Treatments

EXCLUSIVE INTERVIEW SERIES: FACIAL REJUVENATION

Dr. David M. Alessi (Picture 1)

THE HEALTHCARE HOLIDAY -EXCLUSIVE INTERVIEWS 

INTERVIEWEE: DAVID ALESSI – ALESSI INSTITUTE

TOPIC: FACIAL REJUVENATION

As facial rejuvenation is increasingly becoming a sought-after cosmetic treatment, The Healthcare Holiday wanted to seek professional advice to share with you We contacted Dr Alessi, a renowned facial plastic surgeon, based in Beverly Hills, CA.

In this interview Dr Alessi offers his views on procedures and what to look out for when choosing treatments and practitioners.

QUESTION: Non-surgical facelifts and facial rejuvenation procedures are increasingly popular in today’s vanity–focused social world. What would your advice be to those considering these procedures but are concerned about undesirable results?

ANSWER: My advice to those considering any kind of facial rejuvenation procedure, whether surgical or non-surgical would be to go to an expert. These procedures are becoming very common but also, the number of doctors doing them is increasing, and many of them are not well-trained. Always look for Board Certification and primarily in the American Board of Facial Plastic Surgery or the American Board of Surgery. Non-surgical procedures should always be done first (if at all possible) because the chance for a bad outcome would be lower with a non-surgical procedure. There are many non-surgical procedures that are great such as: Profound that can tighten the skin, fillers such as Voluma to fill in the sunken look that occurs with the aging process. In terms of invasive procedures those that are the least invasive should always be done first. Everybody is an individual and no surgeon should use a cookie-cutter approach to every patient. It depends on what the patients concerns are, the surgeons to listen to the patient and come up with a surgical plan, or a non-surgical plan that the patient agrees with and fully understands.

QUESTION:  You are renowned for your “natural looking” results. How do you achieve this? Does this stem mainly from your technique, experience and products you use?

ANSWER: In terms of obtaining ‘natural results’ it’s mainly by understanding anatomy and beauty, and not cutting corners. For example: when doing a neck lift or a face-lift, many surgeons will cut corners by only pulling back the skin. That will give a ‘too-tight’ appearance and an Old Hollywood Actress appearance to their look. For facial rejuvenation surgically, as somebody ages not only does their skin sag but also their fat and muscle will sag at the same time. These all need to be put back into place to achieve a very natural look. Also understanding the aging process and putting things back to where they were when the individual was younger is very important. It’s not just about tightening skin but also to reconstruct the underlying structures.

QUESTION: Botox v fillers: What are your views on these procedures? How long do the results last and is there any medical research to indicate that repeated treatments can be detrimental to health?

ANSWER: These are both very safe procedures and they do different things. Botox is for lines that are there part of the time, such as the lines in between the brows and the forehead that contract with muscular movement. The best uses for Botox would be forehead lines, the lines in between the eyes, and crow’s feet. We also use Botox to make the eyes a little bit bigger, and also to help keep somebody’s mouth look like its slightly smiling rather than looking like a fish mouth. There is no evidence to suggest that any repeated use of Botox or fillers can be detrimental to health. There is no incidents of cancers, or other medical problems occurring because of these fillers, assuming the individual does not have an allergy to the fillers or the Botox. Fillers are used for filling in lines that are there all the time such as the lines by the nose that go to the corner of the mouth, called the nasolabial folds, or for noses that have a defect in the bridge that needs to be filled out a little bit. It can also be used for the Tear Trough that is underneath the eyes (which gives a hollowness to the eyes), to fill out lips, or it can be used to make hands look younger, and there’s multiple other uses. Most of the fillers used nowadays are made out of a Hyaluronic acid. The neat thing about these fillers is that if the result isn’t exactly what the patient wants then it can be dissolved easily. There are different types of Hyaluronic acid depending on how cross-linked they are, and will change how long the substance will be in there. It also changes the consistency as to whether or not it’s thick or thin. Thicker fillers are used for deeper correction such as giving new cheekbones, and nasolabial folds. Thinner fillers are used for underneath the eyes and for the lips. These are done very frequently and an expert of hands can be a wonderful result for patients. In terms of fillers we actually do a lot of fat injections. Fat will function just as any other filler except the only issue with fat is that sometimes the fat can go away. However with better processing of the fat, the chance of the fat surviving for a long-term or forever, is much higher.

QUESTION: Being at the forefront of this area of the medical profession, can you provide any insight on new developments?

ANSWER: In terms of any new developments in medic procedures, there are better and longer lasting fillers. There is still the search for the perfect filler that is one that will last forever but can be dissolved very easily. Also, there is research in terms of neurotypes of Botox-like substances that will last for longer periods of time. There is research on topical Botox that will avoid the use of needles. Additionally, there is more research on better types of radio frequency that can tighten the skin non-invasively.

QUESTION: We all want to keep our skin looking as young as possible for as long as possible – what is essential for our daily skin regime.

ANSWER: In terms of keeping your skin looking as young as possible, for as long as possible, the four things you need to do are: 1) moisturize; 2) stay out of the sun; 3) avoid stress and; 4) don’t smoke. Also hormonal changes especially pre-menopause or menopause can have a detrimental effect on the skin. Hormonal replacement therapy is a wonderful treatment to keep your skin looking as young as possible for as long as possible. Basically, if somebody follows the four main points above, then the skin will look great for a long time. In terms of moisturizers there are many different types. Our studies show that our skincare line performs very well however the main factor is not the cream itself, but the fact that the skin is staying moist. Antioxidants can be very useful in helping to inhibit sun damage and free-radical damage, and that is what we have in our creams as well as in other creams.

QUESTION: I note that you have a residency at Niyama Private Islands Maldives, from 25 March – 5 April 2018, can you tell us why you have chosen this location?

ANSWER: We have chosen a residency at Niyama Private Islands because we have been to the Maldives several times and in fact this will be our 10th time there. The owner of the hotel discussed the opportunity of me performing more simple procedures such as Botox; fillers, Kybella at the resort. We are exploring the possibility of doing this on a bigger scale where we can even do surgeries and have this as a destination resort for recovery, not only from surgery and cosmetic procedures but also for overall health and wellness. The Maldives is one of the most spectacular creations in the world that we have been to, and given that we travel everywhere for a hobby, I think this means something.

QUESTION: Do you have a Practice in London or plan to in the future?

ANSWER: This has always been a consideration. My wife is British, being from the Highlands in Scotland, so ideally we would love to do this. Although practically to run an office in Beverly Hills, as well as in Dubai, with the periodic residency in the Maldives, this takes up a considerable amount of time. So we will have to see how we could possibly fit this into our schedule.

QUESTION: Would you provide a general quote on the key benefits of non-surgical facelifts for those seeking age-defying procedures?

ANSWER: Our preferences is the Profound RF. Procedures such as Ulthera and Thermage help somewhat with many patients noticing a subtle result, very few noticing the home run, and several patients, especially with Ulthera, not noticing any results at all. The Profound (in our opinion) is the best way to tighten the skin non-surgically. Everybody seems to have a result, and sometimes the results are spectacular. Combining this with Botox, resurfacing the face with a fractionated CO2 Laser, and fillers, can completely rejuvenate ones appearance without surgery. The results can be remarkable.

QUESTION: And finally, you are described as a “beauty whisperer to the stars”. We would like to hear more about this!

ANSWER: It’s basically because of where I’m located. I feel I do very good work and since I work in Beverly Hills where all of these stars seem to live, they come to trust me to give them advice in terms of beauty, and maintaining their beauty. It’s a special niche in terms of that they need to look natural and normal on television, without looking like they’ve had anything done. We will often adjust our Botox so that it will not affect the roles that they are doing. For example, comedians need to have more action in their eyebrows than perhaps for someone who is doing more dramatic work. In addition we will consult with their managers and casting directors to see if any of the changes we are considering will have any impact on the types of roles they may be getting.

A revival of the Ancient Hamman Ritual

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In times gone by hammams were used by Kings and Queens of the Ottoman Empire who would host their key social engagements within these ornate bathhouses.

Today, hammams are back in fashion with many resorts adding them to their wellness offerings and treatment menus.
Also known as a Turkish bath, a hammam is the Middle Eastern variant of a steam bath, or a wet relative of the sauna. Although the first ones originated in Arabia, bath culture was a central part of Roman life, Turkey popularized the tradition by making hammams available to people of all statuses.

The advent of the modern spa and the convenience of baths at home have defeated this old concept. Modern-day hammams often reflect the rich design features of the original bathhouses and continue the tradition of water, air and heat-based body treatments. The treatment benefits include removing dead skin cells, deeply cleansing the skin, ridding it of impurities while stimulating blood circulation and the lymphatic system in remedial heat.

Various resorts and hotels such as The Anantara Spa group offer a number of hammams in various destinations with treatments that follow the traditional ritual procedure.

The Qasr Al Sarab Desert Resort by Anantara, located in the heart of Abu Dhabi’s Liwa Desert, houses the Royal Moroccan Hammam and offers the traditional journey in the ritual experiences – first steam which purifies the skin, followed by lying on a heated marble bed for a cleansing and polishing ritual using traditional black olive soap and a kessa mitt. The skin soaks up the natural goodness of a mineral-rich rhassoul mask, followed by a hair treatment and mini facial. After time in the heated jacuzzi and ice room, a back massage completes the ritual.

Other hammams include Banana Island Resort in Doha and the Eastern Mangroves Hotel & Spa close to Abu Dhabi City which offers both Turkish and Moroccan Hammam Experiences.

Anantara Hotels, Resorts & Spas www.anantara.com.

Lanserhof, Waakirchen and Hamburg

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With two locations in Germany, Resort Tegernsee and Lans Medicum Hamburg, Lanserhof is Europe’s leader in modern medicine. By acknowledging the healing powers of medical treatments, this designation uses a holistic medical approach to prevent pain and restore the body. Doctors and medical specialists tailor the wellness experience to fit the needs of the individual, which makes the holiday a worthwhile health excursion. Lanserhof’s utilization of medicine empowers individuals to develop a healthier and happier lifestyle. From Resort Tegernsee’s beautiful architecture and glorious natural surroundings to Lans Medicum Hamburg’s natural healing processes and reliance on sports medicine, both destinations use the latest methods for a holiday that guarantees results — both mental and physical.

http://www.lanserhof.com/tegernsee

http://www.lanserhof.com/hamburg

Heiligendamm, Bad Doberan, Mecklenburg-Vorpommern

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Situated within the town of Bad Doberan in the German state of Mecklenburg-Vorpommern, Heiligendamm is an ideal wellness destination for its revitalizing weather and stunning surroundings. Sitting along the Baltic coast, this resort uses seawater for therapeutic treatments while the mild temperatures, moist air and low dust levels provide prescriptive conditions for those with respiratory illnesses and allergies.

It is the oldest seaside resort in Germany and has been hosting prominent figures, such as Duke Friedrich Franz, for over 200 years.

https://www.grandhotel-heiligendamm.de

Absolute Sanctuary unveils Fitness Wellness in Asia

TravMedia_United_Kingdom_medium-sized_1233849_ABSOLUTE SANCTUARY RESORT PHOTOAbsolute Sanctuary in Koh Samui  is Asia’s first Fitness Wellness resort.

This new Fitness Wellness concept combines physical and mental well-being to promote long lasting health. Through its affiliation with Absolute You, Absolute Sanctuary has integrated designed exercise programs including Yoga, Pilates Reformer, Core suspend, rhythm cycling and food programs with world- class Detox programs , emotional and healing  spa therapies to offer cutting edge fitness wellness programs, the benefits of which will last a life-time.

Executive Director, Claire Bostock, explains that over the last decade there has been a growing market of niche travellers looking for a holiday experience where they can immerse themselves in their passion for fitness.  Absolute Sanctuary sees itself as a perfect fit for these travellers seeking a holiday to unplug from the world and reboot themselves with a getaway that promotes good energy and well-being. With our new Fitness Wellness positioning, it is also timely to revamp our look and feel to exude what we stand for – a place for people to Reconnect with themselves, Recharge their mind, body and soul, Revitalize their inner being and Re-energize their life,”

The 38-room boutique resort has launched 2 new wellness programs: Lifestyle Change and Meaningful Holidays. The lifestyle change program is a structured 30 or 60-days program for people looking to completely transform themselves and committed to achieving the best that they can be with the support of our program. The meaningful holiday is a short 3-day getaway that moves away from packaged programs to a more relaxed getaway leaving guests free to design their own dedicated wellbeing experience.

www.absolutesanctuary.com

Switzerland’s luxury health hideway set to reopen

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Bürgenstock Resort, Lake Lucerne, one of Switzerland’s most famous hotels, is to re-open its doors on 28 August 2017.  Following a nine-year, US$ 569 million construction project, the historic hideaway has been restored as an exclusive destination for health, leisure and culture guests.

Many visitors travel to Switzerland for both medical and wellbeing reasons. The Bürgenstock resort is perfectly placed to accommodate them. The Waldhotel Healthy Living is staffed by a multidisciplinary team of doctors, scientists and therapists, devoted to catering to the healthcare needs of guests and patients. It features a treatment portfolio that is focused on the promotion of health through convalescence, medical check-ups, beauty, lifestyle and healthy ageing.

Perched 500 meters above Lake Lucerne, the kilometre-long, car-free resort is accessible by private boat from Lucerne and will comprise four hotels: the five-star superior Bürgenstock Hotel, the five-star Waldhotel Healthy Living, the four-star Palace Hotel and the three-star Pension Taverne 1879.

With a total of 383 rooms and suites, the complex will feature a Healthy Living centre, 12 bars and restaurants, 67 residence suites, a cinema, a 10,000 sqm Alpine Spa as well as a wide range of leisure activities including golf, mountain biking, ice skating and tennis.

The Bürgenstock Alpine Spa features three pools, saunas and a Hammam steam room, whirlpool baths, 15 treatment rooms and three private spas. The Waldhotel and the Alpine Spa both open in autumn 2017..

The resort also captures its energy from the lake. 80% of its thermal and 100% of its cooling requirements are circulated via a network of insulated pipes emanating from an energy distribution centre – a process that is almost carbon neutral.

First imagined by Franz Josef Bucher and Josef Durrer in 1871, the resort rose to fame in the 1950s and 60s, when the biggest names in politics and entertainment would descend on the lake-side paradise, including Indian prime minister Indira Gandhi, US president Jimmy Carter, film stars Sophia Loren and Audrey Hepburn, who married Mel Ferrer in the resort’s chapel in 1954.

Switzerland enjoys increasing popularity due to its reputation for luxury hospitality, crystal blue lakes, alpine forests and snow-capped mountains.

 

Bürgenstock Hotels & Resort Lake Lucerne

The Bürgenstock Resort Lake Lucerne is part of the Bürgenstock Selection headquartered in Zug, Switzerland. The car-free resort includes 4 hotels from 3 star to 5 star superior with 383 rooms and suites, a Health & Medical Center, 12 restaurants and bars, 67 residence suites, a 10,000m2 Alpine spa and a wide range of leisure activities.

The company portfolio includes the Bürgenstock Resort Lake Lucerne, the Schweizerhof Hotel & Spa Bern (99 rooms) and the Royal Savoy Hotel & Spa Lausanne (196 rooms).

 

Asia’s Emerging Spa, Vietnam

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The JW Marriott Phu Quoc Emerald Bay in Vietnam has announced that the Chanterelle – Spa by JW has been named South East Asia’s top Luxury Emerging Spa in the 2017 edition of the World Luxury Spa Awards.

As a leading spa, Chanterelle – Spa by JW presents an exclusive range of holistic and locally-inspired therapies based on four pillars: Calm, Indulge, Invigorate, and Renew. The treatments are personalized, allowing guests to shape their own wellness journey. The spa spans seven couples’ treatment rooms, one exclusive suite (which includes a luxurious VIP body treatment room, dedicated bath with separate steam and sauna), two reflexology rooms, as well as a salon room providing hair styling and nail services for both ladies and gentlemen.

Chanterelle – Spa by JW has a menu of intuitive offerings such as Thai Yoga Stretching, a body and spirit exercise combining classic Thai movements and controlled breathing to refocus the mind; DIY classes teaching guests to create their own scrubs, bath salts, and facial masks; and a Private Bath Ritual. Available in all room types, the Private Bath Ritual allows guests to experience a taste of the spa in the comfort of their rooms. Choosing from four themes – Detox Bath, Phu Quoc Signature Bath, Home Sweet Home, and Touch of Romance – the Bath Butler can deliver the ingredients and set up everything needed for a pampering soak in the oversized jetted tubs. Additional touches such as take away pocket guides and a comprehensive retail counter allows guests to continue the surreal spa journey at home.

JW Marriott Phu Quoc Emerald Bay is the flagship of JW Marriott Hotels and Resorts in Vietnam. JW Marriott Phu Quoc offers a selection of 244 artistically unique well-appointed rooms, suites, and villas with Bill Bensely’s whimsical touches.

www.jwmarriottphuquoc.com

 

Watsu – Water Massage in the thermal waters of Bath

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Watsu, otherwise known as water shiatsu, takes advantage of the therapeutic mineral-rich waters of the Thermal Bath Spa. This the new massage treatment in vogue and the latest addition to the wellness landscape.

This signature treatment is performed in the historic Hot Bath by a specially trained therapist who gently supports, stretches and guides your body through a series of flowing movements in the warm thermal waters.

This relaxing treatment combines elements of shiatsu massage and acupressure while using the buoyancy to manipulate muscles and unravel those stress knots!

www.thermaebathspa.com

 

The Thermae Bath Spa

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This natural thermal spa lies in the heart of Bath, a World Heritage Site.

The Thermae Bath Spa is an award winning facility flowing with warm, mineral-rich thermal waters.  Combining the old with the new, this historical spa building blends with the contemporary design of the New Royal Bath.

Following in the bathing traditions of the Celts and Romans, dating back 2000 years ago, here you can enjoy bathing in the Minerva Bath or the open-air rooftop pool with views over the city and countryside.

A dedicated Wellness Suite has been designed to offer a range of multi-sensory facilities.  Guests are invited to experience a thermal journey which includes an infrared sauna, an astral relaxation room, a series of aroma steam rooms and an ice chamber. Creative displays and features reflect the spa traditions of the Romans and Georgians.

For light refreshment, the Springs Cafe Restaurant serves freshly prepared meals and drinks.

www.thermaebathspa.com

 




Danubius Health Spa Resort, Slovakia

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Danubius Health Spa Resort in Irma, Slovakia, features over 60 medical and spa treatments and is situated directly on top of the healing springs of Piestany. This 5-star hotel uses the healing springs to deliver a host of wellness treatments and other services. The facility also features a centrally-located mud pool.

In addition to the treatments carried out by the healing springs, the health spa also features beauty and fitness services. Beauty, cosmetic, and relaxation treatments are available on behalf of French cosmetic brand Clarins, and personal training and fitness consultations are also available.

Danubius Health Spa Resort received the 2017 International Thermal Medical Bath of the Year Award by the International Medical Travel Journal.

Visit: www.danubiushotels.com for more information.