spring 2007

FIVE DOLLARS health

vitality

condition

strengthen

fitness How to Take Years Off Your Skin

nutrition CHERYL FENTON writer

diet

stamina M

remembers a chat with her grandmother that stayed O cheryl clarkson C . E M with her for years. I T S M

“She was a typical grandmother, 85 years old,” recalls the president and Chief Executive A E R D

Officer of SkinHealth Centers Inc. “She stood in front of the mirror and said, ‘Cheryl, I feel the | A K C same inside as I did when I was 25, but when I look in the mirror, it’s frustrating. I’m still the I M L E

same person, I feel the same, my soul is the same, but I don’t look like myself.’” J I N A

You don’t have to be an octogenarian to feel this frustration. Not too many of us are thrilled D © with the tiny lines creeping up on our once smooth complexions. But there are plenty of ways to take a few years off, even if you can’t remove any candles from the cake. “Adults of almost any age have at their disposal a wide variety and rapidly increasing set of options for looking younger and/or preserving the pos- itive characteristics they already possess,” says Dr. Robert Savage of the New England Center for Plastic Surgery in Wellesley. 7 0 0 2 g n i r p s | e n i z a g a M n o t s e W y e l s e l l e

W 150 fitness “facials are a relaxing way to maintain a youthful glow”

areas absorb the light. With IPL, things get worse before they get better. Spots darken for a few days after treatment, then just fade away, leaving you the even skin tone of yester- year. For a clean, fresh complexion, plan on three treatments, two to four weeks apart. The cost is around $300 to $350 per session. If you have paper-thin skin and age has only made things worse, facial peels might help uncover a younger you. Chemical peels are an option, but can be harsh, with higher ouch factors and longer recovery times (some- times a week). Gentler peels contain alphahydroxy acids (AHAs) such as glycolic, salicylic or lactic acid. Depending on the depth of the peel, M O C .

you’ll feel anything from a slight sting to a E M I T need for pain medication and experience red- S M A E R

ness from a light “sunburned” look to a more D © intense inflammation. Costs range from $50 to $600. The deeper the peel, the higher the price. Here’s a glance into some tried and true treatments, along with a few

of the latest and greatest for turning back the clock. Dull, Dry Skin A youthful glow can become aged dullness, adding years to your com-

Seeing Spots plexion. The first step against dryness, beyond moisturizers, is a Intense Pulsed Light (IPL), also known as a photofacial, targets skin monthly facial. Known to increase circulation and release positive hor- 7

0 discoloration, such as redness, broken capillaries, pigmentation, mones, facials are a relaxing way to maintain a youthful glow. 0 2 g n i

r freckles and sun damage. During treatment, a tiny beam of light is Exfoliation can also be a time-fighting friend. According to Elizabeth p s

| walked across the face, touching the skin with a quick “zap” and Kosky, owner of Elizabeth Renee Esthetics in Wellesley, “exfoliation e n i z a

g bright flash that is more startling than painful, according to removes dead dry skin cells off the top of the skin. This reveals more a M n o Clarkson. The energy causes vessels to constrict and the pigmented hydrated, plumper, and more metabolically active cells that look nicer, t s e W y e l s e l l e

W 152 fitness “fat injections are very popular because they harvest the patient’s own fat”

make the skin look younger and are more translucent so they reflect light.” To combat lines from muscle movement (dynamic wrinkles), look The intensity of microdermabrasion (a sort of sandblasting of the to the number one minimally invasive procedure in the country, with skin) isn’t a one-size-fits-all. “As you age, microdermabrasion isn’t for more than three million procedures reported last year—BOTOX®. everyone,” Kosky warns. “It’s great for the more highly pigmented, Botulinum Toxin Type A temporarily paralyzes muscles and is best for thicker skin which can get even thicker with age, leaving a leathery look.” crow’s feet, frown lines between the eyebrows and lines on the fore- For those who aren’t good candidates for microdermabrasion, such head, according to Clarkson. as those with thinner skin, Kosky suggests lactic acid peels, an intensely BOTOX® takes effect gradually over two to four days, and wears off hydrating but milder treatment. over the course of three to five months. The more you get, the longer it will start to last.

Laugh Lines Aren’t Funny “BOTOX® relaxes the muscles that cause lines. By relaxing them, Life’s events are written all over your face, creating tiny (and some not you actually have to work a little harder to make that frown. You real- so tiny) lines. But according to Dr. Savage, “in the proper hands, ize ‘why am I frowning?’ ‘why am I squinting?’ Then you start to [injectables] can deliver a ‘liquid’ facelift.” retrain the muscles to not frown,”says Clarkson. The line’s location is the best place to start when deciding how For the larger lines that aren’t expression related (static wrinkles), to tackle it. fillers can do the trick. Restylane® is currently the most popular filler and the second most common injectable. Made from hyaluronic acid, a natural sugar already in our bodies, it creates temporary volume for wrinkles and crevices. Perfect placement includes nasolabial folds that run from each nostril to the mouth and the not- so-playful “marionette” lines from the mouth corners to the ends of your chin. Because it’s a manmade compound of a natural substance, Restylane® is pure and allergy-free. Even though the procedure can be a little more uncomfortable than a BOTOX® injection, the benefits are immedi- ate and results last six months or longer. 7

0 You can also look to your own body for 0 2 g n i

r help. “Fat injections are very popular because p s

| they harvest the patient’s own fat, then add it e n i z a

g to frown lines, lips, nasolabial folds and a M n o deeper lines from the corner of the mouth,” t s e W y e l s e l l e

W 154 says Dr. Savage. “However, sometimes the fat gets absorbed and the correction is lost.” “There are a lot of new fillers out there,”says Dr. Mark Rounds of Mass Eye & Ear Infirmary, and chief of Otolaryngology facial plastic sur- gery at Newton-Wellesley Hospital. One such filler going up against Restylane® is Juvéderm®, a new hyaluronic acid compound that has recently launched into the scene. To combat deeper nasal labial folds, Dr. Rounds also relies on Radiesse™, made from tiny calcium parti- cles that create a scaffold for the body’s own collagen to grow, which lasts about a year. The prices of injectables range from $300 to $1,500.

When Aging Drags You Down As our skin ages, it starts to tire against grav- ity. A firm jawline is soon replaced with sag- BOSTON MAGAZINE “TOP DOCTORS” ging and jowls. In fact, loss of a jaw angle is a common complaint among those conscious FACIAL PLASTIC SURGERY of aging. What to do? MARK F. ROUNDS, MD Dr. Rounds says, “Everyone wants to avoid Chief of Otolaryngology, Newton-Wellesley Hospital Massachusetts Eye and Ear Infirmary surgery, but the small incision surgeries are Board Certified Facial Plastic Surgery incredibly popular. [They] fit the New Faculty of Harvard Medical School England mentality of not needing to look Dr. Rounds specializes in: . c n • Rhinoplasty (including revisions) I , n a dramatic but still wanting a positive change g e l • Full and Mini Facelifts l A f o k that is the most gain for the amount of pain.” r • Eyelid Surgery (Blepharoplasty) a m e d a

® ® r • Botox , Juvaderm, Restylane and Radiesse Treatments t One such in-office procedure is the “mini- d e r e t s i g e lift,”which eliminates the need for a hospital r

Complimentary Consultation/Computer Imaging Available a s i ® s x p o t stay, and major incisions and expenses. With r o i n Newton-Wellesley Hospital Office • 2000 Washington St • Newton, MA 02462 B g 2 a small incision under local anesthesia and 0 0

Affiliated with 7 Valium, the doctor grabs the deep skin layer | W

617-969-4111 e l l e and tugs upward, finishing off with a few s l e y

and on staff at Newton-Wellesley Hospital W e stitches for a nice jowl reduction. s t o n M a g a z i n 155 e fitness “loss of a jaw angle is a common complaint among those conscious of aging”

“If you take one finger by your ear and pull up, that’s Would you like to look ten years younger? Here are some local professionals who can help make it happen. the effect,” says Dr. Rounds. “It’s not as dramatic as a Accurate Aesthetics Li Zheng Acupuncture facelift, but it will take off five to ten years, especially if William E. LoVerme, M.D., Chief of Plastic Facial rejuvenation you’re jowling.” Surgery Newton-Wellesley Hospital 475 Hillside Avenue, Needham As with any type of surgical correction, there’s still Thermage, facial enhancement 781.449.1813 One Washington Street, Suite 301, www.acumagic.org noticeable discoloration and swelling. “You’re going to Wellesley 781.263.0011 bruise for around two weeks, but you’re not out of com- Moodz Spa Salon Boutique dr-loverme.com mission,”says Dr. Rounds. Mini-lifts cost around $2,500. Skin care treatments 19 Pelham Island Road, Wayland If you’re not ready for the knife, no matter how small the Ardan Salon and Spa 978.263.3017 Botox and derma fillers, facials, microder- moodzspa.com incision, infrared tightening therapy could be the answer, mabrasion with TITAN™ leading the industry. This hot new skin treat- 72 Central Street, Wellesley 781.235.7788 New England Plastic Surgery ment heats the skin beneath its surface for a firmer look. ardanspa.com Center & Medispa “TITAN™ is best suited to women whose skin is Board-certified plastic surgeons Beauty and Main Dr. Kenneth Marshall and Dr. Robert Savage starting to get soft with thickness around the jawline,” Cosmetic and skin care specialty boutique Radiesse, BOTOX®, Restylane®, Facelift, says Tracy Korby, RN, esthetic nurse and owner of 79 Central Street, Wellesley Crystal-Free Microdermabrasion, Non- 781.237.1685 Forever Young Skincare Solutions in Metrowest Laser Surgical Facelift beautyandmain.com 204 Worcester Street, Wellesley & Skin Center in Natick. “It’s great if you’re not ready 781.489.6755 Elizabeth Renee Esthetics for a facelift but you have sagging. If pulling back on www.nec4plasticsurgery.com Full-service skin care the skin is giving you good results, this is a great treat- Board-certified cosmetic surgeon available Dr. Mark Rounds for BOTOX® and Restylane® ment for you. But if you need underlying structural Chief of Otolaryngology, 6 Grove Street, Wellesley lifting, this isn’t for you.” 781.237.SKIN (7546) Newton-Wellesley Hospital Enhancement of the aging face and eyes Small areas of the skin are gradually heated up deep erespa.com with a special interest in rhinoplasty down with infrared light, causing collagen to contract and Forever Young Skin Care 617.969.4111 tighten. This eventually leads to increased collagen pro- Tracy Korby, RN Aesthetic Nurse Specialist 873 Worcester Road, Wellesley SkinHealth duction and plumper skin. Therapy consists of three 508.330.4382 BOTOX® and Restylane® treatments, treatments a month apart, each taking an hour. microdermabrasion, chemical peels, laser Krauss Dermatology removal of age spots, rejuvenating facials Because the wavelength bypasses the surface, risks are Medical & cosmetic dermatological services 251 Washington Street, Wellesley Hills 1 Washington Street, Suite 401, Wellesley minimal compared to other laser facial treatments. 781.431.7880 781.416.3500 www.skinhealthcenters.com TITAN™ is also relatively painless, but cost could be a kraussderm.com 7

0 drawback with prices reaching up to $3,000. 0

2 SOMA La Residencia Spa g n i

r Because TITAN™ is a new technology, the jury is still Full-service spa

p Specializing in the care of skin over 40, s

| out on how long results last, with claims of up to three complete day and medical spa services Bosse Sports e n i 336 Elliot Street, Newton 141 Boston Post Road, Sudbury z a

g years. It’s also a slow process, with the full picture not seen a 617.244.2280 978.443.7006 M n o until six months after the third treatment. www.laresidenciaspa.com www.somadayspa.com t s e W y e l s e l l e

W 156 fitness “The main objective is to maintain youth, not change who you are” M O C . E M I T S M A E R D | A V E E S S I L E A N E L E ©

Another anti-aging treatment gaining popularity is facial rejuvenation. And when it comes to having great skin, prevention is worth a According to Dr. Li Zheng of Li Zheng Acupuncture, this is a “whole pound of BOTOX®, in most cases. body” treatment based on the principles of Oriental medicine which “A lot of what I do is a reaction to aging, but if you take care of your involve the insertion of hair-thin needles into particular areas of the skin on the outside, then you can postpone having procedures,”says body along “channels of energy.”The result is a more relaxed body, better Dr. Rounds. Preventions includes moisturizing and daily SPF usage. collagen production, and improved blood and lymph circulation. Zheng Dr. Savage adds avoidance of smoking to sun protection as part of the notes that some patients will notice increased muscle tone, wrinkle one-two punch against aging skin. reduction and improved pigmentation after only three to five treatments. The main objective is to maintain youth, not change who you are. Just because they’re cosmetic doesn’t mean that any of these treat- “We aren’t trying to turn everyone into a glamour puss,” says 7

0 ments should be entered into as casually as a lipstick purchase. Also, Clarkson. “If your skin looks healthy, you just look younger. It’s about 0 2 g n i

r “new isn’t always better,” warns Dr. Savage. He adds, “There is a an even complexion, beautiful skin, and softening any lines without p s

| tremendous amount of marketing in the ‘fountain of youth’ business. totally eliminating them. Then you’ll have a natural glow without e n i z a

g Do your own due diligence research and consult with an experienced looking artificial. You’ll look like yourself ten years younger. You’ll look a M n o physician before embarking on any of these treatments.” as vibrant as you feel inside.” t s e W y e l s e l l e

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