Showing posts with label Dermal Fillers. Show all posts
Showing posts with label Dermal Fillers. Show all posts

Friday, January 13, 2012

5 easy, low-fat cooking methods

Simple techniques for no-fuss, no-stress, and delicious healthy cooking.
1. Broiling
Why do it: Because it doesn't require cooking oil, broiling is a great way to cook healthfully. It works particularly well with thin, lean cuts of meat like chicken cutlets, thin cuts of pork, and fish, which cook through before they dry out. Low-fat cuts sometimes lack flavor, so you may want to compensate by using a marinade, a glaze, or a spice paste (try hoisin sauce or rice vinegar). A plus: Less than 10 minutes of a broiler's intense heat creates something that's too often lacking in low-fat cooking―a crispy crust.
What you need: A broiler pan. It has two parts: a slotted tray and a pan the tray rests on. The slots siphon off any fat that drips off the food. If you don't have a broiler pan, you can place a wire rack on a rimmed baking sheet. To avoid hours of soaking and scrubbing, line the pan or sheet with foil.
Tip: To reinforce the flavor of the marinade or glaze, baste the food frequently during broiling using a pastry brush or a paintbrush (a new one, of course). If you're serving the liquid with the meal, be sure to set some aside before you baste so you don't contaminate the cooked food with bacteria from the raw meat.
2. Steaming
Why do it: Steaming has a nutritional advantage besides requiring no fat. "It retains among the highest amounts of nutrients of any cooking technique," nutrition specialist Wendy Bazilian, R.D., says. Steaming creates a closed environment that envelops the ingredients in moisture. It's the ideal technique for fish and vegetables, ingredients that tend to dry out easily. "Usually the paler and whiter the fish, the lower the fat," says Bazilian, who cites halibut, cod, snapper, and sole as examples. The trick is not to let the pan run dry. As a reminder of when to add more water, toss a few marbles or coins into the pan before you add the steamer. The force of the boiling water causes them to jangle; they'll quiet down when the pan dries out.
What you need: The standard steaming setup consists of a collapsible metal basket in a large saucepan with a tight-fitting lid. For a makeshift version, place a small heatproof bowl upside down in a deep pot, add ½ inch of water, and balance a small heatproof plate on top. Place the food on the plate, then cover the pot with its lid. If you steam often and in large amounts, consider a bamboo steamer; its large, stackable trays allow you to steam fish on one layer, vegetables on another.
Tip: Drizzling a few drops of olive oil over steamed food just before serving will impart far more flavor than sautéing the ingredients in an entire tablespoon of fat.
3. Poaching
Why do it: When you poach, the liquid gives food an exceptionally tender texture, which in turn infuses the liquid with its own flavor. To poach, place chicken or fish in a large, shallow pan, add just enough water or broth to cover it, simmer gently so that only a stray bubble breaks the surface. (If you're making chicken, remove the skin before you poach it: "You immediately cut the fat grams by more than half," says Bazilian)
What you need: A saucepan that's deep enough to submerge the ingredients and a watchful eye, so that only an occasional bubble breaks the surface (otherwise, the meat may become tough).
Tip: Instead of pouring the cooking liquid down the drain, turn it into soup by adding vegetables and perhaps some pasta for substance. Recent research indicates that when people eat soup, they tend to fill up quickly due to the volume of liquid. As a result, they consume fewer calories overall without feeling deprived. "That psychological satisfaction," Bazilian says, "is very, very important."
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4. Wrapping
Why do it: A combination of steaming and baking, this cooking method works splendidly with fish and chicken, which dry out easily, because the paper pouch traps the moisture and the juices. Just place food on a piece of paper, wrap it up, and put it in the oven. When it's ready, as you pull away the crinkly, slightly burnished edges of the parcels, you'll feel almost as if you're unwrapping a healthy gift.
What you need: Waterproof and oven-safe, parchment paper is the perfect packaging for this cooking method (look for it near the plastic wrap). Don't substitute wax paper, which shouldn't be directly exposed to heat. If the seams start to unfold as soon as you let go, use a lemon half or a carrot as a paperweight.
Tip: The ingredients for a parchment package are limited only by your imagination. Use a different fish. Add some olives. Try asparagus instead of fennel, potatoes in place of beans. Whatever your creation, include a variety of colors as well as some fresh herbs, finely chopped garlic, or thinly sliced fresh ginger.


Read more: http://www.foxnews.com/health/2012/01/13/5-easy-low-fat-cooking-methods/#ixzz1jLllqZG8

Friday, November 11, 2011

The Skinny On Fat Versus Fillers

Patients coming in for surgery to make them look younger often will ask about fat injections.
There has been a lot of attention in the press about fat injections as a way to fill the grooves and troughs around the face. The areas most commonly affected by aging are around the mouth and lips. There are the nasolabial creases, the pair of which looks like parentheses, extending from the side of the nose down to the corners of the mouth. Then, there are the marionette lines, also somewhat parenthetic and parallel, running from the corners of the lower lip to the chin.
Another area that frequently tends to shrink and flatten out is the cheek bone area, particularly toward the nose under the eye. Finally, the area that shows hollowness with increasing age is below the cheek bone in the mid-cheek area.
What are the options? Today, we have more than ever. First, there is fat grafting. It begins with liposuction from the abdomen or the buttocks. It is filtered, prepared, and then injected into the areas that show shrinkage.  In excellent and in experienced and highly specialized hands, fat injections can be successful. The alternative is to fill with man-made fillers. This would include Restylane, Juvederm, Radiesse, Artefill and Sculptra.
Now, Radiesse and Juvederm are very similar – each is composed of hyaluronic acid – a natural occurring substance in human bone cartilage and skin. The product is bio-engineered in the laboratory and is considered pure and free of any possible rejection phenomenon. Complications from these injections are very, very rare. One unique property of Juvederm and Restylane, being hyaluronic acid, is that in case of overinjection, they can be dissolved using an enzyme called hyaluronidase.
While Restylane and Juvederm have a relatively short life within the tissues, typically 4-6 months or a bit longer, some of the other products are engineered to last longer. I have seen nice results from Sculptra injections done five years prior.
So, what about this competition between fat injections and what I will group together as the “non-fat injections”? The non-fat injections, which are laboratory made, allow a major advantage in that when the injections take place, one can see the result. Now, Sculptra is somewhat of an exception because it takes several months for the body to make new collagen and capitalize on the presence of Sculptra. The other products render an immediate, visible improvement. That is a huge advantage because the patient gets to make a decision when he/she is happy with the amount of filling. Further, one can fill a moderate amount and see how it looks in a few weeks, and go back and “top off.”  There is no need to puncture the body to obtain this as there is with fat injections.
I happen to like the concept of “testing the waters” with the non-permanent hyaluronic products, Restylane and Juvederm, almost as a ”demo”. Their immediate effect and shortened longevity also allows the patient to quickly decide if they are happy with the results. If they do not see the demonstrable improvement, and do not feel that it is a reasonable investment of their time and money, they can refrain from any further injections. There is economy of dollars there.
Now, let’s look at fat injections. I want to cite the recent discussion that took place on the pages of an excellent cosmetic surgery magazine for surgeons, Cosmetic Surgery Times. The publication interviewed two veteran cosmetic surgeons who faced off on fat injections. In the fat injection corner was J. William Little, MD, and in the “non-fat” injection corner was Val Lambros, MD.
I do not know Dr. Little personally, but he enjoys an excellent reputation nationally and internationally. I do know Dr. Lambros, and I have always admired the work that he has done, including his very unique tracking of individual facial aging using medically-consistent photographs. He has been a very good student of the subject of where the face ages, how it ages, and how, to the eye, the signs of aging can be reversed.
 Dr. Lambros made a very strong case for the unpredictability of fat injections. Frankly, I sit in that camp, also. I have always seen the unpredictability as the major disadvantage of fat injections. It does not mean that you cannot have a spectacular result, but it would take a very experienced practitioner, and somewhat of a “good day.”  Remember, not all practitioners are experienced enough to have a long track of patient observations, and Dr. Lambros referred to that.  I have selected certain quotes from his commentary because I think they are very on point.
“Injected fat can grow. This will be the longest long-term problem with fat.”  Dr. Lambros goes on to mention that, indeed, “the injected fat cannot be removed.  Then, you have the issue of symmetry. The surgeon may inject equal amounts into both cheeks, but maybe some of the fat will take on one side, and more will take on the other.  Another point made was that, in fact, due to a variety of anatomic factors, the fat takes better in younger people.  But, it is the older people that need the fat more because the hollowing of the face is a function of aging.”
Further, Dr. Lambros agreed with my observation that it takes quite a bit of experience and, what he calls, “finesse” and “esthetic sensibilities.”  While these are laudable and important characteristics in the cosmetic surgeon, we have to admit that not all will have this. If so, that is a negative.
Young surgeons are always taken with technology. In fact, it is a little more exciting to harvest the fat, treat it, and inject it.  It is more mechanical, more surgical than the mere injection of a syringe filled with a non-fat filler, such as Restylane, Juvederm, Radiesse, Sculptra or Artefill.

Read more: http://blogs.webmd.com/cosmetic-surgery/2011/10/the-skinny-on-fat-versus-fillers.html

Tuesday, May 24, 2011

Does Radiesse Really Last for One Year?

Does Radiesse Really Last for One Year?

Radiesse is a new generation cosmetic dermal filler that acts differently than hyaluronic acids, such as Restylane and Juvederm. Several medical studies have shown that Radiesse is a safe and longer lasting treatment.

Radiesse is a new generation cosmetic dermal filler that acts differently than hyaluronic acids, such as Restylane and Juvederm. Several medical studies have shown that Radiesse is a safe and longer lasting treatment that fills and corrects:
- Smile lines
- Nasolabial folds
- Wrinkles around your nose and mouth
- The sunken areas below your eyes (tear trough)

When administered by an experienced cosmetic surgeon, Radiesse can also be an effective treatment for augmenting your cheeks, and filling in the areas on the sides of your chin (your pre-jowl sulcus). Certain physicians who are trained in advanced injection techniques may use Radiesse to help lift sagging areas of the face.

About Radiesse
Radiesse is comprised of calcium-based microspheres that are suspended in a natural gel. This unique composition works with your body, below the surface of your skin, to stimulate the production of collagen and encourage tissue regeneration. Therefore, it does more than just temporarily fill facial lines and wrinkles; it helps your skin rebuild its own foundation.

Longevity of the Treatment
Radiesse has been proven to last up to a year. If you get a touch up every three months or so, this treatment can last about two years. The layering effect is what gives this dermal filler its extra staying power. Results will vary by patient, depending on the technique of your doctor, your metabolism and your amount of movement. Radiesse's superior qualities and longevity make it superior to most other fillers.

Keep in mind, however, that the major disadvantage of Radiesse is also its primary advantage--longevity. If the dermal filler is injected improperly, it can not be reversed. If you are undergoing Radiesse treatment for the first time, it is best to have a small amount injected by a qualified and experienced cosmetic surgeon, not a clinician. The results depend upon the skills and experience of the injector you choose.

Tear Trough Injections
Although Radiesse can be used to treat under-eye hollows (tear troughs), some patients have found the results to be less than desirable. And since Radiesse will last a year, you do not want to deal with irregularities for this duration. Bumps or surface irregularities can become very apparent under the eyes, whether you use cosmetic dermal fillers like Radiesse, hyaluronic acids such as Restylane and Juvederm, autologous fats, or any silicone particle-based solutions.

If You Have an Adverse Reaction
If you have an adverse reaction to Radiesse, you do not live with the outcome for 12 months, there is hope. Wydase can be used to help reverse the effects of hyaluronic-based solutions. Here are some other suggestions if you want to minimize the outcome of your Radiesse injection:
- If you experience visible bumps after your injection, make an immediate appointment with your Boca Raton doctor who can aggressively massage the treated area.
- If discrete white bumps are visible, a tiny incision may be created to "milk" out the material. This will not typically leave a visible scar.
- It is important to address this complication early, as surgical excision becomes extremely difficult months down the road because of your body's reaction to the foreign substance and the potential encapsulation with fibrous scar.

Adverse side effects are very rare. Most cosmetic patients are very happy with the outcome of their Radiesse injections to restore their youthful appearance for 12 months.

To learn more about how Radiesse can help reyou, please visit the website for the Dr. Skellchock's Integrative Dermatology in Boca Raton at www.DrSkellchock.com

Radiesse doctor physician dermatologist for boca raton, delray beach, fort lauderdale, deerfield beach, boynton beach, wellington

Friday, May 6, 2011

What is Artefill?

Artefill is a dermal filler.

Finally – a long lasting solution for wrinkle correction!

Artefill:
  • is long lasting
  • is economical
  • feels natural
  • requires fewer injections
  • is more convenient
If you want an injectable wrinkle filler that provides long lasting wrinkle correction, then ask one of our doctors about Artefill.  If you have used temporary wrinkle fillers in the past, then you know that they are eventually absorbed by your body and require frequent repeat injections to maintain the results you've come to love


Artefill is different from temporary injectable wrinkle fillers. The unique microspheres in Artefill are not absorbed by the body and provide the support your skin needs for natural, long lasting results.

Learn more about the Artefill difference »

Integrative Dermatology is an Artefill Center of Excellence!

Thursday, April 28, 2011

Will Wrinkle-Smoother Restylane Be Approved as Lip Enhancer?

An advisory panel to the Food and Drug Administration will vote today (April 27) on whether to recommend the injectable filler Restylane for use as a lip enhancer. But future FDA approval may not make a difference in how the dermal filler is used in clinical practice, doctors say.

If the advisory panel votes to recommend Restylane for use in the lips, that information will then go to the FDA, which will then vote for final approval, said FDA spokeswoman Karen Riley.

Restylane works by adding volume to facial tissue with injections of hyaluronic acid, which is produced by bacteria. The results last for about six months, according to the FDA.

The filler was approved by the FDA in 2003 to smooth deep wrinkles like the nasolabial fold -- the line that forms between the side of the nose and the corner of the mouth -- but it's often used for off-label purposes, like to enhance, define and plump up the lips, said Dr. Farhad Rafizadeh, a plastic surgeon who has a private practice in Morristown, N.J.

However, FDA approval for Restylane to be used in the lips likely wouldn't make a difference in his own practice, said Rafizadeh, who already uses it for that purpose with his patients.

"It doesn’t make it any safer or any more dangerous," Rafizadeh told MyHealthNewsDaily. "It is what it is."

Injectable dermal fillers like Restylane are extremely popular in the United States, with more than 1.2 million people getting hyaluronic acid injections in 2010, according to the American Society of Plastic Surgeons.

To finish reading this article, please visit My Health News Daily at: http://www.myhealthnewsdaily.com/restylane-lip-enhancer-fda-panel-1439/
Article by: Amanda Chan, MyHealthNewsDaily Staff Writer