Dysport Rebate $50

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Pumpkin Peel

Rejuvenate your face this Fall with an intensive anti-oxidant treatment.  This popular autumn peel contains pumpkin enzymes, pomegranate extracts, and lactic acid. Enjoy this luxurious treatment that will smoothe and retexurize your skin while hydrating, toning and firming.
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FREE Cosmetic Case*

*FREE Elegant Cosmetic Case with the purchase of OBAGI Elastiderm.

Only while supplies last!

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Jane Iredale Eye Steppes

Three compacts, one simple solution.  Each of the five shadows has something different to offer so that you can pull off any look you like.  Every shade is long wearing, hypoallergenic and dermatologist-tested, so you know you’re in good hands, beyond a shadow of doubt!



• Each Eye Steppe compact features colors handpicked by Jane to flatter brown, green or blue eyes. No more guessing which shades are right for you!

• Each compact opens up like a staircase to reveal all five shades and a mirror. Magnetic closure makes it easy to carry lightweight Eye Steppes.

• Interchangeable shelves of color allow you to travel with as many, or as few shades as you like.

Under Eye Dark Circles

This complex problem is one of the most challenging in cosmetic medicine.  So many factors contribute to this embarrassing presentation and can make you look old, tired, or hung over. While environmental issues such as allergies, alcohol intake, hydration, extreme weight loss, rubbing your eyes, and insufficient sleep can contribute, this dilemma is primarily hereditary and worsens with aging.

The skin under the eyes is the thinnest on the body and thus allows the purple/red dark underlying tissues to be more visible.  A tenancy toward even thinner more translucent skin can be inherited. As we age the skin gets thinner and thinner.  Additionally, fat around the eye area atrophies with aging, further compounding the problem.

The single greatest defense in reversing dark circles is to fortify the skin with nourishing agents to thicken it, thus concealing the underlying darkness.  An excellent product for this kind of nourishment to produce collagen and elastin is OBAGI's ELASTIDERM.   Additonally, LASER TREATMENTS to encourage skin turnover and thickening are recommended.

Sometimes a vessel repair cream can help if broken capillaries are involved such as GLYMED's ROSACEA RELIEF.  Bleaching agents do not offer relief as this is not a hyperpigmentation problem.  Some experts recommend retinoid agents to encourage skin turnover; however, they are generally too irritating on this thin fragile skin.

Recent Body Transformation

Three LIPO LASER™ Procedures: abdomen, back, and arms.

Brilliant Distinctions Program

Smoothskin is pleased to announce that we are now participating in Allergan's Brilliant Distinctions Program.  Enroll in this program and every time you get a Botox or Juvederm procedure, you earn points that accumulate towards dollars off future treatments.

LEARN MORE HERE

Inside Lip - Laser Tattoo Removal

This was a military recruit whose tattoo was a disqualifier.  Three laser treatments one week apart accomplished complete removal clearing him for recruitment.

Make-up Cover of Tattoo

Incredible make-up job by esthetician Heather completely covering this colorful shoulder tattoo.  She used a combination of Jane Iredale and Dermablend cosmetics and even recreated the freckle pattern seen across the rest the model's back!  Do you need a tattoo to be out of sight before an important event but don't have enough months to get it lasered away? 

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Recent Body Transformation

The photo on the left was taken pre-operatively, and the one on the right is 12 weeks after a single  LIPO LASER™  procedure on the hips, outer thighs, and the abdomen.  Note the improved outline of her figure as you follow a line from the waist down along the hips to the thighs. Also, observe the smoother texture of the abdominal skin and the softening of the appendectomy scar in the right lower abdomen (left lower side of photo just above the white garment strap).  

Click here to LEARN MORE about LIPO LASER™

5 Reasons to FADE your Tattoo Before doing a Tattoo Cover

1. The Tattoo Cover Art will not need to be as large. Frequently the artist must nearly double the size of the inked area in order to incorporate or integrate the old art into the new art.

2. The Tattoo cover will not need to be as dark. Artists typically lay down very dark and very heavy ink to provide adequate cover. Over time this heavy ink blurs and gets muddied up with the underlying ink leading to great customer dissatisfaction.

3. Better chance the underlying color/design will not bleed/show through the cover art.

4. More choices and possibilities for content for your new tattoo if old one is faded

5. You will save Time and Money for removal if you decide you do not like the cover. With all that ink layering, you will need more than twice as many laser treatments to remove.

Before Getting a Tattoo

1. Reputable Facility. Get a referral from someone you know whose tattoo art you admire. Also, inquire as to the specific artist. Talent can vary greatly even at any given facility.

2. Basic Black. The easiest color for a laser to remove is black if you ever decide to get rid of your tattoo. The next easiest grouping of colors that respond quickly to laser removal are red, orange, and purple. Greens and blues, especially turquoise represent the greatest challenge to laser removal and can be quite costly to remove.

3. Size & Location. Keep it small to start, no larger than your fist. Avoid the hands and neck for anyone.  And women report regretting the shoulders and ankles.

4. Choose Timeless Content. What’s in style this year may not be next year. The name or logo of a band or the name of a lover are often regretted.

5. Communicate. Clearly state your objectives to your artist and have them repeat it back to you to be sure they understand. Never say, “Use your judgment, whatever you think.”

Bitty Brow Kits are here

Jane Iredale Mineral Bitty Brow Kit

A take-anywhere brow kit that includes three brushes, transparent botanical brow wax and pigmented brow powder. It contains everything you need for instant brow enhancement! It’s packaged in a travel-sized magnetic compact and is available in two shades, blonde and brunette.
• Rich wax formulation leaves brows looking lustrous without any sticky residue.
• Water-resistant powder provides a softer, more natural appearance.
• Adds color, depth and highlights.
• Covers grey in brows.

Retails for $27.00

FREE TRIAL SIZED PRODUCTS OF BOTH......
Brow Powder
Ingredients :Mica, Zinc Stearate, Titanium Dioxide, Dimethicone, Pine Bark Extract, Pomegranate Extract. May Contain: Iron Oxides, Chromium Oxide Greens.
Brow Wax
Ingredients: Isopropyl Jojobate, Sunflower Seed Oil, Isostearyl Neopentanoate, Beeswax, Mica, Stearic Acid, Tribehenin, Titanium Dioxide.

• Let the natural shape of your brow be your guide.
• You want to balance your brow color with your hair color.
• To minimize curvature on a round face, direct the outer third of the brow to the top of the ear.
• If the face is square, direct the brow to the middle of the ear. This cuts the distance between the upper and lower face in half, helping with balance.
• If the face is long, keep the brow almost straight across, directing it above the ear.
• The oval face needs no help in giving the illusion of balance, but you may accentuate the harmony of this shape by directing the brow toward the lower lobe.

• Remove Bitty Brow Kit™ from sleeve.
• Open container, by lifting the lid.
• Remove the Spoolie. Brush the brows in an upward direction with the Spoolie to define the actual shape of the brows.
• Retrieve the Angled Brow Brush and dip it in the brow wax.
• Lightly wiggle the brush to pick up product.
• Brush the brows, with the wax, in the desired direction.
• Pick up the second Angled Brow Brush and place it in the powder. Lightly wiggle the brush to pick up product.
• Brush the powder in the direction of the brow growth to fill them in.

1.) Purelash Extender and Conditioner:

Provides a much-needed step towards unbelievable lashes. When used to prime lashes for mascara, it adds measurable thickness and length and allows you to use less mascara. A single coat of this revolutionary formula before applying mascara will help strengthen, lengthen and thicken your lashes, making the mascara twice as effective.
• Algae extract conditions and protects lashes
• You will need to apply less mascara
• Stops lashes from drying out and splitting
• Allows lashes to grow to their fullest potential
• May even encourage extra growth

AND

2.) Longest Lash Thickening and Lengthening Mascara:

This dual-purpose formula contains sea minerals that condition lashes so they can grow to their fullest potential, while thousands of cellulose fibers coat the lashes for a look that’s glamorous, rich and full. Expand your lashes’ wardrobe from basic black and brown with four new shades that go from subtle to "look at me!" Our extra large, tapered brush makes application easy and separates lashes effortlessly.
• Packaged in a squeezable tube with the highest quality brush
• Contains 75% more product than normal mascaras
• Conditions lashes so they don’t clump, flake or break

Getting the Most from a Gym Personal Trainer - Part 3

Be sure your trainer takes a series a baseline measurements that can be used to track your progress besides YOUR WEIGHT. Resting heart rate, percent body fat, a complete set of body part measurements, before photos, and even degrees of flexibility can all be used to demonstate and encourage your progress. It is not uncommon to see a temporary increase in weight when your body adds muscle prior to your metabolism speeding up and burning off the fat. This can be discouraging in the early phase of training and progress in other measures can give you the necessary confidence to keep going.

Juvederm XC TV Commercial

Watch for this Juvederm XC Commercial on TV and also feature in print in magazines such as People, Glamour, More, and Vogue!



Juvederm XC from Allergan the makers of Botox Cosmetic fills wrinkles and lips for up to one year with less pain.

Getting the Most from a Gym Personal Training Session: Part 2

If you are signing up for the first time or renewing a membership, try to negotiate one or more free sessions to be included in your package. Try talking to the membership folks to find out which trainer might be a good fit with you. Ask around and see if you can observe all or part of another member's session. This will give you an idea about the personality fit with the trainer. Again, as much exposure to the trainer you can get prior to committing to a package, the better. And I DO recommend committing to a package. You are more likely to get into routine and gain momentum if you enroll in a group of sessions (many trainers have minimum sessions anyway.

Getting the Most from a Gym Personal Training Session: Part 1 - VARIETY

Whether you are a new member or just needing motivation to get over a slump, keep the following in mind when you hire a personal trainer at your gym. In my opinion, eventual independence from the trainer should be a primary goal. It is not reasonable to have your workouts completely reliant on their presence as you are likely only going to be signed up for a limited number of sessions. With that in mind, the exercises should concentrate on those devices and machines that are available and do not need a spot/support person to accomplish. Strange and awkward balancing tricks with bands and balls are not practical as part of your long-term training regimen. You should not look like an audition-gone-wrong for Cirque du Soleil. Ideally, you will have them teach you about your body’s major muscle groups and demonstrate a variety of the options for working them (cable and pin machines, dumbbells, barbells, etc.). When the gym is overcrowded on a Monday night, you will be far more nimble to move about and find a free device (this will avoid discouragement during such busy times). Your diverse knowledge of the available options will keep your workouts interesting and avoid boredom and plateaus.

DYSPORT REBATE EXTENDED to MAY 31

The Love it or Leave it program has been reported to be a huge success with tens of thousands of people signing up. Jonah Shacknai of Medicis announces an extension of the program by one month to May 31, 2010.  Those of you who waited or didn't get around to it still have a chance to be eligible for up to $150 in rebates.  Receive a $75 rebate for your first Dysport treatment and another $75 at your next treatment whether you stay with Dysport ® (Love It) or switch back to BOTOX Cosmetic® (Leave It).   It's win-win situation for you! 

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Restylane-L is a Winner

Restylane-L provides an excellent correction and goes in comfortably like other pre-mixed Lidocaine fillers.  It will definitely have a place in my practice and I encourage you to try it if you like Restylane in the past.

LEARN MORE about Fillers

Winning Attitude

I want to take a moment to share an inspiring quote I heard this week from author John Maxwell describing the advice he was given from John Wooden, 99-year-old retired UCLA basketball coach while talking about just how important a positive attitude plays in life:

Things work out the best
For those who respond best
To how things work out.

Announcing Restylane-L

Medicis, the makers of Restylane and Dysport have gained FDA-approval for Restylane-L.  Like Juvederm XC mentioned in a previous post, this is a hyaluronic acid pre-mixed with a Lidocaine numbing agent.  I have not been detailed on this product yet and have not had the chance to use it, but I will let you know as soon as I gather knowledge and experience with it.   I continue to have excellent feedback and results on bothe Juvederm XC and Dysport.   Stay tuned!

5 Reasons to Avoid Liposuction of Double Chin

1. Risk of Divots or oversuctioned areas.
2. Risk of thickened scar tissue or Skin rippling.
3. Drainage and Chin Strap necessary during recovery period.
4. Surgical incison and/or punctures necessary.
5. Risk of adjacent tissues/nerve injury from insertion and force of cannulas.

Lipodissolve represents a non-surgical alternative for smoothly and evenly reducing a fatty double chin and or jowls in a 15 minute injection procedure.  LEARN MORE

Gina in another Gunstock Commercial

My daughter's the one on the left with the pink-framed goggles who says, "This mountain rocks!"

Early Feedback on New Products: Dysport & Juvederm XC

So far, Dysport for me the injector, has been as easy to use as Botox with no detectable difference in my administration of the procedure (other than the 3:1 unit dosing conversion).  My patients and myself can report less contact sting of the material at the time of injection with Dysport vs. Botox.  Additionally, the onset of reduction of muscle movement appears faster (hours vs. 1 -2 days) especially in the challenging strong area between the brows (glabellar).  As far as which seems to last longer..... it is too soon to know.  Stay tuned.  There is a slightly better pricing for Dysport supply from the manufacturer which I pass on to my clients in a lower list price.

Juvederm XC flows just as nicely and there is no difference from the injector's perspective on how it fills or corrects vs. Juvederm mixed manually with Lidocaine.  The amount of pain perceived by patients appears to be even less than when mixed manually.  One patient reported a lip fill as being completely painless. More to follow as we gain further experience with these 2 products.

Gem of a Gym in Goffstown, NH

I have been a member of a Health and Fitness Club of some kind all over the country for the past 35 years and have been a fan of weight training since Arnold first brought it mainstream.  Recently I discovered greater Manchester's best kept secret little gym in Goffstown on Daniel Plummer Rd, near St. Anselm College.  Gold's Gym of Goffstown is just celebrating their 2 year anniversary.  This precious hideaway features a generous unshared parking lot, spacious clean and cozy locker rooms, a warm and friendly staff and all that you need in strength training, cardio equipment, and more.  I couldn't help feel that old-school charm with the steel dumbbells.  Yet, there are up-to-date machines of all kinds.  The amount and variety of leg equipment was the greatest surprise.  The member cross-section is a broad range of men and women of all ages and fitness levels.  All seemed polite and there isn't that intense feeling of being rushed off of equipment sometimes present at other gyms.  Please stop in my office for a Free 7 Day Pass. And then go on over and check them out.  Ask for Mike.

Gold Gym of Goffstown
64 Daniel Plummer Rd.
Goffstown, NH
603-623-2099

Filler Gain with Less Pain

All the great things you love about Juvederm are the same except now it comes with the Lidocaine (anesthetic) already mixed in at the time of manufacturing.   Allergan announced the approval of Juvederm XC this morning.  As soon as the ordering details are available to the doctors' offices, we will let you know.  We welcome this new and exciting product to the market!

The People's Seat

I had the honor and privilege of meeting Senator-elect Scott Brown today at Lenzi's Catering in Dracut, Massachusetts.  What a genuine guy!  I wish him the very best of luck in Washington!

Freezing Away Fat

A recent study published in Lasers in Surgery & Medicine (Dec 09) by Avram and Harry describes a procedure known as Cryolipolysis.  ZELTIQ™, a controlled cooling device, induces inflammation in fatty areas that result in the gradual reduction of fat over 2 - 4 months.   The device applies suction on the outside of the skin and specifically cools the desired fat loss area, causing damage to only fat cells sparing the surrounding tissues.  It is done as an outpatient, requires no pain management, and typically takes one hour.  There have been no significant side effects identified as yet and there is no downtime.  There is no evidence as of now that this device will play any role in reducing large areas of fat and is geared more towards normal weight individuals with modest fatty areas.  Further study is needed to better understand the procedure.  It is NOT FDA-approved for Fat Loss at the present time.  We look forward to hearing more about this interesting procedure.

Learn more About Currently Available Procedures for Fat Removal

Dysport® : New Neuromodulater

Announcing the first neuromodulater alternative brand to come along in 8 years.  Dysport® is a Botulinum toxin type A from the makers of Restylane®.  Dysport®, like BOTOXCosmetic® from Allergan, is injected into the muscles responsible for frowning to soften their appearance.

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