Men’s Corner

Youthfulness and attractiveness are not just a preoccupation of women alone. Men too have rejuvenation needs and you can see this from the numerous health and fitness studios and spas that cater to men’s unique needs. Sometimes mere camouflaging does not work in fixing a physical appearance issue. You need to consider longer lasting treatments. There are various non-surgical cosmetic services available for men at Rejuvé which are safe and effective. You get natural appearing results with little to no pain or downtime. Dr. John Tang understands the special needs of men’s rejuvenation and he has tried many of these services himself. From basic self enhancement treatment to anti-aging laser treatments or even body sculpting, you can get it all done at Rejuvé. Highlights of some of the services for men – Facial Rejuvenation Facials – Men need some pampering too. Rejuve offers a Gentlemen’s facial for men who are looking to get started in taking care of their skin. This facial is geared towards men looking for deep cleansing and skin exfoliation to get rid of environmental impurities. You will leave with your face feeling clean and rejuvenated! Acne Scars – Men want to look handsome and have flawless skin; however they too are affected by acne and look for help to remove these unattractive acne scars. A number of treatments are available for acne scars. Chemical peels can help improve any superficial blemishes. For superficial scars, the Fraxel can help smoothe out the scars; while for the deeper scars, a resurfacing laser called the Sciton Profractional involving the Erbium laser is needed. However, each treatment is tailored to meet your goals, expectations, cost, and lifestyle. Wrinkles As we age our skin goes through a number of changes. Both men & women are prone to wrinkles, but men tend to get wrinkles at a later stage than women. Some of the common causes for wrinkles are overexposure to sunlight, weight fluctuations, smoking, and hormone changes. There are many types of wrinkle treatments available. Some of them are highlighted below: • BOTOX® - It is a non-surgical treatment that can temporarily reduce moderate to severe frown lines between the brows, forehead lines, or crow's feet (lines around the eye). The procedure takes only a few minutes and there is only minor discomfort. Within days and up to 1 week, you will notice an improvement in the moderate to severe lines that can last up to 4 months. Results may vary. • Restylane® - It is a safe and natural cosmetic dermal filler made from hylaronic acid that restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as nasolabial folds. It can also be used to improve the hollowness underneath the eyes and areas around the mouth, and it can enhance depressed cheeks. • JUVEDERM™ - It is an injectable dermal filler made from hylaronic acid that is used to fill and smoothen moderate to severe facial wrinkles and folds. Some of the common areas where it can used to improve the skin are areas between nose and upper lip, below the lower lip, depressed scars, cheeks, and below the eyes. • Radiesse™ – It is an injectable product made up of calcium hydroxyapetite. It is quite different than Restylane and Juvederm. It best used when then is for patients with deeper folds or wrinkles. It is best used for patients with deeper folds or wrinkles, particularly when an entire non surgical face lift is done. It does last much longer than Restylane or Juvederm, lasting 1 year or more.

Research Articles     •   Fish Oil Supplementation May Slow Prostate Cancer Growth •   Physical Activity Associates with 40% Reduction in Risks of Early Death •   Fish-Filled Diet May Cut Prostate Cancer Mortality •   Can High-Fructose Corn Syrup Exacerbate Liver Disease? •   Destroying the Myth About Testosterone Replacement and Prostate Cancer •   Cell Phone Use Affects Brain Glucose Metabolism •   Antioxidants may improve chances of conceiving in male subfertility •   Sermorelin: An Alternative to Traditional HGH? •   High Testosterone Levels Protect Against Risk for CV Events CME At the 4AM conference December 10, 2010 Dr. Tang & Dr. Abraham Morgentaler, Harvard physcian, a leader in testosterone therapy in men.

• Sculptra™ – It is an injectable product made up of poly-L-Lactic acid which is the same material used to make sutures. This material causes cells in your skin to produce collagen. Unlike the other products, this product takes months to see the results, but it gives the most correction. The best thing is that it lasts more than 2 years. It is best used in depressed areas underneath the cheeks and temples.

• Aluma™ - It can treat mild to moderate wrinkles. It can be used on conditions like crow’s feet around the eyes, wrinkles around the mouth, upper lip and nose, etc. The biggest plus is that there are no needles and there is no pain at all from the procedure.

Sun Spots - Sun exposure over the years can cause facial blemishes due to excessive pigmentation and the effects of melanin. Most of us are concerned with dark blemishes on our skin. To remove these blemishes and to bring back the luminosity of the skin, the melanin patches on the skin need to be eliminated. Intense Pulse Light, or IPL, can be used to target these pigments. After 3-4 treatments these pigments fall off, leaving the skin clean of these pigments. Alternatively, chemical peels or Cosmelan® Depigmentation treatments can be done to remove pigment if one chooses not to use the laser.

Laser Hair Removal for Back/Chest

More than ever before men want to look their best and today over 50% men have laser hair removal procedures done. Most being sportsmen like athletes, body builders etc., men are in public view a lot and are conscious about their appearance.

Laser hair removal is quick (each session may last for a few minutes to over an hour depending on the size of the area being treated) and less time consuming than waxing or other forms of hair removal. It is also cost effective and convenient (1 treatment every 4-6 weeks), and best of all it is permanent. This trend is bound to be popular and continue to grow in years to come.

Body Enhancement

Fat reduction in -

Breast/Chest – Breast size depends on various factors like genes, hormones, weight, and body frame. Obesity is believed to be the reason for abnormal breasts in men but this is not the only cause. The abnormal growth of the glandular breast tissue caused due to hormonal imbalance and the presence of a high level of female hormone estrogens are the main factors. Other reasons could be excessive alcohol intake, use of drugs like anabolic steroids, dramatic weight loss causing the skin to sag. Mesotherapy can be used to reduce the size of the breast. It is a non surgical alternative to liposunction whereby a solution is injected into the breast tissue to melt the fat away. Several treatments are needed every 2 weeks are needed but one can lose 1-3 inches. In addition, laser liposuction, a minimally invasive procedure can used to melt and extract this fat.

Love handles – An unhealthy lifestyle and lack of physical activity results in fat which lies stored just under the skin and hangs from the midsection of the body. These areas are stubborn and nearly impossible to exercise off.

These love handle areas can be treated effectively by Mesotherapy or Lipodissolve. Both are injection techniques to melt fat. Also, consider laser liposuction. Great results. Safe, fast, minimally invasive, and virtually painless.

Stomach – Beer, beer, beer. Should I say more. Oh yes, sports on TV doesn’t help get rid of them either. Stomach pooch or stomach fat can be treated effectively with Mesotherapy. In addition, laser liposuction can be used to effectively reduce the belly fat while tightening the skin. Yes, it tightens the skin. It is done in 1 procedure - all done comfortably under local anesthesia. No risk of general anesthesia while the overall risk is extremely minimal. It can done on a Friday and you will be able to return to work on Monday. By the way, guys who want a chiselled abdomen, then this would be the procedure.

Hair Loss

Both men and women can lose hair. Most people normally shed 50 to 100 hairs a day. Hair starts thinning with age. When hair becomes thin or bald, it can be quite distressing. At Rejuvé, a comprehensive history and examination will be done to rule out all temporary causes of hair loss. Some causes of temporary excessive hair loss are – major stress, hormone imbalance, medications, medical treatment, infections and poor nutrition. Once this is done, if the patient has male or female pattern hair loss and if the patient has reasonable expectations, a customized a non-surgical treatment that combines proper nutrition and vitamin supplementation, topical medications, oral medications, growth factors, and mesotherapy to help increase hair density, prevent further hair loss, thicken the remaining hair, and to re-grow some lost hair. This whole process takes 4-6 months and it takes place without any surgery.

Medically Supervised Weight Loss

Considering the number of overweight and obese people in the US many of them being men it has been seen that many people are not satisfied with most of the weight loss programs. Taking chances with self made or mass-marketed dietary crazes may not really work.

Rejuvé’s medically supervised weight loss programs are personalized programs tailored to help patients like you lose weight and keep it off. A treatment plan is made to suit your unique requirements only after thorough examination by the doctors.

Acne Management

An inflammatory disorder of the pilosebaceous unit causes acne or pimples. It mostly affects teenagers, however some continue even till the fourties. Acne is caused by various reasons, like increased stickiness of the cells, sebum production during puberty, or overgrowth of skin bacteria that cause acne. Acne can either be non-inflammatory which are just blackheads or can be inflammatory ones filled with pus that can lead to scars.
There are many treatments to consider from topicals, antibiotics, retinoids, and lasers.

Bio identical Hormone Replacement for Andropause (Male Hormone deficiency)

Courtesy: www.inlandcompounding.com

Women are not the only ones to go through diminishing hormone levels with age. Men also experience it as testosterone which is the basis for their mental and physical energy, takes a major hit as total hormone output slows down. Male deficiency symptoms occur gradually over time and they might not even realize it happening. However, male menopause is nevertheless real and it is also known as Andropause. This is a result of aging and hormonal imbalance.

The symptoms of Andropause are subtle loss of strength and energy, fatigue, sleep disturbance, headaches, depression, decreased libido and stamina, erectile dysfunction, prostate problems, decreased urine flow, increased urinary urge, premature aging, thinning/sagging skin, insulin resistance, hot flashes, night sweats, mood swings, stress, abdominal fat, decreased strength, decreased mental sharpness, elevated triglycerides, bone loss, decreased muscle mass, memory lapses, decreased beard, thinning hair, breast enlargement, anxiety, nervousness and apathy.

Simple blood tests can reveal your deficiency and hormone supplementation is often needed. Once on hormone replacement, your hormone levels need to be monitored closely.

Hormonal system balance is very important and some of the steps which you can take to restore it yourself would be some diet and lifestyle changes like reducing the intake of caffeine, alcohol and sugars, include organic, hormone-free foods and vitamins and minerals with adequate zinc in your diet, exercise to reduce stress, sleep early and relax.

Dr. Tang has had extensive experience in combining the various technologies. It is best to have a consultation with him so that he can personalize a treatment plan that best meets your requirements. At your complimentary consultation, Dr. John Tang, will discuss your unique problems and will recommend a treatment plan that will meet your goals and expectations, budget and lifestyle.