Plastic Surgery & Skin Care
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Myth Versus Truth: ‘My Botox Won’t Last’ and Other Misconceptions
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Laugh lines, crow’s feet and wrinkles around the forehead are signs of a life well lived – and a natural part of the aging process. But take heart: While wrinkles are a fact of life, there are safe and effective ways to minimize their appearance and, in some cases, slow their progression.
Botox® and fillers are two of the most common noninvasive procedures to address wrinkles today and have grown in popularity over the last five to ten years. However, many patients still have questions and, sometimes, misconceptions about these approaches.
We often see patients wanting to learn more about how injections and fillers can reduce the appearance of wrinkles and help them look younger. The first thing we do is talk about the difference between these procedures and the benefits of each. Then, together, we can determine which may be the best for you.
Myth #1: Botox and fillers are the same thing
While many confuse Botox and fillers, it’s important to understand they aren’t the same thing.
Botox paralyzes muscles temporarily, which can help prevent the overlying skin from developing wrinkles. Fillers, on the other hand, can soften and fill lines and areas of volume loss like the cheeks or lips.
With Botox injections, small amounts of Botox are injected into these areas to block signals from nerves to the muscles. The muscles are then no longer able to contract so the face doesn’t wrinkle. The most common areas for Botox include forehead lines and crow’s feet.
Fillers, like Juvéderm® and Voluma® XC, use an injectable gel to fill a wrinkle that is already apparent. Juvéderm can be used to target wrinkles around the eyes and lips. Voluma XC can lift and smooth the cheeks.
Another key difference between fillers and Botox is that Botox is a very effective measure to prevent or delay the appearance of wrinkles.
The best time to start Botox is actually in your late 20s or early 30s, before wrinkles become obvious. The less you use the muscles in your face, the slower wrinkles will form. Of course, Botox and fillers need to be part of a comprehensive strategy that includes no smoking, sun protection and other skincare routines.
READ MORE: Understanding your winter skincare routine
Myth 2: My Botox won’t last
The effects of Botox are not permanent but you and your provider can work together on a timeline that works to keep wrinkles at bay.
Typically, we recommend about six months between injections, but that can vary based on your age and preference. The first sign it’s time to come back to the office is when the muscle begins to loosen up and start to move again, which is an indication the paralysis is wearing off.
Fillers, on the other hand, can last up to two years.
Your provider can help you decide what approach is best for you.
You can experiment with fillers and Botox, but you need an experienced provider to guide you through the options that are best for you to ensure that injections are effectively administered.
Just because you can get Botox at a spa or the dentist doesn’t mean you should. You need to see a knowledgeable provider who will create a strategy that addresses your concerns.
Myth #3: My results won’t look natural
One of the biggest misconceptions about Botox is that, because the muscles are paralyzed, you won’t be able to express emotion. But the areas targeted with Botox aren’t really needed to share your thoughts and feelings. For example, you don’t need to express anything with the muscles on your forehead, not being able to squint your eyes isn’t going to keep your family and friends from knowing how you feel and you can still certainly smile, frown and laugh.
Fillers are also a natural, subtle way to reduce the appearance of wrinkles.
Myth #4: Once I start, I can’t stop
Botox and fillers are elective procedures that you can stop at any time, but it’s always best to discuss your plans with your provider to create a schedule that’s right for you. Your provider can also address any concerns you may have about the procedure or recommend a different approach to better meet your goals.
AAMG Plastic Surgery offers nonsurgical and surgical cosmetic procedures to women and men. Choosing cosmetic plastic surgery is a deeply personal choice. To learn more about what’s the best fit for you, check out aahs.org/cosmetic.
Authors
Tripp Holton, MD is a plastic surgeon at AAMG Plastic Surgery.
Kathryn Sidrow is a certified physician assistant at Anne Arundel Medical Group (AAMG) Plastic Surgery.
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6 ways to have a healthy holiday season
Blog
The holiday season only comes around once a year. While it can be an easy time to slip into unhealthy eating habits, you can fit holiday celebrations into an overall healthy lifestyle with a little bit of positive thinking — and planning. Here are our top six tips for maintaining healthy habits throughout the holidays.
1. Get Moving
Make exercise part of the holiday season and burn more calories than you consume. Kick up your steps and exercise during the days right before a celebration or family gathering. On the actual holiday, take a walk early in the day and then again after a meal. Taking a walk together is a great way for family members of all ages to enjoy time together away from the table. Even when it starts to get dark outside, you can bundle up and tour the holiday lights in and around your neighborhood. Just be sure to wear reflective clothing, bring flashlights and be cautious of any traffic.
2. Fuel for the Day
Remember to eat prior to the big feast. You don’t want to save up calories and find you are so hungry during dinnertime that you have difficulty controlling your appetite. If you include protein and fiber (think fruits and vegetables) early in the day as part of your breakfast or lunch, you won’t be as hungry and will have the will power to make better decisions about your food and drink choices.
3. Watch your Portions
Don’t think you have to swear off dessert or your favorite holiday snacks to stay healthy. It’s truly all about portion size. Most people already know the foods that will be served at their holiday gatherings, and many of these foods are family favorites. Don’t spend your calories on items you can have any other time of year. Instead, choose your holiday favorites and stick to moderate portions. If you’re a guest at a family member or friend’s house, offer to bring a healthy dish you know you will enjoy and can substitute for a less healthy option. Remember, fruits and vegetables are your best options.
4. Think Water
Alcohol and sugary drinks come packed with extra calories. Don’t drink your calories; save them for the delicious food. Sip a large glass of water or flavored sparkling water to stay hydrated and ward off cravings for calorie-laden drinks. If you do decide to have an alcoholic beverage, wine spritzers are a better choice than most cocktails.
5. Be Realistic
Maintaining your standard weight through the holidays is a reasonable goal. However, this isn’t the easiest time to focus on weight loss. Most people are juggling busy schedules, food temptations and entertaining guests, so a realistic goal during this season is to avoid weight gain.
6. Shift the Food Focus
The holiday season is the perfect time to focus on friends and family. Rather than making food the main focus, consider building traditions around socializing, time together and games. Remind yourself of what you’re thankful for and celebrate your relationships. This not only helps your physical health but your mental health as well.
Do you know how many calories are hiding in classic holiday treats?
Calories aren’t everything, but it’s helpful to stay conscious of how many calories you’re eating and drinking. While you don’t have to avoid all holiday treats, many of them are loaded with calories so it’s best to keep portions small. Here are some calorie counts for common holiday desserts and drinks.
1/8th of nine-inch wide pecan pie = 190 calories
1 cup of Irish coffee (no sugar added) = 263 calories
1/8th of nine-inch wide pumpkin pie = 171 calories
4-ounce glass of egg nog = 110 calories
Three iced sugar cookies = 540 calories
1 cup of hot chocolate = 120 calories
1/16th of red velvet cake = 320 calories
16-ounce white chocolate peppermint drink = 460 calories
1/9th of eight-inch slice of gingerbread = 370 calories
5-ounce glass of wine = 120 calories
Request an appointment with one of our registered dietitians for a variety of nutrition services. They can create a food plan tailored to your personal health needs, identify what nutrients you may be lacking and help you achieve your health goals.
Authors
By Ann Caldwell and Maureen Shackelford, nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them call 443-481-5555.
Originally published Dec. 6, 2016. Last updated Dec. 9, 2019.
Pediatrics, Uncategorized
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How can I manage my asthma during the winter months?
Blog
Q: How can I manage my asthma during the winter months?
The most important aspect of asthma management is identifying the triggers. These tips can help you avoid winter asthma flare-ups:
Avoid breathing cold, dry air. Cold air can irritate the small tubes of the lungs and trigger coughing or wheezing. Stay indoors as much as possible. Use your inhaler 15 to 20 minutes before going outside to prevent airway tightening.
Know and avoid your indoor triggers. Avoid the hot, dry air of a fireplace. Sometimes molds, dust, animal dander, cockroaches or old carpets trigger asthma. Try to identify and remove these irritants from your home.
Protect yourself from colds and flu. Colds and flu can worsen asthma symptoms. Wash your hands regularly, and get your flu shot.
Asthma can be worse in children. Children with asthma should carry a rescue inhaler if there is concern about coming into contact with triggers. Also, talk with your doctor about taking a maintenance steroid inhaler.
Originally published Feb. 15, 2017. Last updated Dec. 9, 2019.
News & Press Releases
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Anne Arundel Medical Center Named Among Baltimore Metro Area Top Workplaces
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Anne Arundel Medical Center (AAMC) has been named one of the region’s Top Workplaces by The Baltimore Sun Media Group. The designation is based solely on employee feedback gathered through a third-party survey administered by research partner Energage, LLC. The anonymous survey measures several aspects of workplace culture, including alignment, execution and connection.
“We are passionate about creating a workplace environment where our team members are able to grow, thrive and make a difference,” said Julie McGovern, vice president and chief human resources officer at AAMC. “We are honored to be recognized once again as a Top Workplace by The Baltimore Sun Media Group, and equally honored that this recognition is based solely on the feedback of our employees.”
“The Top Workplaces award is about much more than recognition and celebration,” said Eric Rubino, CEO of Energage. “Our research also shows that these organizations achieve higher referral rates, lower employee turnover, and double the employee engagement levels. It just goes to show that being intentional about culture delivers bottom-line results.”
For more information about career opportunities at AAMC, visit www.aamccareers.org.
News & Press Releases
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Anne Arundel Medical Center Recruiting for Two COVID-19 Studies: Do You Qualify?
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Anne Arundel Medical Center is participating in two high priority, national Coronavirus (COVID-19) studies:
Infection Prevention: for people who have had a high exposure to COVID-19, but are not yet infected.
Early Treatment: people who have a documented COVID-19 infection and some symptoms of COVID-19, but are not sick enough to be in the hospital.
Since there are no recommended treatments for either situation, the purpose of the study is to determine if infused antibodies collected from a recovered COVID-19 patient (convalescent plasma) can either prevent a COVID-19 infection or prevent the disease from getting worse in those who have it.
What is convalescent plasma?
Plasma is the liquid portion of the blood. It contains antibodies that fight infections. People exposed to COVID-19 may benefit from receiving antibodies against COVID-19 virus from the plasma of those who have recovered from COVID-19.
Getting plasma with antibodies may help your body develop its own antibodies, which protects you from a COVID-19 infection.
What is the safety of receiving a plasma donation?
Convalescent plasma undergoes careful testing to ensure its safety and has proven useful for other infectious diseases in the past. Thousands of hospitalized COVID-19 patients have safely received the plasma.
How do I know if I qualify for the Infection Prevention Study?
You may qualify if you:
Are 18 years of age or older.
Have been in *close contact with an infected person within the past four days.
Do not have symptoms of COVID-19.
Can travel to a nearby facility for evaluation.
Are currently COVID-19 negative. (You will receive a COVID-19 test to confirm.)
*Close contact with someone who has COVID-19 means you:
Live in the same household.
Have had direct physical contact (hugging, kissing).
Are a health care worker and had an exposure without wearing recommended PPE.
Provide care for someone with COVID-19 without recommended PPE.
How do I know if I qualify for the Early Treatment Study?
You may qualify if you:
Are 18 years of age or older.
Have had a positive COVID-19 test within the past six days.
Are still having at least one COVID-19 symptom at enrollment.
Are sick, but do not need hospitalization.
Can travel to a nearby facility for enrollment and transfusion.
What is involved in receiving the plasma infusion?
You will receive one plasma infusion and then have five to seven follow-up visits over 90 days. All visits are at an outpatient office.
There is a narrow window to enroll based upon the date of your exposure (96 hours from the last exposure days) or first symptom/positive test (6 days).
I’m interested in participating. Who do I contact?
If you’re interested in participating, please email [email protected] and a member of our team will contact you.
Modest compensation for your time is available for those who qualify to participate.
If you had COVID-19 and would like to donate plasma to future COVID-19 patients to help in their recovery, learn more about what you need to know to qualify.