December, 2011 | Dr. Forley
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Archive for December, 2011


Friday, December 30th, 2011

Men have become an increasingly common presence in the plastic surgeon’s office. Competition in the workplace and the prevailing youth culture have combined to create a desire for self-improvement that may not have seemed as important 15 or 20 years ago. The minimal downtime procedures performed today make their acceptance amongst busy professional men and women very high. The most frequent non-surgical procedures men are having done in our office are BOTOX® Cosmetic, injectable fillers, and Ultherapy®. Surgery often is performed to treat baggy eyelids, excess neck, hip, and tummy fat, and gynecomastia or male breast enlargement.


BOTOX® Cosmetic

Botox® Cosmetic provides a non-surgical way of reversing the crow’s feet, laugh lines, and frown lines produced by the underlying contraction of facial muscles. “Also known as Bro-tox, Botox is one of the most popular non-surgical cosmetic treatments for men” say Philadelphia dermatologist, Dr. Ringpfeil. It works by enabling a smooth skin appearance as a result of blocking the muscle contraction and overlying skin wrinkling produced by nerve impulses. The untreated muscles will allow for normal facial expression to remain unaffected. The treatment lasts from 4-6 months and is performed 2-3 times per year to maintain youthful appearing skin.

Injectable Fillers

Injectable dermal fillers composed of hyaluronic acid, such as JuvedermUltra and Ultra Plus, Restylane®, and Perlane® are indicated in the treatment of folds, wrinkles, or hollowing that results from facial aging. “By adding volume, wrinkles and folds appear smoother and facial contours appear more youthful” says Dr. Forely. The duration of effect is up to 12 months.

48 year old male before treatment

48 year old male before treatment

6 years following ongoing treatment with Restylane®

6 years following ongoing treatment with Restylane®

Another filler we offer is Sculptra® Aesthetic. This product is composed of poly-L-lactic acid (PLLA), an injectable biocompatible material that stimulates the production of the skin’s own collagen. The natural appearing restoration of youthful facial contours is made possible by the skin thickening that results from the gradual deposition of the new collagen. Generally a series of 2-3 treatments at 6-week intervals are necessary to achieve the desired effect. The youthful appearance that results from the treatment can last up to 3 years at which time maintenance treatments can be utilized.


Ultherapy® is a new type of non-surgical treatment that uses ultrasound energy to safely lift and tone the skin without any downtime. The ultrasound image on the viewing screen allows Dr. Forley to see precisely the level at which the ultrasound energy is being delivered. Ultherapy® apparatThe deep layers of the face and neck that have lost their elasticity and firmness over time are targeted by the heat-producing sound waves. Although one treatment is frequently all that is needed, more significant facial and neck sagging may require an additional treatment after 3-6 months. The duration of results can vary but you can generally expect up to 2 years of benefits from Ultherapy®.


Blepharoplasty (Eyelid Surgery)

Eyelid Surgery 75 year old male before

75 year old male before surgery

Eyelid Surgery 2 years following upper and lower

2 years following upper and lower eyelid surgery

Loose, sagging, bulging tissues of the eyelids can make the eye appear smaller and lead to others asking if you are tired or stressed. Blepharoplasty or eyelid surgery removes excess loose skin and fatty tissue that produces sagging and heaviness of the upper or lower eyelids. The eye appears larger, less tired, more open, and brighter.

Liposuction (Neck, Hips, & Abdomen)

Liposuction is a contouring procedure that removes bulges to achieve a more aesthetic blending of body outlines. The type of physical appearance men desire can be counteracted by age, heredity,lack of exercise, and poor eating habits. Long lasting results are achieved when surgery is combined with a program of fitness and nutrition. Liposuction removes excess localized fat deposits through tiny incisions using small tubes or cannulas. The overlying skin contracts to fit the new profile. Areas such as the neck, hips and abdomen are the most often targeted areas for men.

Liposuction Before


Liposuction 6 months after liposuction of the hips

6 months after liposuction of the hips

Gynecomastia (Chest)

Gynecomastia 36 year old male before

36 year old male with gynecomastia

Gynecomastia 8 months after gynecomastia surgery

8 months after gynecomastia surgery

Excessively large male breasts, known as gynecomastia, can produce a feeling of self-consciousness about body image that can inhibit lifestyle choices and daily activities. In most cases, the glandular and fatty tissue enlargement of the male breasts begins during puberty. It is usually a benign condition, but can be associated with hormonal abnormalities that may need additional evaluation. Gynecomastia procedures improve the large breast size by reducing the volume and prominence of the breast fatty tissue using liposuction and directly removing excess glandular tissue via an incision at the lower edge of the areola. Skin excision is rarely necessary as it will generally retract during the healing phase. In addition to the improved appearance, patients also find they are comfortable participating in social or sports activities that they were either unable or unwilling to do before surgery. During your consultation Dr. Forley will discuss and recommend those options that he feels will give you the best result.

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Monday, December 26th, 2011

A few guidelines to help keep you healthy and looking young are: reduce your calorie consumption and your saturated fat intake; eat plenty of whole grains, oily fish, and fresh fruits and vegetables; cut down on salt and sugar intake. In addition, here is a list of ten foods that you should include in your diet on a regular basis.

AvocadoAvocado The avocado is a good source of healthy fats that may contribute to reducing your cholesterol levels. It is loaded with vitamin E, which helps to maintain healthy skin and prevent skin aging. It is also rich in potassium, which assists in the prevention of fluid retention and high blood pressure.

Berries Blackberries, blueberries, blackcurrants and black grapes contain phytochemicals knownBerries Blackberries as flavonoids, which are powerful antioxidants that help to protect the body against damage caused by free radicals and aging.

Cruciferous vegetablesCruciferous vegetables Cabbage, cauliflower, broccoli, kale, turnip, brussels sprouts, radish, and watercress are all cruciferous vegetables. They assist the body in its fight against toxins and cancer. Eat them raw or lightly cooked so that the important enzymes remain intact.

Garlic Eating a clove of garlic a day is felt to contribute a protective benefit against colon cancer. It can also help to Garlicreduce cholesterol levels and assist with blood thinning to reduce the risk of heart disease.

GingerGinger This spicy root can boost the digestive and circulatory systems, which can be useful for older people. Ginger may also help to alleviate rheumatic aches and pains. It is also believed to help in lowering blood cholesterol levels.

Nuts Walnuts and Brazil nuts are particularly good sources of minerals. Walnuts, although high in calories, are rich in potassium, magnesium, iron, zinc, copper, and selenium. Adding nuts to your dietNuts can enhance the functioning of your digestive and immune system, improve your skin, and help control cholesterol. The antioxidants quercetin and campferol are found in nuts and may help decrease the risk of cancer.

SoySoy It has been suggested that the isoflavones in soy may alleviate menopausal hot flashes and protect against Alzheimer’s disease, osteoporosis, and heart disease. Look for fermented soy products, which are more easily digested and therefore more beneficial.

Whole-wheat pasta and rice Complex carbohydrates provide a consistent supply of energy throughout the day and should make up the bulk of your diet. Whole-wheat pasta is an excellent complex carbohydrate. It is high in fiber and contains twice thePasta amount of iron as normal pasta. Brown rice is another recommended complex carbohydrate, which is high in fiber and B vitamins.

WatermelonWatermelon Both the flesh and seeds of the watermelon are a good source of nutrition. The flesh contains vitamins A, B, and C; the seeds contain selenium, essential fats, zinc, and vitamin E which all help against free radical damage and aging. The watermelon seed can be eaten as a snack after being salted and baked. A nutritious tea can also be made by adding boiling water to seeds that have been crushed.

Water Drink at least 8 glasses of water every day in order to remain healthy. Water helps us to get rid of the toxinsWater and unwanted waste materials from the body. Do not rely on thirst; this sensation diminishes with age. Choose from nutritious liquids including 100% fruit and vegetable juice, skim or low fat milk, broths, sparkling water, and teas. You can also get fluids from foods, especially those that are liquid at room temperature. Try gelatin, frozen yogurt, soups, watermelon, pickles, oranges, lettuce, and tomatoes.

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Friday, December 16th, 2011

Although the use of megadoses of vitamins remains controversial, a select group of vitamins have the potential for anti-aging benefits that will improve not only your appearance but also your health in a number of ways. Even when it’s healthy, your skin wrinkles, discolors, and sags as it ages. Fortunately, there are ways to repair and firm up your skin, improve its color, and reduce some of those age-related wrinkles. “While vitamins aren’t going to stop you from aging, the right ones can help slow the process down, assist in keeping you healthy late into life, and contribute to a more youthful appearance,” says Dr. Forley.  Below, we discuss five of the top anti-aging vitamins that you should know about.


Vitamin E – Vitamin E is a fat-soluble compound that repairs dry, cracked skin when used as a cream or lotion. It helps skin retain moisture and is often added to sunscreens because it protects the skin against UVB damage. Free radicals, which are produced from sun exposure, when you digest certain foods, or are exposed to pollution, cigarette smoke or radiation, are damaging to other cells and the tissues they form. Vitamin E is an antioxidant that functions by neutralizing the destructive potential of free radicals. Proper intake of vitamin E helps limit the harmful effects of free radicals. Vitamin E also improves the functioning of your immune system and prevents blood from clotting unnecessarily, lowering the risk of stroke or heart attack. It also helps to prevent LDL cholesterol from contributing to atherosclerosis. You can get vitamin E through nuts, seeds, green leafy vegetables, and vegetable oils (such as soybean, canola, and corn). Vitamin E is also available in a variety of supplements and topical applications.

Vitamin C – Vitamin C is another antioxidant that helps prevent the damage produced by free radicals. Not only is vitamin C an antioxidant, it helps to regenerate other antioxidants in the body, including vitamin E. When applied topically, vitamin C also helps protect your skin against the damaging effects of UV rays. Vitamin C  improves collagen, giving your skin a more firm and youthful appearance. Vitamin C has cancer-preventing qualities and there is evidence that it reduces the onset of cardiovascular disease. Additionally, some studies have suggested that vitamin C delays or even prevents the formation of age-related cataracts and macular degeneration. Fruits and vegetables (especially citrus and potatoes) are excellent natural sources of vitamin C.

Vitamin K – As you get older, dark circles may start appearing under your eyes. Vitamin K helps with one common cause of this problem: the leaking of capillaries around the eyes, which results in the pooling and clotting of blood. Researchers believe that vitamin K aids in the constriction of capillaries, breaking up the tiny blood clots that form the circles. Vitamin K likely won’t be a cure-all for under-eye circles, but getting your fair share of this vitamin should be part of your treatment plan. Your body produces small amounts of vitamin K on its own, but you can use more than your body can provide. Vitamin K can be consumed as a supplement, as part of a multi-vitamin, in the form of topical creams, or through your diet. Kale, lettuce, spinach and broccoli are all excellent sources of vitamin K, as are non-hydrogenated vegetable oils.

VitaMedica Anti-Aging Formula

VitaMedica Anti-Aging Formula of vitamins and supplements for daily use

Niacin – Niacin, one of the B vitamins, has several anti-aging properties. One visible way it helps you as you age is by increasing your skin’s ability to retain moisture. Moist skin not only looks healthier, it actually helps you stay healthier by providing a strong, unbroken barrier against viruses, bacteria, and other harmful substances in the environment. In addition to restoring moisture to your skin, niacin also acts like an exfoliant, helping your skin in sloughing off dead cells as newer cells move toward the surface. Niacin counteracts the effects of aging inside your body as well. It raises your “good” cholesterol and lowers triglycerides (fats in your blood that contribute to your overall cholesterol count). In doing so, niacin can potentially help lower your risk of heart disease. Niacin also plays a major role in converting food into energy. You can find niacin in lots of common foods, including poultry, eggs, meat, fish, nuts, and enriched breads.

Vitamin A – Topical solutions with vitamin A (such as retinol creams) have been shown to reduce signs of sun damage and skin aging by stimulating exfoliation, improving collagen, and reducing fine lines and wrinkles. Vitamin A intake can also help with circles under the eyes, much as vitamin K does. Vitamin A is important for your overall bone health, helping to offset the effects of osteoporosis with aging. According to eye care expert, Dr. Robert McCulloch, Vitamin A is an essential vitamin for health eyes as well.

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