Author: Michele Garber

Blogger, Social Media Consultant and Wholesale Distributor. Beauty Publicist and Founder of dMK Communications, Lifestyle PR firm. Independent Cosmetic Surgery Procedure Consultant

Face Lift

Revision FaceLift: The Emotional Roller Coaster of Revision Plastic Surgery

One of the reasons I founded The NipTuck Coach, a plastic surgery consulting business was due to my own cosmetic surgery disappointment and my post-surgery emotional roller coaster. You can read about my facelift  experience and disappointing surgery results here.

My plastic surgery journey included, poor post-op care, poor communications and a less than desirable outcome. This fueled my insight into the psychological aspects of going under the knife, as well as what’s wrong with the plastic surgery industry today. I’m hoping to make a difference in patient communications. 

I’m not new to the world of plastic surgery or the beauty industry.  I’ve worked in the industry for many years, have had dozens of procedures and have an understanding of plastic surgery beyond most lay people. Despite all of my knowledge and insider connections the outcome of my surgery did not meet my reasonable expectations or an agreed upon outcome. My experience with my plastic surgeon was less than stellar and I had no one to turn to for advocacy and support.

 You are probably wondering why this happened and how I’m dealing with it. A plastic surgeon’s best referral is a beautiful outcome. No plastic surgeon wants to have an unhappy patient, or so you would think. The goal is to rectify a less than optimal outcome by good communications, acknowledgment from the surgeon that the results could be better, and finding the best resolution for the patient. If the surgeon feels he/she cannot meet the patients expectations, then its up to the surgeon to do whatever is in the best interest of the patient, including referring to a colleague, who may be more skilled for this surgery. Finally, working out agreeable financial terms.  (more…)

The New Lip Plumper for Softer, Sexier Lips

Just in time for Valentine’s Day.

Sexy, soft, plumper lips.
lip injection

What woman doesn’t want sexy, plump natural looking lips? Now there is a new  Hyaluronic Acid (HA) filler on the block, Restylane Silk, which is a softer version of Restylane and the first FDA approved HA filler specifically for the lips and pucker lines.  The nice thing about all HA fillers is that if you don’t like the results, you don’t have to live it. The filler can be quickly dissolved with Hyaluronidase, an enzyme that degrades HA.

“In the FDA trial of Restylane Silk, which involved 221 mostly female patients, 98 percent had visible improvement 14 days after injection, and 76 percent still had lip improvement at six months. Study participants were offered an optional second injection at two weeks, and some took advantage of it” Allure.com

My lips have never had much of a cupid shape.  I’ve aged my lips have lost volume and shape. In my quest for fuller, plumper lips I’ve tried Restylane, Juvederm and Perlane.  My experiences have included looking like a duck and getting an allergic  reaction to Perlane.  After these HA fillers my lips have  felt chapped and a little hard.  It’s been awhile since I have indulged in lip filler, so when  I heard about Resytlane Silk,  I was eager to try it to see how it compared to the other fillers.

I’ve always considered Lip rejuvenation an art, realizing that not all dermatologists or plastic surgeons are skillful at injecting lips. Therefore, physician injector selection is very important.

There were only a small number of medical practices across the country that were privileged to get a sampling of Restylane Silk in December 2014, before its official launch.  Restylane Silk is made up of smaller particles than Resytlane and the injection technique differs slightly from regular Resytlane.  According to Galderma, the manufacturer, Restylane Silk should be injected very slowly.

Dr.Victor Lacombe, a Board Certified Plastic Surgeon in Santa Rosa, California was one the first practices in Northern California to receive specialized training for Restylane Silk and had the product available. Dr. Lacombe, aside from being a skillful artist in facial plastic surgery, has an expertise in lip filler. I was excited to try Restylane Silk, and made my appointment with Dr. Lacombe at Artemedica in Santa Rosa. (more…)

My Beauty Picks for 2014

Anti-aging Being in the beauty industry affords me the opportunity to try many products. I travel and lecture at industry meetings and medical conferences which have exhibits halls featuring the best industry leaders in aesthetics.  I usually come home with more products than I can possibly use. Companies also send me products to evaluate, hoping I’ll blog about their greatness.  I look for products that have science to back them up.  I don’t believe in hype or products promising that you will look 10 years younger  in 6 weeks.  I also don’t buy mass market skincare products sold in department stores.  I am loyal to the products that keep my skin looking great.

My skincare routine is fairly simple: RX Tazorac PM, Exfoliate with a AHA cleanser, apply Vitamin C serum, eye cream and sunblock in the AM.  My challenging areas have always been my eye area, neck and décolleté .

In 2014, I had the privilege of interviewing derma diva on NipTuck Talk Jan Marini, founder of Jan Marini Skin Research. Jan shared some of her skincare secrets with me and  taught me about product chemistry during our interview and post-interview phone calls. You can listen to our interview on NipTuck Talk.

I stopped using Tazorac and adopted Jan Marini Skincare Management system, plus Jan Marini Clean Zyme Face Cleasner and mask.  I’m thrilled with the results. My skin is never irritated or peely anymore (except when I get a chemical peel or laser treatment).

Here is my 2014 list of favorite beauty products:

Makeup

Colorscience Mineral Corrector Palette: Great for covering up imperfections and bruising from fillers Botox, or surgery.

Benefit Real Eye Makeup Remover: I just discovered this great eye makeup remover!!

Jill Kirsch Color– Ultimate Make Up Kit: All in one make-up kit customized for your color palette.  I take this kit with me everywhere, even in my gym bag. Love it!

Skincare

Jan Marini Skincare Management System: My #1 life saving anti-aging skin care solution for 2014.  It’s an easy Anti-aging System with clinically proven results.

Jan Marini Retinol Plus MD: I switched from Tazorac to non RX retinol. No dryness or peeling.

The neck is a hard area to treat. I’ve tried a couple of neck skincare products and found them not to live up to their claims.  Marini Juveneck debuted in 2014.  A revolutionary anti-aging cream specifically formulated for the delicate neck area. Clinically proven to reduce the appearance of wrinkles and creases, refine skin texture and increase hydration. I’ve used Juveneck for 3 months applying it 2x a day.  I’m very pleased with the results and can see a softening of my horizontal band lines. Juveneck is a keeper. Stay tuned for some before and after photos.

Eye Cream: After trying many eye creams  IS Clinical Youth Eye Complex from Innovative Skin Care is the winner.

Sun Block: EltaMD tinted. I don’t leave home without it.  I use it as a foundation, before applying any make-up.

Body:  My Body is the new kid on the block. I love their Firm and Tone Body Lotion and Skin Prep Body Polish.

Post-Treatment Products

Jan Marini Bio Shield is an amazing post laser product. There is nothing on the market that compares to Bio Shield. I used for a series of laser treatments.  It’s pricey at $130.00, however worth every dollar.

My Body has a  post- treatment kit, Calm-It Down and a  Professional Pro-Biotic treatment that can be applied pre-and post peel, featuring topical probiotics bioactives.

Staying beautiful in 2015..

Follow me on Twitter @niptuckcoach and Facebook/niptuckcoach

Stay informed and listen in weekly to NipTuck Talk radio. If you have any questions please visit my website at NipTuck Coach.

 

Sublative Laser Rejuvenation : What To Expect

Laser Resurfacing – Heres’s the Scoop

After having  two Ablative laser resurfacing treatments over the past several years, I opted to try  Syneron’s Elos Sublative  Rejuvenation Treatment for fine lines, skin tone and texture. Sublative Rejuvenation is the newest, safest laser technology with less downtime than other laser procedures.

According to Syneron’s website, Sublative lasers deliver B-polar Radio Frequency energy  deep into the dermal layer to build collagen, treat mild to moderate wrinkles and textual irregularity with minimum down time. The treatment protocol  is for 3 treatments 4-6 weeks apart.

My Experience:

LA Dermatologist Dr. Jason Emer invited me to participate in his Sublative treatment study at the Menkes Clinic in Northern California.

I had been treated before by Dr. Emer, so I the utmost trust that my face was in skilled hands.

Sublative Treatment

After Treatment

With BioShield on My Face

With BioShield on My Face

Elos Sublative Tip

Elos Sublative Tip

After numbing for about 45-minute to 1 hour, my 1st Sublative treatment was tolerable. As part of the study, Dr. Emer used an aggressive setting and preformed 5 passes over my entire facial region. During the treatment, I held a cooling hose ( see above) to cool my face as Dr. Emer was preforming the treatment with the tip seen in the photo above. Some areas of my face were more sensitive than others during the first sublative treatment. On a scale of 1-10, the discomfort was about 34. Afterwards my face felt like I had a very bad sunburn. Not too bad, as I knew what to expect from previous treatments. If you are a newbie, be prepared to feel
a strong burning sensation on your face. Total treatment time from prep to post-laser about 1.5-2 hours. Don’t plan to go back to work after sublative rejuvenation treatments, unless the treatment is on a lower settings with less passes. But then what’s the point?

As I was driving home with a greasy face full of Aquafore, I iced my face in the car and then afterwards for the first 24-48 hours. The burning sensation does lessen over the next several hours.

Minimum downtime- no not really. If you have an aggressive treatment be prepared to be red, and slightly swollen for 2-3 days then pink and peely up to 7 days.  Peeling time was less than my other ablative laser treatments, Mixto and Pearl and healing time was faster. I could wear make-up by day 3 and face the world on day 4.  But I was still crusty and pink in some areas. Underneath my eyes I was slightly puffy for about 10 days.

My second treatment was a little more uncomfortable, especially on my forehead, temple and chin area.  There were a few times that it really hurt despite the numbing cream. Post treatment I was given a Skinceutical cooling mask, which I absolutely loved. It felt soothing, cool and fabulous. It made my drive home much more comfortable.  I also applied Jan Marini Skin Research, BioShield. I love, love this post laser product.  My healing time was shortened by a couple of days. It’s a little tricky to apply, but a must for any post-laser treatments. Worth the price of $130.00.

My third treatment felt the worst. I’m not sure why. I felt a couple of zingers that were extremely painful in the area of my forehead and chin. Had I felt these zingers during treatment #1, I may not have continued. Perhaps my skin was more sensitive in those areas, I’m not sure. Dr. Emer was not sure either what caused this. Afterwards, my skin looked and felt like all the other treatments. My recovery time for treatment #3 seemed shorter than the first two treatments. I was not as swollen as the first time, with the exception my of  mouth area which was treated more aggressively for fine lines, as part of the study.

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