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Dr. Michaels’ Blog

Microdermabrasion; what is it? What can it do for me? Dr. Michaels' Blog

Microdermabrasion; what is it? What can it do for me?

In 2013 microdermabrasion was one of the top 5 non-surgical cosmetic procedures performed in the United States. According to the American Society of Plastic Surgeons,  974,000 microdermabrasion procedures were performed in 2013, an increase of 8% from 2012. Techniques to sand the skin have been around a long time. Ancient Egyptian physicians used sandpaper to smooth scars. When German surgeons…
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November 25, 2013
Does your finger lock up? Do you have pain at the base of your finger? You may have Trigger Finger. Dr. Michaels' Blog

Does your finger lock up? Do you have pain at the base of your finger? You may have Trigger Finger.

Repetitive injury problems of the hand can manifest in several ways like carpal tunnel syndrome, Dequervain’s tenosynovitis and trigger finger. These entities share a common problem, a tight space around tendons. The space is defined by ligament called a pulley. Chronic pressure on the pulley causes swelling which then squeezes the tendon. In trigger finger, the tendon then swells and…
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October 29, 2013
I Lost 100 lbs! How do I get rid of the extra skin? Will my insurance pay the bill? Dr. Michaels' Blog

I Lost 100 lbs! How do I get rid of the extra skin? Will my insurance pay the bill?

Massive weight loss, often 100 lbs or more, can leave loose hanging skin on the face, arms, breasts, abdomen, buttocks, flanks and legs. Whether the weight loss is from surgery or diet and exercise, if the loose skin becomes a health problem, insurance may cover reconstructive surgery to remove it. Extra skin can fold in on itself, harboring moisture, bacteria…
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October 13, 2013
How Can I Avoid Skin Cancer? Dr. Michaels' Blog

How Can I Avoid Skin Cancer?

The most common cause of skin cancer is exposure to ultraviolet (UV) light. UV radiation is found in sunlight, tanning booths and even, in low doses, fluorescent light. Using an appropriate sunscreen and wearing protective clothing such as hats and long-sleeved shirts can reduce your exposure to UV light. And tanning booths? Avoid them like the plague! Limiting your time…
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October 1, 2013
Red, Red, Go Away: How to Treat Rosacea’s Effects Dr. Michaels' Blog

Red, Red, Go Away: How to Treat Rosacea’s Effects

Last week the U.S. Food and Drug Administration (FDA) approved Mirvaso® (brimonidine) topical gel, 0.33% for the topical treatment of the facial redness of rosacea in adults 18 years of age or older. Applied once daily, Mirvaso reduces redness for up to 12 hours by constricting the blood vessels dilated by rosacea. If patients want a longer lasting improvement in…
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September 7, 2013
What Makes Your Face Look Older? Dr. Michaels' Blog

What Makes Your Face Look Older?

Four general factors cause our faces to age over time: environmental exposure, repetitive muscle action, loss of facial volume and loss of elasticity. We are exposed to environmental factors that damage our skin every day. Sunlight is the biggest culprit. Ultraviolet light from the sun produces free radicals that damage our DNA. This damage leads to wrinkling, brown discolorations, a…
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September 3, 2013
Am I Too Old For A Facelift? Dr. Michaels' Blog

Am I Too Old For A Facelift?

Many people fear that their age is an impediment to cosmetic surgery. I say age is just a number. What counts is your health. First and foremost is cardiovascular health. Hypertension if well controlled is a risk, but is unlikely to cause any significant problems during surgery. On the other hand, a recent heart attack or chest pain due to…
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August 26, 2013
Breast Reconstruction 5: Which should I have, an implant or my own tissue? Dr. Michaels' Blog

Breast Reconstruction 5: Which should I have, an implant or my own tissue?

Breast reconstruction is about creating symmetry. We want both sides of the chest to look the same. If a bilateral mastectomy is needed, I usually suggest an implant reconstruction so both sides will be similar in appearance and feel. A bilateral tissue reconstruction would require double the donor site and healing, making it a second choice. General health and other…
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July 24, 2013