As Dr. Shah sees patients from all over, he is often asked the difference in aesthetic between European and American noses. From Dr. Shah:
First of all, there is such a wide difference amongst patients within Europe and the United States that it is not possible to distinguish one type of aesthetic versus the other. European patients as a whole tend to favor as natural appearance as possible. Patients do not want to look overly done and look like they have had plastic surgery. This is definitely true for American patients as well, but some Americans prefer a more stylistic version of their nose. An example of this is seen in the angle of the nose or how "up" it may look. European patients often prefer this angle to be closer to 90 degrees while some American patients, particularily females, will want a shorter nose. Tailoring your operation to both the face as well as the person is one important step to achieving successful outcomes.
Recent large studies from the American Heart Association have made some changes to the guidelines on diet. In particular, the diet guideline suggested that fruits, fish, legumes, poultry and vegetables were acceptable. But perhaps more controversially, the diet stated that nuts of all types were recommended. Not surprising, red meat, sugar, trans fats sodium and saturated fats were to be restricted.
Evidence of fruit and vegetable consumption in decreasing heart disease was see in studying around 100,000 men and women in a Nurse's Health Study and Health Professional Follow-Up Study. Of significance were that variety was more important than quantity.
Nut consumption was shown to have decreased risk in heart disease. In fact patients with more nut consumption had corresponding lower heart disease than those without in a study of more than 3 million person-years of Nurse's Health Study and the Health Professionals Follow-up Study with a 20% reduction in mortality in subjects who eat nuts 7 or more times a week versus 7% reduction in mortality in those who did not eat nuts.
Meat consumption, in particular processed meat and red meat, had significantly higher mortality especially cardiovascular diseases. Most of the data from meat consumption was taken from an analysis of nearly 500,000 participants in the European Prospective Investigation Into Cancer and Nutrition trial. The study stated that red meat consumption over 5.6 ounces per day had 44% all-cause mortality. An additional trial in the American Journal of Clinical Nutrition noted that individuals with a 20 year history of low meat consumption lived an additional 3.6 years longer.
So what is the take home points of these recent large trials? First of all, nuts, even though they may be high in fats, are considered heart healthy. Red meat is not. An ideal diet for prolonging longevity on current studies would be a highly varied diet high in fruits, vegetables with low red meat consumption.
Perhaps an underappreciated aspect of male youthfullness is in the lips. Fuller male lips are often seen in younger males and tends to decrease in size with age. While an overly full top lip is not an attractive option in either male or female adding a subtle amount of filler can help be a tasteful detail in making a male face look youner and more attractive.
Our understanding of the aging process behind the perioral area is constantly being updated. Over time, many of us lose volume, not only within the red portion of the lip, but as a result of bony loss around our dental region. This combination can make the white portion of the lip (the area between the red lip and the nose) appear longer.
Facial filler can help add volume to the red lip and can help balance out the overly long upper lip (white portion of the lip). Subtle enhancments can help the face appear more attractive and appealing on multiple levels. Lip enhancement in males is one such area.
How soon after a rhinoplasty can a patient have LASER procedure?
The question here is on the type of rhinoplasty and the type of LASER. Soon after a rhinoplasty, LASER resurfacing procedures (i.e. C02 laser, Erbium laser, Fractionated C02 laser) must be performed with caution as the skin takes some time to revascularize. In some cases, patients must wait 6 months or longer to receive some type of LASER procedures. Lasers used to target blood vessels can be utilized earlier with conservative settings. It is best to speak to your surgeon to help determine a timetable that maximizes the risk to benefit ratio.