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FUR REAL, YO

Fashion insiders may blacklist us for this, but that cool army or camouflage jacket lined with bright or multi-colored fur is actually affordable. A very stylish, well-heeled friend told us a while back that she gets her coats from a source in China (meaning we couldn’t get our hands on one until she traveled back there). Then, she told us the good news: Her source, Jazzevar, is finally available online. All of Jazzevar’s coats are the real deal. We know because we have one and it’s the raddest, warmest and best-priced coat in our closet. And we believe in sharing the love—because baby, it’s cold outside.

Pinkfurparka

 

WHERE TO BUY

ARMY Green real fur collar hooded jackets, aliexpress.com 

Jeans

 

WHERE TO BUY

MOUSSY May distressed crop jeans, barneys.com  

KHAITE Vanessa high-rise skinny jeans, net-a-porter.com 

GOOD 

GENES

A quick lift in the butt can be as simple as finding the perfect jean. So, we’ve whittled down our two favorite labels to see you through 2018, looking toned and chic.

 

MOUSSY

This Japanese brand is all the rage among fashion junkies and hipsters. Unlike the stiff, dark-wash jeans that many ascribe to Japanese denim, this line comes in a variety of casual washes with just the right stretch. Each style has that perfect vintage distressing and shade of blue. We love wearing these for daytime or even with heels at night to add some youngish edge to our look.

 

KHAITE

Launched in fall 2016, Khaite (pronounced “Kate”) jeans are extremely slimming, with a high-rise style crafted from Japanese cotton denim featuring a touch of stretch for a sleek fit. Look to this label for denim with a dressed-up feel (think well-tailored, feminine cuts that look great with high heels and booties). Each style features subtle fading and whiskering, as well as logo-engraved gold-tone hardware that provides a chic finish.

NEW YEAR, NEW FACE

 

We don’t know about you, but weeks of holiday feasting, boozing and overall stress have taken a serious toll on our appearance. Throw the brutal, skin-ravaging Arctic temperatures into the mix, and we're looking old, tired and saggy. Needless to say, we’ve been a bit curious about some of the new in-office dermatological procedures available to allay the signs of aging. We sat down with the brilliant Dr. Sejal Shah of NYC's Smarter Skin Dermatology group to ask some of our most burning questions about Botox, fillers and much more. Here’s to heading into 2018 with our best (most refreshed) face forward!

Sejal

 

WHERE TO BUY

To book an appointment with Dr. Shah, contact SmarterSkin Dermatology (917) 242-3589 or book online at smarterskindermatology.com. 

 Let’s start with the basics: What are the differences between Botox and fillers?

 

First, I just want to clarify that Botox is a brand name for a specific Botulinum toxin (neurotoxin), but there are two other FDA-approved Botulinum toxins available in the US: Dysport and Xeomin. They are used to treat fine lines and wrinkles by temporarily preventing contraction (movement) of the underlying muscle. It's traditionally used to treat dynamic wrinkles (which occur when you use your muscles to make facial expressions), usually on the upper face. Botox specifically is FDA-approved to treat crow's feet, frown lines between the brows, and, most recently, forehead lines. It is used off-label in a number of other areas in the lower face and neck.

Fillers, on the other hand, are injectable substances that are used to fill lines and replace lost volume. Unlike Botox which is best for lines that occur with muscle contraction, fillers are best for lines that are present even when muscles are not contracting—for example, deep nasolabial folds (laugh lines) or marionette lines. They are also used to recontour and replenish volume in the cheeks/mid-face or lips. Depending on placement, they can have a lifting effect. A simple rule of thumb is Botox is for lines of expression; filler is for lines of rest. Because the two are often used together, it's best to see a board-certified dermatologist to help you select the best option.  

 

Which procedures might you recommend for a 30-40 something-year-old patient who is displaying some early signs of aging, such as crow’s feet around the eyes and dark circles, forehead lines, sagging cheeks/jowls and thinning lips? 

 

I generally like to take a total approach to rejuvenation. For a 30-40 something-year-old patient, I first recommend a foundational treatment, such as Ultherapy or Vivace to jump start collagen stimulation, lift and tighten the skin, and treat some of these problem areas.  Ultherapy uses high focused ultrasound; whereas, Vivace is microneedling with radiofrequency.  I then make more specific recommendations based on the specific concerns-botulinum toxin for crow's feet, forehead lines, and glabella lines (the "11's" between the brows), filler for areas of volume loss in cheeks, lips and for a lifting effect, and different lasers or chemical peels or different types of textural or pigment/tone issues.


There are many different brands of fillers on the market (Juvéderm, Voluma, Belotero, Restylane, etc.). Is there a difference between formulas?

 

There are a number of fillers on the market and they can be broadly classified as hyaluronic acid (HA) and non-HA fillers. The Restylane family of fillers, Juvéderm family of fillers (this includes Voluma, Vollure, and Volbella), and Belotero are HA fillers. These different HA fillers differ in consistency, giving them different properties and longevity. Radiesse, Sculptra and Bellafill are non-HA fillers. The choice of filler generally depends on what is being treated and to some extent the doctor’s preference.


How often do I have to be treated to stay looking my very best? Are there any products I can use at home to help maintain the results? 

 

Neurotoxin (Botox, Dysport, Xeomin) generally requires touchups every three to six months. The duration of filler depends on the filler and the area being treated, and can be anywhere from six months for a basic hyaluronic acid filler to years for some of the longer-lasting fillers such as Voluma, Sculptra, Bellafill, Radiesse (lasts approximately 18 months). There is also some variation based on the individual; some individuals just break down these products faster than others.

 

What should a patient expect when they come into your office for Botox or fillers? Should we be scared?  

 

If you are getting an injectable treatment for the first time, it's normal to be nervous or anxious. But, as long as you are seeing someone you are comfortable with and completely trust, you shouldn't be scared. During the treatment, you may have a little discomfort at the site of injection; ice and numbing cream can be used to reduce this. You may also experience transient redness or bruising.   


Speaking of post-procedure bruising, how big of a problem is it? How long does it last? 

 

Any time you are receiving an injectable treatment, bruising is a potential risk. Bruising can last up to two weeks. Before having the procedure, avoid anything that can exacerbate bruising or thin the blood, such as aspirin, ibuprofen and alcohol.  If you are taking any medications or supplements that may thin the blood, let your doctor know beforehand. Typically, necessary medications are not to be discontinued prior to treatment, but it is important for your doctor to know. Icing immediately after treatment can help reduce bruising. Arnica, topical vitamin K and even pineapple (due to bromelain) may be helpful for some people. Laser treatments can also be used to reduce the bruising.


What are the most exciting breakthroughs in cosmetic dermatology right now? Any products or methods you are excited to use on your patients? 

 

There are so many exciting developments happening in dermatology right now. One of the newest treatments I have in my office is Vivace, which combines microneedling with radiofrequency. In fact, I am the first office in NYC to offer this treatment. It basically stimulates collagen using both a mechanical (microneedling) and heat-based (radiofrequency) method, and can be used for a number of concerns, such as acne scars, wrinkles, fine lines, stretch marks and skin laxity. There is newer picosecond laser technology that targets pigment. Body-contouring is another growing area. I offer Sculpsure in my office and have had great results for noninvasive fat reduction, and soon will be offering laser-assisted liposuction with the option of using the fat as a filler for other areas. Besides new technology, I'm also using existing treatments differently or combining treatments to achieve better results.  

 

What can we do at home to combat the signs of aging? 

 

The most important thing you can do is protect your skin from the sun, which means using sunscreen daily and other sun-protective methods. I also recommend using a vitamin C antioxidant serum daily, retinoid nightly or as tolerated, and a cream containing peptides or growth factors.

 

There are so many doctors out there offering these procedures. Dr. Shah, you’re known for your artistry in achieving a natural, unadulterated result in your patients. How does one go about finding a reputable doctor whose work suits his/her aesthetic? 

 

First and foremost, it's important to choose a board-certified dermatologist or plastic surgeon. Besides checking out the credentials of your doctor, there are resources such as Realself, an online patient doctor community, which can be helpful. In terms of finding someone that suits your aesthetic, that can be a little harder because everyone has a different perception of beauty or what looks good. It's all about your comfort level. When you go in for your consultation, the doctor should take time to discuss your concerns and goals. With injectables, it's always OK to start with lower amounts and add more as needed—it’s a lot easier to add more in the future than to take it out once it's been injected.  


Dr. Sejal K. Shah, MD, FAAD is a board-certified dermatologist practicing in Tribeca, NYC. She performs all aspects of dermatology with an expertise in cosmetic dermatology and lasers, hair loss, and ethnic skin at her offices inside SmarterSkin Dermatology.

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