Texas Cosmetic Dermatology Blog

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HCG used in small amounts with lifestyle change for weight loss is generally quite safe but occasionally serious side effects have been reported with HCG treatment.
In most of the cases HCG was being used to treat a Medical condition other than weight loss, nonetheless it is important to know that HCG treatment does carry some risk of rare but serious side effects.
I recently came across this case of Pulmonary embolism complicating human chorionic gonadotropin treatment in a patient with type IV hyperlipoproteinemia. and makes me think about the safety of HCG use in general population without adequate Physician supervision.
Over the last few months, I have seen a huge increase in HCG ads on the internet and the use of HCG for weight loss by general public without Physician evaluation is on rise. We might see a lot more cases of serious side effects from HCG use by people who are poor candidates for this treatment and are not aware of the risks of this medication.
Bottomline: HCG, like most medications is safe ONLY when used after proper evaluation by a trained Physician.
Equally important fact is the HCG is ONLY effective for weight loss when combined with an adequate lifestyle change.

If you need more information check our website or call our office at 888-210-9693 for an appointment.

Over two thirds of US adults (age over 20) are overweight BMI >25
Over one third of US adults (age over 20) are obese BMI > 30
Each year Americans spend billions of dollars on weight loss products and programs and yet only less than 5% are able to lose and maintain a healthy weight over one year into the program.
Quite disappointing! But definitely a solvable problem
IDuring the last 20 years of Medical practice, I have found that a healthy body is possible in most people with:
1.The Right Attitude
2. The Right Lifestyle
Of course people with endocrine or metabolic disorders such as low thyroid or diabetes need to be treated appropriately before starting any weight loss program
The three biggest reasons for failure to achieve healthy weight are:

1.Improper Motivation

Effective and lasting weight loss requires persistence in following a healthy lifestyle not for a few weeks or months but for life! Lack of proper Motivation is at the top of reasons for weight loss failure. Most overweight people know they have a health problem and need to do something about it, but somehow true motivation to permanently change lifestyle is rather rare. Here a re a few steps to make sure you have your head in the game before starting a weight loss program:

• Make sure YOU are ready for weight loss. If you do not have the proper mindset, you will not stay the course.


• The Motivation has to come from from within you and not from your spouse or children or friends.


• You need to have a Very CLEAR set of reasons why you need to lose weight. make it personal and vital to your existence. The reasons are different for different people. Some of my patients want to lose weight for a family or high school reunion, some for medical reasons, to lower their blood pressure or cholesterol. Some patients do it to look better in clothes, some to feel better about themselves. Jot down YOUR reasons on a piece of paper or your blackberry and have them visible for you as a frequent reminder


2. Improper Plan

Following fad diets does not lead to long term weight loss.Surprisingly I have seen this more than I expected in a pretty smart patient population. I guess, people like to believe there should be an easy way, a shortcut to their weight loss goal and are easily tricked into some pretty ridiculous diets, like the 7 day fluids only "Hollywood diet" or an X number of days 'detoxification" diet.
Personally I am not a fan of such diets.
The only way to lose excess weight is to PERMANENTLY change eating, stress management and physical activity, period!!
Weight gain or difficulty losing weight is far more complex than calories in minus calories out. Anyone who has ever tried losing weight knows this!
To achieve and maintain healthy weight, we need to focus on diet, physical activity AND emotional balance.
Our metabolism is affected by many hormones and neurotransmitters and achieving a fine balance is the key to healthy body!
For diet, I like to recommend a program which includes foods from all major groups, lean protein, carbohydrates, fats.
For Physical activity, I like to recommend aerobic activity, stretching, balance and strength training
For emotional balance or stress management, I like activities like yoga, meditation, relaxation techniques, deep breathing etc.


3. Improper Goal Setting

Too frequently I see patients getting disappointed with their weight loss program because of wrong expectations.
Realistically, for my obese patients who follow our diet, exercise, stress management program we see weight loss of 7-9 pounds for the first week then steady weight loss at 2-4 pounds a week.
Plateaus are part and parcel of any weight loss program, expect them and do not let yourself be disappointed!
Very frequently, I see plateaus because of fat loss and muscle gain which leads to dropping inches and not total weight.
Your ideal weight may be more than you think. I like to look at body fat percentage rather than total weight.


Bottom line, try to stay focused on healthy lifestyle, eating, physical activity and stress management rather than a "Number" for best results
Know that you can DEFINITELY achieve your healthy body goal, it may take a little longer than you anticipated, but you WILL get there!

If you would like more information on Naila MD Fit HCG Medical weight loss in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at www.nailamalikmdskin.com

IPL Photo-rejuvenation is a treatment done with an Intense Pulsed Light source. This type of treatment is effective for treating skin conditions in the superficial layers. It is associated with some discomfort, most patients describe the treatment as a feeling of "rubber band snap" against the skin. Intense Pulsed light is absorbed by brown and red pigment, making the treatment more uncomfortable in people with dark pigmentation and redness.
IPL is quite effective and well tolerated in the appropriately selected patient group.
IPL is usually done without topical anesthesia. In our office , we use very cold gel and ice packs to reduce discomfort. I like to discuss the advantages, realistic expectations and the limitations of this treatment before starting. IPL treatment is usually done as a series of 3-5 sessions, 2-4 weeks apart. I frequently combine this treatment with procedures like Microdermabrasion, Dermawave facial toning for synergistic effect.
I have found with proper patient selection, IPL can help the following skin conditions:

• Superficial Brown Spots/sun Spots


• Facial Redness/Small broken Blood vessels


• Rosacea


• Cystic Acne lesions, unresponsive to conventional Treatment


• Superficial Photoaging manifested as rough texture, brown discoloration, fine lines etc.

If you are considering Intense Pulse Light Treatment also known as Photo rejuvenation or Fotofacial, please call our office at 888-210-9693 for more information or to make an appointment.

If you are interested in learning more about Anti Aging Skin Treatment options in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

We have a comprehensive and innovative approach to treating All types of Acne, including:
Teen Acne, Adult Acne, Rosacea, Cystic Acne etc.
We combine lifestyle guidance, oral supplements when necessary, our own Naila MD Skin products for at home skin care with Novel in office treatments. Our treatment program is completely customized to individual skin types. During the course of treatment we evaluate patient response and modify our approach as clinically indicated.
Some of the treatments we incorporate are:

• Medical Microdermabrasion


• Medicated Chemical peels


• Intense Pulsed Light for cystic Acne and Rosacea


• Photodynamic Therapy for resistant Cystic Acne

We Accept medical Insurance for Acne treatments and most of our treatments are covered as a medical benefit by major medical Insurances. Individual Insurance coverage varies, please call our office to see if your insurance will cover these type of treatments.

Click to view our patient before and after photographs

To find out if your Medical Insurance covers your Acne Treatment, Please Call our office 888-210-9693

If you would like more information about treatment options for Acne, Rosacea, Cystic Acne, Acne scars in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

Botox $9/Unit
Juvederm $450 per vial
Join us on Thursdays during July 2010 for Incredible savings on Liquid facelift

The above prices are for combination treatment with Botox and Fillers on Thursdays now through July 31, 2010.
Not valid with any other Coupons or promotions

Watch before and after Photographs of our patients for Botox and Fillers.

Call us 888-210-9693 for Botox Only special pricing during July

If you are interested in learning more about Anti Aging Skin Treatment options in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

Since the introduction of Naila MD FIT HCG weight Loss system over a year ago, we have helped many patients achieve their weight loss goals. During the length of our program we have made the following observations:

• A considerable number of overweight patients have concomitant Medical disorders like High Blood Pressure, High Cholesterol, Metabolic Syndrome, Poly-cystic Ovarian Syndrome (PCOS) etc.


• We have observed a moderate improvement in these conditions with weight loss and lifestyle change.


• HCG with Diet and exercise over a few months gets excellent results for our patients who need to lose more than or equal to 15% of their body weight.


• Medical Insurance reimburses for Medically necessary weight loss in many cases.


Call Our office 888-210-9693 today to find out if you qualify for medically necessary weight Loss treatment and if your Insurance will reimburse for this treatment

If you would like more information on Naila MD Fit HCG Medical weight loss in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

1. Eat Well: A low glycemic diet, right amount of lean Protein and adequate amount of Good fats keep you youthful

2. Get Moving: Regular Physical activity including 30 minutes of aerobic exercise 5-7 days a week and 30-60 minutes of strength training 2-3 days a week boosts growth hormone production and circulation vital to great looking body and skin

3. Supplement your diet: Aging is mediated through oxidation, reduction and Glycation. Anti-oxidant, anti-inflammatory and anti-glycation supplements can slow down and even reverse aging.

4. Mange your stress: Chronic Stress leads to release of neurotransmitters which cause accelerated aging. Some of the effects of these stress induced neurotransmitters are excess weight gain, high blood pressure, poor skin circulation and chronic fatigue. Deep breathing, meditation, yoga, biofeedback are some ways to reduce stress.

5.Get good Quality Sleep: Chronic lack of sleep or poor quality sleep leads to production of stress mediated neurotransmitters which lead to accelerated aging.

6. Avoid environmental age accelerators: Like smoking, alcohol, toxins. Quit smoking, Ask your family doctor for help with prescription medication if you need . Have alcohol in moderation and try to have fresh organic food as much as possible. Get a good quality water filter system to reduce ingestion of toxins in water

7. Limit Sun Exposure: Wear minimum SPF 20 every day,Avoid direct sun exposure between 10 am and 4 pm

8. Use high quality skin products preferably without parabens: Skin products with high dose of quality antioxidants, anti inflammatory ingredients without unnecessary additives do well to slow down and reverse aging skin

9. Regular skin corrective and maintenance treatments: Skin treatments targeting your individual needs can take off years with little or no downtime. IPL treatment for reducing redness and sun spots, microdermabrasion to increase cell turnover and circulation, Botox and Fillers to reduce wrinkles, CO2 skin resurfacing to improve texture and tone, Dermawave to tighten skin, can all dramatically improve skin aging

10. have a positive outlook on life! You only look as good as you feel!

If you are interested in learning more about Anti Aging Skin Treatment options in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

This segment was aired on Friday 6/18/2010 on CBS evening news. I would like to thank my patient, Janelle for volunteering for the video.
Click CBS 11 news link to watch video:

1. Testosterone should be use ONLY when clearly Clinically indicated


2. Lifestyle optimization with diet and Physical activity specifically aimed to improve endogenous Testosterone production should ALWAYS be first line treatment option for marginal Testosterone deficiency


3. HCG injection treatment can and does modestly improve Testosterone levels. Results are even more dramatic when combined with Lifestyle optimization.


4. Testosterone supplementation suppresses production of endogenous Testosterone and can lead to Testicular regression.


5. Supra-Physiologic Testosterone levels may transiently feel good but are associated with undesirable side effects which far outweigh any benefits


6. Most men in their forties and Fifties who think they need Testosterone supplementation actually do not need exogenous Testosterone and do very well with Lifestyle modification/HCG injection therapy.

I see a lot of patients for Hormone Replacement and I am certain that majority do not need exogenous Testosterone. Most of my patients are intelligent, professional men motivated to follow lifestyle guidelines with or without HCG. I am cautious with Testosterone Replacement and only prescribe it for clear clinical indication(s). AND with a close follow up by the patient's Urologist. I like to extensively discuss ALL the potential side effects, patient's expectations and the need to have a permanent lifestyle for optimum results.

Please visit our website or call our office for more information

You might want to consider Naila MD Fit HCG weight loss system if :

1. You have more than 10% excess weight to lose
2. You have been a Yo-Yo dieter
3. You carry most of your weight around mid section
4. You are concerned about loss of muscle tone
5. You have no energy to work out
6. You have lost weight in the past but gained it back
7. You are stuck at your last 10 pounds

Since introduction of our weight loss program in May 2009, we have helped many patients achieve their healthy weight with Naila MD Fit system
Visit our website or call our office 888-210-9693 for more information to see how we can help you get started.

HCG DISCLAIMER;
The use of hCG for weight loss is Off Label. the FDA allows Physicians to prescribe hCG Off label. We are required by law to post the following: The FDA has not approved hCG and there is no substantial evidence that hCG is effective in the treatment of Obesity.

If You have ever tried to lose weight, you may be familiar with one or more of these pitfalls!

1. A diet too low in calories.
Very Low Calorie Diets, may initially work to get a few pounds off in a hurry. BUT For long term weight management, very low calorie diets are not only ineffective but may even be detrimental.

2. Not enough protein intake
Protein is the building material to build essential structures like muscle, skin, hair, nails etc. Too little protein leads to muscle wasting, weak, brittle hair, poor skin tone and elasticity, brittle nails.

3. Artificial sweeteners
Studies demonstrate artificial sweeteners cause weight gain and pose an increased risk of Diabetes similar to or in some studies even more than sugar. Some scientists postulate that artificially sweetened food provides a "salient oro-sensory stimulus" which tricks the brain into anticipating high calorie intake. Our body gets prepared to handle the extra calories. Most people who consume high amount of artificial sweeteners either eat more calories or burn fewer calories than they would otherwise . It is best to use moderation.

4. Inadequate stress management
Stress induced hormones like cortisol and adrenal hormones favor fat deposition over fat burning, slowing down weight loss in spite of calorie restriction.

5. Poor Sleep
Chronic sleep deprivation or chronic poor quality sleep raises cortisol levels which have a detrimental effect on metabolism leading to excess fat accumulation especially in the midsection.

If you would like more information on Naila MD Fit HCG Medical weight loss in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

A recent article on Web MD called it "The number 1 Anti-aging breakthrough"

Fractional CO2 Laser Resurfacing
Traditional carbon dioxide laser resurfacing has been the gold standard for facial wrinkle reduction for many years. However, the treatment is done under general anesthesia and can potentially have more than a few undesirable side effects.The newer, safer Fractional CO2 resurfacing consistently delivers Potent results without the detrimental complications of traditional CO2 laser.

I decided to add this treatment to my practice over a year ago and tried many types of CO2 Fractional laser devices before making my decision. I chose the device after considering several factors, patient comfort, recovery after treatment, flexibility of treatment parameters and of course clinical results.
I use DOT Fractional CO2 for skin resurfacing

The laser removes the superficial layers of skin improving texture, fine lines and superficial pigment irregularities AND penetrates deep into the dermis stimulating collagen production leading to reduction of deeper wrinkles and scars.

Advantages of Fractional C02 Laser over traditional CO2 laser

• Far less incidence of post Laser scarring
• Less Incidence of Pigment disorders
• Quicker Recovery than traditional C02 lasers 7-10 days compared with 4-6 weeks
• Done with Topical Anesthesia unlike traditional CO2 which requires general Anesthesia
• Effectively reduces wrinkles, sun induced skin damage and acne scars
• Tightens skin improving overall tone.


My patients specially like tightening of eyelids and jowls
On average, my patients notice, "it takes 5-10 years off "

What is the difference between Fractional C02 Skin Resurfacing and Erbium skin resurfacing?

Erbium laser skin resurfacing is a less invasive treatment. It improves skin texture, superficial pigmentation, fine lines quite well but does not have the same effect at deeper level. Fractional C02 laser penetrates deeper into the dermis than Erbium, therefore leading to more dramatic results for deep wrinkles and scars.

Who is a candidate for CO2 Fractional Resurfacing?

If you have fine lines, some moderately deep lines
If you have rough skin texture, superficial sunspots, poor skin tone
If you have acne or other scars

I have seen a dramatic difference in my patients undergoing this procedure by combining complimentary treatments specific to patients' needs, for example:
I usually combine CO2 skin resurfacing with Botox and injectables for a "non-surgical" facelift effect
For Acne scars, I combine CO2 fractional resurfacing with a series of microdermabrasion for enhanced improvement in texture
For my patients with broken blood vessels, I use vein laser after skin is recovered for a flawless complexion

If you are interested in learning more about Anti Aging Skin Treatment options in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

Non surgical facelift is one of the most requested service in my practice.Aging face begins to lose collagen and elastin leading to sagging eyelids, jowls and nasolabial folds. In the recent years, Physicians have utilized a combination of BOTOX®. and Faical fillers to reduce wrinkles and add volume to face. One interesting observation with this approach to treatment is the effect of "facial lifting".

What is a Liquid Facelift?

Over the years I have used BOTOX® to successfully achieve eyebrow lift in many patients. I have also used a combination of FDA approved dermal fillers mostly to lift and contour the face while reducing deep lines as a secondary benefit.
This approach has acquired the name "Liquid Face Lift", a non-surgical approach to face lift .
Broadly speaking, I divide the face into upper and lower half at lower margin of orbits.I use BOTOX® mostly for lifting and expressive wrinkle reduction of upper half and dermal fillers for voulme restoration, contouring and wrinkle reduction of lower half of face.Additionally, I use dermal filers cautiously for reduction of tear troughs and enhancement of cheek bones.

What can a Liquid Facelift do for you?

Generally a Liquid Face Lift can be used to achieve :
1. Reduction of deep lines, Naso-labial folds, hollows under eyes.
2. A subtle lift of facial profile due to volume restoration and reduction of deep folds
3. Enhancement of facial contours
4. A well rested, natural, youthful appearance

What types of Dermal fillers are used for Liquid Facelift?

I use one or more of the following dermal fillers depending on the area being treated and the effect desired. Juvederm, Juvederm Ultra, Sculptra, Restylane
I have tried a few other fillers but prefer one of the above due to their safety profile and cosmetic outcome. The Dermal fillers I use in my practice are FDA-approved for facial treatment. The approved products may be used "off label" by trained physicians for cosmetic applications not indicated in the manufacturer label. This is because the manufacturers rarely seek FDA approval for multiple facial areas.

BOTOX® is a Muscle relaxant; How does BOTOX® give a "Lift"?

BOTOX® reduces expressive wrinkles by relaxing muscles and causes dropping of eyelids when overdone, which is one of the most common complaint by BOTOX users. Our face has two sets of muscle groups that work in opposition, the "Levators" (muscles that elevate) and the Depressors (muscles that depress). These two groups contract against each other in a constant tug of war.
BOTOX® can be placed strategically to achieve elevation of face by weakening the Depressors thereby letting the Elevators take charge to achieve the lift!

What do you need to know before scheduling your Liquid facelift?

When considering Liquid Facelift you need to take into account the following:
1. Physician's experience with the products
2. The choice of products
3. The goals and expectations from the procedure
Each person is unique and no Two individuals have the same facial features . There is NO "cookbook" method of the injection technique. The Physician has to take into account individual differences and develop injection technique unique to each patient for optimum outcome.

What results to Expect from Liquid facelift?

Liquid Face Lift techniques are evolving and in the right hands the results are outstanding! The best results are subtle, natural and gradual. Most patients notice a "refreshed, youthful" look without a dramatic overnight difference. Individual results vary from patient to patient.
Unfortunately I continue to see patients who have had too much filler or too much Botox and are looking to reverse the effects. In this situation, the best thing to do is wait! None of these injectables are permanent and will eventually disappear. Reversal of BOTOX® is not possible. There is an enzyme, Hyaluronidase that some use to dissolve dermal fillers. I do not use it because it can break down the dermal collagen matrix in addition to the dermal filler, which is worse than where you started!
LEGAL DISCLAIMER

The information on this Web site is provided by Naila Malik MD for educational purposes only. It is not a substitute for professional medical care, and medical advice and services are not being offered. If you have, or suspect you have, a health problem you should consult your physician. Only your doctor can provide you with advice on what is safe and effective for you. Never disregard professional medical advice or delay in seeking it because of something you have read on the Site!
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Cosmetic Skin treatments, Acne, Actinic keratosis, Rosacea, Viral wart treatments, HCG Medical Weight Loss, Bio-identical Anti aging Hormone Replacement in and around Southlake, Colleyville, Keller, Grapevine, Fort Worth, Dallas, North Richland Hills Texas. Visit our website for more information
For consultation or questions, please call our office at 888-210-9693