a Rucker MD & Enza Medispa Publication
What is Bariatrics? David Usher, MD
Guide to Gorgeous Lashes
Deb Markham, Paramedical Skin Care Expert
Joseph Rucker, MD, FACS
NTIAELS ESSE T LEBRA
L CE ANNUA H T 4 8 S THE AWARD Y M E kin ACAD arpet S C d e R with
Cardio Interval Training Lori Heck, Personal Trainer
State of the Art Body Contouring Joseph Rucker, MD, FACS
Vegan Breakfast Cookies Anne Rucker, Bogart Loves and more!
Rucker MD Plastic Surgery Clinic Plastic surgeons assist people with making life-changing choices. We’re called upon to reconstruct a breast after cancer, rescue a smile from disfigurement or reinforce a foundation of self-confidence. Through Profiles I wish to educate readers to the possibilities of plastic and cosmetic surgery, as well as non-invasive options. I hope that Profiles will encourage you to develop a life plan for looking and feeling your best. Your comments are always welcome.
Joseph Rucker, MD, FACS Cosmetic & Laser Surgery Reconstructive Plastic Surgery
3221 STEIN BLVD EAU CLAIRE WI 54701 551 HOSPITAL ROAD NEW RICHMOND WI 54017 1687 EAST DIVISION RIVER FALLS WI 54022 800.456.8222 • 715.833.2116 • 715.832.1774 www.ruckermd.com • www.enza.com
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Inside Secrets to Red Carpet Worthy Skin Enza Essentials took Los Angeles by storm during this year’s 84th Annual Academy Awards to help prepare our favorite celebrities for their Red Carpet close-ups. Let Enza Essentials share some of our exciting moments with you!
This publication provides general health related information and is not intended to be substitute for professional medical care. If you have questions or concerns, contact your physician or healthcare provider. Profiles is published by Rucker MD Plastic Surgery Clinic & Enza Medispa, 3221 Stein Blvd, Eau Claire, WI 54701
A Word from Deb Markham Los Angeles, the Red Carpet & ENZA Essentials… a Fabulous Fit What a joy it is to share ENZA Essentials! On February 23rd and 24th, ENZA Essentials was represented at the Mondrian Hotel in Los Angeles, California. We had the pleasure of introducing ENZA skincare products to Hollywood stars prior to the Oscars!
Paramedical Skin Care Expert
ABOVE: Even Hercules wants perfect skin! Deb and Kristine pictured with actor Kevin Sorbo.
I was certain that I would be overwhelmed and tongue-tied while visiting with the “always polished” superstars. What I discovered is this… I feel so blessed and fortunate in what I do. Knowing when something works well, the words flow with confidence; and the joy of sharing ENZA Essentials becomes the important message. Check out ENZA’s facebook page to view our staff at work with those who share their talents with us in the film and documentary industry. The staff at ENZA MediSpa and RUCKER MD, thank you for your support and loyalty. We continue to strive to give you our very best in products and treatments to guide you in achieving your skin health goals. Enjoy this issue of Profiles – ENZA is here for you. Deb
ABOVE: Daniela Bobadilla from Awake and Desperate Housewives loved the Shea Body Butter and Nutrigel and had to take some home!
ABOVE: Kristin Bauer, star of HBO’s True Blood and ABC’s Once Upon A Time was thrilled about Enza’s Saturation system for her dry skin.
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BELOW: Anne Heche was given the Saturation system by Enza Essentials while James Tupper was put on the Extraction system.
ABOVE: Niecy Nash and Deb talked on and on about skin care tips. BELOW: Jason Ritter, star of NBC’s Parenthood got excited over our Sustaining Cleanser.
ABOVE: President Kristine Rucker with Beverly Mitchell, from The Secret Life of The American Teenager. LEFT: Deb Markham with Marcia Gay Harden who took home Enza’s Face Firming Complex.
ABOVE: Pretty Little Liars’ Sasha Pieterse pictured with the Cool Sustaining Toner, perfect for keeping skin young and fresh with advanced vitamin C complex Mag C. RIGHT: Deb Markham pictured with Paul Iacono and Jayson Blair, stars of MTV’s The Hard Times of RJ Berger.
ABOVE: Jesse Metcalfe was paired with the Extraction Cleanser, featuring cucumber and sage extracts.
Red Carpet Worthy Skin is waiting for you!
Getting Serious About Weight Loss? Meet a Bariatrician--The physician specialist behind obesity medicine
David J. Usher, MD PATIENTS WHO ARE MOTIVATED CAN ACHIEVE SUPERB weight-loss results without surgery when properly cared for and guided. Bariatricians (pronounced “bear-ee-uh-trish-ens”) are physicians who specialize in non-surgical, medically-based methods to help people improve their health, energy levels and appearance through the loss of substantial amounts of weight. The approach is highly individualized and may include the following:
What conditions might be improved through weight-loss?
• Individual coaching by the physician on lifestyle improvements and self-monitoring • Targeted use of appetite-suppressing medications • Regularly scheduled individual or group doctor visits • Strategic use of meal replacements • Referral to behavioral health specialist for counseling if necessary • Referral to highly qualified weight-loss surgeons if appropriate • Referral to highly qualified body-sculpting plastic surgeons after substantial weight reduction
As the patient loses weight, health conditions affected by body weight must be monitored. Adjustments to medicines treating those conditions are made during follow-up visits with the bariatrician. Often, conditions and symptoms disappear along with the extra weight. There is no substitute for medically supervised weight loss. If you are serious about a holistic approach to shedding those pounds safely and effectively forever, schedule an appointment with Dr. David J. Usher.
How does a bariatrician design the proper course for individuals with various degrees of weight to lose? As a physician, a bariatrician performs a detailed medical history and physical examination. A body composition analysis is done to determine body fat percentage and skeletal muscle mass. Lab tests evaluate health risk factors and include advanced lipid screening, insulin levels, thyroid levels, vitamin D and C-reactive protein, among others. The patient’s current medications are considered which might be adversely affecting his or her weight. Aside from appearance, a meaningful by product of weight loss is feeling better from the inside-out.
• Diabetes • High Blood Pressure • Asthma • Migraine • Irritable Bowel Syndrome • Arthritis Pain
• Polycystic Ovaries/Infertility • Obstructive Sleep Apnea • High Cholesterol • Fatigue • Depression/Anxiety
To learn more about the practice of bariatric medicine, visit www.asbp.org or www.abom.org. David J. Usher, MD is a member of the American Society of Bariatric Physicians, has passed his certification exam for the American Board of Obesity Medicine, and is currently a practicing bariatrician at ReforMedicine, S.C.in Menomonie, WI. Dr. Usher is also a board certified family physician, and has been practicing in the region since 1999. For more information on Dr. Usher visit www.reformedicine.com
Get Rid of That Mole!
Tired of looking at that mole? Minimal or zero scar mole removal may be your answer. Joseph W. Rucker, MD, FACS
UNLESS YOU ARE CINDY CRAWFORD, HAVING A MOLE IS probably not your trademark. Moles are not only an aesthetic distraction but can get in the way of shaving, can rub against clothing or jewelry or be a source of suspicion. In the majority of cases, a mole is merely a benign growth in the skin. They come in various shapes and sizes and can appear literally anywhere on the body. Some are clustered in groups and some are singular. You can be born with a mole or discover them over time. On rare occasions they may be pre-cancerous--reason enough to have them checked, if not removed completely. Why hesitate? Despite the obvious cosmetic reasons most people postpone mole removal because they fear it will be painful and/ or cause scarring. For years physicians removed moles through direct excision which meant minor surgery that required anesthetic and sutures. In reality, this technique did involve a higher risk of excessive scarring. Freezing moles was and is another popular method, but recur-
rence is common and scarring can still be an unwanted byproduct. Chemical removal is discouraged as it is almost always accompanied by noticeable scarring. The good news is that mole removal, with minimal or eliminated scarring is available and is our preferred method of addressing this concern. Radio surgical mole removal involves a laser-like pencil device to remove the lesions with thermal energy. A local anesthetic is applied. There is virtually no scarring because stitches are unnecessary. The mole can easily be sent away to check for harmful cells. Most procedures take less than 15 minutes depending on the number of moles. Over the course of a few days the skin heals, leaving little trace that the lesion was ever there. Deeper or larger moles might leave a small pink spot that will fade or become lighter over time. In my 25 years of experience with over 10,000 cases I have found this method to be the most quick, painless and effective technique for removing moles without significant scarring. There is no excuse to wait for smoother, clearer skin.
Beauty in a Blink!
Finally have the sky-high eyelashes you have been dreaming of! Deb Markham, Paramedical Skin Care Expert If mascara and falsies aren’t cutting it for you, don’t despair! There are other solutions out there for beautiful, glamorous eyelashes. Use our guide to determine what solution may be best for you!
Beyoncé, Miss America, Kim Kardashian… what do they all have in common? The answer is gorgeous, sky-high lash extensions. While Hollywood has kept this beauty secret for a number of years now, lash extensions are finally coming mainstream. What lash extensions do is lengthen and thicken your own natural eyelashes by the application of individual synthetic or mink lashes on each natural eyelash. The initial process is a done by a trained and certified professional and can take up to 2-3 hours. A full set of eyelash extensions can last up to six weeks depending on where you are during your cycle. Touch-ups are recommended every 3-4 weeks and can take up to an hour and a half. The process is completely safe with no side effects. For more information, contact the Enza Medispa at 715.832.1774
Growth Serums Another option are growth serums. Currently, the only FDA-approved serum on the market is Latisse. Latisse uses the active ingredient bimatoprost to help you grow longer, fuller and darker lashes in 16 weeks. This happens when the percent of hairs are increased, and the duration of the anagen (or growth) phase of the hair follicle is extended. Naturally, when you stop using the product, your lashes will slowly return to their original state. However, Latisse is available only by prescription and does carry some sideeffects. Another drawback to using Latisse is that it must be maintained on a nightly basis. We recommend keeping Latisse by your sink so there is less chance of forgetting to apply it each night after you wash your face. For more information, visit their website at www.latisse.com
A Lash in Time Before the invention of mascara, women have looked for ways to enhance their eyes. The eyes are said to be the windows to the soul. When the eyes are enhanced, the face appears more alert and alive, creating a younger-looking appearance. The “wow” factor of eyelash extensions is surely here to stay. Here is a quick review of women’s pursuit of luxurious lashes – a few historical highlights: 1921: Inventor Charles Nessler patents a machine to make artificial lashes. 1930: Actress Bette Davis and cartoon pinup, Betty Boop, show off their glamorized lashes. 1965: Associated Press reports a run on false eyelashes at the Miss USA Pageant. 1967: English model, Twiggy, becomes renowned for her large eyes and long lashes, stating that she layers 3 layers of false eyelashes! 1972: Liza Minnelli stars in “Cabaret” and wins an Oscar. Her big, thick, black lashes become her signature look. 2004: Jennifer Lopez wears custom-made red fox hair lashes to Academy Awards, launching the new lash craze! 2009: First Lady, Michelle Obama wears elaborate eyelashes while in Europe. 2010: Eyelash extensions are named the most successful beauty/spa service, according to Women’s Wear Daily. (Sources: 100,000 Years of Beauty – Gillimard, 2009)
Left: Without lash extensions, Right: With lash extensions
Check out the special on the back page and call 715.832.1774 to book your appointment today.
PLASTIC PLASTIC SURGERY SURGERY
The Shape of Things to Come... Joseph W. Rucker, MD, FACS
IS NO SUBSTITUTE FOR staying fit through exercise and eating healthy. But what about those stubborn spots that won’t budge (but do bulge?) Few of us are born with a perfectly proportional body. Even fewer are able to keep it once pregnancy and the 30’s are in the rear view mirror. A variety of surgical procedures can help remove fat or tighten sagging skin. While the tummy and waist seem to get the most attention, body contouring can also address the chin/jowls, upper arms, chest, breast, trunk, hips, thighs, inner knees, calves and ankles. The best candidates are those close to their ideal weight. Treatment options are dictated by the elasticity of the skin. Liposuction is perfect for patients with skin that “rebounds.” If the skin is loose or weak, liposuction is not the best course. Once fat is removed, if the skin doesn’t retract, you are left with sagging, dimpled skin which is not aesthetically acceptable. Skin must shrink proportionately to amount of fat removed so typically the younger you are, the less chance of risking ripples and waves. Liposuction can get rid of stubborn fat
deposits and prevent fat from coming back in these areas but it cannot address skin texture, firmness, underlying muscles or erase cellulite completely. Additional procedures that tighten skin, remove excess skin or lift the area might be indicated to achieve the appearance you desire.
A Matter of Proportion
Men and women alike can benefit from body contouring procedures. Post pregnancy, after major weight loss or simply due to aging, proportions can change. All the procedures below take approximately two hours and can often be done on an outpatient basis. LIPOSUCTION
Liposuction is done to remove excess fat from spot areas of the body, most commonly love handles, tummy and waist. Many types of liposuction methods are on the market but Dr. Rucker prefers the tumescent technique. Fluid is injected into the area to be treated to avoid excessive blood loss. Unwanted tissue is removed through a small hollow tube through ultrasound and a vacuum. For small areas, this is an office procedure. For more holistic treatment a general anesthetic is used, but it is still an outpatient procedure.
Pregnancy or major weight loss can leave you with loose, sagging or projecting lower abdominal wall tissue. A tummy tuck (abdominoplasty) restores the abdominal wall appearance by removing excess tissue and tightening the waist and abdomen. Any scars are hidden beneath the panty line. For women, it not only flattens and tightens the area but eliminates the appearance of white stretch marks and can improve C section scars. Mini tummy tucks are done in the office. The more-extended procedure involving the muscle repair beneath requires a general anesthetic in a surgical facility. If muscles have separated (usually due to pregnancy) and are not reconstructed, the final result will be rounded versus a flat abdominal appearance. This is why Dr. Rucker may discuss simulating an internal girdle through reconstruction during your consultation. Liposuction is often done in conjunction with a tummy tuck to refine contour results.
THIGH LIFT & ARM LIFT
Most often the procedure of choice for someone with significant weight loss, a thigh or arm lift can also deliver beautiful results to those with excess skin due to aging or genetics. Inner thigh skin can be treated by placing the incisions along the inner groin crease. Upper arm lifts are one of the most requested procedures after weight loss. In some cases a modified lift will hide the scar in the arm pit. For more pronounced results, the scar will be on the inner side of the upper arm. These are outpatient procedures. A thigh lift requires an overnight stay in a surgical facility. Those with extra fat on the inner thigh commonly have extra fat on their knees as well. Both these areas can be further contoured with liposuction for a uniform look.
Noninvasive treatment is always worthy of your consideration. However, for permanent improvement in body contour and proportion, these procedures offer lasting and satisfying results. As with all aesthetic procedures, great outcomes are tecnique dependent. Take the time to seek out the best surgeon. For before and after photos, visit www. ruckermd.com
HEALTH AND FITNESS
CARDIO INTERVAL TRAINING Get ready to look your best this season with Personal Trainer, Lori Heck Lori Heck, Personal Trainer WARMER TEMPS ARE ON THE WAY AND YOU WANT to look and feel fabulous in your sun-dress, sleeveless tanks and the oh so, itsy bitsy bikini, right? You have plenty of time to do so, but it’s critical to start now (and make it a lifestyle change). I’m going to focus on cardio workouts but this can certainly be done with resistance training as well. Many women feel they need to do long and steady-state cardio to lose fat, thinking the longer they go the more calories they will burn. This is not the case. Don’t get me wrong, there is a time and place for longer and slower bouts of cardio but if you are looking to burn fat and have the body you want by summer, then cardio interval training is one way to help you achieve it! Interval training is more effective for fat loss because of a process called EPOC (excess post-exercise oxygen consumption). When your body performs (works) at a higher level of intensity, more calories are being burned. Furthermore, when the interval workout is complete, calories will continue to be burned for hours because your body is now working to get back to resting state. This does not Lori Heck is the owner of ASPIRE Personal Training & NASM-CPT. She holds a B.A. from the University of Wisconsin - Eau Claire, in Kinesiology-Exercise Management. Lori is also a NPC Figure Competitor & Coach, Certified TRX Suspension Trainer and Certified BOSU Instructor
happen with long, steady state cardio. Even better, an interval training workout can be done in a short amount of time so you can get on with your day.
CARDIO INTERVAL TRAINING WORKOUT If you have been walking, whether on a treadmill or outside, and you’ve been at the same speed for a couple weeks, then it’s time to introduce interval training! An interval is simply increasing your speed (mph) or watts (power) for a short period of time and following that with complete rest or performing active recovery (a.r. - slowing down but continuing to move) for a short period of time. A safe and effective interval session for a beginner is warming up for five minutes and then performing 30 seconds of high intensity walking or running followed by 30 seconds of rest or a.r., repeating the interval four times followed by a cool down. For someone who is more advanced, you can perform five sets of 30/30 intervals but increase the intensity by increasing speed (sprinting), manipulating the incline and/or adding another five sets of 30/30. Since your body adapts quickly to the same mode of exercise (treadmill walking) you will want to switch up your cardio by choosing to use an elliptical, rower or bike. By changing your mode of exercise you will target different muscles, reduce muscle imbalances, and deter boredom. Start to incorporate interval training two times per week and soon you’ll be noticing some wonderful changes! As always, be sure to check with your physician before beginning an exercise program. In some cases, interval training may be contraindicated for those with specific health conditions. If you have any questions or want to learn more about incorporating interval training into your fitness regimen, please contact me at email@example.com or call 715-271-9678.
Breakfast Never Tasted So Sweet VEGAN BREAKFAST COOKIES
1/2 1/2 1/2 1/4 1/4
whole wheat flour cup almond meal cup rolled oats cup walnuts, chopped cup unsweetened dried cherries, chopped
1/8 1/4 1/4 1
cup unsalted sunflower seeds cup olive oil cup raw agave nectar tsp pure vanilla extract pinch of kosher salt
Preheat oven to 350 degrees. Line a baking sheet with parchment paper. Mix all ingredients together in a large bowl until thoroughly combined. Using a medium-sized ice cream scoop (or two spoons) measure out 12 equal balls of dough. Gently flatten the cookies with the back of a fork. Bake for 14 minutes. Allow to cool to room temperature. Makes a dozen.
Recipe provided by Anne Rucker, an avid at-home cook & blogger. Find more recipes at www.bogartloves.blogspot.com
Profiles is a health and beauty publication by Rucker MD Plastic Surgery Clinic and the Enza Medispa. Want to have Profiles mailed to you? S...