Beauty, Medical & Health Public Relations

Cosmetic Procedures: Which To Do, Which To Skip

POSTED ON TUESDAY, JANUARY 10, 2017 AT 11:19 AM 

Every single one of us, though #flawless, has at some point taken a look in the mirror and found at least one thing we’d like to change. Some of us learn to love the quirks in our looks and some of us think about getting a little fix. From the non-invasive to the surgical, cosmetic procedures are on the rise and there are a hundred ways to nip, tuck, lift and smooth just about any area of our bodies. Not all of it is vain and superficial. Some procedures have amazingly high satisfaction ratings; patients report not just looking better but feeling way more confident. According to the experts, these are the nips and tucks that are worth it and the ones you should skip:

 

Worth it: Breast Reduction

“By far, breast reductions produce the happiest post-op patients,” says New Bern, North Carolina board certified plastic surgeon and best selling author Dr. John Zannis, “The women (and sometimes men) that come to me for this procedure have usually been uncomfortable with the size of their breasts for years, in many cases since early puberty. You can really see an immediate boost to their confidence.” Overly large breasts have uncomfortable physical effects like chronic back pain and bad posture, but they can also become a huge self-esteem complex, especially for girls. Breast reduction surgeries report an extremely high satisfaction rate of almost 90% according to Plastic and Reconstructive Surgery Magazine.

 

Skip: Lip Fillers

Lip fillers can work wonders but they’re tricky. They don’t look the same on everyone; your end result could be Kylie Jenner’s lipstick-empire-building pout or Donatella Versace’s trout mouth. They’re more of a toss up and depend on too many variables, from the natural curve of your lips to the skill of your doctor to the type of filler used.

 

Worth it: Non-Invasive Face Lifts

“Off the top of my head some of my happiest clients are non-invasive face lift patients,” says Dr. Kally Papantoniou, a board certified dermatologist who specializes in surgical and medical skin procedures at her New York office. “The skin on the neck and chin get a substantial lift and smooth with no cutting or general anesthetics, patients report not only looking younger but constantly say they feel better about themselves. Which is the key word I look for when gauging post-recovery satisfaction!”

 

Worth it: Rhinoplasty

“A rhinoplasty from a skilled plastic surgeon can completely change a face,” says Zannis. He adds, “The nose is the most protruding facial feature and sits right in the center; any sort of change alters how you look from different angles, how light and shadows hit you and can make the face look more symmetrical.” To become a full believer in the power of rhinoplasty just search “Bella Hadid before and after nose job” on Google. Literally a different person. 

 

Skip: Cheek Implants

Cheeks have a very prominent position in your face. Like tweaking your nose, tweaking the shape and size of your cheeks changes your whole look, but like any other facial implant or filler; they are not one size fits all. In older individuals cheek implants are just as likely to drag your skin down as smooth it. Good results depend on implant type, technique, original face shape, and considering the natural effects of aging in the future.  

 

Worth it: Body Contouring

“Body contouring is easily one of my top three highest patient satisfaction procedures” says Dr. Papantoniou who provides the procedure at her practice. “These are non-invasive fat loss techniques and they give truly amazing results after about 3 months of treatments. There is no downtime, no pain. Some patients come in for them during long lunch breaks! Patients lose whole inches. Again, the most telling sign is how they stress feeling good after the procedure.”

5 Kinds of Getaways that Recharge Your Mind

POSTED ON MONDAY, JANUARY 09, 2017 AT 11:40 AM 

 

Now that summer is here and we are gearing up to get away we must consider if we are choosing the right kind of escape. Oftentimes we are on vacation autopilot, packing to do the same thing the same way over and over again. According to Dr. Sanam Hafeez, NYC based licensed neuropsychologist and teaching faculty member at the prestigious Columbia University Teacher’s College, our minds really get to recharge when we travel so it is important that we use this away time to nourish our minds. 

 

Dr. Hafeez shared with us 5 kinds of getaways that recharge your mind and why. The best part is that you don't have to travel too far or spend loads of money to accomplish the mental shift these getaways offer. 

 

The City Escape

Travel to your nearest big city or one you always wanted to see. Research mass transit, walking tours, museums, restaurants, shops, theatre, sporting events, concerts, pretty much anything you always imagined doing in that city. 

 

"Researching new places activates our imaginations and inspires creativity. Also when in a big city there is a lot of sensory stimulation. if you live in a calmer town then hit the city for just a day or two you'll activate a different side of your brain," explains Dr. Hafeez. 

 

Hiking, Fishing & Camping

If you're used to a daily commute and feel life is a constant routine with workplace and family demands, busy schedules requiring you to do the same thing each day, hit the mountains. 

 

"Getting connected with nature and listening to the sounds of fresh streams, birds, wind in the trees and walking along a trail can be meditative. Also putting together a camp site, packing supplies and roughing it for a weekend will absolutely shift your perspective. You'll appreciate a night sky full of stars and crisp mountainous air," offers Dr. Hafeez. 

 

The Wellness Retreat

Is it impossible for you to to relax? Are you someone who is defined by the demands everyone else puts on you? Do you feel disconnected with you? 

"Understand that if you aren't at peace or aligned with yourself everyone in your circle suffers. You're not going to be sharp at work, your health may slip, you'll find that you are curt and short tempered with loved ones, says Dr. Hafeez. 

 

These days a wellness retreat can be customized to suit anyone's needs. Some include yoga and meditation, others feature organic cooking classes, wine country tours and massages. The key is to listen to yourself and pick the wellness retreat that will make you feel good. 

 

Life's a Beach 

Even a beach getaway can be action packed with surfing lesson, snorkeling, or paddle boarding. You can also get a lounge chair and an umbrella and read that book you've been dying to get to but can't because you're too busy. A beach vacation chills you out. You're connected with the earth because your feet are in the sand. You taste the salt in the air, hear the sound of the ocean, see the blue sky and horizon line in the distance, smell the suntan lotion and fresh fruit, and feel the warm sun and wind on your skin. Studies have shown that engaging all 5 senses enhances our mood and calms us down. The beach is another great getaway because it centers us and forces us to relax as we see, hear, taste, touch and smell our surroundings. 

 

The Classic Road Trip

Sometimes all it takes is a great music playlist and full tank of gas to have a fun adventure. Pick a city within 100 miles and don't think, just go! These days you can rent cars affordably so if you fantasized about driving a convertible, a hot sports car, or a tough rugged Jeep, bring that fantasy to life. "Spontaneous getaways where you figure it out as you go really bonds people and calls upon the pleasure seeking side of our brains," explains Dr. Hafeez. She goes on to say that road trips also have a meditative quality to them in that we are looking at the road and listening to the engine. We also can have fun playing games in the car which encourage a well-needed break from technology."

 

Whatever you choose be sure to approach it as an adventure with the desire to have fun, and make memories. Have a total go with the flow mindset and watch what fun you attract.  

 

About the Doctor:

Dr. Sanam Hafeez PsyD is an NYC based licensed neuropsychologist. She is a teaching faculty member at the prestigious Columbia University Teacher’s College and the founder and clinical director of the Comprehend the Mind Institutes in Manhattan and Queens. She was a long time child school psychologist. She specializes in providing neuropsychological, educational and developmental evaluations to both adults and children in her practice.  She works with individuals who suffer from post traumatic stress disorder (PTSD), learning disabilities, autism, attention and memory problems, trauma and brain injury, abuse, childhood development and psychopathology (bipolar, schizophrenia, depression, anxiety, etc…) In addition, Dr. Hafeez serves as a medical expert for various news outlets and programs, and as an expert witness providing full evaluations and witness testimony to law firms and courts. Connect with her via twitter @comprehendMind or at www.comprehendthemind.com

VERY, VERY SUPRISING USES FOR BOTOX THAT HAVE NOTHINGTO DO WITH FOREHEAD WRINKLES

POSTED ON THURSDAY, JANUARY 05, 2017 AT 11:46 AM 

 

When most people think of Botox the first thing that usually comes to mind is wrinkle reduction. Indeed, Botox is the world’s most popular treatment for eradicating wrinkles and fine lines.  The toxin is specifically FDA approved for treating frown lines between the eyebrows (glabellar lines) and lines around the eyes (crow’s feet). In addition to being the gold standard for wrinkle reduction, Botox can also be used to treat a variety of issues, both cosmetic and non-cosmetic. Dr. John Zannis is a New Bern, North Carolina board certified plastic surgeon. He provides a list of conditions that Botox has been used to treat.

Acne

 Botox can curb oil production, reducing breakouts. "To totally treat acne, you'd need to use doses of Botox so large they'd prevent you from constricting your facial muscles," says Dr. Zannis. "But tiny amounts of Botox injected very superficially help reduce oil production, and you can still have facial expressions." Though he'd recommend it for almost any patient struggling with acne, Zannis would likely advise trying another dermatologist-prescribed treatment, like spironolactone or birth control pills, first. And though it can technically be used to quell oil production anywhere on the face, he cautions against using it all over because of potential effects on muscular activity (a.k.a. frozen face). The most effective and common area for using Botox to curb oil production, he says, is the forehead.

Gummy smile (not FDA approved)

A "gummy" smile, one that's characterized by a smile that shows too much of the gums, usually results from "excessive lip elevation" when the upper lip rises too far above the upper teeth when smiling. Injecting Botox into the upper lip weakens the upper lip's retractor muscles so that it won't raise as high and your smile will seem better-balanced. It can be done in about five minutes. Usually lasts for four to six months. Costs range from $200-$300.  Dr. Zannis says, "This technique is not for the novice Botox injector. Too much, and your lip won’t raise enough, too little and you will need more, or if injected asymmetrically, you might have a funny asymmetrical smile."

 

Urinary incontinence.

Overactive bladder problems affect up to 20% of women over 40. For severe cases where medications do not provide complete relief, Botox injections into the bladder wall may provide relief lasting about 6 months.

 

Psoriasis
Psoriasis is uncomfortable, itchy, and not exactly easy on the eyes. Luckily, this flaky skin condition could be a thing of the past thanks to Botox. Though psoriasis is technically incurable, Botox minimizes the activity of inflammatory cells that bring on outbreaks.

 

Excessive Sweating

For those who suffer from excessive sweating, however, summer isn’t always the sunniest time of the year. Thankfully, Botox could be a saving grace for those attempting to manage this condition, which is officially known as axillary hyperhidrosis. Studies show that just a handful of injections can reduce underarm sweat for up to TWO years. Um, where do we sign up?

 

Breast Lift
Are your breasts in need of a pick-me-up? Instead of going under the knife and getting permanent augmentation, some experts have suggested a quick and easy Botox lift.  Dr. Zannis says that, “Those looking for a modest improvement are said to be able to temporarily plump their assets thanks to injections into the pectoralis minor chest muscle.” 

 

Depression

The benefits of Botox® may be more than skin deep; two recent studies suggest that it may help alleviate the symptoms of depression. In a study published in the May 2014 issue of the Journal of Psychiatric Research, more than half of participants who had moderate-to-severe depression showed a substantial improvement in depressive symptoms following one injection of Botox® between the brows. This improvement lasts longer than the cosmetic effects, suggesting that the effect may be more than just feeling better about your appearance. Botox® is not approved to treat depression.

Teeth Grinding

Injections of Botox® were used to control involuntary muscle tension and spasms long before it became the go-to wrinkle buster. Dr. Zannis says that, “these neurotoxin injections may weaken the chewing muscles enough to reduce bruxism (teeth grinding) without affecting your ability to chew, talk and smile. Results last about four months. Botox® is not yet approved to treat bruxism.”

Migraine Headache

Botox® is approved by the FDA to treat chronic migraine headaches in adults who have 15 or more headache-days a month, each lasting four hours or more. Studies that led to this indication show that BOTOX®® prevents up to nine headache-days a month (vs seven for dummy injections). Other research hints that the neurotoxin may also help with low cerebrospinal fluid headaches and cluster or "suicide" headaches.

 

 Brow Boost

Much like lines form over time, your brow may also drop or droop. Botox cosmetic treatments can also be used to improve the appearance of the brow. Dr. Zannis explains that, “the treatment essentially freezes the sagging muscles in place and gives the brow more stability. Lifting the brows in this way leaves you with a less tired and younger, fresher appearance.”

 

Jaw Reduction (off label use)

Botox can be used to perform jaw reduction (commonly called jaw line softening). Injecting Botox into the masseter muscle (the primary muscle used in chewing actions) reduces its overall size; transforming an overly square and masculine appearing jawline into a more feminine oval or heart shape.

 

Dr. John Zannis is a New Bern, North Carolina board-certified plastic surgeon and best selling author. A graduate of Stanford University and The University of Cincinnati Medical College, he received his formal training in General Surgery and Plastic and Reconstructive Surgery at Wake Forest University in Winston-Salem, North Carolina under the guidance of world-renowned plastic surgeon Dr. Louis Argenta. During this time, he performed over 5,000 surgical procedures and covered all aspects of plastic surgery including cosmetic surgery of the face and body, complex reconstructive procedures of face and body, cleft lip and palate surgery, hand surgery, facial and jaw fracture repair, and reconstruction following massive weight loss. He blends his interests and studies of classical art and symmetry to his surgery practices. Connect with him via twitter @JohnZannisMD or his website www.zannisplasticsurgery.com

How to Get Mentally Fit for The New Year

POSTED ON WEDNESDAY, JANUARY 04, 2017 AT 3:51 PM 

                                 

 

 

With the start of a new year it is important to reflect back on the prior year, assess what went well, what didn’t and decide where you want to go next. It takes a lot of mental toughness, self-love, and discipline to create the life you want. Simply coasting along on cruise control reacting to life can lead to victim mentality and stagnation. Dr. Sanam Hafeez PsyD, a NYC based licensed clinical psychologist, teaching faculty member at the prestigious Columbia University Teacher’s College and the founder and Clinical Director of Comprehensive Consultation Psychological Services shares some key ways to get mentally fit for the new year so you can move forward successfully.

 

1. Clear clutter.

Look at your surroundings. If you have junk drawers galore, a messy car, countertops and cabinets that are full of stuff you don’t even use, it is time to clear the clutter. According to Dr. Hafeez, “cluttered spaces reflect a cluttered mind. If you want to wipe the slate clean to allow room for new people and circumstances that serve you, you must get your mind clear. Many of my patients who describe themselves as anxious, stressed or even depressed say they feel better when they start clearing up their physical space.” 

 

2. Exercise a little bit. 

Dr. Hafeez who also helps people overcome body image issues encourages aiming for smaller attainable wins. “People set high fitness goals for the new year and then fall off after a month or less. This leaves their self esteem shot which is when self loathing and depression can sneak in.” She advises setting a reachable daily goal of perhaps walking 10,000 steps per day. There are step-counting apps available to measure how much you walk and they add up quickly. “When you see accomplishment on a daily basis you stick with it, this sets your mind in a positive direction,” says Dr. Hafeez.

 

3. Eat mind-boosting foods.

Mental fitness also has to do with how well our minds work. A loss of memory or the ability to concentrate or focus can easily shift with an improved diet. “Research finds that along with other benefits, foods rich in Omega-3, such as some fish and nuts, as well as those full of antioxidants can help protect the brain from memory decline.” So eating more fish such as salmon and add fruits such as blackberries and blueberries to your diet can help. The good news is that brain boosting foods include delicious options such as chocolate, guacamole (avacados) and sunflower seeds.

 

4. Color! The adult coloring book bandwagon is a good one to jump on. According to Dr. Hafeez coloring requires total focus on the present. The repetitive motion of coloring provides relief from stress and anxiety by entering a meditative state. “Not everyone can sit still and breathe for 15 minutes per day, but they certainly can color. It’s absolutely a fun way to achieve mindfulness and shake off the day,” explains Dr. Hafeez.

 

5.  Apologize and forgive.

A fast way to mental fitness is forgiveness! “Carrying around resentments and guilt wears us down and can lead to serious illness such as cancer or stroke. If you experienced a tough break up, divorce or perhaps the 2016 political climate led to arguments and lost friends, reach out apologize and seek forgiveness and move on. Remember, forgiveness doesn’t mean you condone a hurtful behavior. Forgiveness frees you and the other person making it easier to move forward. 

 

6. Learn something new. 

Challenge your brain by learning a new language, how to cook, paint, do Tai Chi. Pick something you think would be interesting or useful to learn and learn it. If you avoided cooking your whole life, learning the basics will serve your brain very well. According to Dr. Hafeez, “the more we can activate the cognitive functions of our brains the better our short and long-term memory and hand eye coordination will be.”

 

Dr. Sanam Hafeez PsyD is a NYC based licensed clinical psychologist, teaching faculty member at the prestigious Columbia University Teacher’s College and the founder and Clinical Director of Comprehensive Consultation Psychological Services, P.C. a neuropsychological, developmental and educational center in Manhattan and Queens. 

 

Dr. Hafeez masterfully applies her years of experience connecting psychological implications to address some of today’s common issues such as body image, social media addiction, relationships, workplace stress, parenting and psychopathology (bipolar, schizophrenia, depression, anxiety, etc…). In addition, Dr. Hafeez works with individuals who suffer from post traumatic stress disorder (PTSD), learning disabilities, attention and memory problems, and abuse. Dr. Hafeez often shares her credible expertise to various news outlets in New York City and frequently appears on CNN and Dr.Oz.

 

Connect with her via twitter @comprehendMind orwww.comprehendthemind.com

Survival Guide for a Healthy & Stress-Free Holiday Shopping Season

POSTED ON WEDNESDAY, DECEMBER 14, 2016 AT 1:39 PM 

Thanksgiving – a favorite American tradition celebrating family with food, football and...shopping?  It’s the same every year.  The holiday season hits and all of a sudden you’re in the middle of shopping madness, a busier-than-normal agenda, and extended visits from family and friends – all while trying to maintain your job and regular schedule, too.  The Black Friday scene will be similar across the nation: on any trip to the mall, you'll be among tense shoppers trying to score a good deal and check off their lists before all the gifts need to be stacked under the tree.  But unlike the rest of them, you don't have to make your holiday shopping trip hectic, stressful, and fast-food-filled. 

Here are a few tips from top fitness, nutrition and medical experts for staying healthy and stress-free during the hustle and bustle of the holiday season

A day full of deals and discounts, long never-ending lines and dragging bags full of gifts around a crowded mall.  It's a shopping marathon and you need to keep up your fuel. 

Franci Cohen, a New York City certified nutritionist, exercise physiologist and fitness trainer reveals the dos and don’ts on how to maintain your energy level and snack healthy while shopping this holiday season.  www.FranciCohen.com

DO: Stay hydrated before, during and even after your busy day, to avoid dehydration headaches and lethargy that accompany dehydration.  

DON'T: dive into the caffeine pool. Soft drinks and coffee easily dehydrate the body due to their high caffeine content, and can definitely damper your shopping stamina.

DO: start your day with fresh fruit, low-fat milk, and fortified while grain cereal that is jam-packed with vitamin c and B-12, that boosts both immunity and energy. 

DON'T: grab a "bar" on your way out the front door, as you dash off on a Black Friday shopping spree. Most breakfast bars offer little nutritional value, and are filled with refined processed ingredients and lots of sugar!

DO: pay attention to your thanksgiving feast the night before. Skip the stuffing and pile on the veggies. Sautéed green beans are a great option! Be weary of tryptophan-filled turkey!  A little is alright but overdue it, and you'll sleep straight through your upcoming shopping day!

DON'T: Overeat, and don't Over-eat the wrong foods either. Stuffing yourself silly will definitely slow you down, as your body digests that heavy meal, but making the wrong choices will only add fuel to the fire. Sweet potatoes with butter, sugar, pecans and roasted marshmallows? No way! Instead opt for baked sweet potatoes with cinnamon and honey. The right choices and the right portions will help you succeed in both the "battle of the holiday bulge" and the "battle of the shoppers"!

DO: Pack some raw nuts, fresh apples, and some raw red peppers with you for your busy day. The protein in the nuts, fiber and vitamins in the apples, and the vitamin c in the peppers, will help sustain you throughout your day, while keeping your blood sugar levels and your mood stable.

DON'T: Pack candy, chocolate, chips, or cookies. Even low-cal or fat-free versions are a poor snack choice. These snacks will offer "quick fixes only", and will send your sugar levels on a downward spiral, leaving you wiped out before you even begin shopping!

DO: eat frequently throughout the day. Small frequent meals and snacks will give you the sustained energy you need.

DON'T: get so involved with shopping, that you forget to eat and drink. A car can't run without gas, and you can't run through the shopping aisles without water and food. So be mindful of your eating!

Shopping is a necessity during the holiday season, but it can get in the way of your fitness regular fitness routine. “The holiday season is usually a busy time for everyone and shopping requires time, and often it takes away time from going to the gym,” says New York City based certified personal trainer Mike Giliotti.  So should your workouts suffer because you have to shop? Mike says absolutely not! Here’s how you can make the best of shopping while burning some calories! www.MikeGiliottiFitness.com

Shop in Stores, Not Online

“First and foremost, you will not be able to get a good workout in by spending a few hours in front of the computer.  In order to get your feet moving your best bet is to walk around an indoor or outside mall,” recommends Mike.   Walking at a moderate pace, you can burn more than 200 calories per hour while also accomplishing your errands. Better yet, if the stress of the holidays is starting to slow your roll, even this minimal exercise will make you feel better. A study recently published by The American Journal of Lifestyle Medicine shows that exercise can significantly decrease stress and anxiety.  What better way to knock off that to-do list than by de-stressing and burning calories at the same time?

Wearable Weights

Body weights are a really simple way to add complexity to your day-to-day activities. “You can wear light ankle weights underneath your clothes to turn simple activities such as walking or going up stairs into an extremely beneficial exercise,” says Mike. “By adding extra resistance you are requiring muscles to work a little harder, therefore burning more calories.”  The best part? If your legs are getting tired you can throw those weights onto your arms to work on a whole different part of your body.

Park Far Away

Malls often have more than one parking option, and although most people have their preferred spots (outside your favorite store, closest to the entrance, or in a covered lot) use this holiday season as an excuse to break out of the norm.  By parking just a little bit further than you normally would you’ll be getting a nice brisk walk as well as some fresh air.

Skip Elevators & Escalators

If you have the mentality that elevators and escalators are there for people that actually need them, it won’t seem so hard to take the stairs instead. Don’t cheat your body by letting mechanics do the walking for you! According to Mike, “A brisk walk up the stairs-especially with heavy shopping bags- should bring your heart rate up and take your breath away. This will add a great interval-type exercise into your shopping routine.”

Shopping Can Be a Pain the Neck (and back)

Thousands of Americans sustain winter-related back injuries every year, including many injuries directly related to holiday activities such as shopping.  According to Dr. Michael A. Gleiber, a South Florida Board-Certified Orthopedic Spine Surgeon, standing on long lines, carrying heavy shopping bags and even sitting at your desk in front of your computer for prolonged periods of time surfing the retail web sites can definitely cause low back, neck and shoulder pain or worsen an existing back problem.  www.michaelgleibermd.com

 

Shop during the off-peak hours to avoid having to stand on long lines and walk through crowded areas.

  •  Leave your designer shoes at home. Wear comfortable shoes with cushioning in the sole to absorb the impact of walking on hard floors.  And although Ugg boots have become a go-to winter footwear, unfortunately, these shoes do not offer proper support.   “Ugg boots are designed like slippers.  Meaning, as the foot slides around, you get wear and tear on the joints on the inside of the foot,” says Dr. Gleiber.  The ankle is in the wrong position, the thigh bone also changes position, and you get an abnormal movement in the pelvis, which leads to back problems.” 

Carry a small sized handbag if you’re planning on an all-day shopping trip.  “Inside a typical handbag, you may find a phone, iPad, wallet, makeup bag, a bottle of water, book or magazine,” says Dr. Gleiber.  “They seem like little things, but they add weight - up to 10 pounds and carrying all that weight can cause shoulder and neck pain.”  According to Dr. Gleiber, when it comes to fashion, putting extra weight on one side of your body is one of the biggest back pain causes.   Any time you carry weight on one side of your body for an extended period of time, it causes your spine to curve, and that leads to back pain symptoms.  Choose a bag that you can wear diagonally across your body rather than a single-strap bag that rests on one shoulder.  When you can't avoid using a single-strap bag, be conscious of changing the sides you use to carry it.

If you’re planning on checking off everything on your holiday shopping list on one visit, make sure not to carry too many heavy bags at once.  Distribute the weight of shopping bags evenly, and avoid carrying bags for too long. Walk back to the parking lot and drop them off in your car – make sure to lock them safely in your trunk!

If you’re going to skip the department stores and malls this year, and take advantage of Cyber Monday, sitting in a chair for prolonged periods of time can definitely cause low back pain or worsen an existing back problem. The main reason behind this is that sitting, in a chair or in general, is a static posture that increases stress in the back, shoulders, arms and legs, and in particular, can add large amounts of pressure to the back muscles and spinal discs. Regularly stretching shoulders, hips, and hamstrings will increase your flexibility, offering instant relief and preventing back pain.  Dr. Gleiber recommends taking mini-breaks when you’re shopping online. “Proper ergonomics is also important.  A simple adjustment to your chair height could be the fix you need to end your back pain; and never hunch over a computer.  Focus on aligning your head and neck right above your shoulders and avoid straining forward.  Ideally, your mouse should be placed right next to your keyboard so you don’t overreach or twist your shoulder, arm, or wrist when clicking.” 

Long lines at the counter, dry stuffy mall air, too much Cinnabon snack breaks—they've all made holiday shopping a real beauty challenge.  Here are Dr. Susan Stuart’s, San Diego’s board certified dermatologist, beauty on-the-go tips for looking (and feeling) fresh while holiday shopping.  www.lajollaskin.com

Escalator handrails, ATM keypads, restroom door handles.  Anywhere people gather is filled with bacteria and viruses, and a crowded shopping mall is a perfect example.   “Washing your hands often will help protect you from germs,” advises Dr. Stuart.   “If soap and water are not available, use an alcohol-based hand rub.”

Washing your hands frequently is key to protecting yourself from germs, but it wreaks havoc on your skin's moisture level. Wash your hands with cool or lukewarm water and use a mild soap.   Pat your hands dry and then use a moisturizer right away to restore any moisture lost. If you wash your hands a lot throughout the day, consider replacing some of those washings with a hand sanitizer.  The alcohols in sanitizers do dry out skin, but often not to the extreme that soap and water can.

Big crowds, artificial heat – malls are severely dehydrating so a refreshing hydrating spray is a great product to have in your purse.    It refreshes and hydrates your skin while smoothing the surface and revives your makeup if you're wearing any.

Recommended Product: Michael Todd’s Citrus Spray/Facial Mister.  Scented with real citrus essential oil for a delectable fruity boost, Citrus Spray hydrating mist is a personal beauty lifesaver.  This wonder mist balances and replenishes the skin without ruining makeup so it can be used any time as an instant pick-me-up. Go from looking tired and lackluster to bright and dewy in seconds.  www.michaeltoddtrueorganics.com

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