‘Does she or doesn’t she?’ has a new meaning

You may be too young, but do you remember Clairol’s famous “Does or doesn’t she?” advertising campaign? Shirley Polykoff created the suggestive slogan in 1956. She was her company’s only woman copy writer and she became an advertising legend.

In 1950, only about seven percent of women admitted to dyeing their hair. Six years after the launch of “Does she or doesn’t she?” Clairol’s sales increased by more than 400 percent. 
I have childhood memories of that commercial. It ran for years and featured a lovely, natural-looking – often blond – mother and her adorable children. The voice-over asked the iconic question as her handsome husband embraced her. This happy beautiful woman seemed to have it all.
It is interesting that a large number of women say that they colour their hair to express their personalities, not just to hide signs of aging.  Clairol’s recent “Global Impact Survey” showed that 88 percent of women feel their hair has an effect on their confidence. Even more tellingly, most women admitted to colouring their hair to feel better about themselves.
Dr. Steven DayanIt is obvious there is no stigma attached to hair colour today. That’s why I was interested in a survey done by IF Marketing, using data collected by Chicago-based facial plastic surgeon Dr. Steven Dayan. He was interested in the link between hair colour and Botox, so in the IF study, 70 percent of the women surveyed both coloured their hair and used cosmetic Botox.
I called Dr. Dayan to find out more about his interest in the connection between the early evolution of hair colour and the current evolution of Botox and similar cosmetic products.
Dr. Dayan found that before the 1960s, women were very unlikely to admit to dyeing their hair. They shared their secret only with their hairdresser. Dr. Dayan wanted to know whether Botox was becoming a “choice … the same way that hair colour is today”. He told me that he thought that cosmetic injections were becoming as acceptable as hair colour.
Dr. Dayan’s survey found that 69 percent of women who receive Botox also dye their hair, while in the general population, 75 percent of American women dye their hair. What this means, he told me, is that “contrary to popular conception, a Botox user is not more concerned with image than the average American woman.”
Dr. Dayan told me that the average Botox he treats is 30 to 40 years old, but that older women use it too. He explained he administers a combination of Botox and fillers, depending on what he is trying to accomplish. And he usually concentrates on the area of the eyes, “because when you meet a person you look at their eyes.”
He also told me it’s affordable. I agree. While Botox injections can start at $200, depending on the patient and doctor, a jar of department store anti-aging cream can easily cost the same — or even more.
What troubles me is how polarizing the issue has become. Some women today – except for those in the entertainment or fashion industries – are as likely to whisper “does she or doesn’t she” about Botox and other cosmetic injections. Some are so rude, they’ll cross-examine you: “Do you or don’t you use Botox?”
A recent article in a woman’s glossy said two high-profile women in the entertainment industry look wax-like because of their “cosmetic producers”. I disagreed. But to me and their legions of fans, they both look fabulous and natural. To confuse things further, a different article in the same magazine the month before extolled these same procedures. Is it any wonder women are confused?
I don’t understand why anyone cares what anyone else does, unless they feel threatened. I have no patience with women who complain that other women "raise the bar too high" by looking too good or too young. It’s nonsense! If you don’t feel good about how you look, fix it. Don’t complain about how someone else looks. 
I have never understood the nasty remarks some women – and men — make about women who look fabulous after 40. They say things such as “she must use Botox” in sneering tones. Who cares why or how a person looks fabulous – just enjoy the view. I know women in both camps who look fabulous – those who use injections and those who don’t.
Many women actually like Botox and dermafillers. In a survey of 175 women, the Great Neck-based anti-aging medical center MesoBoutique found that 80 percent of women aged 30 and up want to look younger, but only 36.5 percent would consider having a facelift. Fifty-five percent are interested in non-surgical procedures such as Botox and microdermabrasion.
Why the secrecy? According to the Daily Mail Reporter 72 percent of women keep cosmetic procedures such as Botox secret and have even asked for “subtler changes” to look more natural.
I think there are two reasons women don’t discuss using Botox or other procedures. I think the nasty comments about women who are "overly-Botoxed and wax-like” sting, even when they are not true. No one wants to be target of this type of meanness and teasing. Secondly, I think most women who care about their appearance prefer to maintain a mystique. They may not hide their fitness routines, but they don’t publicly dwell on the details of their diet or other regimes either. They’ll probably be happy to share beauty secrets with a close friend, but don’t expect an expose – it isn’t sexy or dignified at any age. They colour their hair subtly, dress timelessly, and look fabulous.
You may well ask: does she or does she? But you can be sure of only one thing: she will have the good manners not to ask you.

A top plastic surgeon tells how to look your best

Dr. Steven DayanRenowned plastic surgeon Dr. Steven H. Dayan of Chicago gives DolceDolce readers the latest information and tips on how simple non-invasive procedures can help anyone look years younger. A board-certified expert, Dr. Dayan takes a holistic approach to beauty. He explains the importance of a healthy lifestyle and simple steps to look your best. Don’t miss a word from this remarkably articulate and informed expert.

DD: What are enzyme peels and who should use them?
Dr. D: Enzyme peels are mild exfoliants derived from fruit enzymes. The most commonly used are bromelain from pineapple and papain from papaya. Enzyme peels are good for all skin types; they work by dissolving dead skin cells revealing a softer, smoother appearance. However, enzyme peels should not be compared to chemical peels that are much stronger and provide significantly better results.
DD: What would you suggest as a quick way for anyone to look younger with a minimal investment of time and money? 
Dr.D: Botox and fillers! Fillers are one of the fastest ways to significantly turn back the wrinkled hands of time.  The mid-face or cheek warrants a particularly dramatic rejuvenation in as little as 10 minutes. Someone can walk out the door and immediately look 10 years younger! Botox and Dysport, its new competitor, also quickly can lead to a youthful appearance, but you have to wait a bit as it usually takes two to three before kicking in.
DD:  Is it possible to surgically tighten skin? Who is a candidate for non-surgical skin tightening? How long does it take and what is the cost? And how long does it last?
Dr. D: Yes, it is possible to physically tighten the skin, but to have appreciable results some downtime is necessary. Newer-generation fractionated lasers such as Lumenis Active and Deep FX can provide significant skin tightening that’s immediately visible. However a four- to seven-day downtime period of redness and some skin peeling can be expected if you want dramatic results. Alternatively, no downtime light-based and heat-based treatments for skin tightening, while successful for some people, often fall short of expectations for most.
DD:  What is the quickest and most economical way to remove skin discoloration? Do you prefer laser treatments or creams? In the case of lasers, how many treatments does it require and what is the cost?
Dr. D: Laser treatments are more effective but they work best when used in conjunction with lightening creams, especially those containing hydroquinone. The number of treatments needed depends on the severity of pigmentation as well as skin type and possible hormonal imbalances. Most people see significant differences after three treatments. The cost per treatment typically ranges from $250 to $500 for a full face.
DD: What can women do slow the aging process?
Dr. D: Sunscreen is the most important and easiest way to slow the aging process. A healthy lifestyle including no smoking and a balanced diet can also help to fight aging, as well as the use of good skin care products, recommended by a skin care professional. 
DD: What is a Botox face lift is and is it effective? How does it work?
Dr. D: Microdoses of Botox placed into the skin can provide a subtle but noticeable improvement in the skin’s appearance. We have noticed a decrease in acne breakouts, oil production, a narrowing of the pores, and a global improvement in the skin’s look. Additionally it has recently been proven that people who get Botox make a better first impression and enjoy an improved quality of life. However, its ability to actually lift the underlying muscle tissues is very minimal. Strategic placement of Botox around the neck can reduce the thick skin bands some people get in their necks and also help to lift the corner of the mouth. Also, Botox placed around the nose can lift the tip of the nose five degrees, and Botox placed under the eyebrow can lift the brows quite dramatically. These advanced treatments provide some lifting and certainly a quick and temporary solution to look more rested and youthful, but it is not equivalent to a surgical face lifting procedure.
DD:  Besides sun exposure, genetics and smoking what other factors or behaviors pre-maturely age a women’s appearance?
Dr. D: Stress can be a factor. Too much alcohol consumption can dehydrate the skin. And improper product use can cause excessive dry or oily skin which can make fine lines and wrinkles become more apparent. There also is new evidence that a diet high in sugar and simple carbohydrates leads to inflammation and skin damage. Also there have been reports that those who take fish oil and non-synthetic antioxidant vitamins and minerals, and consume low quantities of red wine can tolerate more sun before getting burned. Intuitively this would suggest these important components of a healthy diet also are protective to the skin and prevent accelerated skin aging.  

DD:  Young women are very concerned about aging.  What is too young to start procedures such a Botox or fillers?
Dr. D: There really is no age at which Botox is not safe, if administered appropriately. In fact we use it in infants prior to surgical procedures. However for preventing wrinkle formation, many women will start using it in their late 20s and early 30s. However, fashion models younger than that who are interested in the facial-shaping benefits that Botox can provide — such as narrowing the cheeks, raising the brow, opening up the eye aperture or lifting the corner of the mouth — may get treated. Once Botox is started you can stop anytime. Wrinkles will not get worse if you start and then stop it. But undergoing a Botox treatment two to four times a year will likely be preventative of wrinkle formation and is quickly becoming part of many women’s routine. Fillers in the cheeks or facial folds are rarely needed. The one area younger patients most commonly request fillers is for the lips. Some are born with naturally small lips and many in their 20s may desire fillers for a little more lip fullness and pout. Additionally fillers may be used on occasion for younger people who want acne and chicken pox scars filled.  
For more about: Dr. Dayan: www.drdayan.com

What doctor can do for you!

 Recently I chatted with top Beverly Hills cosmetic surgeon Dr. Fardad Forouzanpour  While Dr. Forouzanpour is an experienced and highly-qualified surgeon he is also extremely knowledgeable about skin care. He also agreed to answer many questions readers have had about procedures.Dr. Forouzanpour

Dr. Forouzanpour was able to establish that there is no risk to Botox or dermafillers when properly done. “They can definitely make someone look more refined and refreshed,” he told me, “and there is no down side to repeating it”.
Dr. Forouzanpour described an exclusive new treatment his office offers called a hyaluronic acid facial. Three streams of oxygen push a thin stream of hyaluronic acid into the skin, which is exfoliated, moisturized, tightened, and plumped as a result. 
There is another treatment called the Oxy-Glow facial that leaves the skin glowing and translucent looking. After a gentle microbrassion, the skin is bathed in oxygen and then infused with an antioxidant serum alternating with red and blue LED light to stimulate collagen production . This is done in a series of three treatments over three weeks. Dr. Forouzanpour told me it makes the skin look luminous. I think it sounds heavenly.
If you plan on having plastic surgery now or in the future, you had better not smoke. According the doctor it interferes with healing and the final results. If surgery is not for you, Dr. Forouzanpour explained you can get results from other treatments that will make you can look better. Botox will last between three and five months for most people, depending on their individual muscle structure and other factors. Juviderm, a dermfiller, lasts about six months. Restylane, similar filler, lasts for about four months. Raddiesse can last for about a year. These different fillers can be used to fill lines between your nose and mouth called parenthesis or marionette lines, fill out thin lips, and even adjust lost volume in your face. Sculptra takes multiple injections to get the final results as it stimulates new collagen, but it can last for more than one year. Fat transfers using the patient’s own fat are popular. Each time it is done 20 to 30 percent of the new fat may begin to graft permanently. For more fascinating information about fat transfers see the doctor’s blog http://perfectself.wordpress.com/
For more about Dr. Forouzanpour, visit http://www.perfectself.com/index.html



Why my dermatologist is my new BFF

According to Lorelei Lee in Gentlemen Prefer Blondes, “diamonds are a girl’s best friend”. Darlings, there are few greater fans than me of Anita Loos, who penned that priceless piece of American lore —  or Marilyn Monroe, who made it her anthem. However, I propose that one of a girl’s best friends may be her dermatologist.

And if you are lucky enough have normal or even flawless skin you may think you can skip this item. Don’t. Eventually, we all need a dermatologist and maybe even a plastic surgeon. No darlings, this isn’t the beauty junkie speaking. After 40, you will want a skin check for dangerous moles and such. A  good doctor canbe your ticket to good skin
I also suggest you seek an out an expert for acne at any age. I have had acne for most of my life. As a result of fabulous doctors, I have no scars, physically or otherwise. Curing acne is a nightmare. It’s tricky. If you have an acne clinic near you go there. They are experts. Or, find a derm who really knows acne.
My most successful acne treatment was ClearLight. It was done at the Toronto Acne Clinic by Dr. Kevin Sliwowicz. It cleared most of my acne permanently. I now have only the occasional flare-up. ClearLight uses a type of blue light that kills acne bacteria without burning or irritating the skin. As you lie there for 20 minutes at a time, you feel nothing. This treatment has also worked for several of my acne-plagued friends.
My Atlanta dermatologist, Dr. Cynthia Abbott, has had good luck treating adult acne with Isolaz. It is a new FDA approved “photo pneumatic” device which combines light and suction. The light kills the acne bacteria and the vacuum cleans your pores. It is a wonder, as it clears stubborn cystic acne and rejuvenates skin at the same time. It requires no recovery time and has worked like a charm for many. Insurance won’t pay for it. I think we need to protest as they do pay for drugs that cost as much and have no better guarantee of working. It is effective in about 85 percent of cases. The Clearlight treatment that worked for me is effective in about 70 percent of cases. If you have acne, those are great odds, especially for treatments with no side effects.
Isolaz is expensive. Some of the celebrity beauty makers who offer it are charging up to $500 a session and the average acne patient needs at least four sessions. Dr. Abbott, who is committed to clear skin, charges $200 for the first treatment and $150 for follow-up sessions. Clearlight at the Toronto Acne Clinic costs between $420 and $875. The higher price is for more treatments and includes medical microbrasion. Dr. Cynthia Abbott
Large acne cysts that linger, hurt, and may scar can be also is injected with kenalog, a type of cortisone. They will then shrink almost overnight. If cysts plague you, find a derm office or clinic that gets you in fast for a quick injection. You need to see your doctor quickly.
Dermatologist can also help with pesky skin issues that don’t respond to over-the-counter lotions and potions. Stubborn brown patches called age spots may need stronger medicine. Those same brown patches can be caused by pregnancy and the birth control pills.
Your doctor can prescribe Tri-luma, a pricey cream that can fade discoloration. It contains fluocinoline, a steroid, tretinion or retin A, and hydroquinone. This potent and sometimes irritating mixture of medicines has been shown to be significantly more effective at fading discoloration than any one of these ingredients alone. A derm can also zap brown spots and broken capillaries with Intense Pulsed Light treatments. Some dermatologists can tighten up saggy faces and erase crow’s feet with the new Fraxel lasers. Fraxel lasers only treat about 20 percent of the skin at a time so there is little redness, but dramatic results are possible with several treatments. They also stimulate new collagen deep down in the epidermis. The cost can be $4,000 to take 10 years off your face, but it is cheaper and less traumatic than surgery. Many dermatologists are also artists with Botox and fillers.
The right doctor will work with you, help you, and find a solution you can afford.
To reach Dr. Abbott: http://www.skinatlanta.com/