What is the miraDry® procedure?
The miraDry® procedure is a quick, safe, non-invasive treatment that is FDA cleared to eliminate sweat glands under the arms. No surgery is involved. The hand piece of the miraDry® System is placed on the underarm area and delivers precisely controlled, localized microwave energy to the region where the sweat glands reside. The result is elimination of the sweat glands in the targeted area. The glands do not grow back, so there is a dramatic and lasting reduction in underarm sweat.

What is the procedure like?
The clinician customizes treatment for each underarm with multiple placements of the miraDry® System. The underarms are numbed prior to the procedure for your comfort. You should be able to return to normal activities or work right after the procedure, and you can typically resume exercise within several days. Some localized soreness or swelling is normal, and typically clears within a few weeks. Some patients have temporary, short-term altered sensation in the skin of their underarms or upper arms, which gradually disappears.

What results can I expect?
Most patients report a dramatic reduction of their underarm sweat – in a recent clinical study, the average underarm sweat reduction was 82%. You should see a reduction in sweat immediately after treatment. Two procedures spaced three months apart are required to maximize the results and duration. As with any medical procedure, results will vary by person. The results are lasting because the sweat glands do not come back or regenerate after they have been eliminated.

Is the miraDry® procedure right for me?
If embarrassing underarm sweat outbreaks, stained clothing or frequent antiperspirant application interfere with your daily life, then you may be a good candidate for the miraDry® procedure.

DERMATOLOGY CENTER OF ATLANTA is one of the first in Georgia to offer the FDA Approved miraDry® technology. We are experienced and well-trained in performing miraDry® treatments. To learn more about this revolutionary procedure, call our office for a consultation.

Dermatology Center of Atlanta
770.497.0699
www.dermatology-atlanta.com

Dr. Leslie C. Gray is board certified in dermatology and founded Dermatology Center of Atlanta in 2000. She built the practice on her belief of combining the highest quality dermatologic care with outstanding patient-centered customer service. At Dermatology Center of Atlanta, our board certified dermatologists provide comprehensive Medical, Surgical and Cosmetic skin care services.

Is the treatment of my spider veins cosmetic or medical?
Most people think those unsightly spider veins on their legs will cost them a fortune to treat, so they decide to just live with it. But if simple activities like standing at a soccer game cause your legs to ache and become so painful that you just want to shake them, this is more than just a cosmetic issue. The discomfort you are feeling is a sign of an underlying issue called venous insufficiency.

What will happen if my venous insufficiency is left untreated?
The condition starts with minor symptoms and small veins, but can lead to large, painful veins and other conditions like full-blown venous disease if not treated early. Don't be fooled into costly cosmetic treatments, because chances are, the veins will continue to come back.

What is the safest (and most cost-effective) way to treat my venous insufficiency?
There is only one way to reduce the appearance and relieve the symptoms, and the best news is that 95 percent of procedures are covered by insurance! So stop throwing money away by treating the same veins over and over. Let us treat it right the first time.

 

Vein INNOVATIONS
veininnovations.com

Be proactive about your circulation and prevent further damage to your legs by having them evaluated for venous disease.

Wednesday, 29 May 2013 19:11

Get Strong, Sexy, Healthy Legs

Everyone would love to have a set of great legs, and by paying some attention to diet, exercise and a few aesthetic extras, beautiful legs can be yours at any age. Ready to get started? Begin by focusing on the inside to keep joints healthy, muscles strong and ensure good blood circulation. Consider laser and vein treatments when necessary, then finish up with a few refining services and you'll be seeing improvements in no time.

Start from the Inside

While the goal is to have great looking legs, the journey begins on the inside by keeping muscles, ligaments and veins healthy. Legs are home to the largest muscles in the body, and they need to work properly to support most of the activities we do. Maintaining good flexibility and range of motion in the joints will not only keep legs healthy, but also impart a more fluid and graceful appearance.

Beginning with the joints, which are the places where bones connect and allow movement to happen, proper working order is key. In the legs, joints include the hips, ankles and knees – all common areas where injury can occur. Dr. Krystal Chambers, a physical medicine and rehabilitation spine physician with Resurgens Orthopaedics, recommends keeping joints healthy by consuming foods rich in omega-3 fatty acids. "This includes foods such as salmon, halibut, fresh tuna and walnuts," she says. Fortified foods like eggs, milk and yogurt can also be helpful or fish oil can be taken in capsules or even a smoothie form. "Other supplements such as glucosamine and chondroitin may be helpful in decreasing joint pain in people with mild to moderate arthritis," she says.

Sufferers of chronic joint pain should limit high impact, weight-bearing exercises like running and high impact aerobics. "Look for lower impact exercises such as swimming, water aerobics, treadmill walking or the elliptical trainer," Dr. Chambers explains.

You will also want to take good care of your tendons and ligaments – they connect muscle to bone and bone to bone respectively, and can become injured due to repetitive use or overuse. Additionally, lack of stretching prior to exercise can cause problems. "Always stretch or warm up properly prior to engaging in a sport or exercise," Dr. Chambers says. Invest in proper shoes, and when new to a sport, begin slowly and gradually increase your intensity level.

Even with prevention, injuries do sometimes occur. For muscle pain or soreness after exercise, applying ice to decrease inflammation offers a quick fix. Over-the-counter analgesics can also help. For tendon, ligament or joint injuries, Dr. Chambers recommends resting from activities that aggravate the pain and OTC anti-inflammatory medications. If symptoms persist for seven days or more, it's time to see a doctor.

Keep it Circulating

Part two of keeping legs healthy on the inside is maintaining vein health. In many cases, unhealthy veins are apparent on the outside, so properly functioning veins can have an aesthetic importance too. There are two components to good leg circulation: arteries and veins. According to Dr. Louis Prevosti of VeinAtlanta, you can maintain artery health in the legs in the same way you maintain heart health – with exercise, keeping blood pressure stable and controlling blood glucose.

While getting a handle on the health of your arteries may sound easy, the vein side can be more challenging because the two main risk factors for developing problems are heredity and gender.

Also, people with professions that require long periods of standing must battle gravity as it pulls on veins and causes blood to pool. People with a family history of vein problems and those who stand a lot should utilize compression stockings when standing, sitting or traveling for long periods of time.

The bad news is that there are no known vitamins or dietary supplements that prevent vein disorders. And once the varicose or spider veins have developed, they will not go away, but compression stockings can help keep them from getting worse. On a positive note, Dr. Prevosti says that wearing high heels and crossing legs have not been shown to cause varicose or spider veins.

While damaged veins will not repair themselves, a variety of treatment options are available, and they are considered minimal, in-office procedures requiring no downtime. These treatments typically take less than an hour to perform, and normal activity and light exercise can be immediately resumed.

For spider veins, which are dilated capillaries visible through the skin, treatments include sclerotherapy and laser therapy, which are quick, relatively painless procedures. Sclerotherapy consists of medicine being injected into the vein with a fine needle, causing the vein to close. Until less than two years ago, sclerotheraphy injections contained a saline solution that burned, but the recently FDA-approved medicine, polidocanol, does not cause that stinging sensation. For smaller spider veins, laser treatments are also used, and again cause the vein to close down. Sometimes sclerotherapy and laser treatments are used together.

Varicose veins are the large, twisted veins that can be seen protruding underneath the skin's surface. People with varicose veins have a fourfold increase in developing deep vein thrombosis (DVT), which is a blood clot. "The best test to check for a dangerous blood clot is a venous duplex ultrasound. A blood test to check for elevated levels of D-dimer can signify a blood clot. Both of these tests would only be done if there was a suspicion of a blood clot. Many blood clots are detected before they break off and become pulmonary emboli, which is a dangerous event," Dr. Prevosti says. "Wearing compression stockings will help prevent DVTs and ankle swelling."

In the past, varicose veins were dealt with by vein stripping, a surgical procedure performed under anesthetic that required a recovery period and possibly a hospital stay. For the past 10 years or so, doctors have treated varicose veins with endovenous laser therapy (EVLT) – using an optic fiber to shine a laser into the vein, causing it to contract – and micro phlebectomy – a piece-by-piece vein removal performed by making very small incisions along the vein. Both treatments are minimal procedures.

According to Dr. Prevosti, spider and varicose veins, as well as other issues like restless or achy legs, are caused by chronic venous insufficiency. Some venous insufficiency sufferers have visible symptoms like spider veins, but many will not, and will only experience issues like night cramps, swollen ankles or heavy, tired legs. Anyone with leg discomfort can get a venous ultrasound to determine whether there is an insufficiency issue. "Most people with venous insufficiency do not have varicose veins," Dr. Prevosti says. And sufferers from venous insufficiency only have a slightly increased risk of developing a dangerous blood clot – about five percent. Still, for those with venous insufficiency, treatment with radio frequency closure or EVLT will alleviate discomfort and provide a good deal of relief.

Power Through

While keeping muscles strong will help develop beautiful looking legs, it is important to assess your kitchen before hitting the gym. "Diet is really important in keeping the legs strong," says Tammy Stokes, founder of West Coast Workout. "Beans and greens supply an excellent source of absorbable calcium for healthy bones."

Once you incorporate plenty of omega-3s, calcium-rich foods and a variety of fruits and vegetables into your diet, lower body exercise is next on the menu. According to Jeff Wolfson, a personal trainer with Lone Wolf Fitness, engaging in cardiovascular exercise as well as resistance training is a must because these training methods isolate individual muscles that make up the legs.

Wolfson advocates beginning your leg training with the feet. "Our feet are vital to maintaining proper hip and spinal alignment," he explains. "However, not only are they rarely trained, but for the most part, (feet) are flat out ignored."

He recommends working the feet and lower leg muscles by doing calf raises, toe raises and everting and inverting the feet. And then it's time for squats. "The best overall resistance exercise for the legs is squats – all kinds – air squats, jump squats, angel squats, power squats..." They can be performed anywhere, so take advantage of the time you spend standing in line, cooking dinner, brushing your teeth and performing other stationary activities. Round out this leg-friendly resistance routine with at least four days of cardiovascular exercise like cycling, walking or running.

Most people might feel that bulk is generally not a desired look. "I favor the look of toned legs over muscularly built legs," Stokes says. "Sexy legs are subtly defined, not overly muscular." She focuses workouts on exercises that lengthen and tone the hamstrings and quads and combine them with "bum lifting" exercises. "This creates a longer, leaner, dancer shape," she says. "When the inner thigh muscle is toned, the legs appear slimmer and ultimately shapelier, making the quad muscles appear smaller." Stokes advocates that there is no big secret to keeping legs healthy and strong. "Nothing outdoes a good diet, proper exercise, tender love and care," she says.

The Finishing Touches

For the icing on the cake, you may want to try an aesthetic treatment to have the outside match the inside. "Many of our patients come in for an overall 'summer leg makeover,'" says Dr. Alan Gardner, with Gardner Dermatology & Med Spa. "There are numerous treatments and products available that can make your legs look great."

Hair Be Gone

Laser hair removal is one of the most popular treatments to get legs summer ready. Remember it is best to start early because a minimum of five treatments are generally necessary, and they need to be spaced six to eight weeks apart for best results. If you're not a fan of lasers, there are plenty of other methods such as waxing, sugaring and even hair removal creams that can help keep unwanted hair at bay.

The Color Wars

Any unwanted coloring on your legs may make wearing skirts or shorts embarrassing. If you have any discoloration on your legs due to age spots or other pigmented areas, there are laser treatments or creams that will lighten these areas.

Leave Your Mark

Stretch marks and cellulite are one of the greatest areas of concern for many women. "We treat these with the Sublative-RF and Submime laser with great results," Dr. Gardner says. These treatments tone and tighten the skin and can be combined with body firming and tightening creams to use at home.

What's Hue?

The final step in creating beautiful legs is getting a good glow. "Tanning helps hide veins, sun spots, freckles, stretch marks and scars," says Julie McGee, owner of True Glow Spray Tan. Avoid harmful tanning in the sun or a tanning bed, and opt for a good spray tan. The latest and greatest in spray tanning is a technologically advanced HVLP spray gun that delivers an even, natural looking tan. "The air pressure creates a mist that hits the body so precisely, that the days of streaky, splotchy sprays are long gone." A good spray tan will give you an immediate glow for up to 10 days, so the color will last through showers, sweating and sandy beach trips.

 

Editorial Resources
Dr. Krystal Chambers — Resurgens Orthopaedics, www.resurgens.com
Julie McGee — True Glow Spray Tan, www.yourtrueglow.com
Dr. Louis Prevosti — VEINatlanta, www.veinatlanta.com
Tammy Stokes — West Coast Workout, www.westcoastworkout.com
Jeff Wolfson — Lone Wolf Fitness, www.lonewolffitness.com

Wednesday, 29 May 2013 18:53

Living with ADHD

Whether you’re a parent, a teacher or simply a bystander, most of us have encountered a child who is hyperactive, easily distracted, has trouble sitting still, or all of the above. You may have also met an adult with similar behaviors. Unfortunately, many people believe these types of behaviors are the result of poor parenting or just plain laziness. Thanks to medical advancements, however, science tells us that it’s more than just people behaving badly.

In 1980 we first heard the term ADD (attention deficit disorder), but today it’s referred to as attention-deficit/hyperactivity disorder (ADHD). ADHD is a neurobiological condition that is characterized by impulsivity, hyperactivity and inattention.  According to the National Institute of Mental Health (NIMH), approximately three to five percent of children have ADHD and about 4.4 percent of adults in the U.S., ages 18 to 44, experience symptoms.
“Typically, children with ADHD will grow out of their hyperactivity symptoms. However, their ability to focus can remain a problem.
Statistically, 60 percent of childhood cases will continue to have problems with focusing as an adult, which is why it is so important for early diagnosis and treatment,” says Dr. John A. “Jay” Faber, a clinical and forensic psychiatrist at the Amen Clinics.

Oftentimes, ADHD goes unrecognized as a child and the individual is not diagnosed until adulthood. The symptoms of ADHD are similar in children and adults, minus the hyperactivity. Children with ADHD often have difficulty paying attention and following instructions. They become bored or frustrated with simple tasks, and are easily distracted. These common symptoms can lead to academic and behavioral problems. “ADHD often brings with it poor grades and work performance, discipline problems and low self-esteem,” notes Beth Ardell, MPT, co-owner and director of LearningRx in Atlanta-Buckhead and Alpharetta-Johns Creek.

For adults, their symptoms tend to be more varied and may not be as clear cut. The NIMH also states that many times adults who have the disorder   don’t know it. They may experience anxiety and depression, mood swings, chronic restlessness, low self-esteem and impulsivity. Daily tasks such getting ready for work and being productive can also pose a challenge.

Proper Diagnosis

Parents who suspect their child may be exhibiting these common symptoms should seek a professional ADHD review. “Typically, your pediatrician will make a referral for psychological testing to confirm a diagnosis of ADHD and to rule out other possible contributing factors to the symptoms of inattention or hyperactivity that might also explain these concerns,” says Dr. Thomas G. Burns, Director of Neuropsychology at Children’s Healthcare of Atlanta. “Family history is also important to understand factors that might predispose the child to certain behavioral or medical conditions.”

Treatment Options

As for treatment, medication is not the only answer. “We know there are multiple factors influencing ADHD. There are two key neurotransmitters that are turned ‘off’ in children who have the disorder: serotonin and dopamine. These neurotransmitters are influenced by diet, stress, nutritional deficiency and sleep—all of which are my starting points when evaluating children that exhibit ADHD symptoms,” says Dr. Tasneem Bhatia, medical director and founder of Atlanta Center for Holistic and Integrative Medicine.

Diet

Many children with ADHD are exceptionally sensitive to certain foods. “Changes in diet, including avoidance of artificial colors and food additives, have been shown to improve focus and attention. Dietary guidelines supplied by a nutritionist can only help the effectiveness of other interventions for focus and attention,” Ardell says. Offer your child a diet that is low in sugar and high in protein, vegetables and omega-3 fatty acids.

Stress levels

ADHD is not only aggravated when stress levels are high, but it can cause stress in families as well. Develop a few relaxation techniques with your family and communicate with one another. Additionally, remove unnecessary “noise” like video games and television.

Nutritional deficiency

Despite how well your child eats, it is quite common for children—ADHD or not—to lack a sufficient amount of vitamins. “The most prevalent nutritional deficiencies are the B vitamins, magnesium and the healthy fats, including both omega-3 and omega-9,” Dr. Bhatia says. Check with your doctor first before giving your child nutritional supplements. 

Sleep

“Sleep is critical for children with ADHD,” Dr. Bhatia says. They need 10 hours of sleep per night.” Lack of sleep in any child has been shown to have negative affects in behavior. Add to it the disruptive symptoms of ADHD, and there is little room for success.

Medication

People dealing with ADHD face many decisions when it comes to medication. “Medications, particularly stimulants, can play a role in alleviating symptoms of decreased concentration,” Dr. Faber says. “However, not all individuals suffering from ADHD will respond to these medications.” If you choose to pursue medication for your child, it is important to work closely with a certified physician. Finding the right medication with the least amount of side effects does not happen overnight. Adds Dr. Bhatia, “I have had a lot of success in managing children with ADHD without medications, but I often warn parents that every child is unique and there is no one-size-fits-all type strategy.”

Many adults choose the medication route to help alleviate symptoms as well. When choosing medication management as a method for ADHD treatment, make sure your physician is monitoring your use and behavior closely, as stimulant medications like Ritalin and Adderall can be addictive.
While studies have shown that medication is the most effective way to treat ADHD in adults, it is not the only method. Similar to children with attention-deficit/hyperactivity disorder, other treatment techniques include a well-balanced diet, regular exercise, plenty of sleep, support groups and professional therapy.

Getting Support

There is comfort in knowing you’re not alone, and fortunately there are many support groups as well as informational events such as the 14th International Adult ADHD Conference on July 18 organized by the Attention Deficit Disorder Association (ADDA). Whether you are a parent caring for a child with ADHD or an adult living with it, staying actively informed and more aware of the symptoms, can help with managing them and keeping disruption to daily life at a minimum.

 

Editorial Resources
Attention Deficit Disorder Associationwww.add.org
Beth Ardell, MPT – LearningRx, www.learningrx.com
Dr. Tasneem Bhatia – Atlanta Center for Holistic and Integrative Medicine, www.atlantaholisticmedicine.com
Dr. Thomas G. Burns – Children’s Healthcare of Atlanta, www.choa.org
Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD) – www.chadd.org
Dr. John A. “Jay” Faber – The Amen Clinics, www.amenclinics.com

Wednesday, 29 May 2013 18:17

Estate Planning in 2013

Most clients do not feel they need estate planning. What estate? What they do not realize is that if you add the equity in your home, your retirement assets (401Ks, IRAs, etc...) and your life insurance (YES!! Your life insurance is included in your estate for estate tax purposes) that your estate is larger than you originally thought.

This year, in 2013, the estate tax laws enable you, if you die, to pass up to $5.2 million to anyone you know without paying estate taxes. If you are married and your spouse is a United States citizen that spouse also may receive an unlimited amount of your estate with no estate taxes.

So why do I need an estate plan if my estate will be less than $5.2 million? Here are just a few good reasons:

1.What if the laws change? If you purchase new life insurance and the original owner and beneficiary is an irrevocable trust then those monies are not part of your estate for estate tax purposes. If you transfer a life insurance policy into an irrevocable trust you must live for three years and a day after the transfer happens to remove the life insurance from your estate for estate tax purposes. This gives your assets more room to grow without estate tax liability.

2.What happens to my minor children? Without a Last Will and Testament naming a Guardian for your minor children, if a birth parent is not alive, the children can end up in foster care.

3.Who handles my estate if I do not have a Last Will and Testament? What happens to my assets? Also without a Last Will and Testament someone will need to go to court and ask permission to be appointed as Administrator of your estate. That is time and monies. Then they will need to post a bond (more time and money) and provide an accounting of your estate to the court (again more time and monies). Then the assets will go as defined by Georgia Law (the law of the state you reside, if you do not reside in Georgia). A Last Will and Testament will say who gets what assets and appoint positions so the time in the court house is minimal.

4.With no Last Will and Testament doesn't my spouse receive 100% of my assets? Did you know that if you die without a Last Will and Testament your spouse and children will split the monies in percentages according to the Georgia Code, and your children may receive monies free of trust at a very young age.

5.What if I am alive but cannot handle my finances or medical decisions? You also need a Financial Power of Attorney and a Georgia Advance Directive for Healthcare. The Financial Power of Attorney allows you to appoint who will pay your bills and handle your finances if you are unable to do so (you are still alive but cannot handle your finances – car accident, surgery, out of town, etc....). The Georgia Advance Directive for Healthcare allows you to name who will make decisions for you, if you are unable, regarding medical treatment. This also allows you to make some decisions in advance to a medical situation where you may be unable to communicate your wants and needs.

This information is simplified for the purpose of this article. You should always consult an attorney regarding your specific needs. Laura K Schilling, JD, CPA, CSA, CFP® is the founder of Laura K Schilling, Esq., CPA, CSA, a law firm focusing on estate planning. Laura is licensed in Florida and Georgia as a practicing lawyer. Laura also is the founder of Financial Innovations, LLC. This is a fee-based wealth management firm. Contact Laura at This email address is being protected from spambots. You need JavaScript enabled to view it. and visit her website at www.financialinnovations.biz. Securities offered through Triad Advisors, Inc. Member FINRA/SIPC.

 

Financial Innovations, LLC
5555 Glenridge Connector Suite 200
Sandy Springs, GA 30342
(770) 804-2502
www.financialinnovations.biz

Wednesday, 29 May 2013 17:53

Hot Summer Highlights

Why are highlights most popular in the spring and summer months?
People tend to want to go lighter when the sun comes out and desire a more natural, sun-kissed glow look for the warmer weather.

What are the biggest highlighting trends we'll see this season?
Most people are going for a more subtle look with their highlights and using a triangular technique with an icy shade.

What types of base colors look best with highlights?
Typically any base tone color will work with highlights if done correctly. The key is to put in highlights that complement the eyes and skin tone so that they light up the face.

What are the most flattering options for blondes who want to add highlights?
Everyone has their own preferences on highlights, so it depends on the client's goals. If the client wants something more natural, I would focus on framing the face with the highlights and the areas that would be affected naturally by sunlight. If the client wants something more dramatic and chunky, we would look at other technique like ombre or Balyage.

What are the best highlighting options for brunettes?
Brunettes do best in the long run and between visits if they go with highlights that are two to three shades lighter for the highlights.

Can redheads pull of highlights?
Absolutely. Redheads actually have a lot of flexibility. They can go with a brighter red and even use lowlights to add some additional contrast. They can also go lighter and give a more strawberry-blond color with highlights.

What are the best highlights for someone who wants to freshen up their look without making a dramatic change?
Going with a more natural approach (applying highlights in the same way the sun would naturally highlight the hair) is always a nice way to offer a subtle change that still lights up the face.

What are the best ways to maintain highlights in the spring and summer months?
Take care of them by using good products that are recommended by your stylist. It is important to use products that will not strip the color/highlights and will offer UV protection from the sun.

Are there any highlighting trends for men?
Yes!  There is a very popular and attractive trend in men who are starting to go grey. They are going with highlights and lowlights that will give a salt and pepper look to the hair (think George Clooney). Very hot!

 

William David Salon
10970-B State Bridge Rd
Alpharetta/Johns Creek, GA 30022
www.williamdavidsalon.com
678-762-1414

Tamara Brukas received her cosmetology license from the Paul Mitchell School of Esani and has been with the William David Salon since 2009. She is skilled in a variety of applications and services including the latest cut and color techniques, chemical services and highlights.

Wednesday, 29 August 2012 17:59

Georgia Urology

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