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Submitted by DrShahAdmin on Thu, 10/06/2011 - 12:15

Navigating the terminology of rhinoplasty and facial plastic surgery can be daunting for the web viewer or perspective rhinoplasty patient. To aid and educate these individuals, Dr. Shah has created a Glossary of Rhinoplasty Terms and Glossary of Facial Aging Terms. Here you will find useful terms and definitions and links to further information; much of which is exclusive to Dr. Anil Shah and shahmd.com. You will also find a pronunciation key as well as sound bites to guide you in 'speaking rhinoplasty and facial plastic surgery' like a native.

Not seeing the term you're searching for? Have questions for Dr. Shah? Let us know on Twitter, Facebook, or contact Dr. Shah directly!

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Submitted by DrShahAdmin on Mon, 10/03/2011 - 15:38
Warning: Drinking milk will not make you look 30 years younger! You may need Dr. Shah's expert procedures to do that

A recent study presented at the annual Endocrine Society meeting in Boston found that in early postmenopausal women, the patients with increased skin wrinkling had correlating loss in bone density. Bone density is important in preventing issues such as osteoporosis, as well as ones susceptibility to fractures. The believed hypothesis is that the same building blocks responsible for keeping skin taut are necessary to support the structure of bones, mainly proteins. This study is significant in that it is one of the first to link the relationship of the loss of protein in skin to that of the bones. Future studies may help determine how factors such as diet, hormone replacement therapy, and other lifestyle changes can impact the structure of both skin and bone. Health diet, exercise and in some cases a multi-vitamin to promote bone health can help to keep the bones and skin strong, young, and healthy.

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Submitted by DrShahAdmin on Sun, 10/02/2011 - 12:12

As women age, a growing fear lurks on the horizon: Menopause. Horror stories passed down from our mothers and sitcom punchlines have made modern woman dread this impending time. But fear not. With understanding and new medical findings, menopause doesn't have to mean the end of one's youth.

Menopause is a time when estrogen levels begin to decline. For most women, this occurs on average around the mid 50's. Although estrogen receptors are found throughout the body, the highest density of receptors is found on the skin, perineum and lower limbs. Decreases in estrogen levels will cause a variety of changes to our body. First of all, during menopause our skin produces less collagen and elastic fibers, which can promote wrinkles. The lessening of collagen can lead to thinner, more fragile skin. The decrease in collagen strength can give way to gravity, causing tissue descent along the face, eyes, and neck. In addition, fat will tend to atrophy, causing further thinning of skin. The decrease in fat can demonstrate itself throughout the face making an older face look gaunt, as opposed to the plumpness associated with a more youthful face. Postmenopausal skin produces less sebum and oil, which leads to dryer skin.

Fortunately, there are a plethora of solutions which specifically can target postmenopausal aging. Each patient requires an individualized approach to maximize the benefit for their concern. Directly addressing the lower level of estrogen can with supplements can be an effective method of maintaining collagen. The effects of estrogen replacement as well as hormone therapy is complex and controversial, especially due to its effects on other organ systems.

Due to the fragility of the skin, sunscreens are especially important at this age. Many patients also report the need for increased moisturizer to help with skin which can become dryer. Daily therapeutic skin regimens can be an effective ways of maintaining the structural elements of skin. Most ideal regimens include the use of topical retinoids and growth factors to promote collagen and younger looking skin.

The use of fat transfer, facial fillers, or stem cell injections can help restore youthful contours to the face as well as restore some of the plumpness lost with age. Fat transfers and stem cell injections can facilitate the influx of cytokine and other growth factors to the skin to help restore a youthful component to the structural element of the skin. Tissues of the face and neck which have descended with gravity and loss of collagen and elastin fibers can be resuspended with the use of a face or neck lift.

While menopause is a natural, normal part of a women's life, our understanding of its effects on the face and aging is becoming more clear. Innovative approaches over the last several years have helped enable women to restore, maintain a healthy, more youthful appearing face without many of stigma of older, outdated techniques. It is okay to accept your age, but you don't have to look it.

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Submitted by DrShahAdmin on Wed, 09/28/2011 - 15:25

The eyes are indeed the windows to the soul, but in facial plastics the eyes are also the windows to something else: your age. The area around the eye is the most delicate of the face, so in turn, aging shows up around our eyes earlier and often before we would like. One such eye problem is crows feet, those pesky wrinkles, that show up in corners of our eyes. Luckily, there are measures that can be taken to prevent, reduce, and eliminate crows feet.

Prevention: First and foremost, start with steps to prevent crows feet from beginning or prevent the ones you have from getting worse. To do so:

  • Wear Sunscreen- sunscreen is crucial in preventing photo damage that causes the aging of the skin
  • Start using an eye cream to keep the area moisturized. Consider using an eye cream enriched with growth factors, which will aid in collagen renewal.
  • Wear sunglasses: There are two reason this step is crucial. Not only do sunglasses protect the skin from the damaging rays of the sun (look for glasses that have UVA/UVB protection), but they also prevent squinting of the eyes.
  • Treatment: Crow's feet, once present, do not have to be permanent. There are several options for the treatment and elimination of crows feet:

    • An eye cream with growth factor is the first line of defense against crows feet. Growth Factors are the proteins responsible for the production of collagen and the maintaining of cell activity, which plays a crucial role in maintaining healthy skin. Growth factors directly stimulate the cells responsible for youth. SkinMedica's Eye Repair and Tensage Eye Contour Cream are two such eye products.
    • The most effective means of eliminating crow's feet is Botox. Botox injected in key areas relaxes the areas causing wrinkles, lessening them considerable or eliminating them entirely with results lasting between 4-6 months. As with any facial filler or botox injection in is crucial to know your injector. Botox injectors should have an extensive knowledge and expertise of facial anatomy.

    With the advancing facial rejuvenation and facial plastic surgery, it is possible to avoid the "call of the crow" and keep your eyes looking as young as the soul behind them.

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