Jacqueline Fulop-Goodling, D.M.D.
Manhattan and Long Island Orthodontist
www.drjacquiesmiles.com
212-972-3522
516-921-6010

It is absolutely amazing how many patients have no idea how to brush their teeth. I am always surprised by this huge number–as many as 75 percent–because improper brushing can result in as much damage to your teeth and gums as not brushing at all. Everyone should brush his or her teeth three times a day: in the morning, in the afternoon and before going to sleep. The proper way to brush your teeth is at a 45 degree angle holding the bristles toward the gums. The most important time to brush is before going to sleep because the body does not produce enough saliva to fight against the sugars in their mouth. All bodily functions slow down while sleeping; therefore, bacteria grows rapidly, causing cavities and infection.

There are many types of toothbrushes on the market today, including electric, ultrasonic, ionic, and the “normal/standard” toothbrushes most patients use. Mechanical toothbrushes tend to be better than a standard one if used correctly. My advice to patients is that they bring in their toothbrushes, and I will explain the proper use of each particular type of toothbrush. The toothbrush should be soft bristled, regardless of size or shape. Don’t believe all the hype. Fancy shaped toothbrushes work the same way as any other type of toothbrush on the market. It all boils down to how thoroughly patients brush and in what way they brush.

I recommend anti-plaque, high fluoride toothpaste containing little or no abrasives. Abrasives wear out the enamel in teeth, which may look sparkly white but may be unhealthy. As far as gel or paste toothpaste, that is a matter of personal preference. Patients with poor gums are advised to use toothpaste containing baking soda and peroxide. Theoretically, flossing should be done daily. Unfortunately, most people floss three or four times weekly. Flossing at night is very important to reach food particles which have remained in the mouth after eating all day.

Myth has it that baking soda works on its own as a tooth bleaching agent. This is not true. Dentists can prescribe dental bleaches which can result in a 40% increase in brightness and whiteness. They work well because the chemicals are rinsed out, rather than swallowed. The over-the-counter bleachers are sloppy, irritate the gums, and may cause intestinal distress when swallowed. More importantly, they don’t produce the results advertised.

Nicotine and caffeine, along with red wine and some heavy (grape or carrot) juices, stain teeth. For the average person, brushing one’s teeth and tongue is enough. Tongue scrappers are advised for those with frequent or severe halitosis. Bad breath is a result of several conditions, most frequently a mouth full of bacteria and/or gum disease. When eating spicy foods, the natural way to eliminate bad breath is to neutralize it by eating a piece of parsley or celery. Breath tablets containing chlorophyll also work very well as a breath refresher.

Scraping plaque off teeth is not advised without dental assistance. Serious problems may result, such as infections in the gums or cheek. Gums should never bleed, be swollen, or leave a sour taste behind. The mouth is a good indicator of one’s overall health. If there is something wrong in one’s body, the mouth is usually the first place to find warning signals. Signs to look for include growths in or around the mouth, discolored patches of the gums or tongue, and raised or swollen areas of the mouth. Like natural teeth, dentures and partials should be cleaned after every meal to avoid infection. It is also very important to professionally clean or change dental implants every four months.

All of this information seems very simplistic; but, believe it or not, most people have no idea what the proper techniques are for brushing and taking care of one’s teeth and overall hygiene. After all, learning a proper, regular dental routine may save a patient’s teeth and gums.

For more information please visit www.drjacquiesmiles.com

About Jacqueline Fulop-Goodling, D.M.D.—Dr. Fulop-Goodling specializes in adult, pediatric, and adolescent orthodontics with two offices in NYC and Long Island. After the completion of her dental training and orthodontic residency at Boston University School of Dental Medicine, Dr. Fulop-Goodling assumed a professorship at the University and became Director of the Pre-doctoral Orthodontic Department. Dr. Fulop-Goodling has spent considerable time conducting research. Since 2003 she has been a member of Invisalign’s Century Club, as well as a member of their National Speakers’ Bureau; and in 2005, Dr. Fulop-Goodling was made the Invisalign National Spokesperson. She has several patents of which two are dentally related. Dr. Fulop-Goodling has over 500 Invisalign patients and is currently helping to organize a dental seminar in St. Barth’s. Dr. Fulop-Goodling can be contacted at www.drjackiesmiles.com

By Ryan Anderson
CEO of MOXIE for Men
949-292-6525
www.moxieformen.com

As the telltale expression goes, “a picture can say a thousand words” and sometimes those words can be a bit harsh on your winter-weathered skin. MOXIE for Men, a new luxury skin care line especially for men, has designed a trio of specially formulated products to renourish and replenish dry, over-stressed skin.

MOXIE for Men is the only skin care line available with the patented REGENERADE complex made up of a mixture of natural extracts from plants, minerals, and fruits.All products were blended, following the cold process of formulating which has maintained the true purity of the ingredients. At MOXIE, a team of skin care experts and chemists created a compound of rare extracts (REGENERADE) designed to deliver positive results for a man’s skin. These powerful ingredients when combined together provide the following targeted benefits: Skin Renewal, Free Radical Defense, Environmental Shield, and Skin Nutrition.

The anti-aging ‘cocktail’ for maintaining enviable skin can be found in the following products:

DOUBLE-SHOT (Caffeinated Eye Cream)
Check those bags at the door! Nobody likes to see dark circles and puffiness after you burned the midnight oil or closed down a party. This moisture rich cream contains caffeine and frescolate to bring your eyes back to pre-inflation size. Allantoin strengthens and protects the delicate skin around the eyes. Key ingredients: Shea Butter, Vitamin E, Aloe Vera, Allantoin, Almond.

Retail value: $45.00
 
 
 
 
 
 
 
 

ERAZER (Men’s Microdermabrasion)
Erazer removes unwanted dead skin cells and smoothes the surface of the skin. Loaded with REGENERADE and Allantoin, your skin will have an improved firmness and healthier appearance. This scrub helps erase fine lines and wrinkles with Aluminum Oxide and puffs the uppermost layer of the skin to remove dead and partially sloughed cells. Key ingredients: Aluminum Oxide, Witch Hazel, Allantoin, Vitamin E.

Retail value: $65.00
 
 

RELOADED (Age Fighting Serum)
Your most powerful weapon against premature aging. This serum is packed with L-ascorbic acid (Vitamin C), L-retinol AGP (Vitamin A), Vitamin E, and D-calciferol (Vitamin D) for collagen re-growth, skin renewal, and antioxidant properties. Key ingredients: Witch Hazel, Vitamin A, Vitamin E, Vitamin C.

Retail value: $85.00
 
 
 
 
 
 
 

Ryan Anderson is CEO of MOXIE for Men. MOXIE for Men has their corporate offices in Elk Grove, CA. MOXIE is an original provider of luxury Spa Services and products designed for the man seeking direct results for improved appearance and well-being. A complete menu of MOXIE for Men products can be found at www.moxieformen.com. Use MOXIE for Men and compromise nothing!
 
 
 
 
 
 
 
 
 

By Alex Khadavi, M.D.
Acne can change one’s social life, confidence level, school, job opportunities and even lead to personality disorders. These real life situations are traumatic for teenagers and adults to who live with acne. Skin problems are truly more than skin deep.
Almost 90% of young people age 12-24 suffer from acne as well as over 50% of adult women, which is reflected in the over-flowing acne treatment aisles of drug stores. Incredibly, none of these treatments get to the root of the problem. This glaringly obvious problem sparked years of research with adults and teenagers and led eventually to the development of a one-of-a-kind acne treatment. By finding out how to control the underlying cause of acne and developing a product which could be bought over the counter, countless numbers of people are effectively treated. Furthermore, the long-time general medical theory that you cannot do anything to prevent acne from occurring and can only treat flare-ups has been disproved.

Acne is caused by an excessive amount of oil secreted through the oil glands. Normally these glands produce adequate amounts of oils which keep our skin healthy, shiny, and young. In the presence of a body hormone known as DHT (Dihydro Testosterone), however, these glands produce excessive amounts of oil, resulting in the formation of acne. DHT is a hormone by-product produced by both males and females particularly during puberty. As the levels of DHT increase, the oil glands become overly stimulated and result in overproduction of oil. This excessive oil accumulates in the pores and clogs the pores, resulting in acne.

Clearogen is the first professional over-the-counter product based on prescription-grade ingredients and scientifically proven natural botanicals to clear existing acne and prevent new acne at the first step of its formation — at the hormonal level.

This product clears existing acne and prevents new acne by stopping the first step of acne development. This is accomplished through reducing DHT production to eliminate the cause of excessive oil production by the oil glands at the hormonal level.

Scientifically speaking Clearogen inhibits the conversion of Testosterone to DHT and reduces the cause of excessive oil production. It blocks the Androgen Receptors and prevents the stimulation of oil glands by DHT, opens the pores, kills bacteria, and reduces inflammation, allowing healing and skin renewal for clear and vibrant skin. Furthermore, it is the only product to use natural botanicals which work to dramatically reduce DHT resulting in normal oil production. As such, acne can be prevented at the root.

Available for purchase on-line at www.clearogen.com or call 1-877-30-CLEAR

About Dr. Khadavi
For the latest developments in skin treatments and technology, Board Certified Dermatologist Alex Khadavi, M.D., is a leading expert sought out by patients and the media.
Dr. Khadavi is an Associate Professor of Dermatology at USC and has a thriving general and cosmetic Dermatology practice in Los Angeles. He has researched and developed cutting edge treatments for common dermatological conditions caused by DHT, a hormonal byproduct, which is a principal trigger in acne and hair loss. His treatments utilize scientifically proven natural ingredients which work more powerfully than commonly used medications.
Dr. Khadavi has been featured on the Tyra Banks Show, Univision, FOX, and UPN. Articles on his work appear in Men’s Fitness and Men’s Journal, to name a few. He is also an advisor to Fortune 500 pharmaceutical company.

Dr. Khadavi began his undergraduate training at UCLA, receiving his Bachelor of Science degree in Biology. He pursued medical training at George Washington School of Medicine and did his internship at UCLA. Dr. Khadavi completed his Dermatology Residency at the University of California, San Francisco, where he served as Chief Resident in Dermatology
Dr. Khadavi has co-authored five publications on dermatology, as well as publishing his own articles, such as “Alternative Therapies for Skin Cancer using Oncolytic Viruses.” He is a participating member in acclaimed medical research programs including the development of novel therapies for skin cancer and Androgenetic Alopecia and the Human Genome Project.
He also has years of research experience in Biology and Pediatric Gastroenterology at the University of California, Los Angeles, the Laboratory of Molecular Carcinogenesis at the National Institutes of Health, and the Cutaneous Carcinogenesis Laboratory at UCSF. He also volunteers at Humanitarian Missions to the Third World.
His comprehensive and caring approach has made him a distinguished and well known member of the medical community. A pioneer in dermatology research as well as a skilled practitioner, Dr. Khadavi is an expert caring physician to his patients and a valuable resource to the media.

By Dr. Donald Kress
Board Certified Plastic Surgeon
Maryland

Gone are the days when good grooming for men meant simply clipping toenails and the occasional shave. Men are now flocking to day spas, nail salons, hairdressers, cosmetics counters, personal trainers, and cosmetic surgeons. By the thousands they are feeling the corporate crunch of downsizing, and looking good often equals remaining competitive in the job market. Today’s man is also becoming attuned to what women have known throughout the ages: that looking good on the outside makes one feel good on the inside.

Surprisingly, men’s reasons to opt for plastic surgery are as varied and numerous as women’s. For the younger patient, rhinoplasty has become the mainstay in plastic surgery in teens, and that now includes males. For the older patient, the core reason to opt for surgery is competition in the workplace. The harsh reality is this: signs of aging usually set in long before a man is ready to wind down his career and society is very youth conscious. Those who remain looking fit are able to hold onto or ascend in positions of power longer than those perceived as aging and worn out, regardless of whether that is actually true. With the downsizing of corporate America, cosmetic rejuvenative surgery is becoming more acceptable as part of the overall out placement process.

Which procedures are men asking for?

Thread Lift - One of the earliest signs that men and women are maturing occurs when the middle part of the face loses its underlying attachments and droops with gravity. The change from fullness of the cheeks to fullness of the lower face is perceived as older and less vibrant. As the cheek fat pads begin to droop, the lines along side of the nose and from the corner of the mouth deepen and become much more prominent. Jowls can also form along the jaw line contributing to the aged, tired, and haggard look. These changes can occur in spite of a healthy and active life style. They are stubborn and resistant to treatment and often begin in the 30’s. The “threading” technique requires the surgeon to “thread” 6-18 barbed, permanent sutures through a hollow guide into the skin and the deeper soft tissue. This procedure does not pull the skin too tight and will not produce that taught, windblown look. Results are natural and show a restorative and refreshed type of improvement.

Liposuction -As we get older, certain areas of the body are less responsive to diet or exercise. In women it is usually the saddle bags and lower abdomen. For men, the troublesome areas tend to be the abdomen and the (love handles) flanks. By suctioning fat in the stubborn areas, men over 40 can achieve the flat stomach they had in their youth. The procedure can be performed with local/IV sedation, and patients need not stay overnight in a hospital. Recovery entails the wearing of a support garment for several weeks. There will be bruising and swelling post-operatively, and men can generally return to work within 4 days.

Chin Liposuction - As men age, they tend to develop a jowly “turkey gobbler” appearance. Often, a full facelift is not required and liposuctioning the chin can give the jawline a stronger, more masculine appearance. This is really a fairly simple procedure. The only external incision is very small, just a fraction of an inch hidden under the skin crease of the chin. The entire procedure can be done through this tiny incision, rendering it a virtually bloodless procedure. During the surgery, the skin itself is undermined and freed up from the underlying tissues of the neck. If there is fat in certain areas, a gentle, conservative liposuction is performed, taking care not to overdo it in order to maintain normal contour. General anesthesia (and the risks associated with it) is not necessary.

Blepharoplasty - In traditional transcutaneous lower lid blepharoplasty, incisions are made just under the eyelashes. Excess fat, responsible for the baggy lower lids, is then removed. The excess skin is then surgically removed and incisions closed with sutures. These sutures either dissolve or are removed within several days after surgery. With this procedure, an incision is made inside the lower eyelid. The excess fat is then gently teased out and the incision closed with dissolving sutures. This technique has been ideal for patients who don’t have a great deal of loose skin in need of removal.

While plastic surgery among men increases by leaps and bounds, it is still not as much a major topic of conversation among men as among their female counterparts. Often, individual patients simply do not know what to expect. During the first few weeks after surgery, the patient can actually look worse than before the operation. Men are also less likely to cover post-operative bruises and scars with makeup, an option available to women as early as one week following surgery. Plastic surgeons should discuss this beforehand with all patients — especially men, who, unlike women, have often not had the experience of “going through” the process with a friend. For more information, please go to: www.plasticsurgeryone.com

Plastic Surgery One was founded by Dr. Donald Kress, M.D., P.A., F.A.C.S., Board Certified Plastic Surgeon, to address the growing need for high quality plastic surgery among people of all ages and types. Dr. Kress is a Board Certified Plastic Surgeon with over 20 years of experience and a very high level of patient satisfaction. Over 80% of his patients are referred by other patients. A noted author and seminar presenter, he spends his free time riding his horse ChiCha, camping, running, mountain climbing, scuba diving, or fishing.

Get a Derriere Fit for the Beaches of Rio

By Dr. George Lefkovits
Board Certified Plastic Surgeon
New York, NY

“I like big butts and I cannot lie” is a lyric to Sir Mix A Lot’s Song, but it is also the song of people who opted for 4,000 buttock lifts in 2004. The number of buttock augmentation surgeries increased 158 percent between 2000 and 2004, according to the American Society of Plastic Surgeons. So if you like a firmer, more rounded rear, you’re not alone. Buttock enlargement or augmentation is an increasingly popular procedure. It allows flat or poorly developed buttocks to be enhanced. While many women will increase the size of their breasts, they find that there is an imbalance between their front and the back. Buttock enlargement addresses this disproportion. There are many women who have the curves of the breasts and the thighs, and need to round out the buttocks as well. This procedure is especially popular with Latinos and African Americans, but is gaining in popularity among Caucasians as well.

After many years of experience in the cosmetic surgery industry, I have seen buttock augmentations undergo major advancements and become one of the most highly requested procedures in my practice. The use of fat grafting has revolutionized buttock augmentation. Compared to buttock implants, it is safer and requires less operative time (1½ hours). It has less pain and discomfort post-operatively, and requires minimal recuperation. An additional benefit is that in removing fat from the donor site(s) to be used for the grafting, such as the abdomen, the patient also benefits from a modified liposuction to the donor site.

During the procedure the fat is injected through two very small incisions and is carefully layered through tunnels throughout the buttocks. In 30% to 35% of the patients a repeat fat grafting is necessary because of significant absorption of fat. However, it is unlikely that further fat grafting beyond the second treatment will be necessary. An important consideration for buttock fat grafting is the availability of extra fat in different parts of the body. While fat is usually in abundance, there are patients in whom there is no extra fat available. In these patients, buttock augmentation with fat is obviously not feasible. Before the advent of fat grafting, the technique employed the use of solid silicone implants, which is still used by some doctors today. However, the technique is more difficult, more painful post-operatively, fraught with more complications, and needs longer post-op recuperation. The results are never quite natural because of the presence of a foreign body.

What are the risks of buttock augmentation using fat grafting?
The main risk is that in about 30% of patients significant fat absorption occurs early on, necessitating a second grafting procedure. It is unlikely that further butt fat injection procedures would be necessary. Other risks such as bleeding, infection, and scarring are rare.

After a fat transplantation procedure, how do the buttocks feel to the touch?
Newly shaped buttocks will usually feel natural after the healing process. Since the additional shape is created by a patient’s own living cells, the result will look and feel normal. Patients will not even be able to distinguish which areas have been grafted.

Following surgery patients wear a special surgical garment for 1-2 weeks for comfort and to minimize swelling. They are encouraged to have massage and ultrasound sessions beginning one week after surgery to minimize swelling, hardness, and to accelerate the healing process. When it comes to resuming physical activity, each patient will have his or her timetable depending on the exact procedure performed and individual health factors. Most patients can resume progressive exercise after 2 weeks, gradually getting back to the pre-operative level after about 6 weeks. The good news is that patients can sit from the first day of their buttock enlargement surgery. However, sitting for prolonged periods of time right after surgery is not encouraged.

The average cost of buttock augmentation via fat injection is approximately $10,000.
For More information about the Brazilian Butt Fill™ please visit www.drlefkovits.com.

About Dr. Lefkovits
Dr. George Lefkovits attended Georgetown University School of Medicine and Downstate Medical College. He completed his residency training at Manhattan Eye, Ear, and Throat Hospital and at Lenox Hospital where he served as Chief Resident in Plastic Surgery. He has served as an Assistant Professor of Plastic Surgery at New York Medical College. Dr. Lefkovits is certified by the American Board of Plastic Surgery and the American Board of Orolaryngology. He is a Fellow of the American College of Surgeons. He is a member of many professional societies including: American Society of Plastic and Reconstructive Surgeons, American Society for Aesthetic Plastic Surgery, New York Regional Society of Plastic and Reconstructive surgery, Lipoplasty Society of North America, Surgical Society of New York Medical College, New York County and New York State Medical Societies, and the New York Academy of Science.