The doctor’s summer refresher course

Sam RizkIf you have been thinking about, little personal touch up.  

Board-certified facial plastic surgeon Sam Rizk ( is known for giving patients a natural look. He says summer vacation — when the kids are away or you have a few weeks off from work — can be the perfect time for a little facial freshening.
Here Dr. Rizk’s suggestions for what can be accomplished in a few short weeks:

The 30s
For this group, summer is the best time to focus on freshening up the eyes, the "windows to the soul." Botox and laser resurfacing can reduce the appearance of crow’s feet and other wrinkles.

According to The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), Botox is the second most popular aesthetic procedure, second only to rhinoplasty (a nose job), in women aged 22 to 34.

Women in their 30s may also feel self conscious about drooping and puffy upper and lower eyelids. To remedy this, Dr. Rizk recommends blepharoplasty, an advanced scar-less technique using an incision inside the lower eyelid. This procedure is usually performed in an office with local anesthesia in less than 45 minutes.  Blepharoplasty can also be done on the upper eyelids.

The 40s

This is the time when women begin to notice sagging around the jaw line. During this decade, a neck lift could be just the ticket to a fresher, more youthful appearance.

As we age, muscles become loose and drop underneath the skin. Dr. Rizk’s surgical approach to a neck lift addresses the deeper tissue by going under the muscle and sliding it backwards into its original youthful position. This technique results in less bruising and swelling. Scars heal better and quicker because there is no tension on superficial layers of the skin. This lift results in a natural, softer look that creates definition along the jaw line and neck, not tightness.

The 50s

By the time a woman reaches her 50s, a facelift is the second most popular procedure, following the brow lift according to the AAFPRS. Dr. Rizk recommends a customized approach to any face lift in order to achieve a long lasting, natural result and rapid recovery.

As we age, gravity, sun-exposure, genetic factors, smoking, pollution, and life stresses all combine to loosen and sag our facial tissues. These aging changes may deepen the folds between the nose and mouth (nasolabial fold) and result in jowl formation and loss of definition around the jaw line. A facelift must address the muscle layer, fat and skin in order to look natural and achieve longevity. As with the neck lift, in a facelift Dr. Rizk works with the deeper tissues resulting in a more natural look, better healing and quicker recovery time.


And the bride wore bandages

Brides who will take time ot heal if they win their "wish lists of nips and tucks"Recently, I watched episode of a new show called Bridalplasty. I can’t recall being more appalled by a TV show — and these days that is saying something. I was relieved to find out that my friends, even the younger ones, where as aghast as me. And as days go by, I am please to note that the backlash against this show has grown.  

Bridalplasty encourages young women to debase themselves as they compete for a splashy wedding and a laundry list of plastic surgery.
I have no issue with plastic surgery, cosmetic injections, or any other beauty procedures, as long as they are used properly. But the idea that any normal young woman would need multiple procedures to look “perfect” is obscene. The young women on this show range in age from 20 to 32, and not one of them is deformed. Some are a bit heaver and some are bit thinner. Most want breast augmentation, liposuction, and Botox to start.
The host of this self-esteem demolition derby is former beauty queen Shanna Moakler. I would say she should be ashamed of herself, but she is a veteran of this type of TV. She was also the host of Crowned: The Mother of All Pageants, a disturbing mother-daughter pageant show.
I could not believe my eyes as the first “bride,” who won “the right to attend an “exclusive injectable party,” grabbed a syringe and ran down the stairs squealing. Then she and the surgeon, Dr. Dubrow, jumped up and down hugging each other. The behaviour made Dr. 90210 look positively staid. 
It was even more uncomfortable to watch him draw lines, as surgeons do, on these young women’s bodies. He marked and remarked all their imperfections as they stood for inspection, wearing only bikini bottoms. Surgeons do this, but usually privately. He seemed to focus on the smallest flaws. I could hardly believe it when he jabbed one woman’s face with his pen. “You have a pockmark,” he said, circling the offending blemish. The pockmark was so tiny, but now this insecure woman will be fixated on it until it is filled. How unnecessary! How cruel!
But that is what this show is about: cruelty, inadequacy, and a lack of self-esteem. No matter what the smiling blonde host says or the "famous" doctor might want to believe, it is not about transformation. The women on this show are emotionally needy. Some are desperate for attention. One complains bitterly that another contestant “already has her chance for fame” on another reality show. Heaven help us all if this mess is what anyone becomes famous for.
I am still reeling from the fact that one young woman repeatedly referred to her "butt-face" — and not one person, including a licensed physician, corrected her. I also found it disturbing that women were made to appear in robes and face masks, while they voted out one of the contestants. They looked ridiculous; they were supposed to. This show strips women of their dignity, and sadly, they are too naïve to notice.
Beauty is powerful and desirable. It is every woman’s right to experience her own beauty. But this show is not about owning or discovering beauty, it is about exploiting insecurity. According the show’s doctor, Dr. Dubrow, “everyone has self-esteem issues”. He says the women on the show have no more than the average person. I wonder if that will be true after weeks of exposure to his magic marker, full-length photos of their flaws, and constant talk of “perfection”?
Actress Heidi Montag recentlyhad 10 cosmetic procedures in one day. She has been ridiculed for it. I didn’t see why. To me it seemed like a cry for help. Now she says she would like to undo it all. I think she was pretty girl before the surgery and she still is very pretty.
Heidi has brought herself a lot of pain, suffering, and embarrassment, trying to find “perfection” through surgery. Sadly, too many young women today think the answer to all their prayers lies at the tip a scalpel. Plastic surgery can be fabulous, but it shouldn’t be cure-all or a game show.

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
For more about Dr. Forouzanpour, visit