RESEARCH SHOWS THAT BEAUTY SLEEP IS A REAL THING! PLASTIC SURGEON EXPLAINS HOW TO MAXIMIZE YOUR ZZZ’s

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When it comes to your beauty routine, very few things are free, but sleep costs nothing and may be the closest thing to a fountain of youth. Dr. Manish Shah is a Board-Certified Denver, Colorado plastic surgeon.  A 2017 study found that two days of sleep restriction negatively affected participant’s perceived attractiveness, health, sleepiness, and trustworthiness. Dr. Shah explains that, “Your body repairs itself and recovers while you sleep, and that results in a long list of benefits for anti-aging and appearance.”  Most experts agree that 7-9 hours a night is ideal. It’s time to maximize your shut eye for anti-aging.

Here are Dr. Manish Shah’s Tips for Beauty Sleep

Sleep on Your Back

“Sleeping on your stomach or on of your sides means there is constant pressure on your face. Over time, this action will produce unwanted sleep lines. You can remedy this by sleeping on your back,” says Dr. Shah. This way you will not apply any pressure to your face. For many people though, this might be uncomfortable, and you can’t control your involuntary sleep movement leading you to a side or stomach position. You can practice and can get used to it over time.

Use an overnight product and put a glass of water on your bedside table

Washing your face can dry it out and sleeping can also dehydrate skin, especially if you snooze in a low-humidity environment. While staying hydrated by drinking water can help to some extent, what your skin really needs at night is a topical moisturizer. For a more supercharged product, try an overnight sleeping mask such as https://brazilianskin.com/collections/all-product/products/acai-triple-stem-cell-complex-mask This is an Acai Triple Stem Cell Complex for $59.99.  Potent Açai Triple Stem Cell Complex Mask is an overnight mask application crafted with an innovative, breathable, and nourishing film ingredient that functions as a transdermal penetration medium to facilitate the complete absorption of the “Grams Triple Stem Cell Complex.”

Pillowcases Make A Difference

Dr. Shah explains that, “While facial creasing has a lot to do with sleep positioning, a change in pillowcase might be the answer. There are numerous benefits of silk for good sleep. Silk pillowcases are a great way to wake up creaseless in the morning. The smooth texture of silk is gentler than cotton and may help prevent sleep wrinkles, as well as reduce skin irritation. Its tightly woven fibers also don’t draw out moisture and natural oils as cotton does, leaving your skin better hydrated.”

Stay away from salty foods and alcohol around bedtime.

If you’re craving a midnight snack or drink, be mindful. While some foods, a light, carb snack like crackers or an apple, can actually help your sleep, many others can disrupt your sleep and wreak havoc on your appearance. Alcohol and salty food can have a dehydrating effect on the body. To compensate, your body starts collecting natural fluids around the eyes, among other places, leading to that dreaded puffy-eye look. Dehydration is claimed to lead to formation of dark circles under the eyes.

Wear your hair up — but not in a tight bun.

It’s a good idea to keep your hair out of your face while you’re sleeping to keep its natural oils from wreaking havoc on your complexion. But avoid pulling it into a really tight bun or ponytail because that can cause hair breakage, especially around the hairline. Dr. Shah suggests wrapping it up in a scarf (silk would be ideal).

Keep makeup remover by the bed

“No matter how tired/drunk you are, going to bed with your makeup on will only be worse the morning after (clogged pores, irritated eyes, oily residue etc.). Make it less of a chore by keeping some good-quality face wipes by the bed for a fast, effective cleanse. It’s not ideal to rely on convenience cloths every night in place of a deeper clean, but on late nights they are skin saviors, says Dr. Shah.

Wear A Silk Sleep Mask

Avoiding light when you sleep is crucial to getting quality rest. Dr. Shah explains that, “An eye mask completely eliminates vulnerability to light, preventing it from interfering with your sleep. For the best results, use a silk eye mask. Since skin is susceptible to wrinkling, make sure that the material pressing against your face is as soft as possible.”

Keep the Temperature Low

At night, your body’s natural temperature declines. Keeping the temperature in your bedroom low is good for both your metabolism and your blood flow. Dr. Shah explains that, “This is important because improving your blood flow helps oxygenate your skin, keeping it plump and even-toned for the day ahead. Maintaining a cool temperature in your bedroom will also help reduce redness in your skin.” The National Sleep Foundation recommends keeping your bedroom between 60 and 67 degrees Fahrenheit for an optimal night’s sleep.

10 Beauty Product Marketing Claims Deconstructed – Denver plastic surgeon opens up about some inaccurate beauty claims marketers use to entice consumers.

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We are all subject to marketing and advertising on a daily basis. Nowadays it seems like even thinking about skin care will get you bombarded with countless ads and sponsored posts on social media. But how trustworthy are some of the marketing buzzwords used to describe the effects of skincare merchandise? We reached out to an anti-aging expert and board-certified Denver Plastic Surgeon, Dr. Manish Shah. Shah advocates helping consumers understand what this frequently used language means. Dr. Shah is also an ethical patient safety advocate.

“There are many ways marketers attempt to pull the wool over the eyes of the consumer with empty phrases and jargon,” comments Dr. Shah. “A phrase such as ‘clinically tested’ and ‘doctor recommended’ is used to mislead consumers into thinking a certain product has more credibility than it actually does.” However, Dr. Shah explains, when these phrases are used it says nothing for the results of the clinical tests or what the products were tested for. In terms of products being “Doctor recommended,” Shah warns that “consumers don’t know what doctor recommended the product in most cases and if those doctors are getting some sort of incentive for endorsement.”

Dr. Shah shares common marketing jargon phrases used to mislead consumers.

1. A Product that claims “Patented Technology”

“Patents are not necessarily a foolproof sign that something is groundbreaking or effective,” explains Dr. Shah. “Marketers use this language to convey innovation and superiority that their product might not necessarily have over its competitors,” he says. Patents are sometimes authorized through technicality instead of breakthrough meaning any new combination of ingredients, methods or production process can be patented as long as it is new.

2. “Maximum strength”

This is a term used often by skin cleansers and moisturizers. “It’s a relative term and the consumer doesn’t really know what it is relevant to. It’s language that entices the shopper to make the purchase without really telling them how it accomplishes ‘maximum strength’ results,” says the Denver Plastic Surgeon.  

3. “Clinical strength”

From painkillers to hydrating serums, companies love to bill their products as having “clinical strength.” Dr. Shah says consumers should practice healthy skepticism with such claims. “A product that claims it has clinical strength, in many cases, could have been tested by the doctors developing it. If you think about it you can’t really pinpoint what that phrase means because it is relative and we have no context as to what the company considers clinical strength,” says Shah. The perception, explains Dr. Shah, is that the product is better because the world clinical makes it sound more credible.

4. “For All Skin Types”

“This is a difficult promise to deliver on,” says Shah who has practiced his specialty for 14 years. “Not all skin is the same. If someone has an allergy to an ingredient or some form of dermatitis they really should speak to their doctor about what products are best to include in their regiment instead of blindly trusting a label,” he says.  

5. “FDA Approved”  

The FDA has different protocols for skincare products that make cosmetic claims as opposed to those that make more medical claims such as promising to increase production of collagen in the skin. Since that is a body function the FDA treats those differently than normal skincare products. However the FDA just stipulates that the product being sold is safe to use in the manner in which it is directed to be used “FDA approval is not credential that shows the superiority of results,” says Dr. Shah. The plastic surgeon recommends that you not be sold on the sole factor of an FDA approval.

6. “Anti-Aging, Revitalizing, or Age Defying”

We’ve all seen these on the labels of some cream or serum or advertised in a commercial where beautiful models and actresses are displayed in all of their airbrushed and well-lit perfection. “These terms are somewhat misleading in that they give the perception of an unrealistic turning back of the clock,” says Dr. Shah. To many consumers viewing an advertisement, it might seem like buy and using that product will help them look like an ageless actress and that is not accurate.” Aging gracefully and maintaining a more youthful look has a lot to do with nutrition, exercise, genes, consistent skin care, stress levels, and cosmetic procedures when necessary. But according to Shah, people cannot cling onto just one aspect in order to look their best and no one product will reverse the clock.

7. Medical-Looking Packaging

Be wary of bottles that look like test tubes, labels or packages that include a medical or first aid cross, or feature type that looks like Rx suggesting that it’s a prescription-strength formula even though it’s sold over the counter.

8. “Botanical”

Dr. Shah explains that “An actual botanic is technically an ingredient that is derived from a plant. But, again, “botanical” may be used in advertising to refer to something that is synthetic but acts similar to a plant-based ingredient.”

9. “Instant Results”

Keep in mind that “instant results” aren’t the same as “long-term results.” Meaning, you may use a product that gives you instant moisture or has a quick-acting firming effect, but those results may fade after a few hours and require reapplication. Dr. Shah’s final advice: “Check a product to make sure it specifies whether its “instant” effects are long lasting or short term.”   

10. “Firming”

What you think it means: Proven to make skin look tauter.

What it really means: Essentially nothing. “There is no objective way to measure firming,” says Dr. Shah “When a brand says their product has been shown to firm your skin, that claim can only be based on very subjective consumer perception.”

Can Plastic Surgery Make You Look Older? Expert Plastic Surgeon with Tips and Dish on Celebrity Inspiration

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According to expert Board-Certified Plastic surgeons, the goal of cosmetic surgery is to make a woman like look a refreshed, enhanced version of herself. While many seek cosmetic surgery to turn back the clock; (a respectable, personal choice) there is a downside. The eerie expressionless, puffy, distorted, look that makes people appear even older than they are. To help us understand and achieve a more maintained, elegant look, we tapped the expertise of Board-Certified Denver Plastic Surgeon Dr. Manish Shah.

 Most Common Culprit… Too Much Filler

 According to Dr. Shah, the best way to begin is to look at photos of the person decades younger to assess their aging progression and facial symmetry. “You want to look at the facial features to see where there is drooping or volume loss as not to run the risk of over filling the face. When too much filler is used, facial balance is thrown off.”

 Dr. Shah explains that today we’re seeing young women in their 20’s trying to look like they’re photo filtered in real life. “They start Botox too young, or overfill their lips, breasts, and derrieres. The odd consequence is that that end up looking older. There are several celebrities who are under 25 and look 30, and 35 due to the work they’ve had done. The lips and cheeks are often the first facial features to be overdone in younger patients.”

 Facial Breakdown

 Cheeks: Dr. Shah says, that “Over-suctioning cheeks through liposuction can make you look older. Stiffness or “puffy cheeks” can also occur if there is unnecessary fat transfer or filler injections are overdone.”

 Brows: A highly arched eye brow, or a brow without any arch can instantly age you. “Getting the eyebrow height perfect to achieve a natural look is one of the most challenging techniques plastic surgeons face with Botox, be sure to find someone who specializes in brow area Botox.”

 Chin: “The overall balance of your face can be thrown off if a chin implant is too large,” says Dr. Shah. He adds, “Facial structure goes from more of a heart shape to a square shape. Also, the softness of your face gets lost.”

 Neck: Removing too much fat from the neck can result in an excessive deep and sharp angle that gives more of a harsh look.

 Midface: Some women get a facelift before it’s needed. Think of many of the stars of Bravo’s Real Housewive’s franchise. “When it’s unnecessary or not done properly, the underlying facial tissues give an unnatural fullness in the cheeks that makes the face look aged, explains Dr. Shah.”

 Eyes: Fat removal under the eyes is popular in younger patients. The problem is that removing too much fat can really make a patient look hollower rather than refreshed.

 Injectable Toxins: The Frozen Look

Botox, Dysport and Xeomin are all effective in reducing lines by temporarily paralyzing facial muscles to stop movement. Problems arise when they are overdone. The face can look very severe and certain facial features can become exaggerated. It is strange to see a woman over 50 with fewer forehead and brow mobility than a pre-teen!

 Dr. Shah offers a tip and reminds us that injectable toxins are not permanent, and the result will fade away in time. “It’s best to let the product completely wear off before getting injectable toxins applied to the face again. It’s always best to start off with much less because you can always work your way up to more,” he advises.

 Too Large Breast Implants:

Implants that do not fit a woman’s frame and are overexaggerated, are never a good idea at any age. The older a woman gets, the more this is going to scream, “look at me” and be incongruous with the rest of her appearance. Jane Fonda is a perfect example of a woman in her 80’s with implants that match her body in a flattering way.

 Ignoring Your Hands and Décolleté:

So many women make the mistake of obsessing over their face, legs, derriere, breasts, and abdomen that they completely forget their hands and décolleté. The latter are a dead giveaway of age, no matter how young the rest of you looks.

 Examples of Elegance:

According to Dr. Shah, here’s who he feels has “gotten it right” when it comes to aging gracefully whether they have had plastic surgery or not include, Jane Fonda, Jennifer Aniston, Jennifer Lopez, Halle Berry, Angela Bassett, Katie Couric, Raquel Welch, Kathie Lee Gifford, Kris Jenner, Naomi Campbell, Michelle Pfeiffer, Jayne Seymour, Ellen DeGeneres, Sharon Stone, and Padma Lakshmi. Use these celebs for inspiration when contemplating cosmetic enhancements. 

Uplifting Solutions for Breast Sagging

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As women age, they will notice changes to their body- especially their breasts. While it is normal for breasts to sag a bit over time, it is certainly something women don’t want. The good news is that there are several things ladies can do to prevent breast ptosis (the fancy medical term for breast sagging). Dr. Manish Shah, MD a board-certified Denver, Colorado  plastic surgeon, and Vince Sant, a Certified Fitness Trainer and Co-Founder of V Shred.com, an incredibly popular online fitness portal share tips and insights with some uplifting solutions for breast sagging.

Understanding sagging.

“Forget about the old beliefs of poor-quality bras, going bra-less, or breastfeeding being the cause to sagging breasts,” says Dr. Manish Shah. “There are ligaments in the breasts that stretch out over time. Gravity is certainly a culprit but there are others such as multiple pregnancies, menopause, breast motion from exercise, high body mass index, deficiencies in collagen, estrogen, rapid weight fluctuations, and of course smoking,” he explains.

Beware of the expensive hype.

When women are unhappy with breast sagging and want to lift their breasts; they want to do it quickly, painlessly and affordably. Dr. Shah says that while advancements are being made with procedures involving things such as stem cell therapies, radiofrequency, and fat transfer; right now, the science just isn’t there when it comes to delivering ideal lift, shape and significant restoration to warrant the investment.

“The last thing you want to do is get sold on a $4000, procedure done over the course of several visits spread out over several months that does very little. People want visible improvement. It’s important to ask questions about anything seeming too good to be true,” cautions Dr. Shah.

Clearly, there are a lot of factors that can explain away breast sagging in your 20’s, 30’s, 40’s and beyond. What options do we have in this very tough battle with gravity?

Quit smoking.

“We know that smoking accelerates aging in the face due to oxygen deprivation to your skin. When it comes to the breasts, smoking destroys elastin which is what maintains suppleness,” says Dr. Shah.

Manage menopause.

When perimenopause begins usually in the mid-’40s, you really want to revamp your diet and have a look at organ function and get a hormone test. “Drops in estrogen, a natural occurrence during menopause reduces collagen in skin tissue. Some supplements or phytoestrogens that boost estrogen levels naturally can have a positive effect on breast shape. However, this is certainly something to discuss with a specialist,” explains Dr. Shah.

Pump Up with weights or resistance training.

“A lot of women focus on their lower body when exercising. While this is great to blast cellulite and keep the thighs, legs, and butt shapely and strong, the upper body can’t be neglected. Doing various exercises using 5 -10-pound weights that strengthen and tone pectoral muscles (the muscles under the breasts) shoulders and back are key for preventing breast sagging,” says Vince Sant.

Many women fear losing their breast size or looking bulky or masculine. When you use less weight and do more repetitions, you get a nice lean, strong upper body. This raises everything up. According to Sant, who created a workout specifically targeting women’s trouble zones, it takes a lot of weight and many hours of training to get that thicker bulky look. “Doing combinations of exercises such as, plank rotations, shoulder presses, dumbbell pullovers, chest fly’s and standing raises are easy and can be done right in your living room,” the expert trainer with over 700,000 Instagram followers suggests.

Update your sports bra.

“While exercise is great, exercising with an old stretched out sports bra can lead to sagging especially for you Cardio Queens,” out there says Vince.

Quicker solutions…

What if you’re working out, not smoking and despite being tight and toned your actual breasts still sag? “Then you may want to consider a breast lift that factors in your frame, current breast size and desired shape, says Dr. Shah. “Nothing delivers a result as significant and long-lasting as the breast lift. The procedure does require 6 to 8-weeks of full recovery time and, depending on region and doctor, can be anywhere from $6000 to $25,000,” says Dr. Shah.

Anti-Aging Products and Ingredients: Separating the skincare Heroes from the Zeroes

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Here’s what is certain: There are no firming or tightening products whose results can duplicate what you derive from in-office procedures such as dermal fillers, botox, lasers, or cosmetic surgery. Board-Certified Denver plastic surgeon Manish Shah says, “There are anti- aging products or ingredients that do perform significantly better than others and can make a profound difference in the skin’s appearance while others are simply “false hope in a jar.”

 Why don’t most products work the way they claim? Almost without exception, when you buy a product claiming to tighten skin, its effects, if any, are due to ingredients such as film-forming agents. Just like the name states, film-forming agents form a film on the skin, and that can make the skin “feel” tighter. The effect is temporary and you won’t see noticeable lifting of sagging skin, but the sensation is often enough to convince women that the product is working. Dr. Shah stresses that, “Skin “feeling” tighter is not the same as making a real change for the better in the tone or laxity of your skin. Using what really works will get you closer to the results you want.”

 THE HEROES

Dr. Shah says, “Sunscreen SPF 30 or above is the best anti-aging cream you can use.  It prevents skin cancer as well as UVA rays that cause loss of collagen and wrinkles in the skin.  Reapply every 2 hours, use a powder sun block and carry in your pocketbook for quick and easy sunscreen touchups.  My favorite powder sunblock is Colorescience, and my favorite base sunscreens have titanium or zinc oxide in them as active ingredients.”

Retinoids work great to reduce fine lines and wrinkles and help boost collagen production,” says Dr. Shah.”  He adds, “Over the counter retinols are decent. Neutrogena makes a good one, or prescriptions such as Retin-A.”

Glycolic acid also reduces fine lines and wrinkles and helps fade pigmentary damage from the sun.  “I often have patients alternate nights with retinoid and glycolic,” says Dr. Shah.

Vitamin C is a great antioxidant which reduces free radical damage and is great for anti-aging and helps brighten the skin.  Dr. Shah often recommends it in the morning, underneath sunblock, or at night if patients are too sensitive to tolerate retinoids and glycolic acid.

Ceramides are a type of lipid found in the membrane of cells. Dr. Shah states that, “They help hold skin cells together, forming a protective layer that plumps the skin and retains moisture. Ceramide levels decrease as we age which leads to loss of hydration, less skin turnover and dryer, more damaged skin. Replenishing the skin’s ceramide levels will help restore moisture and fortify the skin’s natural barrier, helping skin look and feel younger.” So use a ceramide containing moisturizer for your whole body daily.

Hydroquinone works to even out sun spots, blotches, and mottled skin. A little hydroquinone goes a long way. “It’s the most effective ingredient for bleaching skin,” says Dr. Shah.  Hydroquinone fades hyperpigmentation by blocking the enzyme that triggers melanin production in the skin.

Green Tea Extract is loaded with nutrients called polyphenols, which have been shown to fight free radicals. It is an amazing antioxidant. Studies have found that ingredients in green tea can reduce sun damage and may protect against skin cancer when applied topically. Dr. Shah offers that, “Using green tea extract under sunscreen can provide an extra dose of protection. Polyphenols in creams and lotions may help slow signs of aging, reduce sagging skin and decrease wrinkles.”

THE ZEROES

The majority of anti aging creams are still based on moisturizers such as mineral oil.  Wrinkles look worse when they are dry, so any kind of moisturizer helps, but it’s only temporary and doesn’t address the root cause of the wrinkles such as collagen loss, free radical damage, sun damage and environmental factors.  Don’t be fooled by the anti-aging labels.  Unless there is an actual “active ingredient” such as retinol, the benefit is just moisture but nothing else.

B Vitamins Many forms of vitamin B (like B12) can only be absorbed in the small intestine, so no matter how much is loaded into your moisturizer or serum, it’s not going to make a difference. “Vitamins like niacin can have an effect on the skin’s texture and color, but your skin can’t absorb them,” Dr. Shah explains. If you really want to tap into the power of vitamin B to improve your skin’s glow and appearance, stick to eating leafy greens like spinach, asparagus, beans, and peas.

Caffeine.  Much like a Starbucks Latte for your brain, caffeine in skin creams can give a boost to your skin, too. Until it wears off.  “Caffeine can temporarily reduce puffiness, especially around your eyes,” explains Dr. Shah.  “But don’t expect permanent results.”

Botanical extracts are ingredients extracted from plants (flowers, roots, stems, trees, etc.) for use in skin care for everything from healing blemishes to reducing fine wrinkles. They have been used for centuries and have anecdotal purposes in many cultures. The issue: Botanical extracts need to remain on your skin in order to work. Dr. Shah explains that, “In cleansers, there is simply not enough contact time on your skin for any true anti-aging benefit to take place. Another issue is that most botanical extracts are water soluble, which means that the moment you wet your skin and begin to wash your face, they’re watered down and rendered useless.”

Collagen and elastin in anti-wrinkle products. Collagen and elastin in skin-care products can serve as good water-binding agents, but they cannot fuse with your skin’s natural supply of these supportive elements. In most cases, the collagen molecule is too large to penetrate into the skin. But even when it is made small enough to be absorbed it cannot bind with the collagen existing in skin, and there isn’t any research indicating otherwise.

While this post isn’t meant to be an exhaustive list of the heroes and zeroes of skincare, it is a great place for most of us to start on our journey to better skin.

About Dr. Manish Shah

Plastic Surgeon Colorado | Dr. Manish Shah, M.D. | Denver

Manish Shah, M.D., F.A.C.S. was born in Canada and raised in the Washington, D.C. area. He graduated with honors from the University of Pennsylvania, receiving a degree in biomedical engineering. He then completed his medical training at the University of Virginia, earning his Medical Doctorate. During this time he also completed a one-year fellowship in microsurgery research at the New York University School of Medicine / Institute of Reconstructive Plastic Surgery. As a prelude to his plastic surgery training, Dr. Shah completed a rigorous five-year training program in General and Trauma Surgery at Emory University and the Medical College of Georgia. His formal training in Plastic and Reconstructive Surgery was completed at the Univ. of Tennessee College of Medicine – Chattanooga Unit. After completing his plastic surgery training, he moved to New York City when he was selected for the prestigious Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital. He underwent extensive, advanced training in aesthetic surgery of the face, breasts, and body at the hands of some of the most renowned cosmetic surgeons in the world. This fellowship is widely considered to be the best of its kind in the world. Dr. Shah is one of only a select few plastic surgeons in the country who have undergone formal post-graduate training in aesthetic surgery.

Dr. Shah’s specialties include revision facial aesthetic surgery, rhinoplasty (“nose reshaping”), and aesthetic surgery of the breast (breast augmentation, breast lift, breast reduction). He is, however, well-trained in all areas of aesthetic surgery.

Dr. Shah’s aim is to obtain a natural appearing transformation that complements the real you!

Dr. Shah is a Clinical Assistant Professor of Surgery at the University of Colorado Health Sciences Center.  He is a past Chief of Plastic Surgery at Denver Health Medical Center. He also maintains a private practice in Aesthetic and Reconstructive Plastic Surgery in the Cherry Creek neighborhood of Denver.

Dr. Shah is a member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery, the International Society of Aesthetic Plastic Surgery, the European Academy of Facial Plastic Surgery, and the Rhinoplasty Society.

Dr. Shah is board-certified by the American Board of Plastic Surgery.

 

Skincare 911: What to do when a skincare disaster erupts before a holiday party

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It’s something every woman fears: Waking up on the day before or day of a big holiday party with an unsightly skincare emergency. How many women have cancelled an invitation because a cold sore erupted? How about cystic acne on your chin that appears New Year’s Eve? While neither of these are “life threatening” conditions, for a woman, they might as well be. There are solutions. Dr. Manish Shah is a Denver Board Certified Plastic Surgeon. As a father to girls, he can relate to these skincare 911s and shares his expertise on what can be done to mitigate various conditions.

Problem: Cold Sore

Solution: Dr. Shah offers cortisone injections to patients who want to look better faster. “Very diluted cortisone into the cold sore, this can bring the inflammation down quite rapidly,” he says. If you are afraid of needles, call your doctor and ask him/her to call in a prescription for Valtrex, Famvir, or Acylovir, Dr. Shah says. You can pick up Abreva, an over-the-counter medication. If you can’t make it to the pharmacy, you can try some old-fashioned remedies: Visine will help take the red out. You can also use a cold compress and Tylenol or ibuprofen.

Problem: Allergic Reaction

Solution: The first thing you need to do is stop eating or using whatever is causing the allergic reaction. If the reaction happens a few days before an occasion, Dr. Shah recommends using hydrocortisone cream twice a day and taking Allegra, Claritin or Zyrtec which are longer acting and less sedating than Benadryl. Try a whole-milk compress for 10 minutes twice a day. For allergic reactions, use the hydrocortisone cream and then cover up redness by canceling it out entirely. The opposite of red is green, so apply green tinted concealer on the red area. The combination will create a flesh-toned hue. A good quality tinted moisturizer naturally has green/yellow undertones and also provides moisture to dry skin. “If this type of reaction is something you have never experienced before, go immediately to your dermatologist,” says Dr. Shah.

Problem: Cystic Acne Breakout

There are some people who use a lancet or small knife to cut into a cyst and fish out the clogged part of the pore. “Cutting open a cyst is extremely risky. You not only run the risk of getting an infection, but you also run the risk of scarring, as in a permanent skin indentation or protrusion,” says Dr. Shah. And what if you cut open a cyst but can’t squeeze out the root clog? You don’t know where the root is or how deep it resides inside your skin. You can’t even be 100% confident that you will be able to completely remove the hardened plug of the cyst. If any remnants of the clog remain, the cyst is likely to get re-inflamed and come back even worse. It’s also not exactly good to cut open skin and dig around and squeeze the wound. Doing so will only make a bloody mess, increase the chance of skin scarring, and prolong the time it takes the cyst to heal.

Solution: Here’s a secret that many a supermodel or actress use: Steroid shot. Dr. Shah explains that, “when we discuss treating acne with cortisone or “steroid” shots, we are referring to the process of gently placing a very dilute quantity of a “glucocorticoid” steroid into the cyst. Glucocorticoids are a class of steroid molecules that are naturally produced by our bodies and have numerous functions including the regulation of human metabolism, immunity, and inflammation. They have very potent anti-inflammatory effects, so they are often used to treat inflammatory diseases in medicine. They can be formulated as creams to treat skin rashes or as pills to treat systemic disease. They can also be injected directly into local areas of inflammation such as in arthritic joints and inflamed acne cysts. Within one or two days of injection into a cyst, the steroid will shrink the inflammation producing relief of pain and almost immediate cosmetic improvement.”

Problem: Puffy Eyes

Solution: The key to reducing the puffiness of puffy eyes is having something cool applied to them. “A cool compress or cooled cucumber slices applied for 5 to 10 minutes can constrict blood and lymph vessels,” says Dr. Shah. You can also use cool tea bags, which contain tannins and caffeine that will help reduce swelling. And, since puffy eyes can be caused by a high salt diet or alcohol, try to cut out both before an important occasion.

Problem: Sunburn

Solution: Take a cool bath or shower. Set the water to a cool temperature that’s just below lukewarm and relax for 10 to 20 minutes. The temperature will ease the pain, and the water will stop your skin from becoming as irritated. Repeat as often as you need to. Avoid using soap, bath oils, or other detergents as you bathe – they’ll irritate your skin and possibly make it even worse. If you have blisters forming on your skin, take a bath instead of showering. The pressure from the shower might pop your blisters. When you get out, don’t rub your skin dry with a towel. Instead, let yourself air dry, or pat the towel over your skin in small, gentle movements. Apply cold compresses to your skin. If you’re not in a situation where you can bathe, or you’d just prefer not to, you can instead apply cold, wet compresses to your skin. Dampen a washcloth or other piece of fabric with cold water and lay it over the affected area for 20 to 30 minutes. Re-wet it as often as you need to. Apply aloe vera to burned skin. Using the pads of your fingers, gently apply the aloe to your sunburn. Don’t “rub it in” all the way, like you might with a regular lotion. Leave it a bit goopy and moist on top of the burn – this helps prevent the skin from drying out and becoming more irritated. Reapply as often as necessary. Treat inflammation with cortisone cream (optional). Cortisone creams contain a small dose of steroids that can work to reduce inflammation to your sunburn.

Problem: Too much filler

The Solution: Dr. Shah suggests doing fillers no sooner than 1 month before a big event to allow time for healing and touch ups. One of the reasons Dr. Shah leans toward hyaluronic acid fillers such as Restylane, Juvederm and Perlane is because they are easily reversed with Hyaluronidase. This product dissolves and degrades the Restylane, Juvederm or Perlane so as to reverse the results of the initial injection. It’s a great insurance policy when choosing a practitioner. Make sure yours has it at his/her disposal. Most patients find the immediate results of soft tissue filler treatments very satisfying. If an undesirable result occurs, your treatment provider should be able to discuss and carry out all of the treatment options. Removing the effects of a “filler” treatment can be difficult. This is why any filler treatment needs to be done carefully, conservatively and only by very experienced and Board -Certified Specialists. Hyaluronic Acid based dermal fillers have the additional benefit of being partially or completely reversed with time or with the injection of a commercially available enzyme known as Hyaluronidase.

 

About Dr. Manish Shah

Plastic Surgeon Colorado | Dr. Manish Shah, M.D. | Denver

Manish Shah, M.D., F.A.C.S. was born in Canada and raised in the Washington, D.C. area. He graduated with honors from the University of Pennsylvania, receiving a degree in biomedical engineering. He then completed his medical training at the University of Virginia, earning his Medical Doctorate. During this time he also completed a one-year fellowship in microsurgery research at the New York University School of Medicine / Institute of Reconstructive Plastic Surgery. As a prelude to his plastic surgery training, Dr. Shah completed a rigorous five-year training program in General and Trauma Surgery at Emory University and the Medical College of Georgia. His formal training in Plastic and Reconstructive Surgery was completed at the Univ. of Tennessee College of Medicine – Chattanooga Unit. After completing his plastic surgery training, he moved to New York City when he was selected for the prestigious Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital. He underwent extensive, advanced training in aesthetic surgery of the face, breasts, and body at the hands of some of the most renowned cosmetic surgeons in the world. This fellowship is widely considered to be the best of its kind in the world. Dr. Shah is one of only a select few plastic surgeons in the country who have undergone formal post-graduate training in aesthetic surgery.

Dr. Shah’s specialties include revision facial aesthetic surgery, rhinoplasty (“nose reshaping”), and aesthetic surgery of the breast (breast augmentation, breast lift, breast reduction). He is, however, well-trained in all areas of aesthetic surgery.

Dr. Shah’s aim is to obtain a natural appearing transformation that complements the real you!

Dr. Shah is a Clinical Assistant Professor of Surgery at the University of Colorado Health Sciences Center.  He is a past Chief of Plastic Surgery at Denver Health Medical Center. He also maintains a private practice in Aesthetic and Reconstructive Plastic Surgery in the Cherry Creek neighborhood of Denver.

Dr. Shah is a member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery, the International Society of Aesthetic Plastic Surgery, the European Academy of Facial Plastic Surgery, and the Rhinoplasty Society.

Dr. Shah is board-certified by the American Board of Plastic Surgery.