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Submitted by Admin on Wed, 10/09/2013 - 12:42

Reservatrol is being touted ast the anti-inflammatory and antioxidant of the past 5 years. However, as with any supplement, there is both appropriate and inappropriate usage. A recent study in the American Journal of Pathology by researcher Ikuo Tsundo at LSU found that mice with multiple sclerosis have more severe symptoms than those without. This does not mean that reservatrol promotes multiple sclerosis or can cause it. Interestingly, in other diseases which were caused by viruses such as Epstein-Barr (monosclerosis), reservatrol appeared to improve symptoms. The main message here: in patients who already have multiple sclerosis- probably best to hold off on taking reservatrol.

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Submitted by Admin on Wed, 10/09/2013 - 09:28

Avoiding the Okay plateauA recent book Dr. Shah read called Moonwalking with Einstein highlighted an important concept for almost any individual, “getting past the okay plateau”. So what is the okay plateau? The okay plateau is what many of us think is the upper bounds of innate ability. We often hear the term practice makes perfect. But many of us don't reach perfect, we just get to okay. For example, in typing most of us can progress from simple single digit typing to two-handed typing. However, after hours and hours of typing most of us do not get any better. Why is that?

Psychologists, Paul Fitts and Micheal Posner found that any new skill has three phases:

  • Cognitive phase- Intellectualization of task and discover ways to become more efficient

  • Associative phase- Make fewer major errors and more efficient

  • Autonomous phase- Good as we need to be and function on autopilot

So how does one go from simply being okay to world class. What is the difference between world class musicians from a very good piano teacher? Breaking the okay plateau, involves focusing on technique, staying goal-oriented, and getting immediate feedback on performance. The difference lies in never being satisfied with our results. This often distinguishes amateur musicians versus masters. 

Dr. Shah applies some of these principles to his own practice to constantly get better. This often leads to an innovation of a technique since the technique itself may have inherent limits. For example in treating nasal tip convexity, Dr. Shah has developed a technique to treat fuller cartilages which can help significantly define the nose. He also believes that improvement in a skill often involves looking at that skill in a different perspective. Dr. Shah's speaks with friends in many different fields, such as engineers, Allergists, artists, photographers who have a different view point on the world. This added perspective makes Dr. Shah's insight deeper into some of the issues he is working with in his own practice.

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Submitted by Admin on Tue, 10/08/2013 - 14:49


Ocumend is a hydrogel pad used to reduce swelling and bruising. It is 50x stronger than any topical agent on the market. Ocumend contains 2 active ingredients: Arnica montana, which reduces inflammation and bruising, and ledum palustre, which is another naturally derived ingredient used to reduce inflammation in periorbital swelling.

Dr. Shah uses the smallest injection syringe to minimize bruising. Despite this, patients can still get a bruise. This is especially the case when working around the delicate eye area. The Ocumend in combination with ice and gentle technique helps decrease the incidence and severity of bruising.

FAQ Ocumend:

1. How do I use Ocumend?
Ocumend and instructions on how to use it vary based on the procedure. Generally speaking, patients with fillers will wear the hydrogel pad until the next morning. Patients having a rhinoplasty will typically use ocumend for the first three days after the procedure.

2. How often do I have to change the gel pads?
Typically the pads are changed every 6 hours.

3. Do the pads hurt?
No, the pads provide a cooling sensation.

4. Can I ice on top of the gel pad?
Yes, the pads are designed so that ice can be placed on top of the pads.

5. Can I take off the gel pad and reuse it?
Yes, but the gel pads last around 6-8 hours.

6. Can I sleep in the gel pads?
Yes, many patients find this to be helpful in applying ice at night.

7. Do the gel pads leave a sticky residue?
The pads do not leave a residue when applied to the skin.

8. Can I freeze the gel pads?
Yes, the ice pads can be either refrigerated or placed in the freezer. However, the pads can crystallize in the freezer, so we typically recommend to use the refrigerator.

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Submitted by Admin on Wed, 09/25/2013 - 07:31

Long Nostril patient

Rhinoplasty is a field with monikers that seem to describe and offend at the same time, such as pollybeak deformity and inverted V deformity. A new name is added to the list dubbed the "long nostril patient". This term was described by Dr. Anil Shah and coauthors in regards to a specific situation seen in rhinoplasty in a recent scientific paper was published in JAMA Facial Plastic surgery. This description compares the length of nostril in relationship to the overall projection of the nose. Patients with "long nostrils" were found to have longer than ideal lower lateral cartilages (tip cartilage). Dr. Shah and coauthors found that reduction in true length of nostril could be achieved by actually reducing the true length of the lower lateral cartilage.

Tags: Rhinoplasty

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