Eyelids and Brow Lifts, Questions and Answers

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Q: My upper lids droop over my eyelashes and I would like to have them fixed. I have seen two plastic surgeons, one who agreed that he could help me with my upper lids, another who told me I’d have to have a brow lift as well. My brows are fine with me and I do not understand why a brow lift would be necessary? Why would a surgeon recommend a procedure I did not ask for?

A: You really should go and have another talk with your plastic surgeons – if one recommended a brow lift, he should have explained why he did so. Rarely would we suggest a procedure about a body part not brought to our attention by a complaint originated by a patient. For example, we would never comment about very large or small breasts if a patient came in to discuss an abdominoplasty (i.e. “tummy tuck”).

The two exceptions I can think of relate to chin implants and brow lifts, but in such a situation, I sure would hope that the patient left the consultation with an understanding of why we are recommending the brow lift or chin implant procedures! Patients with weak chins who come in complaining of a large nose or a droopy neck cannot get a great profile without addressing the weak chin because the chin, nose and neck all contribute to the profile. Likewise, if a patient complains of heavy upper eye lids, we have to analyze the balance between the eyelid and brow position.

As a plastic surgeon, our duty is to lay out the options for a patient and each person has to choose the procedure(s) that will give them their desired results. In a pure upper eye lid blepharoplasty, the thin skin excess of the lids is removed but the distance from the lashes to the brows is not changed. In patients with low brows, removing the thin, excess upper lid skin may not be appreciated unless the thicker tissues just below the brows are raised as well. This is not to say that every low brow must be raised when doing an upper lid procedure, but the patient has to understand that only the thin, upper lid skin excess will be removed, that the thicker brow hooding will be unchanged, and that the distance between the brows and lashes does not change with an isolated blepharoplasty.

If a patient desires a more open – eyed look, this will only be accomplished if a brow lift is added to the eye lid procedure. Not only will the eye area look more open following a brow lift, but during a brow lift, the frown lines between the brows will be minimized because we can remove some of the muscles that cause these frown lines, called the corrugator and procerus muscles. And finally, occasionally I’ll see a patient with hooding caused by low brows who thinks they would like an upper eyelid blepharoplasty, but when I gently elevate the brows, I can see that this patient does not have an excess of thin, upper lid skin, just low malpositioning of the brows and I will recommend to this patient that a brow lift be performed without a lid procedure per say.

A brow lift is a minimally invasive procedure. In the endoscopic brow lift, a few half inch incisions are made behind the hair line, allowing the instruments to be inserted. The tissues are freed from the bone, the muscles sculpted, and the brows raised a few millimeters. The brows are fixed in their new position with a variety of devices. The incisions are rarely perceptible after healing has taken place. Occasionally, a brow lift will be performed as an isolated procedure, but more commonly it will be combined with a minimally invasive midface or thread lift, an eyelid procedure or a standard face lift.

If you have any specific questions about cosmetic procedures, you should see a qualified, board certified plastic surgeon to review your options and have additional questions answered!

About the author of this article:

Dr. Bunkis,MD, FACS of Orange County Plastic Surgery is a Harvard trained, Board Certified Plastic Surgeon and has 30 yrs of surgical expertise. Call OCPS at 949-888-9700, email your questions to info@ocps.com or visit our website for more information.

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Depression Symptoms-Start Taking Care in the Initial Stage ...

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Clinical depression is a common disease these days because of the tense lifestyle of man. Continuous stress is one of the major causes of depression. Family problems, shock, unpleasant atmosphere, social un-acceptance are some reasons behind depression. Here are some facts about the disease.

Clinical depression is a mental disease. Generally, everyone gets depressed once in a while, but if this situation continues for a long span, it is considered as major mental depression. Such people lose their self esteem, and do not enjoy any activity.

How to discover such patients:

In all other physical diseases, patients can go to the doctor for they realize their problems personally. Most serious complication about this disease is that patients rarely accept that they need psychiatric treatment. Even people around such patients neglect some basic symptoms of depression. So, the possibility of treating such patients in the initial stage of the disease becomes rare.

Everyone gets tired and mentally frustrated often. Even we do experience unwillingness to live frequently. Doctors also believe that this is the defense mechanism of our mental system. Low mood is always not depression. However, prolonged sadness and a low mood can be depression. It is curable if taken proper care of.

First of all, sad mood is not the only symptom of depression. There are many other symptoms too which will help you to trap the disease in an earlier stage. Those are:

1) Mood:

Bad mood is the first symptom of depression. These patients are always unhappy. They don’t need any particular cause to become sad; sadness becomes their natural mindset in this period.

2) Unwillingness:

In this disorder patients loose hope. They do not take part in any social activity neither do they enjoy participating in interesting things.

3) Ill-tempered nature:

Such patients loose their humor instantly. They have the tendency to be rude, impatient and so on; automatically they get harsh replies which make their condition worse.

4) Lonely:

These people develop the attitude that no one likes them, so, they start distancing themselves from their folks. You can observe that these people choose sitting at home alone instead of going out with friends.

5) Sleeplessness:

Sleeplessness is the major problem faced by depressed people. They cannot sleep peacefully thorough out the night. Either they get horrible dreams or illusions. Medication for this problem can make them sleep and some depression pills also work against this problem. However, if these patients do not get proper treatment, they try various addictions to overcome the problem.

5) Addiction:

Extreme addiction to alcohol and drugs is also common in depression patients. As it seems the only way to kill stress and sadness, these patients get easily attracted towards addiction.

6) Indifference:

Patients of depression are always unconcerned about what is happening around them.

Although they seem indulging in activities, mentally they are in a void. This is the reason, one gets blunt replies from them frequently.

7) Denial:

As they lack confidence, they deny any suggestions given to them. Depression and low mood do not allow them to accept things and enjoy moments. So, they just deny every offer you put forth to them. Even persuading them to take medication is a big challenge for you.

These are some symptoms you can find in patients of depression. If you are concerned about such a person then take immediate steps to cure him/her. There are antidepressants and depression pills available to treat them. So, go to the psychiatrist, consult him and bring the patient back to life. Have some patience while dealing with them; be patient to get your buddy back to normality.

About the author of this article:

Jim Karter has co-ordinated with the sites:- Depression and Suicide Depression and Anxiety Cortisol and depression Depression Symptoms

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Hair Loss- Can it Be Reversed?

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Yes.

The most common form of hair loss in androgenetic alopecia or commonly known as male pattern baldness. Caused by effects of DHT hormones-a large amount of it- affecting the scalp. Hair follicles begin to shrink and over a period of time, the thinning of hair is visible and eventually hair stops growing. Androgenetic Alopecia is usually inherited from either or both side of the family. There are other types of hair loss, some temporary due to illness and disease and usually the hair grows back after some time.

Almost all men lose their hair in some period of their lives and many believe this is an irreversible process. They stand idly by pretending everything to be okay and they make joke about it. The truth is hair loss can often wreck a man. It shakes his self confidence and this affects his self image. But hair loss is reversible and recent technological advances in this field offers much hope. Medical studies are far from finished in its research on products which will stop hair loss and promote re-growth of “permanent” loss.

Modern medical research has focused on ways to re-open and revitalize “dead” hair follicles, so that hair growth can re-occur naturally, as well as keep the healthy follicles healthy. Thus, a number of products have become available, both by prescription and over-the-counter. They are advertised on radio and television and all over the Internet. One need only do an internet search on hair loss, and there are thousands of sites and products for investigation.

One ingredient in many hair loss products is minoxidil. Studies have shown that in about 80% of the participants, products containing this ingredient are effective in slowing hair loss and, in some cases, re-growth. Probably the most well known is Rogaine which is for both sexes and is available in most drug stores. But the number one product in hair restoration is Provillus.

Provillus is free from harmful and toxic substances. This is unlike many other products that are available. Provillus is made from various natural ingredients that are known to be agents in maintaining a healthy scalp and hair re-growth.

Using a natural hair restoration product eliminates all the potential side effects that come with chemically derived treatments, including sexual side effects. It also ensures that your hair, scalp, and overall health will not be adversely affected. Provillus been rated as the number one hair prevention pill on the market, achieving dramatic effects with ingredients that have been utilized by people all over the world for centuries.

Provillus is available for both men and women, and the treatment is a combination of a topical liquid applied to the balding patches and capsule to be taken in conjunction with the liquid. The critical key to effectiveness, according to its makers, is the addition of the azelaic acid. However, the correct amount of this acid is vital and as with most hair loss products, the makers recommend patience. It may take from 3-6 months before significant improvement can be seen. Its makers offer a a money-back guarantee up to 180 days if one is not satisfied.

About the author of this article:

For more information visit this site on hair loss or Provillus

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Tongkat Ali – 5 Reasons to Purchase

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For those considering Tongkat Ali, it is natural to consider the all-natural herb with a guarded eye. There are literally thousands of natural products that do not perform as advertised. Tongkat Ali Extract is real and will perform as advertised if the product comes from a reliable provider.

By that, I mean a provider that only uses the mature 20-30 year old roots of the tree Eurycoma Longifolia and who uses todayís advanced manufacturing equipment to perfect the extraction process. While the equipment may be great, the harvesting of the root is the key to success. Currently, the roots must be hand-dug in the rain forests of southeast Asia. Your manufacturer must use the traditional harvesting method and the new modernized, efficient extraction method and should be able to offer the extract in capsule, pill, liquid or powdered form.

Put your mind at rest and check out these five reasons to stock up on Tongkat Ali:

1. Testosterone Booster- According to longtime herbal expert and published author, Chris Kilham, who recently appeared on television with the famous Dr. Oz to discuss alternative therapies, testosterone is the most important of all the male sex organs. Testosterone also promotes secondary sex characteristics, libido and appearance. Tongkat Ali Extract has been proven to increase the libido in men and women while enhancing the sexual organs and energizing sexual activity. Erections are firmer and last longer with Tongkat Ali.

2. Helps Body Building – As documented in the British Sports Journal in 2004, Tongkat Ali has proven to produce helpful quantities of adenosine troposphere (ATP). ATP helps determine our energy and vitality levels. According to Kilham in a recent test, half the men used Tongkat Ali Extract and half the men did not. After eight weeks, the men who had used the extract in the physical training program had more muscle mass and more strength than those who did not use the extract. The muscle building capabilities, increased energy and vitality are sound reasons for bodybuilders to use the extract.

3. Tongkat Ali is Safe – As a non-habit forming, all-natural herbal product, Tongkat Ali is extremely safe. The extract has passed both acute and chronic testing. Although helpful for building muscle mass, Tongkat Ali is not a steroid. Side-effects only occur in instances of over-dosage. As each userís requirements are unique, users typically begin with lower intake and work their way to the 1:200 Tongkat Ali Extract level. The immediate side effect one may confront is a slight flush. More significantly, your body will experience an increase in your free testosterone level as well as an increase in your bound testosterone. Other than that, side effects may include restlessness, insomnia and increased energy.

4. Tongkat Ali Extract is Healthy – Men and women become so excited with the sexual effects of the extract that they forget the other health benefits. After all, Tongkat Ali was used as a remedy for malaria, fever, pulmonary disease and heart disease long before the testosterone benefits were discovered. If you need a lift, this powerful herbal extract may just be your best bet.

5. Tongkat Ali as Cancer Cure – The Massachusetts Institute of Technology and the Malaysian government developed a patent on certain Tongkat Ali compositions to be researched as possible treatments for various cancers. Recently, joint efforts between Japan and the U.S. have undertaken research for other potential uses of the extract.

Want to lighten your step? Do what Dr. Oz and Chris Kilham suggest. Try Tongkat Ali today. You will be glad your did.

About the author of this article:

Want to know more about tongkat ali and how to choose the best tongkat ali extract? Visit TongkatAliResults.com now!

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Oriental Eyelids and Plastic Surgery Answers

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Question: I’m a 28 year old Chinese female and dislike my eyelids. My eyelids have always had a flap of skin that hangs down to my lashes. I would like to have the extra skin removed from my lids but am afraid of not looking Chinese to my family. Can you do eyelid plastic surgery and still have a patient look Oriental?

Answer: You ask some very good questions about Oriental eyelids. Please read below and contact me at Orange County Plastic Surgery if you have any further questions concerning this, or any other cosmetic surgery procedure.

First of all, Oriental patients do have different eyelid anatomy than most Caucasian patients. In the typical Oriental type of eyelid patient, the superior palpebral fold (the upper lid fold between the lashes and brow) is absent. This occurs in approximately 50% of Oriental patients and is a genetic feature that is passed on from parents to their children with a dominant gene. The Oriental eyelid without a palpebral fold is often referred to as a “single eyelid”, while an eyelid with a fold is called a “double eyelid”.

Operations designed to construct a superior palpebral fold are becoming more popular in Oriental patients around the globe. This surgery has become commonplace in large cities in the Orient as well as in the United States areas, especially in areas like Orange County containing large Oriental populations. The “single eyelid” occurs because a muscle called the levator palpebrae ends within the substance of the lid, instead of attaching to the top of the cartilage plate in the lid, and is not caused by a skin excess! In such procedures, every attempt is made to create the desired fold but not to alter the general shape of the eye or to destroy the web that many Oriental patients have medially, near the nose. Destroying this epicanthal fold would make a lid look more Caucasian and destroy this important Oriental feature of an eyelid and give the patients and eyelid version of Michael Jackson’s nose – this is to be avoided!

As mentioned, 50% of Orientals lack the palpebral fold, but the other 50% do have such a fold – the Oriental eyelid procedure is designed to create such a fold and still leave the patient looking Oriental. A surgeon doing such surgery should be familiar with the differences between Oriental and Caucasian anatomy. It is possible to get a very good result with this plastic surgery procedure, but as with any cosmetic procedure, it is important to research the options and all potential outcomes. It is also important to communicate with your surgeon about how you would like to look after the surgery and obtain comprehensive pre-procedure and post-procedure information.

If you have any specific questions about the Oriental eyelid, plastic surgery procedure, or any other cosmetic procedure, your best bet would be to see a qualified, board certified plastic surgeon to review your options. A plastic surgeon should be able to work with you to get a result with which you are satisfied!

About the author of this article:

Dr. Juris Bunkis, MD, FACS of Orange County Plastic Surgery is a Harvard trained, Board Certified Plastic Surgeon and has 30 yrs of surgical expertise. Call OCPS at 949-888-9700, email your questions to info@ocps.com or visit our website for more information.

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Revolutionary New Boot Camp In Chiang Mai Thailand

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Bootcamp is a weight loss, detox and fitness camp located on a new luxury health spa in Chiang Mai northern Thailand. We offer an all inclusive package which includes 7 nights accommodation, healthy cuisine, super food shots, fitness assessment, full day fitness schedule, massages, Far sauna which burns fat, raw food preparation demo, aqua foot detox, nutritional talk, a how to meditate workshop and round trip transfer from Chiang Mai international airport. You will have opportunities to leave the spa with us and experience the beauty of your local surroundings visiting temples, elephant camp,waterfalls, and cycling through typical Thai villages and rice paddy fields.Next Boot Camps 16th of April to the 23rd of April 2010.

PR9.NET March 25, 2010 - The Bootcamp Thailand a leading fitness holiday company announces their next bootcamp .The Boot Camp Thailand guarantees 6 - 14 lbs weight loss in just 7 days.


We pride ourselves as being 'people's people' and will endeavour to make your stay with us a fulfilling and rewarding one, and make your weight loss and detox dreams come true! We will take into consideration different people's abilities and fitness levels. We have a doctor, nurse, nutrition and weight management adviser, first aid instructor and a team of highly trained fitness professionals . So your are in safe hands.


The spa is built around a beautiful mature mango orchard, with bamboo groves and an amazing tropical garden setting. Add colourful sunrises and sunsets, 3 ponds, running streams, waterfalls, and a gentle breeze. The area boasts the mildest temperatures and unspoiled landscapes in Thailand. We have two swimming pools, a tennis court, a putting green, outside exercise track, a huge open exercise sala with the most incredible views you have ever seen!There is free Wi Fi Internet access plus cable television in every room and two in house health channels.


The Spa resort offers outstanding facilities for your Bootcamp experience. The property is located in ancient Chiang Mai province in Northern Thailand, situated on 40 acres. The Resort is in a quaint rural Thai village with rice paddy fields and a beautiful Temple surrounded by rolling hills. The resort architecture is Lanna Northern style and is built into and around a beautiful mature mango orchard. We have two swimming pools, a Thai herbal steam room, two far saunas, a tea house, full spa/massage facilities, exercise track, tennis court and a 18 meter octagon exercise sala overlooking the rolling hills of Chiang Mai and surrounded by our own organic farm.
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About The Spa Resorts Chiang Mai

At The Spa Resorts, we provide insights and tools for optimal health. We encourage our guests to feel better and healthier by using a simple system of healthy habits. We call it the Five-Habit System to Longevity.The Spa Resort Chiang Mai, our flagship location, is spread over 80,000 sq. meters of spectacular gently sloped hillside property. A veritable feast for the eyes ? magical mango groves, lush rice paddies, exotic garden landscaping and the Spa's own organic farm. The majestic architecture is inspired by the northern Thai Lanna style rooflines.


We are located in Mae Rim, a short drive from Chiang Mai city. This part of Thailand boasts the mildest year round temperatures and most unspoiled landscapes.


About The Bootcamp Thailand


The Bootcamp is a weight loss, detox and fitness camp located on a new luxury health spa in Chiang Mai northern Thailand. We offer an all inclusive package which includes 7 nights accommodation, healthy cuisine, super food shots, fitness assessment, full day fitness schedule, massages, Far sauna which burns fat, raw food preparation demo, aqua foot detox, nutritional talk, a how to meditate workshop and round trip transfer from Chiang Mai international airport. You will have opportunities to leave the spa with us and experience the beauty of your local surroundings visiting temples, elephant camp,waterfalls, and cycling through typical Thai villages and rice paddy fields.

New Website Reveals All About Healthy Chocolates

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new free Internet-based resource about Healthy Chocolates has just been released by a top research specialist. http://www.healthychocolatebiz.com contains in-depth information, articles, and advice about the topic in an easy-to-navigate format.

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Many websites are designed purely for the owner to make money without providing the user with much value. Whilst this is great for the owner, it just means that the average visitor wastes more time searching for something that should be accessible within a matter of clicks.Even though the website is extremely comprehensive, unlike some of its direct competitors in the same area - it is completely free of charge. The owner feels that you don't have to charge people money to deliver an excellent quality of information.


On average, visitors to the website stay for 12 minutes, which far exceeds most other websites, where visitors just briefly visit a single page then leave. Many visitors also commented on how practical it was to have all the necessary resources in one place without having to search around the Internet to discover what they needed.To find out more, go to http://www.healthychocolatebiz.com - one of the Internet top on line Healthy Chocolates websites.


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New Website Reveals All About Healthy Chocolates