NipTuck Talk Radio

In Memory of Dr. Vic Narurkar

Last week the world of Dermatology and Aesthetic medicine lost a super star.

We are all greatly shocked and saddened by the unexpected passing of San Francisco Dermatologist, Dr. Vic Narurkar.  He was a thought leader, visionary  friend, colleague, educator, mentor and my dermatologist.

Dr. Narurkar touched many people. He was a bright shinning light with a vibrant personality and  great passion for aesthetic medicine. He loved his work and loved his patients. 

Dr. Narurkar also loved teaching and being on the cutting edge of the world of aesthetics. He was involved with many clinical trials and lectured frequently at medical meetings.  

Patient safety and spreading the word about the importance of going to a Board Certified Dermatologist whose core specialty is aesthetic medicine was one of his passions. 

Dr. Narurkar's favorite social media hashtag was #noposers

This podcast episode is curated from 2 live podcast interviews in 2014 and 2015.

In Part 1 we discuss Botox, the newest FDA fillers and some of latest trends in aesthetic medicine.

Dr. Narurkar shares his expertise about  Botox and how it is not the same as other neurotoxins. We discuss Voluma and longer lasting fillers.

The duration of fillers in clinical trials are different from what people may experience. It's important to understand this.  We talk about the different kinds of filler injections. We discuss the 3 types of fillers.  HA fillers which are temporary, longer lasting fillers that cannot be dissolved  and permanent fillers. *Note: Artefill is now called Bellafill.

Dr. Narurkar shares his expertise  and  insights about  some of latest energy devices like Clear and Brilliant and the Pico Laser for brown spots. 

Part 2 covers the subject of filler injection complications, treatments and rare Biofilm reactions. If you are considering fillers or have them- this episode is full of important information not to be missed. 

Biofilm is an inflammatory response to fillers that are injected deeper in the skin. There is lots of confusion online and people get alarmed.  Many times its non-FDA fillers injected by non-certified dermatologists or other people who do not have a medical license to practice. Allergic reactions to fillers are different from Biofilm.  

Fillers are very safe but sometimes reactions can happen. What are some signs you may have an adverse filler reaction and what are the treatment options.

Dr. Vic Narurkar- you will always be in my heart!

For more information please email me [email protected]

Feeding your Skin with Healthy Habits

"Good Habits, Good Health, Skincare is Part of Your Good Health"  

Secrets for Healthy Skin. Board Certified Bay Area Dermatologist Dr. Serena Mraz shares her expertise about healthy habits for healthy skin throughout your lifetime.

Taking care of your skin should be easy, not complicated. Basically cleanse, moisturize and use sun protection. Other topical products that keep your skin healthy include vitamin C serum, creams with Niacinamide and Retina- A cream. You don't need to spend lots of money on skincare products. However, going to the cosmetic counters is not the best choice. There are some well known products you can buy in drugstores such as, Oil of Olay, CeraVe Cream, Neutrogena®. and others.

If you have young children or babies it's important to use sun protection both sunblocks and protective clothing. Starting healthy habits early is your best defense. Elta MD is one of Dr. Mraz's favorite sun protection products. Sprays are good for your back or hard to reach areas, but should not be used on the face. 

To hear the full interview click above.

Dr. Serena Mraz

Instagram @drserena_mrazmd

#drpretty

"Our Breasts Hold Feelings: Unconditional love, we trust life, and we're sensual" 

Girls are not taught about breast care and breast health.

Breasts are complicated. We need to become friends with out breasts.

How often do we consider our breast health?

In Episode #5 Dr. Colleen Hathaway shares her expertise about Breast Health with host Michele Garber. We talk about how to take care of our breasts by massage, fluffing and discuss the psychology of our breasts.  Do breast really define women? 

According to Dr. Hathaway, we need to start to learn how to take care of breasts and feel more comfortable touching our breasts.  Massaging, fluffing and wearing the right bra is very important to our breast health. Our breast our sexual, out there and we feed babies with them. 

Every women needs to listen to this episode to learn more about their breasts and to be more accepting.

Dr. Hathaway has a online class on Breast Health. Listeners can get a discount with code: Half Off

Contact Dr. Hathaway

Instragram @Breastwellness

Facebook @colleenhathaway, DC

Please share this episodes with your friends. 

The Laser Bra Lift

Are you a good candidate for an internal bra lift instead of a traditional breast lift? LA Plastic Surgeon, Dr. Grant Stevens discusses the advantages of the Laser Bra Lift and who is the best candidate with Host, Michele Garber.

The Laser Bra is not new. Dr. Stevens has been preforming this lift since the 1990's. However, there are surgeons who believe it is nonsense. Dr. Stevens has preformed thousands of these lifts seeing excellent results lasting longer than traditional breast lifts. It is effective and safe. This is still a surgical procedure. 

The Laser Bra uses a patients own skin to lift the breasts, creating an internal bra lifting your breast to give you upper pole fullness. This skin is traditionally thrown away. Imagine placing your hand under your breasts and pushing up. However, this surgery is not for everyone. You have to have enough skin in order for this technique to be effective. If example you have ptotic breasts and your nipples points down, you are a perfect candidate. Or maybe you want a lift without implants or are having your implants removed and only want a lift. You must have enough skin for this lift. 

According to Dr. Stevens his laser bra lifts have a longer longevity than the traditional breast lifts. Patient's need to be aware that this lift is not scarless as some website say it is . There is a scar. Recovery time is the same as a traditional breast lift. Why don't more surgeons offer this procedure? One reason is that surgeons need a very expensive CO2 Laser in order to preform this surgery. 

We talked a little about the current trend in aesthetic medicine for a more natural look across the board.  Women want to look natural and more women are exchanging their large implants for smaller ones. In fact Dr. Stevens see a 60/40 split. More woman are wanting a lift without implants. These statistics use to be reversed. 

What's on the horizon for plastic surgery? Maybe a scarless breast lift in the near future. Stay tuned....

Follow Dr. Grant Stevens on Facebook, Twitter@drgrantstevens  and Instagram @drgrantstevens

Website

Are You Demanding Enough From Your Plastic Surgeon?

Teitelbaum is guided by principles of proportion and restraint, and he produces astonishingly natural looking results.

- Allure Magazine 2013

Santa Monica Board certified plastic surgeon Steven Teitelbaum, MD talks with Host, Michele Garber sharing his expertise and wisdom about why patients should be demanding more from their plastic surgeons when seeking breast augmentation.

According to Dr. Teitelbaum there have been many advances over the past 15-20 years in breast augmentation surgery that plastic surgeons are still not following. Why?  Breast augmentation could be a lot safer, less revisions, less downtime and less pain. 

Too many plastic surgeons don't care about how a woman will look with her implants in 4-5 years.

Dr. Teitelbaum is currently using nerve blocks for pain which gives the patient a much better recovery with significantly less pain. 

Patients should be asking a lot more questions when thinking about any plastic surgery procedure. 

We also talk about cup size in relationship to implant size and a patient's body. Everyone is different and when considering implants its important to have the proper measurements. 

Although you may be thinking about big implants, think twice and consider that big implants can permanently cause damage to your breasts, sometimes this is irreversible. Women should be educated to understand that having 600-650cc and more is really not a wise choice. Not only does it look fake, it's unhealthy. However, there are expectations based on a woman's body type and height. Our national breast tissue was not meant to be stretched that much. Something to really think about when you are considering breast implants.

Ask your surgeon if he or she is comfortable with all types of breast implants including tear-drop shape which takes more skill.

Patient should look at evidence based literature to learn about breast augmentation not opinion based. 

And we talk about a lot more...

Contact Teitelbaum, MD

Facebook

Website

Twitter

Instagram

Jenny Eden is the Founder of Eden Knows Implants and Bustmob, online communities for women to share their breast augmentation journey. 

Jenny was 18 when she had her first breast surgery, a reduction. However, it did not go as she hoped. It took her 12 years before she was happy with her breasts. Jenny shares her story about three breast augmentation journeys, two of which were with Saline Implants and how she gained back her self confidence.  She shares her hopes, frustration and inspirations  with Host Michele Garber, the NipTuck Coach. 

Michele also gives listeners tips on how to choose a skilled Board Certified Plastic Surgeon.

Links to Jenny's Community

https://www.instagram.com/edenknowsimplants/

https://twitter.com/EdenKnows

https://plus.google.com/b/109504213513076391392/+Edenknowsimplants

https://www.pinterest.com/edenknows/pins/

https://www.facebook.com/edenknowsimplants/

There are so many Breast Implant materials to choose from. What is the right implant for you?

New York Plastic Surgeon, Dr. Brian Cohen shares his expertise on choosing the right breast implant.  The trend is smaller and natural. Larger implants are prone to more complications. 

Breast Implants are safe devices. Patients should be well informed before choosing implants and pick the right Board Certified Plastic Surgeon whose expertise is in breast augmentation. 

What do most patient want? Silicone. Silicone breast implants have come a long way and are safe. They are softer and look more natural than Saline.  Today Silicone Implants come in different shapes such as round, smooth or textured, and anatomic. Are you looking for more upper pole fullness, or more a tear drop shape? 

Not all surgeons are comfortable with anatomic  implants, there is a steeper learning curve for the surgeon and if they rotate they will look strange.  

Anatomic breast implants should be "as snug as a buy in the rug," says Dr. Cohen.

Gummy Bear Implants are firmer but soft and more expensive than other implants.

 Saline implants are made up of salt water and if they rupture you will know right away. However, they feel firmer, can ripple and don't look as natural as Silicone. Th newest Saline Implant is called The Ideal Implant. Is it really ideal?? 

Do you know that Botox is being used in the breasts as well as fillers and fat transfer?

We'll also touch on the subject of risks, capsular contracture and the risks of ALCL.

Contact info:

Dr. Brian Cohen

Follow Cohen Plastic Surgery on Facebook and Instagram @cohenplasticsurgery

Boob Talk with Michele Garber.

We'll cover many subjects about breasts including, how to choose a surgeon, choosing implants, lift or no lift, Saline vs Silicone, New technologies, explants, risks and recovery, plus more.

Listen to the top plastic surgeons with expertise in Breast Augmentation and Reconstructive surgery, plus Bonus episodes with Patient's stories about their breast augmentation journey. 

 Follow us on Facebook, Twitter and Instagram @niptucktalkshow

Do I really need a lift with my breast augmentation?

Part 1: Beverly Hills Plastic Surgeon, Dr. Marc Mani shares his expertise about breast augmentations and discusses the question of having a lift with your implants or not.

Sometimes there are complications to breast augmentation. A double bubble is a post surgery complication. Healing takes 3-6 months before you can have revision surgery. 

Implants make a breast bigger; they really don't lift a breast. However, there are times that an implant can create lift on some patients. But implants don't really lift the breast as a whole.  Larger implants will be more above the nipple and have a higher complication rate. Dr. Mani prefers smaller implants especially in mature patients. 

If you feel you need a lift after your implant its best to wait 6-12 months before you have a lift. 

For more info, please listen to the full episode.

Contact info: Dr. Marc Mani 

Website

[email protected]

Facebook

Instragam@marcmani 

In Part 2 Noelle from San Francisco shares her implant without a lift journey. 

A pre-recorded live episode from the NCIA Cannabis and Business Expo in Oakland, CA

Join host Michele Garber in an informative episode about how medical cannabis can you with pain, anxiety, panic attacks sleep disorders and pre and post-op plastic surgery. Always check with you doctor first.

Weed is a very complicated plant.  Learn about major Cannabinoids in the Cannabis plant and their effects. 

The most notable cannabinoid is the phytocannabinoid tetrahydrocannabinol (THC), the primary psychoactive compound in cannabis. Cannabidiol (CBD) is another major part of the plant that does is non-psychotropic. It will not give you a high and has anti-inflammatory properties.  THC is also good for pained and nausea. 

Michele explores different products, their effects, and how they are delivered into your body. This episode  features three medical cannabis companies from the conference.

Listen in to learn about topical, edibles, and drinkable cannabis-infused products.

Michele spoke with Canadian Chiropractor, Dr.Andrew Kerklaan who recently  launched a line of Cannabis -infused Topicals for Pain Relief, PMS, Skincare and Sleep. Cannabis extracts containing THC and CBD can deliver fast-acting long lasting relief.  "Cannabis can have a very positive effect on our health. Topicals don't get into your blood stream. Canada is going  federal legal in 2018. To learn more about Dr. Kerklaan Therapeutics 

Michele interviews, Renny Bowden form Cannabiniers  a company out of San Diego that recently launched the first flower based edible from the entire flower of the cannabis plant. BrewBudz's product line   is premium coffee, tea and cocoa delivered in a one hundred percent compostable single brew pod. 

You get get the effect of Cannabis through drinking these products. Taking a little at a time is called micro-dosing. It's a discrete way to take your medicine and a great alternative to opiate drugs. Brewbudz will be available in CA and Colorado dispensaries. 

Follow Brewbudz on Instagram, Twitter and Facebook

Michele also interviewes Ann-Britt from Medicine Box, a quality cannabis product company from California's Gold Coast and Lake Tahoe. Medicine Box features a line of cannabis infused edibles and tinctures.The tinctures are herbal based with THC is different concentrations for anxiety, hormonal support, clear focus, pain and inflammation. They also have edible truffles and nut health bars all infused with cannabis. Follow them on  Instagram and Facebook

Be responsible when taking medical cannabis. Go slowly with edibles. Try half of the recommended amount, wait a couple of hours to see how you feel. The same goes with drinks and tinctures. Always check with your doctor first if you are going to use cannabis  instead of opiate drugs before or after any surgery. 

Denise O'Connell is the Founder of TuckTats.

Denise had a tummy tuck and knew that there was a possibility that she would not heal well. Her scar did in fact not heal well and was placed high on her abdomen. 

Denise loved her new body and wanted to wear a bikini. She tried scar cream and silicone but the scar still looked angry. She was sick of wearing high wasted bikinis.

Tune in to listen to how Denise solved this problem for her and women everywhere that have abdominal scars.

TuckTats are beautiful professionally designed temporary tattoos. 

Visit TuckTats.com for more information. 

Being told you have breast cancer is a life changing event. Many women are choosing to have a double mastecomy even if their other breast is clear of cancer. Why are so many woman making this life changing decison? Internationally Board Certified Reconstruction Plastic Surgeon, Dr. Karen Horton disusses the rise in double mastecomies, new surgical technologies and nipple sparing surgery with NipTuck Talk host, Michele Garber. Dr. Horton practices in San Francisco, CA. She is the mother of twins and specializes in micro-surgical breast reconstructive surgery and mommy makeovers.

A typical Mommy Makeovers is a combination of Breast Augmentation, Tummy Tuck and sometimes Liposuction.

Beverly Hills Plastic Surgeon Dr. Gerald Minniti discusses the various aspects of a mommy makeover, as well as answers  listener's questions about tummy tuck swelling and how to prevent infection after a breast augmentation.  

Dr. Minniti's philosophy about plastic surgery is that's it is important to bring your husband to the consultation so he can hear directly from him. Or bring a friend or family member.

If you are thinking about a Mommy Makeover, both a breast augmentation and tummy tuck, keep in mind your recovery will be longer but your surgery price will be less.

Having a mommy makeover a lengthy procedure and a longer recovery.

There are many things to think about when considering these surgeries; technique, skill, cost, complications.  Dr. Minniti addresses some of these issues in this episode, including why women in California have more complications from Breast Augmentation, the new drain-less tummy tuck, mini vs full tummy tuck  and answers some questions  from our listeners.

There will be more show notes on niptuckcoach.com

 For more information on Dr. Minniti, click here.

Join me on my trip to visit the Top Docs in 90210 Beverly Hills. I stopped in to visit the plastic surgeons to the stars.

This is Part One of my trip. Featuring Drs. Jon Perlman, Layke and Danielpour, Shiela Nazarian and Shea Kaplan, PA

They shared some interesting perspectives with me on Plastic Surgery trends, their philosophy about Beauty and the Industry; we talked about women and how they feel about getting Mommy Makeovers and much more.

For more information visit our Facebook Fan Page @niptucktalkshow or email me [email protected]

The Anti-Aging Prescription for Men and Women with Guest Andre Berger, MD.

Beverly Hills Anti-Aging Expert, Dr. Andre Berger uncovers some of the causes of aging, and discusses how to "Clean Up Your Dirty Soup".

Dr. Berger will also discuss the role of male hormones and the reality of Male Andropause.

Andre Berger, MD is board certified and the founder of Rejuvalife Vitality Institute, a premier cosmetic and anti aging practice in Beverly Hills. 

Dr. Berger has been board certified by the American Board of Emergency Medicine, for 20 years, and is a diplomate of the American Board of Anti-Aging and Regenerative Medicine, and the American Board of Holistic Medicine. 

        www.rejuvalife.md