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Archive for May, 2014

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Spider veins?

Saturday, May 31st, 2014

I have been getting many requests to treat spider veins on the legs in the past month. Unfortunately, summer is not the ideal time to treat. Why? First I have the patient wear compression bandages. In hot weather, that is not comfortable or attractive. Second, the area may be bruised and discolored (brown) for at least several weeks to up to several months. Sun exposure makes this worse. On many levels, this treatment is ideal for the fall/winter, but make sure you don’t do it too close to a sunny vacation. Because appointments for this may take several weeks to get in, ideally, you can call my assistant up (ask for Dr. Shim’s nurse) and we can put you on a wait/call list so that you don’t forget and get your appointment in before it is too late.

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Happy Mother’s Day!

Tuesday, May 13th, 2014

Happy Mother’s Day to all! I thought I was the only one who suffered from having their S.O. come home at 9 PM on a regular basis. After a great Korean BBQ dinner party book event I co-hosted in honor of our preschool last weekend, I learned that many of my fellow moms are also suffering! I also learned that Korean BBQ’s bring out the funny and fun side of the class. I think it self-selects for the adventurous, fun-loving group. We actually had a 5 hour dinner and closed the place down. I was thanked as having hosted possibly the best party book event ever.

My beautiful girls are the best gift I could ever ask for. This was a picture from our first visit to Disneyland a few months ago. Cheers to all moms out there!

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Restylane, Juvederm really do last

Wednesday, May 7th, 2014

How do I know? Our practice has the largest series to date of incidental hyaluronic acid filler found during Mohs surgery years after placement. This study was presented at the recent Annual Meeting of the American College of Mohs Surgery in Phoenix last weekend. One of my patients had filler put in her lips five years prior!

That being said, patients are often afraid of looking crazy after filler. After the Oscars, which I usually do not watch, I kept hearing about Kim Novak. OK, don’t know who she is, but I later caught a clip of her on TV. Oy! It reminded me of the movie Mask. I can assure you that I keep patients looking like themselves. The best cosmetic doctors have patients who do not look done. Unfortunately in LA there tends to be a strangely unnatural aesthetic which I don’t subscribe to. Most patients only need 1-4 syringes of filler, the younger you are, the less you need. I allow the patient to see themselves as we go along to make sure we are on the same page.

I get it though. Mid-life crises, anti-aging procedures and relationships were the dominant topic of conversation in Phoenix (I reassure you, I also did learn a lot about cutaneous oncology, but that might bore you). The best part of going to the meeting was the traditional slumber party with my 2 good friends. No Wedding Planner movie in the background-this time the Golf Channel. I diagnosed more orthopedic injuries from Cipro, saved my friend’s husband’s vision, played marriage counselor, and got helpful golf tips. I am putting Korean LPGA women to shame, I am just learning now, but at least I can make contact with the ball most of the time and drive it about 90 feet. Mini golf, anyone? I rock at that…

Saving people from blindness? This blog spans more than dermatology. If you know anyone with high myopia (translate into “blind as a bat”) they are at high risk for a spontaneous retinal detachment and should be examined annually by a general ophthalmologist or retinal specialist. Sudden floaters or flashing of lights are an eye emergency. Otherwise you face placing your head down in a special chair for 6 weeks, no plane rides, and possible permanent vision loss. Fortunately, I had mine caught early on a routine exam. My friend’s husband was trying to play his own doctor, and was given the advice to come back in 3 months. I prodded him to see a retina specialist. Luckily, I met him a long time ago and he is more apt to listen to me than his own wife (hence the counseling).

I watched more TV than I had in months. CNN is still talking about the downed plane, Fox News is still talking about Benghazi. I guess I’m not missing anything? Just kidding. Our news channels are embarrassing at times. I was just happy to get away from watching shows about aliens on H2. Sadly, there may be more substance there!

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Posted in Juvederm, Miscellaneous possibly useless knowledge, Mohs surgery, Restylane, Skin Cancer, Uncategorized | No Comments »

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