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Treatments + Procedures
The Modern Patient’s Dilemma In an era when rejuvenation options abound, many of my patients — accomplished professionals, politicians and company leaders — often ask: “Should I have fat transfer or fillers?” It’s a thoughtful question, and the answer depends not only on anatomy and aging patterns, but also on your lifestyle and goals. Fat and fillers differ in “behavior” — fat cells are living entities, they integrate into tissues and remain where placed, whereas fillers are liquid, prone to migration and dissolve over time. Also, since fat transfer requires surgery, whereas fillers can be done in- office, downtime for recovery is another factor to consider. Both techniques have their place; the art lies in knowing when and how to use each. Understanding Facial Aging: Volume Loss and Structural Change A youthful face reflects balance — smooth transitions between eyelids and cheeks, gentle convexities along the temples, and firm jawlines. Over time, three processes lead to visible aging signs: Descent: all tissue layers — skin, muscle, fascia and fatty tissues — begin to sag Atrophy: tissue layers, especially fat, throughout the face lose volume — evident as hollows in the forehead, temples and eye sockets, and thinning of the lips… Read More »
Jaw contouring surgery can dramatically improve facial balance and harmony. In Washington, D.C., jaw reshaping surgery is offered by renowned, board-certified plastic surgeon Dr. Ariel N. Rad. Surgical Jaw Contouring Options Dr. Rad can provide transformative facial enhancement with jawline contouring surgery. Depending on the patient’s needs, he can reshape the jawline by augmenting or reducing the size of the chin and/or contouring the neck. Chin Augmentation If the chin appears “weak” or too small for the face, Dr. Rad can place a chin implant to permanently augment this key facial feature. Another option is sliding genioplasty, which is primarily performed for male patients and involves moving the chin bone forward to increase projection. Chin Reduction If the chin’s protrusion and/or general size and shape cause it to overpower the facial appearance, a chin reduction may be recommended. To reduce the size and projection of the chin, Dr. Rad can strategically remove bone from the chin and jaw. Neck Contouring Chin augmentation and chin reduction procedures can be combined with a neck lift to further define the chin and jawline. A neck lift can include the surgical excision of loose, excess skin, tissue repositioning, and muscle repair to provide tightening… Read More »
During an interview for a feature in Allure Magazine, The primary aim of beautification surgery is to enhance attractiveness while maintaining a natural look. In planning surgery, my beautification approach often has effects that can positively impact the arc of aging (see Q9 re: the “trajectory of aging”). However, while age is a factor, anatomy is the primary driver. 1. How do you define it? A “beautification facelift” (or “optimization facelift” as a gender-neutral term) enhances a face’s attractiveness towards an “aesthetic ideal,” whereas a rejuvenating facelift restores a face to a prior appearance that has shifted with the passage of time. While a youthful look can be a result of both, my approach to face optimization surgery targets the 4 psychological “beauty cues” to which humans are wired to respond: neoteny, symmetry, sexual dimorphism (features that conjure masculinity or femininity), and supra-averageness (think overall facial harmony). An “optimized” face looks natural yet induces the observer to resonate with beauty cues more intensely than the prior appearance — a subconscious effect. Surgical modification of anatomy to strike the right balance of these cues, and not overdoing one or the other, is the art, while patient goals and anatomy are the drivers, not simply age.… Read More »
Q1: Facelifts were once seen as something for patients in their 60s or 70s. What’s changed?
5 questions
A diagnosis of breast cancer inspired Valerie Grandury to create her preservative-free skincare brand Odacité. How did your diagnosis of breast cancer inspire you to found Odacité? Ten years ago I was diagnosed with breast cancer and told that my chances of survival at 5 years were very low. Once I passed the panic, I realized that cancer was an opportunity for me to change everything, to dare like I never did before. I quit my job in the film business, went back to school to become a health and wellness coach, adopted a raw vegan diet, started yoga and mediation daily and became passionate about removing toxins from my life. The good news is, against all the odds, I’m still here 10 year later and cancer-free. It is through this healing journey that I realized the potential toxicity of personal care products. Finding natural skincare was super difficult for me. We French take skincare very seriously; it is all about research, luxury, perfect penetration and results. I wanted my French skincare without an ounce of toxins; not finding it, I decided to create it. What were the challenges you faced in creating the preservative-free Fresh Collection products? “When you… Read More »
James Read is one of the most sought-after spray tan artists internationally, and his self tan products became sensations in the U.K. due to their pairing of natural-looking color with active skincare ingredients. Dr. Sherber has followed his career and brought his first Sleep Mask Tan products into the boutique straightaway when they launched in the U.S.. Now James shares his inspirations, and secrets to the perfect self tan, exclusively with us. 5 QUESTIONS: JAMES READ What inspired you to start the James Read Tan brand? I have worked in the self tan industry for fifteen years working with lots of self tan brands, gaining knowledge and experience. Eight years ago I watched the film “The September Issue” and that inspired me to go for my dreams. It was then I decided I would do all I can to create my own brand. To me it was about being different, unique. That’s when I decided to create the first ever self tan that was combined with skincare. I wanted a product that did everything. How did you develop “Sleep Mask Tan: Face,” a product that has earned you awards worldwide? I remember using a hydrating mask overnight on my skin… Read More »
Photo Credit: Lisa Teh, Editor and Chief of Couturing How would you describe the Swedish sensibility when it comes to beauty? I would say less is more when it comes to the amount of products you use in your daily skincare routine. What white space were you looking to fill by founding Verso? Effective and performance-driven products in a classic Scandinavian design. We´ve focused on a sufficient range of products based on clinically proven ingredients and leaving out ineffective fluff to make advanced beauty science accessible for everyone. Verso does not only bring formulas and derivatives from labs to shelves, but also present them in an appealing self-explanatory costume. Verso offers must-have products for yourself and your shelf. How did you decide to make retinyl retinoate – Retinol8 – the core of your range? I have worked with various Vitamin A derivatives previously and know how great Vitamin A is. With Retinol 8 we are able to provide the efficacy without concerns of adverse effects. In what way do you see Verso as different from other skincare brands? I strongly believe that everybody should use at least one Vitamin A product every day in their skincare routine, to improve the… Read More »
5 Favorites
PHOTO CREDIT: ST-BARTH ISLE DE FRANCE board certified dermatologist Dr. Noëlle Sherber gives an exclusive look at the ultimate in-sun essentials to protect and perfect your skin Before we say our final bon voyage to summer, a few final poolside moments may be on the agenda before fall. Whether it’s lounging overlooking the Caribbean or relaxing behind the privet hedges in the Hamptons that beckons, Dr. Noëlle Sherber has you covered (truly, from head to toe) with her coveted sunscreen and après-sun selections to protect and nourish the skin…. and who doesn’t love when your beach bag can double as a portable spa stocked with some of the best products in anti-aging. Soleil Toujours with Dr. Noëlle Sherber Perpetual Radiance Tinted Fluid SPF20 “This natural-meets-high-tech formulation took me more than 2 years to develop because we worked with 3 different labs until it was just right. I often recommend facial sunscreens with a hint of tint because, not only do they perfect the complexion, but you can see if you miss an area, which is key to preventing sunburn. I had a personal interest in creating a 100% mineral sunscreen because I have sensitive skin but was committed to creating… Read More »
PHOTO CREDIT: VOGUE ITALIA / STEVEN MEISEL The holidays are a very popular time for cosmetic procedures, whether a skin brightening laser treatment to get party-ready or surgery to take advantage of time off to recover – here are dermatologist Dr. Noëlle Sherber’s recommendations to soothe healing skin. La Mer The Concentrate The Concentrate has become a top selling La Mer product in South Korea, the country leading the world with the most plastic surgeries per capita. It is enriched with seawater minerals, and since blood and seawater have very similar mineral composition this may account for La Mer’s renowned healing properties. This is a silky serum enriched with high quality silicones which I find calms redness post-laser and helps scars fade post-surgery. The rich texture wears beautifully like a primer under makeup and is suitable for delicate skin on the eyelids as well as the face. La Mer The Concentrate $ 220.00 Biocorneum+ bioCorneum+ $ 50.00 Topical silicones are proven through numerous studies to improve scar healing, resulting in flatter, softer, and smoother scars. Biocorneum+ is an FDA-cleared liquid that dries to form a thin clear sheet of flexible silicone over a healing scar to keep the area hydrated… Read More »
5 FAVORITES: WINTER SKINCARE In winter, skin becomes more prone to dryness and irritation due to cold temperatures and low humidity. Here are some tips to keep skin looking its best when there’s a chill in the air… or even major wind chill. La Mer Revitalizing Hydrating Serum Cold air is also dry air, and so hydration (meaning adding water to the skin) is key to winter skincare. One of the ways to help hydrating products work best in the winter is to place a humidifier near your bed so that they can bind water to the skin overnight. Similarly, seal off your bathroom door while showering or bathing and apply your skincare in the steamy air to harness the humidity. This serum uses new technology to deliver small beads of hydration into the skin effectively with a light texture that layers well with other products, and soothes dry skin with La Mer’s proprietary complex of seawater minerals. La Mer The Revitalizing Hydrating Serum$ 265.00 Natura Bissé Diamond Extreme Oil Natura Bissé Diamond Extreme Oil$ 175.00 One of the best ways to transition your skincare into the winter if you don’t want to revamp your products entirely with the change… Read More »
5 FAVORITES: IN-FLIGHT ESSENTIALS Dry airplane air and traveling between climates can be a recipe for skin that’s out of sorts. Here are some travel skincare tips I share with patients, as well as product picks to keep with you in your carry-on. These essentials include gentle but effective hand sanitizer and blemish spot treatments, as well as solid cleansers and moisturizers which not only won’t spill in transit and make a mess of your luggage but also won’t count towards the infamous TSA “ziplock” baggie of liquids. Eve Lom Cleanser This cleanser, described by Anna Wintour, Editor in Chief of Vogue, as “probably the best cleanser in the world,” is remarkably effective. The proprietary blend of oils (Egyptian chamomile, eucalyptus, clove, and hops) cleanses deeply because oil dissolves best in oil: this melts away even waterproof sunscreens, which is great for active vacations. The formulation emulsifies and turns milky when removed with the accompanying muslin cloth and warm water, leaving skin feeling soft and perfectly clean. One of the common post-travel skin concerns I see among patients is skin irritation from hotel towels, so I suggest traveling with these muslin cloths or your own washcloths if you have sensitive… Read More »
Acne is the most common skin concern: here are skincare tips from a dermatologist to help you achieve beautiful skin 5 FAVORITES: ACNE-PRONE SKIN Acne is the most common skin concern, but clear skin is achievable for everyone. Here are some tips on how to choose active ingredients in your skincare regimen that will gently, but effectively, help by addressing several root causes of breakouts. EVE LOM Morning Time Cleanser Thorough cleansing is fundamental to both treating and preventing breakouts. Harsh cleansers are not the best choice because dehydrating the skin’s surface with aggressive detergents can trigger more oil production to compensate. Oil-based cleansers are often an excellent choice because oil dissolves readily in oil (think about how oil and water separate out in salad dressing). This means that the oil down deep in the pores will dissolve readily in a balm cleanser. This version from the U.K. is enriched with fruit enzymes to soften dead skin cells plugging pores, which is the first step to achieving a clear complexion since one of the essential elements of acne formation is dead cell accumulation in the pores. Natura Bissé Stabilizing Cleansing Mask Natura Bissé Stabilizing Cleansing Mask $ 72.00 Beta hydroxy… Read More »
SK-II Overnight Miracle Mask Asian beauty regimens have become renowned for their focus on a perfected translucent complexion that has given rise to the term “glass skin.” The first step is to prepare the skin the night before with a sleep mask, which is a gel hydrator that supersaturates the skin when applied overnight. Dermatologist Dr. Noëlle Sherber says, “SK-II’s sleep mask is made in Japan to the highest standards, and the first ingredient is their proprietary Pitera extract from sake fermentation that brightens uneven pigmentation and soothes the skin by infusing it with vitamins and minerals. It gives immediate the immediate benefits of smoother skin and long term results of a more even skin tone.” La Mer The Treatment Lotion $ 185.00 La Mer The Treatment Lotion The Korean “7 skin method” is a technique of applying up to 7 thin layers of a hydrating watery lotion or essence, known as a skin, after cleansing and before serum and moisturizer for maximal hydration. This technique works beautifully with the glycerin-rich Treatment Lotion that is infused with Dr. Max Huber’s legendarily healing Miracle Broth. Makeup Artist Enrique Valentino uses this technique to create a complexion with light reflective bounce: “after… Read More »
One+One
One of our top requests as the temperature rises is a recommendation for a great moisturizer and sunscreen pairing that will keep skin protected when you’re out and about while not leaving it slick. This duo delivers with an antioxidant-enriched gel that cools on contact and a vanishingly light sunscreen that boasts astonishingly high U.V. defense. La Mer’s newest texture of moisturizer truly leaves skin feeling refreshed since its gel formula is designed to calm and cool the moment it touches the skin. On application, there is a distinctively chilly sensation that isn’t triggered by menthol, a common irritatant in cooling products, but rather from a proprietary sea kelp. Dermatologist Dr. Noëlle Sherber notes, “many of my patients and our boutique clients say that their skin gets more prone to flushing and redness in the heat, and that they have trouble layering sunscreen over skincare without everything sliding around: this water-rich hydrating formula is packed with antioxidants and marine extracts that defend against environmental damage and creates a great base for sunscreen, making it very popular with both men and women.” La Mer The Moisturizing Cool Gel Cream$ 200.00 Troiareuke Acsen U.V. Protector Essence SPF50 PA+++$ 60.00 This sunscreen has… Read More »
Even, luminous skin is one of the most frequent requests on beauty wish lists. While lots of skincare claims to brighten, few active ingredients are sufficiently targeted to make a meaningful impact on the effect of years of sun exposure or to counteract the genetic tendency towards hyperpigmentation. Dr. Noëlle Sherber found these two products to be an ideal pairing since they’re a delight to apply and deliver visible results when combined… we think you’ll love these bright stars, too. This serum is a true French beauty secret, and is Caudalie’s most popular product internationally for good reason. Powerful antioxidant viniferine, sourced from grapevines, minimizes DNA damage from UV exposure. The milky alcohol-free and oil-free formulation never stings even the most sensitized skin. The silky serum is fast-absorbing and deeply active in the skin rather than many antioxidants that only act on the skin’s surface. Caudalie’s clinical study demonstrated an 83% decrease in pigmentation of dark spots in the 60 subjects they studied who applied this product over 3 months. Dr. Sherber recommended this product in Vogue (“After Burn,” April 2013) when discussing how to repair skin damage after sunburn: “To help prevent future wrinkles and dark spots, Sherber suggests… Read More »
