REVIA Magazine Issue #11

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Dr. Irvin Wiesman holds over ten years' experience and is certified in three specialties: Plastic & Reconstructive Surgery, Hand & Micro-Vascular Surgery and General Surgery. A third generation surgeon, Dr. Irvin Wiesman is fascinated by the function of the human body as well as its health and beauty. He specializes in Plastic & Reconstructive surgery of the face, breast, and body, and is devoted to attaining the best results possible. He takes great care to guide his patients throughout the surgical process, focusing on their individual needs and cosmetic goals. He is also a member of the esteemed American Board of Plastic Surgery and the highly selective American Society of Aesthetic Plastic Surgeons. Dr. Irv's health Tips Cellulite: Is there hope? Cellulite is the term used to describe the dimpling of the skin most commonly seen around the hips and thighs. It is more common in women than men, and also more frequently seen in older, post-menopausal women. The difference between the sexes is due to the makeup of the connective tissue between the overlaying skin and the deep muscle fascia. In women, this fascia has been shown to be more vertically oriented, thus creating closed pockets that cause enlarged or excessive fat cells in order to “push out” the overlaying adjacent skin, which leads to the puckering we call “cellulite”. When cellulite is present, there is nothing abnormal about a person’s body makeup, or their fat cells. Even a thin athletic body can have localized areas of dimpling due to the connective tissue compartmentalizing the fat between the skin and underlying muscle. The question is: What can be done? Creams We have all seen ads in fashion magazines and infomercials marketing a wonder cream that can “dissolve” cellulite. Most of these creams contain a medicine called theophylline. Theophylline is a commonly prescribed asthma medication that also has a diuretic effect. There have been many subjective reports of improved body contour and cellulite, as well as a decrease in waist and thigh circumference with the use of theophylline, however, the problem is there is no scientific evidence supporting these individual claims. But the good news is that are minimal side effects from these kinds of products. There is minimal systemic absorption of the cream, in addition to the very low chance [25%] of developing a rash. Massage Endermologie is a form of deep tissue massage where a mechanical device is used to essentially suction up folds of skin and roll it two revolving rollers. It breaks down fat and excretes it from the body, leading to a corrected body contour purified of irregularities and cellulite. An analysis of bodily fluids proves these claims to be unfounded, but there is an increase in collagen above the muscle fascia, which may lead to a smoothing out of contour irregularities. However, this is yet to proven with clear scientific data. Other things to consider with this form of cellulite treatment is that it may take up to 14 treatments, which may be painful, and is also on the more expensive side. Radio frequency (Javeshape tm, Accent tm, Thermage) utilizes radiofrequency to heat up the skin and subcutaneous tissue to create skin tightening and slight volume reduction. This technology can create a tighter, smoother and long-lasting appearance of the skin, usually taking 1-3 treatments before achieving desired results. Surgical Treatment Surgical treatment is also a reasonable and reliable option for treating the underlying cause of cellulite. An instrument called a pickle for, or loop lysing cannula, can be used to disrupt the facial attachment between the skin and underlying musical fascia that causes dimpling. This may need to be combined with liposuction, or fat injection, to improve any contour irregularity and prevent reattachment of the fascia, thereby providing an overall improvement in body contour and appearance. Laser Therapy Cellulaze is another invasive treatment that utilizes laser (light) therapy to break up and liquefy the fibrous bands of the fat packets. The additional heat from the laser will also improve the amount of skin tightening. In this situation, it is wise to seek someone experienced with laser treatments because there is always the risk of causing permanent burns to the skin. Cellulite is a difficult, and often misunderstood, problem affecting even the most “fit” individuals. There is also little scientific evidence behind the many treatments currently advertised in media, especially on TV and in magazines. Fortunately, many of these treatments have little to no side effects. Surgical intervention is an option, but only after thoughtful and serious consideration. Overall, leading a healthy lifestyle by getting adequate exercise, and maintaining a balanced diet are the best ways for people to achieve their own “ideal” body. v 16 revia reviamagazine.com <strong>#11</strong>, 2015
ENHANCE YOUR NATURAL BEAUTY THROUGH THE ART OF AESTHETIC SURGERY IRVIN WIESMAN, M.D. Dr. Irvin M. Wiesman is a board-certifi ed plastic surgeon and an active member of both the American Society of Plastic Surgeons as well as the prestigious American Society of Aesthetic Plastic Surgery. CHICAGO LOCATION 712 N. DEARBORN STREET CHICAGO, ILLINOIS 60654 (312) 981-1290 HIGHLAND PARK LOCATION 1160 PARK AVENUE WEST. SUITE 2E HIGHLAND PARK, ILLINOIS 60035 (847) 266-0684 CERTIFIED IN 3 SPECIALTIES TRIPLE BOARD CERTIFIED WWW.WIESMANINSTITUTE.COM
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REVIA Magazine Issue #11

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