Tuesday, May 29, 2012

Exercise is a must - Even if you don't have time.

Recently, my good friend gave me a 3 month free pass to use a gym. Despite not being a gym person, I thought I'd give it a try. The gym was near my office, but getting there was already a 15 minute aerobic cardio exercise from walking. This was good, since I needed to warm up before getting started. The first machine they normally put you on is a thread mill, and yes, it was the same for me too. Then after that they got a PT to guide me (or rather try to close PT training sessions sales). It kinda pissed me off a bit, since the PT was suppose to show you how to use machines but he was busy making me do 3 laps of butterfly jumps and then tell me I have bad stamina when the chick next to me can't even complete 1 lap. So in a way, I was pretty discouraged to go to the gym, since I know that they are just trying to make you buy more and more packages to sign up. Whatever, I still have my 3 months pass, so I don't really give a hoot to what they want to think or say.

Regardless, exercise is a crucial must in our daily lives. Yes you got me right, it has to be daily. But it doesn't mean you have to jog every single day. There are many types of exercises you need to understand and plan them according to target.

1. Cardiorespiratory work out
This is the most common work out everybody does because it is perceived as the most important. It can be anything from running to jogging, or brisk walking to dancing, aerobics, swimming. Regardless, most professionals agree that 30-45 minutes a day is enough and can help reduce a lot of heart related problems such as reduce risk for coronary artery disease, hypertension, diabetes, lipid levels etc. I would normally recommend doing some cardio workout before targeted exercises as it helps to improve your blood circulation, muscles are more prepared and warmed up so it reduces injury. But if you have existing problems like back pain, obesity, joint pains - you should start with low level exercises like walking first before jogging or running. When is the best time to exercise? When you can slot a time of 30 minutes of no disturbance of the routine. An exercise is only effective if you do it continuously for at least 10 minutes at a time. 

2. Body strength and composition exercises.

One of the most interesting things I learnt during my previous anti-aging conferences was that in order to maintain weight you need to lift weights. So I decided to follow this technique and bought myself some dumbbells. And sure enough, I did notice my weight maintaining better despite my lack of running around. So I decided to read more and understand why. The main reason is that if you have a lot of muscle bulk, you burn more energy in your sleep maintaining them compared to if you didn't. The problem when you are obese or overweight, most of the muscles are mixed with too much fat, and fat is a storage organ, so you don't really burn that much calories with them. Now, when we go on a starving diet, our protein stores in our muscles are the first to go hence leading to smaller muscle mass thus why the weight doesn't go down. That is why a lot of diets nowadays preach on a higher protein consumption, more fiber and no refined carbs for a better weight loss result. Another new thing I learnt was that sudden usage of energy for example short sprinting exercises burns more energy and brown fat compared to a 60 minute cardio. So for people like me, who persistently have a V/Q mismatch or poor respiratory endurance, 5-10 minutes sprinting in between my regular jog benefits more in terms of fat loss, compared to trying to sustain 45 minutes of running that would exhaust me more. As for heart rate, although most people believe that you cannot exceed 80% or your max heart rate as it can cause problems, this is not entirely true. High velocity sprinting causes your heart rate to jump even higher than the so-called maximum heart rate level, and studies have shown that it is safe in short outbursts.

3. Flexibility exercises

When I was younger, we use to have this game where we would try to flex our body backward all the way and walk. It was so much fun then. Flexibility exercises are important to maintain the elasticity of the joints and avoid injuries especially in sudden movements. How to stretch? Basically it needs to involve the muscles in each group i.e. extensors or flexors. Still gibberish? Try Yoga or Pilates - these involve a lot of stretching exercise in the routine that is done in stages. Other simple stretch methods are the stretch exercises we use to learn in school during PE (If we did). Or when you learn martial arts or dancing half of the routine are flexible exercises. I normally do stretching exercises after all the cardio and sprinting as the joints are already warmed from the 2 other work outs. Otherwise, I do it on my bed before getting up :).

Basically you need to have a mixture of all three types for a complete work out. There are many forms of exercise to choose from besides the typical treadmill so choose one you are most comfortable and happy with. Other benefits of exercise also includes:

1. Reduce risk of cardiovascular diseases. Even if you already have cardiovascular disease it helps to improve it.
2. Reduces risk for diabetes by increasing insulin sensitivity and improving glucose metabolism. So even if you already have diabetes, it helps. This is also true for resistance exercises, not just the normal aerobic.
3. Reduces hypertension - this is true for aerobic exercises. High intense exercises have not shown much effect.
4. Reduces blood TG, Cholesterol and LDL. This is true when you burn 1000-2000 calories a week usually from constant aerobic or sprint exercises.
5. Reduces risk of stroke due to all above.
6. Reduces risk of colon, breast, lung and multiple myeloma cancers with 30-60 minutes of moderate to high impact exercise daily.
7. Reduces osteoporosis. Lunge exercises and medium impact exercises stimulate bone growth.
8. Improves muscle health and reduces sarcopenia. Sarcopenia is the age-related muscle wasting that we see in elderly people. In some it occurs faster than others. Regular exercise helps maintain muscle masses thus reduces sarcopenia.
9. Maintains body composition and reduces obesity.
10. Reduces Arthritis.
11. Reduces stress. This is only true when you make the exercise fun. Like I said, there are many forms of exercise you can choose from.
12. Improves mood.
13. Reduces Depression and anxiety due to the improvement of mood and reduction of stress.
14. Improves self-esteem. When you exercise and feel good about it, reduces stress and elevates your mood, your self-esteem improves. Plus the multiple health benefits and the figure benefits would definitely boost the inner you.

For busy people like me, there are studies on people who do exercises only on weekends or once or twice a week and it does shows improvement and benefits. So even if you are strung out during most the week, at least take a day off to do some exercise. The recommended is to burn at least 1000 calories a week and this would give you a reduced risk of 20% of dying prematurely. 

Like I always tell my patients during aesthetic consultations, Doing something is always better than doing nothing. So even if you do not get an optimum exercise routine, at least doing some exercise would benefit.



Friday, May 11, 2012

Mother's Day Promotion....

     Last week we had a nice event in Faceworks Clinic for Mother's Day. Although it was a week earlier, but the thought that counts and we had a good turn up of guests. You can see pictures on our Facebook Faceworks Clinic Page - http://www.facebook.com/FaceworksClinic (Do like our page if you could :) ). It was a wonderful event. I gave a talk on medical aesthetics and what we can do with the current technology and medical advancement that we have. Mr Terry from Dermaqueen gave an interesting overview about our latest service called Dermaqueen, and Mrs Nazli gave a nice talk and short demo on Nutrilite organic nutrition as an important supplement to keep healthy. Then we had the nice delicious home cooked variety buffet. I personally made the marinara and buffalo wings. Whilst we had Kak Nora prepare some traditional lontong. Kak Nora is excellent with traditional menus and she even had some of the AFC chefs come down to learn her recipes. (Yes, if you want to try her cooking or learn you can ask me how to contact her). Bite Size kitchen prepared the colourful and beautiful muffins. (Thank you Ayu) and Mrs Haze prepared the delightful Tiramisu. (Yes, she also takes orders for her cakes). Dessert was delightful with Mr Belo's puddings that was delivered by Mr Belo himself - Neatly placed puddings for any occasion. As usual, Faceworks Clinic Events have the most wonderful palatable tastes, so it is definitely an event worth going to.

     After most of the guest indulged the food, we had a lip filler demo with Juvederm Ultra XC - the new range of hyaluronic acid filler with lidocaine to reduce pain, bruising and swelling. Our model was very brave, as she did not request for any nerve block, just some numbing cream, but with the new XC, you do not really need any nerve blocks since pain is reduced up to 70% compared to the previous fillers without lidocaine. And the best part is that it is already infused in the gel so that the filler does not get diluted and hence the efficacy of the filler remains the same. So say bye bye to painful lip fillers, because that is the thing of the past.

     I also demonstrated Obagi Blue Radiance Peel which gives instant radiance and evening of skin tone even after 1 application. We applied a complete 4 layers on the Model (a different one) and he was able to tolerate the pain (scored around 6 and improving to 0 over 5 minutes). We then left it on for 15 minutes, and applied a soothing mask afterwards for another 15 minutes to reduce any redness. Instantly after the procedure he looked more refreshed (well, who wouldn't after a nice 15 mins of lying with a mask and lavender pillows on the eyes in a dim room). I called him a few days later and he said he was okay, with minimal skin peeling but looking a lot more refreshed, with even skin tone and less oily compared to before. Yes, the Obagi blue peel radiance although is very good, does have a social down time of around 3-5 days, so I would normally tell my patient to do it on a social clear calender. It only takes 20 minutes to do anyway, so you can run in during lunch time. You only start peeling during day 2 onwards.

     The last demo was the highlight of the day, i.e. the Dermaqueen Demo. I had one of my friends as Demo i.e. Mr Ed (The Nutrilite guy). We numbed his face for 30 minutes and did the treatment on his face. There was a slight tingling sensation, with a pain score of maximum 2 - merely negligible. You can see pictures of him on our Faceworks Clinic Facebook Page. Immediately after the procedure, he felt his skin feel so hydrated and lifted. I met him yesterday and today and he looked fairer with better skin tone and he still feels the hydrating effect. He also noticed that his pores appeared smaller and because his skin is tighter, he looks better. Not bad for a guy who just went through a swimming marathon. (Which was why he got so tanned in the first place). For those interested to try this treatment out, we are giving a 1st trial special price of RM 1080/=. (Normal price RM 1800/++ session). 

Overall, the event was a definite success. A lot of my guests were impressed by the instant results from the demos, and of course the wonderful food. We had fun, and I hope my guests had fun too. Thank you so much to all my suppliers who helped sponsor goodies for my guests, and thank you to all my guests who came till the final hour. Thank you also to all my food providers for the wonderful food. Can't wait for the next event.

Well, for those who missed it, these are the promotions that we launched that day.



For more information please call us at 03-21440080 or email us at info@faceworksclinic.com

   

Tuesday, May 1, 2012

Sexy Lips......... In 15 minutes...

Lips... Lips... Lips..... Everyone is so obsessed with lips. Which is why cosmetic companies make so much creating lipstick and lip conditioners from various types to various colours. When a person looks into your face, the 1st thing that catches their attention would be eyes than lips, hence it is normal for us to want to have perfect lips. But lipsticks can only play with colours and some enhancement which is gone by the end of the day. And as we age, our lips start losing its shape, colour and more wrinkles are seen, especially if we smoke. So what can we do? Fillers of course. But which one?

Lip filling with fillers is not really something new. It has been around from years and was especially rampant in the United States. But in the past, most people used silicone or collagen lip fillers and the idea of enhancement was to have bigger lips. But bigger did not always meant better.

(Borrowed From Top 10 Worst Celebrity Jobs)


Looking at the celebrity botch jobs makes people feel scared to even think to try, but we all know that when it comes to tabloid, everything is blown big out of proportions. The other issue when dealing with lips is pain as the lip receives multiple nerve supplies in the face hence explain why the lips is a very sensitive organ. The saying before Beauty is pain. I personally do not believe that.

Which is why when Juvederm came out with their XC brand, I was excited. So what is Juvederm? Juvederm is a brand of hyaluronic acid filler which claims to be the number 1 brand in the world. Now they have preparations with lignocaine premixed in the syringe to reduce pain and inflammation. I have been using Juvederm for years, and it is my filler of choice when it comes to dealing with lips because of less problems when it comes to lumpiness. (Yes, fillers can get lumpy at times). Plus it softens within 2 weeks and now with lignocaine in it makes it less painful. Prior to this, I would need to give a complete nerve block around the lips which would involve additional 7 injections to get a good block - but with this, I have an option to reduce the block injections or not use blocks at all. (For first timers, I'd rather use blocks)


Furthermore, since it is a very soft and smooth product we can inject with a small 30G needle to allow better control and shaping. It is FDA approved to last 12 months, so for a non-permanent filler, this is ideal. Yay, great - now we have no pain and temporary. What else to consider?

Before you want to get your lips done, you need to have a clear idea what you want or at least discuss it with your doctor. From my observation, most young ladies prefer to increase the size, and more matured ladies prefer to return their original shape. Having a non-permanent filler the first time round is good, as you will have a look and feel of how it will be in case you do not like the change. I would normally advise, less is more. Its never good to look done, the more natural it appears makes a lot of diference. How many syringes? Usually for lip defining and contouring takes only 1, but if you are thinking of adding up volume then maybe 2 or more. How much is it? Well in US roughly around $600++. In Malaysia, the price starts RM 1500 onwards for the XC range. In proper hands, you can get marvelous results.


 
2 syringes of JUVÉDERM® Ultra 1 week after treatment


Interested? Please call 03-21440080 for consultation and appointments. Especially for our Mother's Day Open House on this coming 5th of May, we will be having a Juvederm XC lips demonstration and will be selling RM 1200 coupons for Juvederm lips only on that day. This coupon can be used any other time till 1st Jan next year. See you there.