Spin king Shane Warne, 49, has lost a whopping 15 kilograms by following a number of unorthodox methods.
Woman’s Day magazine reported on the father-of-three’s impressive achievement on Monday, breaking down the cricket legend’s keys to success.
According to the publication, Shane credits alternative wellness products, fasting, and even Channel Nine personality Eddie McGuire, for his slim-down.
Slim Spin king! Shane Warne, 49, has lost a whopping 15 kilograms by following a number of unorthodox methods
The retired icon reportedly underwent a dramatic fasting diet inspired by friend Eddie McGuire’s ‘101 Wellbeing’ Program.
He has also been indulging in detoxifying Chinese green tea and a ‘liquid herbal supplement,’ the magazine reports.
Shane’s weight has fluctuated dramatically over the years, with a significant weight gain back in 2017 the last to be widely reported on.
Alternative wellness! According to a new report, Shane is using detoxifying Chinese green tea and a ‘liquid herbal supplement’ to shed the kilos. (L) In 2017. (R) Last week
Shane openly joked about his weight at the time – notably during an idyllic vacation with his children in Spain.
‘Auditioning for the Baywatch with big bellies movie hahah,’ part of his post read.
But weight loss isn’t the only well documented cosmetic struggle the retiree has encountered over the years.
Health and fitness: The retired icon also reportedly credits a dramatic fasting diet inspired by his friend Eddie McGuire’s ‘101 Wellbeing’ Program
It’s long been speculated that Shane dabbled in cosmetic surgery, including injectibles such as Botox and filler.
Speaking to Daily Mail Australia in July last year, Beverly Hills cosmetic surgeon Dr. Randal Haworth suspected he had enlisted a little help.
‘I suspect that he has dabbled with Botox and perhaps some fillers here and there,’ he exclusively told Daily Mail Australia.
‘While women’s faces tend to look younger and softer with the right amount of fat, men’s faces tend to look better with weight loss,’ he said.
A little help? But weight loss isn’t the only well documented cosmetic struggle the retiree has encountered over the years – Shane has long been accused of cosmetic work
‘Shane’s is no exception – his face has become more chiseled, defined and handsome,’ he added.
Shane has always denied all allegations of cosmetic surgery, with one such denial airing on I’m A Celebrity… Get Me Out Of Here! in 2016.
‘Everyone says, “look what Warne’s done to his face. What’s he done to his head? Lay off the Botox. Get rid of the facelifts. He’s had fillers” and I’m like if I wanted to have some, I would have no issue and if someone asked, I’d say, ‘Yep, I’ve had some. But until then…”‘
Rumour has it: He previously sparked surgery speculation when he appeared to have undergone a major physical transformation while dating Elizabeth Hurley (R)
A renowned plastic surgeon has delivered a withering assessment of this year’s Married At First Sight stars, saying they are too dependent on fillers.
Beverly Hills-based Dr. Randal Haworth says the latest crop of brides have ‘over-inflated lips’ that sit uncomfortably with their faces and ‘don’t do them any favours’.
Speaking exclusively to Daily Mail Australia, the CEO of DrHaworth.com also claimed that reality TV stars more generally are sending a harmful message to young fans by excessively plumping up their features.
‘Their lips are preposterously out of proportion!’ MAFS brides Jessika Power and Ines Basic ‘are destroying their looks with facial fillers’, says a leading cosmetic surgeon. Pictured left: Jessika pre-2017, and right: in 2019
After being shown before-and-after photos of Jessika Power, Martha Kalifatidis and Ines Basic, Dr. Haworth didn’t hold back.
‘Like a loud out-of-tune instrument in an otherwise beautiful orchestra, these over-inflated lips resemble baboon bottoms in heat and do no one any favours,’ he said.
Speaking about reality stars generally, he said there is a risk they are projecting unrealistic beauty standards on to a young generation of women.
He added: ‘As a renowned lip reshaping expert, I can say it is not just the lips, but also the surgically and “filter enhanced” faces and bodies that send a bad message to young people. It breeds insecurity and bland conformity whereby everyone starts to look the same.’
‘These over-inflated lips resemble baboon bottoms in heat’: After being shown before-and-after photos of several Married At First Sight stars, Dr. Randal Haworth didn’t hold back. Pictured left: an undated photo of Martha Kalifatidis from several years ago, and right: in 2019
Several MAFS contestants, including single mother Susie Bradley, have admitted to using off-the-shelf lip fillers, such as Juvéderm.
In photos taken before their cosmetic transformations, the reality stars are almost unrecognisable compared to how they look today.
But Dr. Haworth believes that facial fillers have not necessarily improved or complemented the brides’ natural features.
‘Instead of enhancing facial sensuality, overly plumped lips tend to do the opposite and even age the face in a strange way,’ he observed.
Plump pouts: Several MAFS contestants, including Ines Basic, have admitted to regularly getting lip fillers. Pictured left: Ines in September 2018, and right: on April 18, 2019
‘The exaggerated lips of Jessika only serve to distract from her natural beauty’: Dr. Haworth told Daily Mail Australia that ‘overly plumped lips tend to age the face in a strange way’. Pictured: Jessika before and after having lip fillers
He added: ‘For example, the exaggerated lips of Jessika only serve to distract from her natural beauty, while the lips of Martha just draw attention to her other churlish facial plastic surgery, including her rhinoplasty.’
Dr. Haworth went on to say that ‘so-called practitioners’ of cosmetic enhancements are allowing ‘their own aesthetic judgment to be hijacked by social media influencers’ and reality stars like the Kardashians.
‘This [fixation] encourages tunnel vision in doctors and nurse injectors alike, focusing only on lip volume and not on shape,’ he said.
‘Doctors and nurse injectors alike focus only on lip volume and not on shape’: Dr. Haworth wasn’t a fan of Martha Kalifatidis’ cosmetic enhancements. Pictured before and after she underwent facial fillers
Speaking to NW magazine on Monday, Jessika confirmed she has spent $25,000 on her cosmetic transformation so far – and has no plans to slow down.
Last month, Ines also admitted she has been getting lip fillers ‘for years’.
Furthermore, Martha has acknowledged having Botox and facial fillers in addition to undergoing a rhinoplasty and breast enlargement.
Mummy makeover: Susie Bradley underwent extensive cosmetic work after having her first child. Pictured left: Susie in 2015, and right: earlier this year
Beverly Hills plastic surgeon Dr. Randal Haworth offers his expert opinion on whether Jennifer Hawkins has gone under the knife. She has been the subject of ongoing surgery speculation due to her changing appearance over the years. Dr. Haworth told Daily Mail Australia on Tuesday: ‘I often see pretty girls like Jennifer wanting to fine-tune their features to enter “supermodel” territory.’
Despite being a household name for 15 years, Jennifer does not appear to have aged a day and is arguably more beautiful now than she was in her early twenties. Dr. Haworth, who has not treated Jennifer himself, stated that the Australian model appears to have invested in some minor improvements to ‘improve facial balance as a whole’. In 2010, Jennifer attributed her drastic change in appearance to healthy eating, exercise and makeup during an interview with The Kyle and Jackie O Show.
While old photos of Jennifer reveal a noticeably thinner pout and fuller face, she has previously brushed off surgery speculation. Jennifer once told The Australian Women’s Weekly that it’s the nature of the fashion industry to be accused of undergoing cosmetic surgery. ‘When someone says “under the knife” I don’t have a reaction,’ she told the magazine.
Dr Randal Haworth’s Artisitic 1800 lb Reception CounterDr Randal Haworth’s Artisitic 1800 lb Reception CounterDr Randal Haworth’s Artisitic 1800 lb Reception CounterDr Randal Haworth’s Artisitic 1800 lb Reception Counter
Realizing
a
vision
in
stone
Swapping his scalpel for a chisel, Beverly Hills plastic
surgeon Dr. Randal Haworth MD was hands on in the design
and construction ofhis new ojj‘ice lobby, which included a
mammoth reception counter made from Carrara marble
by lenniter Richinelli
When designing his new office for his plastic surgery practice in Beverly llills, CA, Dr. Randal llaworth MD was
drawn to while marble In create the look he envisioned.
ntients visiting the office of
I)renowned plastic surgeon Dr.
Randal Haworth MD in Beverly
Hills, CA, will observe firsthand
the doctor’s flare for design. As the
former Chief Resident in Plastic and
Renonstructive Surgery at the UCLA
Medical Center and recipient of the
title of “Plastic Surgical Consultant
Of The Year for 1993-94,” I-laworth
excelled in science and medicine,
but always remained in touch with
his artistic side. As a result, it was no
surprise how intimately involved he
became in the design and construction
of his new office space, which features
an extensive amount of stone.
“My inspiration for the lobby was
simply the notion of lime,” explained
Randal. “Amongst the seemingly infi-
nite number of both inorganic and
66 August Z01? | Stone World
For the lobby walls, an alternating formation of both protruding and recessed multi-tiled pieces was individually assembled in
sections from a 1-are and now unavailable source of distressed unfinished 2- x 8-inch marble tile veneer.
organic ‘things’ on this planet, only
the human being can be affected
psychologically by the idea of time
passing. Of course, everything on
this planet, including those entities
we consider permanent, such as the
mountains, oceans and atmosphere,
physically change over time. However,
it is only the human who can be con-
sciously aifectecl by the concept of time
and consequently react to the present
and plan for the future.
“‘l‘he bmwn, white and gray
palette, including the dual-toned aqua
and cobalt blue sofa, reflects the basic
molecular foundation of Mother Earth
herself, while the repetitive pattern
formalired by the textured shone walls
represents what is ostensibly immuta-
ble and ‘forever/” Haworth went on to
say. “ln contradisfincfion to this is the
massive 18-foot-long marble reception
counter, which is transformed from
violent, yet beautiful chaos, into a tra-
ditionally refined smooth surface. As
a metaphor of how modern plastic sur-
gery can make unappealing forms into
beautiful ones, the sculptural transfor-
mation reminds us we can change how
we appear over time.”
The doctor explained how he has
always been attracted to all types
of stone construction since he was a
child attending the King’s School in
Canterbury, England, which he said
is purportedly the oldest school in
the world. “Many of the classrooms
and dorms were based within ancient
Gothic stone buildings surround-
ing the 1,400-year-old Canterbury
Cathedral, so for me, stone represented
stability, strength and wisdom. Stone is
far more than just a construction mate-
rial — within its austerity lies timeless
beauty,” he said.
The lobby walls consist of an alter-
nating formation of both protruding
and recessed multi-tiled pieces –
totaling 120 square feet “l had each tile
section individually assembled from
a rare and now unavailable source of
distressed unfinished 2- x B-inch mar-
ble tile veneer that came in old wood
crates from Italy,” said Haworth. “The
oombinal-ion of the particular
texture — along with the pattern and
manner in which it was assembled –
was chosen to maximize depth.”
The showpiece of the 240-square-
foot office lobby is the mammoth
reception desk made from two massive
slabs of Carrara marble. These were
divided into nine pieces in order to
complement the full 18-foot length of
the counter.
“The stone materials were chosen
from both an aesthetic and practical
standpoint,” explained Randal. “I was
looking for a white purity for the wall
themselves, while the slabs for the
reception counter were chosen for a
certain multi-variegated pattern, as
well as thickness. The thickness was
needed to accommodate both violent
carving and impart mass in the end.”
The stone was supplied by Empire
Marble in San Fernando Valley, CA.
The installation
When it came to the stone installa-
tion, Randal was intimately
with the 1-ton reception
“Indeed, I rolled up my
involved
counter.
sleeves to
carve and polish the structure and ulti-
mately camouflage its seams because,
it turned out, l was the only one who
knew what I envisioned,” he explained.
“l experimented with a number of
painterly techniques in order to visu-
ally unlfy the individual sections of
marble as one horizontal massive rock.
For the foundation, a pony wall was set
up as the main anchoring frame span-
ning frorn the left corner adjoining the
tiled wall to the right suspended hand-
icap accessible section.
Creating and anchoring the recep-
tion desk was a trial-and-error process,
explained l-laworth. “As experienced
and proficient as they were in their
craft, I realized my team was inad-
equately prepared for what I wanted
Stone World | August 2017 67
The Carrara marble slabs were
cut into nine pieces and then
assembled to create the mammoth
reception counter. ‘Work was then
dune ho smooth out the seams.
The main attraction of the office lobby is an 18 -toot-long reception counter made tram
two massive slabs of Carrara marble.
to create,” he said. “It was basically
my fault because my inexperience did
not allow me to realize theirs in han-
dling this one idiosyncratic aspect of
the total project. It was as much about
structural engineering as it was about
art. I realized that when you are utiliz-
ing others to translate your vision of
something that is unique and out of
their comfort zone, you must seek top
specialists in that particular medium
you want to work with. For example,
despite the innumerable conversations
and detailed drawings I provided to
the architect, project manager. engi-
neer and marble craftsman, the form of
the counter during construction began
to differ widely from what I was envi-
sioning. lt was fortunate that l arrived
after surgery just in time before the
glue and mortar dried so that I was
able to have the nine stone pieces repo-
sitioned to my
“ln a similar vein, the person l
commissioned to do the carving was
woefully oft course in terms of ele-
gantly decreasing the texture of the
marble from left to right to convey the
analogy from chaos to perfection,”
Haworth went on to say. “With dead-
lines rapidly looming, I realized that I
had to take matters in my own hands
to become quickly proficient with the
Makita saw, power sanding and the
plain old chisel and mallet until the
wee hours of the night.”
While there were some bumps in the
road during construction, Randal was
pleased with the final outcome. “Since
wehavernovedintoournew officeore
and half years ago, the subjective raw
emotional feelings as an artist during
the act of creation have now dissipat-
ed,” he said. “I am affected by it in in
a more objective way. lam amazed that
I created what I feel is a magical, mod-
ern yet spiritual space which brings
an element of strength and peace that
will not vanish with time. Marble since
CrecoRoman times has fascinated
humans, as evidenced in temples nest-
ing our desire of eternity. Design today
still wants to echo the perpetual against
nature’s backdrop. Yet, nature will
always be ahead of us in our creative
search which can only be successful
if we understand and respect nature
before we attempt to perfect it.” El
68 August 2017 I Stone World
Beverly Hills-based plastic surgeon, Randal Haworth, M.D., says he needs to be comfortable and free to move in order to perform facial and body plastic surgery.
But space can be somewhat limited in an OR inside a boutique plastic surgery practice, he says.
“… so careful planning of the envisioned flow between patient, surgeon, scrub tech, circulating nurse and anesthesia provider must be done,” Dr. Haworth says. “In my case, I had to work with a rectangular operating room, in which case I first had to decide where the anesthesia machine would be situated, since its range of movement would be limited by the oxygen and vacuum hoses tethering it to the ceiling. Consequently, it was important for me to have a 180-degree turning radius for the operating table, so I could position it according to whether I am performing facial or body surgery. Of course, OR lights have to follow suit and must be very mobile and bright. My Trumpf LED [Trumpf Medical] system fits the bill nicely.”
2. A Quality Monitor and Sound System
Having a big monitor with a good sound system for music is not only a luxury but a necessity for the modern plastic surgeon. Having the monitor in constant view is a must, according to Dr. Haworth.
3. Intelligently Designed Cabinetry
Proper cabinetry, design to maximize space and efficiency, is essential, according to Dr. Haworth.
“You can never have too many cabinets from the get-go, since these promote organization and obviate the need for vulgar retrofits in the future,” he says. “When it comes to designing my clinic or the operating room, I think that creating and maximizing the feeling of unrestricted space is important for both the patient’s sense of security and the staffs’ sense of clarity.”
4. Don’t Cut Corners
Don’t cut expenses, when it comes to safety, according to Dr. Cohen.
5. Seek Expertise
Dr. Cohen says cosmetic surgeons should tap experts in designing operating rooms.
“Reach out to architects with experience in both the design and credentialing processes,” Dr. Cohen says. “Ultimately, certain third-party inspections may be required, and you don’t want to be caught off guard.”
Dos and Don’ts for the In-office OR
Erin Metelka, an interior designer with Studio Four Design, offers these design dos and don’ts.
OR Dos:
Use a sheet flooring, with heat welded seams and sanitary cove base.
Use bleach cleanable/non-porous products.
Use clean/calming colors.
Provide a variety of adjustable ambient lighting options.
Utilize floor patterns to designate the extents of the sterile zone and care-provider zones.
With the wide variety of procedures that occur in an operating room, often times, the table is moved in order to accommodate the most efficient workflow with the other equipment in the suite. The floor patterns can also be used to dimension the proper location of the table for these various scenarios.
When creating several operating rooms, utilize an identical layout (not mirrored). Often, physicians are moving into adjacent operating rooms for a procedure, while a room is being turned over and sterilized. Having identical layouts increases efficiency and reduces error.
OR Don’ts:
Do not have extraneous items of décor within the suite, such as artwork.
Do not utilize fabric of any kind such as curtains/draperies. If there are windows, create privacy with natural light by using integrated frosted glass. If an upholstery is required for a physician stool or other items, a bleach cleanable vinyl is a suitable alternative, ideally with a Crypton or nano-technology finish applied (these finishes work to prevent moisture penetration to the cushion and function as an antimicrobial).
Do not place any direct down-lighting, with the exception of the surgical boom, directly over the table.
“Time is a cruel thief to rob us of our former selves. We lose as much to life as we do to death.” Elizabeth Forsythe Hailey
Living in the modern world becomes more complex and harder as life in the 21st-century becomes faster and faster. We are burdened with responsibilities and distracted by an interminable onslaught of media in all forms including the capricious internet. It seems as if everything is competing for our attention in one way, shape or form while stealing precious time we could otherwise devote to family, friends and simply to our own selves. Therefore, when it comes to saving time, the need to heal quickly after any cosmetic procedure is almost rapacious.
Unfortunately, there is no magic pill or formula to bypass the post operative inflammation of bruising, swelling and discomfort at this current time. As one of the top plastic surgeons in Beverly Hills, Dr. HAWORTH has seen a thing or two about how patients heal after the thousands of surgeries he has performed over two decades. As a facial plastic surgery expert, he has performed thousands of primary and revision rhinoplasties, brow lift, facelifts and blepharoplasties not to mention the breast implant operations throughout his career and has realized there are things you can do both at home and in the clinical setting to accelerate your healing.
First of all, it is a good idea to focus on whole foods as much as possible while avoiding processed ones as the former will contain the highest levels of vitamins and amino acids your body will need for a speedy recovery. Amino acids help wounds heal faster and obviously, these are found in chicken, meats, egg whites, fish, brown rice, healthy nuts like walnuts and almonds or sunflower seeds. Taking supplemental vitamin C in your diet while increasing zinc in your diet can be helpful. Instead of taking vitamin C for a bottle, you can eat strawberries, papayas and citrus fruits which are great sources of vitamin C. 500-1000mg is the usual amount that is taken. Zinc is found in oysters which have one of the highest levels of zinc found in any food. If you are going to take a supplement, 15 mg of zinc daily is the recommended amount but you can increase your zinc intake to 30–50 mg for 2 weeks before and 2 weeks after surgery, using zinc picolinate.
Beverly Hills plastic surgeon Dr. Haworth also recommends these useful supplements to take in preparation for your surgery include:
B12 and Iron – Iron and B12 both aid bone marrow in forming new blood cells, so incorporate foods like fish and eggs.
Vitamin B6250mg, twice a day for a week, starting 3 days after surgery. This helps reduce post-surgical fluid retention, such as swelling of the face, hands, feet or legs. With B6, you can experience substantial reduction within 24 to 48 hours.
CoQ10- Surgical trauma (particularly from cardiac surgery) causes an increase in free radicals, which damage cellular function. For this reason alone, you should take at least 50 mg of CoQ10 as part of your daily routine before your cosmetic surgery and 100–200 mg/day for at least 4 weeks after.
Fiber and probiotics – This combination helps boost the immune system and also keeps your digestive tract moving along. Eating yogurt with granola is just one easy way to get a serving of both fiber and probiotics! When choosing a probiotic, consider one that contains acidophilus and bifida bacteria (follow label instructions for dosage). Surgical patients often receive oral or intravenous antibiotics in the hospital, which creates the potential for yeast infections, digestive disturbances and diarrhea. A probiotic may help counteract these problems.
One amino acid that has been shown to speed with healing is glutamine and a study from Harvard and Dave showed that it shortened healing by about four days. Apart from supplements, glutamine can be found in beef, chicken and all types of fish. Dairy products such as cheese, milk, yogurt and eggs contain glutamine with ricotta and cottage cheese being the two richest sources. Vegetarians can find glutamine in beans and lentils.
For most of his patients, facial plastic surgery specialist Haworth recommends supplemental Arnica Montana, Bromelain/ Bromezyme (this pineapple enzyme helps prevent blood clots, aids digestion while decreasing inflammation and pain after surgery) and Pycnogenol/Pine bark. This triumvirate is aimed at reducing bruising, soreness and inflammatory edema.
Apart from the above, many patients inquire about any other additional medications, exercises or procedures that can be done to maximally reduce their healing times after surgery. Of course, all patients should ask their individual physicians or surgeons about their own personalized recommendations to speed up recovery which is beyond the scope of this post.
Bioptron® Light employs a combination of polarized infrared and visible light (480nm-3400nm) considered beneficial in the treatment of wound problems and injuries by exerting its effect at the cellular level. Bioptron® therapy has a low energy density (fluency) of 2.4 J/cm2 at a distance of 10 cm and can penetrate the skin up to 2.5 cm.
This patient had impending skin necrosis around her here after a facelift. Only 7 days of Bioptron ® light therapy were administered and notice the rapid improvement in reversing the damage.After 5 days of Bioptron® therapy to resolve bruising resulting from lower eyelid procedure to treat her dark circles/tear troughs.After 3 days of Bioptron® light therapy to accelerate the resolution of bruising and skin injury after a breast reduction by Dr. HAWORTH.
It has been used effectively in the treatment of burns, pressure sores, leg ulcers, wounds, pain and recently, postoperative healing. Dr Haworth have found it very useful in his clinic to reduce both swelling and bruising. Supporting his experience, other plastic surgeons here and abroad have noted decreased resolution times of eccymosis and edema following surgery by over 33% with Bioptron®. Indeed, it has been used to also reverse the course of cutaneous necrosis as well as accelerate granulation of open wounds, either alone or in conjunction with hyperbaric oxygen therapy (HBOT).
Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room or tube. It is a well-established treatment for decompression sickness, a hazard of scuba diving. Other conditions treated with HBOT include serious infections, bubbles of air in blood vessels and non-healing wounds as a result of diabetes or radiation injury.
In a HBOT chamber, the air pressure is increased to 3 times higher than normal air pressure and under these conditions, your lungs can gather more oxygen than would be possible breathing pure oxygen at normal air pressure. However, there is some confusion about what actually is “true” HBOT. Those employing “soft” tent like enclosures are essentially useless since they are unable to obtain a true hyperbaric environment of 2 to 4 atmospheres absolute (ATA). In fact, these personal or home-use “hyperbaric” tent enclosures can usually only attain a pressure of 1.3 ATA. There is a debate as to how much and how many treatments are necessary to speed up recovery after plastic surgery. While most plastic surgeons perhaps recommend one preoperatively and at least 3 to 5 postoperatively, experts in the field say one needs at least 15 to 20 treatments in order to see significant results. In my experience, 3 to 5 treatments are all that is necessary to achieve the more modest goals of reducing edema, bruising and discomfort resulting from elective plastic surgery.
After certain surgeries, body contouring plastic surgery expert Dr Randal Haworth may also recommend selective lymphatic massage/drainage to resolve edema (swelling) of the extremities, particularly after liposuction or liposculpture.
The above aforementioned vitamins, nutritional supplements and clinical interventions may not be the panacea to surgical healing which comes in a pill form, but they certainly are a step in the right direction in making recovery from any procedure as smooth as possible in 2017.
While we in the cosmetic industry are getting better and better at delivering the results that patients expect, I still hold fast that 60 to 70% of modern high-tech materials and devices in plastic surgery over promise and under deliver !
Considering that the future of plastic surgery will be less about actual surgery as more more and more technological advances are made in the lab (think genetic engineering, better fillers, better lasers, etc.), this 60-70% statistic is rather disappointing. What makes this all the more egregious is the fact that doctors are forced to pay an arm and a leg for such underperforming technologies (Ulthera ® Thermage®, etc.). In light of the fact you can get a state-of-the-art Tesla with all the bells and whistles for around $100,000, paying $150,000 or more for a machine that just delivers fuddy-duddy ultrasound technology through a wand to aid in liposuction is frankly outrageous. However, the medical tech companies can’t be solely blamed for this-they are basically governed by the FDA’s policies which, in turn, are a response to precedents extrapolated to an absurd degree by lawyers.
Unfortunately, I have seen it all too many times – a new plastic surgery technology coming out amidst a flurry of media only to fade into relatively rapid obscurity. This is similar to a Billboard chart topper only to turn out to be a one-hit wonder!
In my opinion the latest overhyped snakeoil is Kybella® from the big pharma conglomerate Allergan®, proud makers of Latisse®, Botox®, Voluma®, Juvéderm®, etc.
I was glad to hear from some of my esteemed colleagues at the recent American Society of Plastic Surgery meeting in Los Angeles that their thoughts on Kybella ® echoed mine.
Taking into account Kybella’s negative points, which include:
1. relative risk of damaging important facial nerves,
2. cost (though one treatment is less expensive than liposuction, more often than not multiple treatments are necessary and these, of course, add up),
3. associated pain,
4. longer recovery (which, ironically, is worse than surgical liposuction since remarkable swelling can occur after every injection session)
and
5. inferior results to those obtained with aesthetically and skillfully performed liposuction
…there is little to no advantage in utilizing Kybella® for my patients except perhaps for its superior multi-million dollar marketing campaign! Indeed, micro liposuction can provide unprecedented control in removing fat to treat a double chin while refining the jawline and addressing the jowls as well-all with less downtime and more economically so in the end.
Case in point:
Dramatic perioral rejuvenation including improvement of the jowl and chin utilizing a combination micro liposculpture and fat transferDramatic perioral rejuvenation including improvement of the jowl and chin utilizing a combination micro liposculpture and fat transfer. Note the smoother jawline and submental (chin) region all performed with delicate no scar facial surgery without a face or neck lift.After combination micro liposculpture and fat transfer. Note the smoother jawline and submental (chin) region all performed with delicate no scar facial surgery without a face or neck lift.
The idea of wearing a bra to bed is nothing new. I estimate approximately 6% of women already realize the benefit sleeping in a bra either because they were advised to do so by a buxom relative with ample bosom or are clever enough to understand how the laws of physics will affect their breasts in the long run.
BREASTS WITHOUT BRAS
Breasts are affected by gravity just in the same way that Sir Isaac Newton noted that an apple is. If the apple is not prevented from dropping to the ground, it will do so and often get damaged in the process. During the day, breasts get pulled towards the earth in the same way and if no support is provided to counteract this force, breasts will eventually elongate and narrow complemented often times with downward facing nipples.
After examining thousands of breasts throughout my 20 years of private practice, I have come to realize that those who sleep in a brassiere generally have perky breasts than those who don’t. Specifically, those who wear a bra during the day and not one at night tend to have breasts which are wider, yet flatter and concave on top with their nipples still point upwards.
Oblique cross-section of breast showing inner anatomy including Cooper’s suspensory ligament’s.
Apart from being blessed with good genetics to imbue your breasts with strong Cooper’s ligaments, collagen and skin there is nothing one can do to to protect your breasts from drooping except good old fashion commonsense prevention – and that comes in the form of a bra.
There is no muscle in the breasts therefore neither exercise nor yoga positions will help. There’s even poorly conceived research stating that wearing a bra creates more drooping of the breast because “they limit the growth of supporting breast tissue, leaving the breast to wither away and degrade more quickly”! In other words, they imply that the stress of gravity is good for the breast, training it like a muscle. If that were the case, patients could simply gain and lose excessive weight repeatedly in order to” train the skin” so that stretch marks can be avoided. OK…but I then wonder why pregnancy results in abdominal stretch marks…hmmmm?
My job as a plastic surgeon is to not just simply do the surgery and wish my patients all the best as they fade into the sunset. I feel it is my responsibility to also provide an “instruction manual” so to speak on how to manage their aesthetic wellness outside of my clinic and operating room.
For example, after facial surgery I recommend specialized skin care regimens and after body sculpting, certain diet and exercise. However, after breast surgery, few if any plastic surgeons recommend long term breast care except for incision/scar management, implant massage and mammograms. You only have one set of breasts and whether or not you choose to undergo plastic surgery, it is equally important to invest time and not just money in protecting their aesthetic wellness as appropriately early as you can. As soon as a young woman’s breasts are large enough to fall off the side of their chest when they are lying down is the ideal time to prevent them from doing so!
In the same way that gravity exerts an affect on a woman’s breasts when she stands, it also profoundly affects them when she lies down. However, wearing a regular, daytime bra to bed simply did not provide the specialized support that was needed when on one’s back and side. When calling the support specialized, I am referring specifically to secure lateral outside support to keep the breasts from falling off to the side in addition to inner or middle support to prevent the upper breast from falling onto the lower during side sleeping.
There were no bras on the market that addressed these important issues. It is for that reason that I developed NightLift ®. It had to fill three criteria:1. First and foremost, it had to be comfortable, like a second skin if you will. Despite providing unparalleled support, no underwires exist within this bra.
2. It had to work. 48 prototypes were developed over several years to ensure ultimate support without wire or compression. We call this technology B.U.S.T. ® (bilateral uplift support technology).
3. It has to be stylish and sexy so a woman not only feels fabulous but also looks great, whether she’s alone or with her partner.
Whether a woman has undergone breast surgery or not, I recommend night list to all of my patients if she is concerned with aesthetic wellness of her breasts. After breast surgery (including breast augmentation, mastopexy or breast reduction) I fit my patients in NL a week after surgery when most swelling has dissipated. Since NL provides incredibly comfortable support without hurtful underwire, patients fall in love with this and it soon becomes a staple within their lingerie collection.
Randal Haworth MD
To learn more, go to Nightlift.com
The latest in treatments, fillers and procedures help keep you beautifully radiant-at any age. Here’s the inside track on what to do, and who to go to, to put your best self forward. Among those esteem practitioners interviewed by Angelina, Dr. Randal Haworth MD was honored to be included among them. Anti-aging treatments“Botox plays in important role in keeping fine lines at bay”, says plastic surgeon Dr. Randal Haworth MD renowned for achieving naturally beautiful results. Haworth suggests conservative use of Botox (from $500, the Haworth Institute) in the 30s to diminish fine lines and crows feet.
Beverly Hills plastic surgeon Dr. Randal Haworth MD Bellafill ($1200, The Haworth Institute) to permanently diminish deep folds and fill out eyelid hollows.
Wier excisions are very powerful tools to augment a rhinoplasty. This is a procedure that I usually perform at the conclusion of a nose job in order to refine and narrow the nostrils while controlling the flare when smiling.
Most people and surgeons alike equate this procedure to simply narrowing the “floor” of the nostril by cutting out some skin but it is actually more nuanced than that. The design of the excision can be customized by changing the angulation, the position and the width of the cuts which, in turn, can change not only the dimensions but also the curvature of the actual nostril itself. A deep permanent suture is often used as well to prevent re-widening of the nostrils and reduce tension across the scar. Reducing tension across the scar as well as accurate angulation is important to achieve a nearly invisible scar. So many times I have seen obvious notching that is visible from 5 feet away and is a definite giveaway of having had a rhinoplasty.
Weir excisions can be also be performed in conjunction with an upper lip lift adding to the complexity of the procedure. As a rhinoplasty and lip lift expert, I have performed hundreds of these combination techniques with excellent results.
All facial plastic surgery, whether it’s primary or revisional, is challenging but taking the time to address all the details and plan them accordingly can maximize the aesthetic outcome that is not only beautiful but natural as well. The devil is in the details so to speak.
Poor rhinoplasty result with crooked , distorted tip and obvious nostril scarring after a Weir excisionAgain, note obvious nostril scarring from Weirs and tell-tale signs of a past rhinoplastyBefore and after revision rhinoplasty and Weir excision as performed by Dr. RANDAL HAWORTHPrimary rhinoplasty and Weir excision to narrow the nostrils in Asian patient. Note added tip projection and lack of notchingPrimary rhinoplasty, Weir excision and concomitant upper lip lift as performed by Dr. Haworth
Despite being a household name for 15 years, Jennifer does not appear to have aged a day and is arguably more beautiful now than she was in her early twenties. Dr. Haworth, who has not treated Jennifer himself, stated that the Australian model appears to have invested in some minor improvements to ‘improve facial balance as a whole’. In 2010, Jennifer attributed her drastic change in appearance to healthy eating, exercise and makeup during an interview with The Kyle and Jackie O Show.
