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Archive for the ‘Restylane’ Category

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Back from Utah!

Wednesday, April 6th, 2016

Thank you for allowing me to take a week off! It was fun, though not very relaxing (taking care of 6.5 year old twins all by myself for 6 days-am I crazy?)

The weather was perfect. 40-50 degrees and it snowed every day. We secured a fabulous convenient condo two blocks to Deer Valley and I hope to stay there again-let me know if you want the referral. One of my daughters wanted to try snowboarding, so we went to Park City Resort-had not been in 21 years since I was an intern in Seattle when I took a trip by myself around April (and remember the slush). Taken over by Vail Resorts, the prices are steep and the service and facilities did not match up. It took an hour to get skis compared to no wait at DV, so definitely consider renting from one of the many shops on site in the mall or use one of the ski butler services. However, the ski conditions were great and the ski school for kids was also good.

However, nothing compares to Deer Valley when it came to service. I must say they have some of the KINDEST employees on the planet. Maybe it is their age/maturity, but these elderly sweethearts went the extra mile to carry all of our skis up to storage, to look for my kid’s gloves when she forgot them at school, and took the trouble to find us downstairs eating yogurt. They have a true love for the sport, the resort, and just want you to have a good time (and they take pity on moms who are by themselves schlepping all the equipment around!). The soup and salads are great at Empire Canyon Lodge as well. For the non-skiers, it’s just behind the Montage and can be reached by car.

I had an amusing time with all the powder this year. I’m a horrible powder skier and got a little too confident after making it down a run I had trouble with last year. For the record, double blue, such as Orion, at DV can mean super steep moguls. I could be wrong, but in Colorado those are always black. I know my limitations and took off my skis and had a peaceful, though exhausting walk through the trees back to Supreme-I had fantasies of some guy coming to my rescue and carrying my skis! (This actually happened once in a back bowl at Vail). I need to either take lessons or just keep being a groomer girl. You can weigh in next time you see me, but given what I do for a living, please talk me out of my inherent drive to go down difficult runs!

The trip was capped off by a new kiddie snowmobiling feature at Gorgoza Park, the best children’s book and clothing store I’ve ever been to (Children’s Hour in SLC-absolutely a must for moms and grandmas-unique stuff from Europe), and the fabulous young guy who works at Pei Wei at the airport who made my month by telling me “You’re very pretty!” when I was just meaning to order some beef with broccoli kiddie meals. OK, before you think he was trying to hit on me-he’s gay and that makes it all the more lovely. I would’ve liked to have stolen him for a personal assistant/yes man at that very moment had I had the option!

I have a new look-been rocking my glasses a lot lately, cut my hair and continue to maintain my skin with my own products. So exhausted lately, not wearing eye makeup, and somehow everyone says I look like a kid (?!). I take a lot of inspiration from some of my patients, who are 77-92 years young-these amazing women have wonderful energy, are funny and have great fashion sense. You know who you are-my heroes!

It’s been very busy in the office. Surprising since it’s April and if you look at the restaurants in LA lately, they are pretty darn empty. I’ll be taking about a week a month off every month until the end of the year (except maybe September), so please call and plan ahead so you won’t be disappointed.

Thanks also to the kind patients who have lifted me up into the Top 10 Santa Monica dermatologists on Yelp. I think Yelp is an awful concept for professional services, but I will take it!

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Posted in Juvederm, Mohs surgery, Restylane, Skin Cancer, laser | No Comments »

New Fillers

Saturday, November 7th, 2015

Restylane Silk is a new filler which we have been using lately which has given nice results!

Everyone is confused by the names. I will decide for you, unless you have a preferred wrinkle filler. Some fillers are better for gentle enhancement of cheekbones and chins and larger areas that need filling, while some are better for finer lines and thinner skin.

Everyone is afraid of looking overdone and overfilled. No one should notice your fillers. I don’t believe people should look like they have work done!

Another common question is how long do they last? The thicker the filler, the longer it lasts. Nonetheless, results vary. I’ve had patients who maintain results for years. Indeed, we keep finding more and more patients who have had surgery around their lips, where we find microscopic filler 4-5 years out! This study has been presented at a national dermatology meeting and is awaiting publication.

Filler such as Restylane, Juvederm and Belotero can always be reversed with an enzyme. Due to my artistic vision, skill and experience, I’m proud to say I’ve NEVER had to reverse filler I’ve done on my own patients. I have, however, reversed fillers done from other doctor’s offices or medispas. Sculptra, on the other hand, cannot be reversed. It does have the advantage of lasting longer, but also has risks of nodules.

It is best to plan on having fillers at least a couple weeks before any event. Occasionally a bruise can occur. It is best to avoid alcohol and over the counter pain medicines like Aleve and Motrin prior to your procedure. That being said, bruising is not as common as one would think, and the vast majority of patients experience no bruising at all. Also, results just get better and better as the weeks go by, so even plan several months ahead of an event if you’re that organized!

Also, rest in peace, Arnold Klein, MD. He was controversial, but we dermatologists do have to thank him for making fillers popular. We are lucky that now we have fillers much longer lasting than collagen and almost never cause allergic reactions.

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Posted in Juvederm, Restylane | No Comments »

Happy Labor Day!

Friday, September 4th, 2015

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Posted in Botox, Juvederm, Mohs surgery, Restylane, Skin Cancer, laser | No Comments »

In memoriam: Fredric Brandt, MD

Monday, April 6th, 2015

I was sad and shocked to hear of my colleague’s passing. Dr. Brandt was a great lecturer and a kind man. Despite his flamboyant persona (I LOVED the outfits he wore to our meetings-I can still picture them in my head), he was an intelligent and thoughtful dermatologist who knew what he was talking about and had complete enthusiasm about Botox and fillers. During panel discussions, I remember being on his same wavelength-I’d have the same questions as he did! Our former fellow, Dr. Alysa Herman, has worked in his Florida practice. I was glad to have learned much from him and to have met him. His loss is our specialty’s loss and I will truly miss seeing him at meetings. It won’t be the same.

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Posted in Botox, Juvederm, Restylane | No Comments »

Sorry for the absence!

Monday, November 3rd, 2014

Sorry for not posting a blog for months. It started with my girls’ bday party planning, and somewhere it morphed into the elementary school search.

A lot of you have been asking when Verdure sunscreen will be available again. We are really sure it will be March/April 2015. Thanks for your patience.

I hope you will enjoy getting to know my new assistants Rosa and Tracy. Once again, I have made the USC and UCLA crowds happy.

Mistakenly, I was omitted by Pasadena Magazine as a Top Doctor in Dermatology this year when the issue was published. Their editors were notified of this error. Once again, you will see my name in Los Angeles magazine as a SuperDoctor this January. Thanks again to my colleagues who have bestowed Dr. Bennett and me with this honor.

A friendly reminder that I will be out of the office as usual Thanksgiving week and between Xmas and New Years. Cosmetic treatments and appointments are very popular around this time of year so plan accordingly. The Mohs surgery schedule is also filling up, so if you decide to postpone your surgery until after the holidays (not recommended for SCC or melanoma), please make careful note of the exact location of your biopsy site and take multiple pictures with your cell phone or ask your referring dermatologist to take a picture and consider a diagram.

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Posted in Botox, Juvederm, Laser Hair Removal, Mohs surgery, Restylane, Skin Cancer, acne scar treatment, acne scars, fractionated laser, fraxel laser, laser | No Comments »

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 »

So inspired!!

Saturday, October 5th, 2013

Does it seem like I’m gone once a month? Yes, that seems to be my pattern lately. This time I am in Chicago checking in on my elderly parents and attending our annual derm surgery meeting. It has been intense and fun. I have reconnected with old friends, old colleagues, and have been excited to meet new people that I have learned so much from. On top of that, this group has a sense of humor and have shown off their musical and performing talents.

Besides learning about and reinforcing advanced filler techniques and devices, we got to hear the famous Duke Coach Mike Kryzyzewski speak to us. He’s the only basketball coach I recognize besides Phil Jackson and Pat Riley (that is a big deal) We got to hear about his own insecure crush on Beyonce, but more importantly we got to learn about what qualities he looks for in young people and how he passionately motivates all of the big egos he deals with through a culture of respect. I didn’t realize he is a nice Polish boy from Chicago on top of that!

I found out that the lasers I possess are still the gold standard, despite the continual alphabet soup of new technology. I am still eager to try some new devices on myself first and see for myself what the truth is. The truth is harder to figure out at these meetings, as the lines between industry and medicine are blurred and the truth will only be told with time. You wouldn’t believe how many of the latest “hot” lasers-no pun intended- have come and gone in my career. Nonetheless, I learned a bunch and look forward to returning to LA. I miss my patients, my dog and my girlies!

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Posted in Botox, Juvederm, Restylane, Skin Cancer, acne scar treatment, acne scars, fractionated laser, fraxel laser, laser | No Comments »

Belotero and Xeomin

Wednesday, June 12th, 2013

There are 2 new products on the block. Belotero is another hyalaronic acid filler and Xeomin is another version of Botox. If you read my previous posts, I tend to be a late adopter. However, these products are very similar to Restylane and Botox, respectively, but slightly less expensive. Therefore, I am passing the savings on to you, the patients. So far, so good. I flew through a bunch of Belotero in the pasr month, everyone is happy. Longevity remains to be seen, the jury is still out.

Hope everyone is enjoying the June gloom. I absolutely love the cooler, more overcast weather! Beating hot sun is not my idea of fun! Please note that during the first half of July, I will be out of the office quite a bit, so please plan accordingly.

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Posted in Botox, Juvederm, Restylane | No Comments »

The Ultimate Compliment

Friday, August 24th, 2012

Thanks again to my doctor peers for putting me on the Los Angeles Magazine Super Doctors list for 6 years in a row. Respect from my peers is the ultimate compliment next to respect from my patients.

Runner up compliment from my derm peers: that I am “young and hot.” Yeah, I looked especially hot yesterday morning frantically mopping up my kid’s pee from the floor of the Westside Pavillion food court with six diapers! We got some interesting looks from various people, my fave being the blank stare of the woman behind the McDonalds counter. I couldn’t find a custodian and all I could think of was a slip and fall by peepee traumatic brain injury. Where are those “Cuidado” signs when you need them?

Runner up compliment from a patient, “You’re too pretty to be a doctor.” I forgot to ask her what should have been my calling? News anchor? KPop sensation? Really, what? And can I call her when I have a bad day? My S.O. doesn’t even say anything remotely this flattering!

But seriously, after taking off several 3 inch wide cancers just this week, and working very, very hard, things like this make my day. Malcolm Gladwell said that it takes 10,000 hours to master something. Dr. Bennett calculated that a Mohs surgeon working several days a week would take about 12 years. That makes me a master. A Mohs surgeon working once a week or once a month, well, go figure! But no one can really be a master without being a perpetual student and keeping humble so now I will sign off.

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Top Pasadena dermatologist

Saturday, June 16th, 2012

Named as a Pasadena Top Doctor again in Pasadena Magazine. Thanks to my colleagues who entrust the care of their patients to me.

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