Page 4 - Boca Exposure - March '21

Page 4, Boca Exposure
Nonsurgical Options For Looking Younger

By Siperstein Dermatology Group more to volume restoration. When you put filler in the collagen. A series of three treatments are used over a few
Aging gracefully sounds good until it actually happens proper place on the cheek it can lift it up and “de-crease” months and results can last over two years. This product
to you. Neuromodulators such as Botox, Dysport, Xeomin the smile lines below. If you fill in front of the ear, it can is great to restore volume to the temples and cheeks.
as well as fillers such as Restylane, Juvederm, Belotero, help lift the corner of the mouth and smooth the jawline. Artefill: This is a longer lasting filler composed of
Radiesse, Sculptra and Artefill offer the opportunity to There are three main types of fillers, which are further collagen and polymethylacrylate. A skin test is required
look five to 10 years younger without using surgery or outlined below, your cosmetic dermatologist will decide one month before treatment, and once the desired results
altering the natural appearance of your face. which is right for you. are achieved can last 2 to 5 years.
Neuromuscular Modulators Hyaluronic fillers: These include Juvederm, Restylane, New Advances In Cosmetic Dermatology
Botox, Dysport, and Xeomin are neuomuscular Perlane, and Boletero. These fillers are composed of In the last few years almost all the companies started
modulators that reduce the frown lines between the brows, hyaluronic acid which is a substance found in normal to add a numbing agent to the fillers that significantly
wrinkles in the forehead, and wrinkles around the eyes. skin, which our bodies produce to keep our tissue thick. reduces the need for additional pain relief, though topical
They are naturally occurring proteins which safely relax It is processed in the lab and not derived from animals numbing agents and dental blocks can also be used.
the muscles in which they are placed. This is done in a like its predecessor, collagen. The improvements can last Even more recently a new tool for injection has come
way to keep your natural expression and features but 4 to 12 months depending how much is injected and the onto the market that causes less bruising. It is called a
reduce wrinkling. It takes just a few minutes and can last location. cannula and it looks like a needle except the tip has a
3 to 4 months. Radiesse: This filler is composed of calcium-based blunt end and is not sharp. A needle is used to puncture
Injectable Collagen Stimulators “Fillers” microspheres that can last 6 to 12 months depending on the skin but then the cannula is inserted. Since the cannula
Fillers are injectable collagen stimulators that are great the location and the amount injected. This product is great has a blunt end it is much less likely to cut through blood
for fine lines and moderate to severe wrinkles. However, for cheekbones, jawlines, the nose, and the hands. vessels and cause bleeding under the skin which is what
in the last few years most cosmetic dermatologists have Scultpra Aesthetic: This filler is composed of Poly-L causes the bruising.
been getting away from filling just lines and heading lactic acid, which stimulates the replacement of lost
Prediabetes In The Elderly, Not To Worry

By Steven E. Reznick, The development of the hemoglobin A1C eliminated those individuals 70 to 90 years old with 44 percent being diagnosed
M.D., FACP excuses. It recognized that the higher your daily average blood with prediabetes. They were followed for six years.
As physicians and educated sugar the more sugar would bind with a hemoglobin molecule During that time period, only 9 percent of them went on to
adults we realize that developing and increase your hemoglobin A1C. That has given us a measure become diabetic. Thirteen percent improved into the normal
diabetes increases our risks of of your average blood sugar over the previous 90 days. Normal glycemic range. Nineteen percent died of other causes.
heart disease, the narrowing of values were established as well as values in the diabetic range. The message is clear. If you are 70 years of age or older, and
our arteries or vascular disease, The intermediate values were labeled prediabetes. your hemoglobin A1C moves into the 5.7 or greater range, you
injury to the retina of our eyes The question became “How do you keep prediabetics from are considered prediabetic. Stay fit and active. Keep your weight
leading to poor low vision or becoming diabetics and risking all those complications?” Did down. Meet with a dietitian and learn how to eat well and healthy,
blindness, peripheral neuropathy the same rules apply to middle-aged adults as to the elderly? stop smoking and go for regular checkups. Diabetes will not do
or burning pains in our feet and For the most part I counseled prediabetics that they had an you in!
elsewhere. We additionally have increased risk of developing diabetes but if they stayed active, Board certified in internal medicine, with added qualifications
been taught the correlation between controlling our blood sugars kept their weight down and improved their dietary choices they in geriatrics, Steven E. Reznick, M.D., has practiced locally since
and trying to reduce the risk of developing these complications. would be fine. 1979. He is recognized by physicians as a “Best Doctor” and
In my early years in practice if a patient came in for fasting A research paper in the Journal of the American Medical is a national health care blogger. To schedule a complimentary
bloodwork and their glucose level was elevated above 110 on Association (JAMA) online edition now supports that position. meeting with Dr. Reznick to learn about his personalized
two occasions, they met the legal definition of diabetes. Patients Mary Rooney, Ph.D., of the Bloomberg School of Public Health care membership practice, call (561) 368-0191 or visit www.
always had an excuse. “It was my birthday so I had cupcakes at Johns Hopkins University published her data looking at 3,142 BocaConciergeDoc.com.
at work, cake and mixed alcoholic drinks at home, etc.” There
were always rational reasons for being a human being, enjoying
life and not being a disciplined diabetic patient.

Children’s Foundation from page 1

“The Partnership is off to a great start and we
are looking forward to the community’s input on
which charity programs will receive grants,” said
Pamela Weinroth, executive director and COO, for
the Children’s Foundation of Palm Beach County.
“The foundation’s impact on local kids has been
tremendous, as we’ve been able to provide essentials
for 9,000 children each day, providing cribs, diapers,
after school care, tutoring, summer camps, sports
and music programs, meals, school supplies, college
scholarships and more.”
Each “share” of $500 equals one vote, with “shares”
capped at 500. The foundation also has sponsorship
packages available. Contributions can be made to
Children’s Foundation of Palm Beach County at P.O.
Box 4551, West Palm Beach, FL 33402 or at https://
childrensfoundationpbc.org/the-partnership/.
About The Children’s Foundation Of Palm Beach
County
The Children’s Foundation of Palm Beach County,
administered by the Boca West Foundation, in May of
2020. It came about as a desire to aid children at risk
in Central and Northern Palm Beach County.
For mor e information, visit www.
childrensfoundationpbc.org, call (561) 488-6980 or
email foundation@childrensfoundationpbc.org.
7

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