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

Men on a job search turning to cosmetic surgeons

nospam@example.com (David Rahimi) — Wed, 02 May 2012 22:28:28 +0000

I highly suggest Thermage and Ulthera for my professional male patients.

Here is an interesting article regarding cosmetic surgery in Men.

Posted 2:00PM 05/12/10 Posted under: healthcare

The Great Recession not only hit industries like retail and construction hard, it also knocked a lot of men who are in their prime earning years out of the workforce. And to help get an edge in their job searches, more men are turning to cosmetic surgeons.

One in five men ages 25 to 54 are on a job search, according to Larry Summers, President Obama's economic adviser.During an April event held by the Center for American Progress on the American worker, Summers predicted that "when the economy recovers, five years from now, assuming we return to normal cyclical conditions, one in six men who are 25 to 54 will not be working at any point in time."

It's not surprising, then, that in order to compete in this tough hiring environment, men are doing all they can to get a leg up on the competition -- even turning to cosmetic procedures. In 2009, men had more than 900,000 cosmetic procedures, a jump of 8% from 2008, according to a study from the American Society for Aesthetic Plastic Surgery (ASAPS). During that same period, the overall number of cosmetic procedures dipped by 2%.

"While men remain a minority of cosmetic plastic surgery patients, the recent recession has pushed more and more older men to consider plastic surgery as a way to help compete for jobs with their younger counterparts," says Dr. Anthony Youn, a board certified plastic surgeon based in Michigan. "They say you're only as young as you look, and many men are taking this literally."

According to ASAPS and the American Academy of Facial Plastic and Reconstructive Surgery, here are five of the hottest cosmetic procedures for men:

Thinning the middle
Liposuction topped the list of cosmetic surgery procedures. Done right, it can take away years by targeting those exercise-resistant areas like the love handles, stomach and chest. Because the incisions these days are small, there is minimal scarring and less downtime than before, said Youn. But, he cautioned, "This is still surgery and can be painful. When overdone, it can create unnatural-appearing lumps and dents. Almost any doctor can buy a liposuction machine and some are creating some pretty terrible results with it."

The price starts at $3,000.

Thickening the top
Nothing ages a man more than developing a bald spot. Luckily, new hair transplant techniques, in which follicular units of one to three hairs that naturally occur in the scalp are grafted, offer very natural looking results. There is also minimal scarring, and recovery is just a few days, said Dr. Jack Fisher, a board certified plastic surgeon practicing in Tennessee.

The downsides: The amount of donor hair can limit how much can be replaced, and, frankly, it's hard to hide a new head of hair.

In addition, the surgery starts at $5,000.

Lifting the eyes
As men age, their eyes start to look "tired." Today's eyelid lift can tighten the skin with little scarring and a downtime of only five days. Using a blepharoplasty with an incision on the inside of the lid, surgeons like Dr. Andrew Jacono, a dual board certified facial plastic and reconstructive surgeon based in Manhattan, borrows the natural fat from the eyelid to fill in the dark areas underneath the eyes.

Results last up to 10 years with no touch-ups or follow-ups. This will take a $7,000 bite out of your wallet.

Relaxing the face
Use of the nerve-freezing Botulinum Toxin Type A (Botox and Dysport) increased by 14.5%. Men are clamoring for it, because it makes the upper part of the face appear more youthful within a few days of a visit.

"Softening wrinkles with Botox goes a long way in helping project an image of strength and vitality," said Dr. Alexander Rivkin, founder of Westside Aesthetics in Los Angeles and Malibu. "When done correctly, the changes appear natural."

But the perks of no recovery time and no scarring come at a price.

Each procedure to smooth out the forehead and crow's feet can run $500 and must be repeated every four to six months.

Filling the face
Losing volume in areas like the eyes and cheeks is another sure sign of aging. To combat Father Time in the central cheek area under the eye, Rivkin likes to inject Radiesse ($800), a wrinkle filler. In 10 minutes, the round, youthful-looking cheeks are restored, and the patient is good to go for almost a year.

Juvederm is another popular filler for smile lines, lips and under the eyes. Rivkin likes how Juvederm doesn't cause any bumps or contouring imperfections when injected in the delicate tear trough crescent of the eye. "The other advantages is it lasts for a very long time (4 years or more) and it's reversible via an injection of an enzyme that dissolves the material within a day," he explained.

The cost: $1,100.

Topical Botox becoming a reality...

nospam@example.com (David Rahimi) — Tue, 01 May 2012 19:18:22 +0000

Topical Botulinum Toxin Will Turn Market 'Upside Down'

By: BRUCE JANCIN, Skin & Allergy News Digital Network

04/26/12

EXPERT ANALYSIS FROM THE SDEF HAWAII DERMATOLOGY SEMINAR

WAIKOLOA, HAWAII – Topically applied botulinum toxin type A may no longer be a pipe dream, as it is now likely full speed ahead for proposed phase III trials of the agent.

The completed phase II program consisted of 11 clinical studies in which 553 patients had their lateral canthal lines treated with the investigational topical product known for now as RT001, under development by Revance Therapeutics. The results were highly impressive, according to Dr. Alastair Carruthers, a dermatologist at the University of British Columbia, Vancouver.

Dr. Alastair Carruthers: "Watch out for topical botulinum toxin. I think Revance is going to turn the neurotoxin market upside down."

"Watch out for topical botulinum toxin. I think Revance is going to turn the neurotoxin market upside down," he predicted at the Hawaii Dermatology Seminar, sponsored by Skin Disease Education Foundation (SDEF).

Revance has developed a proprietary platform that enables transcutaneous flux of large medicinal payloads. The company has reported successful proof-of-concept studies for topically delivered insulin, growth factors, and numerous other macromolecules with applications in fields ranging from cardiovascular disease to cancer. But it’s the topical botulinum toxin project that has captured Dr. Carruthers’ attention.

"Their technology enables you to get the neurotoxin across intact skin, which is something I never thought that we would see. But it really works," he said.

No significant adverse events occurred in the phase II studies. There was no evidence of diffusion of neurotoxin away from the target muscle, and no effect upon the cranial nerves, he said. Laboratory monitoring and ECGs did not yield any evidence of systemic exposure.

The median duration of therapeutic effect was 113 days. The response rate was up to 89% based upon a stringent composite end point requiring a 2-point improvement as assessed independently by investigator and patient, he said.

The key to this technology is a synthetic peptide carrier which contains protein transduction domains and a backbone core that attaches to the neurotoxin molecule. This peptide carrier can be set to achieve different depths of penetration.

The proposed commercial product that will undergo phase III testing entails mixing the viscous topical gel in a one-step applicator, which is then used in treating the lateral canthal lines. The mixing and application takes only a couple of minutes. The gel is left on for perhaps 30 minutes – the optimal time is yet to be determined – and then removed with a proprietary cleanser.

Dr. Carruthers said that as many know, increasing competition has arrived among the manufacturers of the three Food and Drug Administration–approved injectable botulinum toxin type A products.

"I doubt that the battle, such as it is, will be fought on intellectual, scientific issues. I think it will be fought based upon cost, marketing, and other intangibles," he predicted.

Brand loyalty, company sponsorship of medical education, appeals to nationalism – one manufacturer is U.S.-based, the others German and French – these are the sorts of issues he expects to see brought forth.

The Chin is In: Augmentaion Skyrocket

nospam@example.com (David Rahimi) — Thu, 26 Apr 2012 19:20:28 +0000

Radiesse, Juvederm, Restylane, Perlane, and implanted fat can restore a youthful chin.

Publish date: Apr 26, 2012
By: Paul Gillette
Source: Cosmetic Surgery Times E-News

Arlington Heights, Ill. — Chin augmentation is by far the fastest-growing plastic surgery trend among all major demographics, according to newly released statistics from the American Society of Plastic Surgeons.

The society reports that chin augmentations grew more in 2011 than breast augmentations, Botox (onabotulinumtoxinA, Allergan) injections and liposuction combined. The increase appears to be due to increased use of video chat technology, the aging baby boomer population and a desire for workplace success, the society suggests.

Chin augmentation saw an overall increase of 71 percent among all demographics. The highest increases were among people ages 40 to 54, 77 percent increase; men of all ages, 76 percent; and people age 55 and over, 70 percent. In comparison, lip augmentation procedures rose 49 percent and cheek implants increased 47 percent.

"The chin and jawline are among the first areas to show signs of aging. People are considering chin augmentation as a way to restore their youthful look just like a facelift or eyelid surgery," said ASPS President Malcolm Z. Roth, M.D. "We also know that as more people see themselves on video chat technology, they may notice that their jawline is not as sharp as they want it to be. Chin implants can make a dramatic difference."

Plastic surgery increasingly is a couples activity

nospam@example.com (David Rahimi) — Thu, 19 Apr 2012 19:55:41 +0000

When one has work done, the partner may say, 'Looks good, babe. Maybe I'll …'

More couples are choosing to nip and tuck in the quest to beat time. (Alex Nabaum / For The Times / April 13, 2012)

By Susan Carpenter Los Angeles Times

April 15, 2012

When Margaret first met her boyfriend, she weighed 105 pounds and wore short crop tops. But after 13 years together, the 55-year-old retiree from Torrance developed a "muffin top" that she just couldn't eliminate.

So she did what so many other women do to get their bodies back: She had lipoplasty on her waist, hips and upper and lower abdomen in September. One week later, her boyfriend had lipoplasty for himself.

"He hadn't thought about getting anything done, but after hearing how I would look afterward, he decided he should probably go ahead and have a little something done too," said Margaret, who asked that her last name not be used for privacy reasons.

The couple represents a growing trend. Although neither the American Society of Aesthetic Plastic Surgery nor the American Society of Plastic Surgeons keeps statistics, representatives for both groups say there is anecdotal evidence that more couples are having cosmetic surgery together.

The trend is a corollary to the increase in recent years of cosmetic procedures performed on men, who now account for 9% of the total.

"It's a male ego thing. When a wife comes in and has work done and is delighted with the outcome, the husband or partner feels more confident and secure and more likely to ask questions," said Dr. Richard Chaffoo, a board-certified plastic surgeon who runs La Jolla Plastic Surgery in La Jolla. "Men are often initially introduced when they come in with their wives, who are looking at having this or that done. When the husband is in there, he sees some of the information, and then he sort of gets interested. Then, when the wife comes in for a postoperation appointment, we'll talk about his eyes or neck."

Lipoplasty is enormously popular for both men and women. In 2011, more than 300,000 lipoplastys were performed in the United States, surpassing breast augmentation as the most popular cosmetic surgical procedure for the first time since 2008, according to the American Society of Aesthetic Plastic Surgery.

But although coupled men and women may have their procedures done around the same time, what they're having done may differ. At the office of lipoplasty specialist Dr. Aaron Rollins in Beverly Hills, the most common areas of men's lipoplasty are the abdomen, chest and chin. For women, it's "all over," he said.

Rounding out the list of top anti-aging cosmetic surgical procedures for women are tummy tucks and cosmetic eyelid surgeries. For men, it's eyelid surgery and gynecomastia, also known as male breast reduction, according to the ASAPS.

If cosmetic surgery is, to some extent, about keeping up with the Joneses, there's no more important Jones than a spouse. Psychologically, there's just something unsettling about a man and a wife who are aging out of sync.

"Sometimes the man will say, 'Well, I think my wife's looking good, and I don't want to look as old as I look when she looks so young and energetic,'" said Dr. Malcolm Z. Roth, president of the American Society of Plastic Surgeons. "Maybe the man was the courageous one, so the wife follows suit," added Roth, who has seen several couples celebrate their anniversaries with cosmetic surgeries as chief of plastic surgery at Albany Medical Center in Albany, N.Y.

"I wanted to have at least one good picture with my grandchildren before I die," said Reita Greene, 59, a nurse from Rancho Palos Verdes who had aface-liftin January. Her boyfriend of 16 years plans to follow suit.

"This all started several years ago when I got a chemical peel," Greene said. She took her now 55-year-old boyfriend with her to the appointment, and he got one too. Then Greene got Botox. Again, her boyfriend followed her lead. Since Greene had herface-lift, she said, "Every day he looks at me and says, 'That looks so good.' I said, 'Now it's your turn …' Neither one of us is getting any younger."

Most doctors who've seen an uptick in couples plastic surgery say their clients are in their late 30s to early 60s. The women are typically done with childbearing, and both members of the couple are unable to lose weight through diet and exercise.

"They've finished having children," Dr. Chaffoo said, "and they want to restore how their bodies looked before their kids ruined them."

Jennifer Aniston loves 'laser Porn"!!

nospam@example.com (David Rahimi) — Wed, 04 Apr 2012 18:44:04 +0000

Last month it was revealed Jennifer Aniston, recently voted the Hottest Woman Of All Time by Men's Health magazine, spends a staggering $400 a day on beauty treatments.

And the ex-"Friends" star admits she has an obsession with keeping the years at bay, The Sun reports.

“I’d love to be a dermatologist. I’d be so obsessive about it," she said. "I’m fascinated by skin, products and lasers. I go on the internet and read all about it. I call it ‘laser porn’.”

Despite her keen interest, Aniston admits she wasn’t looking her best when Men’s Health made the announcement.

PHOTOS: Jen's pregnancy rumors.

“You should have seen me when I heard that news,” she said. "My hair was greasy, I’d just had a facial and my skin was gross.”

However Jen, who is in a relationship with actor Justin Theroux, admits she still doesn’t feel her 43-years.

“I don’t feel my age. I feel young every day," she said. “I feel sexy wearing jeans and my boyfriend’s T-shirt.”

Last month it was revealed Jennifer Aniston, recently voted the Hottest Woman Of All Time by Men's Health magazine, spends a staggering $400 a day on beauty treatments.

And the ex-"Friends" star admits she has an obsession with keeping the years at bay, The Sun reports.

Despite her keen interest, Aniston admits she wasn’t looking her best when Men’s Health made the announcement.

PHOTOS: Jen's pregnancy rumors.

“You should have seen me when I heard that news,” she said. "My hair was greasy, I’d just had a facial and my skin was gross.”

However Jen, who is in a relationship with actor Justin Theroux, admits she still doesn’t feel her 43-years.

“I don’t feel my age. I feel young every day," she said. “I feel sexy wearing jeans and my boyfriend’s T-shirt.”

Watch a Thermage CPT and Clear and Brilliant Laser in action and WIN a treatment.

nospam@example.com (David Rahimi) — Wed, 04 Apr 2012 16:19:39 +0000

Watch a Thermage CPT and Clear and Brilliant Laser in action and WIN a treatment.

Time: On April 19^th 2012 (6pm to 9pm)

Location: The Hotel Wilshire

www.hotelwilshire.com

Penthouse unit

Please come and see a Thermage CPT tighten up the face and neck instantly!

Thermage can be a very effective tool and in experienced hands can result in significant tightening of the face and neck with no downtime. Much safer than Ulthera and practically painless!

We will also demonstrate the new Clear and Brilliant laser in action.

Attend and win a free treatment. We will also offer amazing packages of up to %50 off for one day only!

RSVP

323 653-7700

Zonya Villatoro

Office manager

Foreveryoung, Inc.

Blue Face and Drinking Colloidal Silver (Argyria)-Treated with YAG Laser

nospam@example.com (David Rahimi) — Thu, 29 Mar 2012 17:11:23 +0000

We can treat this condition with a YAG laser.

Several treatments over 6 months are needed to achieve complete resolution; but the results are incredible.

A. David Rahimi,MD,FAAD.

http://www.youtube.com/watch?v=ahihGKZC5Kk

For many years Paul Karason drank a solution known as colloidal silver, which is touted by many as being a cure all and remedy for just about any disease, illness or health problem there is. The problem is that colloidal silver does none of this, but it does cause a condition called argyria where the skin of users turn blue after ingesting this quack remedy.

There is no cure for argyria and Paul Karason will live the rest of his life with blue skin. Don't fall for the quacks and charlatans who promote colloidal silver as a "supplement" with health benefits. Contact the FDA today and ask them to ban this dangerous compound from human use.
http://www.fda.gov/comments.html

More information on colloidal silver and argyria:
http://www.quackwatch.org/01QuackeryRelatedTopics/PhonyAds/silverad.html
http://www.rotten.com/library/medicine/quackery/argyria/

Forever Young Non-surgical face and neck lift.

nospam@example.com (David Rahimi) — Tue, 27 Mar 2012 20:00:20 +0000

Better then Livingsocial and Groupon!

70% off (Limited Time Offer)

Package includes: Mixto CO2 fractional laser of face, neck and eyes

PRP and Stem Cell fat transfer

Thermage CPT 900 pulse treatment of face and neck and eyes

Oral sedation and blood work

Tighten the skin of the face and neck and gently elevate the eyebrows without cutting surgery

Recovery time is about one week.

Our regular fee is over $15000

Internet special $4900 (all inclusive)

Please make an appointment for a free consultation

Autologous Fat grafting and PRP

nospam@example.com (David Rahimi) — Wed, 14 Mar 2012 19:49:20 +0000

Article Citation:

Richard M. Goldfarb and Aaron L. Shapiro (2012) Benefits of Autologous Fat Grafting Using Fat Mixed With Platelet-Rich Fibrin Matrix (PRFM) Selphyl. American Journal of Cosmetic Surgery: March 2012, Vol. 29, No. 1, pp. 62-64.

doi: http://dx.doi.org/10.5992/AJCS-D-11-00037.1

CASE REPORTS

Benefits of Autologous Fat Grafting Using Fat Mixed With Platelet-Rich Fibrin Matrix (PRFM) Selphyl

Richard M. Goldfarb, MD, FACS ; Aaron L. Shapiro, MD

Introduction: Autologous fat grafting is important in the treatment of facial rejuvenation to treat the aging face, facial rhytids, and volume deformities. Additional uses of fat transfer include breast augmentation and buttock enhancement. Fat transfer for hand aging, as well as adding volume to body defects with fat, plays a major role in plastic and reconstructive surgery. Variability of graft survival (typically 50–70%) has lessened enthusiasm for the use of this technique. Platelet-rich fibrin matrix, however, has been shown previously to improve fat transplant survival in animal models.

Materials and Methods: This report summarizes the case of a 37-year-old woman who had fat from her outer thighs injected into her lower abdominal panus. In 2 designated sites on her lower abdomen, 8 mL of fat was injected per site (one site with fat alone and the other site a 2:1 mixture of fat to Selphyl). Eight weeks later, the patient underwent a paniculectomy (en bloc) resection. Specimens were then processed and evaluated for histopathology and immunohistochemistry.

Results: After removal of the en bloc panus, the tissue was immediately processed for histopathology. CD34 staining of regions 1 and 2 was performed. Region 1 consisted of 8 mL of fat injected into the lower abdominal panus in the subcutaneous layer. Region 2 consisted of 8 mL of fat mixed with 4 mL of Selphyl injected subcutaneously. Analysis of these regions showed viable fat in both sections; however, region 2 (8 mL of fat mixed with 4 mL of Selphyl) showed increased neovascularization.

Conclusions: The result of this case study indicates that fat mixed with Selphyl may improve graft survival by increasing both neovascularization and total cell number.

Received: August 10, 2011

From the Center for SmartLipo, Langhorne, Pa (Dr Goldfarb) and the Department of Facial Plastic Surgery, Thomas Jefferson University Hospital, Philadelphia, Pa (Dr Shapiro).

Corresponding author: Richard M. Goldfarb, MD, FACS, Center for SmartLipo, 940 Town Center Dr, Suite F-20, Langhorne, PA 19047 (e-mail: docgstable@aol.com).

Jennifer Aniston's $141,037,00 dollar Beauty Routine.

nospam@example.com (David Rahimi) — Sat, 03 Mar 2012 23:20:19 +0000

I believe that she is paying too much!

We would be able to provide the same services for far less: $141,026,00

http://shine.yahoo.com/skin-guide/jennifer-aniston-spills-her-secret-perfect-skin-015700082.html

Say what you will, but I've always rooted for Team Jen. My love for Jennifer Aniston started during her days as the annoying but oh-so-loveable Rachel Green, and her recent impression of Chelsea Handler on "After Lately" only solidified my girl crush. She's funny, she's hot, and she's only getting better with age.

The star is 43 years old. For-ty-three. So of course, I want to know how the heck she keeps her skin looking more youthful and flawless than my supposedly-at-peak-20-something complexion. That's why I was all ears when the intrepid beauty reporter -- aka Conan O'Brien -- found out.

On his late-night TV show, Conan asked the star how she keeps her skin so flawless. Her response: "I'm obsessed with laser porn."

Come again, Jen?

Aniston said she uses laser therapy to zap away the age spots from her Cali-bred complexion. She also revealed that she loves chemical peels. "It's extremely intense … you look like a battered burn victim for a week," she said. "The dead skin on your face just kind of falls off for eight days."

Conan joked, "I hope you saved the [fallen] face afterwards -- that is eBay gold!"

As much as I love me my Jen, I'm not in the market for her dead skin cells. What I wouldn't mind having is, well, everything else. Her trend-setting hair, her perfect skin, her amazingly-toned abs … I could go on. So I did something a little creepy.

I tracked down every last detail of Jennifer Aniston's look and found out how much it would cost me to look like her. Curious? Keep reading.

Jennifer Aniston's Skin Care

Aniston uses a pretty wide variety of products on her skin. She's said that her long-time favorite cleanser is the Neutrogena Facial Cleansing Bar, $3.45, and also says she uses Dr. Hauschka Rose Day Cream, $47. But here's the ringer: Before award shows and red carpet appearances, she also visits the Tracie Martyn Spa for Martyn's signature Red Carpet Facial. This treatment costs $450 and clients typically leave with her "Famous Purple Bag" of at-home products, which costs $391.50. This puts Aniston's estimated skin care total at $891.95 if she gets one facial a month. Then, add in the aforementioned chemical peel, which costs about $295 a pop, her monthly skin care routine comes out to $1,186.95.

Jennifer Aniston's Hair

Aniston usually gets her hair cut by celebrity stylist Chris McMillan, who owns Chris McMillan The Salon in Beverly Hills, Calif. and co-owns McMillan Canale Salon in Malibu, Calif. with Aniston's colorist Michael Canale. A haircut at the salon will generally cost about $200 to $350, but with McMillan himself it's $600. Pretty steep, but he is the creator of "The Rachel." For highlights, Canale's rates start at $320. So a day at the salon for Aniston (who is rumored to go religiously every six weeks) will cost at least $920 -- before tips. At home, Aniston mostly uses Chris McMillan products. His starter kit, which includes shampoo, conditioner, and repair mask, is a shockingly affordable $29.95. See how to copy Aniston's tousled hair with this video tutorial.

Jennifer Aniston's Makeup

Obviously, Aniston's makeup look changes often, so I decided to just pick one as an example. See the beauty products Aniston's regular makeup artist, Angela Levin, used on her for a "Harper's Bazaar" cover shoot here. Since the look is a pretty typical one for Aniston, it's a good guideline if you want to copy her makeup. The total of all the beauty products comes out to $402.  All of this doesn't include the makeup artist fees. While Levin doesn't disclose her rates, Crystal Wright, a career advisor in the beauty industry, says some celebrity makeup artists' rates start at $4,000 per day, so we'll use that as a rough estimate. Total cost: $4,402.

Jennifer Aniston's Eyebrows

Aniston has had brow guru Anastasia Soare shaping her brows for years. A session with Soare herself costs $120 for the first visit and $80 after that. The salon says some people come in every week for touch-ups, while others only come every month or two months; it depends on how fast your brows grow and how picky you are about them.

Jennifer Aniston's Nose

While rumors have circulated about a possible boob job (which we doubt), Aniston's only confirmed plastic surgeries are her two nose jobs. Her "reason" for these was a deviated septum, which may be true, but there's no denying her nose changed shape after each one. Dr. Raj Kanodia, a plastic surgeon in Beverly Hills, Calif., was the surgeon for her second rhinoplasty. While he wouldn't reveal what Aniston paid, he did say the average nose job runs between $9,000 and $12,000. Times two puts her plastic surgery tab at about $18,000. While Aniston's nose upgrade is flawless, see the 10 worst celebrity plastic surgery mistakes here.

Jennifer Aniston's Spray Tan

As you may have guessed, Aniston doesn't come by that golden skin tone naturally. She's been spotted coming out of the Ibiza Tanning Salon in West Hollywood, Calif., where an airbrush tan runs $45. The salon recommends coming in every two weeks to maintain your glow. Can't afford a bi-weekly visit to the tanning salon? Get a faux-glow at home with these expert tricks to self-tanning.

Jennifer Aniston's Body

Aniston meets with personal trainer/yoga guru Mandy Ingber three times a week for about an hour one-on-one. They do a mix of cardio and yoga and Aniston raves about these workouts: "When I started doing yoga with Mandy, I noticed many things. My legs getting leaner. My arms getting stronger, and most importantly, I noticed an inner strength. … I feel like I am getting a meditation, a workout, and time with my friend, all rolled into one hour."   Ingber says her rates are confidential, but Scott White, author of "Celebrity Personal Trainers," says that many celebrity trainers charge upwards of $300 an hour. Using this estimate, Aniston's weekly fitness costs would be about $900. (If you want to try Ingber's routine at home, her DVD only costs $14.95 -- but we doubt you'll get the same "time with a friend" feeling from the TV screen as you do in person.)

Jennifer Aniston's Diet

Aniston works with dietician Carrie Wiatt, RD. While Wiatt wouldn't disclose the exact diet that Aniston is on, we can tell you that a consultation with Wiatt is $300 and one week's worth of her pre-made healthy meals is $385. So if you wanted to emulate Aniston's diet for even a week, you'd be looking at dropping around $685.

In conclusion, it costs quite a bit to look like Jennifer Aniston. Her monthly beauty bill comes out to a conservative $11,933.97. And if you have a (ahem) deviated septum to worry about, tack at least $5,000 onto this for a one-shot nose job. To maintain Aniston's look for a year, you're lookin' at around $141,037.97. So the next time you're sighing over a photo of Aniston's face/legs/butt/whatever, consider that with the money she spends to look beautiful for a year, you could: purchase a home in the Midwest, send a kid to college for (almost) four years, buy six Honda Accords, or even fly roundtrip from Los Angeles to New York -- in first class -- 44 times! Kinda puts things in perspective, right? But then again, who needs six Honda Accords? I'll take Jen's face and body any day.

Fountain of Youth

nospam@example.com (David Rahimi) — Fri, 24 Feb 2012 17:57:06 +0000

Breaking News 18:36 TV: Saudi minister leaves Tunis meeting o_

Fountain of youth found – in mice

By JUDY SIEGEL-ITZKOVICH 02/23/2012 01:59

Mice have a gene that extends their life expectancy; same likely to be discovered in human gene, meaning men could live longer.

By Courtesy of American Friends of TAU

Mice, at least, have found a fountain of youth: a gene that extends their life expectancy. If the same discovery is made in a human gene – which is likely – men could eventually enjoy a longer life as well.

A Bar-Ilan University team led by Dr. Haim Cohen of the Goodman Faculty of Life Sciences, together with colleagues at the Hadassah University Medical Center, the Hebrew University of Jerusalem and Carnegie Mellon University in Pennsylvania, have discovered a gene that increases survival in mammals. Their study was published on Wednesday in the prestigious journal Nature.

Many recently discovered genes that affect the lifespan of laboratory animals are part of a group called sirtuins, which can be found in every species that developed over the course of evolution. They are found in both single-celled organisms, such as yeast, and complex organisms, such as humans.

The most highly researched gene in this group, SIR2 (Sirtuin 2), has been found to prolong life in yeast, worms and flies. If this gene is removed from yeast cells, the cells age faster and live a shorter life. But if a copy of the gene is transplanted into the yeast, their life expectancy increases. Similar phenomena also occur in worms and flies.

About seven decades ago, it was discovered that if the calorie intake of animals is restricted by about 30 percent, their life expectancy increases, and they live a healthier life. This treatment, it was found, delays the development of diseases connected with aging and is now the only treatment that has proven effective in prolonging life.

More in-depth studies have shown that caloric restriction activates the SIR2 gene. Its presence is critical and, without it, there is no life extension.

Since extreme diets are not practical in humans, researchers looked for substances that could activate the gene similar to the way a diet could. They discovered some activators, including resveratrol, a substance found in red wine and produced by plants in stressful situations. Scientists agree about the positive effect of resveratrol, although the degree of its influence on the SIR2 gene is controversial.

Preservation of the SIR2 family of genes throughout evolution indicates the importance of these genes in critical life processes. In each organism in which SIR2 has been found, the gene regulates lifespan, but this was not yet proven in mammals.

Last year there were many reports in scientific literature on the extent of the genes’ involvement in the lifespan.

More than 30 research groups debated the issue in the pages of the leading scientific journals Nature and Science, but no conclusion was reached.

Cohen also examined SIRT6 (gene number six from the sirtuin group) in mice using two groups. In the first group he removed SIRT6, and in the second group he created an overexpression of the gene.

“Originally in mice without the gene, researchers saw premature aging,” Cohen said.

“They suffered spinal curvature, calcium deficiency and osteoporosis, immune system problems and diabetes – well-known conditions in man.”

“We called the second group, which we created in the lab, the MOSES mice [an acronym for mice over-expressing exogenous SIRT6], and compared their lifespan to that of wildtype mice, which possess a normal amount of SIRT6,” he continued.

Cohen and his team fed the two groups a high-fat diet containing 60% more fat calories than average.

The wild mice developed the diseases associated with aging, while the MOSES mice remained healthy. MOSES bodies contained 30% less fat, about 40% fewer triglycerides (which increase cholesterol) and 30% less diabetes compared to the MOSES mice.

Additionally, wild strain female mice usually live longer than males, but in Cohen’s tests they found that with normal diets, the MOSES male mice lived 15% longer than the wild males. However, among the MOSES females, no change was recorded.

“We found that the rise in life expectancy among males is based on the calorie restriction known to us as a basic mechanism of life extension,” Cohen said. “There is overlap between these pathways, and the SIRT6 gene is involved in it.”

“Females from the very beginning have a longer life expectancy than males,” he continued. “[This is] because the basic mechanism is already active, so the engineered males just catch up to females,” Cohen concluded.

In the current study, he said, the team made a huge evolutionary leap in the transition from yeast cells to mice, becoming the first to show that the sirtuin genes regulate lifespan in mammals. The research was conducted in laboratory animals under very sterile conditions, he says, and it is not clear if this could be duplicated for humans.

However, as the human SIRT6 gene is very similar to that in mice, there is a distinct possibility that drugs designed to activate the gene could have a positive impact on treatment of agerelated diseases.

YAG 5 Laser Treatment of Nevus of ITO and OTA

nospam@example.com (David Rahimi) — Tue, 21 Feb 2012 18:17:09 +0000

http://www.facebook.com/media/set/?set=a.373167912713294.102398.148514725178615&type=1#!/media/set/?set=a.373167912713294.102398.148514725178615&type=1

The Whole Body Approach and Acupuncture

nospam@example.com (David Rahimi) — Thu, 16 Feb 2012 18:17:32 +0000

How Dr. John J. Kim uses Acupuncture to balance physical, emotional, and spiritual well being.

Recently I had the pleasure of meeting Dr. John Kim and discuss his approach to a healthy and balanced living. I strongly urge my patients to read more about him and his unique approach:

www.renumi.com

We are currently discussing a possible collaboration and client hours for Dr. Kim here at our Los Angeles facility.

Dr. A. David Rahimi,MD,FAAD,FAACS.

Cosmetic Surgery under local Anesthesia- the evidence is clear.

nospam@example.com (David Rahimi) — Thu, 16 Feb 2012 17:57:26 +0000

Combination Cosmetic Surgeries, General Anesthesia Drive AEs

Laura Newman, MA

February 9, 2012 — The use of general anesthesia, the performance of liposuction under general anesthesia, and a combination of surgical procedures significantly increase the risk for adverse events (AEs) in office-based surgery, according to reviews of statewide mandatory AE reporting in Florida and Alabama. More than two thirds of deaths and three quarters of hospital transfers were associated with cosmetic surgery performed under general anesthesia, according to an article published in the February issue of Dermatologic Surgery.

The study, derived from 10-year data from Florida and 6-year data from in Alabama, "confirms trends that have been previously identified in earlier analyses of this data," write the authors, led by John Starling III, MD, from the Skin Cancer Center, Cincinnati, and the Department of Dermatology, University of Cincinnati, Ohio.

In a companion commentary, C. William Hanke, MD, from the Laser and Skin Surgery Center of Indiana, Indianapolis, presses for 3 patient safety practices: "(1) Keep the patient awake!... 2) Think twice before supporting a patient's desire for liposuction that is to be done in conjunction with abdominoplasty under general anesthesia.... 3) "[B]e advocates for prospective, mandatory, verifiable adverse event reporting...[that] should include data from physician offices, ambulatory surgical centers, and hospitals to define and quantify problems that can be largely prevented and eliminated."

The authors and editorialist are especially critical of liposuction performed under general anesthesia. The study revealed that although liposuction is perhaps one of the most common cosmetic surgical procedures, no deaths occurred in the setting of local anesthesia. "Liposuction under general anesthesia accounted for 32% of cosmetic procedure-related deaths and 22% of all cosmetic procedure-related complications," the researchers write.

The researchers analyzed mandatory physician AE reports in ambulatory surgery submitted to their respective states, encompassing 10-year data in Florida and 6-year data in Alabama. A total of 309 AEs were reported during an office-based surgery during the 10-year period in Florida, including 46 deaths and 263 reportable complications or transfers to hospital. Cosmetic surgeries performed under general anesthesia accounted for the vast majority of deaths in Florida, with liposuction and abdominoplasty the most frequent procedures.

Six years' worth of data from Alabama revealed 52 AEs, including 49 complications or hospital transfers and 3 deaths. General anesthesia was implicated in 89% of reported incidents; 42% were cosmetic surgeries. Pulmonary complications, including pulmonary emboli and pulmonary edema, were implicated in many deaths in both states.

Plastic surgeons were linked to nearly 45% of all reported complications in Florida and 42.3% in Alabama, write the researchers. Office accreditation, physician board certification, and hospital privileges all revealed no clear pattern.

One limitation acknowledged by the authors is that case logs of procedures performed under general and intravenous sedation are required in Florida, but are not public domain, and so were unavailable for analysis. In addition, investigators were not able to obtain data on the total number of liposuction procedures performed in either state. The lack of those data prevented them from calculating the overall fatality rate.

The authors and the editorialist have disclosed no relevant financial relationships.

Dermatol Surg. 2012;38:171-179. Authors and Disclosures

Journalist

Laura Newman, MA

Laura Newman is a freelance writer for Medscape.

Disclosure: Laura Newman, MA, has disclosed no relevant financial relationships.

Latisse Shampoo grows hair; Now This Is News...

nospam@example.com (David Rahimi) — Wed, 01 Feb 2012 19:14:17 +0000

I have several female patients on a Shampoo that contains Sprinolactone, Rogaine, and Latisse. It is prescription compound and expensive but the results are good.

Here is a recent article on cnbc about Latisses and its use in hair loss:

http://today.msnbc.msn.com/id/45259102/ns/today-today_health/t/latisse-your-dome-eyelash-enhancer-also-thickens-thin-hair/

Dr. David Rahimi