Why armpit botox is popular

The NY Daily News put up a slideshow of 17 celebrities who were caught on camera sporting sweaty armpits.

Dr. G, in his February interview with the blog Stylelist, said that when big events like the Oscars are coming up, movie stars flock for armpit Botox to prevent this situation in their biggest moments.

No one is perfect all the time, and that includes celebrities. And for us "normal" people, there is no shame in buying some peace of mind against the horrors of giant pit stains. Not everyone has Jennifer Lopez to console them!

Dr. Jason Pozner
Sanctuary Medical Aesthetic Center, Boca Raton
Sanctuary Plastic Surgery, Boca Raton

Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center, Boca Raton
Skin Laser Surgery Specialists of NY/NJ

Interview with Gretchen Rossi of Real Housewives

Dermatologist Dr. Michael Gold of Tennessee and I were recently interviewed by Gretchen Rossi, a star of Bravo's hit show Real Housewives of Orange County.

When she isn't on the show, she's working on an interesting site called The Gretchen Project, which "follows her through her pursuit of beauty." The site aims to educate her fans and general consumers on medical/beauty topics via interviews with doctors and other experts.

The topic of our interview was the upcoming “Lasers and Aesthetic Medicine on 5 Continents“ Congress, a 3 day international conference held in Nice. Dr. Gold and I are members of its scientific committee.

The interview is here.

Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center, Boca Raton
Skin Laser Surgery Specialists of NY/NJ

Dr. Jason Pozner
Sanctuary Medical Aesthetic Center, Boca Raton
Sanctuary Plastic Surgery, Boca Raton

Breasts: Downsize or Upgrade?

According to blog The Frisky, the trend in Hollywood is breast reduction or downsizing to modest implants.

We haven't really seen this trend in South Florida. Most of the time, the prevailing wish is "higher and bigger."

Another trend is that we often see women after a reduction getting implants, especially in cases where there was a reduction as a late teen followed by having kids.

Dr. Jason Pozner
Sanctuary Medical Aesthetic Center, Boca Raton
Sanctuary Plastic Surgery, Boca Raton

Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center, Boca Raton
Skin Laser Surgery Specialists of NY/NJ

Lipstick down, Botox Up.

Dubai newspaper The National is saying that American lipstick sales are going down, while Botox and Restylane are on the way up. This is in contrast to the former prevailing wisdom that lipstick sales boom during recessions, while supposed luxuries like cosmetic surgery wane.

From the article:

"But this time around, that is not happening. In 2008 annual lipstick sales actually dropped five per cent, according to Inside Cosmeceuticals, which tracks cosmetics purchases in the US and UK.

Now, it seems, Americans – both men and women – are splurging on a more modern luxury: cosmetic injections.

The American Society of Plastic Surgeons reports that surgical cosmetic procedures like nose jobs and tummy tucks dropped off nine per cent from 2007 to 2008. However minimally invasive procedures such as Botox, which eases wrinkles, and Restylane, which puffs up sagging skin, are up more than five per cent."

Thanks for reading,

Dr. Jason Pozner
Sanctuary Medical Aesthetic Center, Boca Raton
Sanctuary Plastic Surgery, Boca Raton

Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center, Boca Raton
Skin Laser Surgery Specialists of NY/NJ

Sculptra FDA-approved for cosmetic use

Sculptra (aka Poly L Lactic Acid) has been around for a few years as an FDA-approved solution to facial atrophy. Many doctors, us included, have either used or read extensively about its use off-label for cosmetic applications, as it is an appealing filler that can last over two years in some cases.

What's unique about it is that, as this Early Show interview yesterday on CBS confirms, the filler actually attracts your body's natural collagen to help maintain the new structure that is being built in the face.

We have been very excited about Sculptra for a long time and covered it in the past here, here, and here.

Dr. Jason Pozner
Sanctuary Medical Aesthetic Center, Boca Raton
Sanctuary Plastic Surgery, Boca Raton

Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center, Boca Raton
Skin Laser Surgery Specialists of NY/NJ

Don't worry about Vitamin D when it comes to sunscreen

There has been somewhat of a chorus in the last 20 years in the world of dermatology and skincare that sunscreen use has a downside of diminishing Vitamin D production.

For example, a 1988 article in the Archives of Dermatology claimed that long-term or "chronic" use of sunscreen caused low body stores of Vitamin D in test subjects.

A February article in the NY Times by Anahad O'Connor followed up on this, citing a 1995 study from Australia that said that "normal" or flawed sunscreen use by regular users usually allows enough sunlight exposure for adequate Vitamin D production.

The latest affirmation of this view came in yesterday's edition of the British Journal of Dermatology. Mary Norval and H.C. Wulf of the University of Edinburgh Medical School, which said that the alarming studies of the past were borne of "very strictly controlled conditions."

So there's still no excuse not to use sunscreen. We recently were published in the West Boca Forum with an article imploring people to use sunscreen and use it often, so they don't have to come see us later!

Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center, Boca Raton
Skin Laser Surgery Specialists of NY/NJ

Dr. Jason Pozner
Sanctuary Medical Aesthetic Center, Boca Raton
Sanctuary Plastic Surgery, Boca Raton

Something lighthearted for Friday...

Californian Senator Lynn Meriweather proposed a bill recently in Washington DC called the Hold Surgeons Accountable Act. Crafted to fight the rise of unlicensed plastic surgeons, she seems to have a bit of a personal stake in it.

I've never heard of a Dr. Teddy Rolex in Maryland though. Good job by the Onion.


Congresswoman Says Botched Plastic Surgery Most Important Issue Facing U.S.

Dr. Jason Pozner
Sanctuary Medical Aesthetic Center, Boca Raton
Sanctuary Plastic Surgery, Boca Raton

Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center, Boca Raton
Skin Laser Surgery Specialists of NY/NJ

Link: Migraines mitigated by forehead lifts

From friend and colleague Bahman Guyoron in Cleveland [CNN]:
"Other migraine treatments either temporarily prevent the symptoms or they may reduce the symptoms after the migraine headaches start," says Bahman Guyuron, M.D., a professor and the chair of the department of plastic surgery at the University Hospitals of Cleveland and Case Western Reserve University. "What we are offering is essentially a cure."

In a study published in Plastic and Reconstructive Surgery, Guyuron and colleagues looked for people who had migraines that started in a specific region on the front, side, or back of the head. The researchers injected Botox into these trigger points to temporarily paralyze the muscle; if the injections helped relieve the migraines, the patients were randomly divided into two surgical groups.

After the Botox wore off, one group had a face-lifting surgery combined with the removal of muscle tissue or nerves in the area that triggered the migraines. Fat or muscle was used to fill in the area after tissue was removed.

The second group had a sham procedure, in which incisions were made but all muscles and nerves remained intact. A total of 75 patients were involved in the study.

In the year after the procedure, 57 percent of those who had the actual surgery reported the complete elimination of migraine headaches, compared with just 4 percent in the sham surgery group. In addition, 84 percent of those who had the surgery reported at least a 50 percent reduction in migraine pain compared with just 58 percent in the sham group."

Thanks for reading,

Dr. Jason Pozner
Sanctuary Medical Aesthetic Center, Boca Raton
Sanctuary Plastic Surgery, Boca Raton

Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center, Boca Raton
Skin Laser Surgery Specialists of NY/NJ

New botulinum based filler on the way

Plastic Surgery Practice is reporting today that a "next generation" neurotoxin based on Botulinum toxin type A is on the way, via an agreement between Medicis Corporation and Revance Therapeutics.


"Under the terms of the agreement, Medicis will pay Revance $10 million at signing, as well as milestone payments totaling approximately $94 million upon successful completion of certain clinical, regulatory, and commercial milestones; and a royalty based on sales and supply price, the total of which is equivalent to a double-digit percentage of net sales."

The terms of the agreement indicate that nothing will begin happening with this until 2010.

Thanks for reading,

Dr. David J. Goldberg
Sanctuary Medical Aesthetic Center, Boca Raton
Skin Laser Surgery Specialists of NY/NJ

Dr. Jason Pozner
Sanctuary Medical Aesthetic Center, Boca Raton
Sanctuary Plastic Surgery, Boca Raton