THIRD QUARTER 2004, VOLUME 18, NO 3

Ask the Surgeon | What’s New | Health Tip

IN THIS ISSUE

Be Informed, be Realistic, be a Happier Patient

Recent National Survey Reveals an Increase in Facelift Surgery… is it for You?

Ask the Surgeon / Health Tip / What’s New

Aging is Inevitable; but Premature Aging can be Fought

Ask the Surgeon
I am a salesman for a large company where competition is high both inside and outside of the company. Over the past few years, I have felt that my appearancelooking older, tired, etc.is affecting my performance. What procedures do you recommend for men? I am particularly unhappy with my sagging jowls.

In today’s competitive job market, sagging jowls, tired eyes, and drooping foreheads are liabilities for men as well as women. Many men today seek facial plastic surgery to maintain the healthy, robust appearance that reflects the way they feel inside. A facelift can remove those sagging jowls and restore your jawline. Bagginess around the eyes and deep brow lines that project an angry or worried look are also common in men. These problems may be improved by blepharoplasty (eyelid surgery), a forehead or eyebrow lift, or Botox injections. If your face doesn’t project your true image, facial plastic surgery might help men as well as women.

Whats New
The FDA recently approved Hylaform, the newest weapon in the battle against wrinkles. Hylaform is a hyaluronic acid-based dermal filler that is indicated for injection into the mid to deep dermis for correction of moderate to severe facial wrinkles and folds (such as nasolabial folds). Hylaform gel is a clear, colorless gel made from purified hyaluronic acid, a naturally occurring substance (complex sugar) found throughout all living organisms. In the skin, hyaluronic acid fills the space between collagen and elastin fibers replenishing the natural volume lost during agingwhile delivering essential nutrients and hydration. The body naturally absorbs Hylaform gel over time.

Hylaform requires no skin test and provides immediate, lasting results. In clinical studies, reported adverse events for Hylaform were mild, compared to the other Hyaluronic acid products currently available in the United States.

Health Tip
Do you exfoliate? If so, you’re in good company. With the explosion of products containing alpha hydroxy acids (AHA)chemicals that strip away worn-out surface skin cells and stimulate the production of new collagenexfoliation has become an American obsession.

Be advised, however, AHA products can increase your skin’s sensitivity to the sun’s ultraviolet rays, making it even more vulnerable to damage. Choose your exfoliant carefully and take extra steps to protect your skin from sun damage. Because AHA skin products are classified as cosmetics, they are not subject to regulation by the federal government’s Food and Drug Administration. Nor are manufacturers required to reveal the concentration of alpha hydroxy acid in their products. To make things worse, the active ingredients, usually glycolic or lactic acid, may be camouflaged with names that sound more appealing, such as sugarcane extract or mixed fruit acids.

The best results seem to come from preparations that contain a five to eight percent acid or lactic acid. Higher concentrations may be too irritating, and lower ones ineffective. Look for a product that lists AHA as its second or third ingredient.

Before applying a product to your face for the first time, test it on a small patch of skin on the inside of your arm. Stop using it if you feel stinging or burning. !