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Archive for September, 2010

The Truth About Lip Augmentation

I have a bit of a pet peeve.
It makes me crazy when people confuse a lip augmentation for Botox. Lip augmentations can be created with soft implants or injectable fillers like Juvederm. Botox is used to relax muscles in areas like the forehead, between the eye brows, and crowsfeet around the eyes. So, please don’t tell me that you can’t stand it when women have so much Botox in their lips.

Lisa Rina: Lisa admits to having filler injected into her already naturally full lips.

What’s up with the big lips?
When you do see women with overly plump lips, chances are they like that look. However to be fair, I need to tell you that lip augmentations do look a little fuller the first few days after injections. The lidocane will cause the lips to swell, before filler is ever even injected. When you see photo’s of your favorite celebrities with new plump lips, they may have just recently had an injection and are still swollen. Some women like overly augmented lips and large augmented breast, the same way that some people like tattoos, piercings or overly tweezed eyebrows. It’s about personal preference and self expression.

Juvederm lip injections

It is about regaining a youthful look, not changing your look.
There are people with naturally thin lips that need filler to give their lips a little more shape, however for many people filler is used to regain lost volume. As we age our face losses volume, and lips become thinner. Look at photo’s of yourself when you were a teenager, I will bet your lips look fuller.

Brook Shields is a true natural beauty, she doesn’t look “old” in any way, however you can tell she is not in her 20’s. If you look at her recent photo, she doesn’t have any skin discolorations, lines or wrinkles. However if you compare it to a photo of her when she was younger, you will notice a loss of volume in her face. Look closely at her lips, not only are they fuller, the upper lip pulls up a little toward the nose. Now look at the space between the lower lip and chin, the lower lip has a little “flip” out. It is this type of subtle differences that give the face a more youthful appearance. A little botox can be injected above and bellow the lip to create the “flip”, botox can also be injected at the corners of mouth to turn the corners of mouth up. This is an advanced technique and should be done by a master injector.

Brook Shields 2008
Brook Shields 2008

Young Brook Shields
Young Brook Shields from Blue lagoon

Bad Lip Augmentation
If you have had a lip augmentation that looks to full, asymmetrical or lumpy there are ways to correct it. If your lip augmentation is an implant you need to consult with a plastic surgeon about having it removed or replaced. If you have had temporary fillers, you can have injections that will “dissolve” the filler. The good thing about temporary fillers like Juvederm is they are temporary and will eventually go away on their own.

I strongly discourage anyone from getting injections that are not FDA approved. I know that it is tempting to have cosmetic procedures in other countries that are not approved “yet” in the United States, but it is risky. Many of these treatments never get FDA approval because they are dangerous.

Go to the best.
Pat Foley-Naumentz, R.N. Nurse and Soft Tissue Injectable Specialist at Shapiro Plastic Surgery.
As a registered nurse, born and educated in Arizona, Pat has been in plastic and reconstructive surgery for the last 30 years.

As an instructor for Aesthetic Advancements Inc. and Alga-Medic, which is Allergan’s Consortium of Research and Education Programs, Pat travels throughout the United States teaching expertise and safety principles in soft tissue filler and Botox® injection techniques to doctors, nurses and nurse practicioners.

Pat Foley-Naumetz is very respected by industry professionals, and her artistic eye and gentle hand has earned her the reputation as Arizona’s best injector.

Before lip injections: Shapiro Plastic Surgery
Before lip injections by Shapiro Plastic Surgery
After lip injections by Shapiro Plastic Surgery


Shapiro Plastic Surgery
5410 N. Scottsdale Rd., ste F-100
Paradise Valley, AZ 85253
480 421-1700
www.shapiroplasticsurgery.com

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Read MoreSeptember 14, 2010 5:19 pm - Posted by Kristy

Perfect Ice Tea

Texas Tea
I call sweet tea “Texas tea”
2 Quarts water
5 standard tea bags, I prefer Lipton
1/2 cup sugar
pinch of Baking Soda (optional)

Bring water to boil, add tea bags and remove from burner. Allow tea bags to steep for 5 minutes. If tea bags are left in longer you will have bitter tea. Add sugar while tea is still hot, this will allow it to completely dissolve. You can add a tiny pinch of baking soda, this will reduce bitterness. Allow to cool before pouring into pitcher. A glass pitcher is best, for pure flavor. I recommend pouring over ice, when tea is served, so that ice will not melt and dilute tea.

Sweeten to taste: Southern tea tends to be a little sweeter so you can add up to a full cup of sugar.

Un-sweetend: If you are like me and prefer your tea unsweetened I recommend using spring water. The sugar in sweet tea covers the taste of minerals that are in tap water.

Garnish: Lemon wedges are great, however so are orange slices, frozen berries and mint leaves.

Sun tea: My favorite, this is the way my grandma makes it. I don’t have the time.
Place pitcher of water with tea bags in sunny area. Allow tea bags to steep in pitcher of water for 3-5 hours. Sweeten while warm.

Green and White Tea: Green and white tea can get bitter fast, so only steep 3 minutes.

Do you have a favorite tea or tea recipe ?

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You can follow us on facebook, twitter and on our blog site.
www.bestofbothworldsaz.com

Read MoreSeptember 10, 2010 10:50 pm - Posted by Kristy

Paradise Valley Plastic Surgeon, Dr Daniel Shapiro on Fox News Channel 10.

Fox News – www.myfoxphoenix.com

More Women Getting Breast Implants Reduced
Updated: Wednesday, 01 Sep 2010, 7:20 PM MDT
Published : Wednesday, 01 Sep 2010, 7:19 PM MDT

PHOENIX – Did the big-busted look go out of style? According to a well-known valley surgeon, more and more women with big implants are getting them taken out, and going for a more natural look.

Pamela Anderson, Dolly Parton, and Heidi Montag are just some of the big names known for their big implants.

Just this week, Montag says she’s getting hers out. Dr. Daniel Shapiro, a top surgeon in the valley, says it’s something he’s seeing more often.

“If you look at fashion and music, that kind of dictates what happens. I think people are starting to look more proportioned and the Pam Anderson look isn’t so popular anymore,” he says.

At age 20, Melissa Rein went under the knife and came out a large D cup. She says it made exercise and shopping hard, and now five years later, she’s downsized to a moderate C.

“My back has hurt, and people have poked me and said why do you stand like that, and I say my breasts are heavy. You’d be surprised how much I lean forward and now I don’t have that problem anymore,” says Rein.

The procedure costs between $5,000 and $10,000 and could leave a scar, but it’s a sacrifice some women and willing to make to be comfortable in their own skin.


Shapiro Plastic Surgery
5410 N. Scottsdale Rd., ste F-100
Paradise Valley, AZ 85253
480 421-1700
www.shapiroplasticsurgery.com

Thank you for visiting Best of Both Worlds Az.
You can follow us on facebook, twitter and on our blog site.
www.bestofbothworldsaz.com

Read MoreSeptember 3, 2010 12:05 pm - Posted by Kristy

Hollywood Secret

Anti Aging – Anti Acneic – Brighten / Active Serum, fans are said to include Halle Berry and Charlezie Theron

Active Serum is in the top 5 of my favorite skin products, and I have tried a lot of products!
I’m not alone, all of the Estheticians I know love it and I can’t remember ever having a client say they didn’t like it.

I will sometimes incorperate Active Serum into my Obagi Protocol by mixing it with Exfoderm, or put it directly on my skin before tretinoin ( Retin-A). If I am not using Retin-A, I use Active Serum AM and PM before other creams.

Originally designed as an anti- acne formula, this product contains a combination of ingredients that target other concerns such as aging and pigmentation. Active Serum is appropriate for most skin types and can be incorporated into other skin regimens. Although is Clinical Active serum contains active exfoliates it will not cause skin peeling.

Active serum is applied in the evening after cleansing, and before any creams. Active Serum is contraindicated after chemical peels and many laser treatments, it may also cause irritation when used with some acne products. Be sure to consult with your Esthetician before using this product.

Active Ingredients and Benefits

Glycolic Acid 8.0% – Excellerates natural exfoliation processes, unclogs pores.

Lactic Acid 2.0% – Moisturizing and light exfoliation

Salicylic Acid 0.4% – Exfoliation, reduce sebum (oil) blockage,
anti-inflammatory, antimicrobial

Arbutin 1.0% – Lightens irregular pigmentation

Kojic Acid 0.5% – Lightens irregular pigmentation, some antibacterial effects

Menthol 0.5% – Antibacterial, antiviral action and cooling

Specifications

You can find is Clinical Products at Paradise Valley Skin Klinic.


Shapiro Plastic Surgery, Paradise Valley Skin Klinic
5410 N. Scottsdale Rd., ste F-100
Paradise Valley, AZ 85253
480 421-1701
www.shapiroplasticsurgery.com

Thank you for visiting Best of Both Worlds Az.
You can follow us on facebook, twitter and on our blog site.
www.bestofbothworldsaz.com

Read More 11:54 am - Posted by Kristy

Isotrex: This drug is NOT FDA APPROVED!

The FDA has sent out warning letters to company’s that are selling Isotretinoin drugs online.

Isotrex is a topical Isotretinoin drug used to treat acne. There are not any topical Isotretinoin drugs that are currently approved in the US. The only form of Isotretinoin that is FDA approved is Oral Isotretinoin (Accutane), and it is very regulated. Isotrex is a category X drug, in comparison to Percocet and Tretinoin ( Retin-A) that are category C drugs. Do not confuse Isotretinoin with Tretinoin, although they are both Vitamin A derivatives, Isotretinoin can have severe side effects and is a category X drug.

About Isotretinoin

I worked for a doctor that prescribed Isotretinoin ( Accutane) and I was the i Pledge designee for the clinic. Every month I had to schedule patients for lab work, doctor’s visits, and register patients with i Pledge. I can tell you it is a lot of work.

Special Prescribing Requirements for Isotretinoin
Because of isotretinoin�s teratogenicity and to minimize fetal exposure, isotretinoin is approved for marketing only under a special restricted distribution program approved by the Food and Drug Administration. This program is called iPLEDGE™. Isotretinoin must only be prescribed by prescribers who are registered and activated with the iPLEDGE program. Isotretinoin must only be dispensed by a pharmacy registered and activated with iPLEDGE, and must only be dispensed to patients who are registered and meet all the requirements of iPLEDGE.

Isotretinoin is only dispensed one month at a time, so every months patients will need to return to their doctor to have a pregnancy test, and blood work done before you physician can register you for that month. Patients must also go to the i Pledge website and answer a series of questions and reregister every month. After you have met all of the i Pledge requirements you have 7 days from the date on the prescription to get your prescription filled at an approved pharmacy. If you do not fill your prescription within 7 days you are not eligible for another month. You will repeat this entire process every month for up to five months.

Many insurance company’s do not cover Isotretinoin, and the cost ranges from $500 – $900 a month depending on the brand. Patients may also be responsible for covering the costs of monthly lab work and doctor’s fees. You should check with your insurance company to see what they cover.

With all that said:
I believe that Isotretinoin is a good idea for some patients. If someone is suffering from severe or cystic acne and has exhausted all other options, they may want to consider Isotretinoin. There are many acne treatments available, if you are compliant and patient they are very successful. You should discuss options with your doctor.

Brand names for oral Isotretinoin:
Accutane, Claravis, Amnesteem, Stret

Brand names for topical Isotretinoin :
Isotrex, Isotrexin ( not approved in US)

If you suffer from acne, call Paradise Valley Skin Klinic to schedule a free consultation.

Shapiro Plastic Surgery, Paradise Valley Skin Klinic
480 421-1701
www.shapiroplasticsurgery.com

Thank you for visiting Best of Both Worlds Az.
You can follow us on facebook, twitter and on our blog site.
www.bestofbothworldsaz.com

Read MoreSeptember 1, 2010 4:17 pm - Posted by Kristy