What the Neck!

Beauty By Dr. Kay - Neck

The neck is an easy area to ignore in our beauty routine, but it deserves the same attention that we give our faces for staying beautiful!  It’s important to extend your skin care regimen to your neck, especially sunscreen! As we get older, the muscles of the neck start to weaken and the skin loses elasticity. Here are the best options to get your neck looking and feeling great this year!

1. THERMIsmooth treatment. I am very excited to start offering THERMIsmooth treatments in my office! This device uses radiofrequency energy to heat up underlying tissues to promote collagen growth. The application of heat penetrates several layers of the skin causing collagen to contract and tighten the skin. This is an effective, non-invasive procedure that feels like a hot-stone massage!

2. Neck Cream. Neck cream is an excellent first step to kick start your neck regimen. I love using my KD Lift It Up Neck Cream! It contains a biomimetic ceramide complex to nourish skin and improve elasticity, firming peptides to firm skin and reduce the signs of aging, and niacinamide to support healthy collagen production and brightens skin. It also contains Leontopodium Alpinum Callus Culture which helps lift and tighten skin to address the appearance of sagging.

3. Botox for muscle bands.  Botox is an excellent option to treat the appearance of platysmal bands. These neck muscles contract when we grimace and make certain facial expressions. As we age, the platysmal bands begin to droop and stretch out. Botox can be used to smooth these bands by preventing the muscles from contracting.

4. Fillers for horizontal lines. Horizontal neck lines often become more defined as we age. We are also adding to the appearance of these horizontal creases by constantly looking down at our phones. Filler is a great option to reduce the appearance of these stubborn lines!

5. Lymphatic Massage after Kybella. Kybella is an amazing product to eliminate stubborn submental fat. Kybella is a fat melting enzyme called Deoxycholic acid. Following this treatment, however, there can be quite a bit of of swelling. Lymphatic massage is a great way to help resolve this swell by moving extra fluid away from the area! Using both hands, start by gently placing both hands beneath the midline of your chin. Next, carry your hands laterally and down toward your collar bones in an upside down “J” motion.

Keep your neck young and radiant this year, beauties!



Crazy About Celery

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Celery juice has gained popularity on Instagram with many claims of improved skin, digestion, and other health problems. Celery has been used in traditional medicines for thousands of years to treat intestinal maladies and hypertension. More recently, celery juicing has gained a large following from a self-proclaimed “medical medium” who supports celery juice consumption as a wellness panacea. It is important to approach nutrition fads with a degree of skepticism, especially those for “cure-alls.” While some of the claims are not explicitly supported by research, celery is a great source of antioxidants, fiber, and other beneficial phytochemicals. Celery contains phenolic compounds that act as antioxidants. Antioxidants are substances that inhibit processes that can cause damage to cells. Other phytochemicals called flavonoids and apigeninin have been shown to have anti-spasmolytic activity. This may explain why people experience beneficial gastrointestinal effects. Celery also contains compounds called pthalides which relax artery walls to help lower blood pressure and increase blood flow.

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Certain studies have also linked celery consumption to decreased serum “bad” cholesterol and triglycerides. This benefit is likely due to celery’s influence on bile production, our body’s emulsifier which helps us metabolize fat. Whole celery is also a great source of insoluble and soluble fiber, the latter of which has been linked to improved blood cholesterol levels. Finally, celery has compounds with anti-inflammatory activity. Inflammation plays a role in several health conditions such as psoriasis and arthritis. Celery’s anti-inflammatory effect is potentially due to the presence of apiuman which decreases production of inflammatory cytokines. Like celery, many fruits and vegetables contain phytochemicals with antioxidant and anti-inflammatory properties. Eating vegetables is important part of a balanced diet and juicing can be an easy way to consume more vegetables. Juicing also helps “pre-digest” vegetables which makes certain nutrients more bioavailable, however in the process you lose valuable fiber. There is no scientific evidence supporting the benefits of juicing or other cleanses to “detoxify” the liver. The liver is our primary detoxification organ and processes the fat we consume in our diet. People most likely feel benefits from cleanses due to the fact that they are eliminating highly processed foods rich in fat, sugar, and salt. More research is required to continue elucidating benefits of celery juice, but drinking celery juice can be a great way increase your vegetable and water consumption. Stay well in 2019, beauties!



Now Trending: Collagen

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Collagen powder has been a hot trend in 2018. Many people taking collagen supplements swear by it for improving the look and feel of their skin and reducing joint pain. Collagen is the primary structural protein for skin, tendons, and ligaments. It plays an important role in maintaining the strength and elasticity of skin. Collagen is largely composed of the three amino acids glycine, proline, and hydroxyproline. The chemical structure of these amino acids allow collagen to form its strong helix structure.  In our bodies, collagen gets broken down and rebuilt on a regular basis. The rebuilding process, however, slows down as we age. Collagen synthesis is supported by Vitamin C--check out my blog post, Power of Nutrition, for more information on that! Whether or not taking collagen supplements can lead to connective tissue benefits is still under debate. Like with any ingested protein, collagen is broken down into its amino acid building blocks before it is absorbed by the body. To be the full collagen protein again, the body must rebuild it and do so in the desired areas of the body to have the intended effect.  A moderately active person requires about one gram of protein per kilogram of body weight daily. Any ingested protein is used toward this requirement. The amino acids from a collagen supplement could, then, be used as a building block for other proteins. Another concern about collagen supplements is quality and safety. Supplements are not regulated by the Food and Drug Administration so it is important to purchase supplements from reputable companies. The collagen needs to be well preserved and undenatured, furthering the necessity to find a company that produces quality products. There are five different kinds of collagen in the body. Supplements should contain type I and type II, the main types in skin and cartilage. More research is required, but there have been some promising studies supporting the supplement’s joint and skin health claims. Using topical products containing retinol and vitamin C can support collagen synthesis in the skin. Try my KD Vitamin C Serum and KD Diamond Line Refine! I also recommend obtaining collagen naturally in our diets. Bone broth is a great source of collagen. It can be made easily by boiling the bones of chicken or turkey. I love making soup after Thanksgiving using the bones from the turkey and veggies!

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What You Need to Know About Hair

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Hair loss is more common than you might think. About 40% of my patients have at least some hair loss. Knowing the hair growth cycle is important when trying new solutions for hair loss. Hair growth follows a three stage cycle with an average strand growth of about half an inch per month. This measurement is an average because hair only grows during the anagen phase. At any given moment, about 85% of hair follicles are in this growth phase. The rest of the follicles are in either of the other two phases: catagen (transitioning) phase or telogen (resting) phase. For some individuals, the growing phase lasts as long as seven years. For others, however, it is a little as two years. At the end of the anagen phase, hair strands fall out, and their follicles remain dormant and hairless for about three months. After that, a sprig of hair sprouts, and the growth process starts again. The body considers hair an accessory and in times of stress or illness the body will devote its resources to other vital functions. Chronic stress can lead to the production of certain chemicals that can shift hair follicles to from the growth to resting phase. Hair loss is also commonly related to estrogen changes that occur in women’s 40s and 50s. Other reasons for hair loss are related to nutritional or caloric deficiencies, such as anemia and thyroid problems.

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One of the best ways to assess your degree of hair loss is by performing a pull test. One hundred strands is the average hair shed per day. This shedding includes the natural bulb at the end of the strand, but strands can also shed from split ends and will not contain the bulb. A pull test can be tedious to track, but placing a towel down while combing your hair and remembering pick up any hair that falls out while showering can give you a more accurate assessment. If you count more than 100 strands after performing this test, it is time to see your doctor. When I see my patients for hair loss, I often start by checking for anemia. It is important that doctors check not only hematocrit iron levels but ferritin level. Ferritin is the storage form of iron. Iron is essential component for red blood cell function, so the body will derive iron necessary for hair growth from storage. Several factors can contribute to iron deficiency.  As we get older, our stomachs slow the production of hydrochloric acid which is necessary for iron absorption. Eating calcium rich foods can also reduce iron absorption because both of these minerals compete for the same gut transporters. Iron absorption from nonheme, plant sources, however, is promoted by vitamin C. I recommend that women who menstruate take an iron supplement to prevent anemia from blood loss. Beyond nutrition, hormonal changes seen in pregnancy, PCOS, early perimenopause can contribute to hair loss. Talk to your OBGYN about different prescriptions that be used to combat hormone-related hair loss such as oral contraceptives or spironolactone. There is also some research supporting the use of biotin for hair growth. The best biotin supplements are those you can get through doctor’s offices. Biotin can also be found naturally in eggs, avocados, and salmon. Once nutrition and hormones are taken care of, PRP or platelet-rich-plasma treatment is an amazing strategy to promote hair growth. This procedure involves harvesting stem cell growth factors from your own blood. These factors promote stem cell activity which will then grow more hair follicles. There are several promising studies that support the use of PRP for tissue healing and hair growth. This treatment involves injecting PRP solution into the area with hair loss with one session per month for about four to six months. The average patients sees about 25-30% new hair follicle growth following the treatment!  After our teens and twenties, once hair leaves, it is most likely not going to grow back. Take care of your hair today, beauties!