a consumer guide to life-enhancing procedures

A CONSUMER
Cosmetic Rejuvenation SPRING 2014
GUIDE TO LIFE-ENHANCING PROCEDURES FOR HEALTHY LIVING
PAGE 6
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Dr. Ron Young & Dr. Lilly Wouters
Phlebology & Esthetic Medicine
Serving Calgary & Area for 21 years
Certified Botox® Injectors since 1996
Serving Calgary since 1993
This content was developed by Postmedia’s advertising department in collaboration with a client for commercical purposes.
cosmetic
rejuvenation
Cosmetic Rejuvenation
is published twice a year
by the Calgary Herald.
This content was developed by
Postmedia’s editorial department
as a result of a sponor’s interest
in a particular subject. Postmedia
did not afford the sponsor creative
control beyond approving the
broad subject; the sponsor was
not given the opportunity to put
restrictions on the content or
review it prior to publication.
Co-ordinator
Jamie Zachary
Contributors
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Design
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e: advertising@
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Cosmetic Rejuvenation SPRING 2014
Inside
FEATURES
04
COVER: BUNDLE OF JOY
10
BOTOX: Cosmetic Q & A
12
INDUSTRY: SKIN DEEP
14
BoDY: Touchy topic
15
BoDY: magic wand
16
SPA: MEN EMBRACE R & R
17
nose: serious about the schnoz
18
ColumN: GETTING PAST THE GUILT
New moms have renewed hope when combating cosmetic side-effects of pregnancy
What is Botox and what areas can you treat.
Understanding the difference between Botox and fractional laser resurfacing
Procedure helps restore nipple sensitivity
New technology revolutionizes laser hair removal
Cue the cucumber water, spas about to get a shot of testosterone
Functional rhinoplasty is more about good looks
Treating cosmetic concerns is an investment in self-confidence
Cover
PAGE 6
Cosmetic Rejuvenation SPRING 2014
BUNDLE OF JOY
New moms have renewed hope when combating cosmetic side-effects of pregnancy
By Barbara Balfour
Calgarian Lisa Shideler is following a familiar regimen these days.
Out are the parabens, dyes and perfumes from her dresser drawers. In is anti-stretch
mark belly butter, pregnancy-safe exercise and generous applications of sunscreen.
Due to deliver her second child this August, the 24-year-old mother is diligent about
safeguarding her body from the unwanted changes that the hormonal fluctuations of
pregnancy can trigger.
For Shideler, these can include heavily swollen feet and ankles, spots of eczema and a
sudden sprinkling of tiny moles across her stomach.
“I went to the dermatologist today because of a mole that changed in colour from light
brown to really dark brown. My doctor said it was normal and that sometimes they can
change colours in pregnancy,” says Shideler, a makeup artist at Estee Lauder.
“I’ll also be going in for more pedicures and pre-natal massaging to help with
circulation. I’ve noticed that my skin is always dry and so is my hair.
“I also had super swollen feet the summer I was pregnant with my son, Kaden. And
because my mom had skin cancer on her face, I didn’t tan at all, and wore sunglasses and a
wide-brimmed hat to keep my whole face protected. So far, I’ve been lucky that I haven’t
experienced varicose veins, acne or melasma.”
For women who haven’t been so lucky during pregnancy, there are plenty of options.
Renowned Calgary-based cosmetic and medical dermatologist Andrei Metelitsa says
skin conditions triggered by pregnancy require customized approaches to treatment.
“Pregnancy is a very unique physiological state,” says Metelitsa, medical co-director of
the Institute for Skin Advancement.
“A lot of typical treatments for these conditions cannot be used during pregnancy
because they could potentially harm the fetus. They are therefore much more challenging
to treat from a physician standpoint, and so it’s important we understand how to prevent
them, if possible.”
Sun exposure is a classic trigger melasma, which is manifested by ill-defined brown
patches on the face as a result of hormonal changes caused by pregnancy or by being
on birth control.
“It is absolutely critical to use sunblock protection, especially in someone starting to
develop signs of melasma. Some people may be genetically predisposed to it already,
and additional sun exposure can lead to significant worsening,” says Metelitsa.
He adds melasma treatment, which is done postpartum, can be highly variable
depending on the effectiveness of the lasers being used. Metelitsa encourages people
consult with a specialist who has a variety of laser devices and can customize a
combination of treatments – including skin care products used to stabilize skin
pigmentation, chemical peels and fractionated laser that is adjusted for skin colour.
“There can be a very fine line between treating melasma effectively and producing a
treatment that worsens melasma when done by an inexperienced person,” says Metelitsa.
Some women experience the mythical “pregnancy glow,” while others develop an
exacerbation of acne when they’re expecting. Most treatments designed to treat
moderate-to-severe acne include some form of oral antibiotics or vitamin A retinoid
Cosmetic Rejuvenation SPRING 2014
preparation creams – but neither should be used during pregnancy, says Metelitsa.
Instead, pregnant women can safely try Blu-U light therapy, which targets and
eliminates the bacteria actually causing the acne.
“Although it might not necessarily be our first choice, we know it’s a safe option during
pregnancy,” says Metelitsa.
It’s also important to use proper cleansers and moisturizers to reduce overproduction
of oil glands during pregnancy, he adds.
“You want something lightweight and hypo allergenic. It also makes sense to utilize
moisturizers that have built in sunscreen,” says Metelitsa.
“We know in the dry environments of Alberta, our clients are especially prone to
developing eczema and itchy skin. Moisturizers that contain a specific ingredient called
ceramide are especially important for combating this.”
Some pregnant women may develop gestational diabetes, which greatly affects their
circulation. Regular foot care can help improve it and manage their edema, says Niki
Blake, a Calgary-based skin-care technician at Skin Care Boutiques.
“We use natural products by Gehwol, like Leg Vitality balm, or a herbal bath with
eucalyptus, rosemary and lavender,” says Blake. “Scrubs are important because feet
and legs tend to get dry and cracked during pregnancy. Monthly pedicures, especially
toward the end of pregnancy, can also help a lot with reducing the swelling and
relieving tired legs.”
Other cosmetic complications resulting from pregnancy include the development of
varicose veins in the legs and stretch marks around the abdomen, hips and buttocks. Both
have a hereditary component; however, moms-to-be can take preventative measures.
“To avoid varicose veins, pregnant women need to wear compression stockings – and of
course they can see a vein specialist post pregnancy,” says Metelitsa.
“We know stretch marks are correlated to profound weight gain in pregnancy, and
vitamin E preparations such as body butter have been known to be a useful preventative
measure.”
Spider blood vessels that develop on the skin, around a centimetre in size with a centre
and tiny superficial red branches, can be effectively zapped with blood vessel vascular
lasers after pregnancy (breastfeeding moms can be safely treated).
“In the past, the required treatments could potentially scar the skin. Now, with only one
to two treatments, you can obliterate the vessels on the face with no scars” says Metelitsa.
Another concern for many pregnant women is postpartum hair loss.
“It doesn’t necessarily happen spontaneously,” says Metelitsa. “Three months post
pregnancy, they could suddenly notice a fairly visible hair loss.
“As long as we rule out other factors, it usually goes back to normal after six months.
There are topical lotions they can use to stimulate growth such as Rogaine or Minoxidil.
“As with any other concern, we always encourage patients to see a dermatologist who
can advise them on the unique management of these conditions. When they occur in
pregnancy, there are very different considerations to take than when you are dealing with
a regular skin condition.”
PAGE 6
Briefs
Work out to
look young
The eyebrows have it
The good news is penciled-in brows are out.
The better news is there’s now a permanent
solution to thinning those bushy beasts.
Transplants, which takes about four hours, take hair
from near the nape of the neck (the softness mimics
the natural eyebrow) and use micro follicatory unit
extraction (FUE) to remove hairs. In most
cases, 300 to 400 hairs are taken. Eyebrow
templates are used to create a shape that
suits the patient’s face, and the implants
are done in a way to create naturallooking results. The procedure is
not only suited for aging women,
but is also used on burn victims
or for those with injuries that
resulted in eyebrow separation.
Dr. Brad Mechor MD FRCSC
Otolaryngology
Rhinology - Rhinoplasty
Functional & Aesthetic
Rhinoplasty Surgery
Surgeon performed
Aesthetic injections
• Xeomin / Botox
• Enteis / Juvederm
If you needed yet another
reason to exercise, here’s one
big enough to get you running
for the treadmill: working out
slows down the aging process.
Why? New research has
found that the right
combination of exercise
prevents the shortening of
telomeres. These strands of DVA
are what keep your chromosomes intact.
Over our lives, cells divide and replicate, and
telomeres shorten. When they become too short,
cells die. Depending on your lifestyle, you can either
speed up or slow down the telomere-shortening
process. However, recent studies have demonstrated
that the right combination of exercise could help you
turn the clock back by almost a decade.
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The RF/Diode Skin Tightening procedure,
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RF/Diode treatment is quick, safe and
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PAGE 6
Before
After
2131-33rd Ave SW
403.249.1774
www.skincareboutiques.ca
Cosmetic Rejuvenation SPRING 2014
Teen Treatments
Acne can take a real hit on a teen’s self-esteem. And for
those sick of using over-the-counter creams that give
them not-so-great results, a Calgary-based company
is serving up serious solutions. Vive Rejuvenation uses
steam and extractions, facials, chemical peels and
Vibradermabrasion as helpful preventative
treatments for teen acne, to promote
consistent exfoliation, keeping
skin clear and healthy. In
addition, laser treatments –
such as Limelight, Laser
Genesis, Fraxel and Pearl –
can help with deeper scarring,
as well as promote healing
and improved health of the
skin. On a budget?
Vive Rejuvenation offers a
package for teens and
young adults ($99)
that includes medical
acne consultation,
clinical photography,
steam and extractions
treatment and
the SkinTX Acne
Treatment System.
Thigh lifts
slim legs
Beauty gone bad
Just because you can use your eyeliner
down to the nub, doesn’t mean you
should. Makeup can harbor some
serious bacteria, which could result in
nasty infections. Don’t know when to
toss your makeup?
Use these guidelines:
Mascara: Toss after 3 months
Concealer: Toss after one
year for liquid versions, two
for powder or stick varieties
Liquid foundation: Toss
after six months to a year.
Eye shadow: Toss after
three months for cream
shadows, six months for
powders.
Liquid eyeliner: Toss after
three to six months.
Whiten your
teeth...with oil
Calgarians who want a whiter smile may
want to hit the grocery store before
heading to the dentist. Coconut oil is used
in an ancient Ayurvedic practice called Oil
Pulling, which is said to give people fresh
breath, whiter teeth, less cavities, clearer
sinuses and help prevent gingivitis. How
does it work? Put a teaspoon of coconut
oil in your mouth and swish it around for
20 minutes – no more, no less. When the
time is up, simply spit it out (into the
garbage or a plastic bag, not down the
drain). The “bad” bacteria stick to the oil,
leaving your mouth clean and healthy.
Want shapely legs for the summer?
Thigh lifts are ideal for those who’ve
lost a significant amount of skin
elasticity or weight and have extra
sagging skin on their
upper legs. An inner
thighplasty entails
removing excess skin and
fat from the area, while
outer thigh lifts tighten
skin in and around the area
(including the behind)
with an incision that goes
from the hipbone to the
buttock crease. Both
surgeries take about
three hours, downtime is
about two weeks and a
compression garment
is worn for six weeks
post-op to decrease
swelling and help
with healing.
FRAXEL® . CUTERA® . BOTOX
OX® . JUVED
JUVEDERM
EDER
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ERM
ER
M® . UltraShape®V3 . Facia
Facials
ials
ia
ls & B
Body
ody Wraps . Vivierskin® . Ski
od
SkinCeuticals
kinC
ki
nCeuticals® . Latisse® . glõ•minerals™
nC
Dr. Wendy Tink & Dr. Patricia Connick | Phone 403.237.8428 | 803, 10 Discovery Ridge Hill SW Calgary | www.viverejuvenation.com
Cosmetic Rejuvenation SPRING 2014
PAGE 7
REFLECTT
REFLEC
HOW
W YOU
YOU FEEL
INSIDE, ON THE
OUTSIDE.
OUT
SIDE.
WHAT’S NEW IN COSMETIC MEDICINE
THURSDAY, JUNE 5, 2014 – 5:30 - 7:00PM
Come see what all the talk is about at INLIV’s information evening with
Dr. Wendy Smeltzer & Dr. Christine Pezarro
Botox® Cosmetic • Fillers • Selphyl® • CoolSculpting® • Skin Tightening • Intense Pulsed Light
Latisse® • Microdermabrasion • Chemical Peels • Fractional Non-Ablative Skin Resurfacing
RSVP requested as space is limited. Light refreshments will be served.
suite 217, 1111 olympic way se calgary, alberta
403.538.8881 INLIV.COM
Advertisement
AN EXPERIENCED TEAM IN A NEW FACILITY
INLIV Full Circle Health opened the Cosmetic Medicine
Department in late 2013, and while they are fresh additions to the
company, their team is far from new. Doctors Wendy Smeltzer
and Christine Pezarro have over 28 years of combined experience
in Cosmetic Medicine, while INLIV’s registered nurses, Nadia
Zinchuk and Monica Grewal, contribute a collective 12 years of
experience to the team.
Not only does the INLIV Cosmetic team have a high level of
experience and knowledge, they are also committed to every
client and are proud of their exceptional standard of care—a
strong philosophy held by each member of the team. The
INLIV team takes time to assess every patient’s personal needs,
developing a custom program to help them achieve optimal
results. Clients can rest assured that they are in safe hands, as all
injectable services are offered by INLIV’s experienced physicians,
and technology services (such as CoolSculpting® and Thermage®)
are performed by a registered nurse.
Dr. Wendy Smeltzer, INLIV’s Medical Director, says, “You will always
be more than just a number at our clinic. You’re a person with
individual cosmetic goals. Our team continually aims to provide a
warm and compassionate personal experience, from beginning to
end.” Simply put: there are no cookie cutter programs here!
The Full Circle Health experience wouldn’t be complete without
a serene and soothing environment. An elegant oasis offers a
relaxing setting for clients—both before and after treatments. It’s a
welcoming place that creates a feeling of comfort and ease.
Beauty lies within, and with the high standard of personal care and
expertise provided by INLIV’s doctors and nurses, combined with
this beautiful facility, patients are sure to walk away confidently
knowing that they’re reflecting how they feel inside, on the outside.
INLIV’s core purpose is to “Inspire Amazing Lives,” and the
Cosmetic Medicine team will be sure to do just that.
Botox® Cosmetic • Fillers • Selphyl® • CoolSculpting® • Skin Tightening • Intense Pulsed Light
Latisse® • Microdermabrasion • Chemical Peels • Fractional Non-Ablative Skin Resurfacing
Photo by Trish Tanner
MEDICAL FITNESS COSMETIC MEDICINE & CORPORATE HEALTH
This content was developed by Postmedia’s advertising department in collaboration with a client for commercical purposes.
403.538.8881 INLIV.COM
Botox
Cosmetic Q & A
By Barbara Balfour
Q: What is Botox?
A: Botox, or botulinum toxin type A, is a drug that is made
from a neurotoxin. When injected in small doses, it helps remove
wrinkles by temporarily paralyzing the muscles. It can also be
used to alleviate a variety of medical conditions, including
excessive sweating and chronic migraines.
In the early 1980s, two Vancouver ophthalmologists (Jean and
Alastair Carruthers) used Botox to treat patients who suffered
from one-sided eye spasms and tics. They recognized its cosmetic
potential when their patients would return begging them to treat
their other side because of the wrinkle-softening effects they
noticed from it.
Botox has been approved for cosmetic use in Canada since
2001.
Meet Dr. Wendy Tink, medical
director at Vive Rejuvenation, and
the facility’s resident Botox injector
Sandra Makowachuk.
Tink holds more than 20 years
of experience as a doctor, and is
a clinical assistant professor in
the department of family medicine
at the University of Calgary.
Makowachuk has been a
registered nurse for more than
22 years, with 10 years of
experience in cosmetic and
esthetic medicine.
We caught up with both of them
to ask some common questions
surrounding the ever-popular Botox.
Q: What areas can you treat?
A: The most common areas are the vertical frown lines in the
forehead and the crow’s feet around the eyes. It can also be used in
the neck, the muscles in the lower face that pull down the corners
of the lips, and the smoker’s lip lines around the mouth.
Q: What are the results?
A: It takes three to four days for it to start to work, and lasts
for three to four months. Injections for excessive sweating can last
six months to a year.
Q: Does it hurt? I hate needles.
A: Most patients find it comfortable and tolerable. We use a
tiny, superficial needle. We can use a numbing cream or ice beforehand if requested. Usually, the upper lip area is the most sensitive.
Q: Who gets it done?
A: On average, patients are in their 40s and 50s. However,
they are coming in at a younger age for preventative treatments.
PAGE 10
Q: Who should not get it done?
A: Anyone who is pregnant, breastfeeding or trying to
conceive. Anyone with a neuromuscular disorder is also not a
candidate for Botox.
Q: How do you prepare?
A: We recommend no blood thinners like Advil or Ibuprofen
a week before and a day or two afterwards, to minimize the chance
of bruising.
Patients should not manipulate the injected area for four hours
afterwards – so no face massages, don’t sleep on your face or do
yoga. If you can, don’t put on any makeup afterwards.
Q: W
hat’s the biggest myth surrounding
A:
Botox?
That you’re going to look completely frozen and have zero
expression. We aim for 70 percent relaxation of the muscle. You’ll
still have expression, but those fine lines will become softer at rest.
Eyes become brighter and wide open. It doesn’t have to be a onestep process; you can always come back in two weeks if you want
to add more.
Q: How do I choose where to go?
A: If a deal sounds too good, ask why. Only doctors can get
Botox; they either administer it or delegate a medically trained
health professional such a nurse. It is exceedingly important to
understand the anatomy and how muscles work together.
You should ask questions like:
Who trained you? How did you learn?
How do you decide what the right amount is?
How do you handle complications?
How can I reach someone after hours?
Do you have before and after photos I can look at?
Can I talk to a patient who’s had it done before?
Cosmetic Rejuvenation SPRING 2014
Sponsor content
Embracing change
Calgary’s Cosmetic Laser & Vein
Centre reveals new name, direction
in cosmetic care
For nearly 30 years, Calgarians have trusted
Cosmetic Laser & Vein Centre as one of the most
dependable and innovative medical and cosmetic
facilities in Calgary.
In 2012, the Santé Wellness Group purchased the
facility, renaming it Sante Cosmetic Laser & Vein
Centre.
This spring, it emerges as the new Sante Medical.
The expertise of the clinic’s highly trained professionals has always been a hallmark of the facility, and
that quality of care will remain. Now, these same
professionals have created a new vision and mission
to bring clients the very best possible experience
through an integrative approach to care.
Striving for continued excellence going forward,
Sante Medical’s new vision statement is ‘Enhancing
wellness, vitality and confidence through excellence
in medicine and science.’
“Moving forward, we will be constantly re-evaluating
and researching treatments, and looking for ways
to enhance our team,” says Amanda Preece, Sante
Medical’s Marketing Director.
Sante Medical specializes in cosmetic and preventative treatments and offers a full spectrum of services
delivered in a personalized manner in a discreet
environment.
Procedures including cosmetic laser treatments,
Botox and fillers, dermatology, body sculpting, vein
treatments, and proven methods to firm and tighten
Photo credit: iStock
are performed by experienced medical professionals.
Sante Medical is a fully accredited surgical centre
that uses the most advanced procedures and most
current technologies available.
In an era where cosmetic facilities operated by
minimally trained staff offering treatments without
physicians on site has become commonplace, Sante
Medical takes pride in having the highest standards
and boasting top medical experts on its team.
Dr. Louis Grondin remains as medical director,
steering the ship into the future at Sante Medical.
His training, knowledge, and vision have made
him a highly respected pioneer in vein treatment
techniques, and his master’s degree in dermatology
assures patients of his expertise in treating skin
conditions. He continues to travel the world to
evaluate new technology in order to offer the latest
and most effective procedures to patients.
Sante’s medical team also includes Dr. Eryn
Meloche, a promising young sclerotherapist and
cosmetic physician, as well as Dr. Karim Punja, an
oculoplastic surgeon who specializes in cosmetic and
reconstructive eyelid surgery.
“There’s really a culture within the clinic of keeping
a close eye on where the industry is headed, and on
what people’s wants and needs are. We’re constantly
evolving, and this name change reflects that,” Preece
says.
Another benefit to patients as Sante Medical
transforms is the creation of new integrated package
This content was developed by Postmedia’s advertising department in collaboration with a client for commercical purposes.
options that combine treatments to give patients
superior, more natural results at affordable prices.
For example, the nonsurgical facelift combines
Botox, filler, and skin-tightening procedures to
address the overall appearance, rather than targeting
single cosmetic concerns.
The Mommy Makeover combines Ulthera, a
non-surgical lifting and tightening treatment, and
Endymed, a tightening, contouring and resurfacing
treatment using radiofrequency waves.
Sante Medical offers numerous minimally invasive
procedures with little to no downtime that fit into
busy and active lifestyles to help you look and feel
your best.
The Sante Medical team wants your experience to
exceed your expectations and enhance your wellness,
vitality and confidence.
Step into Sante Medical to discover a renewed you.
1504, 15th Ave SW | 403-245-8008
santemedical.ca
Industry
Skin Deep
Understanding the difference between Botox and fractional laser resurfacing
By Jennifer Seamone
The cosmetic industry is constantly
teasing North Americans with new
technology and procedures in the
search for the fountain of youth.
Yet often lost in translation is how
these advances differ. Just like a
snowflake, no two are the same –
nor are their effects and potential
side-effects.
Here, we take a look at the difference
between Botox and Fraxel –
two procedures that target the
skin in very different ways.
Botox
Botox has gained star-like power
over the last three decades.
A quick and virtually
painless treatment, Botox is
a non-toxic drug from the
bacterial toxin botulin
that’s injected into
specific muscles of
the face to block
neurological signals
to the muscle
reducing wrinkles
and frown lines.
“A lot of times, a
candidate is presenting
PAGE 12
something they don’t want to show, like a level of hostility
due to a frown line, a look of fatigue, or are starting to see
wrinkles when they are not making that expression,” explains
Dr. Wendy Smeltzer of Inliv Full Circle Health in Calgary.
Botox can fix eyebrow droops or sags, ease or eliminate
frown lines between the eyes and on the forehead and have a
lifting effect around the mouth, to name just a handful of its
benefits.
“We get more and more lines on our faces as time goes by
as a result of inadvertent frowning, which takes place with us
noticing. Botox makes the crow’s feet fly away and frown lines
smile,” says Dr. Janis Campbell at the Laser
Rejuvenation Clinic and Spa.
Prices per treatment vary
depending on what is being
treated and the required
dose. A frown line
can begin from
$200 to $300
per visit and
require a return trip every four to six months.
Pregnant or nursing mothers and those with neurological
conditions should not undertake Botox. Side effects can
include tenderness, swelling and some local bruising.
Fractional Laser Resurfacing
Often referred to as the brand name Fraxel, Fractional
Laser Resurfacing stimulates the skin’s natural rejuvenation
process by triggering collagen production.
The resurfacing helps reduce wrinkles and is used to treat
overall skin texture problems such as acne and general
scarring, pigmentation problems from sun damage and age
spots, and to achieve improved skin smoothness.
“A small spray of laser micro beams penetrates the skin.
Focussed light energy creates small wounds that cause
collagen revitalization,” says Smeltzer.
“It is somewhat like aerating your lawn. There is the
wound, but there is normal skin all around it.”
Results can vary and can require anywhere from one to
five treatments to achieve the desired result.
Because it works with the skin’s natural cells it is reported
to take between one and three weeks to see changes.
Price per treatment ranges from $450 to 1,200 subject to
the amount of skin covered. Downtime can be anywhere from
three to five day, with varying amounts of swelling, redness
and discomfort.
“All these are medical procedures and should be treated as
such,” says Smeltzer. “A medical history should be taken,
including current medication and allergies and a careful
evaluation done.”
Cosmetic Rejuvenation SPRING 2014
How are you choosing to age?
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Body
Touchy topic
Procedure helps restore nipple sensitivity
By Rachel Naud
Fiona Green (not patient’s real name) always felt something was
missing from her sex life. The 50-something was never able to
experience sensation in her nipples, which left her feeling
self-conscious about her body.
“I have always had inverted nipples, and for years felt that the sensitivity was lacking,” says Green.
“My breasts were never an erogenous zone for me, so I figured something must be different than
most other women. It’s an awkward and uncomfortable situation when your partner believes that
area should be a natural element of foreplay. Yet for me, it wasn’t – ever. It simply didn’t arouse me.”
The loss of sensitivity in nipples can be caused by a number of reasons, says Dr. Elizabeth
Lourens, director of the Age Management Institute in Calgary.
She notes the main sensitivity-stealing culprits include breast surgery involving the nipples
(breast lift, augmentation or reduction), menopause and aging.
Until recently, there hasn’t been a procedure to restore nipple sensitivity. However, Selphyl is
now changing the lives of many women – including Green – and, yes, men.
Selphyl allows natural tissue regeneration using a body’s own ability to rejuvenate. It allows
physicians to isolate some of a patient’s own platelets and fibrin from their blood and, re-inject
them in a particular site.
To restore nipple sensitivity, blood is drawn from the patient’s arm just like at a lab. It is then
centrifuged to remove the red and white blood cells. The plasma is then injected into the nipples.
“The platelet-rich plasma causes growth of collagen, resulting in the restoration and repair of
volume and texture in the tissue,” says Lourens.
In addition to improving sensitivity and arousal, the treatment can also help lift inverted nipples,
soften scar tissue from breast surgery and improve the nipple’s colour and texture.
The procedure, which takes approximately 25 minutes, starts with the application of a topical
cream to numb the area before the injection.
For optimal results, the treatment should be repeated after four to six weeks to give collagen an
extra boost.
“With any platelet-rich plasma (PRP) treatment, one starts seeing results after about six weeks,
but there are immediate positive effects, also,” says Lourens.
For Green, one of those positive affects is increased self-confidence.
“It’s interesting when you’re this far into your life and you’re only now experiencing what you’ve
read and heard about for years,” she says. “It has made me more self-aware in general and a bit more
confident during intimacy.”
Cost of the treatment ranges from $700 for one treatment to $1,200 for the recommended two
treatments. Results typically last between 18 months to two years.
People on blood thinners and strong anti-inflammatories are not candidates, says Lourens
adding, “certain medications and some supplements may need to be discontinued a week prior to
the treatment and a week following.
“Selphyl treatments may be contraindicated and be medically unsafe for some patients, so it is
imperative to seek out an experienced professional for the consultation and treatment.”
PAGE 14
Cosmetic Rejuvenation SPRING 2014
Body
Magic wand
New technology revolutionizes laser hair removal
By Rachel Naud
Laser hair removal has always been an
imperfect art. Yet new technology now
available to Calgarians is now taking
guesswork out of the popular procedure.
The Palomar Vectus, SkinTell machine available at
Calgary’s Preventous Collaborative Health is allowing
technicians to more accurately determine a patient’s skin
type with a simple tap of a wand. You heard right: a “magic”
wand.
“It’s more accurate and almost twice as fast,” says
Dr. Rohan Bissoondath, medical director at Preventous,
noting the technology takes a leg treatment down from one
hour to as little as 20 to 30 minutes.
What usually takes two passes to remove the hair can also
now be done in one.
“So people have half as much discomfort,” says
Bissoondath. “It’s really revolutionizing hair removal.
What used to take six to 10 treatments, now only takes four
to six.”
Previously, the effectiveness on any laser hair removal
procedure relied on technicians’ ability to “guess” which
setting or wavelength was best for a patient’s skin type based
on the user experience, hair colour, skin colour and how fast
they burn or tan.
Laser hair removal works by attacking the melanin or
colouring of the hair, using different wavelengths or
strengths, depending on the colour of skin and size or
PAGE 15
density of the hair. The general rule of thumb: the darker
the hair follicle, the stronger the wavelength (which is why
ideal candidates for laser hair removal are those with dark
hair and light skin).
“There hasn’t been a hard science to determine one’s
setting,” says Bissoondath.
Using laser hair removal on people with tans has always
been a particular challenge, notes Janet Champion, RN
and owner of Champion Laser & Electrolysis Centre in
Calgary.
“When people are tanned,
the colour of their skin
is the same as their hair
follicle, so the laser targets
the skin as well as the hair,”
she says. “They can get
burnt, similar to that of a
curling iron burn.”
As with most laser hair
removal procedures, there is no
downtime associated with the
treatment. Patients may
experience some redness and
sensitivity, “but nothing to
stop you from taking part
in your daily activities,”
says Bissoondath.
The cost of laser hair removal varies depending on the
area being treated, but typically hovers around $1,200.
Champion says the price of laser hair removal is
cost-effective in the end.
“Think about how many years you’ve been paying for
waxing,” she says. “Although laser is equivalent to about the
cost of two to three years of waxing, after a few treatments,
50 per cent of your hair is permanently gone. The younger
you have it done, the more money you save in the long run.”
Cosmetic Rejuvenation SPRING 2014
Spa
Men embrace R & R
Cue the cucumber water, spas are about to get a shot of testosterone
By Rachel Naud
Just days before Tyler Stewart’s (not real last name) wedding, his
bride-to-be convinced him to finally try a day at the spa. With timeless wedding photos approaching, the couple needed a little R&R –
massages, body scrubs and mani/pedis.
Stewart agreed. Only they didn’t go together.
While the bride-to-be went to a traditional spa, Stewart hightailed it to the men’s-only
The Getaway Spa.
“When you go to a couples’ spa, it’s mostly full of women,” says Stewart. “Guys tend to stand
out. I just felt more comfortable at a men’s spa.”
Although he has celebrated several anniversaries since he tied the knot, Stewart has made sure to
make spa days more than an annual tradition.
“It’s a ‘for me’ day,” he says. “It’s important to take time out for yourself. It’s a big stress relief.
And after a long day or rough hockey game when I feel like a sore mess, a massage feels great.”
Stewart isn’t alone when it comes to men and spas. In fact, according to the International Spa
Association, the demographic split of spa patrons is now 53 per cent female to 47 per cent male.
Whether they choose a men’s-only establishment or a regular day destination, men are partaking
– and enjoying – the spa alongside their female counterparts.
“More and more men are realizing that the benefits of spa are twofold; there’s the relaxation
component, and the results component,” says Amanda Preece, acting marketing director Santé Spa
& the Spa Ritual in Calgary. “They come in for the same underlying reasons as women: to relax and
de-stress, and also to get results.”
Annette Burwash, president of The Getaway Spa, says a lot of her clientele come to her having
previously spent so much time focusing on their careers, only to look at themselves in the mirror
and often feel like they look old and ragged.
“Our most popular treatments include full body waxing, laser hair removal and manscaping,”
says Burwash. “We also do a lot of barbering and grooming.”
Preece says that massage, manicures, pedicures and facials are also growing in popularity, adding
each of Sante Spa’s locations has at least one facial that’s customized specifically for male skin.
“Men are learning that we have treatments tailored specifically for them – for their needs, for
their skin types,” says Preece. “They are seeing that wanting to take care of yourself isn’t ‘girlie’ –
it’s simply human.
“Men and women both go to the gym, to the chiropractor, to the hair salon – and now, for spa
treatments.”
Preece added a little R&R can also spill over to a client’s personal and professional life.
“Our downtown location inside Hôtel Le Germain sees a lot of male guests who are busy
professionals. They’re running from meeting to meeting, leading fast-paced lives. These guests
really understand that caring for themselves can give them that competitive edge.”
PAGE 16
Cosmetic Rejuvenation SPRING 2014
Nose
Serious about the schnoz
Functional rhinoplasty is about more than good looks
By Jacqueline Louie
Going for a nose job isn’t just about getting a better-looking
schnoz – it’s also about functionality.
nasal septum, and can cause significant scarring of the nasal cavity.”
Rhinoplasty can be performed using an external approach, which involves
making a small incision underneath the tip of the nose and lifting the skin off
the cartilage and bone underneath to expose the underlying anatomy.
The procedure can also be done as an endonasal rhinoplasty, which involves making incisions on the inside of the nose.
The approach depends on the extent of surgery to be performed,
whether a surgery is a revision that might require extensive cartilage
grafting, and surgeon preference. Addressing functional issues –
such as a deviated nasal septum, turbinate enlargement or sinus
problems – can be addressed at the same time.
Little to no nasal packing is required with rhinoplasty surgery, but
generally a cast is placed on the outside of the nose for a week or so.
Post-op patients are encouraged to use a sinus nasal rinse, such as
NeilMed sinus rinse, notes Mechor.
Approximately 70 per cent of North American patients currently undergoing rhinoplasty
procedures have some sort of functional issue, including allergies, septal deviation, turbinate
enlargement and nasal polyps, says Calgary Sinus Centre director Dr. Brad Mechor.
Any functional issue needs to be addressed during surgery to ensure a patient’s nose looks
and functions well after.
“Anybody who is considering having rhinoplasty performed needs to have a full assessment
of their nose, both inside and out, because any changes on the outside of the nose will affect
how the inside of the nose functions,” says Mechor, a rhinologist/nasal and sinus surgery
specialist.
“Just by taking down a bump, you can alter how well somebody is going to breathe. If you
don’t address other problems – such as a deviated nasal septum, nasal turbinate enlargement or
nasal polyps or allergies – you may have significant issues with breathing after surgery, even if
it wasn’t a problem beforehand.”
Rhinoplasty patients who don’t address these functional issues beforehand are the ones
typically experiencing difficulties following surgery.
“A good portion – over one-third – of the rhinoplasties I
do are on patients who underwent rhinoplasty surgery and
are now starting to have functional problems after surgery.
These are mainly breathing issues that weren’t present
before the initial surgery,” he says.
Mechor recommends anyone considering surgery make
sure there are no other problems going on with their noses,
• Physician Grade Peels
• Palomar Laser - Brown Spots,
so that taking down even a little bump on the nose won’t
Age Spots, Stretch Marks,
• Herbal Green Peels
Melasma, Ruby Points
cause problems afterward.
• AcneTherapy
• YAG Laser Hair Removal, Broken
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SmoothBeam
Laser
Cystic
An ear, nose and throat surgeon or rhinologist can assess a
Capillaries, SkinTightening for
Acne, Boils, Congestion, Openthe Face, Neck & Body
patient’s nose, both inside and out, using an endoscope and
Closed Comedomes, Papules
• Non-Ablative Resurfacing
Acne
Scarring,
Large
Pores
possibly a CT scan to check the overall health and structure
for the Face, Neck & Chest
• Faces Dermatology Skin Care
of the nose and sinuses.
• Photo-Rejuvenation
A health-care provider should also check patients for
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allergies, and the different medications they might be on,
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says Mechor.
“It’s important to look at what medications you are on,
because different medications can affect how the nose will
function in terms of dryness and mucous thickness,”
he explains.
Allergies can affect how the nose will function, as will a
history of smoking and previous drug use.
“Cigarette smoke and marijuana smoke cause the nose to
produce more mucous, and prevent the normal lining of the
nose from working properly,” says Mechor.
“Cocaine is destructive to the nose. It will destroy the
PAGE 17
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Cosmetic Rejuvenation SPRING 2014
Column
Getting past the guilt
Treating cosmetic concerns is an investment in self-confidence
Not long ago, I had a patient come into my office.
A busy professional in her mid 40s, she had two young
children, a spouse, and a demanding career.
She had made an appointment with me to discuss the varicose veins that, after
two pregnancies, had begun to snake their way through her legs. She was hesitant
to admit that although the veins weren’t yet causing any physical discomfort, they
were indeed affecting her life. Embarrassed by the blue cords marring her legs, she
had spent the last few summers in pants, jeans, and long dresses.
As we discussed her treatment options, she was excited and relieved to hear that
we could help her in ways that didn’t necessarily involve surgery. However, something was holding her back. As we talked, her hesitations were revealed.
A wife and mother, she couldn’t shake the nagging fear that taking the time and
resources to have her veins treated was somehow ‘selfish’ – that her desire to correct
a cosmetic concern was shallow and vain.
In the 28 years I’ve been working in cosmetic medicine, I have seen this story
play out time and time again. While recent years have seen something of a societal
shift toward greater acceptance of cosmetic procedures, many of my patients find
themselves in this limbo. They know exactly what aspect of their appearance is
bothering them – they may even know what treatment(s) can be used to correct
their condition. And yet they’re seeking permission, so to speak, to address the
problem. They need to be reassured that there is nothing selfish or vain about
seeking treatment for cosmetic concerns.
What I tell my patients is this: if it’s bothering you – if you’re upset by what you
see in the mirror, if it’s affecting what you wear – that’s enough to make it a
legitimate concern.
We’re often exposed to platitudes that tell us the only thing that counts is what’s
within, but the truth is that our appearance affects our self-image, our confidence,
and the decisions we make. This in turn affects our lives in meaningful ways.
By Dr. Louis Grondin, MD, MBA, FACPh, MScPD
Don’t wait
Men, in particular, tend to ignore their concerns until enough time has passed
that the condition has worsened. Often, the thinking is if a condition gets to a
point where real medical symptoms arise, that somehow legitimizes the decision to
seek treatment.
However, that line of thinking is flawed. It’s much easier to treat varicose veins in
the early stages, rather than waiting until physical symptoms such as pain, itching,
heaviness or ulceration appear.
The same goes for early signs of aging in the face and neck. Early intervention
can have a preventative effect, slowing the progression from fine lines to deep
wrinkles.
It’s not unlike dental care: you wouldn’t wait until your gums were aching and
your teeth were filled with cavities before seeking the care of a dentist. By seeking
treatment early, you can prevent the need for more invasive (and costly) treatments
down the road.
I tell my patients to approach cosmetic care in the same way you would plan for
a vacation or home renovation. Do your research, determine your budget and have
some idea what you would like to get out of the treatment. You can then go into
your consultation with the clarity that comes from having a plan in mind.
Dr. Louis Grondin is the Medical Director at Sante Cosmetic Laser & Vein Centre (soon to be renamed Sante Medical.)
He combines decades of experience in treating venous disorders with a Masters degree in dermatology. His areas of
interest include ultrasound-guided treatment for venous disease, endovenous laser surgery, microsurgery, tumescent
liposculpture, cosmetic laser surgery, facial contour lift, and facial and body rejuvenation.
PAGE 18
Cosmetic Rejuvenation SPRING 2014
SPONSOR CONTENT
Standing out
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Customer service, long-term vision differentiates
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Preventous Collaborative Health is not just about
making people look good. It’s about making
people feel good, too.
Centrally located on 17th Avenue S.W., the
cosmetic medicine and private health facility
prides itself on its unparalleled level of customer
service that never ends with one treatment.
“For everyone who comes in, we’ll sit down
with them and lay out a road map and a plan to
help them achieve their goals,” says Dr. Rohan
Bissoondath, medical director at Preventous
Collaborative Health.
“It’s not just about one treatment. It’s about
committing to a client over the long term and
paying attention to the details,
That’s what differentiates us. It helps us stand
out from the crowd. We want people to feel
comfortable, have their questions answers and
feel at ease that they are in good hands.”
Complementing the clinic’s commitment to
quality customer service is its access to
cutting-edge technology – from wrinkle
treatments to laser hair removal.
The goal at Preventous is always to enhance
people’s natural beauty – not create something
artificial, says Bissoondath.
“We have a wide-range of tools and a solid
understanding of what facial rejuvenation could be,
should be and is,” he says. “As a result, we achieve
natural-looking results.
“We’re not trying to make 50-year-olds look 25.
We just want them to look the best they can —
to look fresher. That’s really what most
Calgarians are after.”
Preventous offers a number of wrinkle-fighting
neuromodulators such as Botox, Dysport as well as
dermal fillers such as Juvederm and Restylane.
It also uses chemical peels and fraxel laser
resurfacing as part of the solution to facial
rejuvenation. Fraxel repair lasers, for example,
utilizes a high-intensity carbon dioxide laser to
smooth out skin tone and soften frown lines and
wrinkles while also tightening the skin.
As part of the cosmetic road map that Preventous
creates for each client, the clinic offers body
contouring and laser hair removal treatments —
procedures that have traditionally been dominated
by women, but are increasingly popular among
men, too.
“Despite working out and eating healthy, sometimes
people just need that little extra help with shedding
some weight in problem areas such as love handles
or lower abdominals,” says Bissoondath. “Liposonix
is great for reducing stubborn fat.”
Liponsonix is a fat-reduction treatment that uses highintensity ultrasound energy to target fat under the
skin. It’s ideal for people who are unable to reduce
belly fat or have other problem areas and need a
little extra help to achieve their desired body shape.
One of most exciting recent developments at
Preventous is with laser hair removal. The clinic
recently added a New Palomar Vectus machine
that determines a patient’s skin type in a simple
tap, which makes for a more effective treatment.
Compare that to the guesswork traditionally
associated with laser hair removal and you’ll start
realizing why Preventous stands out from the crowd.
“It’s almost twice as fast,” says Bissoondath, adding
the technology takes a typical leg treatment down
from one hour to as little as 20 to 30 minutes.
Moreover, with this patented technology, what
usually takes two passes to remove the hair can now
be done in one.
Learn more by visiting 1635 17th Ave. S.W., calling
403-229-0129 or going online to preventous.com
1635 17th Ave SW • 403-229-0129
email [email protected] • www.preventous.com
This content was developed by Calgary Herald advertising department in collaboration
with a client for commercial purposes.