The Hottest Beauty Products and Procedures


Whether it’s an anti-aging cream or other treatment, as women, we’re always on the lookout for something revolutionary to stop the clock and keep our skin healthy and radiant. And a genuinely long-lasting lipstick wouldn’t hurt either. So what are the latest beauty trends, including the hottest products and procedures?

Lasers Are HOT


According to dermatologist N. Fred Eaglstein, D.O., founder of the Dermatology and Laser Center in Orange Park, the latest trend is all about big results without surgery and minimal downtime and pain. Indeed, according to The American Society for Aesthetic Plastic Surgery, 82% of the cosmetic procedures performed in 2007 were nonsurgical.

Dr. Eaglstein, who commonly sees patients with photodamaged skin, views laser resurfacing, which “vaporizes the top layer of the skin and rejuvenates underlying collagen,” as the gold standard for severe sun damage. But there are some downsides, including a downtime of about seven to ten days and redness that can persist from one to three months. Now other laser treatments have hit the market, hoping to rival laser resurfacing by providing optimal results without the disadvantages.

Two of the hottest treatments include plasma laser resurfacing and Fraxel CO2 laser. After converting nitrogen gas into plasma, plasma resurfacing destroys skin without sloughing it off, thereby promoting faster healing, says Dr. Eaglstein. He suggests one deep treatment over a series of light ones and adds that because this technology is still new, it’s unclear whether plasma resurfacing works as well as laser resurfacing.

But how does Fraxel CO2 compare to the competition? Though Dr. Eaglstein calls it “the best next big thing” and it heals skin sooner, from what he’s witnessed, this laser treatment doesn’t measure up to laser resurfacing; it only slightly tightens the skin and improves sun damage.

Lipo is So Last Season

Non-invasive procedures like lipodissolve and mesotherapy claim they’re alternatives to liposuction; both deliver a series of shots to dissolve fat around areas like the abdomen, thighs and upper arms. Unlike liposuction, though, these injections work best on people who aren’t overweight and need improvement in a very small area. In an article for MSNBC’s website, Dr. Roger Friedman, a plastic surgeon who performs these injections, says they take away inches, not pounds. Lipo-dissolve injections typically include a mixture with “phosphatidylcholine (a soybean derivative) and sodium deoxycholate (a bile salt),” says Friedman. This type of treatment also known as mesotherapy, actually originated in the 1950’s in France as a brew of vitamins, plant extractions and even medication.
Not only do these procedures offer questionable result, their injection cocktails are not FDA-approved, says Dr. Eaglstein, but there’s also “incredible risk.” Others agree: In the MSNBC article critics of the procedure point out there’s no long-term, peer-reviewed research on safety or efficacy, let alone how these injections actually melt away the fat.

Thermage: The New Facelift?

Continuing on the heels of nonsurgical options, Thermage has been touted as the alternative to a traditional surgical facelift. Instead of scalpels and general anesthesia, Thermage uses radio waves to tighten the skin and improve the appearance of wrinkles, requiring only a topical anesthetic. With downtime and discomfort at a minimum, Thermage is attractive to many patients.

Dr. Eaglstein’s take on it? “It has a good theoretical basis, but there’s no way Thermage tightens the skin like a traditional facelift,” he explains, noting in his experience, there’s a “five to twenty percent chance of improvement.” So along with the short recovery and little pain, expect minimal and short-term results — no more than two years. As Dr. Eaglstein explains for many of these nonsurgical options, “we haven’t gotten there yet, although we’re making progress.”

Botox the Blockbuster, and Fillers, Too

Though Botox has been around for awhile now, it’s still the hottest wrinkle-reducer. Because it weakens the muscle, thereby causing less wrinkling, Dr. Eaglstein uses Botox for crow’s feet and wrinkles in general. For patients with folds or deep creases, he prefers the FDA-approved fillers, Restylane and the relative newcomer, Juvederm, both of which contain hyaluronic acid.

Beautiful Beauty

Professional makeup artist, educator and spa consultant Noreen Young, who also owns a cosmetics and makeup studio here in Jacksonville, says the key to spring and summer colors is to “lighten and brighten up your makeup.” The best way to create a rosy, fresh complexion? With a sheer wash of color and any shade of pink, suggests Young, a color palette that’s particularly popular today. With so much versatility, you can apply pink to your cheeks, lips and eyes.


Always timeless but especially trendy this year is a red pout; the key is to choose a shade that flatters you best, whether it’s a sweet cherry or a more dramatic crimson. Another classic, the smoky eye, has received an update: this year, it’s all about various shades of gray and gold. The summer and spring also usher in an old friend — the sun-kissed look. Give your pink blush a short break, and apply bronzer along your cheekbones for a radiant complexion.

In Vogue Ingredients

Dr. Eaglstein uses such newcomers as Prevage — which contains the effective anti-aging ingredient idebenone — and Vivite — a product that combines alpha hydroxy acids and antioxidants, so it absorbs free radicals and stimulates collagen.

With a track record of well-documented efficacy, alpha hydroxy acids and retinoids are ideal, classic ingredients for improving the quality of the skin, boosting collagen and helping with wrinkling, says Dr. Eaglstein. If you’re prone to acne then there are acne-friendly body washes that just might help you deal with your acne scars.

Additionally, antioxidants have bombarded the beauty market. According to Dr. Eaglstein, the best studied is vitamin C, which helps to absorbs free radicals; in fact, after sunscreen, vitamin C is the second line of defense against sun damage. Young agrees, who says she loves vitamin C products because the “skin just glows.”

Luminous skin is always in, and there’s an array of hot ingredients that help revitalize your complexion. Alpha lipoic acid, an antioxidant that occurs naturally in the body and is found in food, “helps cell turnover and smoothes the complexion with its gentle exfoliation,” says Young. Similarly, fruit enzymes also “gently slough off dead skin cells, helping skin turnover and repair and rejuvenate the skin,” adds Young. A mega-moisturizer, pumpkin also acts to clarify the skin. Other “in” ingredients include peptides, which “help cell turnover and improve the texture of the skin,” and coffee grains, which “exfoliate dead skin and supposedly improve cellulite over time.”

Buzz Words in Beauty

Young says the latest beauty products are all about nourishing and multi-tasking. With nourishing beauty, a lipstick isn’t just a lipstick, or as Young puts it, “the lipstick of today isn’t your mother’s lipstick,” because it not only paints your lips with color, but it also contains vitamin C, olive oil and avocado oil that nurture the lips with moisturizing products. Other great ingredients that nourish and moisturize the skin include shea butter, macadamia nut oil, rose oil, grape seed oil, olive oil and jojoba, says Young.

As a multitasking product, a face bronzer doesn’t just provide you with a sun-kissed look, but it also makes a gorgeous blush or eye shadow when wet, says Young. Another product that’s picking up really well are vitamin c serums with hyaluronic acid, they’ve been getting a lot of attention from big names like Oprah and Doctor Oz.

A lip stain becomes a lip plumper, lip gloss and cheek stain, she adds. Multipurpose products are perfect, especially when they reduce the spread of bacteria, while keeping your complexion fresh and irritation-free, as is the case with what Young refers to as “shine busters” or Asian powder papers, a combination of a light powder and face blotter that takes up the oil — certainly a must-have to combat our scorching summers.

The Bottom Line in Beauty and Trends

Though Young recommends staying up-to-date as a whole, she explains, “Don’t feel you have to do something only because it’s a trend; do what’s right for you, and use what makes you feel comfortable.”

In addition, with such a large number of products and procedures hitting the market, one of the problems with trendy skin care and of-the-moment treatments is “they get thrown out on the market too soon and aren’t regulated enough,” says Dr. Eaglstein. He suggests people go with what’s been studied, reported in a reputable journal and proven to be effective.

Food, Mood and Lifestyle: A Matter of Balance


You’ve just set a goal that once and for all you’re going to start eating better, even drop some pounds in the process. So it’s kick that snack attack, forget the fries, can the cookies… first thing tomorrow.


Actually, simple shifts in selecting and preparing food can enable you to cope with stress, strengthen your immune system, eliminate cravings and smooth out your moods. First, comprehend that no single diet, from vegetarianism to Dr. Atkins, no ideal food exists that will work for everybody. “The proper diet is what’s proper for the individual,” says Grace Justiss, a holistic health counselor based in Orange Park. “There are as many roads to health as there are people.” Although eighty percent of the calls St. Augustine-based nutritionist Jackie Shank receives are regarding weight loss, each client means “you take a person and start over,” she says.

Next, “fragmented foods” are the cause of many of our dietary woes. Fragmented foods are fast foods or convenience foods: highly processed and laden with white flour, white sugar and unhealthy fats as well as “lite” foods that go heavy on pseudo sweeteners plus other synthetic ingredients to extend shelf life or create “mouth-feel.”


“When you’re eating fragmented foods your thinking is fragmented,” observes Justiss. For more than 25 years she has started her clients — many of them seriously ill in the beginning — on the path toward achieving health through eating whole-foods by taking down their life stories and creating what she calls a “roadmap for where they want to go.” Underlying virtually all of the immune disorders she encounters, such as chronic fatigue syndrome, lupus and fibromyalgia and their accompanying brain-fogs are candida yeast infections. Candida is known to run rampant when there is excessive white sugar and high-gluten flour in the diet.

“We’re always under allergen attack, fogged-out from the high gluten in our diets,” says Millie Barnes of Ponte Vedra, who coaches weight loss and lifestyle management. “Gluten is a mucoid fiber that many have no ability to digest,” she notes. It is widely used, notably in the baked goodies we crave.

“We are using it as anesthesia,” Barnes continues. “People are getting an average of fifteen to twenty servings a day, often three to four in each meal.” What we cannot digest cannot give us nourishment. “Because we’re malnourished, we then crave fats,” she says, adding, “What we’re really craving is depth of nutrients.”


Partly to blame, according to Shank, is the Food Pyramid, which says we need six to eleven servings of bread, rice, cereal and pasta daily. “That’s way too much,” she says. Shank’s preferred yardstick is the Glycemic Index, which measures how fast individual foods raise blood sugar. “If you’re eating high-GI foods, they turn to sugar quickly in the body.” High sugar intake increases insulin production, and that can lead to more body fat.

To get past the white stuff, Justiss offers several alternatives: brown rice syrup, raw honey, maple syrup and stevia powder or extract. All take longer for the body to break down, avoiding the “quick hit now, crash later” syndrome.

When time is tight, use high-quality convenience foods like quick-cooking brown rice, suggests Justiss, pointing out, “Variety is essential.” Vary the flavors, cooking methods (steaming, broiling, sauteeing, baking), textures and colors. “If you do that, you will find balance,” Justiss states.
Barnes has her clients drop dairy products the first month, another source of allergens for many, and add lots of greens. The kids get started on fruit smoothies. Over the next two to three months the family graduates to seafood. “Six weeks later, you’re sleeping better and there are no more circles under your eyes,” she says enthusiastically.

Shank says she changed the direction of her practice when she realized “the profound effect of food on how we feel.” Her foremost question to new clients is, “Are you eating normally?” She finds that many are not eating normally, especially women in their forties to fifties who have been dieting for years.

A licensed nutritionist and dietitian for fifteen years, she sees a typical pattern: light foods and diet Coke, nibbling throughout the day. When this routine is constant, she notes, people are not responding to brain chemicals signaling the need to eat, especially carbohydrates, and “this sets them up for a food frenzy in the evening.” When the signal peaks at five a.m., Shanks suggests giving the brain its favorite food source — carbs.

This could be a bowl of oatmeal with a little honey. “Doing things like that wards off trouble later,” she says, adding that if we don’t respond because we’re into a high protein diet, a late day binge is inevitable. Shanks begins with creating a “whole health diet” with simple recipes slanted toward fish, whole grains and plenty of fresh vegetables.


Truly, “kids, stress, work are obstacles,” she says, describing “busy mom who goes through the day taking care of everyone’s needs but her own. She needs to learn coping skills.” As a self-awareness practice, Shanks suggests keeping a “food and mood” journal of what you’re thinking and feeling when you start and finish eating.

“People who are stuck in diets are afraid to go out and eat in public. They can’t let go of shame,” observes Lori Osachi, director of The Body Image Counseling Center (BICC), which opened in Jacksonville two years ago. The center is a place to figure out if you’re emotionally overeating, bingeing or purging — to find out why you feel bad about your body. Emotional overeating is one way of “numbing out” problems or pain that’s often rooted in traumatic events long past. Eating, like drinking or smoking, is a form of comfort.

Though a team approach, BICC’s therapists offer positive support. “Women in this culture are bombarded with negative influences, from the supermodels who dominate the magazines to supercritical family members, Osachi believes. One of the most successful treatment modalities she has found over the past decade is group therapy. Another is to limit media intake.

Wellness consultant Niki Lamont’s strategy lies in coaching or partnering with clients to strengthen their “understanding, awareness, observation, choice and outcome” in relation to food. When clients see Lamont at Alternative Wellness Center, she assists them in forging a new agreement with themselves: “They’re going to control food and drink.” In this way, she says, they can get past the sense that having tried and failed at diets. As Lamont puts it, “If the diet is the control and the willpower is weak, then diet goes out the window.” Lamont draws on a variety of protocols from hypnotherapy to Energy Psychology, a group of methods which can vary from client to client.

Holistic nurse Mary Cenci also addresses the issues behind the choices. “You can make good takeout choices if you have no time,” she says. Cenci, whose practice is based in Jacksonville, wants to know what drives or motivates the client to eat certain foods at certain times. “When stressed, do you still reach for candy, sugar or the bread basket in restaurants?”


People will eat to comfort, soothe, entertain or tranquilize themselves when they’re happy or unhappy, stressed or bored, Cenci observes. She has enabled clients to eliminate long-held cravings for chocolate and other guilt-ridden food choices in anywhere from one to five sessions through Emotional Freedom Technique (EFT). EFT is composed of placing the fingers at points on certain of the body’s meridians (as mapped by the Chinese some 5,000 years ago) and using affirmation statements. By clearing the emotional drivers that make up self-sabotage, Cenci’s clients won’t find themselves backsliding next time they’re caught in stressful situations at home or work.

Clearly, many forms of loving guidance exist to get us past those obstacles to healthier, happier eating. So next time you hear that pint of Rocky Road calling your name as you walk by the fridge, remember this: you don’t have to answer.

Surgeries Sculpting The Future


When world famous sculptor Rodin molded a piece of clay, he magically transformed it into a thing of beauty. Dr. Samuel Rosenthal likens his work in the field of plastic surgery to the art of Rodin.


“Rodin’s medium was clay. My medium is human flesh,” says Rosenthal, who has been enhancing the facial features and bodies of patients for over thirty years. “Unlike other modalities in medicine, plastic surgery is actually an art form,” he says, “and it’s a gratifying field of medicine because the patients not only feel better — they look better. Very often it changes their whole life.”

Rosenthal’s favorite area for surgery is the nose. “It’s a coffee break operation for me,” he says, “and in that short time, I can make a plain girl pretty.” Noting that as we age, the nose tends to droop, Rosenthal often tells patients who come in for other facial procedures that he is going to “tip” their nose while he’s at it. After performing thousands of nose jobs over the years, Rosenthal points out that the best result is one that is not obvious, but looks perfectly natural.


“Amazingly enough, people really don’t remember what you looked like before,” he says, giving the example of a local surgeon with a large nose who came in for surgery. “I told him ‘No one will know you had a nose job.’” “People thought he’d shaved his mustache,” laughs Rosenthal. “Only he never had a mustache.”

“As with all surgeries, there are risks involved. Choosing the right surgeon is crucial,” says Dr. A. H. Nezami, who, like Rosenthal, is board certified by the American Society of Plastic Surgery. “Many physicians say that they are board certified, but patients need to explore further and find out what board they are certified by and if it is a recognized board.” With the internet as a tool, Nezami notes that women are now better informed about the procedures available to them and the doctors who are qualified to perform those procedures.


Elizabeth, 38, used the internet extensively in making her decision to have a breast augmentation. “I’m not a risk taker,” she says, “and I was hesitant to take this step, but after nursing my baby, I noticed that I’d lost a lot of volume in my breasts.” In addition to researching on the internet, Elizabeth talked to several friends before deciding to go ahead with the procedure.

“Dr. Nezami had done a total breast reconstruction for a friend of mine,” Elizabeth recalls, “so I had my first consultation with him. He struck me as very conservative, and he was completely up front about everything, including the risks. He warned me about possible leakage, the fact that they don’t last forever and that I’d probably face surgery again in my lifetime. I told him I just wanted to go up one cup size — from a B to a C — and he said, ‘Smart girl.’” Today Elizabeth is a satisfied patient of Nezami’s. She had surgery on a Wednesday and went back to work the following Monday.

As important as choosing the right physician, choosing patients carefully is important to Dr. Nezami. During the initial office visit, he spends a good deal of time trying to discern what is really bothering the patient. “I ask them what it is they are trying to accomplish and why,” says Nezami.

Does the patient want to look like a star? Is there a particular flaw that the patient wants corrected? For example, if someone comes in with a huge nose and shows Nezami a photo of a tiny, cute nose, the transformation from one to the other may not be advisable or even possible. “Much depends on the anatomy of the patient,” says Nezami. “Realistic expectations are important.” Once both the doctor and patient understand each other, Dr. Nezami also discusses the cost of the procedure. “Then it is their decision,” he says, “and mine.”

In most cases, plastic surgery is elective, expensive and is not covered by health insurance. Financing is available with many plastic surgeons, as well as through websites such as, where costs for cosmetic/plastic surgeries are mapped by listing the procedure, price range, monthly payments and length of procedure. For instance, the website lists the cost of a major face lift as ranging from $6500 to $8500, with monthly payments of anywhere from $195 to $425. The procedure takes around two to four hours. Liposuction takes about one to three hours and costs from $2300 to $7000.

The following are some of the most common plastic and cosmetic surgeries are:
Face Lift – tightens loose skin and removes bulges
Brow Lift – opens up hooded eyebrows and lifts
Laser Resurfacing – minimizes fine lines and removes skin blemishes
Nasal-Cosmetic (Rhinoplasty) – corrects external or internal defects
Nasal-Functional (Septo/Turbinectomy) – corrects external or internal defects
Nasal Implant – builds and extends bridge of nose
Eyelid – removes excess tissue and fat – reduces bags
Ear Surgery – places ears flatter to head
Chin Augmentation – corrects weak or inset chin, balancing to face
Liposuction – removes hard to lose pockets of fat
Tummy Tuck – removes excess skin and fat
Breast Augmentation – enlarges small breasts
Breast Lift – removes excess skin and lifts breasts
Breast Reduction – removes excess skin and tissue, reducing breast size

Currently many non-surgical procedures have gained popularity due to reduced complexity and cost. With the recent FDA approval of Botox injections, there are actually Botox parties (akin to TupperWare and Pampered Chef home parties) in which Botox injections are given by a cosmetic surgeon as guests drink wine and sample dainty appetizers. Containing a small amount of toxin that works to paralyze the facial muscles, thus reducing the deep wrinkles of crow’s feet, frown lines and forehead creases, the injection is quick, nearly painless and effective. Downsides to Botox are that it may limit facial expression and it is a temporary fix, lasting only a few months.


Other non-surgical procedures include collagen injections, dermabrasion, chemical peels and permanent makeup. Dr. Loren Z. Clayman often gives his patients a permanent eyeline tatoo while they are undergoing a facelift. “I put it on while they’re asleep and when they wake up, they have an eye-enhancer that highlights what they have and does it all day long,” says Clayman.

Dr. Clayman’s philosophy, after more than a quarter century of plastic surgery, is to recommend an early approach to face surgery. “If a woman has an early partial face-lift in her forties, she just doesn’t age,” he says. Illustrating his point, Clayman talks about a “girl” who came into his office recently. “I gave her a partial face-lift 22 years ago,” he says. “She’s 75 and has hardly aged at all.”

In addition to early face-lifts, Dr. Clayman recommends using the best skin products available and sticking with a daily regimen of skin care. “If you’ve been out in the sun for thirty years, you’re not going to completely smooth out your skin,” he says, pointing out that laser surgery for sun-damaged skin has its drawbacks. “Going back out in the sun or to a tanning bed after laser surgery can result in pigment like a spotted owl — and that can be devastating for a woman.”


Graceful jaw lines and “swan necks” can be dramatically achieved through face lifts, but plastic surgeons are in agreement that modest rather than dramatic improvements are what patients should expect. “Women bring in Vogue magazines and want to look exactly like the models,” says Dr. Clayman. “I tell them you have to work with what you have — this is not Houdini surgery.”

Citing Michael Jackson as a perfect example of a plastic surgery junkie looking for extremes, Clayman says he wants his patients to be comfortable about their appearance. He also advises that follow-up care after surgery is important in maintaining their new look. For instance, young women who have had breast augmentations need to wear a bra to sleep in order to protect their breasts during the changes brought on by pregnancy.

“I find reconstructive surgery after mastectomy to be most rewarding,” says Clayman. “In the old days women lived in a little shell following mastectomies — but now they are not afraid to seek reconstruction.” He advises women to wait two to three months to heal from the mastectomy before reconstruction.

Dr. J. Felipe Garcia, M.D. of Ponte Vedra Beach specializes in facial plastic surgery. “I’ve studied the face for years,” he says, “and when a woman comes in for the first consultation, I feel it is very important to study not only her face, but her reasons for being there. When a woman thinks that by looking younger she can save her marriage or get a job promotion, she is seeking surgery for the wrong reasons. There is no guarantee.”


Most of Dr. Garcia’s patients request “Aging-Face Surgery.” “Women in their forties and fifties tell me they work out and jog every day and watch their diets in order to maintain youthful bodies, but when they look in the mirror, they don’t see the person they think they should see. They ask me to make them look as young as they feel. If I can turn back the clock ten or fifteen years, I’ve done my job well.”

Often women come in complaining of double chins. For that problem Dr. Garcia’s remedy is liposuction under the chin and a neck lift, which elevates the tissues of the neck. “The results of a necklift are pretty dramatic,” he says, “but with most facial surgery, the goal is reached when the change is not obvious — when friends make comments like ‘There’s something different about you… did you change your hair, lose weight?’

Cosmetic procedures are generally done in the plastic surgeon’s office, with the exception of breast reduction, which is done in the hospital. In selecting a plastic surgeon, it is important to find out about their hospital affiliations as well as their board certifications, in case of complications. There are several factors which may affect your recovery from plastic surgery procedures, such as smoking or drinking habits, the nature of your job, diseases, medications you are using and lifestyle. These are important matters to discuss with your plastic surgeon during the initial consultation.

“I love my nose,” says Colleen Goff of Ponte Vedra Beach, who took her nose job and turned it into a new career. “Dr. Rosenthal did my nose fifteen years ago. I had fragile features and a big nose. He gave me a nose that fits my face.” Since her nose job, Colleen has become an expert on plastic surgery, especially the recovery phase. A certified nurse’s assistant, Colleen says she bridges the gap between the cosmetic surgeon and the patient with a service called “Confidential Care.


“It’s a privacy issue, often,” says Colleen. “People don’t want neighbors or family to know they’ve undergone a procedure, and there is a crucial recovery period involved. I take them home, bandaged and under the influence of drugs, and stay with them as long as necessary. Sometimes I spend the night. Since I’ve been through a procedure myself and done volumes of research, I can identify with them and answer the questions they forgot to ask. They are in a vulnerable state and I’m their protector — a cut above the neighbor next door.”

From “miracle” skin products to complex reconstructive surgery, the modern woman has an array of choices available for preserving youth and enhancing her appearance. The First Coast has become a mecca for cosmetic procedures.