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Dr. Ellenbogen's Plastic Surgery Blog
Hipster Ashlee Simpson restructured her nose. Here, she looks fabulous as a vibrant blonde.
Given the quantity of unnatural chemicals — pesticides, hormones, preservatives, etc — swirling around our environment, it’s little wonder that 50-odd per cent of the population suffers from sensitive skin.
My problems began in my early 30s, when I began suffering from unexplained urticaria, or nettle rash. Each day, about mid-afternoon, the skin on my arms, neck and stomach would become uncontrollably itchy.
Neither the doctor nor the eminent dermatologist I was referred to could offer an explanation, merely a solution: to take daily antihistamines. This I did, until I became pregnant with my first child.
Sarah began suffering from unexplained urticaria, or nettle rash. Neither the doctor nor the dermatologist could offer an explanation
The urticaria came back temporarily, but then, halfway through my pregnancy, it disappeared. I’ve never had it since. Having children cured my urticaria. How peculiar is that?
Both of the kids had eczema as babies, and my son’s got so bad, it became infected. It was incredibly distressing. I tried every remedy under the sun, including cutting foods such as onions and garlic out of my diet (I thought it might be something in the breast milk), and homeopathy.
In the end, I went to see a wise professor, who told me to cover my son in a very thin layer of steroid cream, followed by 50/50 cream, then wrap him in soft bandages for 48 hours. This I duly did — despite misgivings about the hydrocortisone, which I had always been led to believe was evil . . . and it worked.
FIVE SKIN SAVIOURS
- Pai Skincare
Anything from this brand is well-suited to delicate skin, but one standout item is the rose-hip oil (right, £20), which is wonderful for mature skin.paiskincare.com
- Clarins Beauty Repair Concentrate
Calms down all sorts. £41, clarins.co.uk
Dermatologist-recommended cult cleanser.
All-round wonderful; the bath range is especially good. avene.co.uk
- Bioderma Sensibio H20
This lovely fragrance-free micellar water is odourless, colourless, cleanses without clogging and leaves no residue.
The professor was not surprised. It worked, he said, because eczema is simply an auto-immune response that’s got out of control. It’s like a fire, he said. Put it out properly, and it doesn’t relight. But only half-extinguish it, and it keeps catching.
The hydrocortisone turns off the auto-immune response; the barrier cream stops whatever is causing the reaction from restarting it; and the bandages keep everything in place, giving the immune system a chance to reset itself.
Aside from a few small patches, my son hasn’t suffered since.
The professor also said something else interesting: often, so-called natural lotions and potions can be worse (in terms of causing an adverse reaction) than petroleum-based ones like 50/50 cream, costing almost nothing from any chemist.
This is because they often contain essential flower and plant oils, which can be very potent.
Indeed, the only products I’ve ever had a really shocking reaction to have always been so-called natural ones which claim to be all saintly and chemical-free.
It starts with a slight itching and bumpiness under the skin. My face starts to feel hot. Over a period of hours, the redness spreads and my eyes start to swell.
Note it takes some time to get to this stage: most allergic reactions to skincare are not immediate, but get progressively worse over a period of time. Normally, I can halt it in its tracks with Piriton. But, sometimes, it is out of control.
When this happens, I have found the best thing to do is wash your face thoroughly in cold water, no soap, pat dry with a clean, cotton towel or muslin cloth and then apply a very thin layer of barrier cream: good old 50/50.
If this doesn’t work, I proceed to the professor’s nuclear option: a single, wafer-thin application of 0.5 per cent hydrocortisone cream, available over the counter.
This is very naughty because, as we all know, hydrocortisone thins the skin. But provided you only do it in once in a blue moon, as a last resort, I would argue it’s preferable to the alternative.
That said, I’m lucky I don’t have really sensitive skin. One person who does, though, is Judy Johnson, who writes a blog, Sense and Sensibility, in which she talks about all things itchy and scratchy. Judy is the palest of English roses, with the kind of skin that could get irritated by a breath of wind — so she writes from experience.
Here are her top tips for sensitive skin: Always go fragrance-free, and spray perfume on your clothes, rather than your skin.
Learn to read labels and know your ingredients — ‘hypoallergenic’ is a meaningless word.
Natural products tend to have fewer ingredients, therefore cause less aggravation. Remember brands are loose with the term ‘natural’.
Patch-test EVERYTHING on the inner arm/neck for three consecutive days. And, finally, keep a stash of calamine cream, hydrocortisone cream and antihistamines with you for emergencies.
How to be a Halloween vamp
One night a year, on Halloween, looking like an aged hag actually comes in quite handy.
All I need to do is pop on a pointy hat and hold off on the under-eye concealer to have the local trick-or-treaters running screaming from my front door.
My daughter, on the other hand . . . that’s quite a challenge. This year, being all grown-up and at secondary school, she wants to be a ‘teen vampire’.
Vamp up your look with dark cosmetics
This, apparently, is distinct from a ‘babyish vampire’, which is to say one in a Tesco cape.
Her vampire is of the Twilight variety: ripped jeans, a motheaten black mohair jumper she found in the back of some cupboard (a remnant from my student days, I suspect), Converse trainers (apparently, all teenage vampires wear these) a sullen expression and a cadaverous complexion.
The latter, I have discovered, is extremely hard to achieve when you’re 11, bursting with health and with no discernable cheekbones.
In the end, though, we got there. Best of all, I did it with products that I can happily keep and wear myself — and would heartily recommend to adult readers looking for some Halloween party tips.
Firstly, Mac Pressed Pigment in Regal Affair (£17, maccosmetics.co.uk), a translucent, ghostly white, applied liberally all over with a small blusher brush, with strategic shading using Prim and Proper, the same translucent texture, but in a soft, shimmery coal black.
Then, Kiko’s Color Fever Eyeshadow Palette in Grey Night Blue (£13.90, kikocosmetics.co.uk), a suitably tenebrous quad of dark teal, grey, a chalky white and a sort of shimmery sludge on and around the eyes.
I didn’t want my vampire to look tarty, so no red lips. I went for ethereal blue, which made her look very coffin-fresh indeed.
This was easily achieved by mixing a blob of my faithful Lanolips 101 ointment (£11.22, boots.com) with the dark teal of the quad and a little of the gorgeous Laura Mercier Eye Shimmer (£24, selfridges.com) in Crushed Onyx — for now, exclusive to Selfridges.
And voila: one non-tarty, but relatively scary-looking, pre- teen vampire.
#1 Kim Kardashian
When it comes to plastic surgery, Kim K. seems to know what to do. Her face reconstruction and breast work look very natural.
#2 Kris Jenner
Marketing maven Kris Jenner knows how to sell a smile. She's had a natural-looking facelift that complements her star power.
#3 Scarlett Johansson
ScarJo is the noticeable bombshell of the big screen. She is reported to have had her nose refined.
She unveiled her post-surgery body in September, having gotten a boob job and tummy tuck earlier this year, to counteract the effects of birthing six children.
And Kim Zolciak flaunted her surgically enhanced cleavage as she jet into Los Angeles on Wednesday with husband Kroy Biermann and their three-year-old son, KJ.
The 36-year-old reality star sported a plunging button-up blouse paired with tight black trousers and leather pointed-toe stiletto boots.
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Busty: Kim Zolciak flaunted her surgically enhanced cleavage as she jet into Los Angeles on Wednesday with husband Kroy Biermann and their three-year-old son, KJ
The Real Housewivse Of Atlanta star concealed her eyes behind dark aviator shades and carried a large black Chanel purse.
She coordinated with her Atlanta Falcons linebacker beau, who also donned head-to-toe black.
Kim gave birth to twins in November 2013 and months later, decided to seek a plastic surgeon's help in restoring her figure to its former glory.
A September episode of Kim’s reality series Don't Be Tardy saw her get a consultation from plastic surgeon Lenny Hochstein of Real Housewives Of Miami fame.
Eye-popping: The 36-year-old reality star sported a plunging button-up blouse paired with tight black trousers and leather pointed-toe stiletto boots
Stunna shades: The Real Housewivse Of Atlanta star concealed her eyes behind dark aviator shades and carried a large black Chanel purse
During the consultation, the blonde bombshell explained that she wanted some specific alterations for her second boob job.
She wanted to keep her breast size at Double D, but was looking to get them 'perkier' with a 'tear drop shape.'
Kim then complained about the extra skin around her breasts, which Lenny explained were the result of her body having suffered the toll of multiple pregnancies and childbirth.
Matchy matchy: She coordinated with her Atlanta Falcons linebacker beau, who also donned head-to-toe black
She also had her stomach repaired in part out of medical necessity, as Lenny was going to fix the hernia she got during her last pregnancy, but also planned to tighten the skin.
The Miami plastic surgeon assured Kim he would make the scar low enough that she could still wear the tiniest bikini bottoms post-surgery.
Earlier this month, Kim took to Facebook to hit back at those who have criticised her for going under the knife.
Going under the knife: She unveiled her post-surgery body in September, having gotten a boob job and tummy tuck earlier this year, to counteract the effects of birthing six children
She shared before and after images, bearing her taut midriff in a rolled up black tank top and matching yoga pants.
The mother-of-six defended her actions as partially due to medical necessity and insisted that she wasn’t taking the easy way out in her aggressive statement.
She wrote: ‘Just so you guys are aware of how fabulous I was before my tummy tuck!
Jet-setting: Kim Instagrammed this photo on Wednesday, writing, 'LA here we come!!! Kj is soooo excited he loves airplanes!!!'
Orange you jealous! Kim unveiled her post-surgery body in an Instagram snap posted in September
‘This picture on the left was taken a few months after I had the twins and before surgery! A plastic surgeon is NOT the cure all!
‘I had a hernia I needed repaired as well as my muscles so don't get it twisted for you lazy asses that sit on the couch And think I look this good from a surgeon you are now set straight! enjoy!!
‘Take a look at the placement of my Belly button before and after! I gotta give it to @drhochstein he gave me a cute belly button.’
Before and after: The mother-of-six shared photos from before and after her tummy tuck earlier this month
Brotherly love: On Tuesday, Kim shared an image of her three-year-old son KJ with her 11-month-old son Kane
Undoubtedly a striking Hollywood beauty, Megan has had face reconstruction work... and it WORKS! The blue-eyed beauty keeps getting better and better.
Are you vulnerable to acne? While many people used to believe (doctors included) that food didn’t affect acne, that idea is now a medical myth. The reality is that every part of your body is impacted by the foods you eat. After all, the Oxford Dictionary definition of vitamin is “any of a group of organic compounds which are essential for normal growth and nutrition and are required in small quantities in the diet because they cannot be synthesized by the body.” And where do we get vitamins? From the food we eat. So it should be no surprise that the foods you eat can either improve or impair your skin’s health. Some foods can trigger an acne outbreak even in adults. Below are some of the worst foods that trigger acne:
Research shows that insulin levels may play a role in triggering acne. Insulin is secreted in response to consuming sugar or sugary foods. The study followed 43 teenage boys and young men with acne for three months. Some of the boys/men ate a low glycemic diet (a diet that has a minimal impact on blood sugar levels) while others ate a diet high in carbs. The researchers found that those who at the low glycemic diet had more improvements in their acne.
To help keep insulin levels stable it is important to eat a diet high in fiber and low in sugar (even natural sugars). It is also important to ensure there is protein at each meal (plant-based protein like nuts, seeds, organic tofu, and beans is best) and to eat every two to three hours.
Other research in the Journal of the American Academy of Dermatology found a correlation between consumption of milk and dairy products (cheese, cream, ice cream, breakfast drinks, cottage cheese, etc.) and acne breakouts. The scientists examined the diets of 47,355 women and found a link between dairy consumption and acne. Another study, of 4,273 teenaged boys found an association between milk consumption and acne flare-ups.
If you’re worried that the above list makes up the bulk of your diet, it’s not usually necessary to avoid all of these foods but to eat them in moderation or to minimize them if you’re particularly vulnerable to acne outbreaks. Also you may notice that fruits, vegetables, nuts, and seeds are not on the list and can be enjoyed freely.
While they are not foods, two other common triggers for acne include some medications (particularly hormones) and tobacco from smoking or second-hand exposures. Ask your doctor or pharmacist if you suspect your medication is aggravating your acne.
Discover the most toxic ingredients in your cosmetics or skin care products in my article The “Dirty Dozen” Toxic Ingredients in Your Skincare Products.
Check out my new books Weekend Wonder Detox, 60 Seconds to Slim, andThe Probiotic Promise.Subscribe to my free e-magazine World’s Healthiest News to receive monthly health news, tips, recipes and more. Follow my blog on my sites HealthySurvivalist.com and DrMichelleCook.com, and Twitter @mschoffrocook and Facebook. Copyright Michelle Schoffro Cook, PhD. Take theFREE WEEKEND WONDER DETOX QUIZ to determine which detox is best for you.
Say what you want about her, but teen-to-diva star Britney Spears manages to keep the heads turning. Her nose job is flawless.
The skin absorbs everything that we put on it. This is why it is simply fitting to use toxic-free natural or organic products. However, most consumers do not know what to look for in the products they purchase, getting easily excited with the "natural" label plastered on the packaging.
Thankfully, Living Pretty Naturally has provided a list of things to look for in these products.
Parabens, PEGs, and Other Dangerous Ingredients
Parabens are synthetic preservative that are in almost all conventional skin care and cosmetic products. Various studies have linked parabens to cancer and other hormone disrupting properties. Sadly, even products claiming to be "natural" or "plant based" contain parabens. It is important to check the list of ingredients when buying your products.
Other harmful ingredients include PEGs, which is also linked to cancer and can increase skin aging. PEGs hinder the skin from naturally producing the moisture it needs.
What other dangerous ingredients should you avoid? Here are the following: Isopropyl (SD-40); DEA (diethanolamine), MEA (Monoethanolamine), and TEA (triethanolamine); Pthalates; Formaldehyde/DMDM Hydanation and Urea (Imidazolidinyl); Triclosan; Lead; Mineral Oil; and Synthetic Fragrances.
"Natural" and "Organic"
A plethora of beauty products are masking as "natural" ones, so read the label carefully. Just because a few natural ingredients are included does not guarantee that the product itself is fully natural and non-toxic. In fact, some of these "natural" or "organic" ingredients may simply be synthetic ingredients derived from natural ones. For instance, a shampoo labeled as "natural, with aloe vera extract" does not mean that it is all goodies and no toxins. A sure way to detect if it is indeed what it claims is to read the ingredients list and be wary of the chemicals. Anything that you cannot pronounce easily garners one point as being possibly toxic (see above list of ingredients to avoid).
A Little Bunny
This bunny logo indicates that the product is cruelty free. Cruelty free means that the product was not tested on animals, which shows a lot about the ethical standards of the brand and the company. An ethical brand is often an authentic one.
Jennifer has always possessed natural beauty. Her nose job enhances her good looks.
Beauty care has always been a hot topic especially among females but in the last couple of decades males are becoming increasingly interested in new ways to improve their own appearance. There are today many healthcare and beauty therapists and other such specialists who are continually providing people with advice on how to improve their appearance. Beauty and skincare has become a very specialized industry and tremendous advances have been made during the last couple of decades. Especially the damage which can be caused by too much suntan is something which is now been well proved by specialists. In extreme cases such damage are very difficult to repair even by the most skilled plastic surgeons.
Invest in an excellent sunscreen
There are today technological advanced sunscreens which are very effective at blocking harmful UV rays and which are doing an excellent job in protecting human skin. Many times the damage caused by too much exposure the sun are not immediately apparent but such damage accumulates over the years and it can often result in skin that is aging prematurely. This is my cause wrinkles at a relatively young age and this is definitely something which most young ladies would want to avoid at all costs. There are so many things that people have to be aware of in order to avoid unnecessary damage to their skin and generally the usage of an excellent skin cream can do wonders in reducing premature wrinkles.
Too much exposure to the sun and resulting cancer is also a concern
I have personally known a farmer who was exposed to the sun so much because of his farming activities that he eventually developed a very serious degree of skin cancer which was starting to penetrate into the tissues of his arms and according to the diagnosis of his physician it was so serious that it was actually threatening his life. We all enjoy a holiday on the beach where we can tan a lot and get lots of sun exposure but the consequences can be horrific and could cause serious side effects. Too much exposure to UV rays can cause freckles especially in the facial areas but that may even affect other areas of the body. This is totally unnecessary because there are many excellent products available on the market today which are able to prevent this kind of sun damage.
Another well-known site effect of sunburn is a loss of collagen
When the skin are low in levels of collagen this can lead to early development of wrinkles and other skin problems which most ladies would prefer to avoid for as long as possible. Once again there are excellent products on the market which are available in order to slow the process of collagen loss as well as a whole range of other skin ailments which may plague the average lady. So many people are getting into all kinds of unnecessary problems because of a lack of knowledge regarding proper skincare and which signs to look out for. There is so much information available online that no one has an excuse, all that is required is a little discipline and persistence and every one could become a skincare expert. Pleasing care and advice on all your beauty requirements are only a mouse click away.