Facelift, cosmetic surgery, and skin care blog from Los Angeles surgeon Dr. David Rahimi

Salt is Bad; No It is Good!

nospam@example.com (David Rahimi) — Tue, 14 May 2013 19:52:17 +0000

02:28 PM ET

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Report questions benefits of salt reduction

Reducing salt consumption below the currently recommended 2,300 milligrams – about 1 1/2 teaspoons– per day maybe unnecessary, according to a new report released Tuesday by the Institute of Medicine (IOM).

The news follows a decades-long push to get Americans to reduce the amount of salt in their diet because of strong links between high sodium consumption and hypertension, a known risk factor for heart disease.

The IOM, at the request of the Centers for Disease Control and Prevention, reviewed recent studies published through 2012 that explored ties between salt consumption and direct health outcomes like cardiovascular disease and death. The organization describes itself as "an independent, nonprofit organization that works outside of government to provide unbiased and authoritative advice to decision makers and the public."

Researchers determined there wasn't enough evidence to say whether lowering salt consumption to levels between 1,500 and 2,300 mg per day could increase or decrease your risk of heart disease and mortality. But lowering sodium intake might adversely affect your health, the panel found.

"These new studies support previous findings that reducing sodium from very high intake levels to moderate levels improves health," said committee chair Brian Strom, the George S. Pepper professor of public health and preventive medicine at the University of Pennsylvania's Perelman School of Medicine. "But they also suggest that lowering sodium intake too much may actually increase a person's risk of some health problems."

Those problems, he said, could include heart attack or death.

The current Dietary Guidelines for Americans recommend that a sub-group of people - anyone older than 51, African Americans, and people with high blood pressure, diabetes or chronic kidney disease - limit their salt intake to 1,500 mg a day.

The IOM committee found no benefit, but possibly a risk of poor health outcomes with lower salt intake in people with these pre-existing conditions, but said that evidence is inconsistent and limited.

"While the current literature provides some evidence for adverse health effects of low sodium intake among individuals with diabetes, CKD (kidney disease), or pre-existing CVD (cardiovascular disease), the evidence on both the benefit and harm is not strong enough to indicate that these subgroups should be treated differently from the general U.S. population," the report said.

"Thus, the committee concluded that the evidence on direct health outcomes does not support recommendations to lower sodium intake within these subgroups to, or even below, 1,500 mg per day."

American adults eat on average 3,400 mg of salt a day, according to the IOM. Groups like the American Heart Association (AHA) support reducing that number. In 2011, the AHA called for a reduction in daily consumption, recommending all Americans eat no more than 1,500 mg a day.

The IOM report, the AHA said Tuesday, does not accurately assess salt impact on health. "While the American Heart Association commends the IOM for taking on the challenging topic of sodium consumption, we disagree with key conclusions," said the association's CEO, Nancy Brown. "The report is missing a critical component – a comprehensive review of well-established evidence which links too much sodium to high blood pressure and heart disease."

The Salt Institute says it welcomes the IOM study, calling it a major breakthrough in the salt debate.

"This whole thing has been blood pressure-driven and this study finally looks at overall health outcomes," said Morton Satin, vice president of science and research for the institute.

"The study makes it very, very clear that the level of 1,500 mg that has been recommended in the dietary guidelines is not warranted, despite this full-throated cry for these levels by some organizations ... We hope this is the opening of the much broader review of the available evidence and a devotion to ensuring that our guidelines reflect the science."

The IOM panel was not asked to make recommendations on what a healthy range should be. It says more research is needed to help shed light on how lower sodium levels affect health in all Americans.

On Monday, the Center For Science In The Public Interest published results of a new investigation on what they call the food industry's failed efforts to reduce sodium levels in pre-packaged and restaurant foods. It called for phased-in limits in an effort to prevent heart disease. The group tracked nearly 500 food products between 2005 and 2011.

"The strategy of relying on the food industry to voluntarily reduce sodium has proven to be a public health disaster," said CSPI executive director Michael F. Jacobson. "Inaction on the part of industry and the federal government is condemning too many Americans to entirely preventable heart attacks, strokes, and deaths each year."

Salt is Bad; No It is Good!

nospam@example.com (David Rahimi) — Tue, 14 May 2013 19:52:17 +0000

02:28 PM ET

Share this on:

Report questions benefits of salt reduction

Those problems, he said, could include heart attack or death.

"Thus, the committee concluded that the evidence on direct health outcomes does not support recommendations to lower sodium intake within these subgroups to, or even below, 1,500 mg per day."

The Salt Institute says it welcomes the IOM study, calling it a major breakthrough in the salt debate.

"This whole thing has been blood pressure-driven and this study finally looks at overall health outcomes," said Morton Satin, vice president of science and research for the institute.

The IOM panel was not asked to make recommendations on what a healthy range should be. It says more research is needed to help shed light on how lower sodium levels affect health in all Americans.

Post by: Saundra Young - CNN Medical Senior Producer
Filed under: Cancer • Conditions • Healthy Eating • Hypertension • Living Well

Acne Scarring: We offer 3 Lasers; 3 Wavelenghts.

nospam@example.com (David Rahimi) — Wed, 06 Mar 2013 20:54:31 +0000

In addition to Mixto fractional co2 laser wi have 2 other wavelengh lasers for the treatment of active acne and acne scarring.

Comparison of a 1450-nm diode laser and a 1320-nm Nd:YAG laser in the treatment of atrophic facial scars: a prospective clinical and histologic study.

Tanzi EL, Alster TS.

Source

Washington Institute of Dermatologic Laser Surgery, Washington, DC, USA.

Abstract

BACKGROUND:

Atrophic scar revision techniques, although numerous, have been hampered by inadequate clinical responses and prolonged postoperative recovery periods. Nonablative laser treatment has been shown to effect significant dermal collagen remodeling with minimal posttreatment sequelae. Although many studies have been published regarding the effectiveness of these nonablative lasers on rhytides, there are limited data demonstrating their specific effects on atrophic scars.

OBJECTIVE:

To evaluate and compare the efficacy and safety of long-pulsed 1320-nm Nd:YAG and 1450-nm diode lasers in the treatment of atrophic facial scarring.

METHODS:

A series of 20 patients (skin phototypes I-V) with mild to moderate atrophic facial acne scars randomly received three successive monthly treatments with a long-pulsed 1320-nm Nd:YAG laser on one facial half and a long-pulsed 1450-nm diode laser on the contralateral facial half. Patients were evaluated using digital photography and three-dimensional in vivo microtopography measurements at each treatment visit and at 1, 3, 6, and 12 months postoperatively. Histologic evaluations of cutaneous biopsies obtained before treatment, immediately after the first treatment, and at 1, 3, 6, and 12 months after the third treatment were performed. Clinical assessment scores were determined at each treatment session and follow-up visit. Patient satisfaction surveys were obtained at the end of the study.

RESULTS:

Mild to moderate clinical improvement was observed after the series of three treatments in the majority of patients studied. Patient satisfaction scores and in vivo microtopography measurements paralleled the photographic and histopathologic changes seen. Side effects of treatment were limited to mild transient erythema, edema, and hyperpigmentation. No scarring or adverse textural changes resulted from the use of either laser system.

CONCLUSIONS:

Nonablative long-pulsed 1320-nm Nd:YAG and 1450-nm diode lasers each offer clinical improvement for patients with atrophic scarring without significant side effects or complications. The 1450-nm diode laser showed greater clinical scar response at the parameters studied. The use of nonablative laser systems is a good treatment alternative for patients with atrophic scarring who are unable or unwilling to endure the prolonged postoperative recovery process associated with ablative laser skin resurfacing procedures.

PMID:: 14756642; [PubMed - indexed for MEDLINE]

Smart Lipo at Forever Young, Inc.

nospam@example.com (David Rahimi) — Wed, 06 Mar 2013 19:47:03 +0000

We are now offering Smart Lipo laser treatments for as low as $2500!

Upper and lower abdomen and flanks are usually $7000. For a limited time we can offer Smartlipo of the abdomen and flanks for $5000. This includes blood work, Garment and light oral sedation. Please contact us for a free consultaion.

http://www.smartlipocynosure.com/

Why Smartlipo Triplex™?

Tighter Skin

Smartlipo Triplex™ allows more complete melting of the fat using advanced MultiPlex (MPX) laser techniques, in which two wavelengths of laser energy are used for not only superior sculpting of the fat, but also, the biggest advancement in liposuction surgery-skin tightening. The MPX Smartlipo Triplex™ is unique in that it gives Dr. Petti the opportunity to focus on skin tightening following fat reduction, and this produces smoother, more natural and superior aesthetic results.

Minimal Recovery Time

Smartlipo Triplex™ can be done under local anesthesia, and therefore patients are ambulatory following the procedure, with no downtime. In fact, it would be more accurate to describe Smartlipo Triplex™ under local anesthesia, as being associated with "up" time! This has been very rewarding for the patients, Dr. Petti and her staff.

Minimally Invasive

The Smartlipo Triplex™ is a minimally-invasive laser surgical technique, performed by using a smaller-than-a-fine-point-pen fiber optic laser. Therefore, the entry points in the skin are very small and leave an inconspicuous scar. The laser wavelengths close down the blood vessels, so the result is associated with not only minimal surgical trauma, but also minimal bruising, swelling and resultant quick recovery. There is minimal discomfort, and Dr. Petti's patients often tell her that they did not need to take any pain medications the evening of surgery. The Smartlipo Triplex™ patients that have local anesthesia can drive the next day if they are off of pain medications, and can return to their normal daily activities in one to two days after surgery, depending on each individual patient.

Dr. Petti and her patients live by her motto, "What a difference a day of Smartlipo Triplex™ can make!", since many of them are at or near their ideal body weight and have spent a lifetime dreaming of making the change that her Smartlipo Triplex™ procedure creates-in hours.

Targets Unwanted Pockets of Fat

Smartlipo Triplex™ can also be used to treat larger areas of fat accumulation, or multiple areas of fatty deposits. However, in these cases the patient may need to have general anesthesia. It is normal in these patients for the recovery to be longer. Some patients may prefer to have several areas treated at one surgical setting. These patients are done in her private, ambulatory plastic surgery center under the guidance and supervision of board-certified and experienced anesthesiologists.

A Journey Through Smartlipo Triplex™ MPX™

Fasting Diets , 5:2 Diets - do they work? Are they healthy?

nospam@example.com (David Rahimi) — Wed, 06 Mar 2013 19:39:50 +0000

Great article that shows that these types of diets don't work and may pose health risks.

'Fasting diet' fad could be unhealthy, nutritionists say

By Rachael Rettner

Published March 06, 2013

MyHealthNewsDaily

The latest diet craze claims to help people lose weight through intermittent fasting, but some nutritionists say it's a bad idea.

People on the so-called "5:2 diet" can eat whatever they want for five days a week, but must then fast for two. On the fasting days, dieters must eat one-fourth of their typical daily calories, about 500 calories for women and 600 for men.

A book about the diet, called "The Fast Diet," is already a hit in England, and was released last week in the United States. The book's author, Dr. Michael Mosley, says he lost 20 pounds on the diet last year, and others are singing its praises. One of the diet's followers told ABC News she lost 36 pounds and now has a smaller appetite on the days when she doesn't have to fast.

While it's true that consuming fewer calories than you burn will result in weight loss, nutritionists have concerns that the diet will lead to unhealthy eating.

Studies also show that people tend not to stick with diets that require fasting, said Katherine Tallmadge, a dietitian and the author of "Diet Simple" (LifeLine Press, 2011). "It's not something I would advocate, because I don’t think it's sustainable."

In her practice, Tallmadge has observed that clients who restrict their calories for five days a week still won't lose weight if they splurge on the other two days.

"My experience has been that [this] way of eating does not produce weight loss even in the short term," Tallmadge said.

Tallmadge also said that some susceptible people might develop eating disorders while on the diet, and engage in starvation, binging or both.

Mosley told ABC News that there's no proof the diet causes eating disorders. But he says the diet is not for people who already have an eating disorder, who have Type 1 diabetes, are pregnant or are younger than 18.

On the plus side, the diet may help people pay more attention to what they eat on a normal day, Mangieri said. Whether they're dieting or not, people should try to eat healthfully and incorporate a variety of foods into their diet, including fruits, vegetables, lean protein, whole grains and low-fat dairy, Mangieri said.

Forever Young, Inc. featured in "The Beauty Magazine"

nospam@example.com (David Rahimi) — Thu, 28 Feb 2013 17:14:39 +0000

The Film Crew from “The Beauty Magazine” was at our office all day yesterday. They conducted an interview with me and videotaped an African American patient being treated with the Clear and brilliant Permea laser. This revolutionary laser is safe and effective in patients with darker skin color. It significantly reduces fine lines, brown spots, and even tones and tightens large pores. Best of all; there is virtually no down time. Most patients will be able to resume their normal activities the next day.

Please look for us in the next print version of the Magazine. I will also post the video interview as it becomes available on their website.

Thank you.

http://www.solta.com/brands/clear-and-brilliant

A. David Rahimi, MD, FAAD, FAACS.

www.foreveryoung.net

Pearly Penile Papules (PPP)

nospam@example.com (David Rahimi) — Thu, 21 Feb 2013 19:13:35 +0000

I have been practicing dermatology and Cosmetic surgery since 1994. Several times a month I see a young man in my office for evaluation of penile lesions. You can see the pain in their eyes. Most have benign growth or warts. Some have this lesser known condition called Pearly penile Papules (PPP).

Most of these patients complain of spots on the penis that have been there for a long time and are now becoming bothersome. Some of my patients are not aware of the benign nature of PPP and believe that they have contracted a sexually transmitted disease. Other patients are aware of the diagnosis but have been told again and again that there is no cure and nothing that can be done for them.

PPP can actually be treated with a combination of surgery and CO2 laser. The white bumps of skin aligning around the corona of the penis are removed using sterile instruments. The base of the lesions are then treated using a fractionated CO2 laser. Scarring is minimal and downtime is 3 to 5 days. This is all done under local anesthesia with or without light oral sedation.

Please e mail me and I can send you “before” and ‘after” photographs of patients who had their PPP successfully treated by me.

Don’t permit a benign Cosmetic condition ruin your sex and social life.

Afshinrahimi@yahoo.com

Yours,

Dr. David R.

Westlake Laser and Aesthetics

nospam@example.com (David Rahimi) — Mon, 11 Feb 2013 21:33:27 +0000

Stem Cell Fat Transfer and Needling for the treatment of deep lines and acne scars

now available at Forever Young Inc. and now also at Westlake Laser and Aesthetics

3825 East Thousand Oaks Blvd Suite R

Westlake Village , CA 91362

www.laserandaesthetics.com

Spinning the fat using the Coleman centrifuge allows more dense and compacted

fat to be placed deep into the dermis and lower epidermal layer. The fat is placed after subsicion

and using blunt-tipped 16 and 18 gauge Coleman needles.

A certain percentage of this living "Graft" will establish a micro-circulation and "take" after about 2 weeks.

PRP and micro-droplet techniques help increase the percentage of the fat that will survive the implantation.

The concentrated fat is mixed with PRP (plasma Rich Platelets) and Autologous stem cells.

About 60 cc of the patients blood are centrifuged using the Harvest System.

This results in 2-3 cc of PRP and stem cell that can be used in a variety of ways.

Please visist our Facebook site for more videos and information on PRP and Stem Cell Fat Transfer.

Recovery 3 days to 7 days

Cost: $1500 to $3500

A. David Rahimi,MD,FAAD,FAACS.

Courtney Cox discusses getting Ultherapy on ET

nospam@example.com (David Rahimi) — Thu, 07 Feb 2013 15:37:02 +0000

The wait is over! The Entertainment Tonight (ET) clip is now available for viewing and sharing: http://www.ultherapy.com/Ultrasound-Skin-Tightening-News

Get red carpert ready at Forever Young, Inc.

Great Article in Huffington Post on Fat Transfer

nospam@example.com (David Rahimi) — Wed, 30 Jan 2013 16:45:37 +0000

Fat Injections More Popular Cosmetic Surgery Procedure Than Liposuction

PA | Posted: 28/01/2013 07:56 GMT | Updated: 28/01/2013 09:37 GMT

Fat injections have become more popular than liposuction, new figures show.

The number of women who are transferring fat from one part of the body, such as the hips or thighs, to areas that have lost plumpness through age, including the face or hands, has increased by 13% in just one year.

Meanwhile, the number of women who had lipo has reduced by 14%, according to data from the British Association of Aesthetic Plastic Surgeons (Baaps).

A total of 2,641 women underwent a "fat transfer" procedure last year, making it the seventh most popular cosmetic surgery conducted by Baaps members.

Meanwhile, liposuction has dropped to eighth place.

Even though anti-ageing procedures are becoming increasingly popular, boob jobs still top the charts for the most common cosmetic surgeries - almost 10,000 women had breast augmentation in 2012.

LIKE HUFFPOST UK LIFESTYLE ON FACEBOOK | FOLLOW US ON TWITTER

Of the 43,172 surgical procedures carried out by Baaps members last year, one in 10 were conducted on men.

The most popular procedures for men were nose jobs, eyelid surgery and breast reduction.

Rajiv Grover, consultant plastic surgeon and Baaps president, said: "The growth rates for surgical facelifting and other anti-ageing procedures showed a double-digit rise, despite a double-dip recession.

"Interestingly, for the first time we see a greater number of women having procedures to re-insert fat - known as fat transfer, to add volume to the face - than to remove it, in the form of liposuction."

Please read about our PRP Fat Transfer and Laser Liposuction under "procedures"

Thank you

A. David Rahimi,MD,FAAD,FAACS

PRP and Dermaroller- facial rejuvenation

nospam@example.com (David Rahimi) — Wed, 30 Jan 2013 00:13:40 +0000

Forever Young, Inc. and Dr. A. David Rahimi are proud to offer:

PRP and Dermaroller Facial Rejuvenation.

PRP and Dermaroller for facial rejuvenation and removal of fine lines:

Platelet Rich Plasma (PRP) has been used in Medicine for many years. More recently it has gained widespread applications in facial and body rejuvenation. The treatment is ideal for individuals looking for gradual but noticeable improvement in skin texture, tone, and color with minimal or no significant recovery time.

This novel process uses the body’s own healing power and offers incredible skin rejuvenation. Platelets and various growth factors in your blood are harvested and concentrated. The freshly prepared concentrate is applied to the skin followed by the application of 0.5mm Dermarollers. The procedure takes about 30 minutes and is performed by Dr. David Rahimi.

The applied growth factors and platelets stimulate proliferation of fibroblasts and keratinocytes, which produce collagen and keratin. PDGF have a significant role in blood vessel formation, the cellular division of fibroblasts (the most common cells in connective tissue), and in synthesizing collagen and the extracellular matrix, including hyaluronic acid.

Collagen production has been attributed to helping correct the visible effects of wrinkles. Hyaluronic acid has been shown to increase skin tone and volume providing a more youthful appearance.

Consultation: Free

Procedure last about 30 minutes

Cost: $750

2 to 3 sessions over 3 months are recommended

Also ask Dr. David Rahimi about PRP and Stem Cell Fat Transfer for volume repletion and filling of the nasolabial folds and lips.

Announcing Our New Satellite Office Location

nospam@example.com (David Rahimi) — Thu, 29 Nov 2012 17:06:49 +0000

We are proud to announce the addition of a Satellite office in Beverly Hills CA.

Dr. David Rahimi will schedule and see private consultations in his new Beverly Hills Location:

435 North Roxbury Avenue #104

Beverly Hills CA 90210

Please call our office and ask about the option of being seen in Beverly Hills for your free Cosmetic Consultation

Thank you

Zonya Villatoro

(Office manager- Forever Young, Inc.)

50 is the new 40!

nospam@example.com (David Rahimi) — Thu, 29 Nov 2012 17:01:15 +0000

People live well into their 80s and 90s and are active and productive too!

I believe in balanced diet that includes fat, chocolate, greasy foods as well as pro-biotic yoghurt and salads. Everything in moderation. Top it off with a little exercise and common sense (don’t text while driving) and with some luck one can live a long and healthy life.

We, at Forever Young, Inc, will do the rest and make you look 10 to 15 years younger:

Check out our Holiday specials and read about our affordable non-invasive procedures:

Ultherapy (Ulthera face and Neck/Eye lift)

Coolsculpting (Freeze away unwanted fat)

Cooltouch laser (Acne and Acne scarring)

Cool-lipo (laser liposuction to remove unwanted inches and tighten the skin)

Clear and Brilliant Laser

Permea Laser

IPL Photofacial

Diolite Laser for brown spots and blood vessels

Thermage (Thermacool) CPT

This is only a sample of the 15 laser and Light sources we offer)

www.foreveryoung.net

www.ulthercenter.com

www.tuliplift.com

Age Bias and Cosmetic Surgery- I see it every week!

nospam@example.com (David Rahimi) — Tue, 27 Nov 2012 18:35:39 +0000

Special Report: Silicon Valley's dirty secret - age bias

»

By Sarah McBride

SAN FRANCISCO | Tue Nov 27, 2012 11:27am EST

SAN FRANCISCO (Reuters) - When Randy Adams, 60, was looking for a chief-executive officer job in Silicon Valley last year, he got turned down from position after position that he thought he was going to nail — only to see much younger, less-experienced men win out.

Finally, before heading into his next interview, he shaved off his gray hair and traded in his loafers for a pair of Converse sneakers. The board hired him.

"I don't think I would have been able to get this CEO job if I hadn't shaved my head," says Adams, who has founded eight venture-backed companies. He is now chairman of the company that hired him, mobile conference-call service Socialdial, and is fundraising for a new business. Adams has supplemented his makeover by trading in his button-down shirts for T-shirts, making sure he owns the latest gadgets, and getting an eyelid lift.

Such are the pressures in Silicon Valley, where the start-up ethos extols fresh ideas and young programmers willing to toil through the night. Chief executives in their 20s, led by Facebook founder Mark Zuckerberg, are lionized, in part because of their youth. Many investors state bluntly that they prefer to see people under 40 in charge.

Yet the youth worship undercuts another of Silicon Valley's cherished ideals: that anyone smart and driven can get ahead in what the industry likes to think of as an egalitarian culture. To many, it looks like simple age discrimination - and it's affecting people who wouldn't fit any normal definition of old.

"I don't think in the outside world, outside tech, anyone in their 40s would think age discrimination was happening to them," says Cliff Palefsky, a San Francisco employment attorney who has fielded age-discrimination inquiries from people in their early 40s. But they feel it in the Bay Area, he said, and it's "100 percent due to the new, young, tech start-up mindset."

Regional data on age discrimination are hard to come by, making it hard to establish precisely how Silicon Valley stacks up against other parts of the United States.

Of the 18,335 employment cases filed in 2010 with California's Department of Fair Employment and Housing, one-fifth cited age. That puts age below retaliation as a discrimination claim, but above racial discrimination, sexual harassment, and sexual orientation.

Nationally, retaliation is also the most frequently cited discrimination claim, according to the federal Equal Opportunity Employment Commission. But age comes much lower down on the national list, below race, sex, and disability.

The federal agency says age is cited in 26 percent of total complaints in California, compared to 22 percent in New York and 21 percent in Texas. Among large states, Illinois had the highest ratio of age-related complaints, at 37 percent.

WUNDERKIND WANTED

Some technology recruiters say unequivocally they see bias at work. Marta Fuentealba, a principal at start-up specialist Talent Farm, says she's encountered it many times.

She recalls a meeting at a software company a few years ago, when the human-resources executive told her he would like to find somebody "around age 26 or so" to fill a job. An age requirement along those lines would violate both state and federal laws on discrimination, California labor lawyers say.

"You mean, somebody less jaded?" Fuentealba recalls asking, hoping to jolt the executive back into legal territory. "And he said, ‘No, I mean somebody young, probably no older than 26.'" Back at the office, she sent the executive resumes from a variety of candidates.

Jeff Spirer, a 61-year-old technology marketing and strategy veteran, landed a new job in October after a stint doing part-time consulting. It was a tough search. He recalls the follow-up after a long phone interview at a small online-surveys company last year.

The hiring manager asked Spirer to come in for an interview with the chief executive, who was in his 20s. When Spirer walked into the room, the CEO looked at him, said something had come up unexpectedly, and left.

The interview never got rescheduled, and a younger candidate eventually got the job. Spirer cannot say for sure, but he thinks the CEO was taken aback to see somebody with wrinkles. "What other conclusion can I draw?" asks Spirer.

Age discrimination is notoriously difficult to prove. Lawyers say they typically do not have smoking guns such as emails saying the candidate or employee is too old, and need to be able to show through other methods such as statistics that the company is making employment decisions based on age.

In some cases, there are reasons other than bias for preferring younger workers in a startup setting. People with young children can be strapped for time and less able to work long, late hours. Younger workers are more likely to be expert in the newest software programming protocols. Young entrepreneurs, like many others, often move instinctively in hiring from the cohort of those they know.

Yet there are some indications that age bias is now part of the culture in Silicon Valley -especially visible in what Adams of Socialdial calls the "cachet of the young entrepreneur."

When young executives like Zuckerberg are successful, their age often gets a lot of attention. Successful older entrepreneurs, on the other hand, take pride in every aspect of their accomplishments - except their age.

When the software company Workday went public last month and raised $637 million, little attention was paid to the fact that co-founder and co-CEO David Duffield is 72.

Sandy Kurtzig founded Ask Computer Systems and its manufacturing software program, Manman, and saw the company through a stock-market listing in 1981. Now, she has raised $10.5 million from Kleiner Perkins Caufield & Byers and others for her new software company, Kenandy. She says she is in her 60s and leaves it at that, explaining, "I don't want to advertise it."

'ENTHUSIASTIC FAN'

Investors, in contrast to employers, are not subject to discrimination laws when deciding whom to fund. And they are among the most outspoken in declaring their age preferences.

"I am just an incredibly enthusiastic fan of very talented 20-somethings starting companies," Sequoia Capital's Mike Moritz, 58 years old and a top VC, once said at a conference, echoing similar comments he has made over the years. "They have great passion. They don't have distractions like families and children and other things that get in the way of business." He was 49 at the time.

"Unfortunately, I don't think the quote you have selected is very representative of what I think," Moritz said in an email. He declined to elaborate.

Khosla Ventures' Vinod Khosla, 57, told conference goers last year that "people over 45 basically die in terms of new ideas."

Khosla says the line came in the context of a talk where he was discussing the fear many older people have of failure, contrasted with many younger people's experimental bent. "I was encouraging people to try new things that go against conventional wisdom," he says.

Khosla Ventures invests in several companies with over-45 leaders, including Nu-Tek Salt LLC and its CEO, Tom Manuel.

Some venture capitalists extend their appreciation of youth to their own partnerships. In June, Benchmark Capital's Peter Fenton, 40, told a group of journalists that Benchmark strives to keep the average age of its most-active partners under 40 to better relate to young entrepreneurs.

Fenton says he is not ageist, arguing that there is a well-documented relationship between youth and creativity. As for partners such as himself who hit 40, "we have a discipline to try and stay young," he says. "Young at mind."

Mark Zuckerberg himself once told a class at startup-funding firm Y Combinator that hiring only young people with technical expertise was the best way to found a successful company. "Young people are just smarter," he said. Zuckerberg was 22 at the time. Through a spokeswoman, he declined to comment.

Yet there is little evidence to support the idea that young people are intrinsically more likely to thrive as entrepreneurs.

Fluid intelligence, which allows people to think logically and solve problems, does deteriorate with age, behavioral scientists say. But another type of intelligence known as crystallized intelligence, the ability to tap into experience and amassed knowledge, improves somewhat until about age 65.

The conventional wisdom about young people being more focused on work is itself a stereotype, older executives say.

TIRED OLD MYTHS

"I have more time than a 35-year-old with a newborn," says Spirer, the marketing veteran. "And I'm more available. Judgments are made on age-related stuff without thinking it through."

Laurie McCann, an attorney with retiree lobby AARP, says the technology sector's obsession with fresh ideas and long hours leads people to fall back on easy assumptions about age.

"That older people can't work that fast," she says. "That they can't think on their feet in order to come up with the ideas." Further assumptions include inability to change on the part of older employees, or to get along with younger people.

Other fields, such as law, education or healthcare, also value creativity and hard work, she says, but less so than a track record. "Any field where experience is valued, I think you're going to find less instance of discrimination," she says.

Silicon Valley veterans try to adapt as best they can. Adams of Socialdial ticks off a list of faux pas that he believes peg older jobseekers as outsiders. "You can't have an AOL email," he says. "That's horrible. A Gmail address is okay. What's really cool is an email with your name on it," as part of the domain.

In person, older job applicants should carry a backpack, not a briefcase, he says. Avoid Blackberries and Dell laptops in favor of Android phones and Apple products. And above all, steer clear of wristwatches, which most younger people have replaced with the clocks on their phones. "The worst would be a gold Rolex," he says. "Tacky, and old."

Some recommend dressing young. For her first interview at Facebook, 40-something market researcher Sally Sadosky headed to a boutique popular with women 20 years her junior for advice on "something to look hip" and "blend in."

She ditched her tailored pants and blouses for a dress, tights, and biker boots. She then got second and third interviews and had to come up with more hipster outfits. "I was beginning to sweat," she recalls. She eventually got the position.

Adams recommends getting rid of gray hair, either through dyes or through shaving, as he did. He also believes in treating wrinkles or other skin-related signs of age. A few years ago, he underwent an eyelid lift to reduce sagging above his eyes.

The cosmetic surgery route seems increasingly common among the men of Silicon Valley. Roy Hong, chairman of the Palo Alto Medical Foundation's plastic surgery department, says men represented 14 percent of his customers last year, up from 9 percent a decade ago.

Still, the scalpel is where some draw the line. Spirer complains that his friend Adams, buoyed by eye-surgery success, is hounding him to undergo a similar procedure for a more youthful image and enhanced job prospects.

No go. "I'm Jewish," Spirer says. "I've had bags under my eyes since I was 25."

(Reporting By Sarah McBride; Editing by Jonathan Weber and Michael Williams)

Ultherapy seems to help deep acne scars.

nospam@example.com (David Rahimi) — Sat, 10 Nov 2012 20:23:16 +0000

Over the last few months have noticed a very interesting phenomenon. I have been treating several patients with deep acne scarring (atrophic and box-car type acne scarring) with Ultherapy. These were patients who had sun damage and actinic damage and were doing the Ultherapy to get a face and neck lift. I am hearing from all of them that their acne scars have significantly improved as well.

I will start an in-formal study and treat several patients who suffer from deep acne scars with Ultherapy alone and with a combination of Ultherapy and Mixto fractional CO 2 laser and report back to you.

This could be a promising adjunctive therapy for people suffering from extensive acne scarring.

http://www.youtube.com/watch?v=ogoyeUr941Y

and

https://www.facebook.com/pages/How-To-Treat-Acne-Scarring/187751721248937?ref=hl

A. David Rahimi,MD,FAAD,FAACS