Photo Credit: jspamedspa.com
A visit to the New York Center for Facial Plastic & Laser Surgery in Great Neck, would not be complete without spending some time at the lush and pampering J SPA Medical Day Spa. Under the direction of Andrew Jacono, M.D., F.A.C.S, J SPA features a wide range of the most sought after age-reversing skin and body treatments.
An internationally recognized expert in the field of Facial Plastic and Reconstructive Surgery with a flourishing practice on Long Island’s Gold Coast and in New York City, Jacono is a Fellow of the American Academy of Facial Plastic and Reconstructive Surgery. He is considered a leading expert in his field, which is why television news personalities, socialites, editors, models, actors, and everyday men and women who are eager for some rejuvenating therapies seek out his unique expertise.
“My overriding goal as a facial plastic and reconstructive surgeon is to deliver natural-looking results with minimal downtime, scarring, and risk. My practice caters to patients looking for a younger version of themselves. I dedicate 80% of my practice to invasive and non-invasive cosmetic procedures, including minimally invasive endoscopic facelifts, blepharoplasty, and rhinoplasty. The other 20% consists of reconstructive and revision surgery patients,” he said.
He continues, “Early in my career, I repaired the broken nose of a woman who said she had been injured in a car accident. Several months later, the woman returned a second time, claiming she had broken her nose in yet another car accident. I later learned that the woman had been living in an abusive relationship and her broken noses were the result of domestic violence. Since then, I have volunteered my time and resources to erase the facial scars of victims of domestic violence through the AAFPRS’ FACE TO FACE program, and I now serve as Senior Advisor.”
As a father of four, he is also passionate about helping children across the globe, and has been the plastic surgery team leader for Healing the Children for the past 8 years. “On these missions, we focus on repairing cleft lip and palate deformities on babies born with facial disfigurement. In 2013, I joined the HUGS Foundation to treat children with microtia (a condition where children are born without an ear) in Ecuador with my mentor Vito C. Quatela, M.D., F.A.C.S. The HUGS Foundation is a non-profit organization that delivers medical care to developing countries. On average, I spend approximately four weeks a year performing pro-bono surgery. My medical practice allows me to give back to those in need, which is one of my passions,” said Jacono.
“I am continuously evaluating my results, then innovating and creating new techniques to improve the outcomes and experiences I can offer. I regularly publish my findings in leading plastic surgery journals and then share findings at national and international conferences on facial plastic surgery. I am also always looking to gain knowledge from others, and exchanging ideas and innovations with leaders in plastic surgery all over the world. This allows me to incorporate the most state-of-the-art techniques available today into my practice. When you think you have nothing left to learn is when you lose your edge.”
His predictions for the next big thing in medical aesthetics? “Increasingly refined face lifting techniques and rapid recovery will continue to be focuses. As for those seeking non-surgical rejuvenation, expect to see advances in both injectables and injectable techniques, as well as expanded approvals for usage in other areas. As facial rejuvenation becomes more mainstream, you will see the median age of patients drop and the number of patients increase. There will also be a shift from rejuvenation to prevention as a leading reason for seeking treatment.”
New Yorkers are looking for understated, natural results which often times call for multiple smaller procedures and the preservation of facial tissue, rather than simply pulling and removing drooping areas of the eyes and face. New Yorkers are also trending away from simply filling their faces with injections, which with more significant aging makes the face look fuller, but not necessarily more rejuvenated. With the use of minimally invasive face and eyelid lift techniques, fat and muscles are repositioned for natural volume and identity preserving results. In other cities, such as LA, there is demand for a more defined plastic surgery “look.”
Jacono doesn’t have a signature approach, because as he says, each face requires something different. “I believe in a customized multi-layered approach to restoring youth to the face. I perform many different types of facelifts and choose the one that best suits a patient’s goals, facial structure, and degree of aging. I’ve also developed minimally invasive facelifts that lift drooping cheeks and laxity in the neck with minimal incisions by using endoscopes. This technique lifts the face underneath the muscles, not under the skin, so the face appears soft and natural, not tight and stretched. In some patients, the face will lose volume, so I perform micro-fat transfers to restore the heart-shaped face of youth.
For those not ready for surgery, Jacono and his medical team offer non-surgical face lifting with a combination of Ultherapy, injectables and fractional laser resurfacing. One of his favorite new products is Voluma, which helps provide support to the cheek region which droops and deflates with age. The FDA studies show it lasts longer than most other injectables, which is an added bonus.
At J SPA, the go-to skincare ranges include PREVAGE and VIVITÉ, among others. Depending on a patient’s age, skin type, sun exposure, and goals, Jacono develops a custom skincare regimen. He believes also that drugstore brands can often be as effective as prestige brands, just make sure to wear a moisturizer with a broad-spectrum SPF of 30 or higher. His signature J PAK Systems™ are convenient homeopathic remedies for use before and after aesthetic injectable and surgical procedures to help minimize swelling and bruising. Scientific studies indicate that homeopathic remedies like Arnica Montana and dietary supplements like Bromelain and Hyaluronic Acid can help minimize swelling and bruising and speed healing after surgery.
Photo Credit: aafprs.org
Even the balmy weather and threats of storms didn’t detract from the excitement as facial plastic surgeon Stephen S. Park, MD, became the new President of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) at the group’s annual Fall meeting in Orlando, Florida.
Representing more than 2,700 facial plastic and reconstructive surgeons throughout the world, the AAFPRS is the world’s largest specialty association for facial plastic surgery. In addition to taking the helm of the AAFPRS for a one-year term, Park remains the director of the Division of Facial Plastic and Reconstructive Surgery at the University of Virginia Medical Center in Charlottesville.
Despite a full dance card at the meeting, Park sat down with Beauty in the Bag to discuss his practice, the direction the specialty is heading, as well as what he believes are the three things that can help put the brakes on aging.
Here’s what we found out:
Tell us about your practice.
It’s about 50% reconstructive including correcting congenital deformities such as microtia, a condition where the external ear is underdeveloped. The rest is aesthetic and includes aging face surgery, facelift, and rhinoplasties. My biggest niche, however, is nasal reconstruction, often following trauma or skin cancer.
How does reconstructive facial plastic surgery differ from cosmetic facial plastic surgery?
The lines are becoming blurred and that’s a good thing for patients. For many years, aesthetic surgery was one bucket and reconstructive surgery was another. As such, surgeons put a focus and expectation into the procedure according to which bucket it was in. The thought was ‘at least your cancer is gone, you can live with the deformity.’ Now, however, the two disciplines or approaches have blended. Skin cancer reconstruction has changed based upon what we know about aesthetics. Cosmetic rhinoplasty too is intimately related to functional nasal surgery. We are pulling tricks and nuances from our aesthetic practices into our reconstructive cases and producing a more cosmetically pleasing outcome after reconstructive surgery.
One of the Academy’s main messages to patients has been to ‘trust your face to a facial plastic surgeon’ because these are the experts who are most qualified. Are today’s patients heeding this call?
I very much think this message is resonating. Today’s patients are so unbelievably sophisticated largely because of technology and social media. They can do a lot of homework before they ever meet you and are making more informed choices about surgeons and procedures. The result is that patients are now asking us the hard questions during consultations.
What doe the future of facial plastic surgery look like to you?
Stem cells and tissue engineering will be big. I genuinely believe that in the lifetime of our younger members, so much of what we do and use today in facial plastic surgery will become obsolete. The big nasal reconstructions will be of historical interest only. In the future, a bright engineer will figure a way to use stem cells from a person and seed a perfect, biodegradable, 3-dimenional scaffold and grow a new nose. It may be first grown in an incubator and later implanted into the patient. Once that gets going, we will also begin to use stem cells mixed with growth factors to make new collagen for more youthful skin. We are on the cusp of a revolution.
Is 50 really the new 30 and if so, what does 50 look like in 2014?
I’m 52 and don’t feel old at all. I am shocked at how youthful and energetic so many people can be today.
What is their secret or yours?
In addition to the obvious, such as not smoking, the three things that make a huge difference are: regular exercise, hydration and moisturization. They say eight cups of water a day, but it is really as much as you can drink throughout our crazy days. I always recommend moisturizers to all patients and a sun block with at an sun protection factor (SPF) of 30 or higher.
Photo Credit: thedermblog.com
Jeffrey Benabio, MD, is helping to elevate dermatology’s profile, making it one of the most connected and digitally savvy specialties out there. A practicing dermatologist, Benabio also serves as the Physician Director of Innovation and Transformation at Kaiser Permanente in San Diego. As such, he spends a good deal of time working to promote telehealth initiatives, social networking for doctors, and digital healthcare delivery. In the future, individuals who are able to take a selfie of a mole and email it to their doctor for real-time analysis will owe a big thank you to Benabio, who is also the voice behind The Digital Doctor, a popular blog that educates patients about health and wellness.
Benabio connected with Beauty in the Bag over email (after all, what else would you expect form the Digital Doctor?) to discuss his skin care philosophies as well as how telemedicine will change the way dermatologists see patients just like you in the not-too-distant future.
What are the three worst things we do to our skin?
We don’t adequately protect it from the sun’s damaging rays. Although people are generally better about applying sunscreen today than they were years ago, we still have lots of room for improvement. We know that sun exposure and sunburns, in particular, can lead to both premature skin aging (wrinkles) and skin cancer and that regular use of sunscreen is related to a reduced risk for skin aging and skin cancer. To keep your skin healthy, you must protect it. And that means for most people applying a broad spectrum sunscreen with SPF of 30 daily. It also means being sun smart by covering up with clothing, hats and sunglasses and seeking shade when outdoors.
We also don’t moisturize enough. With winter approaching, it’s particularly important to get in the habit of using moisturizing body washes and moisturizing lotions. When temperatures drop, there is less humidity in the air, which causes any moisture on exposed skin to quickly evaporate. Whipping winds and blasting heaters exacerbate your already parched skin, leading to uncomfortable, dry, chapped, cracked skin. First, stop using bar soap which strips oils off of your skin, leading to dry skin. Instead, use a moisturizing body wash such as Dove Men +Care’s body washes that have micro moisture technology to lock in moisture and keep skin feeling and looking healthy. Also, try to apply moisturizer to hands as often as possible, especially after hand washing. Cover up with hats, scarves, and gloves when outdoors, and try eating more omega-3 fatty acid-rich foods such as salmon and walnuts which can help keep your skin fight off dryness.
We pick, poke, prod, and pluck with abandon. Although tempting, it’s never a good idea to pop a pimple. Most people apply too much pressure which pushes the bacteria into the skin, worsening an already unsightly blemish. It’s not uncommon for the skin to become red, inflamed, and tender. Picking and prodding also leads to scarring and dark marks that can take months or years to fade.
What is your go-to product line?
I always recommend Dove products to all my patients – the brand is known and trusted in dermatology communities for cleansing, moisturizing, and care. For the guys, I tell them to use Dove Men+Care products, which are specifically formulated for men’s skin across personal wash, deodorants, face care and hair care. For example, in the summer I suggest men use the Dove Men+Care Hydrate+ Face Lotion. It not only offers advanced protection for dry skin, but it also contains a broad spectrum SPF 15. It’s fast absorbing, non-greasy, and has a light, fresh scent, unlike other products with high levels of perfume which can irritate skin. Check out dovemencare.com for more information.
If there was one thing you would recommend to stave off wrinkling and premature aging, what would it be, and why?
Sleep. Sleep. Sleep. Most people highly underestimate the importance of quality sleep. We know that lack of sleep is related to many health issues and is critically important for your skin’s health. Sleep is a strong anti-inflammatory, so it can help with inflammatory skin conditions such as rosacea, acne, and psoriasis. It also helps your skin look less dry, wrinkly, and puffy. That’s why when you’re tired, your face shows it: Your eyes are puffier than usual, and those fine lines don’t look so fine anymore. Chronic sleep deprivation can leave your skin looking and feeling dry, dull, and wrinkly. Over time, chronic sleep deprivation can lead to a host of medical problems including weight gain, memory problems, and headaches to name a few. Sleep isn’t a luxury. It’s a necessity.
Tell us how you see telemedicine affecting the way dermatologists treat patients.
It will be an additional way that patients can “see” their doctor for help. It is becoming increasingly common for patients to send photos by email to their dermatologist; it’s an easy and convenient way for patients to get answers to their skin questions. Teledermatology is also used between primary care physicians and dermatologists. In that instance, the primary care physician can send a photo to a dermatologist when they have a question about a rash or a growth. Getting a response right away from a dermatologist helps make primary care physicians even better at taking care of their patients. With the use of technology, there will be fewer barriers between physicians and patients.
Is your passion technology, skin care or both?
Both. I’m fortunate to practice medicine at a time when more people than ever have health insurance, when technology is better than ever at helping us care for people, and when patients are more informed than ever before about their health and healthcare. I’m always looking at technology as a means to make us better physicians and to enhance the relationship that doctors have with patients.
What do you predict will be the next big thing in dermatology?
Apps that accurately diagnosis skin cancer and other skin conditions, including rashes. We’re close to doing so today, and this will transform dermatology.