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Tyte and Bryte/Sciton Forever Young BBL
Posted March 1, 2013, 11:59 a.m.
Updated March 6, 2013, 10:45 a.m.

Forever Young BBL/Tyte and Bryte

Well, it is time to blog a bit about our experience with our new Sciton® Tyte and Bryte procedure.  WE LOVE IT! And by “WE” I mean both the patients and I, and my staff. Forget about Thermage, Photofacial, Titan. For those of you who missed our emails announcing this procedure, our enthusiasm stems from a recently published article out of Stanford University Dermatology   demonstrating the science of Sciton®s Broad Band Light™ technology in restoring youthful, healthy skin. Many of you who have worked with me for a while know that I do not buy into hype and leap into new treatments easily, but the science was there for me and made sense.  And now after several months of treating patients, I am becoming more convinced that this treatment protocol is as close to the fountain of youth as we can get. That’s why I love it.

The patients love it because the results are fabulous. After two treatments, they report a definite improvement in overall pigment irregularities and texture. After the third treatment they see some tightening of the skin. By 6 weeks after the fifth treatment, Wow. While great results are fabulous, the ease of treatment is amazing. Tyte and Bryte stimulates the skin with non ablative light, without causing burning or injury to the surface of the skin.  Non ablative means no downtime. Most patients are pink when they leave, some stay pink for several hours but all are able to go out and be seen the same night.  And lastly, it is not painful.  For those of you who have heard about what Thermage feels like, rest assured, this is easy. Happy patients means a happy office, and so my staff loves it.

Does it sound like the fountain of youth to you? Tyte and Bryte treatments take approximately 30 minutes in the office.  Done two weeks apart, after 5 treatments most patients can go on a once or twice a year maintenance schedule, depending on their lifestyles, age, sun exposure and heredity. Want to learn more? Get more info on  Let us help you be Forever Young.

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The Surgeon Becomes the Patient Part IV.
Posted March 27, 2012, 5:16 p.m.
Updated March 28, 2012, 11:31 a.m.

As the date of my surgery approached, I prepared. By that I mean I made arrangements for my kids for the weekend, I checked in with my husband, to remind him that I would be recovering and he would be in charge.  I think I remembered to fill my prescriptions.  I made plans to take the day after the procedure completely off.  I even tried to take the day OF the procedure off, but there was one patient who had really limited time and just had to have her laser resurfacing done that one day.  I considered that my own surgery was scheduled for the afternoon anyway, I often worked all morning without eating, so why not keep busy rather than sitting at home, hungry, waiting to have an operation.  So I scheduled that patient’s laser peel for the morning of my own surgery.

I routinely advise patients to take a week off of work after any surgical procedure.  I tell them to do nothing during that week except to pay attention to their body’s needs so that they eat as soon as they are hungry, lie down and sleep as soon as they are tired.  To most of my patients, this is a foreign concept, taking care of oneself for a whole week! No work or emails or projects.  Trust me though, patients need this time.  I have learned this from experience as a surgeon.  As a patient however, I make a point of following my own physician’s recommendations.  So I asked him how long I needed to be off work.  He appeared perplexed by the question and told me to do what I felt best.  I explained that I was trying to be a compliant patient and wanted his instructions. He told me to go back to work when I was ready, but that the compression dressing he was going to put on after the surgery was to stay on for a full 5 days.  Hmmmm.  I was being open about my procedure, not keeping it a secret.  New patients might be put off by meeting me in a surgical dressing with unwashed hair, but my existing patients would understand, would probably be curious about what was going on.  I could take Friday (the day after the procedure) off, relax over the weekend (with kids around) and return to work on Monday.  Ok, make it the morning only on Monday and then back to full routine on Tuesday. By then I could take off the dressing, wash my hair and meet new consults.  Done!  Postoperative recovery time planned and prepared for per my Surgeon’s instructions.

I was ready.  Surgical day.  No breakfast, no coffee, but that was OK, I had discovered lack of caffeine did not give me headaches, at least until the afternoon by which time I would be under the influence of anesthesia.  Having a procedure to do in the office gave me something to focus on other than my preoperative jitters and all went well.  My best friend came by the office to drive me to my surgery appointment and I was on my way!


The Surgeon Becomes a Patient Part III
Posted July 11, 2011, 11:27 a.m.

As I have said before, my neck was a longstanding issue for me. In fact, I had a consultation last summer with a plastic surgeon in this area. I had even received a quote for the procedure under local anesthesia in his office. I spoke with my husband and he said "go for it. Whatever makes you happy. I think you are beautiful." And I guess that was enough for then because I did not jump in and schedule. I kept the information in my back pocket, but continued to concentrate on other things that made me feel smart, and competent.

Then that fateful TV taping in March...I really started to feel unhappy about how I looked. And it was not only my face that was bothering me. I really did not want to see myself in the mirror as I dressed either. I started to feel that I looked dumpy and frumpy all over. Whatever made me feel powerful and able during the day was diminished. I called the surgeon and booked a date.

I started to get excited, I started to get nervous. I did not worry so much about the procedure itself. I am not wimpy about being uncomfortable. I have had 4 babies after all. I went back to work quickly after delivering (in only 2 weeks after the birth of my first son, actually, CRAZY!) I only worried a little about becoming one of those tabloid dramas, dying in the office operating room while undergoing a purely elective procedure. After all, I had chosen a plastic surgeon certified by the American Board of Plastic Surgery whose office O.R. is fully accredited. I was not meeting some shadowy figure in an airport hotel for an injection of industrial grade silicone into my body. I knew my surgeon very well professionally and admired his abilities. I was going to survive the procedure. But what if I did not get the results I wanted? I was not looking for a swan neck, I never had that before and a thin neck would not look congruous with my full face in any case. But what if it were lumpy, or uneven? I well know the limitations of liposuction, it is a procedure I myself do quite often. I was in the theater with my husband the week before the surgery, gazing at the lead actress, a full figured, full faced, pleasant looking but not overly stunning woman. Her neck was really full, not fashionable at all, but so smoooooth, no lumps or dimples or tethered skin, the postoperative changes I always refer to as the STIGMATA of liposuction. OMG, here I was ready to undergo a procedure to improve my fat neck, but even though fat, it was SMOOTH! Was I being stupid, running the risk of exchange my unappealingly large, but naturally smooth neck for a thinner, but unnatural appearing one? It was my biggest fear.

I met with my surgeon for the preoperative visit. As I encourage all my patients to do with me, I discussed my overriding concerns with him. "You will not be lumpy" he assured me. I reminded myself that I knew this surgeon's skill, which is why I chose him, and having voiced my worries, I was comforted that he knew what I wanted and knew what he was doing. Game on. One week left to go.

The Surgeon Becomes a Patient Part II
Posted June 2, 2011, 10:48 a.m.

To fully understand where I am now, you have to know where it all started. I have always really disliked my neck. There are baby pictures of me with a double chin. Viewers of these photos always remark on my cute double chin, followed by comments about my enormous eyes. To be totally honest, the comments may not always be in that order, maybe my inner filter distorts my memory. I always see that too soft chin first.

I grew up looking at others' necks. I really liked the swan ones. We probably all admire in other people what we wish for in ourselves. Often, we lose site of our good characteristics in our wishing for better versions of what we have that we don't like. I grew up in a high school where a rhinoplasty was the summer activity between junior and senior year. My best friend was scheduled for one of these. She was Persian and beautiful and exotic. Rhinoplasty back then was much less elegant than it is now; there was no subtlety and the operated noses often looked "done" and the same as all the other noses done by that surgeon. I sat her down for a serious talk. I told her she was beautiful, her eyes were fabulous, her neck and jaw were fabulous, she was exotic and her nose went with her face and a "Dr. Diamond #3" would not fit her at all. She told me that I had a perfect little nose, so I had NO idea how it felt to look someone in the eye in conversation and have a voice in the back of my head running with "he's staring at my nose, he's staring at my nose, he's staring at my nose." Wow. She loved my nose? I never paid any attention to my nose. Did she not see my chin and my neck? Apparently, she didn't. She noticed my nose, I noticed her neck. Point made.

In fact, this single discussion has been the strongest influence on my practice of plastic surgery to this day. It is not about what the outside world sees, it is about what the individual sees from the inside out. It is true that this can be extreme and dysfunctional, but that's a topic for another blog. I will say that my friend had her rhinoplasty and it changed her life. She felt like a swan instead of the ugly duckling. Her confidence soared and she opened up (and of course, she DID have that swan neck.)

Back to the topic of my surgery. My neck and chin always bothered me but in March, I taped two segments for a new TV advertising campaign. Before this, I worked live, and in the studio. I was not thrilled with the studio lighting or my positioning relative to the camera, but I sounded good and I said in last week's blog, I just kinda listened to myself on tape and did not look. These new segments were filmed in the office. I don't know if it was the lighting, or the color I was wearing, or just that my neck has continued to worsen, but when I looked at these new taped and produced segments, I was horrified. I LOOKED AWFUL! Old and droopy and dull and tired. My face started at my collarbones with no neck in between clavicle and chin. The whole thing wobbled when I moved. OMG! This did not look like me, the inner me, the vital me. What I saw in that image did not represent who I am. Those two minute segments jump started my personal cosmetic odyssey.

The Surgeon Becomes a Patient Part I
Posted May 26, 2011, 9:52 a.m.
Updated May 27, 2011, 1:43 p.m.

I spend the majority of my working day speaking with and counseling people about ways to deal with those physical parts of themselves that bother them. I don't view this as frivolous; there are things that can really make one feel bad with every glance in the mirror or attempt to button clothes. It's different for each person, but most of us have something we don't like to have to deal with every day. Well, I share in that concern. For awhile, my neck has grown heavier as I, indeed have gained weight. I know full well that the two are connected, and I basically have, over the past few years, put the appearance of my neck in the category of "eventually you will lose some weight and the neck will get better." I did not think about my neck all day, and maybe not even several times a day...but certainly every day, at least once a day. But most of the time I was able to ignore it. Although it has been years since I wanted to let my husband take my picture. And he really loves photography AND thinks I am fabulous and silly for refusing photographs. For several years, I avoided being in pictures, concentrated on my eyes and lips when I looked in the mirror, liked my strong eyebrows because they would "draw the eye up from my wobbly chin." I got by.

Then I started a television gig. We all know what the TV camera does....10 lbs? Hah! For awhile, I did my eyes and lips really carefully and artfully. But mostly, I closed my eyes when I watched my recordings and listened to what I had to say. I sounded smart and savvy and professional and trustworthy. If I did not look perfect, it was ok because it made me approachable. Prospective patients would be comfortable coming to me because I was not going to sit in judgement of their "less than perfection" because I was not ideally shaped. And patients have responded to me as a trustworthy source of information. And quite a few have mentioned that they "want to look fabulous" just like me....Huh? People think I look fabulous.....Ok, I guess, but what are they looking at? Did they not see my neck?

For many months, things went along like this, I avoided feeling bad by not looking. I paid attention to how people in both my personal and private life responded to me and tried to see myself through their eyes. I am really lucky to have great friends and family and patients who think I am fabulous and smart and kind and capable and trustworthy and loveable so if I avoided seeing myself in the mirror or on TV, I was fine. I started working with Clark Russell of Clark Russell Salon and he styled me for my shows and told me I looked fabulous, and he must know, right? After all, it's his job.

And yet, the balance shifted and I reached the point where my neck started to affect how I felt about myself. What happened.....

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