Why I Will Never Get A Tattoo

Tiger tattooI love tattoos. Many are so mind boggling and cool that I find myself looking a bit too long or staring outright at a beautiful work of ink. As an artist I have an eye for great art and I appreciate talent whenever I see it. It’s also encouraging to see that the stereotypes surrounding inked skin have faded to a large extent, and that people from all walks of life are going under the needle and getting mini masterpieces permanently placed on their bodies.

However, I have no desire to get a tattoo, and I will most likely go to my grave without any permanent ink etched into my skin. I have a number of reasons why I won’t get a tattoo, but the most important reason why is because I think skin is most beautiful in its unmarked form. I happen to have great skin which heals well and quickly, is soft, has a nice color to it, and is rarely ravaged by pimples or rashes. When I ponder the notion of a tattoo on my skin, it is completely unfathomable. Even when I place temporary tattoos on my skin, I can only stand them for about 24 hours before I am already thinking about removing them.

This leads me to my second reason, which is that the novelty would wear off and I would probably regret any design eventually. I have no need to brand myself or chronicle an event on my body. The most significant memories are etched into my brain and don’t need to reside on my skin. I have met far too many people who have endured painful tattoo removal procedures because they decided to remove ink which, for whatever reason, they no longer wish to have. One of the WORST reasons to get a tattoo is to celebrate a relationship. What if you guys split up? I actually have a close friend who had gotten a matching tattoo with his wife, only to divorce her after a few years and undergo several tattoo do-overs which resulted in an ever expanding mass of ink which my friend hated for the entire duration of the different permutations. Instead of having a 4 centimeter by 5 centimeter tattoo to remove, he now has a 9 centimeter by 11 centimeter mess which he is trying to remove, all because he thought he could fix it by making it into something different.

My third reason for not getting a tattoo is that I have a sneaking suspicion that I have the type of personality which would result in me collecting them, as many tattoo aficionados do. It seems that many tattooees have a potato chip philosophy, namely, “You can’t just have one!” I have no desire to clutter my skin with countless little masterpieces and symbols. I also have no desire to try to figure out how to cover ink when I have to be professional and work as a physician. Let’s face it, despite the fact that tattoos are now well accepted in mainstream society, I am sure that patients would not be comfortable seeing tattoos on their doctors. Thankfully, I do not have to contend with covering up anything other than my private parts when I dress. If I had ink, I might have to worry about wearing long sleeves all the time, which would make me absolutely miserable since I almost always run hot and can’t stand any sleeves most of the time.

I love art of all kinds, and I also love being the canvas for body painting. But what is so great about body painting is that I can wash it all off and return to flawless skin and a fresh canvas after the shoot is over. The permanent nature of tattoos is so unappealing to me that I will not cave in and agree to a tattoo. This in no way means that I have anything against individuals who rock the ink. More power to you. But don’t expect me to have a moment of weakness and decide to do something that goes completely against what I believe in as a physician who subspecializes in cosmetic dermatology. Just let me enjoy looking at the ink on other people while leaving my skin untouched.

Venus Freeze Treatments For Cellulite

No, this is NOT me, but this shows how effective the Venus Freeze can be in reducing the appearance of cellulite.

No, this is NOT me, but this shows how effective the Venus Freeze can be in reducing the appearance of cellulite.

I am a sucker for any non-invasive treatments that promise to reduce the appearance of cellulite or tighten loose skin. So when I kept hearing about the Venus Freeze treatment and its promises to address both of these issues, my curiosity grew. The Venus Freeze employs radio frequency waves to heat up treated tissues, causing it to contract, while magnets stimulate production of collagen and elastin. While many platforms will only treat the face OR the body, the Venus Freeze can be used anywhere on the body. You can expect to see response to the treatments after a few weeks to up to 3 months following the first treatment. The best results are seen when treatments are done weekly, for a total of 8 to 10 treatments. About 10% of people who undergo the Venus Freeze treatments will show no response, which is indeed frustrating both for the non-responder and for the practitioner who is administering the treatments. However, there is no way to determine who falls into that 10% until treatments are well under way. The good news is that the majority of individuals who undergo this treatment should see noticeable improvement in the areas treated.

Here’s where I was completely sold: the treatment feels like a hot stone massage, with no pain involved, and there is no down time. After enduring two rounds of the intensely painful BodyFx treatment, which incidentally did NOTHING to improve the cellulite on the backs of my legs, I was ready to try something that did NOT have me writhing in pain on a treatment table.

I had my first treatment last week at a wonderful facility called Laser Creations in Simi Valley, CA (http://www.lasercreations.org/venus-freeze-skin-tightening-and-body/) and am happy to report that I felt no pain at all during the entire treatment. It truly did feel remarkably similar to a hot stone massage, down to a couple of hot spots which were almost at the point of pain but not quite. After the treatment was completed, the area was massaged manually, and some fat pockets popped from this manipulation. It was a strange sensation, feeling those pockets pop, but I felt victorious because I knew that the technology was already bringing about an effect.

I noticed no change in the quality of my skin, nor did I see any improvement in the appearance of cellulite after the first treatment, but that is normal after only one treatment. I did notice that the more proximal areas (areas closer to my glutes and on my glutes) actually looked more pronounced with respect to the dimpling, but I think that has something to do with the localized swelling. I returned today for my second treatment in the series and experienced one spot which zapped me for a second, causing me to flinch. However, the rest of the treatment was fine, and the heat, though intense, was not painful at all. We got more pockets to pop today, but not as many as from the first treatment. I am very excited to see if visible changes begin to emerge after this second treatment! There are six more treatments left in the series for me, with cumulative effects expected over time. I also practice very clean eating and I drink 1-1/2 gallons of water a day, which will enhance the process of lipolysis (breakdown of fats in fat cells).

I am hoping that a noticeable difference in the areas treated will emerge shortly after my fourth treatment. As a physician who actively works in the field of aesthetic medicine, I am well aware that it takes the body about 5 to 6 months to fully generate a round of collagen, and that small, visible changes can be seen about 30 days into a Venus Freeze treatment regimen.

Gamma Linolenic Acid

GLAOne supplement which has gotten attention from Dr. Oz lately as a potential fat buster and weight loss aid is gamma-linolenic acid. Gamma-linolenic acid (GLA) is an omega-6 fatty acid which stimulates the brown fat in the body and trigger utilization of white fat for energy. GLA also raises serotonin levels in the brain, creating a feeling of satiety sooner. There have been numerous studies to suggest that GLA can be an effective weight loss aid. Another nifty benefit of GLA is the body’s conversion of it into dihomo-gamma-linoleic acid, which is a precursor of the anti-inflammatory prostaglandin E1.

The Dr. Oz website recommends taking 1,000 milligrams of GLA before every meal for one week to mobilize fat stores for energy, while other sites recommend anywhere from 500 to 2,000 milligrams daily split into several doses. However, many studies state that the effects of GLA can only be seen after prolonged supplementation. GLA derived from black currant seed oil is a bit safer to take since the GLA derived from evening primrose oil may have estrogenic activity in some individuals.

GLA can also help with symptoms of PMS, rheumatoid arthritis and high blood pressure, and it can be excellent for the skin and hair. I am actually quite intrigued with the benefits for skin since I work extensively in the field of aesthetic dermatology and am always searching for skin cures. Of course this means that there is a chance that I will give GLA supplementation a try so that I can report my individual findings in a later blog post.

Make sure that if you decide to supplement with GLA to take this supplement with food to enhance absorption. Also make sure to allow several weeks for the effects to manifest. Lastly, bear in mind that this supplement tends to be very unstable and can turn rancid, so store in a cool, dry, dark place.

Maybe I AM A Vampire…

I have spent my entire adult life never looking like my chronological age, so I am accustomed to people scratching their heads when I reveal my age. When I was 20, I could pass for a teenager, and when I was 30, people thought I was 20 or 21. As the number of years I logged began to creep up more, I noticed slight shifts and changes, such as the loss of the very full cheeks and deep dimples I had when I was younger (the dimples are still there, just not as deep). Yet my appearance still belied my age, and for that I am truly grateful.
Me at 18
What blows my mind is that people now regularly guess my age to be roughly 15 years less than what it actually is. Does this mean I am looking younger as I age? Since we are our own worst critics, I will admit that I see the skin sagging and annoying grey hairs that no one else really seems to notice or pay attention to, so my perception is that I am aging just fine. But then I get a glimpse of what other people might see when I am perusing images from a recent photo shoot. When I look at my face, I don’t have the furrowed lines and flaccid skin that I often see in patients, many of whom are younger than me. Yes, I have had a touch of filler, but not a lot. I don’t undergo any intense skin treatments, nor do I take any super supplements. When I use topical skincare products, they are usually pretty basic, with my current lineup consisting of Vitamin C serum, hyaluronic acid/zinc serum, and a light oil-free moisturizer. I don’t slather any exotic creams on my face, and I certainly have never had any type of facial surgery.Me at 31

I have reviewed images from several years ago when I began competing versus now, and I honestly think I look even younger now. I work out like a beast regularly and do not slack on my routine. I eat clean meals which are balanced and chock full of alkalinizing vegetables and fruits. In addition, I take lots of natural supplements on a daily basis to optimize my nutrition and gain the protective effects of the substances in my regimen.

I have great genetic stock from my Japanese mother and a Hungarian father, so who knows? Maybe there IS vampire blood in me!

Botox Treatments Are NOT An Urgent Issue

injectables and faceWhile I appreciate the aesthetic benefits and self-confidence boost that injectables treatments confer upon the people who undergo them, I get very annoyed by the sense of urgency which some people adopt when it’s time to get treated again. I am not kidding you when I say I have had patients contact me asking for Botox, Dysport, Xeomin, Juvederm, Restylane, Perlane, Belotero, or Radiesse with a hint of desperation in their voices, as if it was a matter of life or death in getting a treatment lined up immediately.

In a way it makes perfect sense because these non-surgical fixes are a cost-effective way to smooth lines and furrows and restore lost volume. When the clock is turned back the first time and a new patient sees the results of injectables treatments, it’s a wonderful reveal which causes the patient to see himself or herself differently. The neurotoxins (Botox, Dysport and Xeomin) yield effects which last from 3 to 6 months, with muscle function gradually returning over time, along with the corresponding lines and wrinkles. Fillers have greater longevity and dissipate from 6 months to two years after the treatment is performed. The dissipation tends to be gradual, not sudden.

So when I have patients calling the office, calling me or texting me, insisting that they MUST come in IMMEDIATELY for treatment, I almost want to ask, “Where’s the fire?” Sometimes the request is on such short notice that I cannot accommodate it, which sometimes upsets the patient greatly. The response from the patient goes something like, “But I need it NOW! You need to do this for me. I’m sure you can find time in your schedule to stay late or somehow accommodate me.”

Such treatments are NEVER an emergency, and your face isn’t going to fall if you don’t get shot up with neurotoxin or filler immediately. Trust me on this!

Invasix Body Fx Treatments…If You Are Lean, Beware!

BodyFxI have a problem area which is constantly being tortured in an effort to to correct the issue, namely, mild but stubborn cellulite on my hamstring area. In the past I have tried Exilis treatments, and I always make sure to do infrared body wraps before I compete to minimize the appearance of cellulite in this region. However, the results of both of these procedures are temporary, and consequently I am always on the hunt for something more effective.

Enter BodyFx by Invasix, which is a radio-frequency and vacuum device which allegedly targets fat cells while also tightening the dermis and causing collagen contracture. The promise of less fat along with tighter skin seemed too good to be true, but I was willing to try this technology 1) because I am a physician who specializes in aesthetic medicine, 2) I will be stepping onstage very soon, and 3) I HATE the dimpling on the backs of my thighs.

I was told that the treatment, which combines focused radio-frequency energy, deep tissue heating, and suction coupled negative pressure, would be uncomfortable, but MAN OH MAN! Between the intense someone-is-lighting-me-on-fire heat and the intermittent zapping sensation I experienced at the end of some of the pulses, I was in agony. I am a tough cookie with a high pain threshold too, which should tell you a lot. The procedure was so painful that I was yelling obscenities and grabbing onto the treatment table, getting a great chest workout as I wrestled it like it was an enormous squeeze ball. I know that my body fat is at around 14% right now, that I have very little storage fat on the backs of my legs, and that the leaner a patient is, the more painful the BodyFx treatment tends to be.

Here’s a YouTube video which describes the technology:

I find it amazing that the patient featured in this video only reported mild heat sensation, so I am guessing that she has significantly more body fat than I do. Truth be told, my procedure hurt like the dickens. I had to endure ten minutes on each thigh, with more distal and lateral aspects of my posterior thigh being the most intensely painful areas. It was no picnic!

BodyFx treatments must be performed weekly for an 8 week treatment period, which means that I must endure SEVEN more weekly sessions to see optimal results. A one treatment maintenance every 6 months is also part of the treatment protocol. Oh goodie. I am honestly dreading the pain I will be experiencing later this week when I go in for my second BodyFx treatment. But you know what? If it truly works, all the pain will be worth it.