Botulinum Toxin and Eyebrow Asymmetry

Study: Botulinum Toxin and the Treatment of Eyebrow Asymmetry

By | Blog, Botox

Out of a study from the University of British Columbia comes an interesting finding regarding the use of botulinum toxin (such as BOTOX) and addressing eyebrow asymmetry:

Botulinum toxin Type A (BoNT-A) has a history of use to correct eyebrow height asymmetry, with the common belief that it works by inactivating the brow depressors. It has also been assumed that deeper injections of BoNT-A would amplify the effect. However, a new study by researchers at the University of British Columbia, in Vancouver, Canada, suggests that therapeutic benefit is not correlated with injection depth. The paper, just published in Dermatologic Surgery, was based on a prospective study of women with eyebrow asymmetry.

Study authors performed split-face BoNT-A injections on 23 women with the condition. The amount of drug and locations of the injections were identical on both sides, with deep injections administered on the side where increased brow lift was needed. Brow height was evaluated and photographed at the time of baseline injection and at four weeks post injection.

The analysis showed no significant difference in the change in brow height over four weeks between the sides that had deep versus shallow injections. The researchers believe that the diffusion of BoNT-A between muscle layers precludes accurate targeting of the muscle belly, where the drug would theoretically have the most effect.

The lead author, Dr. Jason Sneath, M.D., F.R.C.P.C., told Cosmetic Surgery Times that “although we had not documented that a deeper injection was more effective, we presumed that delivering more botulinum toxin to the belly of the corrugators might weaken these muscles to a greater extent, thereby allowing the brow elevating frontalis to lift the medial brow more.” Dr. Sneath added that “while (these findings) may change the practice of some practitioners who have utilized this technique, we believe (they) also add to our understanding of the ability of botulinum toxin to diffuse into muscles after injection.”

Radiesse: Volumizing Filler to Reduce Wrinkles*

By | Blog, Dermal Fillers

At New Radiance Cosmetic Center of Palm Beach, we use a variety of different products in order to best meet the needs of our clientele. One point of confusion continues to be the difference between neuromodulators like BOTOX and dermal fillers. Whereas BOTOX relaxes the muscles in the face, dermal fillers add volume. One example of a dermal filler used at New Radiance is Radiesse.

Don’t know much about Radiesse? This video explains in layman’s terms the process of skin rejuvenation and wrinkle removal that Radiesse injectable filler provides.

As you age, the loss of collagen and facial volume lead to skin laxity, wrinkles, and folds. Radiesse, a volumizing filler, replenishes lost volume immediately upon injection. The particles act as a scaffold and with your body’s fibroblasts, and allows for your own collagen to grow!

Top Beauty & FItness Trends for 2015

Top 5 Beauty and Fitness Trends for 2015

By | Blog, News and New Radiance Updates

Top 5 Beauty and Fitness Trends for 2015

Continuing our theme this week for predicting the top trends of 2015 (see last post), today we’re asking: what are the top beauty trends for the coming year? For those looking to not only look better but feel better, this post is for you.

Body Weight Training

As far as fitness trends go, body weight training will be it for 2015. For those unfamiliar, this kind of training uses one’s own body weight as resistance — exercises such as pull-ups, push-ups, ab roll-outs and others qualify. Body weight training places less stress on joints than do free weights, and they can be done anywhere. In fact, the American College of Sports Medicine’s survey of fitness professionals ranked that as #1 this year, partly because body weight exercises are extremely affordable. “Anyone can do it with no equipment needed,” said Jaya Savannah, strategy coach for holistic businesses. “It’s perfect for this economy.”

Dry Brushing

Dry brushing is not exactly a new concept; has been around for centuries, but the practice fell out of common knowledge until recently. Now everyone from actresses to aestheticians is using a dry brush to remove toxins and help skin glow. Simply exfoliate with a polishing body brush before showering each day. “Brushing boosts blood circulation and helps the lymphatic system, both incredibly important to wellness,” says Kathy Heshelow, founder of Sublime Beauty. “Added benefits include reducing cellulite and in-grown hairs. Plus, frankly, the great invigoration it gives!”

Near Eastern Wellness Traditions

After a thousand years of perfecting health and beauty techniques using food and regional items from nature, more and more people are using nutritional, beauty and “spa” traditions central to Middle Eastern cultures in years ahead.
Mediterranean and African fruits, grains, and spices will be sought after as ingredients used for both food and beauty, and spas will offer more experiences like rasul/mud treatments and sand bathing.

Preventative Treatments

Naturopathy, acupuncture, yoga, kinesiology. For years these and other such practices were eyed with suspicion as quackery or worse, but over time, these traditions, often coming out of Asia, have become more accepted in the West as result have spoken for themselves.

“Consumers want to support health and prevent problems, rather than address issues once they become problematic,” says Allan Share, president, Day Spa Association. “This urgency has come to the forefront because consumers are feeling uncared for in the medical community; they want to stay on track without running to the doctor, particularly given the rise in premiums and out of pocket health-care costs.”

Treatments for Men

Men are becoming more open to the spa experience because they recognize the value of taking better care of themselves. And spas are taking notice, offering more services for the masculine, like the “sports massage” or “executive massage.” Men are even increasing the amount of esthetic services they purchase — procedures such as Botox or laser hair removal. Look for this trend to continue, and grow, with the coming year.

2015 Trends

5 Surprising Trends in Cosmetic Surgery for 2015

By | Blog, News and New Radiance Updates

Now that the post-holiday blues have left us, and we find ourselves squarely set in 2015, it is time for us to speculate: what are the cosmetic trends for the year? It is a safe bet to claim that aesthetic enhancements will continue to grow; cosmetic surgery was reported to have increased for the last four consecutive years, and surgery among men has tripled over the past two decades, marking it as a growth demographic. And we feel confident that the trend in butt procedures isn’t going anywhere — not after publicly dubbing 2014 ‘The Year of the Booty’!

That said: which procedures will see an increase in 2015?

Brazilian Butt Lifts

The popular procedure, named after the country who perfected the surgery, will continue to attract women looking to be the next Kim Kardashian or Jennifer Lopez, as the desire for derriere doesn’t seem to be going anywhere. Add to that the fact that both liposuction and fat transfer are two of the most popular procedures currently offered, as the technology and efficacy of the procedures has improved dramatically over the years.

From the British website “Liposuction is the third most popular surgical treatment in the UK, with fat transfer close behind in fourth and tummy tucks in seventh place, in terms of enquiries. Despite already being consistently popular, enquiries for liposuction have risen by 69% in the past 12 months, while fat transfer enquiries are up 166% and tummy tucks up 68%.”

Nose Jobs

A perennially popular procedure, rhinoplasty is currently all the rage. Open rhinoplasty — the procedure of making an incision on the bridge of the nose and peeling the skin back — is extremely popular: open nose jobs, rose by 1,200% in 2014, while nasal tip surgery saw an increase of 763%. And with non-invasive techniques for rhinoplasty on the rise, we predict an even greater amount in 2015. What is a non-invasive rhinoplasty? Dermal fillers are used, which are then sculpted. Results are only temporary in this case, but the procedure is less costly and therefore easier to try.

Breast Enhancement Combinations

The technology and skill level for breast enhancements are at an all-time peak, so it is no surprise that the preferred method for augmenting (or reducing) one’s breasts will use a variety of techniques. As Vasilica Baltateanu, managing director of Vasilica Aesthetics, put it, “this new concept combines the use of fat grafting to an implanted breast to increase the projection of the breast and reduce the unnatural look of artificial cleavage”

Pony Tail Lift

Via Fashion Times: “Ever notice how your face looks in a pony tail? The look is always super snatched and does wonders for the skin, lifting anything and everything. To achieve this same look, Dr. Miller offers patients the cutting-edge Ponytail Lift; designed to mimic the improved appearance that comes with pulled back hair and is minimally invasive.”

Male Breast Reduction

As we mentioned above, more and more men are looking to improve their appearance surgically, and one of the most common — and growing — procedures is male breast reduction. Sufferers from gynecomastia, an embarrassing and sometimes painful swelling of male breasts, can be treated via liposuction or by traditional surgery.

*Please note that with all surgical procedures individual results will vary.

Year of the Butt

2014 Was Definitely the Year of the Booty

By | Blog

We’ve talked about it before on this blog, but after Nikki Minaj, J-Lo, the Sports Illustrated cover, and, of course, Internet-breaking Kim Kardashian, it is no stretch to call 2014 the undisputed Year of the Booty. From Yahoo! News:

In other words, the derriere is everywhere.

“It’s interesting because years ago people thought JLo had a big butt,” social and consumer psychologist Debbie Then, PhD, tells Yahoo Health. While people may not have desired a larger posterior years ago, these days, big butts are “being sought after.”

In fact, buttock augmentation procedures have increased by 58 percent last year, according to the American Society for Aesthetic Plastic Surgery.  “Over the past decade, we’ve seen a cultural shift toward a greater acceptance of and a desire for a rounder, more prominent derriere in specific regions across the country, so the increase in buttock augmentation procedures is not that surprising,” Jack Fisher, MD, president of the American Society for Aesthetic Plastic Surgery, said in a press release.

We told you so! Looking forward to a big 2015!

Common Forms of Hair Removal

8 Most Common Forms of Hair Removal

By | Blog, Laser Hair Removal

A Word on Laser Hair Removal

Laser hair removal is the most effective method of treatment for unwanted body hair. Roughly 22% of women in North America have excessive or unwanted facial hair while men tend to want to remove body hair, such as back, shoulder, or ear hair. Body hair may be undesirable for patients for cultural, social, cosmetic, or psychological reasons, and unwanted hair can result in feelings of embarrassment or emotional burden that may impede patients’ relationships or daily activities. This level of impairment is comparable to that experienced by patients with psoriasis and eczema and eclipses that experienced by patients with acne.

Adequate methods for hair removal have long been in demand — long-term hair removal with minimal adverse effects is the ultimate goal. Laser hair removal has become well established as an effective form of treatment for unwanted body hair.

The shaving and hair removal market in the United States increased 8% between 2002 and 2007 and is currently 1.8 billion dollars annually. None of the hair removal methods practiced today provides a complete hair removal solution. This goal will likely be reached with a more complete understanding of anatomy, physiology, hair growth cycles, and laser-tissue interactions, and as more sophisticated technologies emerge.

8 Most Common Forms of Hair Removal

Numerous methods are successful in temporarily removing hair:

Manual plucking

This method is an easy and practical way to remove single hairs and can be utilized by most individuals for clearing small numbers of unwanted hairs. The hair shaft must be long enough to be grasped by tweezers.

Plucking often induces a hair follicle into its active growth phase, or anagen, thus stimulating new hair growth. Additionally, it can create postinflammatory hyperpigmentation, true or pseudofolliculitis, and, very rarely, scarring.


Although fast and effective for clearing a large surface area of hair, shaving is the most temporary method of hair removal, as it only cuts the hair at the skin surface. As the hair continues to grow, the blunt end of the cut hair is more noticeable because it is thicker than a normal tapered end.
Disadvantages include skin lacerations, potential pyoderma, folliculitis, ingrown hairs, and postinflammatory hyperpigmentation. Many women may not use this method on certain areas of the body because of masculine connotations of shaving the face and neck.

Waxing or sugaring

Application of a warmed wax or a sugary paste to areas of hair-bearing skin and then removing it, along with the unwanted hair, is a popular method of hair removal and is commonly performed at salons and spas. This method may be used over large skin surface areas (eg, legs, arms, back) or small controlled areas (eg, face, eyebrow, bikini area). New hair growth appears more slowly than with shaving, as the hair must grow to the level of the skin surface before it appears.
Stripping of the wax or sugar paste from the skin is often unpleasant or painful and may cause adverse effects such as irritant dermatitis, true orpseudofolliculitis, hyperpigmentation, scarring, and thermal burns from hot wax or poor technique.

Depilatory preparations

Preparations containing thioglycolates or strontium sulfide are the most widely used chemical depilatories. These agents disrupt the disulfide bonds (especially cysteine) that hold hair cells together, thus dissolving the hair. Like shaving, this method offers only a brief hair-free period, as hair continues to grow from the level of the skin surface.
The major adverse effect is the potential for irritant or allergic contact dermatitis, which may cause significant itching or rash.

Chemical bleaching

Bleaching with hydrogen peroxide is an effective method of disguising the presence of hair but does not actually remove hair.
This is particularly effective for individuals with fine but dark and, therefore, noticeable hair on the arms, face, or neck.

Electrolytic therapy

Successful electrolysis can achieve hair follicle destruction to some degree in 15-80% of patients. Galvanic electrolysis employs a weak direct current that passes through a negative electrode (anode) inserted in the hair follicle and a positive electrode (cathode) in the form of a wet pad in the patient’s hand. Follicular destruction is achieved via the formation of toxic sodium hydroxide (a free radical). Electrothermolysis uses an alternating current that causes direct thermal destruction of the hair follicle. A combination or blend technique of both galvanic electrolysis and electrothermolysis may be used, which is considered by many users to be more effective, more rapidly performed, and with less discomfort.
Each hair must be treated individually and the process is slow and may be painful. Adverse effects include pain, scarring and hypo- or hyperpigmentation.

Medicated treatment with eflornithine

Available by prescription only, eflornithine 13.9% cream was approved for topical use by the Food and Drug Administration (FDA) on July 31, 2000. Topical eflornithine may irreversibly inhibit skin ornithine decarboxylase activity, resulting in a reduction in the rate of hair growth. The onset of action may take 4-8 weeks of using the topical cream for unwanted facial hair on the mustache and chin area.

The most common adverse effects of topical eflornithine cream include, but are not limited to, acne, pseudofolliculitis barbae, skin irritation, and rash.

Laser hair removal

Since 1996, when photoepilation-using laser technology first became available for use, numerous advances have occurred in laser hair removal, resulting in different types of lasers now available for treatment of excessive hair. Laser hair removal is based on the theory of selective photothermolysis, or selective destruction of the follicular unit, resulting in significant hair reduction in treated areas.*

Adverse effects are primarily related to epidermal damage by partial absorption of laser energy by the surrounding skin. This effect has been more pronounced in darker-skinned individuals whose increased skin melanin concentration places them at a higher risk of adverse effects. These adverse effects include blistering, hypo- or hyperpigmentation, scabbing, or, very rarely, serious scarring.

For more effective and safer laser hair removal We offer the Palomar Vectus Laser.*

Questions for your Liposuction doctor

The 5 Most Essential Questions for Your Liposuction Doctor

By | Blog, Smart Liposuction

(At New Radiance Cosmetic Center of Palm Beach, we receive countless questions about our procedures. In this series of posts, we will attempt to answer the most common and important liposuction questions (to read Part I, click here; for Part II, click here, for Part III, click here).

Know Your Liposuction Doctor

Have you made the decision to get liposuction done, but are unsure as to how to find a proper liposuction doctor to perform the procedure?

Choosing a Liposuction Surgeon

Liposuction, a potentially invasive procedure, can result in serious complications if not performed by an experienced surgeon. Taking the time to select a qualified professional dramatically reduces the risks associated with liposuction — a professional not solely experienced, but experienced in cases similar to one’s own issues and needs, and thereby knowledgeable in the unique procedural details and risks associated with those issues. The intent of this article is to help the interested reader know what to look for in such a qualified professional, in order to increase personal safety and to achieve optimal results.

Selecting the Right Surgeon

While there are practitioners legally permitted to perform liposuction, they may not necessarily be surgeons specifically trained to do liposuction and therefore give results of a lesser quality.

When meeting with your surgeon, ask if they have been trained in liposuction and if they are a board certified surgeon. You are likely to get good results from such surgeons, and also from dermatologists who have undergone similar training.

Length of Training

How long has your surgeon been trained? Many can claim that they have received training, even if that training took place at a crash course attended over a long weekend. These characters often are inexperienced and are performing their on-the-job training on real people like you!

Ask your surgeon: where were they trained? How long was their training? Did they undergo said training in their residency, or a fellowship? These are important distinguishing factors between a professional liposuction surgeon and a barely qualified novice, and questions such as these should be considered elementary before allowing someone to perform any kind of surgical procedure on your body.

Years of Experience

Just as the amount of training is a doctor has is of note, so is the the longevity of their practice. A well-trained doctor is not yet an expert, a denomination that comes with years of performing these procedures. Do not be afraid to ask: how long have they been performing liposuction procedures?

Type of Procedures Performed

Last among the criteria for potential liposuction surgeons should be: what different types of liposuction procedures have they done? Not only are there multiple types of liposuction (see Part 2), there are a multitude of body shapes. From male to female, from young to old, and from baby bumps to morbidly obese, you will want a doctor who has worked with all different sizes and issues; because this increases the probability that he has seen, and worked with, a body type that is similar to your own.

Talk to your surgeon about different cases they have performed. Ask to see photos of their previous work, and specifically for body shapes that mirror yours. This will give you a good idea of the level of experience which they bring to the table, not to mention the type of results you can expect.

Fat Transfer to Face Video

By | Video | No Comments

Stem Cell Enhanced Fat Transfer to Face Video*

This Fat Transfer to Face Video demonstrates Dr Goodman’s technique for removing fat cells and re-injecting them as dermal fillers. This process provides excellent long lasting results*.

*Please note that with all surgical procedures individual results will vary.

Top Liposuction Questions Asked

Top Liposuction Questions Answered, Part 3

By | Blog, Smart Liposuction

Top Liposuction Questions Answered, Part 3

At New Radiance Cosmetic Center of Palm Beach, we receive countless questions about our procedures. In this series of posts, we will attempt to answer the most common and important liposuction questions (to read Part I, click here; for Part II, click here).

What Different Kinds of Liposuction Are There?

Most everyone has heard of liposuction, but what they often don’t realize is how many types of liposuction there are, and how different procedures can lead to different results. The technology has improved dramatically over the last twenty years, sometimes incorporating lasers and ultrasound into the process, all with the goal of increasing successful results for every body type that can benefit.

We have compiled a list and a description of the different types of liposuction — how they are done and what the goals of each are — in the hopes of clarifying liposuction for the average person.

Syringe Liposuction

Unlike most other forms of liposuction, syringe liposuction does not use a machine. A syringe attached to a tube is inserted into the treated area, and then removed, creating suction. This suction allows for about 60 cc of fat to be withdrawn from the area. This process is simple and effective, with minimal blood loss and quick healing. However it can only used to treat small areas.

Ultrasonic Liposuction and External Ultrasound-Assisted Lipoplasty

In this form of liposuction, the cannula (the thin tube which sucks the fat out) emits ultrasonic energy in order to liquefy the fat, ensuring a greater ease of suction. The two processes differ in that while in the first the ultrasound emitted internally, the second procudure (as the name suggests) passes the ultrasonic waves externally, liquefying the fat through the epidermis and dermis. The first is considered more effective, but with minor risks. The second is considered safer, but not all surgeons feel that this technique makes fat removal any easier.

Laser Liposuction

Laser-assisted lipoplasty is conceptually akin to ultrasound-assisted lipoplasty in that fat is liquefied before suctioning. Doctors use lasers to liquefy the fat before removal, making it easier to vacuum out via liposuction. Lasers may also stimulate the production of collagen and elastin, which results in firmer, tighter, and smoother skin. Lasers may also coagulate small blood vessels in the area, which translates to less bruising.

Power-Assisted Lipoplasty

Power-assisted lipoplasty is a common method of liposuction. The cannula can be moved forward, backward, side to side or even in a circular motion as a result of a motor attached to the handle of the suction tube.

Power-assisted lipoplasty makes removing fat from the body a quick and easy procedure with minimal blood loss. This makes it especially suitable for removing large amounts of fat such as in the thighs, buttocks or abdomen.


Micro-liposuction refers to the use of needles in removing small amounts of fat deposits. For this reason Micro-liposuction tends to be most suitable for treating regions of the face such as the jowls, chin or neck. In order to get good results from micro-liposuction, specialized micro liposuction equipment is required and not solely the standard liposuction equipment used.

Smart Liposuction

Dr. Neil Goodman, the resident liposuction expert of New Radiance Cosmetic Center of Palm Beach, utilizes a procedure he refers to as Smart Liposuction. Smart Liposuction combines traditional liposuction with laser liposuction and years of experience for the most effective procedure for getting rid of unwanted fat and creating a sculpted body.* The laser liposuction is performed after the traditional liposuction, in order to tighten the skin, and in order to allow Dr. Goodman to remove pure fat, which is especially useful in the case of fat grafting, as liquefied fat would be of no use.