   workouts, or for those who would
 less year-round recreational activi-     rather be pampered than exert
 ties. Topnotch is considered a winter    themselves, the spa has created new
 sports paradise, complete with cross-    packages to provide relief from active
 country and downhill skiing. In          workouts and bring peace of mind to
 warmer seasons visitors can also         a hectic winter schedule.
 enjoy hiking, fishing, horseback rid-          Spa Essentials: This package
 ing, mountain biking and canoeing.       provides relaxation and grooming in
      The Tennis Center, which played     a results-driven but express fashion.
 host to the Fed Cup Semifinal Tie in     It includes a 25-minute skin smooth-
 July 2007 and has been recognized as     ing treatment, a 25-minute Specific
 the #1 tennis resort in the Northeast    Spot Massage, and an Express Mani-
 in 2008 by Tennis Magazine, features     cure and Pedicure, as well as a picnic
 both indoor and outdoor courts.          lunch to go. $245.

 December / January 2010                                                                                          IMAGE 41
   P R E V E N T A T I V E                    A G I N G             T E C H N I Q U E S




  INTERCEPTING THE AGING PROCESS
   Facial youthfulness can be preserved longer now than
   ever before.

   BY GREGORY J. DIEHL M.D., F. A.C.S.




                                         W
                                                   hat can we do to keep our skin smooth and youthful? Most pre-
                                                   ventive measures are well known. Use moisturizers. Don’t smoke.
                                                   Avoid excess sun exposure. Indulge in topical regimens. Keep your
                                         skin layers fresh by performing light chemical peels. When the early signs
                                         of aging do come upon us, there are several non-surgical treatments to keep
                                         our faces looking young. Botox and facial fillers are two important devel-
                                         opments that have changed our approach to managing the aging process.
                                                   Most people today are aware of Botox. Botox is the brand name
                                         of botulinum toxin type A, and has been around for the treatment of facial
                                         wrinkles since 2002 in the U.S. This treatment is so popular that an esti-
                                         mated three million treatments are performed each year in the U.S. When
                                         you understand how it works and why, it makes it easier to decide if and
  A good balance                         when it should be employed.
  between natural                             Consider the look of the skin around our eyes when we squint or frown.
  animation and                          The muscles contract and the skin crinkles up. When we are young, and
                                         the skin is very elastic, the wrinkles are transient and disappear as soon as
  wrinkle removal                        the muscle relaxes. When we age, however, the skin becomes less and less
  can be met.                            elastic, and eventually the creases become embedded in our skin.

42 IMAGE                                                                                     December / January 2010
     This is most apparent around the eyes (known as
“laugh lines” or “crow’s feet”) and between the brows
(“frown lines”). Usually these little creases around our
eyes and between our brows are the first telltale signs
of aging. Fortunately, they are also the spots that are
the most easily treated.
     Now consider what would happen if these same tiny
muscles were deactivated. The creases would not have
a chance to form, and the skin would stay smooth. This
outcome was seen as a fortuitous side effect when oph-
thalmologists were treating strabismus in the 1970s.
They were using purified botulinum toxin type A (Botox)
to weaken hyperactive muscle activity around the eye-
ball to correct strabismus, and their patients thanked
them for consequently improving their facial wrinkles!
     After much careful study, the FDA approved the use
of Botox for facial wrinkles in 2002. In 2009 the FDA has
approved the use of Dysport (also a purified botulinum
toxin type A) for the same purpose. These purified med-
ications are used worldwide to treat neck muscle
spasms, strabismus and facial muscle creases.
     It makes sense that if the small muscles do not con-
tract, the creases cannot form. If the area is treated
early enough, the skin does not get the chance to de-
velop a permanent crease at all. This is why younger pa-
tients are seeking treatment. A daughter can see the
creases that have formed around her mother’s eyes, and
if she begins to use Botox in her mid to late twenties, she
can forestall those future lines indefinitely.
     Each tiny injection deactivates an area only about
the size of a dime, so we can be very accurate with the
treatment area. When the frown muscles (corrugator
muscles) are deactivated, it is not likely that anyone is
going to notice or care that that particular animation has
been diminished. Only the frown muscle itself, right be-
tween the eyebrows, is turned off - not the whole fore-
head. This is also true of the crow’s feet at the corners
of the eyes (orbicularis muscles). No one will detect that
you are not squinting at them while you smile or laugh.
All of the vital animations are preserved.
     The area that needs special attention is the fore-
head. The forehead lines are the third most commonly
treated area. These are the horizontal lines that are
caused by the frontalis muscle, which raises the eye-
brows.
     It is important not to overtreat this area, because
the forehead is an important area of animation. No one
wants to have a dull facial expression or a frozen look.
We must take care not to decrease someone’s natural
facial expressions. Unlike the other areas discussed,
people can in fact notice when someone’s forehead is
not moving while they are talking to you, particularly if
they are animated.
     We have all come across some celebrities and/or tel-
evision personalities who have that “plastic” look of hav-
ing too much Botox. That is usually the result of
overdoing the forehead lines. This is where experience
on the part of the surgeon is important. If the dose is
kept to a minimum, and the forehead is treated in the
upper half rather than close to the eyebrows, a good bal-
                                       (Continued on page 64)

  December / January 2010                                       IMAGE 43
This down-to-earth, strikingly beautiful star



           Brooke Shields
     BALANCING LIFE & BEAUTY                        By Mara Siegler




A
       s Brooke Shields enters a room at New York's W       Botox in my forehead... I got so claustrophobic. I
       hotel, it's hard not to be intimidated. She is one   would get claustrophobia if I had breast implants. I'd
       of the most recognizable figures of our genera-      be like, 'Get them out, get them out,’” she had stated.
tion, strikingly beautiful, and 6'0 plus additional         "It's a very foreign, man-made object in your body...
inches from her flawlessly unscuffed black heels.           I'm also attached to my face. It's been around in the
     These are all obvious traits, but there are several    public eye for so long."
more that quickly become apparent and serve to dis-              This last statement couldn’t be more true.
sipate all nerves and any feelings of envy. Immedi-         Brooke has known the pressure of having to look per-
ately after saying hello, the actress spends the next       fect in front of the spotlight for decades. Having first
several minutes complimenting Image Magazine’s              burst onto the scene in an Ivory Soap commercial at
founder, Donna Halperin, on her nails, explaining her       just 11 months, Brooke scored a Vogue cover and the
trials with acrylics and gels. You must realize: Brook      famous “Nothing comes between me and my Calvins"
Shields is also incredibly nice, astonishingly normal,      Calvin Klein ad, as well as starred in the box office hit
and surprisingly, works just as hard as all of us to keep   The Blue Lagoon at just 14. She has continued to act
up her immaculate appearance.                               throughout her life, with the most recent appear-
     Currently, Brooke is the spokesperson for the          ances being a starring role in the TV series Lipstick
brand Latisse, a prescription treatment used to grow        Jungle and horror film The Midnight Meat Train in
and lengthen lashes as well as make them thicker and        2008.
darker. She is at the hotel to partake in an event for           While this seems like a full plate, this 44-year-old
Latisse Wishes, a campaign to raise awareness and           also manages to spend quality time with her family
support for the Make-A-Wish Foundation. Allergan,           and is the mother of two daughters, Rowan, 6, and
the maker of the product, has already committed             Grier, 3. When asked how she balances, Brooke tells
$500,000 to the brand's rewards program LATISSE®            us, “It’s trying to not get frazzled within the chaos.
LashPerks, which gives $5 of each purchase made             Rowan is at school all day and Grier goes to school in
until December 31, 2009 to the foundation.                  the afternoon. They are in two different schools and
     When Brooke first signed on with the brand she         timing everything perfectly can be hectic at times.
did a trial period of 14 weeks and tells us she was         They’re little women and they drive me crazy, but
“overwhelmed” by the results. “It was just miraculous       then they’ll look at me and say “Mommy you’re
to me. I had gaps where my lashes had been pulled           heaven.”
out by filling them with individual fake eyelashes and           If those sweet words from her kids don’t manage
then pulling my real ones out by mistake when trying        to melt all tension, Brooke has told Active Health Net-
to remove them. My lashes are much more promi-              work that she uses exercise as a form of stress relief.
nent now that I’ve been using Latisse than they were        “It’s the only thing that gets me out of my head. I ob-
before.”                                                    sess very easily and then it immediately becomes
     This is about as far as Brooke goes however, when      physical. So, the only thing I can do is exhaust myself
it comes to cosmetically enhanced beauty. “I tried          physically and then I feel freer emotionally. It’s better

44 IMAGE                                                                                      December / January 2010
speaks candidly about managing it all

   if I am fatigued than stressed.”
         To keep in shape, Brooke is a big advocate of yoga and
   spinning, as well as taking dance classes. As for weights,
   Brooke once told People magazine that she does not lift be-
   cause she bulks up quickly. She knows though, that it is
   more about health than being a certain size or being
   skinny. “It’s much more about feeling fit than what you
   see in the mirror.”
         According to an interview on www.sportshealthexer-
   cise.com , Brooke decided not to eat to be skinny, but to
   eat to be healthy. “I’m much more aware of listening to
   what I want,” she explains. “The balance of it all gave
   me more energy. But I am also not crazy about denying
   myself.” Brooke seems to be more in tune with what her
   body needs nutritionally and not obsessing over any
   particular diet.
          When working, Brooke stays camera-ready
   with the help of a team. “It can take three
   hours in hair and makeup just to look nat-
   ural”. Without styling, her hair has some
   wave. “It’s weird. It’s not stick straight
   and it’s not curly. I tried having bangs
   once, the biggest mistake ever. They
   stuck up and I’ve got the cowlick. Like
   if I just wash my hair, go out, and I
   just let it dry, there will be a little
   movement, little bends to it, but I
   have to really spend time on it.”
         She has used Kerstase
   Chroma Basin Riche to keep her
   hair moisturized, but is looking
   for something else since her
   locks are getting used to the
   product. She switches up
   products frequently, espe-
   cially with skincare. “It de-
   pends on what city I am in
   and where I am at biologi-
   cally. Sometimes I get break-
   outs when I am on my period,”
   she says in a casual, down-to-
   earth manner as she flips her shiny
   brown hair away from her glowing
   skin. You almost have to smile, because
   after talking to her candidly about her
   beauty and health regimen, you somehow
   feel that if Brooke Shields can manage to
   do it all, so can you.             image

 December / January 2010                                          IMAGE 45
  VA S C U L A R | M A L F O R M AT I O N S




 SCLEROTHERAPY FOR UnSIGHTLY
 VARICOSE AnD SPIDER VEInS
 Q&A wITH SUzAnnE SIROTA ROzEnBERG
 Varicose and spider veins are those unsightly, often uncomfortable and swollen veins in the lower
 legs that patients complain about. Many patients seek treatment today because of how the veins
 look and feel.
    Causes of varicose and spider veins are varied and patients can do much to help themselves. Pa-
 tients can wear compression stockings (or socks), do aerobic exercise, lose weight, and keep stand-
 ing to a minimum. Physicians can treat patients by sclerotherapy, laser, radiofrequency and surgery.
 Patients do not have to suffer anymore.




  SymptomS                         image magazine: what are varicose veins?

  may include                      Dr. R: Varicose veins are the blueish/purplish enlarged veins generally found
  aching legS,                     in the lower legs. Any vein in the body may become varicose “twisted,“ but
                                   varicose veins exist mostly in the legs and feet.
  pain, and leg
                                   im: what causes varicose veins?
  crampS. diS-
  comfort and                      Dr. R: Veins have natural valves in them to help return the flow of blood back
                                   to the heart. Varicose veins develop when the valves malfunction and blood
  difficulty                       no longer flows back to the heart easily, but rather pools to form a dilated
  Standing for                     vein.
  long periodS                     im: what are the symptoms of varicose veins?
  of time can
                                   Dr. R: Symptoms may include aching legs, pain, and leg cramps. Discomfort
  occur aS well.                   and difficulty standing for long periods of time can occur as well.

                                   im: what increases the risk of varicose veins? is there anyone more likely
                                   to have them than others?

                                   Dr. R: The risk of varicose veins increases with obesity and age. Standing for
                                   long periods of time can also be a cause. Women have a higher chance of
                                   having varicose or spider veins than men due to hormonal changes during

46 IMAGE                                                                                 December / January 2010
pregnancy and menses. There is a            vein to cause contraction and closure.     well tolerated. Afterwards, patients
question as to whether or not estrogen      Laser and Pulsed Light Treatment uses      wear compression tape, ace or hose.
relaxes the vein walls. Patients on birth   light beam and laser to heat the vein,     Nearly everyone can undergo treat-
control pills or hormone replacement        seal and cause dissolution. Surgical op-   ment with the exception of pregnant
are often seen to have developed more       tions include ambulatory phlebectomy       or nursing women, men or women
veins.                                      and vein ligation and stripping.           with medical conditions such as un-
                                                                                       controlled diabetes, and patients on
im: is there any way to prevent             im: is everyone eligible for scle-         anticoagulants such as coumadin.
them?                                       rotherapy, and how does this method
                                            differ from traditional methods? is it     im: Do varicose veins return after
Dr. R: Prevention can be enhanced by        painful?                                   treatment and what can one do at
leg elevation, weight loss and aerobic                                                 home to ensure that the treatment is
exercise to increase the calf pump          Dr. R: Sclerotherapy is an in-office       effective?
mechanism to return blood flow back         procedure. It is used to treat small to
to the heart. Wearing compression           medium varicose and spider veins.          Dr. R: Using the above mentioned ther-
stockings can also help. Affected pa-       Both types of veins can be treated for     apies for prevention after treatment
tients should also not wear tight fitting   cosmetic or medical purposes. A            will help minimize the return of vari-
clothes.                                    doppler study is usually done prior to     cose and spider veins. However, the
                                            treatment of varicose veins to rule        body always produces new veins natu-
im: what is the best way to treat vari-     out any deep-vein circulatory prob-        rally. Maintenance is required to keep
cose veins?                                 lems.                                      a lasting effect.
                                               Cosmetic improvement as well as
Dr. R: There are many options for           symptom improvement generally oc-          im: is sclerotherapy covered by insur-
treating varicose and spider veins. The     curs after several sessions to an area.    ance?
gold standard remains sclerotherapy:        Each session can take several minutes
A solution is injected into the varicose    or longer to do, depending on the          Dr. R: Some insurance companies
vein or spider vein to cause sclerosis      amount of solution injected, physi-        cover varicose vein treatment with
and closing down of the vein. Endove-       cian’s technique and amount of veins       prior approval; however, asympto-
nous laser treatment heats the inside       present. There is a limited amount of      matic varicose veins and spider veins
of the vein to shut it down. Radiofre-      solution per session that can be used.     are considered cosmetic and generally
quency Occlusion (VNUS) heats the           Pain is minimal and the procedure is       are not covered.              image

    December / January 2010                                                                                         IMAGE 47
CELEBRATING THE SEASON WITH THE
The Dancers Share Their Secrets for Beauty, Stamina, and



  Y
        ou know that you have entered the holiday season when there are commercials around the clock for the Christ-
        mas Spectacular at Radio City featuring the Rockettes. For three quarters of a century the Radio City Rockettes
        have been entertaining people from near and far from November 13th through December 30th.
        Their incredible show entails quite a workout on the stage and off, with eight costume changes in as little as 90
  seconds that include shoes, jewelry and hats. And if you think the dancers are all in their twenties then you will be
  surprised to know that a Rockette can dance her way into our hearts as long as she’s got it! As long as her kick is high
  and she can still dance those numbers, she can perform into her forties and even fifties.
        The dance numbers are basically the same each year but they evolve with the times. As one Rockette told us,
  the dances are tweaked and are becoming more athletic. The Rockettes seem larger than life – but they are sweet
  girls that are living their dream.
        Recently, I had the opportunity to visit LEGGZ Dance Studio on Sunrise Highway in Rockville Centre and meet two
  of the Rockettes who came to the studio to teach a class of aspiring young dancers. I watched as the famous Radio
  City Rockettes spent one hour working with the dancers to show them one of the numbers they perform at Radio City
  Music Hall.
        The Rockettes, Cynthia and Ciara, were dressed in their costumes, Ciara wearing the beautiful red velvet costume
  worn on stage and Cynthia dressed in the outfit that the girls wear during rehearsal. The young dancers were study-
  ing them intensely as they mimicked each step. After the one-hour lesson I got the chance to speak with Ciara to find
  out how they maintain their energy, vitality, figures and overall beautiful appearance.



                                    image: How many rockettes are there?         Ciara: The first thing they do is measure
                                                                                 our height. A Rockette must be 18 years
                                    ciara: In all there are 200 Rockettes who    and older and measure between 5'6"
                                    perform at Radio City and other arenas       and 5'10½” barefoot. The audition is
                                    from Canada all the way to Florida. The      two very tedious days. The first day
                                    Arena Tour Show visits thirty cities and     starts at 10:00 a.m. and goes to 4:00
                                    the theatrical tour visits five cities in-   p.m. The girls are taught at least one
                                    cluding Dallas, Seattle, Atlanta,            number from the show and the cuts are
                                    Nashville and Pittsburgh.                    made through the day by evaluating
                                                                                 which dancers pick up the routine
  rockettes cynthia and ciara
                                    image: what is the audition process to       quickly and have the endurance and
  with Donna                        become a rockette?                           poise needed to perform. We have to

48 IMAGE                                                                                        December / January 2010
                    MSG Entertainment

                                             healthy and strong. I work with a       image: as for your perfect appear-
                                             personal trainer two days a week,       ance. you all look so beautiful. Do
                                             take yoga to balance and stretch my     you have makeup artists that work
                                             body and of course take many dance      with you through the day?
                                             classes. Throughout the year when       Ciara - No. Actually we all do our
                                             we are not performing we are called     own hair and makeup. I have been a
                                             for special appearances, like today’s   Rockette for five years and when I
                                             visit, and we have been on Dancing      started I had to learn how to make a
                                             With The Stars. We get up to one        French Twist with my hair. Our hair
                                             week’s notice when we are called for    must always be long enough to slick
                                             an appearance and we love it. We        it back into a French Twist and we
                                             feel so privileged to be able to meet   cannot change our hair color
                                             so many people.                         throughout the year. Whatever color
                                                                                     we were hired with is the color we
                                             image: working as hard as you do        must maintain. We also all wear the
                                             during the holiday season, how do       same lipstick color, MAC’s “Russian
                                             you maintain your health and stam-      Red.” We all choose the makeup we
                                             ina?                                    like to use but we are given guide-
                                                                                     lines as to how we wear our makeup


ROCKETTES
Fabulous Figures
                                             Ciara: Since we are at the music hall
                                             most of the day, all of our meals are
                                             eaten there. We are strongly en-
                                             couraged to eat a healthy diet, lots
                                             of leafy greens and other vegetables
                                                                                     so we all look uniform. When the
                                                                                     day is over it feels so good to go
                                                                                     home and wash my face since the-
                                                                                     atrical makeup is thicker than regu-
                                                                                     lar makeup. Then I apply Oil of Olay,
                                             and fruits. It is important to drink    which seems to work well with my
                                             lots of fluids and replace our elec-    skin type.
                                             trolytes. We also increase our pro-
   dance in our character heels first and    tein and carbohydrates for energy.      image - what about all the groom-
   then we learn a tap dance number          We need a high-calorie diet and in-     ing that comes along with the job?
   and a kick number. All the dancers        creased salt when we are performing     you must be at a salon for one thing
   must have prior experience in tap,        very much the way an athlete needs      or another every week.
   jazz and ballet, and it helps if we can   to eat. We are required to go to a
   sing since singing is required in some    seminar and a nutritionist counsels     Ciara - You bet I am. We are respon-
   of the numbers.                           us on the best foods to eat while we    sible for all of our grooming needs.
        The second day is a shorter day.     are in season. Believe it or not, one   Whether it is going to the dentist or
   We go over the dances we learned          of the foods that are suggested are     hairdresser or getting waxes, mani-
   on the previous day and they see          pickles since they are high in salt.    cures or pedicures, it is certainly a re-
   who has a good memory and has re-                                                 sponsibility but I don’t mind. If some
   membered the numbers. Then we             image: what do you do on your one       of the girls have the opportunity to
   are taught other numbers and they         day off a week? i suppose you are       tan they can. The one NO NO is NO
   do some more cuts from there until        exhausted and just want to rest.        TAN LINES PLEASE! Most of the girls
   they get the cast that they are look-                                             use the same people for all of our
   ing for.                                  ciara: I do all of my errands on my     needs. If I like my hairstylist I will tell
                                             day off and then I go home and get      the others and visa versa. We are a
   image: once you become a rock-            ready for a great night out with some   tight-knit circle so we share our good
   ette how drastically does your life       of the other Rockettes. Each week       finds.
   change?                                   we pick a different restaurant to try
                                             and we get dressed up and go. It is
   Ciara: Well, we are contracted for a      so nice to relax over a great dinner    The Radio City Rockettes are cer-
   full year. We start rehearsals in early   and enjoy each other and the time       tainly living out a dancer’s dream,
   October six days a week, eight hours      off.                                    but the one price they pay is being
   a day. We have vocal coaches as well            You know, the holiday season is   away from their families for so long.
   and during the last hour of rehearsal     when we can enjoy all of the sweet      They spend so many hours a day to-
   we practice singing. During the sea-      treats that others try to avoid since   gether and begin to depend on each
   son we perform as many as four 90-        we are working so hard. While oth-      other for everything so they be-
   minute shows a day, six days per          ers are worried about gaining weight    come one big happy family. Some
   week. It is literally like running a      our biggest concern is not to lose      of the girl’s parents come and visit
   marathon.                                 weight and try to maintain our          them on weekends. After all, who
         In the off season we all need to    weight since we are constantly ac-      wouldn’t want to visit New York City
   stay in shape and keep our bodies         tive.                                   during the holiday season! image

   December / January 2010                                                                                            IMAGE 49
 FITNESS          I   COMPETITION
  by Gwen Starr

                                                         the womens’ single
                                                         arm, long cycle event




 KETTLEBELLS ARE BACK
 A FITnESS TREnD TURnS COMPETITIVE In THE US

                         T
 Kettlebell                    he kettlebell, or girya in Russian, is    arranged the event that featured both
                               an old Russian strength and condi-        men and women who have become ad-
 lifterS from all              tioning tool. It has been used for        dicted to the sport. The stage was set
 over the world          centuries by the Russian military, police       with 3 lifting platforms where lifters
                         and the layman to gain strength, agility,       compete to see how many reps they can
 gathered at the         power and endurance. About 100 years            do in a ten-minute round. Athletes are
 Jacqueline              ago kettlebells lost their popularity           categorized by gender and weight class.
                         when dumbbells and barbells emerged.            Although they compete against each
 Kennedy onaSSiS         At the time it was less expensive to buy        other, more importantly they always try
 high School au-         the plates that load on to the barbells,        to surpass their own personal record
                         making them more affordable.                    (P.R.). I got to speak to some of the com-
 ditorium for                 In recent years, kettlebells have be-      petitors before it was their turn to hit
 the firSt new           come the rage in fitness centers                the stage.
                         throughout the world. They give you a                 Alexander Bodrov came to the
 yorK Kettlebell         complete body workout, are more effec-          states four years ago from Russia. Cur-
 competition             tive than aerobics, help melt body fat,         rently living in Connecticut, Alexander
                         and build strength and energy. Due to           came to New York City to participate in
                         their design and the manner in which            his first kettlebell competition. He com-
                         training is performed, kettlebells help to      peted in the two-arm long cycle with 35
                         train virtually all the muscles in the          lb. kettlebells. The expected amount of
                         human body.                                     reps for his 198 lb. body is 69 reps in a
                              The training works for anybody             ten-minute period.
                         since the kettlebells come in all weight              Shuvaun Brennan, a certified IRON-
                         increments. Many personal trainers              WORKS Fe instructor and personal
                         have become certified and have added            trainer at Sky Athletics on the south
                         kettlebell lifting to their clients’ regi-      shore of Long Island, has been working
                         mens, encouraging them to begin com-            out with kettlebells for only 1 ½ years
                         peting in what is now a sport as popular        and already her instructor, Rick Car-
                         as traditional weight lifting.                  ranza, co-owner of IRONWORKS Fe,
                              Kettlebell lifters from all over the       coached and got her competition ready
                         world gathered at the Jacqueline                with the 26 lb. kettlebell in the single-
                         Kennedy Onassis High School audito-             arm long cycle event.
                         rium for the first New York Kettlebell                I asked Shuvaun how she prepares
                         competition. IRONWORKS Fe, the Na-              for this event. She told me that her diet
                         tion’s premier kettlebell training center       does not change much; she is a healthy
                         located here in Great Neck, New York,           eater on a regular basis but when she
50 IMAGE                                                                                  December / January 2010
trains her carbs need to increase a         that it is beneficial for your joints and        Chriss has competed in Russia,
bit. She trains with kettlebells every      helps to loosen the body.                   coming in 3rd in her flight and took
other day and partakes in the Boot               Patric was in a football accident      1st place in her last 2 competitions in
Camp at her gym 3 times per week,           and used kettlebell training to             Chicago and in the one-arm long
then gives her body a rest 1-2 days         strengthen his muscles and bring him        cycle event in New York City. She is
per week. Shuvaun had taken a ket-          back to health. He trains 5 times a         perfectly fit and feminine, but very
tlebell class at a fitness conference       week and is also a spinning instructor.     serious about kettlebell training and
and was immediately fascinated. She         He has also competed in power-lift-         has also introduced her family to the
tells me that it is great cardio and a      ing competitions and mountain bik-          sport. Her 15 year-old daughter,
full workout – features that dumbbell       ing. Needless to say, this big burly        Erica Silverstein, competed at the
training doesn’t offer.                     guy participated in the 225 lb. cate-       event that day and was consistent in
     When one works out with kettle-        gory.                                       her form. What a great mother-
bells, the trick is to never place them          Tobias is Patric’s student and has     daughter activity to bring you closer
down on the floor, doing your swings        only been training for four months,         together.
and presses consecutively. Watching         yet he made the trip to the states to            I brought my family to watch the
Shuvaun perform, she made it look           compete as well. Tobias is 26 years         competition and we were fascinated
effortless and it was obvious that she      old and works at a golf course; he          by the enthusiasm and excitement
was definitely in great shape for this      met Patric at a Long Drive Competi-         that each competitor brought to the
event. Shuvaun finished the event           tion at the golf course where Patric        stage. I envisioned seeing these
with 97 reps in ten minutes – amaz-         was invited to work out with the            mega-muscular, intimidating men
ing! It looks like the girls average 10 –   golfers to build their strength and en-     and women, but they were regular
12 reps per minute, and those               durance. Right there and then Tobias        people like you and me that discov-
weights get heavier as the time runs        became hooked.                              ered this new trend and have fallen
on.                                              I find it so amazing that this fit-    literally “head over heals” for the
     Speaking with Patric Westerlund        ness training has taken off in such a       sport.
and Tobias Holm who traveled here           short time. Kettlebells have only                IRONWORKS Fe educates and es-
from Sweden, I also learned the re-         been in the states for about 8 years        tablishes their brand of group kettle-
habilitation benefits to kettlebell         and now most gyms offer classes.            bell training classes in many gyms
training. Patric is a personal trainer      Chriss Silverstein, co-owner of IRON-       and fitness facilities; so ask your gym
in Sweden and was introduced to the         WORKS Fe, is a poster child for the         when they will be coming and try it
sport by a chiropractor who treats his      positive results that kettlebell train-     for yourself. My family is now
patients with kettlebells. He claims        ing can have on your workout.               hooked!                          image

 December / January 2010                                                                                              IMAGE 51
  I T ’ S      N O T         H I P




 COPING WITH SEVERE HIP PAIN
 Causes, Treatment and Management of This Debilitating Condition


  BY ELTON STRAUSS, M.D., F.A.C.S.




                                Y
                                      our joints are involved in almost every activity you do. Simple movements
                                      such as walking, bending, and turning require the use of your hip and knee
                                      joints. Normally all parts of these joints work together and the joint moves
                                easily and without pain. But when the joint becomes diseased or injured, the re-
                                sulting pain can severely limit your ability to move and work.
                                     Your hip joint is a ball-and-socket joint, formed by the ball (femoral head), the
                                upper end of the thigh bone, and the rounded socket (acetabulum) in the pelvis.
                                The bone ends of a joint are covered with a smooth, tough material called carti-
                                lage. Normal cartilage cushions the bones and allows nearly frictionless and pain-
                                free movement. The rest of the surfaces of the joint are covered by a thin, smooth
                                tissue lining called synovium. The synovium produces fluid that acts as a lubricant
                                to reduce friction and wear in the joint.

                                One of the common causes of joint pain is arthritis, of which there are several
                                types.
                                • Osteoarthritis, sometimes called degenerative arthritis, is a “wearing out” con-
  The bottom line is            dition involving the breakdown of cartilage in the joints. When cartilage wears
  that you don’t                away, the bones rub against each other, causing pain and stiffness. Osteoarthritis
                                usually occurs in people aged 50 years and older, and frequently in individuals with
  have to live with             a family history of osteoarthritis.
  severe hip pain.              • Rheumatoid arthritis produces chemical changes in the synovium that cause it

52 IMAGE                                                                                      December / January 2010
to become thickened and inflamed. In turn, the synovial          can help relieve pain and get you back to enjoying nor-
fluid destroys cartilage. The end result is cartilage loss,      mal, everyday activities.
pain and stiffness. Rheumatoid arthritis affects women                 In a total hip replacement operation, the surgeon re-
about three times more than men, and may affect other            places the worn surfaces of the hip joint with an artificial
organs of the body.                                              hip joint. The worn head of the femur (thigh bone) is re-
• Post-traumatic arthritis may develop after an injury to        placed with a metal or ceramic ball mounted on a stem;
the joint in which the bone and cartilage do not heal            the stem is firmly placed into the canal of the thigh bone
properly. The joint is no longer smooth and these irregu-        at its upper end. The acetabulum (hip socket) is prepared
larities lead to more wear on the joint surfaces.                and implanted with a metal cup and plastic or ceramic
• Avascular Necrosis can result when bone is deprived of         insert. The ball and socket glide together to replicate the
its normal blood supply. Without proper nutrition from           hip joint.
the blood, the bone’s structure weakens and may col-                   The conventional arrangement of a metal ball into a
lapse and damage the cartilage. The condition often oc-          special plastic (polyethylene) cup has been shown to
curs after long-term treatment with cortisone or after           have positive results over the years. How long it will last
organ transplantation.                                           depends not only on age, but also on patient’s activity
                                                                 level.
Hip replacement Surgery                                                There have been significant advancements in im-
      In some cases hip replacement surgery is a viable op-      proving the bearing surfaces in total hip replacement. A
tion for the treatment of hip pain. Hip replacement sur-         bearing surface that I use is called X3. It has demonstrated
gery helps more than 400,000 Americans each year to              up to 97% decrease in wear in laboratory testing. This de-
relieve their pain and get back to enjoying their everyday       crease in wear may extend the life of your hip implant.
activities. Hip replacement involves removal of arthritic              The bottom line is that you don’t have to live with
bone ends and damaged cartilage and replacing them               severe hip pain. Treatment of hip pain is multifactorial,
with prosthetic implants that are designed to replicate          and I treat every patient based on the examination, radi-
the hip joint.                                                   ographs, and a long consultation. I discuss lifestyle mod-
      Hip replacement surgery may be considered when             ifications, non-surgical, and surgical options. Medication,
arthritis limits your everyday activities such as walking        exercise regimes, joint fluid supplements and physical
and bending, when pain continues while resting, sleep-           therapy play a major role in non-surgical management of
ing, or stiffness in your hip limits your ability to move or     hip pain.                                           image
lift your leg. It is time to consider surgery if you have lit-   _____________________________________________
tle pain relief from anti-inflammatory drugs or other            References: Arthritis Foundation website, American Academy
treatments, such as physical therapy. Hip replacement            of orthopaedic Surgeons, Stryker Orthopaedics

December / January 2010                                                                                           IMAGE 53
  D I G I T A L         I M A G I N G




 PREVIEWING YOUR PLASTIC SURGERY
 Doctors Go Digital


  BY JAMES C. MAROTTA, M.D.




                                S
                                     o you’re thinking about having something done but you’re anxious. “Is
                                     it going to hurt? Is it going to work?” Most importantly, “what is it
                                     going to look like?” While words might suffice to answer the first two
                                questions, a physician telling you how you’re going to look after a proce-
                                dure sometimes just falls short. A physician can describe the procedures
                                and their potential results to their patients, but as the expression goes, “a
                                picture is worth a thousand words.”
                                     No longer does the surgical candidate have to wonder what they’ll
  No longer does the            look like after a procedure. Now they can actually see it with their own
                                eyes through a process called “imaging.” Imaging involves the doctor tak-
  surgical candidate            ing a digital “before” picture of the patient and then, using special software
  have to wonder                and a computer, modifying the person’s appearance in a manner similar to
  what they’ll look             what they’d do in surgery. Imaging gives the patient a “virtual after” of
                                their surgery – before they’ve had anything done – to see if the procedure
  like after a proce-           meets their expectations.
  dure. Now they                     The concept of providing a visual image of a patient’s results during
  can actually see it           the consultation is not new. The simplest and perhaps oldest method that
                                plastic surgeons used for imaging is the mirror. The results of a brow lift and
  with their own eyes
                                a facelift can be easily simulated by pulling up and back on the soft tissue
  through a process             of the face. After all, most patients have used this method of imaging one
  called “imaging.”             or two times for themselves prior to the consultation. Using a simple mir-
54 IMAGE                                                                            December / January 2010
ror or a 3-way                                                                                            sults of almost
mirror that al-                                                                                           any procedure,
lows both front                                                                                           from Botox to
and side views is                                                                                         facelifts     to
still widely used                                                                                         rhinoplasty, can
and a great way                                                                                           be simulated.
for patients to                                                                                                The soft-
see what they                                                                                             ware used by
may look like                                                                                             physicians is
after a brow or                                                                                           offered by a
facelift.                                          Virtual Image                                          number of com-
      A n o t h e r Before                                                       After                    panies and is
earlier form of                                                                                           usually de-
imaging involved                                                                                          signed for this
a simple film photograph and a pen. Some older facial very purpose. However, manipulating digital images
plastic surgeons may still use this method. After taking a can be done using any number of common photo pro-
photograph of the patient, a nose job or rhinoplasty grams, e.g. Adobe Photoshop. In my practice, I’ve ac-
could be simulated by the surgeon blacking out a bump tually had a number of patients who were graphic
on the nose or coloring in to thin a wide nasal tip. The re- artists bring in their own morphed images done in Pho-
sults of a necklift could be simulated by coloring in the toshop. The newest development in medical imaging
hanging fat or skin of a drooping neck.                          is virtual 3-D imaging. Instead of a flat 2-dimensional
      Enter the digital age. Digital technology has provided image, a number of software companies have created
physicians with a beneficial tool for many reasons. Digi- programs that create a virtual 3-D image that can be
tal photographs allow physicians to take almost unlim- rotated and viewed from multiple angles. This tech-
ited photographs without concern of the cost or nology is relatively new, expensive, and not widely used
development of film. Going digital also allows physicians in offices today. To date, it is not clear that 3-D imag-
to more easily catalogue and develop databases that can ing gives a patient any more information than 2-D im-
instantly be searched by patient, date, and procedure. aging.
But perhaps the greatest advantage to the use of digital               Digital imaging is considered the standard in cos-
technology and imaging is that “before” photographs can metic surgery offices across the country today and is ben-
be manipulated or morphed into virtual results. The re- eficial to the surgeon as well as the patient. First, and

 December / January 2010                                                                                         IMAGE 55
           most importantly, the imaged “after” photograph is an ex-
           cellent communication tool in that it allows the patient and
           doctor to see the same things while discussing possible
           treatment options. Talking about and examining the after
           result together allows the patient to have input into their
           surgery so that the surgeon may customize and tailor the
           outcome according to the patient’s wishes.
                  Second, the information the digitally enhanced “after”
           picture provides helps allay anxiety and aids the patient,
           overall, in their decision making process. Rather than rely
           solely on a surgeon’s before and after photos of other pa-
           tients, imaging permits the patient to see the “fit” of the
           procedure on his or her own face or body. Lastly, imaged
           “after” pictures can be shared with family and friends who
           can then give an opinion about the procedure. Taking
           home an imaged “after” photo also gives the patient time
           to become accustomed to their new look beforehand,
           which promotes recovery.
                  So how accurate are these virtual “after” pictures? The
           answer lies in who is doing the imaging and what is being
           imaged. Facial plastic surgeons in Wisconsin studied imag-
           ing in rhinoplasty, which is the most widely used application
           of this technology. In 20 patients, the real “afters” approxi-
           mated the virtual “afters” in almost all measurement crite-
           ria. The key element to this study is that virtual “afters” were
           produced using standards of ideal beauty and facial propor-
           tion. That means that not just any nose was drawn on a pa-
           tient’s face, e.g. a celebrity’s, that the patient emulated. The
           nose that was imaged was drawn taking into account the pa-
           tient’s existing anatomy and facial features. The new nose
           was, thus, a realistic representation of attainable results.
                  Having a virtual “after” benefits both patient and physi-
           cian alike provided it is used responsibly by physicians and
           understood by patients. Physicians must only image what
           they believe is realistically attainable and inform the patient
           that images do not represent a guarantee of those re-
           sults. The imaging outcome should be guided by the sur-
           geon’s eye as to what would be most aesthetically
           appropriate for the patient and not solely what would make
           the patient happy. Patients must have realistic goals of im-
           provement and view images as a reasonable approximation
           and not an exact rendering.
                  Imaging should facilitate communication between
           physician and patient and helps to insure that they are both
           on the same page and have the same expectations with re-
           gard to the results. If physician and patient don’t have a
           meeting of the minds with regard to the virtual “afters,” the
           patient may have expectations that the physician cannot
           meet with the proposed procedure. In this case, alternative
           procedures, or no intervention at all, might be the best way
           to insure a satisfied patient and a mutually beneficial physi-
           cian-patient relationship.
                  In the end, remember that as good as imaging is, it’s
           still just a simulation. Do not rely solely on an imaging
           session when selecting a physician or a procedure. Look
           at the doctors actual before and after photos of other pa-
           tients, because it’s really the physician’s surgical skills,
           not his computer skills, that matter.                   image
                  visit www.liimagemag.com and click on you get
           wHat you give for a very special charity event and holi-
           day special for you.
56 IMAGE                                     December / January 2010
                                                              to try to rest your jaw muscles. Second, warm com-
THE DR. IS In                                                 presses several times a day to the area of the affected
{Continued from page 10}                                      muscles help relax the muscle by providing improved
_________________________________________________
                                                              blood flow to the area, flushing out the inflammatory
                                                              mediators. Third, in several refractory cases, patients
A:Temporal-mandibular joint (TMJ) disorder is a term          may be referred to a physical therapist who can help
that loosely envelopes a whole variety of different pos-      with certain manual techniques in relaxing the muscles
sible issues. Most commonly, cases of TMJ usually in-         of the facial region and breaking down the knot/spasm.
volve a spasm of the facial muscles that work to open            There is no such thing as permanently treating such
and close your jaw, also known as myofacial pain. The         an issue because whatever was the initial cause of the
main muscles involved are the masseter, which is found        myofacial pain can trigger it again. However, there is cer-
extending from just in front of your ear at the cheek-        tain care that can be taken to help prevent a recurrence.
bone down to the back part of your lower jaw, and the         First, avoid gum chewing as well as tough, chewy food
temporalis, which is found in the temple region of your       (i.e. bagels). Second, if you sense the beginning of a re-
head. Because of the location of these muscles, when          currence, immediately start yourself on a soft-food diet
you do have a spasm or a knot in the muscle, you can          and warm compresses in an effort to try to relax the
feel as if you have a toothache, headache, or an ear-         area before significant pain recurs. Third, and perhaps
ache. Also, you can have some pain extending down the         the most difficult task, reducing stress in your life would
side of your neck down to your shoulder due to a sec-         go a long way in helping to prevent recurrence. For ex-
ondary muscle in that region.                                 ample, making sure to get a good night's sleep, avoiding
   There a number of different causes for this type of        conflicts, or even taking a quiet vacation would all help
dysfunction. Certain reasons for a muscle spasm in the        alleviate some stress. For a significant recurrence, I
facial region include increase in stress, clenching or        would recommend seeing your TMJ specialist again to
grinding of your teeth, biting into something hard the        restart your therapy.
wrong way, gum chewing, or undergoing a dental pro-             Lastly, in cases that recur frequently or do not improve,
cedure where you have your mouth opened for ex-               we can inject Botox into specific regions of the muscle to
tended period of time.                                        help relax it. It is not a permanent solution, but its ef-
   The usual treatment for myofacial pain includes anti-      fect usually lasts up to 6-8 months before reinjection is
inflammatory and muscle relaxant medications. Also,           needed. (Answered by Dr's Pezzollo, Rastegar,
certain home care instructions are given to the patient.      & Panagos of Progressive Oral Surgery of Long
First, care must be taken to follow a strict soft-food diet   Island)                                             image

December / January 2010                                                                                          IMAGE 57
                                                                                                                                                                                           stein and John Romano
                                                                                                                                                              Dr. Michael and Randi Feld




                                                                                                                                                                                                     obson
                                                                                                                                            f                         Allan Kolstein and Bruce Jac
                                                                                                                           Laser staf
                                                                                                  Ferrone and the Advanced
                                                      y Mattone        Dr. Wayne Wer theim, Prudy
                            Basedow, Dr. Kelly O’Malle
Dr. Adelle Quintana, John




                                                                                                                                                                                 ille Morrison
                                                                                                                                                Dr. Karina Bibicheff and Cam
                                                                                                   Grandin     etti
                                                          w             Donna Halperin and Richard
                           tin   Jacobson with John Basedo
Mikey, Edna, Bruce and Jus




                                                                                                                                                                                            es        Marotta
                                                                                                                                                                co, Sharon Marotta, Dr. Jam
                                                                                                                 on                    Maria Orlando Pietromona romonaco
                                                                                      Maxine Kabol , Edna Jacobs                                      and Peter Piet
                                          tein
           Hannah Avery, Keith Feldens




                                                                                                                                                                                                  na Halperin
                                                                                                                                                      ndees           Dr. Elton Strauss and Don
                                                                                                                      Lisa from NIA with party atte
                                                                                     stein and Ted Liebowitz
                                                         Steven Halperin, Randi Feld
                                David Raleigh
    Sharon Klein and Pianist,
                                                                                                                                                          Special Thanks to:
    Maxine Kabol Special Events Corporate & Social Events 50 Lexington Ave, NY, NY 212.477.6722 email: mkabol@aol.com
    www.sharonkleinproductions.com
                                                                                                                  Klein         Rebecca O’Brien
                                                                                     n, Jodi Horowitz and Linda
                                                      Kenny Horowitz, Michael Klei
                             e Mann
Norma Halperin and Michell




                                                                                                                                                                                  man
                                                                                                                                                       Jacobson and Mark Landes
                                                                                                                erstein   Jo-Ellen Landesman, Justin
                                                                   owitz              Rick Carranza, Chriss Silv
                                      Ted, Sara and Brandon Lieb                         and Donna Halperin




                                                                                                                                                      n, Donna Halperin,
                                                                                                             n Basedow      Tracy Levy, Shari Hochma
                                                                                  , Bruce Jacobson and Joh                        Jodi Horowit z and Elyse Schuster
                                                        Dr. Kelly O’Malley Mattone
                          u and Ted Liebowitz
George and Elena Golesc




                                                                                                                                                                 owitz and Judy Katz
                                                                                                                                      Bruce Jacobson, Ted Lieb
                                                                                                anne Sirota Rozenberg,
                                                                   Dr. Barry Rozenberg, Dr. Suz
                             l and Soheila Palazzo                                      Michael Klein
 Donna Halperin, Lana Siga                                                    Linda and



           D   octors, dentists, health experts, fitness gurus and celebrity
               hair and make-up artists came out dressed to the nines this
            past October to celebrate the one-year anniversary of Long
                                                                                                    make each issue interesting and informative for our readers,
                                                                                                    thus making the magazine the success that it has become.
                                                                                                    John Basedow, our fitness contributor, lit up the room as he
            Island IMAGE and the launch of New York City IMAGE. As the                              always does at every event he attends, taking photos with
            guests entered the room they were offered our signature                                 some of our guests. It was great to see the physicians and
            IMAGEtini cocktail. The lights were low and spirits high at                             other wellness professionals networking and catching up with
            Strata in Manhattan's Flat Iron District as guests enjoyed hors                         old friends. Strata was a perfect venue for our event and pro-
            d'oeuvres and cocktails all night long. While they mingled to                           vided a warm and inviting environment for all to enjoy.
            the soulful sounds of renowned pianist David Raleigh, they                                   We would like to thank Sharon from Sharon Klein
            were also able to check out the latest innovations at the booth                         Productions for the entertainment of David Raleigh, all of our
            spaces of our party's sponsors Cutera, Zerona, Cynosure,                                sponsors who provided us with the goody bag products, and
            Syneron, and Nia24. This was a great opportunity to thank all                           Maxine from Maxine Kabol Special Events for finding us this
            of our loyal contributors who have worked with us to help                               perfect location.

   Sharon Klein Productions 1650 Broadway, Suite 304A New York, NY 10019 212-307-0040
 A U       N A T U R A L




 SURVIVING THE SEASON ARBONNE STYLE
 Treating your skin the natural way

 BY INA LUTIN RN, CPCP, FAAM




                         H
                                oping to look dazzling for the holidays? Searching for some unique gifts this year?
                                Arbonne offers endless solutions to the season’s quandaries. From their unri-
                                valed all-natural beauty products and exclusive scents to aromatherapy essen-
                         tials and weight management plans, Arbonne can help keep you in the festive spirit
                         this year.
                               The Arbonne phenomenon prides itself on products that are inspired by nature,
                         that are safe and healthy, and are created with an incomparable combination of botan-
                         ical ingredients. There’s nothing like the holiday season to take advantage of the ex-
                         traordinary Arbonne experience.

                         let’s Face it
                              Celebrations and holiday parties are upon us, but there is still plenty of time to
                         get your skin in spectacular shape. The winter season can rob the skin of moisture,
 Benefits of             leaving it dry and flaky. So what can you do? First, go easier on daily cleansing. Start
 exfoliation include     with gentle exfoliation once or twice a week to keep your skin clear of dry, dead cells
 fresher, brighter       and replaced with new ones ready to allow moisture into the skin’s deeper layers.
 looking skin, better         Try Arbonne’s FC5 Exfoliating New Cell Scrub infused with phytonutrients, vita-
                         mins, and antioxidants. It draws out impurities and exfoliates to uncover radiant,
 penetration of in-
                         younger looking skin. Benefits of exfoliation include fresher, brighter looking skin, bet-
 gredients in your       ter penetration of ingredients in your skin care products and, for people with exces-
 skin care products      sively oily skin, a varying degree of reduction in oil secretion.
 and, for people              Arbonne also features several distinctive product lines that are complete skin care
 with excessively        regimens. The Revelâge collection includes anti-aging and brightening creams and
                         serums that reduce the appearance of age spots, freckles and uneven pigmentation.
 oily skin, a varying    The NutriMinC RE9 series is an entire skin program that addresses the “after” effects of
 degree of reduc-        sun exposure and aging with special formulations. The line-up – a hydrating skin
 tion in oil secretion   cleanser, balancing toner, day crème, night crème, corrective eye crème, and facial
60 IMAGE                                                                                  December / January 2010
serum- promises to renew the skin surface, moisturize, and      through this chaotic time. They come in two delicious fla-
reduce the appearance of fine lines and wrinkles.               vors – pomegranate and citrus – and curb your appetite so
                                                                you don’t feel the need to snack. Start your day with a deli-
Body care                                                       cious protein shake, sprinkle with the tasteless fiber, and
     Arbonne’s botanically-based body care line is sure to      you will stay full through the morning. Add the great
keep your skin in top shape this winter. For an effective       chewies in chocolate or chocolate mint and you won’t feel
body scrub treatment try the Aromassentials Awaken Sea          like you are missing anything.
Salt Scrub with avocado and sweet almond oils. It exfoli-       Holiday gift giving
ates and sheds dead surface cells to reveal brighter, health-        Arbonne products make a perfect holiday gift for al-
ier skin.                                                       most anyone on your list. There are special signature scents
     Next, follow up and hydrate your fresh new skin with       and sets available through the season, such as the Ginger
a natural oil-based moisturizer. The FC5 collection, a Swiss    Citrus, which is extremely popular and smells delicious.
skin care regimen, incorporates fresh cell technology, vital         The Pampermint set is a neat treat for feet – it includes
nutrients, and UVA/UVB protection for a comprehensive           a foot scrub and foot cream in a soothing peppermint
skin care package. It features a skin conditioning body oil     aroma, finished with a cozy pair of soft microfiber socks.
and a conditioning body moisturizer.                            For a splash of luxury the Star Jasmine Tuberose ensemble
                                                                is a stylish set with a fragrance mist, shower gelee, and
arbonne For weight loss                                         body cream.
     It seems redundant to mention that most of us will be           For the man on your list the sky’s the limit with the Sky
hoarding extra calories, thus extra pounds this winter after    for Men package, complete with body wash, shave gel and
our celebratory holiday eating and drinking binges. Though      after-shave balm.
you probably wouldn’t associate beauty care products with
weight loss, Arbonne has a revolutionary method to help         Savor the moments
shed that unwanted, unnecessary weight.                              Take some time for yourself to relax and rejuvenate in
     The Figure 8 Healthy Living and Weight Loss Program is     between parties, shopping, wrapping, and stressing. Light
designed for our busy, hectic lifestyle and tasty enough to     an aromatherapy candle from the mesmerizing Black Or-
tantalize the palate. The supplements and formulations are      chid Cassis holiday line. Then apply the Sea Source Detox
based on scientific research and consider a broad base of       Mud Mask to face and chest. Take a quick shower and mois-
nutritional needs; they include all of the necessary vita-      turize with the rich delicious Black Cassis body butter. You
mins, minerals, antioxidants, digestive enzymes, and gen-       will be ready to party till the wee hours.           image
der-specific botanical extracts.
     For an on-the-go fix the Arbonne weight loss fizzing           For more information on how Arbonne can work for
beverage tablets will give you the energy you’ll need to get    you visit http://www.inalutin.myarbonne.com.

  December / January 2010                                                                                          IMAGE 61
  TRENDS | HAIR
  intervieweD By mara Siegler




  HAIRSTYLE TREnDS FOR THE nEw YEAR
  Q&A wITH RODOLFO VALEnTIn
  we have seen so much long, straight       and bounce, perhaps because she            cut and styled her hair. Her hair al-
  hair in the past couple of years, a       herself is European. In Americans, I’m     ways looks beautiful and healthy.
  very natural look. what styles can        also seeing Scarlett Johanssen as the      what products do you recommend
  we expect to see for the new year?        next celeb hair trendsetter.               to keep hair looking its very best?

  Rodolfo Valentin: To be completely        im: when cutting a celebrity's hair,       RV: Brooke Shields has exceptionally
  frank, I find that Americans are be-      does it go through your mind that          beautiful hair; however, I cannot tell
  ginning to grow tired of being the pi-    this may be the next big hit? For in-      you what to use to look like her. In-
  oneers of fashion and are beginning       stance, Katie Holmes has had so            stead, I urge my clients to find that
  to look abroad for their next big look.   many different looks over a short pe-      special product to compliment their
  Right now, the biggest showrooms          riod of time and they are always           specific type of hair. For thin hair I
  stemming from France, Italy, and          noted in the press.                        recommend PHYTO Volume Actif, but
  Spain, incorporated with the Indian                                                  of course, I do recommend my trade-
  tendencies and Russian influences,        RV: When I sit down with my clients,       marked Hair Infusions.
  are showing bounce, volume, and           whoever it may be, I don’t think about
  natural movement. I believe that nat-     what the hairstyle might evolve into       im: are there better products for
  ural with bend, curls, and bounce are     in the media. I take into consideration    curly hair, straight hair, dry or oily
  what we can look forward to in the        their personality, hair type, color, and   hair and should we be washing our
  New Year.                                 overall complexion to give them the        hair everyday? what habits should
                                            look that compliments them – not for       people get into and what habits
  im: How important a role is hair          my publicity but for their own per-        should we give up to get that great
  color when creating a new look? Do        sonal beauty, style, and satisfaction.     look?
  you like to usually change the color
  of a client's hair when they are going    im: clients walk into salons everyday      RV: The one habit that women
  for a new look?                           with a photo of some celebrity cut         should get out of is washing their
                                            out of a magazine. if you feel that a      hair with hot water. Cold water is
  RV: Hair color is one of the most fun-    particular style would not be suit-        best for the hair as it gives more
  damental elements when creating a         able for a client how can you turn         shine and softness to the strands.
  new look. For example, red hair, de-      that into a positive and still make the    Products? Well, I recommend my
  pending on the maintenance, can look      client feel confident when he/she          Hair Infusions as well as my new hair
  ravishing or dull and washed out. For     walks out?                                 care line, which acts as a hair solu-
  blonde hair, again, depending on the                                                 tion for anyone, of any age, ethnic-
  maintenance, can enhance a                RV: Believe it or not, I have never had    ity, hair type or hair length. They are
  woman’s beauty or wash out her face.      a client come to me with a picture of      of course for cosmetic and beauty
  A woman’s greys can make her look         any celebrity. My clients come to me       purposes, however, are medically
  sophisticated to one extreme or just      not as a hairdresser, but a hair de-       supported to treat different types of
  plain old.                                signer. They let me know their current     hair deficiencies.
                                            thoughts and inspirations for their
  im: Jennifer aniston's hairstyle over     new look and expect me to deliver an       im: the holidays are upon us. are
  10 years ago was the hottest copied       independent style. Furthermore, if         we going for the updo for the office
  hair fashion other than Farrah Faw-       one of my clients were to come to me       parties? with a low cut black dress
  cett or Dorothy Hamill. which             with a picture, I would help them find     on new year’s eve...hair up or down?
  celebrities’ hairstyles would you pre-    a medium that makes them look like
  dict will be the ones to watch?           themselves and not who’s in the pic-       RV: Low cut black dress? Definitely a
                                            ture.                                      sexy updo! Otherwise, bring in the
  RV: I find that Penelope Cruz’s look is                                              holidays with a natural look and
  beginning to become the new look.         im: Brooke Shields is our cover girl in    prepare others for your New Year
  She keeps her hair natural, with grace    this issue and i know that you have        style!                      IMAGE
62 IMAGE                                                                                          December / January 2010
ADULT ORTHODOnTICS                                                              ETHnIC COSMETIC SURGERY
{Continued from page 21}                                                        {Continued from page 14}
_________________________________________________________________               ________________________________

teeth, the gums, and the underlying bone are healthy, teeth can be              If an individual is prone to hyper-
straightened at any age.                                                        trophic scars then introducing
     The reason today’s adult orthodontics is so exciting is that we now        them to an attempt to refine a
have more visible and invisible options than ever before. Invisalign,           breast is counterproductive and
iBraces, ceramic braces and In-Ovation are just some of the latest appli-       even damaging.
ances to provide you with an exceptional smile.                                      The same holds true for the
     In-Ovation, also known as interactive self ligating braces technology,     Asian eye lid. It is possible that in
is based upon low friction treatment. These high technology brackets            some cases the scar in the lid –
allow treatment to occur with lighter, gentler forces, reduce the number        which usually fades into obscurity
of visits needed, and shorten overall treatment time.                           – can be more obvious. Nasal sur-
     Invisalign® is a computer generated set of clear plastic aligners. This    gery is performed from inside the
technology is an excellent option for the right individual. Benefits include    nose, with hidden incisions; but the
the clarity of these aligners and the fact that they are removable. Thus,       borrowed tissue is approached
they cause no interference with eating or dental hygiene. It is important       through the skin, leaving visible
to note that those requiring more sophisticated tooth movements are             scars.
better served with fixed braces.                                                     Aside from the physical chal-
Other orthodontic technologies worthy of discussion include our newest          lenges in performing ethnic sur-
ceramic brackets. These brackets, which are made from zirconium (the            gery there are psychological issues
same material used to manufacture imitation diamonds), provide better           that must be dealt with. Other
clarity than ever before. When combined with white or tooth colored             than breast implants, which can be
wires, these braces are a truly esthetic orthodontic appliance.                 removed, the other procedures are
     Finally, iBraces™ are computer generated braces placed behind your         permanent. Patients seeking re-
teeth. These appliances give the orthodontist all the benefits of tradi-        finement surgery must be clear in
tional appliances while giving patients an invisible set of braces.             their motives and goals. The phys-
     With all of the exciting orthodontic options we now have, it is no         ical changes cannot be reversed if
wonder that adults are making up an ever increasing proportion of or-           there is a change of mind.
thodontic patients. A straight, beautiful smile can not only help us look
our best but also feel great knowing we are setting the foundation for          Shifting Standards of Beauty
optimal dental health. So if you have ever thought about straightening                Not only has the hybridization
your smile, just remember, it’s never too late to go straight!      image       of the populous created a “melting
                                                                                pot of beauty,” but the concepts of
                                                                                beauty are always changing. In pre-
 PROSTATE CAnCER                                                                vious decades women were more
 {Continued from page 23}                                                       “full figured.” Now the goal is to be
 _________________________________________________________________              lean. Once, big lips were consid-
and continence after surgery. The robot allows the surgeon to see the           ered socially inferior and surgeons
nerves much better, making them easier to spare and increasing the like-        were reducing them; now surgeons
lihood of recovering erections. Radiation causes irritation of the organs       are making them fuller to match
that are near the prostate, namely the bladder and rectum. Thus men             celebrities.
feel like they need to urinate frequently and painfully, and sometimes                On the positive side patients
have difficulty urinating at all. They also tend to develop diarrhea or loose   are rarely running away from their
and bloody bowel movements. Complications can arise from surgery as             native identity and are most often
well, including bleeding and infection.                                         looking to refine rather than
                                                                                change. On the negative side is
considerations Before making a Decision                                         often a lack of understanding in the
     Much has been covered in the media about the comparisons be-               limitations defined by ethnic char-
tween robotic and open prostatectomy. It has not yet been established           acteristics. Not all skin types heal
whether the robot helps all surgeons lower their rates of impotence and         the same and not everyone can
incontinence. One thing, however, is very clear: experienced surgeons           have the same “magazine” result.
have better outcomes after prostatectomy, regardless of the way the pro-              The culture of beauty will al-
cedure is performed.                                                            ways exist and always be chang-
     It is important to remember that a surgeon is “driving” the robot, and     ing. It is up to the responsible
the procedure is only as good as the surgeon who is performing it. We en-       plastic surgeon to say no as well as
courage anyone interested in prostatectomy to ask their potential sur-          yes, and to be able to provide the
geon how many procedures they have performed and what their                     patient and family with the risks as
continence and potency rates are.                                  image        well as the benefits.        image

 December / January 2010                                                                                      IMAGE 63
                                                                   exFoliate witH care
 wInTERIzE YOUR SKIn                                                    It’s imperative to remove the dead, dried skin layer, but
 {Continued from page 27}
 ___________________________________________________               be gentle. Avoid harsh scrubs or beading polishes on your
                                                                   face. Instead, exfoliate once a week with a gentle product
 turizing products. It can be used in the shower; there is a       containing lactic acid or alpha or beta hydroxy acid. Pro-
 separate brush attachment for the body.                           fessional exfoliation with microdermabrasion is an ideal
      Refrain from washing your face with a wash cloth or dry-     way to eliminate excessive build-up of dead cells without
 ing your face with a towel, no matter what the season; tow-       worrying about irritation or breaking capillaries. To avoid
 els are rough and harbor bacteria. Always pat your face           those annoying little “winter skin bumps” on your arms and
 almost dry with a tissue. While it’s still damp apply a serum     legs, exfoliate regularly and moisturize daily. To keep hands
 containing hyaluronic acid, which attracts water molecules to     and feet “summer smooth,” just before you get into bed ex-
 your skin to lock in moisture for long periods. Follow with a     foliate, moisturize, apply a generous layer of Vaseline, then
 glycerin-based moisturizer that contains antioxidants, anti-in-   put on a pair of cotton gloves or socks to seal and protect.
 flammatories and peptides. During winter months you can                Exercising regularly is also essential for healthy skin;
 use slightly heavier creams to protect your skin from expo-       stay fit and keep your circulation moving. Also, dress in
 sure and drying.                                                  soft fabrics that won’t irritate or scratch your skin, and
      Eye creams, morning and night, are essential to protect      don’t forget to cover up hands and heads while outdoors.
 fragile skin and diminish or prevent crow’s feet. Layer Vase-     Finally, wear sunglasses to protect your eyes from the UV
 line or Aquaphor over the eye cream at night to lock in mois-     glare of the sun, especially when reflected off the
 ture. Don’t forget the sun block in the morning.                  snow.                                                  image



  InTERCEPTInG THE AGInG PROCESS                                                         BODY SCULPTInG
  {Continued from page 43}                                                               {Continued from page 19}
  _________________________________________________________________                      __________________________________

 ance between natural animation and wrinkle removal can be met.                          d i s a p p e a rs b u t re d u n d a n t ,
       Botox and Dysport both last approximately 3-5 months, so treatments               stretched-out skin remains – the
 are scheduled 3-4 times per year.                                                       legacy of the extra weight. This re-
       Then there are the wrinkles around the mouth, chin and nose, which                dundant tissue can trap moisture
 pose a special challenge, and call for a different course of action. These              and cause rashes and other medical
 wrinkles are often referred to as the “parentheses,” or the “nasolabial                 problems, so in some instances the
 folds,” between the nose and mouth and the “marionette lines” below the                 removal is covered by insurance.
 corners of the mouth. These areas become creases not so much from hy-                          This leads us to body lift surgery
 peractive muscle function, but from simple gravity and the loss of volume               where the excess skin and tissue is
 and elasticity in the skin as we age. As we mature, the skin and facial fat be-         removed and then the deep tissue is
 come thinner and weaker structurally. The cheek unit falls vertically, caus-            pulled up and suspended to provide
 ing these folds to deepen.                                                              an anchor for the skin. Common
       These changes can be treated surgically with face-lifting techniques,             areas are the abdomen, arms, thighs
 but there are non-surgical methods to employ first. The volume can be re-               and chest. Because this surgery
 placed with fillers that have been developed for this purpose. Our skin is              tends to be quite lengthy, some-
 made up of collagen and elastin fibers in a hyaluronic acid matrix. The first           times it is staged in sessions to
 safe product introduced for injection into the skin was collagen, both the              lessen the duration of anesthesia. By
 bovine and human variety. This was the workhorse for facial wrinkle                     plastic surgery standards the inci-
 restoration since the 1980s.                                                            sions are enormous, but extreme
       Since then many new products have emerged, and there is much suc-                 problems require extreme solutions.
 cess with hyaluronic acid products such as Restylane®, Perlane ®and Juve-               Due to the length and position of
 derm®. A hydroxyapatite material is now available as Radiesse®. These                   the incisions it is not possible to hide
 products are all eventually absorbed by the body, so they are temporary                 them, but this is a trade-off that
 fillers and last approximately a year. Research continues its pursuit to find           most in these circumstances are
 biocompatible materials that last even longer.                                          willing to accept.
       Treatments with these volume replacement fillers are relatively quick                    This gives you a quick overview
 and painless. Anesthetic cream is applied so that the area is numbed.                   of sculpting possibilities. A constant
 The result is immediate and can be pleasantly dramatic. When the nasal                  evolution in technique and technol-
 folds and corners of the mouth get filled and lifted from just beneath the              ogy allows new procedures and sites
 surface of the skin, it gives the illusion that the cheek has been lifted up            to be attempted that might not have
 and back. Facial youthfulness can be preserved longer now than ever be-                 been deemed possible or safe in the
 fore. Improvements in facial skin care and the advent of Botox and facial               past. As always, the more informa-
 volume enhancements have made it easier to keep looking younger                         tion you have, the more informed
 longer.                                                               image             your choice.                      image
64 IMAGE                                                                                              December / January 2010
                                                                                IMAGE DIRECTORY
      reconstructive plastic/cosmetic surgery
                                                                                                                                                                                                urg
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                                                                                                                                                                                                               urg      i    pa     urg    S                                ctio
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                                                                                                                                                                                                           se S Brow L medi-s Hand S Breast Gyneco tumm Facial FBotox liposu Facelif
                                                                                                                                                                                                                                                                                     t
  Name                                         Address                                             Town                           Phone                                              Eye                 no
  The Plastic Surgery Group, P.C                650 Northern Blvd                                  Great Neck                     516-466-7000                                     3                  3                  3                   3           3             3        3            3                 3              3
  Dr. Mark Illan Silberman / Dr. Gregory DeVita 242 Merrick Rd. Ste. 302                           Rockville Centre               516-536-5858
  Dr. Ian Bourhill                              205 E. Main Street                                 Huntington                     631-424-4026                                     3                  3                  3                               3                      3            3                 3              3
  Dr. James Marotta                             267 E. Main St. Bldg.B                             Smithtown                      631-982-2022                                     3                  3                  3                                                                   3                                3
  Dr. Frederick Lukash                         1129 Northern Blvd. Ste.403                         Manhasset                      516-365-1040                                     3                  3                  3         3         3           3             3        3            3                 3              3
                                               50 E. 69 St.                                        NYC                            212-628-7779
  Dr. Peter Neumann                            One Expressway Plaza Ste.201                        Roslyn Heights                 516-484-0800                                     3                  3                  3                               3                      3            3                 3              3
  Dr. Gregory Diehl                            11 Medical Dr. Ste.B                                Port Jefferson Station         631-476-7300                                     3                  3                  3                   3           3             3        3            3                 3              3
  www.Diehlplasticsurgery.com

  Aesthetic Plastic Surgery                     833 Northern Blvd                                  Great Neck                     516-498-8400                                     3                     3               3           3                   3             3        3            3                 3              3
  Randall S. Feingold, M.D. / Ron Israeli, M.D / Peter T. Korn, M.D.
  Dr. Steven Katz                              107 Woodbury Rd.                                    Huntington                     631-423-9742                                     3                 3               3               3                   3                       3            3                3              3

                                 cosmetic dentistry
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  Name                               Address                                            Town                     Phone                          Porce resto Vene                      wh                     Imp                 Bond invis iBrac Dent Extra child ortho                CT
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Bayside Dental Assn.               611 Northern Blvd.                                  Great Neck                516-487-5500                   3                3                 3                     3                   3           3
Mid-Island Dental Assn.            400 S. Oyster Bay Rd. Ste. 103                      Hicksville                516-933-8600                   3                3                 3                     3                   3           3
Newman Orthodontics                14 Glen Cove Rd.                                    Roslyn Heights            516-626-2060                                                                                                            3                              3
LI Team Implantology               70 Glen Cove Rd.                                    Roslyn Heights            516-621-2323                                                                            3                               3
Dr. Lewis Elson                    600 Northern Blvd. Ste. 206                         Great Neck                516-466-1000                   3                3                 3                     3                   3           3
Progressive Oral Surgery           23 Bond St.                                         Great Neck                516-482-0329                                                                            3                                                 3                        3                  3                 3
                                   601 Franklin Ave. Ste.110                           Garden City               516-741-4415
Dr. Morey Furman                   901 Stewart Ave. Ste. 214                           Garden City               516-745-8086                   3                3                 3                     3                   3           3
Dr. Barry Rozenberg                501 Madison Ave.                                    NYC                       877-863-1222                   3                3                 3                     3                   3           3                                                                                3

                   day spas / salons / resorts
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   Name                                    Address                         Town                    Phone                          Hai                 Hai                    Fac                 Br                       m Pe    Ha            m  Ha         Bo tr     W
  NY Cosmetic Image Center                53A Cutter Mill Road            Great Neck               516-504-4247                  3                3                                               3                                          3
  Rodolfo Valentin                        696 Madison Ave.                NYC                      212-230-1397                  3                3                          3                    3                          3               3         3               3         3                     3
                                          137 Cedarhurst Ave.             Cedarhurst, NY           516-569-0574

                      dermatology /medical spas                                                                                                          id                                                                                            ial
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                                                                                                                                             rgical ts      air al Vein ent nts acial nation          ysis           rasion ent fo isease rrent g
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  Name                                     Address                                  Town                Phone                          Non Fac las rem Spid Trea Bod tre Las Reju            elec          Mic Der tre Ski               Mic Scu
Advanced Laser                             118 Glen Cove Rd.                        Roslyn             516-299-5500                   3                      3                       3                       3                   3                             3
Dr. Michael Belfiore                       2209 Merrick Rd.                         Merrick            877-GR8-FACE                   3                      3                       3                       3                   3                             3               3
Dr. Suzanne Sirota Rozenberg               11 Irving Place                          Woodmere           516-295-5570                   3                      3                       3                       3                   3            3                3               3
Women’s Health & Wellness                  55-15 Little Neck Pkwy.                  Little Neck        718-281-1800                   3                      3                       3                       3                   3                             3
Vita Ageless Medical Aesthetics            1500 Old Northern Blvd.                  Roslyn             516-626-6800                   3                      3                       3                       3                   3                             3
Dr. Kelly O’Malley Mattone                  8 Bond St.                              Great Neck         516-482-2424                   3                                                                                                                        3                                   3
                                                                                                                                      3                      3                       3                       3                   3                             3
Fountain Medical Group                      201 E. 69 St.                           NYC                212-327-1316
                              orthopaedic surgery
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    Name                                Address                         Town                      Phone
  Dr. Elton Strauss                    325 Park Ave.                   Huntington                 631-351-3728                     3                3                        3                    3                  3                   3              3                       3
                                       5 East 98 St.                   NYC                        212-241-1648

                                               podiatry                                                                                                                s                                                                                                                 Pain            Foo
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  Name                                           Address                              Town            Phone                         tme ts                     li        and roblem orts i eriatri are                                          m e co o                                        l Fa are
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Associated Podiatrists of Roslyn                 1514 Old Northern Blvd.                Roslyn         516-484-1420                3                  3                          3                   3                       3               3                     3               3                   3
Associated Podiatrists of Huntington 76 E Main St.                                      Huntington 631-427-3678                    3                  3                          3                   3                       3               3                     3                3                  3
Manhattan Footcare                               347 Fifth Ave.                         NYC            212-629-5090                3                  3                          3                   3                       3               3                     3               3                   3
                                                 52 Duane St.                           NYC            212-349-7676
                                                 133 Smith St.                          Brooklyn       718-330-1117

                                general surgeons
 Name                        Address                                   Town               Phone
Dr. David Samadi            625 Madison Ave.                       NYC                    212-241-8779                          Specialty - Robotic Prostatectomy


                                   fitness/nutrition                                                                                                                                                                                                                                                                          -
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   Name                         Address                                Town                   Phone                     Per trai                 Pila                   aer                Yog                 n                                Ket       Cor Tran                               Kick        Hor me             vita
  Ironworks                     634 Middle Neck Rd.                Great Neck                 516-487-4766                  3                                                                                   3                    3                   3               3                   3
  Sid Jacobson JCC              300 Forest Drive                   East Hills                 516-484-1545                  3               3                  3                     3                          3                    3                                   3                   3
  Dr. Frederic Vagnini          1991 Marcus Ave.                   Lake Success               516-222-2288                                                                                                      3                                                                                                  3              3
                                944 Park Ave.                      NYC                        212-517-2500

                                               To get information on listing your business or service in this directory call 212-IMAGE MAG

				
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