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Ear Candling - Controversial Feels Great - Potential Safety issues

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Spas Take Heat for Offering Ear Candling

At a time when people turn to specialists for everything from detoxing their feet to washing their hair, it appears that the age- old Q-Tip solution to ear wax just isn’t cutting it anymore. Enter ear candling, the controversial 15-minute ear cleansing solution done in doctors’ offices and spas throughout the country.

Ear candles are hollow stalks typically made of muslin dipped in paraffin. Rolled, the muslin creates a slight cone shape with a spiral pattern. The tip of the candle is inserted about a quarter- inch into the ear, just enough to seal the entrance and create a vacuum, says Jody Buckle, owner of Timeless, an anti-aging spa in Naperville IL .

“That causes smoke to fill the ear, melting the wax, which is then drawn up into the cone. (The wax) then adheres to the inside of the coated candle,” Buckle says.

According to some practitioners and clients, the technique’s benefits include relief from sinusitis, headaches and inhalant allergies. Others even say it can help with hearing. But doctors caution against the procedure, which isn’t approved by the Food and Drug Administration.

Andrew Celmer, a member of the DuPage Medical Group’s department of otolaryngology, cites several risks, including the potential for severe burns of the ear and ear canal as well as possible temporary or permanent hearing loss caused by damage to the eardrum.

The risks became a reality for several patients who turned to Richard Wiet, professor of clinical otolaryngology at Northwestern University and an otolaryngologist at Northwestern Memorial Hospital.

“I’ve seen melted ear drums from a candle that burned too close, and I’ve seen permanent conductive hearing loss. I’ve also seen the development of a skin cyst that formed,” Wiet says. “I think it’s quackery, and we’ve got to get the word out to the public.”

Besides the potential for ear damage, Celmer says, there’s no evidence that the product’s claims are valid.

“Several studies have been done, and each has shown there is no vacuum present to draw out the wax,” he says, further explaining that the debris people are shown is actually the melted wax from the cone.

The Mayo Clinic also advises against it, stressing many of the same concerns and risks as Wiet. , The Mayo Clinic offers the following advice: “Don’t put anything smaller than your elbow in your ear.” Instead, it suggests to seek treatment for ear wax build-up from a doctor trained in ear-cleaning techniques with the proper equipment.

Still, this century-old folk treatment is gaining in popularity again, thanks to it being offered at some spas and even gyms.

A Chicago Day Spa, Kaya Day Spa has had ear candling on its menu since the spa opened about three years ago, and it’s been growing in popularity. Maria Sakoutis, the owner, says clients love ear candling’s easy fix for ear allergies, and no one’s ever reported any injuries following the treatment.

“I just think that sometimes modern medicine doesn’t trust ancient medicine,” Sakoutis says. “The research that I did prior to offering it never talked about any dangers.

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Murad Medical Spa: Relaxation and Reassurance


Murad Acne Treatment

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Murad Medical Spa: Relaxation and Reassurance

If you like the idea of a luxurious facial backed by a medical seal of approval, Murad Medical Spa in El Segundo might be just your spot. All Murad aestheticians take turns doing rounds with Dr. Murad, the famous skin care specialist whose medical office is right upstairs, and who created all of the skin care treatments offered at the spa.

But this is no doctor’s office. Murad offers all the amenities of a day spa: sauna, soothing music, herbal teas, locker rooms, spa robes, sandals and showers. And while skin care is the spa’s forte, it also offers massage, body treatments, nutrition advice, acupuncture, mani/pedis and a hair salon.

We were introduced to our aesthetician Aurora, who cleansed and then examined our face. To best treat our acne-prone skin, she opted for a Vitamin C-based facial. She performed gentle but extremely thorough extractions, then used a high frequency light to deliver oxygen and kill bacteria. Aurora then slathered pure Vitamin C onto our skin for our sparkling clean pores to drink up, and rubbed cream on our hands before dipping them in paraffin wax. She also applied a sulphur-based mask to remedy a broken-out chin. She followed all of that with a shoulder massage, a pressure point facial massage, and the kicker: a hot towel laid gently on our back, which felt fabulous. When Aurora was through, we felt relaxed, refreshed and, quite honestly, like our pores hadn’t been so clean since before junior high.

Murad - Leader in Skin Care Science
Where skinkcare meets healthcare.
Get glowing luminous skin year-round.

Murad Medical Spa

2141 Rosecrans Ave.

El Segundo, CA 90245

310.726.0470

Note: The spa is easily accessible from the 405. Exit Rosecrans and head south, and then turn right on Nash and park in the lot. Murad is located in the first floor courtyard and validates for 90 minutes.

Great Expectations - Spa Services for Expectant Moms on the Increase

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Greater Expectation - Luxury Services for Pregnant Women Are Booming

Women get pregnant. This is how civilization moves forward. After centuries, somebody has figured out how to fully monetize this process.

At Becoming Mom in Mason, Ohio, pregnant receptionist Amanda Grimm is helping a pregnant client decide between the nursing cream and the Mama Mio Tummy Rub butter. In the back, a pregnant Claire Schwab is getting a prenatal massage from the recently pregnant Jennifer Reisenberg, and a very pregnant Jackie Miller is giving a pedicure to Leah Swallinger, who just had a baby.

Miller and Swallinger are talking about raging hormones, a common topic of conversation at Becoming Mom, a spa devoted to pampering soon-to-be and new mothers. “That, and double strollers,” says Swallinger, a family therapist. “We talk a lot about double strollers.” Next to her sits a half-eaten chocolate bowl of chocolate mousse, part of her “cravings” pedicure. Her feet are coated in paraffin that looks like Hershey’s syrup.

These conversations are squeezed between the “Yummy Tummy” belly facials, and the “Perfect Pregnancy” massages, and the manicures using “pregnancy-appropriate” essential oils and polishes. The treatment rooms smell like arnica. It’s all glowy and expectant, chatty and Zen and oozing maternal, as if the lavender walls may start lactating.

There are no male employees here, no men at all except for the dads-to-be who occasionally slink in, drop $269 on a “Baby Me” package, slink out.

Pregnancy used to be something camouflaged and endured, nine months of achy backs and euphemisms and elastic waistbands with a 7-pound, 9-ounce reward at the end.

Not anymore. For a certain kind of mom with a certain kind of priority, pregnancy is a heady blur of spa visits and personal pregnancy chefs, of baby planners and “babymoons.” Pregnancy is not a journey. Pregnancy is a destination, a showplace.

About 60 percent of U.S. spas now offer pregnancy massages along with regular services, according to the International Spa Association, and maternity-specific spas are gestating all over the country. Dawn Bierschwal opened Becoming Mom near Cincinnati in 2004. It quickly drew clients from Dayton, Kentucky and Indiana. Now, she is consulting on five other locations. Edamame, owned by the same corporation that owns A Pea in the Pod and Destination Maternity, has in-store spas down the East Coast. In Chevy Chase, the Elizabeth Arden Red Door Spa books about 20 prenatal massages a week, according to manager Shubo Mukherjee.

New books like “The Hot Mom to Be Handbook” encourage expectant moms to think of their pregnancies, which used to be opportunities to have babies, as “opportunities to take a tour of your senses, with special attention to taste, smell and touch.” Do aromatherapy, the handbook suggests. Make “Mojito Mamas.”

The pampered pregnancy is not just a rite of the rich. Bierschwal estimates that 50 percent of her prenatal massage clients had never had a rubdown before their pregnancies.

“Women are looking at pregnancy more as a special time in their lives,” says Kate Ward, editor of TheNestBaby.com, the MySpace of pregnant women. “It’s about them as much as it’s about producing the baby.”

“Pregnancy is not the most gorgeous thing ever. Every time you do anything your ankles swell. It’s so ‘X-Files.’ “

Allison Taylor is the face and belly of the pampered pregnant. She’s had at least four prenatal massages, plus manicures, pedicures and a babymoon to the Dominican Republic, where she spent a week sipping virgin cocktails and taking water aerobics. Today the 35-year-old is off to Midtown Manhattan for a full day of grooming at Edamame, including a swelling-reduction thing for the ankles. It’s a gift from her husband, Gordon, who buys financial data for Bear Stearns.

The couple is working with a jeweler to design a “push present,” a ring Gordon will give to Taylor after the birth of their child in June.

“The one thing I’m really splurging on is a baby nurse,” Taylor says — one who will stay with them in their four-story Upper East Side apartment for 10 days, $250 a day.

She has no idea where this pregnant princess persona came from. Pre-conception, she was not this kind of girl. She was a DIY kind of girl, one her friends referred to as a Martha Stewart/Bob Vila hybrid. She redid bathrooms. She planted 2,000 flower bulbs at her Connecticut weekend home. She launched her own housewares company a few months before learning she was pregnant.

But then came the plus sign on the pregnancy test. And then came the luxury. “If I ran the New York City Marathon, I’d get a massage for sure,” she reasons. “And pregnancy is really a stretched-out marathon.” A spa treatment or babymoon “is like stopping at the water table on the way.” A necessity.

Besides, when you are shaped like a whale, anything that makes you feel better about yourself, you want to do, says Despina Yphantides. Late in her pregnancy, the San Diego mom decided to enroll in Fresh Mommy, a personal chef service for expectant and new mothers. “Oh, my gosh, it was so good,” she says. “They had a potato-chip-crusted chicken dish that was amazing, and this chocolate sauce tamale for dessert . . . ” The meals were prepared with extra omega-3 oils and proteins, recommended by doctors for moms and moms-to-be.

It’s enough to make a woman want to be pregnant forever.

The common response to why this all started — and when exactly pregnancy became a luxurious experience — is age and money.

Between 1990 and 2006, the birthrate for women 40 to 44 increased 65 percent, and doubled for women 45 to 49, according to the National Center for Health Statistics. As women have babies later, the pregnancy-as-movie scenario starts to look more like “Baby Mama” than “Juno,” with more fertility treatments and high-powered moms who may have waited too long.

When those women do conceive, it is cause for planning and celebration and rapid disposal of disposable income. Consulting plans at the Baby Planners begin at $500. Delivered meals from Fresh Mommy are $65 a day. Spa treatments for the pregnant are upward of $100 apiece.

“Nothing is off limits,” says Ellie Miller, co-founder of the Baby Planners, an L.A.-based service that does everything from helping clients find the perfect stroller (using a lifestyle survey with questions like, What kind of sidewalks are in your neighborhood?) to hooking them up with in-home spa services. “One of our clients just spent $10,000 on pregnancy facials” and the like. “Her skin was very important to her during her pregnancy.”

“These are highly educated successful women,” adds Melissa Gould, Miller’s business partner. Gould and Miller estimate that 75 to 85 percent of their clients are first-time working mothers. “They’re strong and amazing in the workplace, but they find themselves pregnant and it gets a little tricky,” Gould says. “One of our women kept calling us obsessed with the diaper pail.”

It’s all part of achieving a “perfect” pregnancy, says Clare Hanson, author of “A Cultural History of Pregnancy” — a concept that did not exist 20 years ago. Pregnant women are expected to have the right kind of body, eat the right kind of food and do the right kind of exercise. “It’s very fashionable to be pregnant. It’s aspirational.” Every other day, some movie star poses with her baby bump looking like it had its own stylist.

Gould and Miller do not judge. Before going into the baby planning business, Miller was a pregnant producer for CNN and Channel One. “I was a woman working in a newsroom, and I was freaking out because I could not find apple green bedding” for the crib. “Who needs apple green bedding?”

It wasn’t about the bedding, of course. It was about a woman used to commandeering every aspect of her life suddenly watch her belly swell into an alien bulge.

A woman like this might pay for peace of mind.

“Every free moment I have, I want to spend with my family,” says Susan Levison, a Fox executive who purchased a concierge package from the Baby Planners when she became pregnant with her second child. Her first was carried by her partner, also an exec at Fox. Gould and Miller helped Levison find a good prenatal yoga class, a crib and a baby memory book.

It’s the sort of thing you would have once asked your sister, back when everyone stayed put in the same town, or asked your neighbor while returning a casserole dish, back when everyone made casseroles.

“My family lives in San Francisco and I’m down in L.A.,” says Levison. “All of my friends are busy working parents. I didn’t want to ask them every time” she needed something. “It’s nice to have someone at your beck and call.”

Taylor, the New Yorker, says that her mom lives just 20 minutes away, and was annoyed that the couple was getting a baby nurse rather than inviting her to move in for a few weeks. But Taylor thought she’d feel more comfortable taking advice from a nurse than from mom.

“We live quite isolated lives, very far from our mothers,” says Hanson. In that sense, these services are “fulfilling a real need. Pregnant women do need to be nurtured, and [they're] going to have to pay for that.”

Of course, if you ask pregnant women to explain their need to be nurtured, many will say it’s not about them. It’s about the baby.

Event planner Jami Pennings stayed on a personal chef service while breast-feeding her daughter, delivered in December. “I knew the baby had to get good nutrition, and whether I did was pretty secondary. I was consuming it, but it was really for her.”

This knowledge also assuaged the guilt she felt over watching her husband scrounge for cold cereal or takeout every night while she ate gourmet home-delivered meals. She had to. For the baby.

Pregnancy is the nine-month window in which doing good for the kids necessarily means doing good for the mom as well. It’s right there in “The Hot Mom to Be Handbook”: “The best way to ensure their happiness is to cultivate your own spirit and enjoyment of life. It is never too early to start.”

Back at Becoming Mom, Swallinger’s pedicure is finished, but she doesn’t want to get out of her comfy chair. A reporter mentions that the spa apparently sells sleep as well — according to one pamphlet, 30-minute naps can be purchased for $25.

“I would pay for that,” Swallinger sighs. “I would totally pay for that.”

But instead she’s got to head home, away from the serenity and soft curves of the maternity spa, away from the receptionists and aestheticians who know not to bat an eye if you start sobbing, hormonally, over a broken nail. Now that she’s delivered her baby, in fact, it might soon be time to return to a regular day spa, one without a chocolate-cravings pedicure.

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Judith of Budapest Skincare Salon

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Judith of Budapest Skincare Salon

Judith Buran

Garden Facial, $87

550 Pharr Rd.

404-841-1111

Buran is in high demand—expect to wait a month for a weekend opening. She managed to squeeze us in on a weekday and declared our skin “in desperate need of hydration.” We thought that was a bit melodramatic, until she launched into a massage. To quench our complexion, she rubbed calendula lotion into our face and chest for almost an hour “to moisturize and increase circulation.” By extraction time, we were too comatose to feel so much as a pinch. After a milky mask (hydrating, of course), we left with a four-star face—and Buran earned yet another loyal client.

Judith of Budapest Skincare
550 Pharr Rd, Atlanta, GA
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Southwest Girlfriends Spa Getaway Scottsdale Arizona

Priceline’s 10 year anniversary sweepstakes giveaways!

 

SPA GETAWAYS IN-DEPTH

Soak up the spirit of the southwest

Our rental car is a responsible, four-door sedan. As we pile in and prepare to head north for a day trip from Scottsdale to Sedona, we are all lamenting not getting the Thelma-and-Louise convertible.

After all, we are on a girls spa getaway weekend. Wouldn’t it be great to knock off a few gas stations, shoot up some male chauvinist pigs, sleep with Brad Pitt and . . . OK, no one wants to clasp hands and drive into the Grand Canyon.

It’s the scenery that’s doing it. We are driving through some of the most spectacular desert views imaginable. It’s rendering us silent for the first time all weekend. Rolling hills, giant boulders, piercingly blue skies.

Maybe it’s the distant memory of that great chick flick with its spectacular desert scenery, maybe it’s just being away from our families, and together as adults, but there’s something about being out in the fantastic, dry heat of the desert and on the open road that is making Arizona feel like the perfect place for a girlfriends spa getaway.

There is still snow on the ground, back in Calgary and Winnipeg, but thanks to those convenient, direct WestJet flights, we have been whisked here in under three hours, stepping off our respective planes to meet, our flesh pallid and our eyes blinking into the sun.

Within hours we have agreed, this was a fantastic idea. Why on earth haven’t we done this before?

The first evening, we settle into our luxury digs at the Four Seasons Resort Scottsdale. On the subject of luxury digs, yes, you need to treat yourself on a girls getaway - splitting a luxury hotel room three ways is easier than it is for a couple with one bank account.

And has no shortage of high-end Scottsdale Spa Resorts and lodgings to splash out on.

Visit Travelocity for Arizona and California Deals

The resort provides group stargazing hosted by a resident astronomer, complete with powerful telescope. The skies of Arizona are thick with constellations, especially when you get away from the lights of the city, and it’s a pleasant way to pass an evening.

After viewing Saturn and the face of the moon like never before, we retire to our suite’s private plunge pool, a miracle of heated, steaming water set under the stars, to continue stargazing on our own.

The plunge pool and the patio, with its padded chaise lounges and kiva fireplace, turns out to be the home base for our weekend. We spend every evening here, soaking, talking, laughing and reminiscing. We barely want to leave, which is one of the catch-22’s of staying at a luxury hotel in an amazing, unexplored destination. We want to explore, but at the same time we don’t want to leave our beautiful room. We want to be active, but we don’t want to get out of the fluffy, white robes.

It’s a pleasant quandary.

As comfortable as the hotel is, there are other things that need to be done on a girls getaway.

There are spa treatments and massages to get. Scottsdale is known as a world-class spa destination, specializing in impeccable service and desert-inspired detoxifying treatments. There is Scottsdale’s hot culinary scene: gourmet meals over which to linger. There is the desert to explore - be it Hummer tour, balloon ride, hiking or road trip. There are a wide range of golf courses to play. There is serious shopping to be done with our almost-at-par Canadian dollar.

One thing is clear - four days are barely going to be enough, and we will need to prioritize.

First things first, getting out to the desert.

We sign up for an early morning, guided nature preservation hike up Pinnacle Peak, complete with planting a desert cactus. It is two hours of sweating pleasantly in the dry heat, taking in staggering views of the rugged desert beauty, with a highlight at the end: planting a desert cactus.

Priority number 2: Spa treatments. We head to the Fairmont Scottsdale Princess to check out Willow Stream Spa, one of the top spas in Scottsdale. The treatments are sublime; afterwards, very relaxed, we lounge on the rooftop pool deck and soak up the spa’s luxury ambience. Not wanting to pass up our own resort’s well-appointed facilities, we also sign up for a lighter spa activity called Martinis and Manicures. Nothing says “girls getaway” like a group manicure with signature martinis from the Four Seasons’ lounge. (I can recommend the basil and cucumber, a flavor that seems designed to blend in with the muted aromatherapy scents of a spa.) It’s a very pleasant way to pass the cocktail hour of late afternoon, especially if you can follow it up with a reservation at one of Scottsdale’s many high-end restaurants.

A fabulous dinner with friends is a thing to be savored, and we make an evening of it, enjoying an incredible meal on the patio of Talavera, the Four Seasons’ newly relaunched restaurant, while watching the sun set behind Pinnacle Peak.

Scottsdale’s culinary scene has exploded in recent years, attracting highly skilled chefs from around the world who are using local ingredients in new ways. Southwest fusion is the new name of the game, edging out the traditional steakhouses and Mexican restaurants. It’s hard to go wrong, and if you’re a foodie, you will not be disappointed.

No girls’ weekend would be complete without some shopping to go along with the fine dining and spa treatments.

There is world-class shopping here. Scottsdale has recently spent $3.3 billion developing a boutique shopping district called SouthBridge in its downtown. It joins an already impressive collection of shops, including Fashion Square and The Mix, that contain everything from folksy Mexican trinket shops to high-end retailers of jewelry, shoes and clothing.

It’s all within easy strolling distance, and all set in the lush greenery that makes Scottsdale feel like an oasis in the desert.

But if you’re all about bringing home the bargains, there are outlet malls to hit, just like any American city (with the dollar the way it i s, those are hard to pass up). And then there’s the necessary tourist trinket shopping. We take care of that on our road trip to Sedona, a tiny town nestled in the red rocks of the Sonoran desert. It’s natural scenery is the reason to go, not its shopping. It was a beautiful drive, though, and, hey, we needed a few Arizona T-shirts and key chains.

We could have spent the entire weekend doing any one of these activities, from golfing to shopping to hanging by the pool at our hotel.

The worst thing about this girls getaway was the feeling that we couldn’t fit in everything Scottsdale has to offer.

But maybe that’s how you should feel after a great getaway - it just wasn’t long enough.

Next time, five days minimum.

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Botox Parties - Botox may have side effects

 

 

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Hollywood stars preening for the red carpet aren’t the only ones who turn to Botox and injectable collagen to take a few years off their faces. Last year, more than 3 million Americans had their wrinkle-making muscles relaxed with Botox; more than 1 million had their lines and lips plumped with fillers.

That’s a 35 percent increase over the previous year, and the spiking curve is expected to climb still higher in 2008. As word of mouth spreads, more physicians become adept at using injectables, and new fillers get FDA approved.

In fact, demand among ordinary folk is so high that you can get your fill at the mall: About 1,500 medical spas (or med-spas) have opened across the country, most selling wrinkle-smoothing injectables in a spa-like setting, though not always administered by an experienced doctor.

To get the look you want — and lower the risk of a temporarily frozen forehead or overplumped “trout pout” — remember, that getting injected is a medical procedure, not just a beauty treatment.

Where to Go, Whom to See

To a generation raised on collagen injections to fill acne scars and to plump lips, having a lunch hour “face-lift” seems as simple as having your hair highlighted.

That’s the kind of misconception that led to disappointment and embarrassment for Myriam S., a 47-year-old physical therapist in La Cañada, CA. She scheduled an appointment for Botox injections shortly before Christmas, but it didn’t go as planned.

Over the holidays, Myriam greeted friends with her right eye and face so badly bruised that she couldn’t minimize the discoloration with makeup.

“The doctor said the nurse who gave me the Botox hit a blood vessel,” Myriam says. Would she do it again? “Absolutely,” she says, “but next time, I’m only letting a doctor do the injecting.”

Caution should be your watchword, says Wendy Lewis, a cosmetic surgery consultant in New York City and London, and the author of “America’s Cosmetic Doctors and Dentists.”

Even when the needle is in the most experienced hands, there can be temporary side effects, such as bruising, swelling and tiny bumps along the injection site. But your risk of serious problems, including deformities that last for months, is lower when you go to an expert, Lewis says.

It’s safest to go to a doctor who is board certified in dermatology, plastic surgery or an above-the-neck specialty. A head and neck surgeon, an ear, nose, and throat doctor, or an ophthalmologist may have a cosmetic surgery subspecialty. Just as important is experience with a variety of injectables.

Above all, don’t let price or convenience — or the appeal of a Botox or filler party — sway you.

“Don’t have it done in a hotel room,” Lewis says. “These parties are the antithesis of the way it should be done. When you receive Botox or filler, you want proper lighting and to know exactly what you’re getting. You don’t want people sipping drinks and watching. Getting injected is not a festive occasion.”

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Look Younger - Anti-Aging Tips start with finding the right Doctor

 

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Interested in Looking younger and taking advantage of some of the latest techniques for looking younger?

Here’s how to find a doctor who will give you the look you want with the least risk of complications.


Make a List

Start by asking for recommendations from your family doctor, relatives and friends. People can be surprisingly open about sharing resources.

Check the doctor referral services of nearby university-based medical centers and national medical associations, such as the American Society for Aesthetic Plastic Surgery, the American Academy of Dermatology, or the American Society of Dermatological Surgery.


Do a Background Check

Confirm the doctor’s board certification with the American Board of Medical Specialties. Membership in a professional organization like ASAPS or the AAD is a plus.


Set Up a ‘Go-See’ Appointment

Call each doctor’s office on your list and get some basic info. Narrow your choices to one or two docs and schedule consultations. You’re going to have an ongoing relationship with the physician you choose, so you want to feel comfortable.

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I’ll Have What She’s Having - All Fillers are not the same

 

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I’ll Have What He’s Having

All fillers work in the same general way:

They increase volume, either where no soft tissue existed or where it has diminished with age. Fillers can lift the depression of a crease, for example, or plump thin lips or flat cheeks. Fillers are often layered with one another and/or Botox, which relaxes the wrinkle-forming muscles.

“The art is in selecting the appropriate fillers to meet an individual’s needs,” explains Dr. Seth Matarasso, a professor of dermatology at the University of California, San Francisco. He offers an example of the fine-tuning that may be required for a natural-looking mouth: A dense filler can be injected to define the lip’s borders, a less dense one to subtly plump them, and yet another to fill the fine superficial lines above the lip.

“What works where depends largely on a product’s thickness,” Matarasso says.

Here are the injectables you’re most likely to be offered.

Your own tissue (fat injections)

The extra padding on your hips might seem to be the ideal filler because it’s your own tissue, but this method turns out to be unpredictable. In some people, the transplanted fat cells resorb quickly; in others, they last for years.

Fat is retrieved and transferred through a large needle, so bruising may occur. And because some of the fat will be reabsorbed within a few weeks, the doctor will slightly overfill to compensate for the expected loss. The resorption isn’t always balanced.

“A lopsided lip, for example, can happen with any filler, but it’s more likely with fat,” says Dr. Theodore Kramer, medical director of the Riverview Cosmetic Surgery and Skincare Center in Norwalk, Conn.

Collagen (bovine Zyderm, Zyplast; bioengineered Cosmoderm, Cosmoplast)

Collagen, which gives skin its resiliency, is the granddaddy of all fillers. Injectable bovine (cow) collagen was FDA-approved in 1981 for lifting depressed acne scars and filling wrinkles. Major drawback: It’s made from animal tissue and can cause an allergic reaction, so a skin test a month before treatment is essential. Plumping lasts for three to four months.

Cosmoderm and Cosmoplast are bioengineered collagen derived from human cells, so there is no allergy risk. Their lasting power is similar to that of bovine collagen.

Silicone (Silikon 1000 — FDA-approved for correcting retinal detachment)

Medical-grade silicone injections have been slowly gaining in popularity because they finish off a wrinkle once and for all. Microdroplets deposited in the skin via multiple injections along a crease prompt the body to produce collagen to surround the foreign bodies, which lifts the area. But this method is permanent, meaning side effects (including red, inflamed nodules) and any mistakes (such as overplumping) are there for life.

Hyaluronic acid (Restylane, Hylaform, Captique)

Depending on the product, man-made gel versions of hyaluronic acid (HA), a sugar molecule, are derived from tiny pieces of rooster combs or bacteria grown in a lab. Once injected into lines, the material attracts up to 1,000 times its weight in water, thus filling the crevice. HA’s cushiony softness makes it a favorite for cheeks and lips.

The downside: The material has quite a sting, and swelling is obvious for a day or two. If injected too superficially — a mistake that’s most often made by inexperienced injectors — HA can temporarily produce tiny beading and inflamed larger nodules. HA lasts about four to six months.

Poly-L-lactic acid (Sculptra — FDA-approved to replace lost tissue in the faces of HIV-positive people)

For more than 20 years, poly-L-lactic acid was used in absorbable sutures, before doctors found that placing it deep within the skin revs up collagen production.

“You inject it once a month, and new collagen gradually creates added volume. About four sessions works amazingly well,” says Dr. Leslie Baumann, a professor of dermatology at the University of Miami. Bonus: Sculptra is so thick, the plumping effect lasts up to two years. Side effects may include small bumps or inflammation within a year of treatment.

Calcium hydroxylapatite (Radiesse – FDA-approved to treat vocal cord paralysis)

This version of the natural cementing material found in teeth and bone is suspended in a water-based gel. Clinical trials for wrinkle filling are under way, but some doctors are already using it for deep wrinkles, jowls and even botched nose jobs. It’s so thick that the doctor must inject it deeply through a large needle, so there’s more bruising than with other injectables, says Dr. Thomas Romo III, director of plastic reconstructive surgery at Lenox Hill Hospital in New York City. The plumping may persist for two years or more.

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Fresh & fruit using eco-friendly exfoliation products at spas

 

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After Laura Noss signed up to receive a weekly organic produce box from a farm near her home in Menlo Park, Calif., she decided that fruits and vegetables grown close to home taste better.

“It has opened my eyes to what is local and seasonal,” Ms. Noss said. “I now understand that what I put in my body and on my body matters.”

So she began looking for ways to go local beyond the palate. Last year, while she planned a getaway to Maui, she hunted for treatments that used indigenous ingredients at the Grand Wailea Resort Hotel and Spa. That is how she found herself being scrubbed with locally-sourced coconut and sugar, then dunked in just-harvested coconut milk — for $160 a treatment.

“It felt like it would be fresher than some of the other treatments,” said Ms. Noss, 38, the founder of Social Planets, a communications and marketing company. “I envisioned the woman going out to the tree and plucking my coconut.”

More than 28 percent of spas nationwide use local ingredients, according to a 2007 survey by the International Spa Association, a trade group for the industry. Last year, after seeing the trend take off, the association started tracking how many of the 3,000 spas in its membership use ingredients from local nature in treatments.

In an age of global warming and high gas prices, is it any wonder that more spa-goers are gravitating to blueberries, honey and even maple syrup, cultivated close by because they believe it leaves a lighter carbon footprint?

The local-food movement, popularized by writers like Michael Pollan and Barbara Kingsolver, has created an aura of authenticity around all things local. Forward-thinking spas have long included indigenous ingredients on their menus, but more spa owners have entered the game of late, now that customers will pay more for services they deem environmentally responsible.

Some spas use the local produce in unexpected ways. The Cliff House Resort and Spa in Ogunquit, Me., offers its guests a Maine blueberry body wrap for $110. You can also get a Maine Blueberry Pedicure.

That more businesses (spas included) are rushing to make greenbacks off the green-minded hasn’t escaped the notice of Jessica Jensen, a founder of Low Impact Living, an online resource that helps consumers live eco-friendly.

“There are two kinds of companies,” Ms. Jensen said, “ones that are genuinely dedicated to these issues and incorporate them into every aspect of their business, and then other companies trying to put a varnish on their business in the form of putting a few green techniques here and there.”

Some critics say that marketing — not any environmental impulse per se — is the reason local ingredients are touted at spas from the Napa Valley to the Maine Coast.

“Putting the label ‘organic’ or ‘local’ on a product allows a vendor to charge more, irregardless of supply and demand,” said James E. McWilliams, the author of “A Revolution in Eating: How the Quest for Food Shaped America.” “There is a psychological factor at work here as well. When a company can claim they are going local, it conveys a sense of virtue, that what they are doing is natural and pure, and that their behavior is alternative and even elite. These are values that a lot of consumers today crave.”

Heather Stephenson, 34, favors buying local wherever she travels, as well as in San Francisco, her base. “One of the best things you can do in terms of the planet is to seek out things that are sourced close to home,” said Ms. Stephenson, a founder of Ideal Bite, a Web site about ways to go green. Her body has been polished from regional grape seeds at Fairmont Sonoma Mission Inn and Spa in California, exfoliated with Javanese coffee in Bali, and massaged with volcanic rocks from Costa Rica.

Some green advocates question whether such destination-spa treatments, however carefully sourced, are eco-friendly at all. “Using local materials in a spa setting is a great idea,” said Ms. Jensen of Low Impact Living. “But it’s kind of silly when you think about the carbon emissions associated with people flying 3,000 miles to get to the spa, versus the supposed savings using local materials, wraps and lotion.”

Ms. Stephenson, who visits roughly five spas a year, doesn’t see a contradiction. “The fact is that people go on a vacation,” she said. “We can do that in a way that gives us a healthy experience for ourselves, but also wakes us up to experiencing the things that that culture provides, and gives us an appreciation for the natural world.”

Home-grown experiences are part of what destination spas sell. The spa at Stoweflake Mountain Resort in Stowe, Vt., offers a Vermont Maple Sugar Body Polish using local maple syrup. Tell a tale of a land or its people, and patrons will come — many spas hope.

Sometimes a marketable idea is discovered where it’s least expected. During construction at the Sundara Inn and Spa in Wisconsin Dells, Wis., the former owner, Kelli Trumble, lamented how she had sand in everything, said Tara Duarte, the director of operations at Sundara, including “every pair of shoes and boots and all over her car.”

“Yet, the sand was a pretty mix of reds and golds,” Ms. Duarte added, “and it had such an even consistency that she thought it was the sort of thing you’d find in body polishes.”

So Ms. Trumble put some sandstone into a baggie and had it analyzed at a lab. When it turned out to be sandstone of an ancient Cambrian variety, Sandstone Body Polishes soon appeared at the spa.

Designing signature services based around local ingredients sets spas apart from the competition, said Melinda Taschetta-Millane, the editor in chief of Skin Inc. magazine, a trade publication for spa professionals. “They find that if they use one of these indigenous ingredients, it helps their identity and gives their spa a distinctive mark.”

Competition is fierce with roughly 14,615 spas nationwide, up from 10,128 in 2004, according to the spa association.

As a result, spas are concocting increasingly offbeat (some might say outlandish) offerings, looking to nearby vineyards, deserts and rock formations for ingredients to slather, spritz and rub onto willing bodies.

ESSpa Kozmetika, a spa near downtown Pittsburgh, doles out hot chocolate, brownies and dark-chocolate samples in the waiting room to draw attention to its $140 Stimulating Hot Cocoa Facial and $140 Hot Chocolate Body Wrap. (What the spa doesn’t advertise is that although it gets its chocolate from a local ice cream shop, the cocoa beans are from Africa.)

Customers who choose the Rosemary and Grape Seed Foot Scrub at the spa at Auberge du Soleil in Napa Valley are greeted with a glass of 2002 Barlow merlot and tasting notes: “The balanced fruit with subtle earth and herbal notes in the merlot are wonderfully brought to life by the complementary aromatics of grape seeds and rosemary in the foot treatment.”

Spa-goers shouldn’t assume that locals have traditionally given themselves facials or wrapped their limbs in, say, a blueberry mash just because a treatment’s star ingredient is indigenous. “The Hawaiians didn’t really do a papaya scrub, although you do have papaya in Hawaii,” said Sylvia Sepielli, the owner of Sylvia Planning and Design, a spa design and consulting firm in Sedona, Ariz. In her opinion, spas that try to connect their treatments to “local healing culture” are misleading.

It is possible that discovering local ingredients at a spa will have an impact on a person’s behavior once they return home, Mr. McWilliams said.

“Maybe ‘green lite’ will turn into ‘green heavy,’ ” he said. “But the most environmentally-friendly thing we can do is reduce our consumer spending dramatically, and a spa is a dramatic luxury expense.”

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