Pros and Cons of immediate versus delayed post-mastectomy breast reconstruction

A new breast cancer diagnosis is emotionally challenging, and it becomes even more difficult when women must also make decisions about treatment during a stressful time. In the case of a woman who will have a mastectomy, the difficulty can be even more overwhelming due to the variety of options available and the choices she must make about if, when and how to have breast reconstruction.

According to Constance M. Chen a board-certified plastic surgeon and breast reconstruction specialist, “there are two types of breast reconstruction, breast implants and natural tissue breast reconstruction that uses the body’s own tissue, also known as autologous tissue breast reconstruction.” And with each scenario, there are multiple options. One time-sensitive consideration is whether to have the reconstruction performed immediately in the same surgery as the mastectomy, or delayed by months or even years after the mastectomy. Dr. Chen details the considerations of immediate versus delayed post-mastectomy reconstruction.

Immediate Reconstruction

One of the primary advantages of immediate reconstruction is blunting the emotional suffering from losing one or both breasts. “For many women, waking up from a mastectomy and seeing that she still has breasts is very positive”. Immediate reconstruction that conserves the nipple, areola, and skin is the highest standard in breast reconstruction. Nipple-sparing mastectomy preserves the entire skin envelope, which makes it possible to preserve the breast shape. Thus, regardless of the type of reconstruction, whether implants or natural tissue, the resulting breast shape will always be best after nipple-sparing mastectomy. When performed with natural tissue, the reconstructed breast has the added benefit of being soft, warm and alive, and it is also possible to reconnect nerves to restore feeling.

One drawback of immediate reconstruction is that the hospitalization and recovery time may be longer than with a mastectomy alone with breast reconstruction. Moreover, for women with advanced disease who need immediate chemotherapy, immediate reconstruction may delay treatment until after healing is complete.

Delayed Reconstruction

Delaying reconstruction sometimes shortens the recovery time after a mastectomy. If a patient has a high-grade tumor or advanced disease, she may elect to delay reconstruction so that she can start her chemotherapy or radiation therapy sooner. With both implants or with the woman’s own tissue – breast reconstruction can be performed after healing from the mastectomy is complete and after chemotherapy and radiation therapies, if those are required.

The biggest drawback to delaying reconstruction is the need for another surgery at a later date, and the potential for an inferior aesthetic result. This is particularly true if the patient has not undergone nipple-sparing mastectomy, and/or if the patient needed radiation therapy. Without nipple-sparing mastectomy, a significant amount of breast skin may have been removed, which permanently deforms the breast by changing the shape and flattening it. Radiation therapy also alters the remaining breast skin and tissue so that it does not stretch and heal normally. Without nipple-sparing mastectomy, the skin will need to be stretched with a tissue expander if using breast implants. With natural tissue breast reconstruction, skin from the patient’s donor site can make up for the lost skin, but it may appear as a patch. In these cases, there will likely be a need for additional follow-up procedures to improve the overall cosmetic result.

One of the biggest considerations driving the timing of reconstruction is whether the woman will need radiation therapy after her mastectomy. “Radiation therapy always automatically unfavorably affects the aesthetics of any breast reconstruction,” says Dr. Chen. “But if a woman wants autologous tissue reconstruction, she may be advised to postpone placing the natural tissue until her radiation is completed.” In these cases, the patient can undergo a delayed immediate reconstruction, in which a tissue expander is placed at the time of mastectomy to save the breast skin, and then the natural tissue reconstruction is performed after the radiation is completed.

The Takeaway

According to Dr. Chen, “women have the best aesthetic result and the most sustained level of satisfaction with nipple-sparing mastectomy and natural tissue breast reconstruction. Autologous tissue reconstruction produces a soft, natural breast that looks and feels like the breast lost to mastectomy. Most breast surgeons are reluctant to perform nipple-sparing mastectomy without immediate breast reconstruction, because of the deflated appearance of the breast skin. Whether immediate or delayed, however, preservation of the nipple-areola complex and all of the breast skin sets the foundation for the best possible breast reconstruction”.

“There are pros and cons to immediate and delayed reconstruction, and each woman must consider personal and medical reasons for choosing the best course of action for them. Breast reconstruction is an integral piece of managing breast cancer,” says Dr. Chen. “We’ve made amazing developments in our ability to reconstruct a breast that closely resembles the breast lost to mastectomy. Today more than ever we can offer women a wide range of options to fit their medical needs and personal preferences, including the choice of when to have reconstruction. Each breast cancer patient has unique needs and we can help her get the best care that is ideal for her”.

About Dr. Constance M. Chen

Constance M. Chen, MD, is a board-certified plastic surgeon in New York City with special expertise in the use of innovative natural techniques to optimize medical and cosmetic outcomes for women undergoing breast reconstruction. She is Clinical Assistant Professor of Surgery (Plastic Surgery) at Weill Cornell Medical College and Clinical Assistant Professor of Surgery (Plastic Surgery) at Tulane University School of Medicine.

Dr. Chen is frequently invited to lecture nationally and internationally on new advancements in breast reconstruction and the surgical treatment of lymphedema. She is the author of three books, five book chapters, and fifty journal articles. She has also won numerous awards for her work in plastic and reconstructive surgery at the local, regional, and national levels.

Dr. Chen has developed a reputation in the community for the personalized attention that she devotes to her patients. She is committed to aesthetic restoration of the breast and body, and enjoys helping her patients achieve overall well-being. At the end of the day, there is nothing more important to her than the joy she hopes to bring to her patients’ lives. Come into the beautiful world of Dr. Constance M. Chen.

ACS Silver Gel by Results RNA now available in new sizing

Biopharmaceutical company Results RNA has added a 4 oz bottle option to their best-selling ACS 200 Silver Gel lineup. This addition provides a very user-friendly size with excellent pricing and exceptional results. ACS 200 Silver Gel is the only 200 parts per million topical silver gel available, as most silver gels are less than 20 ppm.

Biopharmaceutical company Results RNA has added a 4 oz bottle option to their best-selling ACS 200 Silver Gel lineup. Previously only available in 2 oz and 8 oz sizes, ACS 200 Silver Gel topical formula provides active ingredients Advanced Cellular Silver and Advanced Cellular Glutathione.

This soothing and skin rejuvenating clear topical silver gel supports overall skin health and can be applied to both face and body daily and comes in a sleek tube that is easy to carry with you, and simple to use.

Apply ACS 200 Silver Gel immediately following skin-abrasive applications such as tanning, facials, waxing, tattoos, chemical peels, microneedling, microdermabrasion, microblading, dermablading, dermaplaning, sclerotherapy, pigmentation procedures, or laser skin care procedures to rapidly soothe and rejuvenate.

Additionally, ACS 200 Silver Gel can be used for post-sun exposure, blemishes, underneath masks, maskne, skin redness, dry skin, sensitive skin, burns, cuts, scrapes, irritation, and more.

Post-application, skin is smoother, healthier, and brighter with reduced redness, itchiness, swelling, irritation, and dryness.

Other topical creams and ointments can damage the skin, but ACS 200 Silver Gel provides soothing rejuvenation without harmful chemicals. ACS 200 Silver Gel is odorless, hypo-allergenic, and non-comedogenic.

Results RNA ACS Silver Gel is available at selected stores and online. For more information, come into the beautiful world of Results RNA.

Plastic surgery patients’ use of social media filter comparisons highlight importance of realistic expectations about procedures, says Dr. Michael A. Jazayeri

The Orange County plastic surgeon comments on a recent article that patients should be sure that they are getting surgery to resemble the best version of themselves and not someone else entirely.

A June 23 article on InStyle reports on a new trend plastic surgery clinics are seeing among their younger patients in particular. Rather than bringing photos of celebrities to plastic surgery consultations as people have been doing since the dawn of modern plastic surgery, Millennial and Gen-Z patients are bringing altered pictures of themselves to show what they are hoping to achieve.

The article includes observations that this has sometimes created a disconnect between patients’ plastic surgery goals and what’s possible. Board-certified Orange County plastic surgeon Dr. Michael Jazayeri says that it can be helpful for patients to bring in altered photos of themselves, noting that they are definitely preferable to photos of celebrities who may have very little physically in common with an individual, but patients should still be careful to maintain realistic expectations when it comes to what plastic surgery can do for them.

Dr. Jazayeri says that edited photos of a patient are significantly superior to celebrity photos because plastic surgery is about flattering a specific individual. It’s often problematic, for example, when a patient interested in rhinoplasty mentions the nose of a particular celebrity because what might be beautiful on one person’s face could be highly unflattering on someone else’s.

He says altered photos can give plastic surgeons a much better and more realistic idea of what the patient is looking for. From there, consultations can help the surgeon to determine if the aesthetic changes are possible and if not, how to best achieve results that make the patient happy. The doctor says that prospective patients should understand that, just because a physical feature is changeable in an app does not mean those same changes can be easily achieved with plastic surgery. As such, it’s exceedingly important for patients to maintain realistic expectations, he adds. He notes that a good plastic surgeon will explain to patients exactly what is possible in their case so they will have a clear understanding of what to expect once they have recovered from their procedure.

Dr. Jazayeri says on that note, it’s important that patients seek out plastic surgery for themselves and not to conform to an idea of what might please other people. Conversely, they should also not listen to naysayers who might be quick to condemn or mock plastic surgery patients. While everyone has opinions about plastic surgeries, Dr. Jazayeri says that the only opinion that matters belongs to the person who is considering a procedure.

Readers can learn more about the services of Dr. Jazayeri by visiting his website or calling his office at (714) 242-5908. The doctor sees patients from throughout Orange County and all of Southern California. He operates two offices, one in Newport Beach and another in Santa Ana. Come into the beautiful world of Dr. Jazayeri.

Jennifer Wong, PA-C with Advanced Dermatology PC, provides tips on treating keloid scars

Scar formation is the body’s natural response to injury. Fibrous tissue, called scar tissue, forms over the wound to repair and protect the injury as it heals. How your skin scars depends on several factors including the size, depth, and location of the wound as well as your age, gender, and heredity. About ten percent of people have a tendency to grow extra scar tissue that forms smooth, hard growths that extend beyond the edges of the original wounds. These keloid scars are seldom harmful but may be itchy, tender, and unsightly and are particularly troublesome when highly visible.

Keloids are the result of an over-aggressive healing process. They are sometimes referred to as ‘scarring that didn’t know when to stop’ and have traditionally had a tendency to recur when treated. Newer treatment methods and combinations of therapies have proved effective and provided our patients with long-lasting relief.

Jennifer Wong, PA-C with Advanced Dermatology, P.C.

Keloid scars can be caused by many types of skin injuries from surgical incisions to burns to cosmetic piercing. They develop most often on the chest, back, shoulders, and earlobes. They are equally likely to afflict both men and women but are less common among children and the elderly. Although people with darker skin are more prone to develop keloids, they can occur in people of all skin types.

“There is thought that there might be a genetic component to the tendency to develop keloids,” says Wong, “so those with a family history are advised to think twice about ear piercing and other procedures. While it is impossible to predict with certainty who will develop a keloid, anyone who has developed one in the past should avoid elective surgery and any cosmetic body piercing.”

The decision to treat a keloid depends on its location and on how troublesome it is, visually or due to itchiness or irritation. Larger keloids are more difficult to treat and more likely to recur, sometimes bigger than before. Depending on the size and characteristics of the keloid, less invasive treatments may be recommended, particularly for a newly formed keloid. These might include silicone pads or pressure dressings that have to be applied carefully and frequently over a period of weeks or months. More than one type of treatment is often needed to achieve satisfactory reduction or elimination of a keloid. These treatment options include:

  • Corticosteroid injections given several weeks apart generally help shrink the keloid after a series of treatments. Because these injections may increase redness, laser treatment may also be used to reduce redness. And since many keloids regrow – sometimes years later – a second therapeutic option is often included in the treatment plan.
  • Cryotherapy, which reduces the keloid’s size and hardness by freezing it, is often used in conjunction with corticosteroid injections.
  • Surgical removal seldom achieves permanent removal as might be expected and to prevent recurrence, surgery is often followed with radiation or corticosteroid injections.
  • Radiation can be effective in treating keloids but in some cases poses danger to other organs. A recent option known as ‘superficial radiation’ targets the cells that cause the excess scar tissue and is safer as a post-surgical therapy. Several daily treatments are administered within a day or two of surgery to prevent the production of abnormal collagen.
  • Pressure dressings, silicone sheets and gels are also used after surgery to prevent regrowth. A pressure earring is often used after a keloid is removed from an earlobe.

By carefully assessing each patient’s needs and combining therapies, we can reduce the size and symptoms of a keloid, often remove them entirely and reduce the risk of recurrence. It’s important that each patient consider their primary objective in treating a keloid and work with their doctor to develop the treatment plan that is best for them.

Jennifer Wong

About Jennifer Wong

Jennifer Wong, RPA-C is a certified registered physician’s assistant specializing in dermatology with Advanced Dermatology PC.

Advanced Dermatology P.C.and the Center for Laser and Cosmetic Surgery (New York & New Jersey) is one of the leading dermatology centers in the nation, offering highly experienced physicians in the fields of cosmetic and laser dermatology as well as plastic surgery and state-of-the-art medical technologies. Come into the beautiful world of Advanced Dermatology PC.

Nest Brush reinvents the toothbrush with a UV-C disinfecting stand

It looks great, and cleans teeth – Nest Brush has just released its reddot-winning toothbrush on Kickstarter. With built-in UV light and a toothpaste reservoir, the Nest Brush works very differently from your conventional toothbrush. It didn’t even have a battery installed.

Looking to reinvent the dated design of the toothbrush, the Nest Brush is a travel-friendly toothbrush that is compact and sanitary. Available in four colors, the Nest Brush features a refillable tube in the handle that dispenses toothpaste to the food-grade hypoallergenic silicone head. The brush can be mounted to its magnetic stand where the head is UV-C sterilized.

Base station with UV-C

After cleaning, simply place the brush on a holder, the end of which contains a UV-C light. The UV-C stand automatically turns on to kill any bacteria on the brush and will automatically turn off after a minute. The base battery is designed to last at least six months before it needs to be charged.

If you’re planning to take the Nest Brush on the road, simply pop off the removable UV module and add the travel case. The travel setup has two months’ worth of battery life.

Price and availability

Nest Brush is part of a Kickstarter campaign and the company’s first crowdfunding project. During the financing phase, a toothbrush including the base costs 56 euros. A set of pair with two brushes costs 73 euros. Those interested can head over to Kickstarter to back the project.

Once the financing round is complete, delivery will take place in November. Note: Crowdfunding projects involve some risk for users.

Breast Reconstruction Specialist Dr. Constance M. Chen offers practical tips to help manage expectations for women recovering from breast surgery

Hundreds of thousands of women undergo breast surgery every year. Whether these procedures are reconstructive, cosmetic, or therapeutic, surgery itself is traumatic to the body. “The body’s reaction to surgery depends on many factors,” says plastic surgeon and breast reconstruction specialist Dr. Constance M. Chen.

Most important are the patient’s overall health, type and location of the surgery, and the aftereffects of anesthesia. Before surgery, each woman should discuss with her surgeon both the expected effects of the procedure she will undergo and the individual factors that might affect her recovery. Knowing what to expect and preparing for her recuperation will help ease her return to normal activities.

Dr. Constance M. Chen,  plastic surgeon and breast reconstruction specialist

Reconstructive breast surgery replaces a breast lost to mastectomy or rebuilds one disfigured by breast-conserving surgery such as lumpectomy. Breast reconstruction may be via implants or via a woman’s own tissue from another part of her body – often the abdomen – to fashion a soft, warm, natural breast much like the one she lost. Recreating a breast after lumpectomy depends on the degree of deformity and might range from implants to some sort of natural tissue breast reconstruction such as fat grafting or flap reconstruction. Cosmetic breast surgery includes breast augmentation with implants, breast reduction, and mastopexy, or breast lift. Therapeutic breast procedures include cancer surgeries such as mastectomy, lumpectomy, and biopsy as well as surgery for other conditions such as a breast abscess.

After surgery…
Dr. Chen points out that surgery induces some common and predictable responses at the surgical site and throughout the body. She offers some suggestions on what to expect in the days and weeks on the road to recovery.

Immediately after waking from anesthesia, you will be groggy. Some women experience post-operative nausea and/or vomiting that usually wears off in a couple of hours or days. If you are not staying overnight in the hospital, you will need a ride home.

Surgical drains may be in place after mastectomy or reconstructive surgery and will be removed either in the hospital or in the doctor’s office a week or so after discharge. You will be instructed before leaving the hospital on how to manage the drains and how to keep them secure and discreet.

Pain is most likely in the first few days and your doctor may prescribe medication to control pain. After that, over-the-counter painkillers generally suffice.

Post-surgical swelling is common along with bleeding and bruising at the surgical site and swelling may be apparent elsewhere. Your surgeon will advise on dressings and whether or not ice and elevation are appropriate.

Easing into light daily activity will be easier after a couple of weeks and some women can resume a desk job. Over the next few weeks, soreness and swelling will diminish and by six-to-eight weeks, most women are fully recovered and can resume regular activity.

Promoting healing…
Dr. Chen emphasizes the importance of following your doctor’s instructions while recovering and offers tips to make you as comfortable as possible and promote healing.

  • Wear loose, comfortable clothing that slips on easily and closes in the front. Zippered closures are often easiest to avoid fumbling with buttons. Avoid restrictive clothing and anything that requires you to lift your arms over your head.
  • Your surgeon will discuss whether and when to wear a bra and whether you should wear a compression garment at first to reduce swelling or avoid compression to keep the tissue alive. When you’re ready for a regular bra, look for one that is made of soft, breathable fabric and closes in the front. Avoid underwire bras that dig into your skin. Consider a post-surgical camisole that has pockets to hold drains.
  • Try sleeping in a recliner or lying on your back with pillows under your knees.
  • Don’t lift, carry, or push anything heavy – including a child – in the first few weeks after surgery.
  • Eat a nutrient-rich, well-balanced diet rich in lean protein to repair damaged tissue; iron, found in liver and green leafy vegetables, to replenish red blood cells; fluids from 6-8 glasses of water a day to reduce swelling; and fiber from beans and grains to stimulate a gastrointestinal system made sluggish by anesthesia. Get energy from food rather than supplements.
  • Avoid all products that contain nicotine – including cigarettes, patches, gum, chewing tobacco, and lozenges. Nicotine inhibits the body’s ability to heal.
  • Get moving! The body gets debilitated quickly. Even gentle stretching is helpful to stimulate the muscle fibers and overcome stiffness. After the immediate healing period, exercise also gets your heart rate up so that the blood is moving and your lungs fill with oxygen.

“Your doctor will let you know when various activities are safe after surgery, such as driving,” says Dr. Chen. “But remember that every patient reacts differently and estimated time frames don’t apply to everyone. Our goal is to ensure that every woman understands her treatment and recovery as well as possible. It’s vital to her physical and emotional healing that patients have comprehensive, accurate information about what to expect.”

About Dr. Constance M. Chen

Constance M. Chen, MD, is a board-certified plastic surgeon in New York City with special expertise in the use of innovative natural techniques to optimize medical and cosmetic outcomes for women undergoing breast reconstruction. She is Clinical Assistant Professor of Surgery (Plastic Surgery) at Weill Cornell Medical College and Clinical Assistant Professor of Surgery (Plastic Surgery) at Tulane University School of Medicine.

Dr. Chen is frequently invited to lecture nationally and internationally on new advancements in breast reconstruction and the surgical treatment of lymphedema. She is the author of three books, five book chapters, and fifty journal articles. She has also won numerous awards for her work in plastic and reconstructive surgery at the local, regional, and national levels.

Dr. Chen has developed a reputation in the community for the personalized attention that she devotes to her patients. She is committed to aesthetic restoration of the breast and body, and enjoys helping her patients achieve overall well-being. At the end of the day, there is nothing more important to her than the joy she hopes to bring to her patients’ lives. Come into the beautiful world of Dr. Constance M. Chen.

TED Relaunches TED Health Podcast with Dr. Shoshana Ungerleider, Leading Voice in Healthcare

Dr. Shoshana Ungerleider will host the relaunched TED Health podcast

TED relaunched its popular TED Health podcast today with new host Dr. Shoshana Ungerleider, MD, a San-Francisco-based internist and leading voice in healthcare. The series will continue to spotlight innovative speakers on health and science, featuring TED Talks covering a range of issues from antibiotic use in animals to the neuroscience of how memories are formed.

This was a tough year, and it’s made people think about their physical and mental health more than ever. Shoshana’s curiosity, compassion, and expertise make her the ideal host to guide us through this complicated time.

Michelle Quint, TED Director of Audio

Dr. Ungerleider has practiced internal medicine for eight years and is the founder of End Well, a nonprofit seeking to drive a cultural shift to improve the end of life experience. Since its inception in 2017, End Well has brought prominent voices and unsung heroes to the forefront of a movement to ensure we all live better through to the end. Over the course of the COVID-19 pandemic, Dr. Ungerleider has been a frequent medical contributor to both broadcast and print audiences, appearing on CNN, MSNBC, and CBS, among other national news channels, with writing in TIME, Scientific American, and The San Francisco Chronicle, among other publications.

I couldn’t be more excited and honored to join TED, the undisputed authority in all things innovation, to be a part of the new TED Health podcast. We’ve got an exciting upcoming season, showcasing stories and voices from the cutting edge which TED is known for, to help our listeners lead healthier, more fulfilling lives.

Dr. Shoshana Ungerleider,

The TED Health podcast is part of the TED Audio Collective, a collection of podcasts launched earlier this year. The collection includes shows co-developed by TED and its speakers as well as shows developed and produced independently by inspiring thinkers and creators. The growing list of podcasts ranges from TED originals like TED Talks Daily and Far Flung with Saleem Reshamwala to independent series like Design Matters with Debbie Millman and Conversations with People Who Hate M‪e from Dylan Marron. 

Listen to TED Health on Apple PodcastsSpotify or wherever you get your podcasts.

Get Healthy-Looking Skin Just In Time for Summer with Country Life Vitamins’ Latest Launch, Maxi-Skin® CeraClear™

Today, Country Life Vitamins introduces Maxi-Skin® CeraClear™ to its wide range of vitamin & supplement offerings, so people everywhere can help get their glow on! Maxi-Skin® CeraClear™ is the first in North America to use Skin-Cera®, clinically studied ceramides from the Konjac root, shown to improve hyperpigmentation, balance oiliness, alleviate dryness and clear whiteheads and blackheads.* Maxi-Skin® CeraClear™ helps to enhance your skin just in time for sunny days ahead.

While many skincare products commonly use ceramides derived from rice or wheat, CeraClear™ is powered by ceramides found in the konjac root that act as a non-drying, non-cystic acne clearing solution and assist in maintaining a healthy complexion.* Formulated for clearer skin, the vegan beauty supplement can show results in as little as six weeks.

When we created this particular formula, we wanted to make a versatile supplement that everyone could benefit from, while also ensuring that it targeted the specific skin care needs of our customers. Maxi-Skin® CeraClear™ is a product that can truly be used by anyone – both men & women, teens & adults, those who have oily skin or dry skin, and we’re excited to see the individual effects that they experience during the process.

Dr. Audrey Ross, Senior National Educator at Country Life Vitamins.

As we dare to go bare for the summer – makeup-free, that is – one clinical strength capsule twice a day will leave skin looking and feeling beautiful from within. Results may be even more effective when taken with Country Life fan-favorite, Maxi-Skin® CeraClear™ a vegan fruit-based formula that provides 5 in 1 benefits for even skin tone and increased elasticity. Skip the complicated multi-step skincare routine and opt for a duo that offers an easy yet effective beauty ritual to help replenish skin from the inside out. Better yet, both products are certified gluten-free.

The launch of Maxi-Skin® CeraClear™ marks a continued expansion into vegan beauty and represents the brand’s commitment to individualized health and wellness needs. Rounding out Country Life’s roster of beauty and skincare products, such as High Potency Biotin, Maxi-Hair® Plus and Maxi-Collagen® 7000 Powder, Maxi-Skin® CeraClear™ is the new go-to in self-care for effortless-looking skin.

Country Life Vitamins Maxi-Skin® CeraClear™ is now available on their website for a suggested retail price of $19.49 for a 30-day supply. For more information, come into the beautiful world of Country Life Vitamins.

Get rid of car sickness

Now that everyone is going on holiday en masse by car and so a lot of time is spent in the car, despite the nice prospect, that is not fun for everyone. Some people suffer from motion sickness. But don’t worry, the very renowned French perfume specialist Maison Berger Paris (they celebrated their 120th anniversary in 2018!) offers a solution for this.

Motion sickness is very common. This common ailment, especially in children, can make a car journey, long or short, very unpleasant. Maison Berger Paris has a solution for this problem that not only works well but also looks beautiful.

The car diffuser from Maison Berger is a metal diffuser with a beautiful design. A design object for every car. It is easily attached to a ventilation grille in the car by means of a clip. The car diffuser is available in different versions and has a diameter of 4.6 cm.

The perfume that goes into the car diffuser is spread through the ventilation system of the car. Maison Berger developed a perfume that combats motion sickness. The perfume lasts for 4 to 6 weeks, the essential oils in this Aroma Travel are bergamot, mint, eucalyptus, tea, rose, ginger and amber. The scents of these oils ensure that you do not get sick or nauseous in the car.

Don’t worry if you don’t suffer from motion sickness, there are also several other wonderful perfumes available.

Selling price
Car-diffuser including refill from € 14,95
Refill Aroma Travel, packed per 2 € 5,95

Maison Berger Paris car perfume is available at selected points of sale worldwide. Enter the wonderful world of Maison Berger Paris.

Male Cosmetic Procedure Increase During Pandemic Emphasizes Benefits of Plastic Surgery for All Genders, says Dr. Michael A. Jazayeri

A January 13 article on Ask Men reports on the sudden increase in male cosmetic procedures, at least partially due to the COVID-19 pandemic. The article cites the shift to more time spent at home as one of the primary reasons, noting men of all demographics have been able to research treatments they’ve always heard about but didn’t have the privacy or time to find out more. With an increase in video conference calls, the article notes that more men have become aware of their appearances, especially facial signs of aging like wrinkles and sagging skin. Orange County board-certified plastic surgeon Dr. Michael Jazayeri says that no one should feel embarrassed about wanting to boost their self-confidence by improving their looks and there’s no better time than the present to undergo plastic surgery and other cosmetic treatments, regardless of the patient’s gender or background.

Whether people like to admit it or not, attractiveness and the appearance of youthfulness can have a significant influence on an individual’s life, both professionally and personally. How a person looks could impact whether or not they are given a second job interview, a promotion, as well as a first date. He notes that non-invasive treatments such as dermal fillers or injections can provide individuals with the confidence boost they need in their careers and social lives.

Dr. Michael Jazayeri

The Southern California-based plastic surgeon says that many cosmetic procedures are typically quick and can be done as quickly as during a lunch break, with little to no downtime required for recovery. Dr. Jazayeri says that for more substantial procedures, such as a rhinoplasty or liposuction, patients often spend around two weeks at home recovering. He adds that the good news is that since many professionals are still working from home due to lockdown orders, individuals no longer need to take a great deal of extra time off work following their procedures.

Dr. Jazayeri notes that it’s crucial for all interested candidates to thoroughly research their clinic and plastic surgeon options before making a final decision. He says that the key factor to look for is that they seek out board-certified plastic surgeons. In addition to vetting the plastic surgeon’s credentials and patient reviews, Dr. Jazayeri says it’s also a good idea for individuals to examine any available before-and-after procedure photos.