Health Check: How To Nonsurgically Get Rid of Bra Line Fat with Kybella® Fat Melting Injections
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Health Check: How To Nonsurgically Get Rid of Bra Line Fat with Kybella® Fat Melting Injections

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anything presented in this program if you want more information about a
medical condition or treatment discussed on this program talk to your doctor it’s time for health check with Heidi
Godman a daily dose of health and wellness information call or text ID
your questions and 373 12:20 that’s 373 12 running and now here’s Heidi Godman
hi everybody welcome to health check I’m Heidi Godman hope you’re doing well on this
beautiful day we have a great program lined up for you today listen to this in
our weekly brain boost we’ll speak with dr. Dean Sutherland about a new study
suggesting that blows to the head can cause numerous small swellings along the
length of certain brain cells and we’re going to find out what that means and
why we all need to take this a little seriously when we get concussions and
things like that so we’re going to be finding out about these mild traumatic
brain injuries concussions and how they affect us according to this new study
also a little later in the program we’re going to be talking about a really neat
fun fundraiser coming up for people who have pets kind of a do-it-yourself thing
you’re going to want to hear all about this so stay tuned for that but we are
going to start today by finding out about some of the latest anti aging
strategies that people are going to MDS 4 and specifically a type of a
dermatologist who who focuses on the aesthetics the the beauty or the
appearance of things and you can go to one of these aesthetic dermatologists to
try to look younger or improve your look a lot of people go to these MDS because
they have some chronic health conditions and they need help with them today we’re
going to be talking about things that are kind of fun sort of anti-aging and
and things that happen because of Aging so we’re going to talk all about that my
guest is dr. Manjula Jegasothy she’s a Harvard and Yale trained aesthetic
dermatologist and the founder of the Miami Skin Institute hi Manjula hi Heidi
thank you for having me again on your show I always fun to have you on the
program you are you’re always ahead of the curve I think on all of the latest
treatments and and I want to start out by talking to you about something that
we don’t think of as we’re getting older but it really is happening to a lot of
older people they’re losing their eyebrow hair and their eyelashes tell me
a little about this I don’t know if you remember but when you were when you were
a child do you remember your grandmother perhaps even if you had a great
grandmother always penciled in their eyebrows and I always used to wonder
whether that was a fashion or you know that was something they did because they
wanted to do it and I always wondered why right
right and what you don’t realize is that you actually lose about 75 to 90 percent
of your eyebrow hairs in the decades going from 40 to 80 why and what happens
is it hormones yes its hormonal the the reduction in estrogen actually causes a
miniaturization of the hair follicle in those areas this is it kind of does it
on your head hair that might enter your scalp hair but much to a much lesser
degree the miniature engine has eyebrow hair follicles is much more pronounced
in all kinds of women and of all ethnicities and and skin types and the
same goes for your eyelash there to lose about 50% of your eye rash volume and
length so if you started out as a blonde or redhead with thin eyelashes you know
you’re down to almost nothing as you get older gosh and so how does that affect
us health-wise um you know it should help eyes in terms of your eyelashes
that they protect your eyes from form objects sand dust etc from getting into
the eye and in terms of the eyebrows we also think that that whole area does
sort of the brow bone and the eyebrow itself prevents things from such a
things that you apply to your forehead such as sunscreen will say prevent it
from getting in your eyes so they’re all there those structures are there to
protect the eyes in general okay so if you don’t have hair on your eyelashes
your eyelashes are you lost that or your eyebrow hair are your eyes more in
jeopardy of different and toxins getting in or or air early button yeah yeah it
had a problem I definitely is we see that happening more often in
older people and then like I said you have to be careful and apply less of
whatever it is you used to fly with it sunscreen or even makeup to your
forehead area because if your eyebrows are not as present then more if it is
likely to cause footage into the right area okay so as you’re getting older and
losing your eyebrow and eyelash hair probably putting your eyes about making
them a little more vulnerable but but really that’s not what we’re thinking
about when we look in the mirror we’re thinking oh no what’s happening to my
eyebrows if my eyelashes Christian age graduation can you do and for that well
number one is I’m always telling when I first started doing laser hair removal
back in the 1990’s I would have patients because back then
having very thin eyebrows even you know when you were in your 20s and 30s it’s
very trendy and so I had patients who would ask me to laser you know all the
depends trip of their eyebrow hairs or and in between – and I said you never
know I don’t think it’s a good idea just because I remember the days when Brooke
Shields was trendy and having thick eyebrows was trendy and so I never did
it and now I’m so glad I didn’t because I still have these patients and now
they’re losing hair versus it their eyebrow hairs because they’re in their
40s and 50s and we’re like thank God you can get most of it taken off permanently
because at least I can grow a little bag back in then they’re doing procedures
now perhaps you’ve heard of micro planning no no where my complaining is
really popular in Miami and I’m sure it’s going to be coming to the west
coast of Florida in the next year or so it’s done by an electrologist or perhaps
the permanent makeup artist but it’s different from permanent makeup it’s an
actual technique where they use carbon particles so it’s like a tattoo but not
implanted as deeply and they actually paint little hairs into the area of the
eyebrow so it looks they look a lot more natural than using a pencil or using
even a tattoo a permanent makeup and that’s kind of the trend now for women
you know for the you know who are just not you never waffle out of
their eyebrow hair and didn’t have a lot to begin with to have to arouse so
that’s called micro planing microplane micro planing is it safe it’s very safe
you know again it’s carbon so it’s sort of the same material that you know
pencils are made of if you’re alienated definitely test sites make sure you’re
not allergic to it it only persists about 6 to 12 months so
I always think that things that don’t last forever are safe for them things
that last forever and it’s done very superficially in the skin which is live
where is off sure I guess I’m just thinking about tattoos and some of the
health risks that go along with that you know the risk for developing hepatitis C
and things like that but there won’t be anything associated with micro planning
this is not a slide with a needle it’s applied with MSM sort of and non blunt
pearl very similar to what the electrologist
used to they actually literally put a little blunt probe into the hair
follicle and electrocute get that hair follicle so that you don’t grow hair
this is the opposite of that they put a similar probe it’s a little bit of this
carbon on it and they they draw a tiny hair coming from that follicle so it’s
pretty superficial and does it last forever
now about 6 to 12 months as I said in most people the closer to the six-month
mark which is again of something I like about it because I think that makes it
safer terrific all right so that’s potentially one solution for the
eyebrows what about for eyelashes so for eyelashes you know our first line of
treatment release which is a solution a topical solution made by Allegan which
is for the manufacturers of Botox Cosmetic and Botox
it was Latif’s was originally a glaucoma medication it was an actual eye drop
that patients found when they were using it for it was used for glaucoma it’s
about 20 years old that I think and when they were using it for glaucoma they
were fine that they were getting great eyelash
growth so now it’s probably a weak drug for glaucoma it’s not that very popular
for that but it’s much more popular for use on the eyelash and eyebrow area to
grow hair as you age and it’s very affection very effective it grows about
twenty to thirty percent maybe even 40 to 50 percent of the hair back if you
tend to be you know pretend to be carrier you fear suppressed certain
ethnicity but I’m finding my you know Southeast Asian Indian patients my Ratan
patient surrounds Middle Eastern patients who tend to have been hairier
when they were younger tend to get a better response to it to Latif’s and
middle aged and grow more eyelashes and grow more eyebrows but I mean if you’re
losing my lash hair it will the I mean are the hair follicles dying too and and
does Latif just make the existing eyelashes longer or are you getting new
hair now so okay so the reduction in estrogen levels as you get older causes
the miniaturization miniaturization of the hair follicle so the hair follicle
is still present and can grow a hair it’s just a teeny tiny hair so what what
Latisse does is it actually reverses this and we’re not exactly sure how it
does it but it’s kind of similar to broken how that does that for the scalp
it reverses the miniaturization of the hair follicle we think it’s because both
of these medications these topical medications deliver a small amount of
increased rescue rarity and some growth factors to the actual hair follicle that
then causes it to we to normalize again and grow a normal hair what about side
effects are there any risks of using this the
only the only the side effects that we’re node that are in the package
insert for repeat come from the room again studies where if you were somebody
with a blue iris meaning blue eyes and you got a substantial amount of the
product in your eye it could change the color of your iris temporarily from
green from blue or green to brown we have none
I’ve seen this in conjunction with excuse for eyebrows or eyelashes because
you know purportedly you don’t get even an actual one whole drop into your eyes
so there should be no issue with that okay oh yeah and that’s a good solution
or are there others if it’s a great solution
you know the inves the cosmetic industry which is not me but you know sort of
around me is making a lot of money and it’s becoming huge people are doing this
micro planning and then the lash bars I don’t know if you’ve seen them yet on
the west coast of Florida but they’re popping up in every strip mall and on
the east coast of Florida where you can get lashes done in a variety of ways and
it’s you know I’m really full lashes it’s becoming trendy among young people
to where you can either get them woven onto your lashes you already have or you
can have them glued on and individually or even put on with like a decent tape
and you can mess anywhere from three to six weeks and there is also a popular
way to treat it so a lot of my patients are doing both they’re using with teeth
and they’re getting two false eyelashes now call me Raj my calling crazy lunch a
little bit to me that sounds like you’re inviting a lot of bacteria to be right
on our on it well they do it in a sterile fashion I’m not saying and my
colleagues do we’re not seeing a lot of infections because nothing is going in
the eyes on the top eyelid sort of above the area of the eyelash margin is we’re
actually weaving it on the eyelash perhaps that might be a little bit more
problematic but actually billa patients have less of a problem because the
biggest problem we see is an analogy for the Breuer to the adhesive we don’t
really see much in the way of eye infection okay well that’s encouraging
all right so much to know and and great to know that there are solutions and
what about in the future do you think we’re going to have a way to just regrow
eyebrow hair in the future so the other thing that we’re doing interesting is
that we’re using platelet-rich plasma plasma injections to grow head hair and
a lot of us are doing for the eyebrows as well it’s difficult
to inject into the eye lash area but I think doing platelet-rich plasma or PRP
injections for the eyebrows is going to be a wave of the future and believe it
or not the transplant surgeons the hair transplant surgeons in all over Florida
or never patients present with reduced scalp hair they often recommend them to
do a little bit of transplant and then the eyebrows as well and so that’s
coming – okay all right well we’ll be on the lookout for that and we want to talk
about much more so dr. module a Jagga Sophie please stick around and everybody
listening you stay around – when we come back we’re going to talk about a very
tricky area of fat to treat long Jula is going to give us some solutions this is
health check with Heidi Godman on WS our cue we’ll be right back my wish for you please you’d have the
welcome back to health check I’m Heidi Godman so you are eating right and
you’re exercising and your strength training and you’re stretching you’re
toning and there’s this one stubborn area that is not changing and that is
right above the bra line what do you do we have some answers my guest today is
dr. Manjula Jegasothy she’s an aesthetic dermatologist and the founder
of the miami skin Institute and Manjula that’s really an area that I don’t think
a lot of people are thinking about but probably a lot of people are dealing
with yes in fact it’s a huge unmet need I always say that you know the people
who take the most care of their looks such as Hollywood and models and
actresses who are very thin and try very hard to look good often have this is a
problem and it’s one of those problems that you don’t realize is the problem
until you’re actually in a bathing suit or you’re in that strapless dress for
your wedding or you’re in that spaghetti-strap dress for a charity gala
or function and all of a sudden you can see that you know the sort of the edges
of your breasts are being pushed up become you know look fat in that kind of
dress and frankly Plastic Surgeons can’t really do a lot of liposuction in that
area because it’s a very delicate area that has a lot of nerves and arteries
and veins and even breast tissue that’s for thigh and so it’s a little bit harsh
to put in a liposuction cannula so it’s always been an area that’s very
difficult to exercise off the people who have no bra fat bra line fat there tend
to be almost in there mostly underweight so it’s hard to maintain a healthy
weight and have none of that and then it’s also difficult to treat it
surgically so we’ve had nothing to treat it until now with Cabella kybella
now isn’t that the injection for for fat areas right under the chin and on the
neck the double chin yes so the double chin on the neck of another place that
it was difficult to really get all of the fat cells with liposuction because
there’s so many structures and nerves and arteries there and so it’s very
similar to the bra line and so kybella was a FDA approved a year and a half ago
to treat this next set and a lot of us are using it now when what we call in an
off-label in a different body area to treat the bra line fat it’s very similar
in composition and in amount to the next set and so as we found that it’s a good
treatment for it alright so what about risks involved you know I definitely
recommend that you go to somebody who’s who’s done a lot of cases of bra lines
that they can show you good before and after etc there’s no real downside
because kybella has been formulated really just to melt the fat of fat cells
you know the cell membrane of fat cells but it doesn’t really touch other
structures it doesn’t read there’s an effect muscle tissue or arteries or
nerves or veins that being said if you if the fat cells there you’re treating
have a lot of blood vessels feeding them you might get some bruising which can
persist up to about 10 days but other than that there’s no real there’s no
real adverse event specifically no long-term adverse events short-term
adverse events or anything that with a needle you might get some swelling that
might persist as the fat films are actually broken up you might have some
tenderness you might get some inflammation because things we our
bodies our immune systems take away the fat that’s being broken up by the
present medication and that’s about it it really is very safe all right it’s
very safe how long does it last so you know again this is done dependent
on dosing and who you see and somebody who’s well versed in it technically if
the fat cells are treated if the right dosing is given for the right patient is
injected in the right area once the fat cells are gone they’re not going back
you never grow access those let’s say when you get
liposuction the area where you have liposuction is unlikely to become you
know extremely fat again unless there were a lot of fat cells left there so in
a thin patient and I always say for kybella patients they should be within
10 percent 10 to 15% of their ideal body weight given their height and if you are
then you know once all the fat cells are gone in that area they will not come
back ok but what about the risk of other cells being zapped that you don’t want
to be zapped or nerves or something like that you’re talking about the importance
of going to a really skilled trained expert and I would worry that there
could be these risks well I mean tigrerra itself is it’s BLT folate which
is in no understood by all salt it’s actually similar it’s exactly the
composition of vile acids that we make in our gallbladder so it’s a it’s an
actual synthetically derived version of the natural products we already produce
and it only emulsified fat cells if it’s injected in our in the wrong area what
can happen is your own body’s immune system your inflammatory cells can come
there and create problems for that area but even those would be temporary so
there’s no real way the actual Cabella or the DFT collate can injure other
tissues it just might be your inflammatory response to be rejected
wrongly ok all right well that’s encouraging so much to know and thank
goodness we have great Doc’s like you who are just staying on top of all this
and you founded the Miami skin Institute tell us what you do okay I founded in
Miami skin Institute which is my aesthetic dermatology practice located
in Coral Gables a suburb of Miami and mm I’ve been impressed with 17 years and
they started out part general dermatology and part of feted
dermatology and now for the last five years or so I’ve been entirely
practicing entirely aesthetic dermatology with an eye toward
forward-looking innovative procedures that other aesthetic physicians do not
do and we talked about some of them today
the platelet-rich plasma injections to grow hair and eyebrows and then kybella
for the bra line and also I like to think of myself as sort of
forward-thinking with social media any of our listeners can listen to any of
our radio shows on my itunes channel which is called miami skin institute and
then also you can visit me on the web at miami skin is calm i have a wordpress
and google+ blog I’m on LinkedIn and I have I post regularly almost daily to
Twitter Instagram and Facebook so media-savvy so fun to talk to you but
but don’t go away because we want to keep on talking to you I know you have
some great news about what celebrities are doing for their skin you hear about
that a lot is it safe is it healthy we’re going to find out so everybody
please stick around more with dr. Manjula Jegasothy and a third
aesthetic dermatologist from the miami skin institute more with module in just
a minute this is health check with Heidi Godman on w sr q we’ll be right back welcome back to health check I’m Heidi
Godman we’ve been speaking today with dr. Manjula Jegasothy she’s an
aesthetic dermatologist and the founder of the miami skin institute we check in
with her every month because she’s always keeping ahead of the trends for
us and telling us how to handle all these skin issues that we need to stay
on top of and sometimes fat issues too and today we are going to be talking
about what celebrities do because you see these things on television or you
read about them on the internet and Langella it always seems like the
celebrities are ahead of the curve and some of them some of these things seem
pretty silly and some seem really great what’s the latest so you know if you are
a celebrity and you’re in the public eye and you’re being photographed by
paparazzi then when you go to the grocery store it’s kind of part of your
job to look as good as possible all the time you know more so than for the rest
of us so what they’re doing tends to be cutting edge because they probably spend
a lot more thought and planning and have teams of people thinking about it for
them also so I think the latest trends I think everyone notices when they see
celebrities at the Oscars and the Tonys and such is that they’re getting they’re
looking more and more natural as they age you know gone are the days of the
you know still in three multiple facelifts and eye surgeries and all
those things so that they actually look you know not only older and different
but they bare unrecognizable as they get into their fifth and sixth decades of
life trying to get keep their careers going so what I’m seeing a lot in my
practice with celebrities and models and actresses is if they’re starting earlier
they’re getting Botox and you know from their early thirties onward and then
they’re also doing frequent laser treatment whether it’s radiofrequency or
a Fraxel or combination of both you can do very light treatments of these where
your pink for a few hours and you’re fine by
the next day and if you keep that up most of them are doing it on a monthly
basis or so you really don’t have any downtime and you can keep your skin
tight and toned and you know elastic for years rather than you know waiting to
just pull it up later on with the favorite okay so so you can start
earlier and that makes a difference I mean doesn’t does it some of the the
treatment that you might do when you’re young doesn’t it wear off and not stay
as effective as you get a little older actually what it’s what the data now
shows is doing things like Botox or maybe even a little bit of filler
earlier keeps your fiber glass which is itself in the dermis the second layer of
skin that produce collagen that keeps them more active for longer so it
actually helps your skin keep itself younger these treatments and that’s kind
of the basis behind doing it when you’re younger because you know it kind of
keeps them working at a level that’s you know came to being 30
rather than being 50 or 60 and you know this is something that we are only
seeing that’s been borne out by time with people doing these treatments
monthly and indeed looking younger you know for example most people come in and
ask me you know how does JLo look so good how does Jennifer Lopez look so
good she’s almost 50 and you know I know people who take care of Jennifer Lopez
and it really is that she started broadcasting her early thirties and then
started doing you know monthly treatments with radiofrequency and
Fraxel and continuous that she’s never had any kind of surgical intervention
and then a lot of us who are getting into you know the aesthetic
dermatologists themselves are getting into the you know fifties and sixties we
look a lot younger than our older counterparts who are you know in their
seventies and eighties because we started these treatments when we were
younger and so it’s just an experience that shows but it actually helps if you
start these treatments younger and do them that long even do very light
treatments but on a very regular basis okay so you could do Botox earlier and
then I know during the commercial break you and I were talking about other
things that celebrities do they have laser treatments that they get every
month and also they do PRP injections in their face tell us about those
so platelet-rich plasma is we mentioned it for the growth of eyebrows and and
head hair scalp hair essentially it’s taking your own blood and breaking open
the platelets using a centrifuge machine and that releases the growth factors
that you you work for example and get a cut the flavors come into the area and
they’re cut open and the growth factor self you feels alone in much the same
way these growth fest is injected into any
area of the skin on the face or body can cause this skin to grow collagen in a
much more accelerated fashion than it would otherwise get in the persons age
and so that’s very helpful and just keeping your skin looking young and
toned and elastic and all the things we attribute to run skin
okay so PRP might be something and laser getting laser every month yes so
alternating the radiofrequency laser which is the tightening ways or it
basically causes collagen contraction in the deep layer of the skin which
tightens the skin and then alternating that would fast so stressful causes
microscopic little holes in the skin which are then then collagen grows into
them within 24 hours and these are the treatments we were hoping but sort of as
peels became more advanced they would do but the piece but peel really if you go
past the epidermis with the peel you’re going to have a four or five day
downtime and most of these celebrities can’t simply do that there’s got social
events and and appearances and such to do that they can’t you know be hiding in
the house for four or five days and so these razors that picked up or
fields really couldn’t them so they go deeper they go into the dermis but
because they only treat heart partial skin you know they only treat
microscopic areas of the skin with normal skin in between they heal within
24 hours and you can get the results you want without the downtime okay so
celebrities are doing that every month are there any risks of doing that you
know again you need to go to somebody is good
because if you go to somebody who doesn’t understand the laser or your
skin type you know you can definitely get burned by any any electric device so
that’s important thankfully most of these light leaves is
the radio frequency and Fraxel if you do get a slight burn you know it’s a matter
of a few days before that poplars can cross off and you’re fine but you know
you need to go to a doctor that knows how to manage if there’s pigment parity
issues afterwards if you get redness or hyperpigmentation brown spots cetera
that’s why I don’t really advocate going to med spas for these types of Ages on
the face because often these operators are you know not physicians and the
interns are we maybe six or eight from the laser company and so that’s where
we’re seeing a lot of trouble for Bertie’s they’re going through
board-certified dermatologists for these procedures okay well I guess if we want
to be celebrities we know where to go dr. Manjula Jegasothy thank you so
much for giving us all of your insight and spending so much time with us today
and if we want to get a hold of you we can go to Miami skin Institute calm and
I know you have links to all the other media you’re involved with there thank
you so much for being on the program today
thank you very much Heidi has a great day okay talk to you soon everybody
again that’s dr. Manjula Jegasothy and you can check her out at miami skin

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