What is Platelet Rich Plasma?

What is platelet rich plasma and how can it aid in hair restoration? Read on to find out it is being used by the Griffin Hair Restoration Center of Philadelphia. 

Platelet rich plasma (PRP) is the product of one’s own blood obtained by centrifuging a sample of blood drawn from the arm. PRP as the name implies, contains platelets, which are the blood clotting cells in the blood. These cells are very active in the early phases of wound healing and contain growth factors in their cytoplasm which promote wound healing. PRP injection is considered a form of Regenerative Medicine and has been used mostly in the field of Orthopedics where it helps patients with arthritis and with ligament and tendon injuries. Recently, PRP has shown a great deal of promise in the field of hair loss and is used as a scalp injection to promote hair growth.

In the interest of providing our hair loss patients with every potentially effective therapy, The Griffin Hair Restoration Center of Philadelphia provides PRP injections in conjunction with hair replacement surgery. In our practice PRP is used to enhance the results of hair replacement surgery by bathing the grafts in PRP and by injecting the recipient site with it prior to implantation of harvested grafts. The growth factors in PRP speed healing of the grafts and enhance hair regrowth once they are implanted.

In addition, we use PRP injections as a standalone treatment for various types of hair loss. Although there are no case controlled studies published in peer reviewed medical journals proving efficacy, there appears to be significant anecdotal experience by physicians in the hair restoration field suggesting that PRP may be effective in promoting hair regrowth in some hair loss patients. Dr. Griffin, in addition to being a dermatologist specializing in hair loss, is also a dermatopathologist. As such he studies the microscopic effects of PRP in each of his hair loss patients.

PRP injections are given in a series of 4 injection sessions spaced 2-3 months apart. In each session, the entire affected area of scalp is injected using a local anesthetic. The patient is evaluated and photographed before starting treatment and at each subsequent visit. There is no downtime to speak of after treatment, although swelling and redness may occur. Results are not expected to occur immediately, but rather in 6-9 months, although there may be cases in which hair regrows earlier and in some not at all. There are no guarantees with this treatment. Results are expected to be better in patients who still have some hair follicles left to stimulate and therefore are expected to be better in the earlier phases of hair loss. That being said, the biologic potential of PRP is great and may yield surprising results in some patients.

Wake Up Your Tired Skin!

Each month we’re here to give our fabulous followers the latest news and insider tips from deme’s team of experts. This month, it’s all about starting over with a fresh face. If your skin is feeling drab and looking tired from your same old routine, it’s time to wake it up with a skin reboot! Follow these steps for a brilliant glow that will give the summer sun a run for its money.

With every wish for your continued health and fabulousness,
Your devoted team at deme.

Skin Reboot

  1. The first step to any skin care regimen is to exfoliate. Begin your reboot by using a gentle scrub, or even a Clarisonic cleansing brush, 2-3 times a week to eliminate dead skin cells and reveal a fresh layer of vibrant skin.
  1. After you have a fresh layer of skin to work with, it’s time to hydrate. Quench your skin’s thirst with a moisturizer suited to your skin type. For extra dry skin, emollient rich creams are the best choice because of their rich hydration content. Serums and water-based moisturizers are best for oily skin while a light lotion or serum is great for combination and normal skin. If that’s not enough, try a thick moisture mask for about 10-minutes before going to bed. For a more in depth look on moisturizing for your specific skin type, check out this piece on hydrating regimens from deme’s clinical aestheticians.
  1. Be sure to drink a tall glass of water every morning, and stay hydrated throughout the day. When you’re not getting enough water, your skin shows it. Eat a diet full of antioxidant rich fruits and vegetables like berries, spinach, and beans to give your skin an extra boost and help fight against skin damage.
  1. It may take a little while for your skin to show some results. While your waiting for your reboot to take effect, fake it until you make it! Use a light concealer to cover up your dark spots and some blush to define your cheekbones. This will give the appearance of a radiant glow even if your skin is still rebooting itself from within.
  1. Finish off your routine everyday with an SPF before leaving the house. Protecting your skin from the harsh rays of the sun will keep your skin soft with a luminous glow!

A Few of Our Favorite Things for Spring!

Each month we’re here to give our fabulous followers the latest news and insider tips from deme’s team of experts. Spring is in the air, and we’ve put together a list of our favorite and hottest things to get your health and beauty in tip-top shape for the season. Get yourself looking and feeling fresh so you can step out with confidence this Spring.

With every wish for your continued health and fabulousness,
Your devoted team at deme.

Skin Care

Avery Graham’s Simply Opulent Collection features luxury formulations that create a new level of clinical transformation, combining vital nutrients, pharmaceutical ingredients, and natural oils that target the tissue to restructure skin. Find these products at selection institutions, including deme.

Hair Rejuvenation

ORIBE Dry Texturizing Spray builds volume and texture for fuller hair that will take you from day to night.

 At-Home Tanning

St. Tropez Tan Bronzing Spray creates an even, smooth, all-over tan in the comfort of your own home. You’ll look like you’ve just stepped off the plane from the French Riviera.

Teeth Whitening

The Zoom Whitening Pen from Philips Oral Healthcare is a hydrogen peroxide formula directly applied to your teeth for quick and easy whitening touch-ups in between visits to your dentist.

Philly Hot Spot

The cappuccino at Gran Caffe L’Aquila (1716 Chestnut St.) will make you think you’re in Rome!

Health Food

The Green Detox Juice from Pure Fare combines kale, apple, lemon, and cucumber for an invigorating, delicious drink that’s only 104 calories.

Spray Tan Salon

Airbrush tanning at Skin Palette (128 S. 19th St.) provides clients with a healthy, natural-looking, and affordable alternative to UV tanning. Get a summer glow without the heat of the summer sun!

Mental Heath

Share this article by Dr. Michael Ascher with a man in your life. Featured in the Huffington Post, this article helps men be the best parents possible to their kids.

In Like a Lion…Out Like a Lamb!

Each month we’re here to give our fabulous followers the latest news and insider tips from deme’s team of experts. So far March has come in like a lion, but we have the health and beauty tips and tricks for you to go out like a lamb. Spring is around the corner so stock up on all the cosmetic secrets that will have you looking and feeling fresh by the time the flowers blossom!

With every wish for your continued health and fabulousness,
Your devoted team at deme.

 Skin Care

Avery Graham Noble Skin Care: Simply Opulent Collectionunnamed

The Simply Opulent Collection is an ensemble of Avery Graham’s premier luxury formulations offered exclusively at select institutions, including deme.

All Simply Opulent products create new level of clinical transformation, combining vital nutrients, pharmaceutical ingredients, and natural oils that target the tissue to restructure skin. Each day, brilliance ignites with enhanced hydration, firmness, and illumination with restored vitality.

To learn more about The Simply Opulent Collection, look out for featured products on our Facebook and E-Mail Newsletter throughout the month as we guide and prepare your skin for spring!

 Hair Rejuvenation

Hair Transplant Recovery Timeline and After Care Tips

Many patients at the Griffin Hair Restoration Center of Philadelphia have concerns about the recovery period following a hair transplant. Follicular Unit Transplant (FUT) is an ambulatory (same-day) surgery, meaning you can return home after the procedure has been completed. Dr. Tom Griffin will send you home with written post-operative instructions, as well as any necessary pain medication and antibiotics.

Crucial Tips to Follow After Your FUT:

  • For the first few nights following your hair transplant, sleep with your head elevated
  • Do not drink alcohol for the first three days following your FUT
  • Do not smoke for the first two weeks following your FUT

Post-Operative Recovery Timeline & What to Expect

The rate of recovery depends on multiple factors:

  • Your individual healing time
  • The method your surgeon used for extraction of the hair follicles (Strip Harvesting vs. ARTAS Robotic Hair Restoration)
  • The size of the recipient region
  • And most importantly, the skill of the surgeon
Day 1 Following Surgery On the night of surgery, icing of the forehead is very important to help prevent swelling of the forehead and face.This should be done until falling asleep, 20min on 20 min off.We recommend sleeping somewhat upright on a recliner or on several pillows for the first several days.We supply a neck pillow to stabilize the head.It is possible to see mild focal bleeding but not continuous bleeding during the first night and day following surgery.Patients should notify the staff of any significant bleeding.We will see you on the day after surgery to ensure that the grafts have stayed in place over night and to clean up any residual or dried blood. Prescribed medications should be taken as directed on day one.We provide a post op kit which contains a spray which helps healing which can start on day one after surgery.We recommend leaving the grafts alone during the first several days other than using the spray and icing the forehead.
Days 2-3 Following Surgery Some swelling may occur on the forehead and possibly around the eyes and cheeks, usually on day 3 or 4.If this occurs, warm compresses are recommended which will dissipate the swelling.Soreness and numbness may persist in the donor site and recipient site.Scabs will begin to form as your scalp heals. It is crucial that you do not pick at the scabs as this will disrupt the grafts and can lead to loss of grafts. Continue the spray and on day 3-4 begin to use the soaking pads provided in the post op kit on the grafts.Use the ointment provided on the donor area.Continue soaking, spraying and taking the prescribed medication through the first week.
One Week Following Surgery At this point, most, if not all, of the residual numbness, swelling and soreness will have subsided. We will see you one week post op.Some stitches will be removed from the donor site if you had a strip procedure.The staff will try to gently remove some scabs from the grafts.Normal shampooing can resume at this time.
7-14 Days Following Surgery The scabs will be almost entirely gone and you may start to see some shedding of the small hairs in the grafts. This is part of the healing process and should not cause alarm. It is the follicles which are transplanted and these will heal and produce a new hair.
14-30 Days Following Surgery Your transplanted hair will continue to shed. At the end of one month your hair will look much like it did immediately before your surgery. If you color your hair or use topical hair growth products these may be resumed in approximately 3 weeks post op.
2-3 Months Following Surgery The transplanted hair will begin to grow. Some or all of the hair that has been shed in the prior month will grow back.
3-12 Months Following Surgery You will continue to see changes in the length, density and possibly texture of your hair. This hair is yours to groom as you please. Full results can be seen 6 to 12 monthsfollowing your hair transplantation surgery with Dr. Griffin.


Natural, Vegan, Organic, Whole Grain, Gluten-Free, Kosher….what does it all mean? Looking at food labels today can be scary and confusing, but fear no more. We put together a go-to guide for navigating your health and your grocery list!

The term “natural” can be applied to any product. In general, natural foods should not be processed and should not contain artificial coloring, added flavors, or synthetic substances. However, since there are no government regulations on the term, any product can be advertised as “all natural,” although chances are, it is not.  If you are concerned about a product’s claim, contact the manufacturer or check the company website for a list of ingredients.

The term “vegan” refers to a vegetarian diet that eliminates all animal products including meat, dairy, and any other products containing ingredients that may have been derived from an animal. A vegan diet consists of grains, beans, vegetables, and fruits.

“Organic” is a highly regulated term and strictly enforced by the FDA. This means that any product advertised as “organic” has been inspected to earn the label. The National Organic Program follows the Organic Foods Production Act of 1990 to ensure that organic farming follows “site-specific conditions by integrating cultural, biological, and mechanical practices that foster cycling of resources, promote ecological balance, and conserve biodiversity.” There is no use of synthetic pesticides and chemical fertilizers in organic farming, but some organic pesticides are approved for use under limited conditions. Generally, organic products are not processed using irradiation, industrial solvents, or synthetic food additives.

Zero Trans Fats
Just because a food product is labeled with “zero trans fat” does not actually mean that the product is completely free of it. If a serving of food contains 0.5 grams or less of trans fat, it may still be labeled as “zero trans fat,” according to FDA guidelines. Only a label claiming “no trans fat” can ensure that there is none present in that product. Be sure to check the nutrition facts for partially hydrogenated oils, as these are the main source of trans fat in processed foods. According to the American Heart Association, trans fat raises bad cholesterol levels and lowers good levels. It also increases the risk for type 2 diabetes, heart disease, and stroke.

Whole Grain
“Whole grain” is defined by the the Whole Grains Council as a “foods containing all the essential parts and naturally-occurring nutrients of the entire grain seed in their original proportions. If the grain has been processed (e.g., cracked, crushed, rolled, extruded, and/or cooked), the food product should deliver the same rich balance of nutrients that are found in the original grain seed.” In order for a food to bear the term “whole grain,” it must meet the above definition. In other words, 100% of the original grain kernel must be present in the food in order for it to be considered whole grain. The term is regulated and can be trusted when seen on a label. However, be careful as terms like “wheat bread,” “100% wheat,” and “multigrain” are not the same as “whole grain.”

Gluten Free
The term “gluten free” was officially regulated in August 2013. The FDA defines gluten free foods as those that contain less than 20 ppm (parts per million) of gluten. Additionally, gluten free foods must not contain: an ingredient that is any type of wheat, rye, barley, or crossbreeds of these grains, an ingredient derived from these grains and that has not been processed to remove gluten, or an ingredient derived from these grains and that has been processed to remove gluten if it results in the food containing 20 or more ppm of gluten. Foods that inherently do not contain gluten, like milk, can also be labeled gluten free even if they were not tested. These FDA regulations also apply to the terms “no gluten,” “without gluten,” and “free of gluten.”

The term “kosher” refers to “foods that are in accord with Kashrut, the set of Jewish dietary laws that regulate how food is processed and what food is safe to eat when.” This means that kosher foods have been inspected and blessed by a rabbi to ensure that the dietary laws of Judaism are met. Food may not be considered kosher if they include ingredients derived from non-kosher animals or from kosher animals that were not properly slaughtered according to ritual. A mixture of meat and milk, wine that was not produced under proper supervision, or products prepared with non-kosher machinery can also be considered non-kosher. The symbol “K” represents a product has been inspected and approved by a kosher certifying agency while “K-D” means that a product contains dairy.


nika-browperfect_afterBig things are happening in the world of brows right now. Besides the standard shaping and tinting to get you ready for spring, Ani White has expanded her current repertoire to include brow extensions and brow hair transplants.

Brow extensions use natural or synthetic hair to temporarily enhance the shape of your brows as well as add fullness, depth and length to brows that are thinning or over tweezed. This hair can be applied to the natural brow as well as to the skin so it can really change the overall shape of your brows.

If you are interested in a more permanent solution, a brow transplant might be perfect for you. This is a new and innovative service that would be ideal for the client that has hair loss due to over tweezing, chemotherapy, alopecia or just loss of fullness over time. Ani is working with Dr. Thomas Griffin of The Griffin Hair Restoration Center of Philadelphia to create the perfect brow shape for your face. If you have ever dreamed of having “the perfect brows” this is your chance to make that a reality.

Please call deme at 215-561-3363 to schedule a consultation with Ani.

Plastic Surgery

The Truth About ATX-101 by Dr. Kevin Cross

ATX-101 is the first injectable product that has FDA approval to treat fatty deposits, specifically those under the chin.  People will likely be seeing a lot of press related to ATX-101.  It was recently shown on the Today Show.

ATX-101 is able to “melt fat” by damaging fat cells in a way that allows the body to resorb the cells.  While the product does work, it is not the revolutionary new treatment that we all hoped it would be.  Many patients have seen wonderful results, but patient selection is crucial.  The fat may not dissolve evenly or predictably and often requires multiple treatment to see a result.  Furthermore, side effects like bruising, pain, and divots where fat was irregularly resorbed have been seen with some frequency.  Lastly, often the fat under the skin is helping to hide loose skin or muscle bands.  When the fat is haphazardly removed, these other problems are unmasked.

Many patients will fall into the trap of spending considerable time and money using an unpredictable product with varying results because it is “less invasive”, when a short 15 minute liposuction procedure would have been more effective and less expensive.

While ATX-101 will hopefully find a role in our list of options to treat regions of fat excess, as always, the most important thing for a patient to do is to meet with a provider that has knowledge and experience with many therapeutic options and to have an informative and candid discussion with that provider to figure out which option is best for each individual.


If you have a loved one struggling with substance use, read Dr. Michael Ascher’s article from the The Huffington Post and be sure to check out this upcoming workshop “Helping Your Loved One Change Their Substance Use.” RSVP has been extended to March 15th.



Love is In the Air at deme!

Each month we’re here to give our fabulous followers the latest news and insider tips from deme’s team of experts. It’s February and love is in the air. Break up with your bad habits, and fall back in love with your health and beauty regimen. From skin care and make-up to dentistry and nutrition, our cosmetic and medical professionals have you covered!

With every wish for your continued health and fabulousness,

Your devoted team at deme.


dr.jamesIntroducing Amy James, DMD, MS, PA

Orthodontist Dr. Amy James will be joining the deme team in March. Dr. James is a board-certified Diplomate of the American Board of Orthodontics and has been running her own practice in South Jersey where she utilizes the latest technological advances in the industry. Her top priority is providing patients with friendly, comfortable care that is specialized to each individual’s needs, and she prides herself on providing the highest quality orthodontic care to each patient.

Dr. James is a faculty member at Temple University Kornberg School of Dentistry in the Graduate Department of Orthodontics. She is a member of the American Association of Orthodontists, Mid-Atlantic Society of Orthodontists, New Jersey Association of Orthodontists, American Dental Association, New Jersey Dental Association, Southern Dental Society of New Jersey, Cooper Hospital Regional Craniofacial and Cleft Palate Team, and the Charles H. Tweed International Foundation for Orthodontic Research.  She is also one of several international instructors for the Tweed Foundation.

After graduating cum laude from Dickinson College, Dr. James received her Doctorate in Dental Medicine from the University of Pennsylvania and her Orthodontic Certificate of Specialty and Master of Science in Oral Biology from Temple University. She completed a one-year hospital-based general practice residency in San Francisco, a two-year commitment as a general dentist, and a two-year orthodontic residency before opening her practice in both Haddonfield and the Long Beach Island area in New Jersey.

Dr. James is an active member of Rotary International and travels with Rotaplast to third-world countries working with a team of specialists to perform cleft lip and palate surgeries and reconstructions. She has traveled to China as an Orthodontic delegate with People to People and has lectured to the General Dental residents at UMDNJ.

Skin Care

iStock_000015171694XSmallBaby, it’s cold outside, and your skin is probably taking the brunt of the damage. With Valentine’s Day around the corner, deme’s clinical aestheticians shared their advice on how to show your skin some love during these cold, harsh times.

Between the icy winds and wet snow outside, and the drying heat inside, it’s easy for skin to become dry, flaky, and even cracked during the winter months. The key to dealing with dry skin is exfoliation. Often when skin is dry, patients tend to load up on heavy creams to compensate for the dryness that they are experiencing. What people fail to realize with dry skin is that dry or even dead skin cells buildup on the surface and need to be removed. Layering on heavy creams and lotions is like trying to rehydrate the dry or dead skin cells, which is not going to solve the problem. Instead, increased exfoliation is an effective way to remove the dry skin cells, and then moisturize the new skin cells. This process will result in softer, moisture-balanced skin. In addition to this, the active ingredients in your moisturizers and serums will now be able to work better for your skin on a deeper level. Often times, cleansing brushes like the Clarisonic are the perfect option for this light exfoliation. These brushes will also tackle the skin all over your body, not just your face, with specific targeted brush heads, and work to remove dirt and bacteria from pores. Be sure to clean your brush head after each use with warm soapy water and replace every three months for best results.

If you are experiencing all around dull, dry, or flaky skin this winter, remember to exfoliate and follow up with deme’s Antioxidant Hydrating Body Lotion and deme’s Glycolic 15% Body Lotion. For more information on hydrating skin care regimens, check out our post from October’s Little Black Book http://bit.ly/1oNHTHD


Drink-this-DailyIf you’re having trouble keeping that New Year’s resolution now that January is over, your body could be craving a healthy balance. Try this light, citrus drink from Young and Raw for alkaline balance, reduced inflammation, and clearer skin.


1-2 cups water (room temp or hot water are both fine based on preference)
1 lemon, juiced and sliced
1 tsp. apple cider vinegar
1 tsp. aloe vera
1 tsp. honey is optional for sweetener and antibacterial properties
optional – toss in some herbs like mint or basil for digestion or inflammation support

What Makes this Drink So Special?

1. Lemon
Lemons have astringent qualities and are alkalizing, even though before you consume them they’re acidic. Consuming lemons and other Vitamin C rich foods assist with iron absorption which means more sustainable energy, because if your iron stores are low, you’re sure to feel fatigued. Lemons can also stimulate the liver, promoting detox and a clearer complexion. Unless you suffer from heartburn or another GI issue, drinking lemon water daily can be extremely rewarding and give you a bit of a glow!

2. Apple Cider Vinegar
Apple cider vinegar is an age old remedy for literally dozens of health issues. Just check out this post 35 Awesome Ways to Use Apple Cider Vinegar for more ideas. “ACV” is often used to combat acid reflux caused by an underproduction of stomach acid, but that’s not all.

It’s commonly consumed because it’s rich in enzymes and helps to balance the bacteria in the gut, which of course leads to healthier, more beautiful looking skin. Some people consume apple cider vinegar in their morning drinks daily and have the most gorgeous skin ever. Diabetics may turn to this potent elixir to help lower their blood sugar and augment their insulin response.

3. Aloe Vera
Most of us know aloe vera for its healing properties when applied to the skin, usually to treat a cut or a burn. However, aloe vera can also be consumed internally and while its flavor alone isn’t the main attraction, it’s palatable and easily disguised among other flavors. Aloe vera is often used to treat gut issues, and some research has been done to discover whether or not aloe vera can be used to treat concerns like colitis and diabetes. This is another plant that does wonders for the look and feel of the skin and many report that taking aloe vera regularly results in clearer, brighter looking skin.

4. Honey
Honey has been a sacred food for as far back as we can go. It’s been used as food and medicine for thousands of years, and today is still touted for its antibacterial, anti fungal properties – and is the most common reference and rebuttal to Michael Pollan’s Quote “Don’t Eat Anything that Doesn’t Rot”. Why? Because honey doesn’t rot, and almost everyone will agree that it’s a naturally perfect medicine. While honey is high in sugar and should be consumed very mindfully, medicinally it’s really quite good for fighting infection and can even be applied to the skin to help treat acne and scarring.

5. Mint & Basil
Fresh wild and culinary herbs are a wonderful addition to any diet! Mint is a well-known remedy for digestive issues and easing nausea, though it doesn’t hurt knowing mint also contains minerals and anti-inflammatory compounds as well. Basil is also anti-inflammatory and flavorful added to food and beverages with a healthy twist.

Taken from http://www.youngandraw.com/drink-daily-alkaline-balance-inflammation-clear-skin/


Look Effortlessly Sexy for Valentine’s Day

526364_618774974819453_1956717465_nWhen it comes to Valentine’s Day make-up, keep it either soft and romantic or bold and sexy. To get a sexy, smoldering look, start with a smoky eye. When choosing the right color, it’s best to go with a dark color like charcoal grey, chocolate brown, or even a deep plum. Don’t be afraid to add some shimmer to your eyelids or your inner corner for a pop. To properly enhance your eyes use lash thickening mascara and winged eyeliner. Do not fear the liner ladies! You can use little tricks such as tape or the three dot method. If you are not familiar with these techniques hit the internet and check out the many eyeliner tutorials that are now at your disposal; you would be amazed at how easy this can be. Add false lashes for intense drama.

Apply basic blush on your cheeks to complete this impressive look. A bold lip color is too much when paired with a smoky eye so it is best to compliment this look with a subtle nude lip color and a coat of clear gloss. If you’re all about the red lip for Valentine’s Day, skip the smoky eye and stick to just liner and lashes and let your lips be the focal point.

For a low key night, keep your makeup simple. Focus on making your skin look its best! Aim for natural, feminine beauty by applying a light-reflecting sheer foundation, and use concealer only where you need it most. If you have a particularly oily t-zone, dust with translucent powder to set. Add some extra warmth to skin, finish with a light dusting of bronzer along the edges of your face and gently across the bridge of the nose where the sunlight would naturally fall. Brush on a light neutral eyeshadow and if you want to take it up one more notch, using a fine eyeliner brush, apply a thin line of shimmery mocha shadow just under the roots of the lower lashes and blend to touch in the inner corners to open up your eyes. Makeup for a night in should be soft and subtle so add pink or peach gloss to your lips and a few swipes of rosy or sheer pink blush. Don’t forget to pump up the lash volume by curling your eyelashes and following up with your favorite volumizing mascara.


Families and friends of those who are struggling with substance use or compulsive behaviors are often faced with on-going, painful problems. They may worry about their loved one’s well-being, fear the consequences for themselves as well as their loved one, and feel frustrated and angry at being mistreated (deceived, abandoned, treated harshly, etc). There may be legal, health, financial, work, child-care, and other problems.

Join us for a workshop to review the latest evidence based practices in the treatment of Addictive Disorders and how family members can help their loved ones suffering from problems related to substance use.

Helping Your Loved One Change Their Substance Use: A Workshop for Families

Date: Sunday March 22, 2015
Time: 1-4 p.m.
Location: The National Liberty Museum
321 Chestnut St, Philadelphia, PA 19106
Cost: Free
RSVP by March 1st by sending an email to MichaelAscherMD@gmail.com
Panel and Discussion led by
Michael Ascher, MD and Susan Schack, PhD

Read the recent Huffington Post article below coauthored by Dr. Michael Ascher regarding this matter.

10 Effective Tips to Help Your Loved One Seek Treatment for a Substance Use Problem

When an individual is in the throes of struggling with substance problems, chaos becomes a regular part of life for both the individual (also known clinically as the identified patient, or “IP”), and his or her family. As mental health clinicians, we spend a great deal of time working with desperate family members in their journey to help the IP to enter treatment. The families we work with experience a confluence of emotions including sadness, guilt, hopelessness, anger, frustration, and fear. When we first meet with these families it is clear that they have exhausted many of their coping mechanisms and resources to influence the IP in the direction of change. At this point, pleading, threatening, arguing, confronting and avoiding have all been tried with limited success. Unfortunately, and in addition, family members can be struggling with their own mental health issues including anxiety, depression, substance use issues, and trauma in part due to and/or exacerbated by the stress.

Feeling alone, stigmatized, and devastated, families are left with many questions. “How did my loved one get to be like this?” “What could I have done differently?” “Why does he/she continue to hurt themselves and us so recklessly?” “Am I an enabler? “Should I just cut the person off or administer tough love?” “What is their rock bottom?” While many families are convinced that the IP “doesn’t want to change,” we regularly point out that although a part of them might desire change, they may not feel they have the skills to do so currently.

In spite of such tragedy, we feel incredibly lucky and privileged as clinicians to work with these inspiring and resilient families because individuals and families can and do change! While good outcomes are attainable over time, it is imperative for families and the IP to recognize that the management of substance use disorders is a process like any other chronic medical condition (e.g., diabetes, hypertension and obesity).

Regrettably, there is an abundance of misinformation available to the general public regarding the treatment of substance use disorders. Reality television shows often portray dramatic and provocative “interventions” that claim to result in radical change. Unfortunately, these types of approaches rarely work and can serve to alienate and shame the individual, often leaving him or her with lower self-esteem, self-hatred and hopelessness. To make matters even more complicated, the person being confronted is often under the influence of a substance leaving them very fragile, impaired, disinhibited, defensive, and demonstrating poor judgment with an inability to comprehend the nature of the intervention.

In this post, we provide 10 tips that may increase the likelihood of getting your loved one to engage in treatment (or change of any sort!) while keeping you as healthy as possible.

1. Your own self-care is essential.

2. Establish your own personal limits.

3. Avoid terms that carry stigma such as “addict,” “enabler” and “co-dependent.”

4. Learn to communicate in a nonjudgmental way. Explain to the IP that this struggle is different for everyone, and that there are any number of paths to change that could be helpful.

5. Recognize strengths of the IP. Validate their experience. Acknowledge that their substance use behaviors do not define who they are as a person.

6. Make a commitment to addressing your own issues (seeking your own treatment) with the IP. Own your piece of the struggle.

7. Empathize with the dilemma of ambivalence that the IP faces.

8. Respond effectively to this ambivalence and subsequent reluctance to change from the IP. Understand their point of view. Stay away from threats. Invitation works better.]]}9. Seek outside consultation from a clinician you trust. Learning how to communicate with the IP in the most optimal way takes time. Learn to control the way you deliver a message.

10. Suggest the first visit to a mental health provider be simply “an initial consult to find out what treatment options exist.” The focus of the consult could be managing stress and anxiety and not necessarily addiction per se.

Dr. Michael Ascher serves as a clinical associate in psychiatry at the University of Pennsylvania, Philadelphia and is in private practice. He is coeditor of “The Behavioral Addictions” (Washington: American Psychiatric Publishing, 2015).

New Year’s Beauty from A to Z


With all the sweet treats around the holidays, it’s time to start your new year off right. From skin care and injectables to dentistry and nutrition, deme’s team of experts can help you keep your resolution with any of the services on our list from A to Z. Find something that will fit your beauty needs and keep you looking and feeling great all year long!

A  ARTAS Robotic Hair Transplant

B  Belotero and Botox

C  CEREC Crowns

D  Dysport

E  Eyebrow Shaping

F  Facial Fillers

G  Green Detox Smoothies

H  Hair Laser Removal

I  Invisalign

J  Juvederm

K  Kale Recipes

L  Laser Tightening Procedures

M  Make-up Permanent

N  Needling Skin Treatments

O  Orthodontics

P  PST Gum Recession Procedure

Q  Quit Smoking

R  Restylane and Radiesse

S  Sonicare Toothbrush

T  Tone and Texture Skincare Treatments

U  Ultherapy

V  Voluma

W  Whole Food Nutritional Counseling

X  Eyelash eXtensions

Y  Youthfulness

Z  Zoom Teeth Whitening

Plastic Surgery

For the past few weeks, there has been increasing conversation regarding the idea of a temporary breast augmentation that can be achieved by injecting saline, or salt water, into the breast.  The breast is literally inflated like a water balloon and the results last for up to a couple of days until the body absorbs the saline and the breasts go back down in size.

Admittedly, it is an intriguing concept.  It can give the inquisitive woman the chance to feel what it is like to wear the “glass slipper” of larger breasts for a night or two, or allow the patient who is interested in a breast augmentation the chance to “try out” different size breasts before committing to a permanent implant.

Despite its seemingly innocent nature, however, I have serious concern with the use of this, as yet, unstudied concept.  While it may cause little damage to women with dense, fibrous breasts, less dense breast tissue could be damaged by the rapid inflation and pressure caused by the salt water injection.  Rapid increases in pressure caused by the injection of the saltwater could prevent oxygen from getting to some of the breast cells.  This could cause cells to die and get resorbed, leaving the patient with less breast tissue after the treatment than they had prior to the injection.

Secondly, breasts are held in position by very important ligaments, called Cooper’s ligaments.  As many women who have gone through childbearing know, enlargement of the size of the breast tissue can stretch and damage these ligaments, leading to increased sagging of the breasts once the temporary volume is lost.  This could potentially occur after the salt water injections as well.

Lastly, as plastic surgeons have better ability to guide patients through the choice of breast augmentation techniques and size choices, the more invasive option of “trying out” breast enlargement through salt water injections is essentially obsolete.  In our office, we are now able to take a 3-dimensional image of a woman’s breasts and show them in 3-D what they will look like with varying size and dimension implant options.  They can even see what they would look like in tank tops and bathing suits.

If studies begin to show us who the safe candidates are for the salt water weekend breast augmentation, it may become an option worth considering for a chance to experience larger breasts, but until then, the idea should be approached with caution to avoid the risk of a tragic permanent change to the breasts after a weekend “experiment.”

Kevin J. Cross, M.D

Make this holiday season a healthy and happy one with deme!

Each month we’re here to give our fabulous followers the latest news and insider tips from deme’s team of experts. December has arrived, and for some, it’s the most stressful time of the year. Don’t let the busy holiday season take its toll on your health and beauty! Check out our “nice list,” and give yourself the gift of a stress-free, healthy holiday with any of our services.

With every wish for your continued health and fabulousness,

Your devoted team at deme.

1. Eyebrow Shaping and Tinting

Treat yourself to a stay in Ani White’s chair for flawless eyebrows, sculpted to perfection unique to your face.

2. Eyelash Extensions

In only two hours, your lashes will be ready to flutter through this year with lightweight, luscious mink or synthetic extensions.

3. Teeth Whitening

Relax for 90 minutes while your teeth achieve their brightest white for all of your holiday parties and the new year to come.

4. Botox and Fillers

Turn up the volume in your face and refresh your look with one of the many cosmetic injectables available at Cross Medical Group.

5. Go and Glow Chemical peel

Let your face be bright for the holidays; come to deme for a peel, glow, and go! No downtime, it’s that simple.

Get holiday ready at deme!

Each month we’re here to give our fabulous followers the latest news and insider tips from deme’s team of experts. It’s November, and the holiday season is upon us. The time is here for you to stuff the bird and carve some pumpkins, so you might as well look and feel great while doing it. Learn how you can take on this holiday season with beauty and poise in November’s edition of deme’s Little Black Book.

With every wish for your continued health and fabulousness,

Your devoted team at deme.

Skin Care

ICE_FaceBookPost_Series-1_OpBSoprano ICE Laser Hair Removal

Make a smooth entrance into all of your upcoming holiday gatherings with the help of Soprano ICE, the coolest new trend in laser hair removal. This new technology from Alma Lasers offers a cooler, faster treatment method for hair removal. Numerous cooling mechanisms create a virtually painless experience without anesthesia or numbing gels. No matter your skin type, Soprano ICE can work for you. Rather than exposing individual hair follicles to a single high energy pulse, which can cause trauma to skin with a high melanin count, the laser technology gradually heats the skin until the required heat energy is delivered to the hair follicle. This provides optimal safety and comfort for all, especially those with darker skin types.

Soprano ICE is clinically-proven to create smoother results while minimizing the chance of negative side effects. It is FDA-approved and safe to use on skin year round. So while the winter weather may take its toll on your skin, Soprano ICE will not!

 Cosmetic Injectables

What Ages Us Most? By Maria Schafer, RN, BSN 

During this time of year, nothing seems to cause more gray hairs and wrinkles than hosting your in-laws for a holiday dinner, but what do you think ages your appearance the most? Is it lines and wrinkles? Is it discoloration? Sagging skin? Truthfully, it is a combination of all of these factors, but there is one major underlying cause that contributes to the sagging, lines, and wrinkles that appear. The answer is a loss of fullness.

It is the cruel irony of aging that as we grow older, we seem to accumulate fat around our bellies, but we lose the fat in our faces. The youthful face presents a picture of a face with full, rounded cheeks. That is because fat plays a large part in filling out the skin and keeps our faces looking smooth and supple.

However, the loss of facial fat is not the only factor in this equation. There are also muscular and skeletal changes that affect the aging process. All of this adds up to an overall decrease in facial fullness.

So, if loss of fullness is primarily responsible for aging our faces, then why is a face lift the go-to procedure for some looking to reclaim a younger appearance? The truth is, many patients have other, more effective options. More practitioners are seeking to improve the appearance of the aging face not through stretching the skin tighter, but filling it from the inside. Enter the age of the Liquid Face Lift.

What Is a Liquid Face Lift?
A liquid face lift is the lifting, plumping, filling, smoothing, and re-contouring of the face with the use of injectable dermal fillers such as Juvederm, Restylane, Perlane, Radiesse, and Sculptra.  As part of the overall procedure, these products are often used together in addition to Botox or Dysport.

The Use of Botox or Dysport
The use of Botox or Dysport along with dermal fillers can make for better and longer-lasting results. When injected into certain areas, they effectively relax the muscles that are responsible for making certain facial expressions. These repetitive facial expressions contribute to the breakdown of collagen in certain areas, leading to deep creases and expression lines. Repeated overuse of surrounding muscles will cause the filler to breakdown more quickly. This breakdown shortens the longevity of the filler so that more injections are needed to maintain results.

Face Lift of the Future?
The liquid face lift seems to be a good option for addressing the signs of aging without going under the knife. In many ways, the risks seem less than those of a surgical approach and the results can be quite impressive from an aesthetic standpoint. However, it is important for you to decide if it’s worthwhile to go in for a touch-up periodically to maintain your results. It is important to remember that the aging process does not stop and these procedures are necessary to maintain a youthful appearance.


Healthy Holiday Recipes

Is your family sick of eating the same holiday meal year after year? Spice up your menu with fresh new recipes that will keep your family healthy and happy! deme’s nutrition expert Tracey McDermott shared her seasonal treats that make for a holiday dinner that everyone will love.

Kale and White Bean Soup 

italian white bean, potato and kale soup 2Yields 10 cups
Time: 1 hour

1⁄2 cup sun-dried tomatoes
2 tablespoons olive oil
1 1⁄2 cups chopped onions
2 garlic cloves coarsely chopped
2 teaspoons salt
2 teaspoons ground fennel seeds
1 small fennel bulb, diced (about 2 cups)
1 cup diced carrots
1 1⁄2 cups diced potatoes
2 teaspoons dried thyme or 1 tablespoon fresh
1⁄4 teaspoon ground black pepper
3 cups chopped fresh tomatoes or one 15-ounce can diced tomatoes
3 cups cooked white beans (two 15-ounce cans drained)
4 cups water or vegetable stock
5 or 6 cups loosely packed chopped kale
3 tablespoons fresh lemon juice
If you don’t chop the fennel and carrots beforehand, you’ll probably have trouble keeping up with this cooking schedule. On the other hand, it doesn’t hurt to cook a little longer at each stage.

In a small bowl, soak the sun-dried tomatoes in boiling water to cover. In a covered soup pot on medium-low heat, warm the olive oil. Add the onions, garlic, and salt and cook for about 5 minutes. Add the ground fennel and diced fennel bulb and cook for about 3 minutes. Stir in the carrots, potatoes, thyme, and black pepper and cook for 3 minutes. Add the tomatoes, beans, and water or stock and bring to a boil. Reduce the heat and simmer, covered, until the potatoes are just tender. If the soup is too thick, add another cup of water. Meanwhile, remove the sun-dried tomatoes from the soaking liquid and coarsely chop. Add the kale and sun- dried tomatoes to the pot. Simmer for about 10 minutes, until the kale is tender. Stir in the lemon juice. Season with more salt and black pepper to taste. Serve with bread and cheese. Fresh fruit would be good, too. Enjoy with friends!

Excerpted with permission from The Moosewood Restaurant Favorites: 250 Most Requested, Naturally Delicious Recipes from one of America’s Best Loved Restaurants

Kabocha Squash Soup

3 1/2 pounds kabocha squash (approximately 2 medium sized squash, enough to yield 3 1/2 cups meat), halved and seeded
2 tablespoons sesame oil
2 cups medium diced onion (1 medium or large onion)
1/2 teaspoon sea salt + some to taste
1 quart water
1 stick kombu (in sea vegetable section of Whole Foods, Essene, etc. Lightly rinse before using)
1 tablespoon + 1 teaspoon fresh ginger juice (grate fresh ginger into cheesecloth, squeeze into bowl)
umeboshi vinegar to taste (sold in sea vegetable section Whole Foods, Essene etc. Enhances flavor, use sparingly during cooking, also add dash before reheating/serving if desired)
1 to 2 scallions, sliced thinly to garnish serving bowl
pumpkin seed oil (found at Whole Foods, Essene or specialty food stores…delicious & so worth it!)

Scrape stringy fibers from squash. Steam squash in a large covered pot over boiling water until soft, 15 minutes or so. Transfer to a bowl and let cool. Heat oil over low heat in a 3-4 quart saucepan or stock pot. Add onion and salt and cook gently on low heat so onions don’t brown, very slow for about 20-30 minutes, stirring often to prevent browning. Add water and kombu to onions; bring to a boil and simmer, covered for 10 minutes. Remove kombu. Using a large spoon, scrape flesh from squash skin (there should be about 3.5 cups of flesh/orange meat). Discard skin. In several batches, combine 1/2 blender full of orange meat with 1/2 blender full of onion/water broth in high powered blender. Process until smooth and creamy. Continue until all soup is smooth and creamy but flows easily with a spoon, not in thick mounds. Pour blended soup back into soup pot if not already. Reheat and stir in ginger juice. Season to taste with salt and umeboshi vinegar. (Umeboshi is salty so drizzle in increments and taste) Garnish with drizzled pumpkin seed oil and scallions if desired.

Yields 4-6 serving, can double with exact measurements. Copyright by Jenny Matthau. All rights reserved.

 Hair Rejuvenation

Hair Transplantation

Procedure-Small1Hair transplantation is a common procedure among men and women with balding and thinning hair. At deme, Dr. Thomas Griffin of the Griffin Robotic Hair Restoration Center of Philadelphia practices the ARTAS Robotic Hair Transplant, the latest advancement in hair restoration technology. Dr. Griffin answered his patients’ most frequently asked questions so you can decide for yourself if ARTAS is right for you.

How does the ARTAS Robot work?
A: The ARTAS Robotic Procedure is a minimally invasive hair restoration solution that leverages digital imaging and precision robotics to harvest healthy hair grafts for transplantation. ARTAS provides natural-looking, permanent hair by removing the patient’s own hair that is not subject to pattern baldness and transplanting each follicle individually for the most natural results. There is no need for the surgical removal of a band of tissue from the back and sides of the head, no linear scar left after surgery, and no need for stitches or staples to close the wound. The benefit is a quick recovery time and the ability to return to normal activities and work sooner. Patients are typically awake, watching a movie or listening to music while the procedure takes place.

Q: How is the ARTAS procedure different from the old hair transplant techniques?
A: The old fashioned technique of “hair plugs” required the harvesting of large patches of hair that left patients with an awkward and unnatural hair appearance once implanted. In the ARTAS Robotic Procedure, hairs are harvested in their natural groupings and then transplanted individually by the physician. Individual transplantation provides a desired look of an even hairline and a fuller head of hair.

Q: Is the procedure painful?
A: Patients experience virtually no pain, only some minor discomfort. Some may experience swelling, which usually subsides in about three days. The procedure is performed in a doctor’s office and only requires a local anesthetic.

Q: How long is the recovery time?
A: Recovery time is quick. Patients return home immediately and are typically back at work in a few days.

Q: How long does the procedure take?
A: Each patient’s needs are unique, so the ARTAS transplant usually takes anywhere from four to eight hours. Patients are comfortably seated throughout the process.

Q: Will there be visible scars after the procedure?
A: Since the ARTAS System does not require the removal large areas of hair follicles from the scalp or suturing, patients experience minimal scarring in the donor area. Your hairstyle will not be limited by having to cover up scars.


unnamedWe are very proud and excited to announce the release of The Behavioral Addictions, a new book by deme’s very own Director of Psychiatry, Dr. Michael Ascher and his colleague Dr. Petros Levounis.

The Behavioral Addictions is the first American Psychiatric Publishing title to explore the diagnosis and treatment of patients who suffer from behavioral addictions, extreme forms of which share specific characteristics with severe forms of substance use disorders. These characteristics include tolerance (the need to use the substance or perform the troublesome behavior at higher doses, or more and more frequently, in order to achieve the same effect); withdrawal (feelings of restlessness, irritability, and discontent following abrupt discontinuation of the substance or the behavior); obsessive thinking and planning that block out anything other than obtaining or engaging in the addictive agent or behavior; and accompanying external consequences in related to finances, health, interpersonal relationships, legal affairs, etc. Although not all behavioral addictions are currently recognized as such by DSM-5, both substances and behaviors can hijack a person’s pleasure-and-reward brain circuitry, causing great suffering.

This case-based volume is practical and engaging and offers many features that make it not only informative but also accessible and entertaining:

  • Behaviors covered, both those widely recognized and those less commonly accepted, involve exercise, food, gambling, Internet gaming, Internet surfing, kleptomania, love, sex, shopping, work, tanning, and e-mailing/texting.
  • Introductory chapters discuss the relationship of behavioral or process addictions to substance use disorders across many spheres, and they provide an overview of the behavioral addictions from neurobiological, theoretical, clinical, and forensic perspectives.
  • Gambling disorder is now classified in DSM-5 as a behavioral addiction, lending credence to the construct of behavioral addictions and providing precedent for future consideration of other behavioral addictions, such as those highlighted in the volume.
  • Each chapter focuses on a real-life case study of a patient with a behavioral addiction. Videos that accompany the volume demonstrate encounters between a clinician and a patient exhibiting an addiction. This puts material on assessment, treatment, etc. into a real-world context.
  • Key points for review and multiple-choice questions are included at the end of each chapter.

Not simply an exaggeration of everyday social and personal ailments, these behavioral conditions present clinicians with unique and poorly researched challenges in everyday clinical practice. The Behavioral Addictions helps the reader to determine not only where to draw the line between healthy and unhealthy levels of participation in a behavior, but also how to intervene in ways that are therapeutic, effective, and evidence-based.


 Holiday Make-Up Trends

collection-Beautiful-Holiday-Eye-Makeup-2014For the holiday season, sparkles can be your go-to look for a festive face, but a completely matte finish can be just as striking. To get that flawless, matte face for your seasonal gatherings, start by applying a primer specifically designed to soak up oils then follow up with a liquid foundation. Add a powder on top for an even finish. A bright red lip and some simple black eye liner will complete the look. If you’re feeling more daring, try a dark lipstick- but be careful to keep it glam, not goth! Balance out a deep berry shade with a heavy mascara.

For a more festive aesthetic, you can never go wrong with a little sparkle for the holidays! Apply a silver or gold metallic shadow all over your lids then add a shimmery black liner to the outer lid corners. When choosing a metallic shadow, consider products with a cream-based formula for a bold impact and keep the rest of your makeup matte so your eyes really shine. Finish off the look with some matching pink blush and lip gloss.

The key take away from this season is bold colors. Do not limit yourself to black liner. A shimmery blue-green shade is a gorgeous match for brown eyes. Green-eyed girls can try a purple liner while blue eyes will really pop with a bright magenta or reddish violet. Liquid liner works best with brighter hues since it won’t smudge as easily as a pencil. For a fresh spin on a classic cat eye, use an ultra-thin liquid or felt-tip eyeliner to draw a wing from your outer corners, angling it towards your temple. If you’re using a colored liner, again, keep the rest of your look basic with the eyes being the focal point.

If you’re having trouble choosing a color palette, purple is the eye shadow color of the season. It’s easy to wear, and so much more fun than traditional neutral shades. To keep it from feeling “costumey,” choose a light plum shadow with a slight shimmer, and stick to black mascara and liner at the waterline. If you want to go that extra mile, add a strip lash or individual lashes to create that over-the-top look. If a smoky eye feels a little too much for you, try rocking a less intense version of the trend by layering nude and light gray shadows, but skipping the eyeliner altogether. Add mascara to your top lashes only.

bronzed-Step-2-croppedIf you prefer simpler make-up, create a cool monochromatic look by sticking to one shade for your eyes, cheeks, and lips, but mix up the finish on each feature. Do a neutral shimmery eye, matte cheeks, and glossy lips to keep your look from feeling flat. Add a pretty glow this winter by swapping your blush out for bronzer. Choose a bronzer that is just a shade or two lighter than your skin tone for a pretty, natural glow. The key is to apply shimmery bronzer starting at your forehead and sweeping down to hit under your cheekbones and then your jawline. Finish off by applying an illuminating highlighter to the apples of your cheeks. Even if you aren’t headed anywhere warm over winter break, you can always fake that gorgeous glow!

FALL in love at deme!

Each month we’re here to give our fabulous followers the latest news and insider tips from deme’s team of experts. This month, fall in love with the latest secrets from the world of skin care, injectables, cosmetic dentistry, nutrition, make-up, hair care and everything in between. The leaves are changing, and it may be time for your beauty regimen to do the same! Find out in October’s edition of deme’s Little Black Book.

With every wish for your continued health and fabulousness,

Your devoted team at deme.

Skin Care

Hydrating Regimens

skin-brighteningWith the start of Fall comes colder weather and for some, drier skin.  deme’s clinical aestheticians have some advice to help you select the moisturizer that’s right for you.

Always choose a moisturizer based on your skin type. An easy way to determine this is to examine how your skin feels at the end of the day. Is your T-Zone dry, oily, or somewhat normal? Our clinical aestheticians suggest using the following guidelines to choose the perfect moisturizer for you:

Emollient rich creams are the best choice because of the rich hydration content. These creams are ultra moisturizing and softening for the skin. Lactic acid is also a great moisturizing ingredient because it is the most hydrating of the AHA family. 

Serums and water-based moisturizers are best. Hyaluronic acid is a key ingredient for oily skin because it sits on the skin and does not clog pores.

A light lotion or serum is your best bet because they will not clog your pores. Lactic acid is also great for this skin type.

Lotions are a great choice.

No matter what your skin type, make sure you exfoliate before hydrating so your skin can absorb the moisturizer. Some exfoliating ingredients include lactic, glycolic, and salicylic acids. Always remember that moisturizing is just one of many steps in your skin care routine. Follow up with an SPF to protect your soft skin from the rays of the sun.


Teeth Whitening

Fall is officially here, and that means holiday parties are around the corner. You want to look your best and feel confident while taking on the season’s soirees, and sometimes a teeth whitening treatment is all it takes. deme’s dental professionals recently answered some of the most commonly asked questions from patient’s about teeth whitening so you can decide for yourself if the treatment is right for you.


Q: How white are my teeth going to become?
A: At deme, our dental professionals use Zoom Whitening. Factors that affect the outcome of the whitening process are a patient’s age, dental history, beverage consumption (such as coffee, tea, wine and cola) and use of cigarettes and cigars. At a minimum, teeth will become three shades lighter. Healthy candidates can see teeth go as much as five shades lighter. All superficial stains are removed before whitening.

Q: Will I experience discomfort?
A: Each patient is unique so the degree of discomfort varies. Typically, younger patients are more likely to experience discomfort during whitening due to the anatomy of teeth before they age. If a patient is concerned about discomfort, deme’s dental experts recommend taking 800 mg of Ibuprofen before whitening to minimize discomfort and sensitivity.

Q: Who is a candidate for teeth whitening?
A: Yellow responds well to teeth whitening and gray does not. Some people have a combination of yellow and gray, and a dental professional can advise you how effective teeth whitening will be. Crowns and fillings do not respond to teeth whitening. If you intend to whiten your teeth, consult with your dental professional to find out what post-whitening dentistry would be necessary to achieve a beautiful, bright smile.

Q: How long does a treatment take?
A: The session lasts between 1.5 and 2 hours. The preparation time is approximately 20 minutes, followed by one hour of active whitening in which product is applied to the teeth every 15 minutes.

Q: What maintenance is required after a whitening treatment?
A: Custom whitening trays with professional whitening gel and a Sonicare toothbrush are recommended for maintaining your bright smile.

Q: How long should I wait before eating?
A: Patients can eat right away after a whitening treatment, but deme’s dental experts say avoid eating or drinking anything that would stain a white t-shirt for 24 hours!

 Cosmetic Injectables

Understanding Injectable Fillers By Maria Schafer, RN, BSN

As an injector in a busy plastic surgery practice, I see many patients throughout the day requesting more information about injectable fillers. Even with the help of the Internet and mass marketing by the pharmaceutical companies, there is more confusion than clarity regarding the injectable products on the market. As new injectable agents continue to enter the marketplace, more uncertainty continues to grow, adding to the confusion of consumers.

Many patients often ask me, “What do you think I need?”  at the beginning of the consultation. I usually turn this question around and ask them, “What do YOU think you need?”  Injectable procedures are less about needs, and more about what the patient desires. This is why I spend much of the consultation educating my patients before treating them.  When a patient understands his or her treatment plan and what he or she is going to look like after the procedure, he or she is less anxious and feel more at ease during the procedure. The informed and educated consumer makes for a happier client.

Most patients have heard of Restylane and Juvederm, which are examples of hyaluronic acid fillers. These are very popular fillers due to their safety and natural results. They can be used in most areas of the face. Belotero and Perlane are other hyaluronic acid fillers that also fall into this category. Another popular filler is Radiesse, which is composed of calcium hydroxyapatite.  Due to its firm composition, this filler is used to augment the cheekbone or jawline to create a more defined facial structure.

One of the most intriguing products is Sculptra. Sculptra is used to restore facial volume in patients with lipoatrophy.  It is used as a rejuvenating  “volumizer” in patients who would like to restore a youthful fullness to their face. The benefit of Sculptra is that it typically lasts longer than other fillers,  often for several years. I have been able to achieve amazing, and sometimes unbelievable results with this product.

juvederm_voluma_xc_bannerThe newest filler to enter the market is called Juvederm Voluma XC.  Voluma is used for restoring volume in the cheek and midface. It is also a hyaluronic acid filler that is very safe and natural.  It has an excellent “lifting” capability, which is why it is so effective for the cheeks.

Regardless of what filler is used, artistry and a good “aesthetic eye” are essential to achieve consistent and natural results.  An inexperienced injector tends to lead to unhappy patients. It is always paramount to choose an injector with experience and understanding of the anatomy of the face. A discussion about injectable fillers goes a long way during a patient consultation. It is important that patients are aware of the available choices and know what can be achieved.  Whether a patient desires fuller lips or improvement in their facial folds and wrinkles, he or she should be aware that there are safe and effective choices available. With good technique, sound judgment and an aesthetic eye, the best can be achieved. Patients should always remember that these are medical treatments, so do not compromise safety when you look to have an injectable treatment.



It’s October and that means pumpkin is taking over taste buds everywhere. From lattes to muffins and everything in between, pumpkin offers a great flavor to many treats, but the calories that often come along with it are not so great. Tracey McDermott shared her favorite nutritious pumpkin recipes that will give you all the fall flavor you crave with none of the excess calories.

Pumpkin Pie Smoothie from Kris Carr and Oh She Glows 

1 cup unsweetened almond milk
1/2 cup canned organic pumpkin
A healthy alternative to canned pumpkin pie
1/4 teaspoon ginger
1/4 teaspoon nutmeg
1 teaspoon cinnamon
1 teaspoon blackstrap molasses
1/2 frozen banana
Blend in high powered blender such as Nutribullet or Vitamix until smooth.

Pumpkin Pie Baked Oatmeal from My Whole Food Life
These are great for breakfast. Makes one dozen.


2 cups gluten free rolled oats
1/2 cup pepitas
3/4 cup canned organic pumpkin
1/3 cup pure maple syrup
All pure maple syrup is organic but Grade B is best
1 1/2 teaspoon cinnamon
1/4 teaspoon nutmeg
1/4 teaspoon ginger
1/4 teaspoon clove
2 tablespoons coconut oil
2 tablespoons almond milk
1/2 teaspoon sea salt
Preheat oven to 350. Mix all dry ingredients together. Mix all wet ingredients together. Combine the two. Spoon into lined cupcake pan. Bake 15-20 minutes.