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INTRODUCING THE FIRST UNIQUE PEN APPLICATORS IN THE U.S.

DR KOO PLASTIC SURGERY SKINCARE SOLUTIONS  TM

INTRODUCING THE FIRST UNIQUE PEN APPLICATORS IN THE U.S.

FOR RECOVERY EYE SERUM, LIGHTENING PIGMENT SPOTS, & EMERGENCY ACNE TOUCH UP

 

EYE SERUM

  • Hyaluronic acid microsomes diminish eyelid wrinkles, puffiness, and dark circles. Rejuvenates and restores the delicate upper and lower eyelid skin. Squalene, Arginine, & Proline enrich and penetrate the skin cells to plump and smooth the crêpey eyelid skin.

PIGMENT SPOT

  • Intensely concentrated Tocopherol, Jojoba Esters, & intense anti-oxidants diffuse and lighten photodamaged inflamed hyperpigmented skin. Excellent for the very stubborn pigment age spots.

ACNE TOUCH-UP

  • Prevents and calms hormonal acne breakouts. Alpha Lipoic Acid & Buffered Salicylic Acid extract toxins, blackheads and oils to shorten acne breakout without overly drying or irritating blemish prone skin.

To view and learn about all of Dr. Koo’s Skin care products visit Dr. Koo Premier Skincare site

Too Much Sun When You Were Young…Do You Look Older than Your Chronological Age?

Many of my patients tell me they look so much older than their actual age. What is the reason for this? Let’s start with the basics:

  1. Too much sun exposure during the teen and young adult years and continued lack of sun protection.
  2. Years of smoking.
  3. Early loss of one’s own hormones (early menopause).
  4. Poor skin regimen with ineffective skin products.
  5. Poor nutritional choices.

The number one offender is too much sun exposure. The sun damages the skin cells (keratinocytes) and the arrangement of the collagen and shape of the cells. All of this damage leads to rough, unevenly pigmented skin that is leathery and crepey appearing.  Inhaling nicotine and various toxins associated with smoking also causes direct damage to the cells and the blood vessels that supply the entire body as well as the skin. The loss of hormones can also profoundly affect the quality of skin also. Your choice of foods can also be a factor if you already have trouble prone skin i.e., acne oily prone skin. Drinking more water, and cutting out sugary carbonated sodas can lessen this last offense. The more green the choice of your vegetable the healthier it will be for your skin.

The best advice for your food choices: try to avoid any food that you have to open a can or unwrap a wrapper to consume. The fresher the food, the more natural the state of the food, meaning having to cook it yourself, the better nutritional value it will have and the healthier it will be for you.

Your best weapon to undo the previous wrongs committed against your skin is to start using sun protection EVERY day and cut down (or quit) smoking. I am not a fan of taking exogenous (supplemental) hormones after menopause, but I am a strong proponent of taking vitamin supplements to make our cells more efficient and be able to perform as previously (produce more normal collagen, more tiny capillaries, normal pigment).

I also believe that medical quality skin products can make a significant difference in the skin quality, color, and texture. These products need to contain true tested pharmaceutical active components NOT simply COSMETIC ingredients you can purchase at the drugstore or mall.

I have technologically engineered skin products formulated specifically by my formulating pharmacist and myself! The natural products and their derivatives are blended in a proprietary technique to drive the actives much more effectively into the actual skin cells to stimulate the cells to return to normal function. This translates to healthier, more brilliant appearing skin erasing much of the damage.

The catch: you have to use it on a regular basis! That part isn’t rocket science. This is truly the best value for your money spent. You spend more money at Walgreen’s, CVS, and Target on products that fill your bathroom cabinets that do nothing for your skin. The products have little penetration and the ingredients that do penetrate do nothing to actually change your skin quality.

If you start on the products and don’t see any change after CONSISTENTLY using them following my instructions in 8 weeks, I will refund your money. You may need to add or change one of the products but my office and I will get the correct combination of products for your skin type! We also will continue to progress your skin to more concentrated and intense components as your skin improves to make sure you are achieving the most you can from your medical skin care.

Do Breast Augmentations have to look big and… fake?

The answer is no! A breast augmentation with breast implants can simply fill in your skin envelope and take up the slack in your breast skin.

If you see yourself as an athletic person, and you’ve always had smaller breasts but now after children, you don’t have any roundness or shape to your breasts, you can have a breast augmentation and still have small but now rounded, more firm and more pleasing breasts.

The key to remember is that breast augmentations are not always about size! It is about the look!! Some of my patients do want very large “fake” breasts and they are very comfortable with that look and I make sure I achieve their perfect world desires.

For those who want a change in shape but not much of an increase in size I feel it is important to address the following issues with your plastic surgeon:

  • How much roundness you want
  • How high on your chest wall you want your breasts to start, how full on top
  • How much “side boob” curvature you want
  • How much cleavage you want
  • And especially important is how noticeable you want your breasts to be on your body

A small volume breast implant with the appropriate projection and fill ratio (firmness) can create soft, natural, well proportioned breasts that are well balanced and elegant for your body size and compatible with your lifestyle.

I try to discuss all of these points with my patients and try to understand your lifestyle to help direct your ultimate decision for the size, shape and LOOK you want. I find it much more important to discuss the look rather than the size. There is too much variability in bra cup sizes to finalize a breast augmentation based solely on cup size. In my communication with my patients, it is imperative I understand the LOOK of your breasts you want to achieve.

Furthermore, if you haven’t finalized the shape and look that you want, it would be impossible for your plastic surgeon to pinpoint it for you at the time of surgery. This must be discussed and agreed upon prior to your surgery.

Take home point: breast augmentations are very safe and you should be able to achieve whatever size and look you desire, but you must have that LOOK well defined in your mind and show your plastic surgeon that LOOK before the surgery!

How Do you Find the Right Breast Implant for Your Breast Augmentation??

You’ve wanted a breast augmentation for such a long time and now you’re at least ready to start the interviewing process for the right plastic surgeon. Now the real question is how do you know what the right breast implant is?

I feel it is extremely important that you tell your plastic surgeon about your lifestyle, profession and activity level. If you are a teacher and really don’t want your friends and pupils to notice your new breasts or make ANY comment at all, you may want a lower profile softer sitting implants that allow some fall and roundness.

If you are a Mom of young children and teenagers, you may especially be self conscience of being noticed. You want some sexiness and fullness but above all you want your breasts to look natural and in proportion to your body. In this case you will want a full implant but one that is perhaps smaller in width and a little more firm to give your breasts a slight lift in addition to the volume.

If you are in your 20’s and you’re looking for a breast augmentation, the sky is the limit. The choices will truly be only limited by the anatomy of your breasts and your desires. If you want to rock full, sexy, up in your face breasts, you should have them with a full profile, firm, wide breast implant.  You can also choose to have a slightly softer fill implant if you want to only have them in your face when YOU want to show them off with a push up bra or in a swim suit. The exact type and size of breast implant will be determined by your plastic surgeon. Don’t make the mistake of dictating the actual cc size of the breast implant. Your plastic surgeon will place sizers in to determine the perfect fit.

The take home message is have many conversations with your plastic surgeon and ask many questions. Tell her/him about your concerns, if you are planning to have children, breast cancer history, the type of skin you have, the amount of time you spend in the sun, your profession, exercise routine, etc etc etc, in essence everything about your life you think is important actually.

If your plastic surgeon doesn’t want to hear all of your concerns or someone other than your surgeon is talking to you, run for the door. Take the time and make the effort to know the quality of the person your plastic surgeon is!

Breast augmentations are extremely safe and you should have a wonderful experience obtaining the perfect breast enhancement for YOU!!

Enjoy the process—

CELLULITE….What the …. is it? How Do I Get Rid of it?

If you have cellulite you are certainly NOT alone. Most women and many men have the same problem. Some have a very mild case of it so it is not very noticeable and some have severe cases of it that they do not feel they can wear shorts or even tighter clothing for fear that the cellulite will show through the clothes.

Some researchers and physicians believe cellulite is a normal fat distribution that occurs more in women than men and can be linked (not necessarily caused by) to hormones, genetics, diet, and lifestyle choices (such as smoking, obesity, dehydration and lack of exercise).

Cellulite is an enlargement of normal adipose cells in the superficial layer of our skin. Everyone has these fat cells but when they enlarge and stretch the skin and tether the normal intermittent fibrous bands in our skin, the end result is a dimpling appearance in our skin.

Cellulite typically becomes noticeable during adolescence during weight gain and increase in circulating hormones. This does not occur in everyone and even occurs in people who are thin.

Unfortunately, there is nothing you can do to prevent cellulite specifically if you are predisposed to it with the genetics of your body type and fat cell type. However,….sensible lifestyle choices of regular exercise, not smoking tobacco, adequate hydration, and healthier food choices of dark green vegetables and fewer carbohydrates will all help to deter and minimize the sometimes inevitable development of cellulite. Maintaining a healthy (not thin but healthy for your genetics) weight is key.

The treatment options are varied and many, and again unfortunately not very effective. There is currently an FDA approved laser for the treatment of cellulite but the results are minimal and subjective in my opinion. Liposuction while it improves the contour and shape to perhaps make cellulite appear less noticeable, it can actually also worsen the appearance of cellulite! Mesotherapy, injection of various medications and vitamins have not been proven to reduce cellulite and fat and can cause more irregularities, swelling, skin changes, and infection.

Spa treatments and external massage and wraps are temporary. The results are most likely due to temporary removal of the water content of the superficial and deep skin and fat layers.

Creams and lotions are extremely tempting but costly and a waste of your money!

What lies ahead for cellulite treatment? I know I sound like a skeptic and a naysayer, but the truth is there is ongoing research for certain wavelengths of light (lasers) that may disrupt fat cells and cause them to shrink but these are only at the research stages.

DR KOO’S ADVICE: Try to prevent cellulite from worsening by staying within your ideal weight zone to begin with; make healthy food choices and engage in regular aerobic exercise with weight training incorporated. This doesn’t mean you can’t occasionally eat or drink what you like, but key concepts are limits, portions, and continue to make the right choice EVERYDAY NOT JUST WHEN YOU FEEL LIKE DIETING.

Been Considering Breast Enlargement Since You Were A Teenager?

Now how do you go about accomplishing this? How do you get the perfect size breasts for your body? How do you find the right plastic surgeon that will understand what it is you want?

More importantly, how do you get your St. Louis plastic surgeon to understand it is not only about the size of the breasts but the shape of the breasts? Do you also need a breast lift along with a breast implant?

How do you convey the desire for a rounded, shapely breast that still has a natural fall, some “side boob” but not armpit breasts? Breasts that aren’t too obvious and still professional but are still big enough to be sexy when you want to be?

The answers to all these questions should come from your plastic surgeon before you even ask them.

The truth is there are so many sizes that would be perfectly compatible with your body — the deciding factor is your personal comfort level with how full the breasts become.

By that I mean, how noticeable do you want your breasts to be? How much do you run and what types of exercise do you enjoy? How do you envision yourself — athletic and slim or full bodied and curvy? How tall are you? How much do you weigh? Have you had children? Do you plan to have more children?

Those answers will determine what type and size breast implant I recommend for my patients. I always discuss size and shape while looking at actual photographs with my patients. This will give a visual reference point that is so much more accurate and meaningful than discussing the bra cup size or implant size.

These are excellent starting point questions you should always discuss with your plastic surgeon prior to a breast enlargement. Talk to other patients and consult with your plastic surgeon as many times as you want until you are completely sure and comfortable with the surgical plan.

Remember, ultimately the choice is yours and it is up to the plastic surgeon then to guide you, inform you, and understand what it is YOU want!

Does Plastic Surgery of the Face Always Look Peculiar and “Done”?

When I am performing facial aesthetic surgery, I respect the natural architecture of the entire face. I respect the natural lines that are the patient’s unique look. I replace the skin and tissues to where they were previously; I don’t change the inherent structure.

Mickey Rourke or Renee Zellweger illustrate exactly my point. Their unique facial structures have been obliterated by their plastic surgery. Whether they’ve been overfilled or over pulled, it’s not a good look.

I recreate the natural and individual beauty of my patients’ former youth by replenishing and repositioning. This is the key to looking rested and not “done”. I completely understand and respect the soft tissue AND skeletal anatomy.

Meticulous attention to the positioning of the eyes, nose, and mouth within the face is imperative. I balance the face in its entirety therefore my patients never look odd or incongruous. For instance, addressing the neck without attention to its relation to the rest of the face creates a mismatch and a “done” pulled look.

A layered comprehensive approach with filler, BOTOX, skin care, and mini office eye and face-lifts can continue to keep the aging process in check. You can continue to look better and better without creating a significant one-time change. Again the key is regular maintenance. The subtle layered approach is especially important for MEN. As men age, their eyes narrow and brow drops and that becomes a sexy distinguished look that can be enhanced and tweaked but not entirely changed. Men especially do not look appealing with the “wide eyed surprised doe in headlights” look.

The maintenance should start as early as the teen years with acne prevention and sun protection. This will prevent long term scarring and the irreparable deep creases from sun damage. The pigment changes of aging skin can also be prevented and reversed with early intervention and regular maintenance. Medical strength products will achieve far more than any over the counter “feel and smell good” lotions. This is the only way to truly prevent skin damage and restore the luster and sheen of youthful skin.

Bottom line: See your Board Certified Plastic Surgeon early and often. It is better to do a little at a time than too much at once.

If I Have Plastic Surgery On My Face Will I Still Look Like Me?

facephotoThis is a question I often hear during my office consultations for facial rejuvenation. My philosophy is that well-done plastic surgery makes you look rested, with softer smoother features not create a face and eyes that look pulled and “done.”

This is especially true for male plastic surgery. If you’ve seen pictures of Kenny Rogers or Mickey Rourke, you’ll know exactly what I’m talking about. They’ve lost the natural architecture of their faces and are not recognizable. You can see that result also if you Google Uma Thurman and Renee Zellweger.

So what happened to them? Did they not know where to go to get the best possible results? I don’t know what these celebrities requested during their consultation with their plastic surgeons but I feel it is my job to guide you as to what the best approach is to achieve an extremely natural improved look that allows you to completely keep your own features. I replace the tissues to their previous positions to achieve the very natural rested look.

‘LESS IS MORE’ is my approach when addressing the face, especially for men!

My job is to advise you what can and cannot be achieved and the best way to do it. I respect the natural contours of the face and eyes. Sometimes it is better to do a little at a time during the rejuvenation process. I term this the layering effect. This technique allows you to continue to improve slowly to achieve an unaffected look.

The answer to the question is, of course, yes you can look unaffected if you take the layered approach to rejuvenation. You can always do more but it is really difficult to correct what is overdone!! You don’t need to do it ALL at one time and the mission is NOT to make it as TIGHT as possible.

Plastic Surgery and Weight Loss

If you’re hoping that plastic surgery will produce weight loss, you are wrong! What…? Are you kidding me, the title of this blog is plastic surgery and weight loss!!

Plastic surgery is NOT where you START your weight loss program. I CAN, however, help you get started and I can help you STAY on track with your weight loss either before or after your plastic procedure intervention!

I could simply take your money and do your tummy tuck or liposuction or breast reduction/lift and send you on your way only to have you bounce back to have more body contouring procedures. That would be great for my pocket book but it really wouldn’t help you at all.

My goal is to help you sustain a HEALTHIER LIFESTYLE through diet and activity intervention before and after your plastic surgery procedures. That is the ONLY way to keep the shape I give you and for you to keep the weight off!

Here are your FIRST most valuable tips to help you get started:

  1. Cut back on the Fruit — you’re pounding tons of fruit because everyone says it’s so healthy and this will help you lose weight. Many food and nutrition guides are now just starting to get the word out that most of the fruits you love are too high in fruit sugar content. Sugar is sugar. Berries are lower in sugar and of course more tart and most people don’t choose the strawberries, raspberries, blackberries and blueberries as their fruit of choice. You go straight for the watermelon, bananas, cantaloupe, and honeydew, etc. These fruit are very high in sugar content and will only stay your hunger for a short few hours and send you craving and starving for more food when your sugar levels plummet and your insulin is still scavenging through your body looking for more sugar. THIS ALSO APPLIES TO THE FRUIT/PROTEIN SMOOTHIES which tend to be too high in sugar.
  1. Cut back on the Carbohydrates — cut WAY back on all breads, pasta, cereal, oatmeal, and rice. It doesn’t mean you can’t have any, it means you shouldn’t have it with every meal or with every dinner. The portions also should be measured and STEP AWAY FROM THE TABLE when you are done eating. Do NOT get seconds.
  1. Increase your protein — protein in the form of fish, meat, and chicken/turkey. You may think that being a vegetarian is healthier and will reduce your fat and caloric intake but actually you may indeed be consuming not only more calories in your rice and grains but the wrong kind of calories in the form of carbohydrates. You need more protein. Protein will stay your hunger longer and level out your insulin levels and hence your blood sugar. This will help minimize the up and down cravings you may be currently suffering. This may also help your constant hunger you tend to feel when you try to “diet.”
  1. Snack on nuts and beef/turkey jerky—if you are a grazer and feel the need to crunch and eat between meals or if you don’t have time for a meal, choose nuts and the dried meat jerkys of your choice. This is also a good way to stay away from sweets or protein bars/snack bars, which tend to be high in carbohydrates.

More to come in next blog….On How to Stay Motivated on Your Weight Loss Journey…

REJUVENATION – Rick Stoff, Town & Style St. Louis

Town & Style – St. Louis featured Dr. Koo in an article detailing ‘combo surgeries’ such as the Mommy Makeover and why they are growing in popularity. Here’s an excerpt from the article:

The appeal of cosmetic surgery probably increases with the number of candles blazing on your birthday cake. After blowing out the latest inferno—and viewing the celebratory pictures—many a celebrant will decide it’s time for some self-improvement. But where to start?

combo surgeries
Especially popular with young moms and the more matronly (or patronly) alike, combo surgeries are the proverbial two-fer. They may not exactly offer ‘two-for-one,’ but they do come with other attractive features. For one thing, you can tackle two related problem areas at the same time.

And there are indeed some cost- and time-cutting benefits. “Combining operations may allow for fewer down times and less time off work, so it is more cost-effective,” says Dr. Judith Gurley of Judith Gurley Plastic Surgery and Medical Spa.

“It saves recovery time and operating room and anesthesia costs,” adds Dr. Michele Koo. “Any combination of surgeries is possible. It depends upon what the patient requests and whether it makes sense and is safe. Often an insurance-covered procedure is combined with a cosmetic one.” …

have it your way
“There really isn’t a combination that cannot be done together,” says Koo. “The ‘makes sense’ part is the location of the surgery. Combination brow-lift, eye-lift and face-lift makes sense since I address the rejuvenation of the entire face. A complete face rejuvenation also can be performed with a breast lift or a breast augmentation.”

Combined facial procedures can bring enhanced outcomes, Gurley adds. “A combined approach can avoid the ‘operated on’ look. This involves maneuvers such as lasers for tightening, fat injections and fillers for plumping, and eyelid lifts for removing extra skin. These techniques can be done under anesthesia so there is no pain.”

Breast procedures are often scheduled with arm reductions or tummy tucks—the removal of excess fat and skin. “Breast reductions and tummy tucks are an excellent combination,” Koo says. “Breast reductions often are covered under insurance, along with an overnight hospital stay. The overnight stay can be used in conjunction with the tummy tuck, which is an elective procedure not covered by insurance.”

Read the full article at townandstyle.com