Learn to Have

MORE SEX

Ben Mulroney & Tanya Kim

TEN YEARS of etalk

DAVID DIXON

Tells Us What to Wear

TRISH STRATUS Enlightens Us with YOGA

ROMANTIC TRAVEL DESTINATIONS

THE SCARY TRUTH ABOUT SURGERY ABROAD

the revive MAKe-Over

reveAl a life transformed

WINTER 2012 REVIVEMAGAZINE.CA

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The Bodythe lAtest in nOn invAsive sKin tightening AnD Cellulite FightersBY DR. IhAB MATTA

We all want to look our best. Thanks to continuing advances in medical tech-nology, treatments that were once only available to the rich and famous are now accessible to everybody. In the past, one

would have had to have cosmetic plastic surgery to turn back time, but now years can be taken off your appearance by simple in-office lunchtime procedures with minimal downtime and risk.

Whether it’s getting rid of your wrinkles, restoring youthful volume to your face, improving your skin texture and cellulite, eliminating unwanted hair or reducing that frustrating “mummy tummy” there is a non-invasive affordable solution waiting for you.

FACe: eliMinAte WrinKles. What to do: Reduce sun exposure, don’t smoke, and get treatment with Botulinum toxin A.how it works: For wrinkles created by facial expression, such as frown lines, crow’s feet or forehead creases, Botulinum toxin A (known as Botox) is the most effective treatment. It works by relaxing the muscles that create the wrinkle, so that it no longer forms when the muscles move. You see results in 2-10 days after getting Botox, and results can last up to four months, with the results lasting longer as you have more treatments. In the hands of a qualified injector, results look very natural. There is no downtime and treatments cost anywhere from $250-$600 depending on how many areas are treated.

FACe: restOre vOluMeWhat to do: Use injectable fillers such as Restylane and Radiesse.

how it works: Restylane is a safe non-animal stabilized hyaluronic acid that can be injected into the face to restore that lost volume. Common areas treated are hollow temples, lips, chin, marionette lines, smile lines (nasolabial folds), tear troughs and most importantly, cheek

restoration and lifting. By re-inflating the area, we actually lift the sagging skin and improve everything below. Treatment is done at one sitting with results lasting 6-18 months. There may be some swelling or bruising after treatment, but this is easily covered by makeup and usually only lasts a couple of days. Cost can range from $500-$3000 depending on how much treatment is carried out per session.

JOWl/Chin/BAtWing AreAWhat to do: Pollogen Maximus Radiofrequency treatment to tighten loose skin on the neck, arms and below the chin.

how it works: Radiofrequency delivers heat to the skin and subcutaneous tissue below. By reaching and maintaining a specific temperature, fat is released from the underlying fat cells and skin tightening is triggered. The Maximus stimulates collagen production through deep heating, which helps rebuild the structural

integrity of the skin. Results are seen after the first treatment with peak results at 6-12 months. Most patients require 6 sessions for optimal results.

The treatment is pain free and any area with skin looseness can be treated; common areas include the jowl, chin, neck, batwings, mummy tummy, hips and thighs. There is no downtime and clients can resume their normal daily routine immediately after the procedure. Cost is usually $200 per session for face or neck and $300 per session for body.

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ABDOMen, hips, thighsWhat to do: TiteFX from Body Tite, targets fat, cellulite and loose skin.

how it works: The TiteFX delivers radiofrequency energy to the area. Once the target temperature is reached, it delivers a second energy pulse that actually kills the fat cell. The treatment is applied to a given area for 5-10 minutes and the heating effect stimulates collagen production, which helps tighten skin, while the secondary pulse improves local fat deposits and cellulite. Results are seen after the first treatment for fat and cellulite, while the tightening effects take more time and reach a peak at 6-12 months. The best areas to treat are the abdomen (for mummy tummy), hips and thighs both for cellulite and fat. Most patients require 6 sessions. There is no downtime. Each treatment usually costs $300 with packages available for multiple sessions.

sun DAMAgeD AreAs On FACe, neCK, ChestWhat to do: Fractora is a new option for patients with fine wrinkles, brown spots or sun damage, broken blood vessels and a general drop in skin quality.

how it works: Fractora is a fractionated Radiofrequency device that delivers heat 0.6 mm below the skin’s surface to improve the skin quality. It has a series of either 20 or 60 tiny pins that provide radiofrequency energy to the dermal region of the skin. This energy ablates some of the dermal matrix and stimulates a collagen response from the body that results in new, healthy collagen production. The procedure feels like a heat sensation and can be administered without anesthetic on a low setting; but on higher settings, one would need topical anaesthetic. The procedure is quite quick and can require between 2-6 sessions depending on desired outcome, intensity of treatment and tolerance of downtime. Low settings have minimal downtime, while higher settings can be more painful, and have more swelling. The best areas to treat are crow’s feet, smoker’s lines, below the eyes, neck, chest and hands. Cost ranges between $200-500 per treatment session.

unWAnteD BODyhAir What to do: Laser hair removal.how it works: Laser hair removal works by “selective photothermolysis”, in other words, the laser looks for colour in the hair shaft and targets it, destroying its ability to grow new hair. Treatment is usually performed every six weeks or so depending on how fast the hair grows. When a new crop of hair starts to grow, it’s time for another session. Most patients describe the sensation as an elastic band snapping on the skin, while some patients (especially those with colour) may notice a little bit more discomfort. Most clients require 6-8 sessions to achieve an 80% or more permanent reduction in hair. Downtime is usually negligible; some patients may notice a small sunburn sensation for a few hours. Cost depends on how large of an area is treated, ranging from $50/session for underarms to several hundred for legs or back.

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BY LOLA AUGUSTINE BROWN After two years of dedication and hard work, Laura, the last woman standing in the two-year Revive Makeover, has completely changed her life. Laura tackled the health issues that had been holding her back, shed a significant amount of weight and has undertaken various procedures to help her look her best. “I feel terrific,” she says, “I have way more confidence. When I look at pictures of myself I feel like, “Wow! What a difference!” and I’m so happy with how everything worked out. It took a long time to get here, and I’m proud to have achieved this.”

Getting HealthyWith support from an expert team providing nutritional guidance and personal training, Laura went from making poor dietary choices and not doing any exercise to becoming fit and healthy. Laura says that her biggest challenges were finding the time to exercise or eat properly. “I have three children, aged 8, 6 and 3, so it was really hard to fit those things in around what I needed to do for them,” she says.

Giving up smoking was another challenge. “I wrote a contract with myself and just quit cold turkey that day. There are days though when you get cravings, when you are around other people that smoke, and that makes it hard,” she says, “but you just have to stay strong.”

Laura had to make major changes to her diet. “As a mom, I’m on the go constantly and I didn’t have the greatest eating habits. I’d grab a muffin for breakfast, or a cereal bar, but I found myself having to prepare proper breakfasts, like eggs. Once I got into a routine, it wasn’t that hard,” she says, “but at first it was like, “Oh my God, I have to eat five times a day?” and I didn’t know how I’d manage.”

Being prepared ahead of time was key. Laura would make snacks and have them in baggies in her purse so that she wasn’t scrambling to find something healthy to eat when out. She always had a bunch of vegetable cut up and ready to go in the fridge too.

As for working out, Laura grabs the time when she can, which is usually late at night once the kids are settled. “Everyone can find half an hour to exercise in the day. Even if I don’t get done ‘til midnight, after I’ve got the kids to bed and cleaned up dinner, I make sure I work out and I always feel better for it,” she says, adding that the little bit of quiet time alone every night has been great for her, as she wasn’t always taking that time for herself before starting this

The revive MakeoverFinal In terviewstArt MeAsureMents

HeigHt: 6 feetWeigHt: 204 lbsbody fat: 32 %Waist: 43”Hips: 45.6”arms: r- 13” l- 12.5”bust: 42”tHigHs: r- 26” l- 25 1/4 “Calves: r- 16 3/4” l- 16.5”

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makeover.For Laura, workouts are always done at home using a treadmill, free-weights, medicine balls and stretches. A personal trainer helped develop an at home routine that worked for her, and came back and upped the intensity when Laura needed more of a challenge.

Not that she was perfect the whole way through this makeover process, there were times when she stopped working out for various reasons, and then found it hard to get back into the routine. “Sometimes you fall off, and you get lazy, so you have to motivate yourself again and get back into your routines. Over the course of the year, I fell off track a few times because I got sick or something, and it was hard to get back on,” she says. But she succeeded, and the photographs prove that all her hard work and dedication has paid off.

Looking GoodLaura is very, very happy with the cosmetic work that she has had done. “I’m getting so many compliments. People are telling me how amazing I look, and I’m not embarrassed to tell them that I had liposuction, a tummy tuck and my breasts done. It was my choice to get those things done, and although not everybody would agree with those choices, I have no issue– I’m happy,” she says.

This wasn’t the first time that Laura had had surgery; She had work done on her breasts when she was younger because she had asymmetrical breasts. “With each child they got more and more asymmetrical, so when I went in this time it wasn’t as simple as just getting a lift, I needed the right side reconstructed to match the left. It feels great to be in proportion again, because I was feeling so self-conscious about that,” she says.

Fortunately, Laura recovered quickly from each procedure, with minimal bruising or discomfort. She is very grateful for all the support she got from the team of experts that guided her through her makeover experience. “Everyone was just awesome, the nurses, the staff at the clinics, all the doctors,” she says.

After transforming her body in such a huge way, Laura has had to go buy new clothes, and says that shopping has been really fun. Trying stuff on in the stores is a pleasure, and Laura often has to grab a smaller size than the thinks she needs. “I’m thrilled,” she says, “and I feel amazing.”

The revive MakeoverFinal In terview FinAl MeAsureMents

HeigHt: 6 feetWeigHt: 169 lbsbody fat: 24 %Waist: 31”Hips: 41 arms: r- 12” l- 11.5”bust: 41”tHigHs: r- 22 1/4” l- 22”Calves: r- 16 1/4” l- 16 1/4”

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DR. MATTA:

Laura was an absolute delight to work with. She had a few specific concerns and was also open to treating areas that she may not have noticed but might be of benefit to her. As with all of us, Laura had some asymmetry with a smaller right side. Most people aren’t aware of their own asymmetry and don’t realize that one side of their chin may be smaller than the other side, or their forehead is smaller on the left than the right. I utilize the Canfield Imaging system to compare the right side to left and allow patients to see how symmetrical they are, or where they

would benefit from augmentation. We aim to improve symmetry, make the width of the face proportional to the length, lift descending structures and replace lost volume. We agreed that it would be of benefit to try to enhance her right side to make it more like her left. We did this in stages using Restylane™. Restylane™ is a non-animal stabilized form of hyaluronic acid that helps to lift and fill areas on the face that have deflated or dropped. In Laura’s case, I treated her in stages, starting in April using 4 syringes of Perlane™ and 2 syringes of Restylane™. Perlane™ is a thicker form of Restylane™, used to provide more volume; this is especially helpful in areas that need significant augmentation, such as cheeks, chins and sometimes temples. On the first session, I filled in her temples, more on the right than left. I also treated her cheeks and filled in the hollowness below her cheek, aiming to make them more symmetrical and widen that part of her face,

which was looking a little bit too thin relative to the rest of her face. I used a technique that I pioneered years ago, which I refer to as the “meso” technique. I used 3 Perlane™ and 3 Restylane™ on her second visit in August to continue to add volume to her temples, especially her right side, and cheeks. We also agreed to augment her lip a little bit. I usually do not like lip augmentation, since I think most women over do it, but Laura needed just a little bit and it still looks very natural and subtle. I also added some Botox to improve her wrinkles a bit and try to lift her right eyebrow. Laura presented as a great model to show the different things achievable with Restylane™ and Perlane™. With Restylane™ we can sculpt a sexy, high, model-like cheekbone, fill in a face that has sunken in from weight loss, eliminate the hollows around the temples and other areas, improve thin “party hat lines”, augment a dropping chin, reduce smoker’s lines, improve jowls and so much more. In fact, the limits are endless in terms of what you can do. With Restylane™ you are able to sculpt and create the specific look that you want. Cosmetic treatments nowadays should be very natural looking to make you look your best in an age-appropriate way.

DR. SPROULE:

Pre-operatively Laura had already had a lot of work by the time I first assessed her. Her most significant concerns for those related topreviously performed breast augmentation which had left her with some asymmetry and some capsular contracture and the asymmetry was fairly significant because her underlying breasts were asymmetrical to begin with. She also had a moderate amount of redundancy of her abdomen, especially below her abdomen in the flank regions and this was not improved

with liposuction alone. I felt that the best option for her was a skin excision to correct the lower abdominal area and flank region and in addition to revise her breasts with a combination of a mastopexy and a change of her implants to the latest cohesive gel implants available through the Allergan Company. We went ahead with this procedure and she really didn’t at 39 years of age, turn a hair partially because she is so healthy despite her past history with being a smoker. Post-operatively as the pictures show she really has achieved a very nice result and I think that combined with an exercise programme will give her a lasting and very substantial improvement in her appearance. She was a great patient to look after and I was delighted to participate in her care.

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DR. BRAY:

Laura had already completed most of the difficult work before being seen by me. She had achieved a stable, healthy, sustainable weight and was interested in options to improve some resistant trouble-spots. These included several areas of persistent, excess fat contributing to a somewhat bottom-heavy appearance. Also of concern to her were thicker areas of the mid and upper back, tending to form bulges and rolls with her bra or certain types of clothing.

Our goal was to reduce these areas of excess fat, tighten the skin, and create an overall better proportion between her upper and lower body. I felt these goals would be best achieved with the use of BodyTite™ liposuction to the areas of the bra-line, mid and lower back, love handles, and inner and outer thighs. Laura was comfortable with this plan and we went ahead, performing the procedure without difficulty. I used the radiofrequency energy of BodyTite™ to melt and then gently remove fat and also to raise the temperature to encourage skin-tightening. We removed approximately 3 litres of fat in total from these combined areas and have seen a nice improvement in contour, proportion, and an overall leaner appearance.

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B E f O R E A f T E R

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BRUcE kRAhN:

When Laura began the makeover she had little to no exercise experience, had a very poor diet, was a heavy smoker and was in generally poor shape. However, Laura had an incredibly positive attitude and she genuinely wanted to improve herself.

The program I created for Laura was designed to increase her strength, flexibility and endurance without taking over her life. Laura performed

short, high intensity workouts alternating between strength training and cardiovascular conditioning.

Laura has completely transformed the way she looks and the way her body performs. She has stopped smoking, eats a healthy, balanced diet and exercises regularly. Her persistence and dedication to the program paid off and she looks fantastic. Way to go Laura!

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