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Submitted by Admin on Mon, 11/25/2013 - 17:10

The Magnificent Seven

Much has been stated about trying to define beauty using objective measures. While I do not adhere to these and think that what defines a beautiful face is as much an artistic interpretation, one author has attempted to do so in what is termed the Magnificent Seven. The Magnificent Seven, not to be confused with a 1960 movie starring Steve McQueen and Yul Brenner, consists of defining facial beauty based on the following features (as defined by Swift A et al. Clin Plast Surg 2011):

1. Facial Shape (cheeks and chin)

2. Forehead height

3. Eyebrow shape

4. Eye size and intercanthal distance

5. Nose shape

6. Lips

7. Skin clarity/color/texture

So how can changes be made to these seven criteria if desired. 

1. Facial shape (cheeks and chin)- can be changed with facial fillers, neuromodulators, diet, exercise, facial implants

2. Forehead height- Change in hairstyle, hair lowering procedure, hair transplantation

3. Eyebrow shape- Eyebrow grooming techniques, neuromodulators, facial fillers, browlift

4. Eye size and intercanthal distance- Makeup techniques, rhinoplasty (upper 1/3), blepharoplasty, neuromodulators

5. Nose shape- Makeup techniques, Rhinoplasty

6. Lips- Makeup techniques, lip plumpers, facial fillers

7. Skin clarity/color/ texture- lifestyle changes (avoidance of sun/smoking, diet, exercise), skin care products, resurfacing techniques (chemical peels, LASER)

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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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