Adam J. Rubinstein, MD, FACS
Adam J. Rubinstein, MD, FACS
Adam J. Rubinstein, MD, FACS

Guide to the Smart Beauty Guide

With the launch of the new Smart Beauty Guide website you have a terrific resource to help you learn about cosmetic procedures and choose the best doctor to help you achieve great results. But it begs the question, what is “Smart Beauty”? It means making smart choices. That is, choosing the right procedures and the right doctor. There are lots of resources out there to help you make good choices, but you have to do your homework. It’s easy to just go wherever your friend went for her breast augmentation, or find the cheapest price for your Botox or tummy tuck. But that’s not so smart. Some people worry more about who is going to do their hair than their filler injection or liposuction. You probably wouldn’t dream of going to some new salon you’ve never been to nor heard of just because they have a really cheap special deal. Why should your face or body be any different? Truthfully, you should be even more careful about aesthetic procedures. If you end up with a bright purple bob cut it will grow out and you can always change the color. Your face, breasts and body are not that easy. That’s where smartbeautyguide.com comes in. You now have a resource that will give you unbiased information about procedures and products, give you answers to your very own questions, and even help you find well trained, highly qualified doctors that want to help you get the best results possible. From top to bottom, smartbeautyguide.com is designed to help you get accurate, ethical and non-biased information you need quickly and easily. All this to help you stay safe, stay smart and stay beautiful. That’s Smart Beauty!

5 Things You Never Knew About Breast Implants

Breast implants are one of the most popular elective cosmetic procedures available. Every year, hundreds of thousands of women in the U.S. augment their breasts. Despite the popularity, there are some fun facts you may not know about: 1. Tax Breaks for Breast Implants While elective plastic surgery, including breast implants, cannot be deducted as a medical expense on your taxes, implants can be deducted if the procedure falls under one of two narrowly defined categories: • Reconstruction after a mastectomy • Business expense That second category may have caught you by surprise, but it’s true! In 1994 a U.S. tax court judge ruled in favor for an adult entertainer who argued the enhancement was a business expense akin to a stage prop. 2. Microchips Aren’t Just For Identifying Fido It’s pretty common knowledge that microchipping your pets can save you a lot of future heartache and trouble. The same concept applies to some breast implants. When outfitted with microchips, some breast implants can tell you the lot number and serial number with the wave of a small handheld device. This tech-savvy solution allows for higher patient safety levels. Chipped implants can be easily identified in the rare event of a recall. 3. Oil Implants Were Tested Back in the early 1990s, the quest was on to find a more transparent breast implant filler option than saline and silicone. Developers sought to innovate for the benefit of mammogram screening. Highly purified soybean oil was tested as implant filler. However, it never made it passed clinical trials. Although the oil was clearer in mammogram screenings, British women reported numerous incidents of swelling and inflammation. MRIs ultimately showed the implants absorbed water, and creator LipoMatrix™ voluntarily recalled the product in 1999, after The British Department of Health recommended discontinuing use of the implants. 4. Your Implants Can Glow In The Dark While they won’t glow on their own, if you shine a flashlight beneath or next to your breasts particular saline and silicone implants will cast a faint glow, revealing the veins beneath the skin. The effect is similar to when you shine the light against your hand. 5. Candy Inspired Nickname Saline and silicone implants have been offered for decades with beautiful and natural results. In 2012, a new FDA approved option entered the market, form-stable silicone gel. The gel earned its nickname from the behavior it mimics when it’s cut in half. Like candy Gummy Bears, the nature of the gel is to maintain its shape and form even when cut, pulled or pushed. Though neither edible nor colorful, the breakthrough implant is an advance for women needing implant revisions where the pocket is already stretched.

Up In Arms

Today people are dropping pounds by the dozens. Super sized fast food meals are being replaced by healthier portions. People are trying to exercise and get into better shape. Some are helping the process along with bariatric surgery procedures like the lap band, gastric sleeve and gastric bypass. With all these pounds being shed many people are finding they have another new problem to deal with – unwanted excess skin. One of the most troubling areas for people that have lost weight is the upper arms. Whether you call it a fat pad, arm waddle or bat wings, having floppy excess skin in the upper arms is no fun. Thankfully there is hope. Brachioplasty can remove the excess skin and remaining excess fat leaving a trim and slim upper arm. Using a procedure that takes just a few hours more and more patients are getting closer to their ideal shape. In fact, in the last 15 years the number of brachioplasty procedures being performed has jumped an astounding 777%. And the rise in popularity seems to be continuing. Despite sometimes losing well in excess of 100 pounds many of my patients need to wear shirts that are one or two sizes larger than they need for their body just to be able to fit their arms in their sleeves. For many, the embarrassment of short sleeve shirts or tank tops is too much to bear. And most don’t even consider sleeveless tops for a moment. After brachioplasty these patients have renewed confidence and comfort with the appearance of their arms (and upper body as a whole). Tanks and sleeveless tops are suddenly an option. Using the most modern technique the thin scars are placed in discreet locations, hardly seen in most positions. For me, the best part of performing brachioplasty procedures is the next morning when we take down the dressing from surgery. At that moment my patients see their new arms for the first time. In many cases they see a new shape in the mirror they may have never seen their entire lives. It is a very powerful moment and frequently leads to tears of joy – from both my patients and myself. It’s truly a life changing procedure. So if aging and or weight loss has left you with unwanted excess skin and fat in the upper arms consider brachioplasty. With one procedure the arms that are getting you down can quickly be raised up with confidence. Here is a story that CBS4 in Miami did about brachioplasty:

Cosmetic Surgery is Not A Sweater

Everyone is always looking for the best deal. Whether you’re buying a house, a new car, a great meal or a sweater, we’re always looking for the best price. It makes sense, why pay more for the same thing? The thing is, what if “the same thing” isn’t really the same thing? In the case of cosmetic surgery it’s impossible to find a true apples to apples comparison. If you’re buying your favorite skin care system you might go online and shop around. You could look for the lowest price since the products are the same no matter where you get them. For cosmetic procedures that’s not the case. Having an injection like Botox or filler is not the same in one doctor’s office as it is in another’s. Even more so, your experience with cosmetic surgery and surgical procedures can be VERY different depending upon where you choose to receive your care. Obviously the price needs to be affordable or you couldn’t choose to have any procedure at all. But be careful about finding the lowest price in town for your breast augmentation, liposuction, tummy tuck or facelift. As I’ve written about before, if you look for the biggest bargain you may end up with more than you bargained for! More and more I’m seeing patients with complications from some bargain basement practices and centers. Some patients saw a discount deal and jumped in without really checking out the doctor because the price was so good. Others figured that getting a breast augmentation for half the price made sense, until they had a complication. And I’ve seen more than a few that got lured in by a center that “specializes” in cheap facelifts, only to have a painful procedure, mediocre results and disappointment when the deal that was too good to be true, really was too good to be true. There’s nothing wrong with looking for a good value. That doesn’t always mean the lowest price. Check out the doctor that is going to perform your injections or surgery. Make sure he/she is really a plastic surgeon and not someone who might not even be trained in surgery of any kind. Choose a board certified plastic surgeon that you feel comfortable with that has the experience to keep you safe and give you good results. It’s probably worth paying a little more for that piece of mind. You can start your search at SmartBeautyGuide.com where every doctor is a board certified plastic surgeon and a member of ASAPS (the American Society for Aesthetic Plastic Surgery). Experience matters. You wouldn’t want to fly to your vacation on a plane piloted by an amateur weekend pilot. You’ll pay the airline a fair price to get you there safely with a properly trained and experienced pilot – no mater how cheap the other flight might be. So if you’re shopping for a sweater the discount store might do just fine; but always remember that cosmetic surgery is not a sweater.

Aging and The Sexes: Get The Specific Treatment You Need

When it comes to being with the one you love, you have visions of growing older together. However, in your visions, the two of you start dealing with wrinkles, sagging skin and gray hair at the same time – but research shows that couples start aging at different times. Men and women may love the idea of aging together, but it’s important to note that the sexes age differently. While genetics can play a critical role in how men and women age, studies have shown that the genders start to experience the aging process in different areas of the face. Therefore, it’s important for men and women to seek out different plastic surgery treatments based on these critical aging differences. Just take a look at some of the differences that men and women often experience during the aging process: Women typically notice wrinkles around their eyes (also known as crow’s feet or laugh lines). In addition to these wrinkles, women often experience sagging skin around the neck, which is unfortunately referred to as “turkey neck.” As a consolation prize, women don’t typically see a change in the shape of their jaw lines. Men typically begin to see wrinkles in the forehead area, which can be more pronounced than the laugh lines women start to develop. Men are also more likely than women to experience a diminished chin, which can have an overall impact on the appearance of the jaw line. At Dr. Rubinstein’s cosmetic surgery practice in Miami, Florida, men and women will experience truly specialized anti-aging treatments that take age, genetics, and lifestyle into account. As a highly respected and board recognized plastic surgeon, Dr. Rubinstein works with his patients to determine which anti-aging treatment will be the most effective. For wrinkles, Dr. Rubinstein typically uses Botox or another type of filler to help ease and smooth over fine lines, crow’s feet, and deep-set wrinkles. To help combat turkey necks, Dr. Rubinstein performs both traditional and non-invasive neck lifts. Dr. Rubinstein also offers chin implants for men who want to maintain a strong jawline. Dr. Rubinstein also offers couples’ plastic surgery, as many couples find it more enjoyable, relaxing, and calming to seek out treatments together. However, couples should expect to undergo individual consultations, as plastic surgery procedures need to be customized for each person. For a better plastic surgery experience –with or without your partner – visit Dr. Rubinstein’s cosmetic surgery practice in Miami, Florida.

Strax Rejuvenation Deaths: The Death of Strax Rejuvenation?

It seems that news of a death related to Strax Rejuvenation in south Florida is not surprising news. The most recent happenings, though, are quite surprising. Even for someone very familiar with the very sketchy track record of Strax Rejuvenation when it comes to patient safety and patient deaths. Diana Gonzalez, health reporter for NBC6 in south Florida, reported one of the most recent deaths of a patient related to Strax Rejuvenation. Here is a link to the story: http://www.nbcmiami.com/news/local/Woman-Dies-After-Cosmetic-Procedure-Family-Wants-Answers-144991735.html Given the history of the last few years, another death of this nature is not altogether surprising. What is surprising, even shocking, is that this death is only one out of three that have occurred in the last few weeks. That’s three deaths of patients associated with Strax Rejuvenation in the last few weeks. Almost as shocking is that only the story of Idell Frazer made the news. The tragic loss of Ms. Frazer was well covered by Diana Gonzalez, however, nothing has been reported on the other two deaths. How is it that the two other souls were not worthy of coverage? And how many more Strax related deaths have there been over the years that were never made known to the public. One answer is that not all Strax related deaths happen on their premises. It is probably easier to keep such a tragic event quiet and out of the news if they don’t have to call an ambulance to the center itself. If a patient dies in the immediate post-operative period (the first few weeks after surgery) it is considered a complication of surgery. When calculating mortality rates these deaths would be included, even if they never made the news. And even if they didn’t actually happen during surgery or inside the walls of Strax Rejuvenation. If you are a regular reader of my blog you will be familiar with my two previous articles about Strax Rejuvenation and their death rates. Here are the links to those stories: /blog/russian-roulette-strax-rejuvenation/ /blog/bargain-price/ As you can see, giving Strax Rejuvenation a tremendous benefit of the doubt still arrives at a shocking mortality rate. If we re-examine the death rates including the most recent additions the numbers get even more alarming. Another year has passed so the total number of procedures will be higher. If we use Strax Rejuvenation’s own numbers, 29,000 procedures performed over eight years, that would add up to exactly 14,500 procedures performed over four years. I am aware of eight patient deaths related to Strax Rejuvenation in the last four years. That adds up to a death rate of 1 in 1813 cases. That’s shockingly TWENTY EIGHT TIMES the published mortality rate of 1 in 51,459 cases (American Society for Aesthetic Plastic Surgery, ASAPS). That means that in the time it would take to have a single death in a surgery center with the numbers published by ASAPS, twenty eight people would have died at Strax Rejuevantion. If you have a friend that has been involved in eight car accidents in the last four years, how would you feel about letting that person drive your children around? Probably not too comfortable. Now imagine that all of those accidents included a fatality. You would probably sooner have your kids walk than ride in that car. The risk of a day to day car ride is much lower than having surgery. How many more deaths will it take to make everyone think twice about having surgery at Strax Rejuvenation? I would hope the answer is zero. Maybe the next death won’t be a patient, maybe it will be the death of Strax Rejuvenation.

Dr. Adam Rubinstein being interviewed at the 2013 iGuide Luminaries Conference in Beverly Hills, CA

Check out Dr. Adam Rubinstein being interviewed at the 2013 iGuide Luminaries Conference in Beverly Hills, CA. He discusses the latest in non-invasive neck lift treatments from iGuide. This procedure is great for younger patients who are not quite ready for a full neck lift. People who don’t have a lot of skin hanging from their neck, but still a little something. The consultation is very important because that’s where we learn what our patients are looking for, where they’re starting from, and what they hope to achieve. They key is education. Once patients know what their options are, many of them opt for the non-invasive solution. Check out the interview below to see Dr. Rubinstein speak about the procedure.

Discover A New Mommy Makeover

Whether you’ve just had your first child or your fourth, you deserve a little rest, relaxation, and celebration. After all, you’ve just brought a little bundle of joy into the world – and you deserve to look as exhilarated and excited as you feel. Once of the biggest concerns that new mothers have is that they’re worried their bodies won’t bounce back after giving birth. While mothers should give themselves plenty of time to get back into shape, there’s no denying that you may want a helping hand. After all, you don’t have all the time in the world to spend on diet and exercise – and you need to find a mom-friendly shortcut. If that’s the case, it’s time to discover a mommy makeover at Dr. Rubinstein’s cosmetic surgery practice in Miami, Florida. As a highly respected and recognized board certified plastic surgeon, Dr. Rubinstein prides himself on providing new mothers with the confidence boost they may need after childbirth.

The Three Mommy Makeover Procedures

A mommy makeover consists of three of the most popular plastic surgery procedures in the country for women: breast augmentation, tummy tucks, and liposuction, especially for the lower body. Together, these three procedures can help mothers get their bodies back into shape even after diet and exercise. After all, pregnancy can permanently change your body – and sometimes a healthy diet and regular exercise routine won’t cut it. A mommy makeover might seem like a hefty expense, especially after bringing a new life into the world (a life that needs a LOT of diapers). However, it’s important not to reduce your self-confidence down to dollars and dimes. Mommy makeovers can help make you feel comfortable in your body, which is essential for feeling content and happy. And there’s no denying that a happy mom is critical for bringing up a happy baby.

Supplement Your Mommy Makeover Procedure

At Dr. Rubinstein’s practice in Miami, Florida, he offers the traditional Mommy Makeover procedures; however, you can opt to supplement your mommy makeover with additional procedures. For example, vaginal rejuvenations have skyrocketed in the past year, with many practices seeing as much as a 64% increase. The point of the Mommy Makeover isn’t just to get your best body back; it’s to make you feel comfortable and happy in your own skin. After all, when it comes to raising your little bundle of joy, you want to feel as confident and comfortable as possible. Visit Dr. Rubinstein at his practice in Miami, Florida to discover a new Mommy Makeover.

Are Gummy Bears Always a Sweet Deal?

Breast implants that is… If you have heard any news at all about breast implants in the last few years the term “gummy bear” has probably been associated with them. These gummy bear implants are all the rage. They promise to revolutionize breast augmentation with safer breast implants that won’t leak if they break. But what exactly IS a gummy bear breast implant? It can be confusing. Lets take a look at the history of breast implants and the latest trends. When breast augmentation started a wide variety of materials were used while doctors were searching for the best choice. Solid silicone, soft sponges, and other materials were tried with limited success. In fact, the very first breast augmentation ever done used a fatty tumor that had been removed from another area on the same patient. Then Dr. Cronin and Dr. Gerow in Houston, TX came up with the idea of liquid silicone in a plastic silicone bag. And the rest is history. Hundreds of thousands of women have had breast augmentation performed with silicone filled implants since that fateful day. But the implants have been updated over time. In total there have been five generations of breast implants. The first implants used a very thin shell and thin liquid silicone. As the newer generations have been introduced the shell has gotten thicker and the silicone gel has gotten thicker as well. Today’s silicone gel implants have the thickest silicone gel ever used in breast implants. The gel is so thick that if you cut the implants completely in half they retain their shape. The silicone gel will very, very slowly run out of the shell. The newest implants available would hold their shape nearly forever. So, they are kind of like a gummy bear in that when you cut a gummy bear in half the two pieces keep their shape; and the gummy bear when whole is kind of spongy to feel like a breast implamt. So when the newest generation of implants were being introduced someone described them like gummy bears. And the name stuck. Here’s the thing, while an implant that doesn’t leak if it breaks sounds like a good idea (and it is to some extent), it’s not the best idea for every patient. The newest breast implants that have the thickest gel do not flow as naturally as the softer implants. The do hold their shape better, which is good for some patients, but not for all patients. Sometimes the gummy bear implants are a little too firm and don’t give as natural an appearance and/or as natural a feel. The moral of the story is to be sure you discuss your options with your board certified plastic surgeon. He/she can help you learn about the choices available and help you pick the best breast implant to achieve your goals while taking into account your body and breast type. Remember, the gummy bear implants might be the best choice for you, but sometimes they’re not such a sweet deal.

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