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Submitted by Admin on Fri, 11/22/2013 - 16:47

Many of us know that sleep apnea, which is pauses in our sleep, is dangerous and can lead to daytime somnolence, premature death and even cardiovascular disease.  But can patients who snore and do not have sleep apnea have increased risks as well?  Most physicians have viewed snoring as a loud disruptive sound, but not deadly if there wasn't any associated apneas.  However, more recent evidence has found that snoring may indeed have health risks including carotid vascular disease.  This area which is currently being studied, may have us look at snoring in a different perspective than before.

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Submitted by Admin on Thu, 11/21/2013 - 16:43

Juvederm Voluma was recently unanimously FDA approved as the only facial filler for age-related loss in the midface.  This particular filler is claiming to be the thickest to date.  In addition, results may last up to 2 years, which is thought to be the longest lasting hyaluronic acid filler compared to others in the market.  Side effect profile of Voluma is said to be similar to other HA fillers which includes, swelling, bruising, pain, redness or discoloration.


What size syringe does Voluma XC come in?

Voluma comes in a 1.0 ml syringe which is slightly more than the .8ml syringe that comes with Juvederm Ultra and Ultra Plus.

What volume of Voluma will I need?

The amount of Voluma you will need depends on your degree of facial aging.

Can Voluma be used elsewhere in the face?

Voluma is indicated to be injected in the mid-face where we tend to loose volume as we age.

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Submitted by Admin on Tue, 11/05/2013 - 18:10

influenza after a nosejob

Although there are not any recommendations on this from all makers of influenza intranasal vaccine, I do not recommend the use of a live virus in the nose immediately after a rhinoplasty or septoplasty. First of all, immediately after rhinoplasty, the nose is healing and spraying an irritant in the nose is not recommended. The manufacturers of the vaccine note that nasal congestion, nasal irritation, and runny nose are common adverse effects. This leads me to believe that the vaccine or more likely the solution that carries that vaccine is irritating to the nasal passageway, not a good idea after a nasal procedure. In addition, after a septorhinoplasty, it takes several weeks for the cilia and structure of the nose to return to function. This may mean that the vaccine could be less effective than desired. Finally, the CDC suggests that the vaccine not be used in the presence of nasal congestion as it may limit the effectiveness of the vaccine. After a rhinoplasty, there is typically intranasal swelling.

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Submitted by Admin on Tue, 11/05/2013 - 13:48

Zinc is necessary in human health and has an array of benefits. For example, when taken as a lozenge it can reduce the time of a common cold, or when used topically can help clear up acne. Zincs most recent perk is the ability to help one's Botox not only last longer, but make Botox more effective.

This is how it works...

Botulinum toxin aka Botox works by temporarily blocking the nerve that activates a muscle. The area of the nerve that Botox affects is called the presynaptic area. The presynaptic area is before the synapse. The nerve stimulates the muscle at the synapse. Botoulinum toxin binds to the presynaptic motoneuron and then is internalized. It acts on a zinc-dependent endoprotease to inhibit acetylcholine release. Acetylcholine is responsible for stimulating the muscle. Hence, no acetylcholine, no muscle movement. If a patient is zinc deficient, botulinum toxin will not be internalized and will not work as effectively. 

Try Zytase, a zinc supplement newly introduced to the market. You can also consider taking a zinc supplement or ensuring that you are not zinc deficient.

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