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Adam J. Rubinstein, MD, FACS
Adam J. Rubinstein, MD, FACS
Adam J. Rubinstein, MD, FACS

Can Chin Ups Really Lift Your Chin?

You spare no expense in buying the latest anti-aging creams and undergoing a variety of treatments.  You love staying up-to-date on the latest anti-aging innovations, and there’s nothing you wouldn’t do to shave five or even ten years off your look. But will facial muscle exercises really make you look younger? Facial muscle exercises were really popular in the late eighties; and there seems to be a trend towards bringing them back in a big way.  Face and neck exercises are becoming popular with trendy gyms, and you only need to stop at your local exercise store to find facial exercise DVDs. But are facial exercises actually working to reduce the appearance of wrinkles, fine lines, and other tell-tale signs of aging? To put it simply, no. Don’t get lured in to the idea that making some funny faces and tensing your neck on a regular basis will rejuvenate your face and neck. In fact, the truth is that these exercises show little benefits in terms of eliminating wrinkles and getting rid of fine lines. So what makes facial muscles so different from other muscles within the body, which end up looking sleeker and stronger when you work them out? You use your facial muscles constantly, all day long. That means that you’re not in danger of suffering from sagging or weakening muscles.  While your body muscles often become weaker with lack of use, facial muscles are used to help you smile, laugh, talk, and even blink.  Therefore, your facial muscles don’t need additional exercise to stay healthy.  Actually, repeating some kinds of muscle movements can even cause wrinkles and fine lines to get worse – and that’s exactly the opposite of what you want! If you have some loose or hanging skin in your face or neck don’t count on a trendy facial exercise regimen to make things better. You may want to consider some of the many options we offer in the office that can help turn the clock back. There are lots of non-surgical techniques to keep you looking young. And if you’re looking for a little more oomph you can consider some more advanced options. Either way, discuss your goals with a board certified plastic surgeon and don’t rely upon making funny faces to turn the clock back.

Tummy Muscles and a Tummy Tuck

When you gain and lose a lot of weight or go through pregnancy your tummy gets stretched out and then relaxes back down. The muscles of your tummy also stretch out. The main muscles we are talking about are two big muscles that run up and down in the middle of your tummy. They are called the rectus abdominus muscles. They are supposed to be side by side like two columns right next to each other. With weight gain and/or pregnancy they can stretch out in the up and down direction as well as pull apart in the middle, separating from side to side. It is the side to side separation that is the real problem. The splitting apart of the muscles is called diastasis recti. This separation is the cause of the poochy shape of the lower tummy after pregnancy. Here is the main problem: you can exercise the muscles to make them strong again in the up and down direction, but there is no natural way to firm things up again from side to side. There is no way to exercise your muscles in a sideways direction. A tummy tuck can bring those muscles back to the middle where they belong but pulling them into position and keeping them there with stitches. When they are separated they are a bit weaker than they should be. This is due to the physics of how they work. They are meant to be together in the middle, so when they are put back that way they probably work a little better. You might not notice a big improvement when doing exercise, but some patients do feel stronger and more stable. Call our office today for a consultation to see if a tummy tuck may be right for you!

A Leopard Can’t Change its Strax (Rejuvenation)

It’s been a while since I have written about Strax Rejuventaion. If you look back at my blog posts you will find that in the past I have taken a look at the mortality rates at Strax Rejuvenation. If you haven’t read it before, you might want to read it, and the analysis is shocking! One would think that a facility with such a questionable track record would make efforts to improve performance and ensure better outcomes. I’m not sure if Strax has made any changes at all to the way they do things. Over the past year or two it seems to me that Strax has been decreasing in popularity. There appears to be less advertising bombarding us on radio and television hawking their latest specials and low prices. This might mean that Strax is seeing less patients and performing less procedures than in years past. I can say that I have seen an increasing number of patients coming to my office for consultations who express to me that they would never consider Strax for their procedures. I do, however, continue to see patients that have been to Strax Rejuvenation for a procedure and have had issues. Sometimes they are not satisfied with the results, though that can happen in any office on occasion. More often I am seeing patients that have had complications leaving them with issues that require correction. Things like infections, healing difficulty possibly caused by poor technique, and lack of attentive follow up care can cause bad scarring or worse problems. Most recently one patient came to see me who had a terrible and life threatening problem. She described her experience to me. This patient had liposuction with fat transfer to the buttocks about a year ago. In the recovery room she was having difficulty breathing. The level of oxygen in her blood was very low and a chest x-ray was performed. She was told that she had pneumonia and was given a prescription for antibiotics. Despite still having difficulty breathing she was sent home. Rather than actually going home she decided to get checked out at a local hospital. She went to an emergency room and was very quickly admitted with a pulmonary edema. This is a problem in which there is too much fluid around the lungs making it hard to get enough oxygen into the body. It is a life threatening condition. She spent many days in the hospital and, thankfully, was able to recover. Luckily this patient was smart enough to seek more care, a decision that probably saved her life. How many other patients have been in similar situations at Strax Rejuvenation and not fared so well? Sending a patient home with difficulty breathing, feeling short of breath, is never a good idea. When the patient has an oxygen saturation level of 70% (normal is generally above 95%) it is more than a bad idea, its bad medicine. So it seems the track record continues today. Though this patient didn’t die, she easily could have. I suppose the old adage is true,  leopards really can’t change their Strax, I mean, spots.

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