Plastic surgeons are frequently asked what they think about 23 year old Heidi Montag's multiple cosmetic surgeries performed last winter by Beverly Hills plastic surgeon Garth Fisher. The best answer to that question was this weeks episode of the reality TV show that launched Heidi to "reality fame", "The Hills" (April 27,2010; http://www.mtv.com/videos/the-hills-season-6-ep-1-put-on-a-happy-face/1637514/playlist.jhtml )



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Fraxel Dual laser skin treatments have become one of our most popular treatments with patients who wish to remove brown pigment (age, liver spots) from their face and body with no pain and minimal downtime. The treatment is quick and easy. It can be performed on the face and body as well.



Many patients wish to know what they will look and feel like following Fraxel Dual. To view the Fraxel Dual patient experience diary go to:





http://www.slideshare.net/totalderm/fraxel-re-store-dual-before-afters-pt-diary



Dr. Persky was asked to comment on whether Heidi Montag's recent multiple surgeries and the filming of the surgeries for the use in a future "reality" TV show was common.



In the article published today in the Orange County Register (http://inyourface.freedomblogging.com/2010/04/08/heidi-montag-needs-helium-filled-implants/16499/) Dr. Persky commented when asked about the fact that she cannot jog or hug, "No jogging, hugging, I think that she is leaving out one other important part of life, no schtupping! One upside of her predicament: She won’t have to worry about sex rehabilitation bills [like] Tiger and Jesse’s sex addiction problems. That’s the ‘breast’ that I can do in answering the breast questions.”



“As far as the surgery video, it is not unusual to video celebrity surgery for ‘reality’ television, but as the old wise man in the pizza parlor said loudly to his equally hard of hearing friends when a particularly steamy scene of MTV’s ‘Jersey Shore’ was on the flat screen, ‘Reality? That’s not reality!!!!’














Nearly twenty years after recounting her first foray under the knife in the pages of Vogue, author Joan Gage takes stock of what still looks great, what needs a little modern intervention (Fraxel repair), and how times have changed.



Based on my personal experience with Fraxel repair (similar to my esteemed colleague in Massachusetts, Min S. Ahn, M.D. who is the treating facial plastic surgeon featured in this article) since it was unveiled in January 2008, I agree with everything in the article except Daniel C. Baker, M.D.'s opinion that "laser procedures are less enduring and more expensive, in the long run, than surgery."



As the author, Ms. Gage concludes, "But now, a year post-Fraxel (repair), my skin is still free of discoloration and has fewer and less obvious fine lines; the pull lines on my jaw are entirely gone, and the eyelid scars (from previous blepharoplasty) are almost invisible....All in all, I'm pleased with the result which has left my husband (who's a year older than I am) gallantly smiling when he gets comments about his "much younger" wife."



Fraxel repair is an excellent treatment for patients who have had facelift surgery in the past, and do not wish to undergo surgery again.



You can read the entire article featuring Fraxel repair laser skin rejuvenation in Vogue April 2010, or contact my office, we will be happy to send you a copy. Be well.


Reality? Camp Ronald McDonald

Thursday, April 8. 2010 posted in Office News





What is reality? We hear so much about "reality" TV. In fact today I was asked by a news journalist to comment about reality TV's Heidi Montag's recent most publicized multiple marathon plastic surgeries. Is it common to video surgeries (her's were filmed) for possible use in a future "reality" TV show? Not "common", and certainly NOT reality!



Later, the same day, I met 10 year old Grayson's mom. She told me about her real life hero. Grayson was diagnosed at age 6 with an inoperable brain tumor. Sorry Heidi, but this IS reality!!!!!



Grayson's dream is to be among the top fundraising teams in this Sunday, April 11'th "Walk for Kids 2010" at Universal Studios backlot (as well as at Victoria Gardens, Rancho Cucmonga and Honda Center, Anaheim). Grayson will be walking 5K, no easy task for him.



In Grayson's words, "My name is Grayson, and I am raising money for Camp Ronald McDonald by walking 5K and getting sponsors to participate. I love going to Camp Ronald McDonald and want to make sure all kids have the same opportunity. you can read my story at www.amazinggray.org"



To donate online, go to www.amazinggray.org, click on "Support Us", and then click on "Team Amazing Gray (blue ink)".



Though the Walk will be over in a few days, I plan to leave this here for good, hopefully so that we can be reminded of true reality, and where to direct our energies.



In these days of "conspicuous consumption" as discussed by author and blogger Seth Godin (http://sethgodin.typepad.com/seths_blog/2010/04/revisiting-conspicuous-consumption.html?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+typepad%2Fsethsmainblog+%28Seth%27s+Blog%29), please consider supporting Grayson's team "Gray Dragon", and Camp Ronald McDonald. Thank you!



Grayson you will always be in our prayers.




Our family spent a few days this spring in Sun Valley, Idaho. The time away from my practice gave me the inspiration to share my thoughts about "The Secret of Youthful Skin" with you. First a little about Sun Valley and its charming ski town Ketchum, Idaho.



Sun Valley takes some time to get to, which has made it attractive to the "Hollywood In-Crowd” since it opened as America's first ski resort in the late 1930's. Early on it took planes, trains, and automobiles to get to Shangri-la, as it was nick-named. Nowadays, just a flight into Boise, Idaho followed by a 130 mile drive (or a direct flight into an airport that may or may not be open depending on weather conditions) will get you there.
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Ernest "Papa" Hemingway made Ketchum one of his three homes along with his others in Cuba, and Key West, Florida. He spent his mornings writing, and afternoons fishing and hunting. He loved spending time with actor Gary Cooper, making somewhat of an odd couple. Hemingway took his life (7/2/60) in Ketchum after electro-convulsive shock therapy (for a depressive disorder) caused him to lose his long-term memory; okay for a goldfish, not okay for a prodigious writer. He is buried in Ketchum.



The Kennedys, Lucille Ball, the Schwarzenegger’s, most of old Hollywood, and many Olympic winning ice skaters (Hamill, Flemming, Kerrigan) and skiers (Killy, Stein-Ericksen) have stayed at the Sun Valley Resort. Comedian and social commenter Dennis Miller was at Ciro's (quaint, informal Italian with killer breadsticks...do not visit if you are observing Passover as the temptation may be too great) our first evening in Sun Valley. Though we were very much wanting to hear Mr. Miller's opinion of Obama care, and the latest of addictions, Tiger and Jesse James' "sex" addiction, we respected Dennis and his family's privacy.



Many of the kind and friendly folk in Sun Valley sport serious unabashedly tanned skin. Which finally brings us to the first hint to the secret of youthful skin...pass me the sun block please. The one product that does the most for your skin is an excellent sun block. In our practice we recommend Elta-MD, Ti-Silc, and SkinMedica sun block.



Besides sun block, growth factors, anti-oxidants, peptides, and skin lightening products aide in anti-aging.



SkinMedica products (TNS Recovery and TNS Essential Serum) contain the highest concentration of growth factors (93% versus 2% in its closest competitors). SkinMedica products were the brainchild of world famous dermatologist Richard Fitzpatrick, MD (of the Fitzpatrick skin type I to VI fame). I am impressed with the science behind SkinMedica products as well as their effectiveness. 95% of patients who use TNS daily for 90 days continue to use the product due to improved skin tightness, color, tone, texture, and less wrinkles.



I now recommend TNS Essential Serum to all of my patients (surgical, laser, filler, etc.) as it helps their skin look as good as possible. SkinMedica Dermal Repair moisturizer and Eye Repair are added after TNS. Using sun block during the day and a retinol before bedtime is essential to youthful skin.



Hydration of the skin completes the secret to youthful skin. O2 Intraceuticals hyperbaric oxygen therapy results in refreshed, hydrated skin. Jennifer Anniston, Angelina Jolie, and Madonna have popularized this new technology. Our practice has recently begun using this very popular and effective treatment.
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Lastly, all of your hard work to keep your skin glowingly youthful will be for naught if you get off the chair lift at Sun Valley in spring white-out snow storm conditions, mistakenly turn onto the black diamond Upper River Run (which you thought was an easy, safe green run) with steep, large icy packed moguls covered with 2 feet of new powder snow, resulting in disorientation, vertigo, and a fearful sense of impending doom from an avalanche.




Fortunately I survived to share a bit of our trip to Sun Valley and much about the secret of youthful skin with you. Be well, and enjoy the beauty of life.







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