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Developing A Bedtime Skincare Routine.

Your body’s muscles, organs, and brain need plenty of sound sleep to repair and replenish from the day’s activities. The skin, which is the body’s largest organ, is no different. While you sleep your body works to steadily repair the damages to cells that the elements have caused; be it the sun’s damaging UV rays or cold skin chapping wind. This article outlines a 5 step bedtime skincare routine that you can use to aid your body in the repairs, resulting in clear flawless skin.

No Makeup

Before heading to bed the first thing you will want to do is remove any and all makeup. Any makeup that is left on your face while sleeping can easily combine with the skins oils to quicklyclog pores, leading to acne. Use a quality; alcohol free makeup remover to ensure makeup is removed without drying the skin.

Once the makeup has been removed use a facial toner to help restore your skins natural PH level to keep it vibrant as well as resistant to harmful skin bacteria. Keep in mind that toners are not the same as cleansers and you will want to find one that is formulate for your skin type.


The next step in your bedtime skincare routine will be to use a quality facial cleanser to wash your face. Use the cleanser and warm water (which opens the pores) to remove dead skin cells, bacteria, and dirt that has built up over the day. Make sure you have rinsed off all of the cleanser residue, so a film isn’t left on the skin, and then pay dry with a towel.

Once skin has been patted dry, witch hazel or tea tree oil can be applied to areas prone to or affected by acne. Twice a week you should use a mild exfoliate to help slough off excess dead skin cells to help avoid build up resulting in block pores. You can buy an exfoliating product or you can use your normal facial cleanser paired with a washcloth to achieve the same results. Whichever you use make sure to exfoliate lightly as to not irritate the skin.

Treat Your Eyes

Before bed you will want to apply a cream specially formulated for the eye area. These creams are different from regular moisturizers due to the fact that there are no oil glands around the eye, so make sure to keep it limited to this area. Another natural remedy for treating bags under the eye is to apply cold sliced cucumber over the eye and leave on for at least 20 minutes.

Revive Your Lips

The wind, cold, and sun’s UV-rays can lead to dry, chapped, or burned lips. Before heading to bed after you have washed your face apply lip balm or Vaseline to your lips to help heal and restore their natural moisture.

Facial Moisturizer

The last step in your bedtime skincare routine is going to be to apply a facial moisturizer. Ideally this is applied while your face is still slightly damp from washing, as this will help lock in moisture that your skin can absorb. Make sure the your facial moisturizer does not contain any oils as this can actually increase your chances of developing acne due to clogging pores.

In Conclusion

In Conclusion it is good to note that before you decide it is bedtime, make sure to turn off all of your tech devices such as mobile phone, television, laptop, ipad, etc. up to an hour (if possible) before you retire. Instead, try reading a book; use of these tech devices can affect how quickly and soundly you sleep. Once steps 1 through 5 of the bedtime skincare routine have been completed close your eyes, rest your mind, and sleep your way to clear healthy skin.

Have I miss any steps? Please share any comments below. I’d love to hear about your routine and what works best for you!

Laser Scar Removal vs. Surgical

about-weight-loss-surgery-ga-1 What’s the difference between Laser Scar Removal vs. Surgical ? Laser scar treatment is a modern technique for improving all types of scars.  This also can be accomplished by time tested techniques such as dermabrasion as well. Whether your blemishes were caused by acne, a wound or a medical condition, laser treatments or dermabrasion can help reduce the appearance of the scar. Even if your scar has extended beyond where the initial injury occurred, the built up collagen that has caused this to happen can be removed with laser procedures. For more severe scars or those that are “against the grain” of facial lines see the last section below on z-plasty and w-plasty.

Of course, not everyone should get laser treatments for scar removal. If you have skin already struggling with the pressure of a condition such as psoriasis, it isn’t a good idea to use lasers to reduce scarring. In fact, scar removal on sensitive skin can just make things look and feel worse. There are also some medications that shouldn’t be mixed with laser scar removal.

The basics of how lasers remove scars is by removing layers of skin. Exposing fresh, healthy and ultimately unmarked skin below, you leave each treatment with your scar less and less visible. The laser also activates collagen cells in your skin, the very things that help your skin heal and stay firm. This means that getting laser treatments for scar removal can actually help your skin look, feel and actually be healthier and firmer.

The biggest risk you will be taking in getting laser scar removal is a change in color around the area treated. The sun often makes the color difference more obvious, too. In the case of infections post laser scar removal, antibiotics can keep you healthy and healing.

The most common type of scar removal these days is done with lasers or dermabrasion. This is a simple, low risk procedure that takes less than two hours to complete. Depending on the strength of the scar, more treatments may be needed.

For very severe scars, your doctor may recommend getting it surgically removed or re-arranged instead. Techniques such as z-plasty or W-plasty can improve the appearance of facial scars by re-orienting the scars into what are called resting skin tension lines. Your own wrinkles and facial muscles then help the re-aligned scars to heal better. This type of scar removal takes a lot longer to heal and is usually only done in severe cases. However, it is the more traditional method as laser scar removal is still a relatively new technology. What type of procedure is best for obliterating your blemish is a decision to be made with your cosmetic surgeon.

Which parts of your body should you exfoliate and why?

Woman Applying MakeupWhich parts of your body should you exfoliate and why? Exfoliating helps keep your skin clean, healthy and looking radiant. Removing dead skin cells and dry patches is one reason exfoliation remains one of the best beauty techniques that anyone can do on their own. Below we will discuss the value in exfoliating certain areas of the body regularly and how you can gain and preserve healthy, radiant looking skin. Mechanical exfoliation by using abrading scrubs is OK but if over-used can damage your skin as well. For a better, safer and more effective technique we suggest you use a Clarisonic device that is proven to cleanse better and even gets off makeup more efficiently. 

The skin on the face can benefit from being exfoliated routinely, as you can uncover the younger looking skin that lies beneath the top layer of the dried and damaged skin cells which need to be removed. Your arms and legs are also another area that can significantly benefit from exfoliation. In fact, the knees and elbows need to be paid special attention, as they dry out faster than other parts of the arms and legs.

Other areas of the body that you should be exfoliating include the feet, heels, ankles, thighs and the buttocks area. Our feet and heels are a much-neglected area which has a tendency to dry out and become scaly from walking and being in shoes all day. One of the areas of the body that can benefit significantly from exfoliation is the thighs and around the buttocks area. By exfoliating these areas you’re not only helping to keep the skin smooth and supple but you are also stimulate circulation which can help with cellulite issues.
With that in mind exfoliating your skin should be a gentle non aggressive process. Being over aggressive with your skin can cause it to become red, raw and even inflamed thwarting the positive properties that exfoliation can have on your skin.
By exfoliating regularly and following these basic rules your skin will be clean, healthy and radiant looking.

Erasing the Stigma of Plastic Surgery.

facial-treatment-300x285No disrespect meant to a superstar that has passed on, but Michael Jackson gave plastic surgery a bad name and a bad face to go with it. His money and mania took a handsome face and turned it into a Halloween mask. He had so many surgeries that real damage was done to his nose, eyes and lips, but he is not an example of the wonderful effects you can get from plastic surgery. In fact, plastic surgeons are acutely aware that rejuvenation of one’s body or face is accomplished by far less surgical intervention than you might imagine.

I tend to turn down 1 out of 8 patients who come to me for plastic surgery. It’s about understanding what will really help and if someone has realistic expectations. It is actually harder (and takes longer) to turn someone down than to schedule a surgery.

Plastic surgery fanatics like Michael Jackson are anomalies. Most people seek out surgery to repair distinct flaws like overly large noses, weak or receding chins, sagging upper eyelids that impair vision or skin that begins to puddle or wrinkle in the jowls or neck area. Surgical intervention is often needed to fix unsightly flaws and desired even if all you want to do is look better but not necessarily different or decades younger.

Facial rejuvenation can even be accomplished without invasive surgical procedures today, and looking good, healthy, refreshed and happy does not carry with it a single negative connotation. On the contrary, erasing frown lines, lifting eyelids, sculpting chins and reshaping noses can give you an appearance that honors and enhances your own natural good looks without anyone realizing exactly why you look so rested, youthful and attractive. Ethical plastic surgeons will only make subtle and/or necessary changes to your face or body. A plastic surgeon may reshape a large or wide nose to a size more suitable for your face, but should never replace it with an upturned, button nose.

A chin implant can add symmetry to your face but won’t give you a Jay Leno jaw; a brow lift will make you look rested and beautiful, not unnaturally bug-eyed. The miracle of today’s plastic surgery is that small alterations can make huge differences in how you look to yourself and others. You’ll look like you, only better! There’s no stigma in that!


Copyright 2013. As licensed to Pearlman Aesthetic Surgery. All rights reserved


Do I need fillers, facelift or facial implants?

04Have you ever wished you could enhance certain parts of your face without surgery?

The good news is that you have multiple options.  If you are not quite ready for a facelift or facial implants; a less invasive procedure might be a good start.

Facial Fillers
Fullness in the cheeks is a highly desired feature for women of all ages.  Through our body’s natural aging process, we lose volume from our upper cheeks. Injectable fillers such as Juvederm, Restylane, Perlane, Belotero, Radiesse, and Sculptra are effective in immediately restoring that volume, and are becoming increasingly popular due to their minimal downtime, and immediate results.  These procedures are performed as outpatient procedures, right here in our office, to fill out any area of the face that needs a little lift, or plumping up.

Not to be confused with facial fillers; Botox,  Dysport, and Xeomin are different types of FDA-approved botulinum toxins which are used to relax the muscles responsible for ‘active’ wrinkles.  An example of a common ‘active’ wrinkle is what is known as the ’11’ between your eyebrows.  We call this an ‘active’ line because it is caused by over-activity of the underlying muscles that you use to frown.  In contrast, facial fillers are effective in treating ‘static’ lines which are not due to activity of underlying musculature.  An example of ‘static’ lines are the naso-labial folds, which run from the outsides of your nostrils, to the corners of your mouth.

When you visit our office we can show you examples of amazing results of restoring youthfulness without the need for a facelift or implants.  The combination of toxins and fillers can shave years off of your appearance both quickly, and inexpensively.

The effects of facial fillers varies by the type of filler used.  Some have a duration of just a few months, while other ‘long lasting’ fillers may last up to two years.  Some of these fillers have even been reported to stimulate new collagen growth; such as Radiesse and Sculptra.  This stimulation of collagen rebuilds the face’s natural support structure, and creates longer lasting effects. The wonderful thing about these products that carry what we call a ‘bio-stimulatory effect’ is that they recruit the help of your body’s own natural materials to rejuvenate your face.

Facial fillers are not meant to correct sagging skin along the neck, brow or jaw line. These cosmetic issues may require surgical procedures (although only a visit to see us can help you be sure).

Facial Implants
If you are seeking a more long lasting solution to your facial features, facial implants are a popular option.  In contrast to the injectables that we discussed earlier, which plump up the soft tissues of the face; facial implants go right to the source and give support to what you already have. Facial Plastic Surgeons insert these facial implants at the bone level to enhance your natural bone tissue, supporting the soft tissue above. Because of this, the results of facial implants are much more predictable.

One common method for inserting these implants used by Facial Plastic Surgeons is to make small incisions in discreet areas of the mouth, so the implants can slide into place. Although the procedure is long lasting, it is reversible if results are not optimal for you.

When you make the decision between injectable facial fillers and facial implants, it is important to consider the long-term effects of your choice. If you want a long lasting change, facial implants are probably your best choice. However, you may just want a temporary, or more subtle fix.  In this case, the use of facial fillers; with or without botilunum toxins, can produce amazing results.

If you’re considering a cheek or other facial enhancement, please take a look at our WOW Cheeks procedure in this video and call us for a consultation: (212) 380-1541

How drinking alcohol may cause puffy eyes

Puffy eyes happens to just about everyone. There are many causes for puffy eyes and drinking too much the night before is one of them. Drinking alcohol dehydrates our skin and over the years, heavy drinking will cause damage to the skin as well as some internal organs.

Alcohol might make us sleepy, but our sleep is often troubled after a night of drinking which will be visible on your face the next day. Sleep is disturbed while our bodies work to metabolize the alcohol, making it hard to get to that point of deep sleep which results in a refreshed look the next morning.
That’s not to say drinking has to be completely off the table, however, the consumption of alcohol night after night, will eventually take its toll. Both men and women who drink regularly have tougher, blotchier facial skin and develop more wrinkles. The dehydration that alcohol causes is hard on the skin will be visible no matter what skin care regime is chosen.

One way to cut down on the puffiness that can occur after a night of drinking is to alternate alcoholic drinks with glasses of water. Not only will this reduce puffy eyes the next day, it will also cut down on the feeling of being hung over. A gentle facial moisturizer should also be applied to the skin beneath the eyes to assist in rehydration.

Copyright 2012. As licensed to Pearlman Aesthetic Surgery. All rights reserved

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